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HomeMy WebLinkAbout030-250-062030-250-062 PERMIT r�-2-9 FORDE, Robert & De 640 >SparkKy Wa rovil1 New amily 030-250-062 05-1003 BRINKER, ARLIN . 640 SPARKY WAY, OROVILLE Cont: UNKNOWN NEW SINGLE FAMI 1' P/ kp'9 I— I i Ib�D(�7 030-250-062 05-1526 BRINKER, ARLIN 640 SPARKY WY, OROVILLE Cont: FOX CO FIRE SPRINKLER FOR05-1003 030-250-062 05-1930 RRINKER. ARLIN CI 640 SPARKY AY, OROVILLE Cont: OWNER AG BUILDING 030-250-062 05-2974 BRINKER, ARLIN 640 SPARKY WAY, OROVILLE Cont: OWNER POOL r 0 = OK 0 = Not OK I RESIDENTIAL (Single & DuOexl ' I 'DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Ctrnc-MaterialSupport-Insultn _ 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16. Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd an Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass P rtctn-SkyLts -Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrric-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or DAL AC Wire Sz ga D CU or D AL 48 Range Circ ga OCU or DAL Oven Circ ga D CU or D AL t Insulated Neutral DYes ONo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector M B I N G 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & An_chr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub.Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping mac` �c °sem 0` opo o` UAlt IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o`�c o'er `mac 0 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GPI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker S7s & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 1 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn . 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 1` O'er 0` O'1 0 �rI = OK = Not OK 'MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, GirderslJoists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills -An chrs -Studs -Rftrs-Trusses _ 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE jPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability \ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn to Main Conduit 9 088th Dept Apprvl V' I - Cir Test-Wtr Supply Test t Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide (Pool Drawing a^� I e Z* NOTES 4. r - Butte County Department of Development Services. evp>f, AgRen 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 v~.buttecounty neydds RESIDENTIAL APN: 03 0-250-062 owner. ARINKER, ARLIN Site Address:, 640 SPARKY WAY, OROVILLE Cont: OWNER Contractor. = pOOL _ Type of Permit - 0Fr- Nwy I(d2 y 0 _q—C:F F GLAD'S w SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: v SIGNATURE: CHECKED BY PMI V) s � i' 4. r - Butte County Department of Development Services. evp>f, AgRen 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 v~.buttecounty neydds RESIDENTIAL APN: 03 0-250-062 owner. ARINKER, ARLIN Site Address:, 640 SPARKY WAY, OROVILLE Cont: OWNER Contractor. = pOOL _ Type of Permit - 0Fr- Nwy I(d2 y 0 _q—C:F F GLAD'S w SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: v SIGNATURE: CHECKED BY PMI V) COUNTY OF BUTTE BUILDING DIVISION r $• DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 }' CORRECTION NOTICE r< ink _v OWNER PERMIT NO. 44 ,��-• A routine inspection indicates that the following violations of Butte County Ordinances exist at F the above address and should be corrected. Please call for re -inspection when correction of r., work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. fx. fir: r. Date f 20 AInspectorr sf REV 4/05 Phone # sj. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 5� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION AL- (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52974 R R Rnilrllnn P.—it n1—is—mi nn 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/23/2005 APN: 030-250-062-000 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. Site Address: 640 SPARKY WAY ORO License Class : License Number: Map Index: Date: Contractor: Description: POOL, VINYL LINED OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRINKER, ARLIN & BEVERLY permit to construct, alter, improve, demolish, or repair any structure, prior P.O. BOX 2043 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 OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or 534-6970 she is exempt therefrom -and the basis for the alleged exemption. Any (530) violation of Section 7031.5 by any applicant for a permit subjects the arlinandbev@yahoo.com to a civil penalty of not more than five hundred dollars ($500).): applicant qui I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Applicant: BRINKER, ARLIN &BEVERLY pp Code: The Contractors' State License Law does not.apply to an P.O. BOX 2043 owner of property who builds or improves thereon, and who does OROVILLE CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one (530) 534-6970 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of arlinandbev@yah00.COm sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: U�Owner: --6 _, License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to -self -Insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: q' . Carrier: Total Square Ft: 0 S. F. t V Valuation: $0.00 Policy #: ' Census Code: j 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, 00 Ll and agree that if I should become subject to the workers' J compensation provisions of Section 3700 of the Labor Code, I shall LI forthwith comply with those provisions. D Dale: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY`.,,_. _, - _ This perm -r ielhereby,issup, der.t pplicofe provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ns to do wor J icated ove for ich fees have been paid.- " performance of the work for which this permit is issued (Sec 3097 Civ.) /�•- 2 3 -� S Name: By: Dale: /4-23 ^� Address: PERMIT EXPIRES ON: (Dale) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of County to enter upon above mentioned property for inspection purposes. /Butte ntthe L Print Name: 1 - 161-// / C/ I Signature: �i i -5, Dale: e Owner ❑ Contractor ❑ Agent for Owner O Agent for Contractor R R Rnilrllnn P.—it n1—is—mi nn 1 NOTES % Jwa eESERESIDENTIAL PERMIT NO. H P t4 030 — Z,50 — o c,0 Z Coli o SpA1ZKy WAY C>1z0 U (LLE , CA NS F SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY OFF Hwy r(oZ O Fr LUJ)'S WAy JOB FINALED (Date) (I 0 v Signature \*,,�-�W_ojL� �'VLYYIOlL�t� J=OK 0= Not OK . = NotApplicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/. /" L'ft. / P Nat. or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve S. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 'DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors T. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wali Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8.• Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fdtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists 'Dents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes 0 No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing )ate FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN lans) OK except #'s EoeSteps-Door & Sidelight Protection -Landings S oke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting 66!L3.FI. & Bath Fixtures & Tub Access -Spa %&.-Elec_ Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails ,Z1r rreplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 7?,IfICFixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74,XEdec. Outlets & Receptacles at Kit. Counter 455-1(�arage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper Zle- 1tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 76rElec. Receptacles in Garage (F.F.I.)-Romex Protection IBA -Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 2 n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ,® Yes 99"'Fongwing lnstldJDrive 10 Yes O No/Walks D Yes 1XNo/Planters O Yes G No Stucco Brown -Finish 8,. A.C. Unit Disconnect, Electrical -Plumbing Q�nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings K,!V!ater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F I. Receptacle -Underground entilation Throughout House lass Protection orrections from Previous Inspections as Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 96e1rd-dress Posted Fre Sprinkler Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except it's 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing )ate FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN lans) OK except #'s EoeSteps-Door & Sidelight Protection -Landings S oke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting 66!L3.FI. & Bath Fixtures & Tub Access -Spa %&.-Elec_ Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails ,Z1r rreplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 7?,IfICFixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74,XEdec. Outlets & Receptacles at Kit. Counter 455-1(�arage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper Zle- 1tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 76rElec. Receptacles in Garage (F.F.I.)-Romex Protection IBA -Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 2 n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ,® Yes 99"'Fongwing lnstldJDrive 10 Yes O No/Walks D Yes 1XNo/Planters O Yes G No Stucco Brown -Finish 8,. A.C. Unit Disconnect, Electrical -Plumbing Q�nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings K,!V!ater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F I. Receptacle -Underground entilation Throughout House lass Protection orrections from Previous Inspections as Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 96e1rd-dress Posted Fre Sprinkler Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - . ... _5r4 A-Pead A AAGWW%7 Certificate of Conformance Cerffficate 0 5 4 0 9 2 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A19o.1-1992, For Wood Products– Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 – Manufacturing – Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structuralglued as Ci with the Engineered ed timber members were produced in a manufacturing facility subject to regular audits in nspection of the Wood Systems (EWS) Quality Assua in -plant ant QA program wgram. Routine ith adequate its include (sampling to ven'fy o manufacturing process and evaluation the P conformance to.industry standards for lumber grade and gluelin e bond quality. 1112 by _41— Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED MOD ASSOCIATION 7011 Soult, I m Street - P.O. Box 11700 - T &come, WA 984 "-Mo Telephone: 01tTelephone: (253) 1565 -Moo X Or FaxNumbe(0 253) 65 6 i►ZTTE�EOES �o3b dm3 sp60M uJOISa L� e6 OrtT g0 62 qaj T.d TION CERTIFICATE Contractor/Owner Name Job Number: ,6,4':15.::::::: ............ Job Address (street, city, state) 2. CEILING 3. EXTERIOR WALL 4. RAISED FLOOR .... ................... Fiber ........................................... atenaL•rg Thickness (inches): 5. SLAB -FLOOR/PERIMETER Thickness in Perimeter Insulation Depth 6. FOUNDATION WALL M ... .......... .............. ate rial: Thickness (inches): ................................ ......... Brand Name: ::: ..... . .......... an f .. .. ......... ..... Thermal Resistance ........... Brand Name: Thermal Resistance .............................. ....................... Brand Name: ............ Thermal Resistance (R -Value):::::::::::::::::::::::::: ....::::::::...:::::::.::19...;:::.:::::...::::::::: Brand Name: Thermal Resistance Brand Name Thermal Resistance DECLARATION 'I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. :Chk6:: h§61afi6h::&-.-F '.e'p ::::::.x:3::...::4.:::::::::... ...... .............. .............................. Item Number's Sig4ature'andDate Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052974- R r` R„ilriinn Pormil n1_1 R_nA nn 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/23/2005 APN: 030-250-062-000 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. Site Address: 640 SPARKY WAY ORO License Class : License Number: Map Index: Date: Contractor: Description: POOL, VINYL LINED OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRINKER, ARLIN & BEVERLY permit to construct, alter, improve, demolish, or repair any structure, prior P.O. BOX 2043 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 OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the al leg ed exemption. Any (530) 534-6970 violation of Section 7031.5 by any applicant for a permit subjects the arlinandbev@yahoo.com to a civil penalty of not more than five hundred dollars ($500).): `applicant �{ I, as owner of the property, or my employees with wages as their (" sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BRINKER, ARLIN &BEVERLY pp Code: The Contractors' State License Law does not.apply to an P.O. BOX 2043 owner of property who builds or improves thereon, and who does OROVILLE CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one (530) 534-6970 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of arlinandbev@yahoo.com sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code )0- q i Date: (.v -y /K Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self -insure for workers' compensation, as provided for by, Section 3700 of the architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: I Carrier: Total Square Ft: 0 S.F. 1 Valuation: $0.00 Policy #: Y/ Census Code: J!� I certify that in the performance of the work for which this permit is l issued, I shall not employ any person in any manner so as to N become subject to the workers' compensation laws of California, t j U and agree that if I should become subject to the workers' "l compensation prodisions of Section 3700 of the Labor Code, I shall (Ci( lr( forthwith comply with thoseprovisions. O Date: < VSO I 1 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issu der t pplic a provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolut'oKs to do wor i Icated ove for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1-23—bS— 11-23-6S— Name: Name: By: Date: // PERMIT EXPIRES ON: 3 —Q Address: (Dale) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑-- Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter above mentioned property for inspection purposes. /upon ntthe - �/ Print Name: k / 6 I,� 9 Signature: /J� Date: f?J Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R r` R„ilriinn Pormil n1_1 R_nA nn 1 j ali al BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER LiILIK6'�o � Name y Address 0 - P%K-.2vV3 . City4OpbU / G State City / Phone�2 --6,0' 70 Fax _ — E mai//�Qh�6�V G�j00. 60 APPLICANT SIGNATURE X For office use only: CONTRACTOR J Name y / &//? el- Address A// /vss e, G T City / o State Ph . onefjA6j17Z Fax %3% a -is/ Fax E-maiW�/ 1 Licens Numbe Date Approved: Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name JD • hl'd G� Ad e s A// /vss e, G T CityT � o e M e- Z' - y Phone M'63f loOl Fax %3% a -is/ maiState E-maiW�/ 1 Licens Numbe APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name r q- cr Address, O 41 X- o52d Cit DI/�" o Ste Zip�� fJ Phone ?P7 (JQ%?it✓!leg Fax E-maiW�/ 1 aU • �O APPLICANT SIGNATURE X For office use only: Zoning dress ProX90� Flood Zone CrossStreet - I -W j SRA I Yes o Occ. I Type Const. Subdi ision Name Map Book Page Lot # Planner Date Approved: PERMIT Q5 2, q BP BIN # LOCATION AP# too-, s0 -0,60 dress ProX90� 10—ry-0111/�- CrossStreet - I -W j WORKE 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: � � D Sq. Footage ❑ 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 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 refundable. OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received b Amount: qr Bldg SRA Receipt #: �J �7' U ' �v Sheriff SMIP J q' Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). \ ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). �q 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINX VI' SION�- 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET' OWNER `/ ASSESSOR PARCEL NUMBER Proposed Building Use: / �� Permit Technician: PDate: Items required in order to app y Ora permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. +r 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. ❑ 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 ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 0 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry Rlan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: _) Parking: arcel Check:... -,. I ri✓ol/�T_ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ . ? 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... Jfl- 30. Owner -Builder Verification ( ✓6iven to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone Sa V/- [� q �n and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ,�.(.��C�c� ./ C./�it Date: /613 Z-0-57 1. Index permit application for thea ove items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: I Date: I Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division IUBuildinglPlan Check/Data Sheets/data sheet page 2 9.27.05 0A E.H. USE ONLY Slot Plan Attached :icer Stan Attached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispose Water Supply: Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: En iv r'onmental Health Specialist 8/96 Private Well � Date o 0UZ,y�yS, �LUc WOF� Department C o u n t y J. Michael Crump, Director of Public a f B i1 t or5 t e 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 (14PDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1 z a7�1 Project Description: Project Location andlor 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: Date: 11)'3- /- Q 5- - -a-' �,�sssi.,,:�,��:...us,:__ �� tea,:ray:;K.,.s:�.�*r..•r<;��:��.�-... Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide the Major labor and material for construction of this proposed property imp ovement: YES [ l` ] NO [ ]. 2. I HAVE [XI 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 ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 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 $200 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 contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. 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. cWer MicM NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 79/1 Ne— I ,r -4� 2' --0 •� a \' SEPTIC AREA PROPOSED HOUSE LOT 11 --LOPE, Dl R I PLANNING DIVISION- BUILDING PLAN APPROVAL' LSaignature: e: L— Dater.�.b4al Parking:--- Landscaping: ers .vert � r0�./✓.e. c i . 1079.66' ,09W,11) 90V&'a 49,P//Leet rya sjOAAA�y 6V A y 1 -Aw o � Ph. c3 %0-'163 gG /( to.& OX -ASD A oV BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP051003 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/21/2005 APN: 030-250-062-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 640 SPARKY WAY ORO Date: Contractor: Map Index: Description: NSF (3158) GAR (785) COV (1574) OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRINKER, ARLIN AND BEVERLY S .. .... . 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; r i 85 HUNTER DR the Contractor's State'License Law (Chapter 6 commencing with`Sectiori J - OROVILLE, CA ' 7000).of Division 3,of the Business and Professions Code) or that heor' she is exempt therefrom -and the basis for the,alleged.exemption, Any, 95966. ` violation of Section 7031.5 by any applicanC fora permit subjects the 530-534-6970 applicant to -a civil perialtyof not more than five hundred dollars ($500).):. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ,,,,intended,or. offered, for sale,(Sec.,, 70441 Business, and Professions, „_ ,, • - ., „„ • „ ., .,• , , _ ,,, Code: The- Contractors' State License:Law does'not apply to an Applicant: BRINKER, ARLIN AND BEVERLY owner of property who builds or improves thereon, and who does such.work.himself or herself or through his or her own employees, •improvements provided that such are not intended or offered for sale. If however, the building or improvements are'sold within one 85 HUNTER DR year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did -not build or improve for the purpose of 95966 sale.). 530-534-6970 I; as,; owner of the. property,,. am , exclusively , contracting, with,. " licensed contractors to contttuct',the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: THEVEOS CONSTRUCTION " ❑ 11 am Exempt under Article 3 of the Business and Professions Code ROBIN THEVEI OS , 7090 ORO COUNTRY CLUB ROAD Date: Owner:... OROVILLE, CA 95966 530-533-0716 •WORKERS' COMPENSATION DECLARATION I hereby affirm under�penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License'#: 319048 " workers'„ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued., 0 I. have and will maintain workers' compensation insurance, as Architect: ACQUISTAPACE, JOSEPH required by,Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: Total Square Ft: 5517 S.F. Policy#: I certify that id the`performance'of the work for which this permit is Valuation: $249,294.00 issued! 1. shall not employ any person in any .manner so as to Census Code: become, subject to the workers' compensation laws of California, and agree that if; 1 should become subject to the workers' compensation provisions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:..: �1 •_j[ �j���O� /�,���,/�t� /� �, 1 ~ WARNING: Failure to secure workers' compensation coverage is unlawful,, and shall subject an employer to criminal penalties and one hundred 'thousand dollars ($100,000), in addition to the cost of J yy— 77 Com' �� compensation, damages as provided for in Section 3706 of the Labor code,. interest, and attorney's fees.- .. . � - CONSTRUCTION LENDING AGENCY . This permit is hereby issued under th pplicable provisions of the Butte County Cody+ ?nd/or I hereby, affirm that there is a construction lending agency for the Resolutions t do work indicated a ov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BYE// Date: Address: PERMIT EXPIRES ON: Date 0 ❑ 1 hereby, certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with -Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ AttacKed are copies of the required E.P.A. notification forms: I hereby certify that.I have read this,application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 'I agree to comply with all county and state laws relating to building construction.. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby aui thorize representatives of Butte County to enter upon the above mentioned property for inspection purpos s. Print Name:/l/�/� ll/ -6,r/ Signature: .. j/��5. Date; Owner • - O Contractor ❑ Agent for Owner ❑ Agent for Contractor U BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS r- 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 to OFFICE #: (530) 538-7541 , 1 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds ��� >) **PLEASE PRINT CLEARLY** �0 OWNER st ame � i N � N �D V (/ ` e ngov I L, - State Zig5Q b Phone634_&� -2o Fax 61U 6— uom APPLICANT NAME CONTRACTOR Name �D V (/ ` e Address Z1,5946Phone( City Fax AJ AJ C7 IV 6— State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME N A) Adr,5— ' V C.0 N �p D I� �D V (/ ` e States � Z1,5946Phone( —6((q Q Fax AJ AJ C7 IV 6— W It n af%�( hev oo .cdm. SIGNATURE X For office use only: Zoning !j Flood Zone it 6ltOU SRA Yes I A0 Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. S. fo03 LOCATION AP# f�_ P, 5&- 66a —(3U() �/� JV Pro rty dd est, 5 r (fit it 6ltOU Cross reet �S WORKER'S MPENSATION 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 Na Address ,D7 Q—_S OVER FOR -SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Des 'ption or c pe of Work: Coy 15,q Sq. Footage 3 dm ❑ 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 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 refundable: Received by: Receipt #: ko&gdo Date: 19.6S Amount: I 44�6. o Bldg SRA Other •Total REV 2-24-05 ki SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a p rmit. INCOMPLET fc§UBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. v Site plans{ 3,Jor 4�,ets, signed by the preparer of the plans. No graph paper! Complete plan r 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate (if required). No faxes! Energy compliance design and supporting documentation in duplicate. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12jSanitation and site plan approval from t Environ ental Health Department. iz�tc�� 7-0;dCWr7'C/ `by� If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION __T-Vl�� S,Qv KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 c �� �� REV 2-24-05 !!� > Y' �V -���� �����5 �5 C'7 O O LOO utte County Department of Development Services ME CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: N 1 SUBJECT: M DATE: WILLDAN O��T TFO 0 � ,o 0 0 0 .. 0 0 0 cOU N'�y Scott Rutherford (530) 538-7160 srutherfordCc buttecountv.net Plans Transmittal For Review Per Contract - 4/20/2005 Applicant: Brinker, Arlin Permit No: 05-1003 Project Type: Home Const/Gar/Cov APN: 030-250-062 100% 70% Plan Check Fees $ 1,453.06 $ 1,017.14 $ 1,453.06 $ 1,017.14 W ILLDAN Fee $ 1,017.14 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate a Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBZR Proposed Building Use: Permit Technician: Date: ` Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderYo apply. 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. D 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. / 4. Engineered truss details and layouts in duplicate. No faxes! m/ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form "1 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other_ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)A 15. Sanitation and site plan approval from the Environmental11 Health Department in ❑ Chico Oroville, as applicable -4w" 16. Fire Sprinklers............................................................................................ . ❑ '17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... g(: 19. Erosion Control Plan Required........................................................................ 0t�j 20. Fees as shown on the attached Schedule of Fees Due Sheet ............................... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: B)Parking: (C) Parcel Check: V, ....... 25. Contact Land Development about _ Improvements, _ Drainage ........................ .� 26. NPDES Form ... :......................................................................................... 27. Encroachment Permit for driveway from the Public Works Dept ................ .......... 28. Contractor's license information. (Number, Name Style, Classification).................�0=0 29. Worker's Compensation Carrier and Policy Number........................................�p ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ............%..:... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement .................................. ❑ 33. Existing violations and/or expired permits........................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: r' moi/ I_ When issued Telephone4QW. J��� - 7 • /y--1 and hold for I have been informed of the above items and requirements for obtaining a building permit. Applicant: ���✓��%/(/. I�f�-l'/� Date: 1. Index permit application for thYabove items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by . Date: Plans reviewed by: Date: Plans approved by: _ i A 1 i i Date: Structural reviewed b Date: Structural approved, by: � ' b t V Date: Note transfer by: : Date: Yellow: Building Division k or./ 41 TO: Building ,Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.Fi_ _�ltkE ONLY 'Bion Plea Attached Roar Plan Ataseh.d4::7 Sant to G.D. (41 S j2AiIKJ Owner Loca on AP# Plan Approved for: Sewage Disposal tT�Water Suppl . Public Private Well Clearance for dwelling. Other d - Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER_ 1 A.P. # PROPROSED BUILDING USE ' "� DATE l �� RECEIPT #' DATE REC. I. BUILDING PERMIT FEES Q ( --- Balance Due ..................... $ a1� l �a • p� 1 --- FEMA Flood elevation review. --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES J i 5-G' ivell Gvl 92,0 (paid at School District Office) (form av ' e a er Plan Check) 3. ERIFEES (paid alBuilding Di 'sion) Re ' ential........... X 60.00 =$ Uni Commer ' 1(sq. X $0. _ $ Sq.Ftg. *4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check)` 5. RESIDENTIAL DEVELOPMENT IMPACT F S COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) J L-06 l • , TP 7. WATER TENDER FEES BATTALION # $200.00 (paid at �Building Division) '4V' 8. ' SMIP OTHER 10. OTHER 11. OTHER At 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 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Butte County Depar&nentofDeveloprnentServices Tr Ig 0 7 County Center Drive 0O Oroville, CA 95965 (530) 538.7601 Telephone ° (530) 538-7785 Facsimile cOUR �y ,BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I 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: 9 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am 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 Tlie 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 r uire 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: Applicant Name: Lim APN: b5 Building site address: Permit No.: _ �oo-2 I 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: SIGNATURE O APPLICANT DATE 41- /%-65 r.,..., t K:Fomes/B1dePemutwithoutClearances 020705 C,)G)ooh o� Departme* nt of Public Works ° C o u n t y o f B u t t e 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION p Storm Water Management Program 1 / 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement TLESS THAN 1 ACRE1 Project Description: kCIEL Project Location and/or Parcel Number: 6 qO WL-, a, 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 forn 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: ILL Title: Date: Less than 1 Acre NPDES & SWPpp Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District I% NS Building Department No. A.P. Number d� _1z50_0& '1� Jurisdiction: City County Property Owner e Property Location/Address Vi Subdivision Residential Development Q Q No of Living Mobile Home Units Installation Commercial/Industrial Q Q / I —Now Addition Department Representative Lot No. ................... _......_..................................:...................................... Sq. Footage 7 Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundation inspection) :..................................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identificatiori.No. V l0 School District certifies that (oU O(L-, v-�)n,lf 14,Q_W oc.k f A c�t (Street Address) Sq. Footage (Including Exterior hRoofed Areas) Date �P_�►-P t �`i �C i � I� �' 1 (Applicant) 70 (Phone Number) I'v I ._ _ (City) (state) (Zip Code) has complied with the requirements of Resolution No. v t by payment of $ _:7 Z�jS- 'representing ?;2 -7 - ?f) square feet.2926 i FULL MRtGATION = (zcc" � `� �d o School District Representative r ) Date( Paid by Check # Remarks: Notla: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance wffh ,Govemmsrrt Cods Section 66020(a), within 90 days from the date toss aro paid. Failure to submit a timely written protest wlll'prohibit you from ehalleMing the Imposition of the fess In any court action. N, subsequent to the School District Representative signing this Butts County Schools Impact Fes CartlNesilon Form, the 8ehool District Is rrsNlled by the applicable Local Planning Agency Mai this project Is being raviswed under the California Environmental Quality Act (CEQA) this project may be subjectto additional school fess to hilly nr:tigste. ks Impact on the school dletrictls schools. White (applicant), Yellow (building department), Pink (school district) feeform.>de (10/03)drnm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 005-0037056 Recorded I REC FEE 10.00 Official Records I County of 1 COId:ORNED COPY 1.00 Butte I CAN)1ACE J. ORLIBBS 1 County Clerk-Recorderl I I CP 09:5M 28 -Jun -M I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 6' 1 r C/ State of California County of --t�Ake- PROPERTY OWNERS: before me, c;-k:C, [ La 0 u h i L personally appeared fAS1Z Q%nd 3evefl �'�n\Ler personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) isfare subscribed to the within instrument and acknowledged to me that bf/she/they executed the same in his/Iter/their authorized capacity(ies), and that by Id's/k'er/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. Q - - t � ren, � • ' NOTARY PUBLIC -CALIFORNIA XPCOMBUTTE EDEC. 3 2005' a. _ 11.. LEGAL DESCRIPTION Order Number. 0403-1515294 Page Number. 5 Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL L• LOT 11, 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 RECORDER'S SERIAL NO. 98-49045. 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. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. APN: 030-250-062-0 ' , Mid Valley Title & Escrow Company BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. J5__1 9 50 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PAX3f(/�O_05D_ Q� ZONING (J O NER OWE Arink PHOpI h - la ,�;p 74) OWN ' DDR 1, LOC TI XOF B Q USE OF BUILDING / eAw kah e, SIZE OF STRUCTU 60_'X— v =�Y06) SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SID G ROOF C VE� FLOOR TYPE ESTIMATED COST OF CONSTRUCTION v AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES--,Qr)lREAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date- Permit ate Permit Fee - $60.00 Receipt No. e�#(7- 7d" Signature of Owner The above described AG Building is exempt from a Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant BUTTE COUNTY �uTTF0 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT _.. �_'t . 24,HOUR, INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds �UN .PERMIT NO. BPO51526 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions.of Chapter 9 (commencing,with,Section,70,00) of Division 3 of Issued Date: APN: 030-250-062-000 the Business and Professions Code, and my license is in full force and effect. . _ • License Class.: -'�r/fie •.>LicenseNumber: 305'3G5 Site Address: 640 SPARKY WAY ORO , `t Date: hlO�✓r Contractor. OK �1 � Map Index: Description: FIRE SPRINKLERS, FOR BP051003 r "OWNER -BUILDER DECLARATION I hereby affirm.. under penalty„of,perjury„fhat !,am exempt from the Contractors' State License .Law: for„the following reason (Sec. 7031.5 Business and Professions. Code: Any city or:county which requires a Owner: BRINKER, ARLIN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 85 HUNTER DRIVE signed statement that he or she'is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) 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 (530)534-6970 . .... violation of Section'7031.5 Wany applicant fora permit subjects the a arlinand bev@yahoo.com applicant to civil penalty of not more than five hundred dollars ($500).): ❑ I,'as owner of the property; or my employees with wages as their sole compensation, .will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: THEVEOS CONSTRUCTION Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 7090 ORO COUNTRY CLUB ROAD provided that such impiroJements"are'not intended or offered for OROVILLE, CA 95966 sale. If.however, the building or improvements are sold within one 530-533-0716 year of completion, the' owner -builder will have the burden of proving that he or, she did not build or improve for the purpose of sale.).• ❑ I, as owner •of the, property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: FOX COMPANY_ not apply to an ownerof property who builds or improves thereon, and who contracts for such projects. with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3995 OLIVE H WY ❑ 1 Exempt Article Business OROVILLE, CA 95966 am under 3 of the and Professions Code 530-533-2730 Date: - ..Owner:: License M 305365 „ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty'of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers', compensation,' as provided for by Section 3700 of the labor Code, for the performance of the work for which this permit Architect: is issued' Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy, number are: Cartier:TigT�' ftJ,UD Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy#: 62'72'UM -2 9 ❑ I certify'that'in the performancebf the work for which this permit is issued. I shall not employ any person in any manner so as to become subjectto,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 provisions. Date: D✓� Applicant: WARNING: Failure to secure orkerscompensation coverage is unlawful, and shall.subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /1 3 �C/ooda CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit i ereby issued under a pplicabblame provisions of the Butte County anrUer Resolutiops,%o do work indicated bov for whit fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Al Name: BY Date: PERMIT EXPIRES ON: O to Address: - ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ` Print Name: L dI:/�/�1t/� p✓ AI/�/AW-� Signature: Cl— Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor (0 0 0 0 l0 yUTTF r BUTTE COUNT o DEPARTMENT OF DEVELOPMENT SERVICES c BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 821-2834 .�y OFFICE #: (530) 538-7541 UN A FEE WILL BE REQUIRED AT TIME OF APPLICATION 3 so,7q CONTRACTOR OWNER NameAwzw a9 Address S5 4&MigQ Address 399,51 City 0 U' Zip XV, State Zipas�li� —(o Phone 53-1 0 Fax E-mail vayJ 6w CONTRACTOR ARCHITECT/ENGINEER Name �X /� �Q \ Address Address 399,51 City Zip XV, City o.Pov'/�tC StabIP q Pqpae 27 Page Lot # E-mail Lic. # Class —16 APPLICANT NAME ARCHITECT/ENGINEER Name \ Address / City Zip XV, Phone e106ate Fax Email Sta n e Number �\ APPLICANT NAME Name Address City State Zip Phone Fax E-mail For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPDs'/ BIN # LOCATION AP# CEO -aso- 0 (aa Property Address Cross Street .0 V R5 WA WORKER'S COMPENSATION Policy Number 2 ZZ vii 2.3 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. Footage 8 ❑ Structure Built vAthout 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 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 refundable. Received by: Amount: 0 Bldg SRA Receipt #: 1�3�� Sheriff SMIP 1405- q Other O_ I 11 Date: 1 - q 1 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 z Butte County Department of Development Services 0OUTtF0 YVONNE CHRISTOPHER, DIRECTOR o o o_ o co 7 County Center Drive o o Oroville, CA 95965 0 0 N (530) 538.7601 Telephone COUN�y (530) 538-7785 Facsimile LO TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 ■ srutherford a)buttecounty.net /1 SUBJECT: Plans Transmittal For Review Per Contract O DATE: 6/15/2005 Applicant: Brinker, Arlin Permit No: 05-1526 Project Type: OSF/Fire Sprinklers 030-250-062 100% 70% Plan Check Fees $ 43.99 $ 30.79 $ 43.99 $ 30.79 WILLDAN Fee $ 30.79 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other vsls�� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINQ,DIVISION i'7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 'Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6r, n ASSESSOR PARCEL NUMBER Oc�IJ-- v2J� vim/ C - Proposed Building Use: Permit Technician: Date: b IVJ a Items required in order to Yply for a per it. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 115- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. SoilstReport and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required........................................................................ 1720. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 53 3- a "7 3 C7 IW�_40 aNd o` h Id for pickup I have been informed oftheabove items and requirements for obtaining a building permit. Applicant: i Date: 1. Index permit applicati n for the above items numbered: Plan Check Letter 2. Additional items required _ ractor, esigner, owner, was advised of the above data by phone, ❑ m���I, ❑ counter, by Date: - f �C- ntrac o esigner, owner, was advised of the above data by ❑ phone, Criail, ❑ counter, by Date: �Q%• als (YtAI LP�1 AS jLr COA Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: V Date: Note transfer by: Date: Yellow: Building Division r - W I LLDAN Serving Public Agencies July 1, 2005 'Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 2399 Gateway Oaks Drive, Suite 210 Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1526 Assessor's Parcel No: 030-250-062 Description: Brinker-OSF/Fire Sprinklers Willdan Project No: 14353-1723-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project'._-; and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies, sheet 1 dated 5/31/05, by Fox Company # Fire Sprinkler Calculations: Two (2) copies dated 531/05, by Fox Company The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. i— - I�U WILLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements outlined in National Fire Protection Association (NFPA) Standard #13, 1999 edition. ti CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as redlined on the plans. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals required. Sincerely, George Barnes Senior Plans Examiner Cc: Alice Mefford amefford@buttecounty.net Fox Company, Fax: 530-533-1825 Page 2 of 2 Butte County 05-1.526 W.i.l.l.dsn. 14353-1723 STTEYL� REVIEW APPLICATION Date: 3. 6 Permit Number (if applicable) (, /00 APPLICANT INFORMATION Owners Name: Owners Address: Parcel Size: /0. 3 3 CLC.• Telephone No.: 4 /P �'7 O Situs Address: G Proposed User Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home BUTTE ❑ Residential Accessory COUNTY ❑ Permanent Second Dwelling Sip O Z�Q4 ❑ Temporary Mobile Home (Aunt Minnie) F-1 TemporaryTravel Trailer _ DEVELOPIV'S ❑ Multi -family SErVICCES Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): AlcGi�zde .<rt rte. /qV1 ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well r, DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By ,-�_ Od& Date f.7 G` ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) J ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: %00 '07 C ' Index Date: �. ❑ Sacramento River Reclamation District (Approval must be obtained from the C ifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: kPL —1c, Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front G r Side /C P C>< 67 Side Street Rear /0 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other , ------------------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ - Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By , ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Y ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements JM Subdivision Map/Parcel Map: Map Date of Recording: /Q /-Z7 y Lot: � ❑ Use Permit/Minor Use Permit Permit Number: Book: 5- Page Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions 0 Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required.. ❑ Class A roofs are required. ❑ Property owners responsible for roa Summary of Speck Requirements: 't. This information provided in this summary is based on the application information and on the best available data at the time of review. C:U atrys\Building Permit Site Plan Reviewl.doc Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 ' (530) 538.7601 Telephone (530) 538.7785 Facsimile 1 ADMINISTRATION * BUILDING * GIS * PLANNING September 17, 2004 Arlin & Beverly Brinker 85 Hunters Drive Oroville, CA 95966 RE: Septic Permit APN: 030-250=062 Dear Mr. & Mrs. Brinker: The Butte County Department of Development Services, Planning Department has reviewed and approved your septic application at Sparky Way. The intent of this letter is to advise you about the requirements listed for the parcel map High Sierra Estates, where your property is located in (lot 11). It specifies that there is a 50% no development zone for burrowing owl habitat. According to your site plan, it appears that you have this 50% no development area; however, it is not indicated on your plans. When you apply for permits for the buildings on this property, please indicate the areas that will be no development areas (which must reflect 50% of the property). Should you have any questions please feel free to call Lana Adler, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6706. Sincerely, seph W. Baker Planning Manager Planning Dept. condition: 17 A development impact fee for Sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code, prior to issuance of building permits or Use Permit in the case of.a mobile home park. Said fee amount will be determined and calculated as of the date of application for the building permit or Use Permit. Health Dept. conditions: 18 Show the usable sewage disposal area proven to meet the requirements on the Subdivision Ordinance on all parcels. 19 Place a note on the map that no water well may be located within 100. ft. of the usable sewage disposal area on any parcel. Mitigation -measures: 1 Designate So% of the entire site as a No Development burrowing owl habitat. Zone for 2 Delineate all vernal pools within the developable area of the project y- and show on the final map a 50 ft. No Disturbance setback around the ('A" pools and associated drainages. Place a note on the additional map sheet that states: "No structures, dumping, fill material, or excavation shall be allowed in the No Disturbance Setback." ,q3 Place a note on the additional map sheet that states: "Drainage from roads, driveways, and residential areas shall not be concentrate and directly discharged into any vernal pool or drainage tha es a vernal pool. 4 Place a note on the final map stating, "Automatic fire suppression C11,, sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13d, unless a pressurized water system with fire hydrants is installed." NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL: "Minor changes may be approved administratively by the Directors of Environmental Health, Planning or Public Works upon receipt of a substantiated written request by the applicant and only as to those conditions or requirements recommended by their respective departments. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. RAs /S GF R6A?/L1/GS .rNe nRau c/wEwwlwnra frw r✓n auv✓ir /e ,uccren/,wreerare.•T foNE a d 17 r - !ar<RL/auto 9r THEx/S+wr INT CF v/ITea , %eCUKBa ?8Tw/EEN eNPw/N TPI•/4 rD ANA >PP/d II T/.Kw/ de �6 NC¢TN 1b • 10' 1 /-lOJT AD /YR /Q/. n/OTONCet D✓CWVI BaRM M cril�c✓.t✓ NRT • eI'Ib"E •fyL��• Oe.Tbv 1/M /.00MGLP rC CATd/N GwbUA/7. l8/ N.e. 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I RO'/ 4 n•+s^a /M,r rnn,Ls sLarMer/r v� I �' o A 4` M j, .l vp. r _A b T�� q�-��•�•.-r 9,;pQ,CV WRY 1 .c' nwlw O Q M d•TO'.src! E;N b � � l.m..r• �i /C./LAG9. ± i C RI al -La // f,QT /O Yr 14.73. EI M98Ats. Ir. ru'•eK rn r Ir.r✓ ,e.53AC3. A2..324cs. Ler 7 R 1 /L./SACS. ~, k 1 1 � 2JT.ClY.•I, ��„T; p/ C44%"T' fN /-770 - (,/v 7 7V YD It// 0 3UGE /'OCC' IIfIBIALV 135 LEGEND n-YALCULATEn /C/NTCALV• NCTLJ/.VG JEJ • -8ET Nr•.PER4R MV6E0 L.S. 4084 /-FL U.Vn AS M07160 O -M [O.P.VE,Pd,S A/OTEO O -SECT/CN CC4W E? AY .VCTXO lC �-CAI.CULATEn 11"l-Af6dsu2E1) Inl-nw.v. RAIW.41, 410&087-04-T-5 Pz, -IZaMu /nl-/4410.?. ,RO . HIGH SIERRA ESTATES )WIA. ,4 -Me -//C)V Or WESOUrah OFTi/E SO//7WcAS i Y4 CF SECTICA/ /7,d "nA Mel -10N OF TLJE NC.QTiJEAST :4 OFSECT/O/1 L?O, 4l.L /A! TCWLVSt1/!r /9440,,eW. Z4-A.WE 3 EAST, /A/ it/E 411,11AX61 MR,4TED 4?F4 OF RUTTE COUAI i Y, C4UFO,PA1/4. DonJUEET 8 Cf! eNEETd CIVILCIYII EMND p aSS0C Llates LAND ►A4r SURVEYORS P.O. BOX 986 OROVILLE, CAL. 95965 Ph.(916)534-9587 SgP_C/9 C. N CCl 64�-�� 4CT.Cl N„ �• IS/T. /T M1 ILIO.20 •/C! - E. %a CCRNE¢ dCCTor ¢O .WR/IAM 6NC. Cd Ger JECT/eN rC r`- _NR r'dC'OlE CeLCutd r6w+r d/NeLd SAH W^AYR4¢ wm TRe /v¢/d>/ /~—re.. H 4 4ys O _ pC O/ S.C. cea,s4 M -..NM Nonuw -M-. ..I. IRI NR9'JO'44 •E/¢1/ql rTee.ep' E4 ttlV e. eLl ens tErncNer 305•.6 ��„T; p/ C44%"T' fN /-770 - (,/v 7 7V YD It// 0 3UGE /'OCC' IIfIBIALV 135 LEGEND n-YALCULATEn /C/NTCALV• NCTLJ/.VG JEJ • -8ET Nr•.PER4R MV6E0 L.S. 4084 /-FL U.Vn AS M07160 O -M [O.P.VE,Pd,S A/OTEO O -SECT/CN CC4W E? AY .VCTXO lC �-CAI.CULATEn 11"l-Af6dsu2E1) Inl-nw.v. RAIW.41, 410&087-04-T-5 Pz, -IZaMu /nl-/4410.?. ,RO . HIGH SIERRA ESTATES )WIA. ,4 -Me -//C)V Or WESOUrah OFTi/E SO//7WcAS i Y4 CF SECTICA/ /7,d "nA Mel -10N OF TLJE NC.QTiJEAST :4 OFSECT/O/1 L?O, 4l.L /A! TCWLVSt1/!r /9440,,eW. Z4-A.WE 3 EAST, /A/ it/E 411,11AX61 MR,4TED 4?F4 OF RUTTE COUAI i Y, C4UFO,PA1/4. DonJUEET 8 Cf! eNEETd CIVILCIYII EMND p aSS0C Llates LAND ►A4r SURVEYORS P.O. 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IJAM JTRLCTURBl, MPIYOi/LL M MCMC, OR LXCAVAT/CN JYALL W .4UOAV1,7 /N TNL AAO M/, MRR4AK$ .SBTRACK. !.) nRd/AN08 i.RL'M Re%r , nR/Vf=j7 don CPJInBUT/AL 4RCA3 JJ4tt NOT RC CCWCCNTd TCn.JNn APRCGTIV n/JCNAAY�En INTO ANY VC¢/.wL /vm OR W-AA#OC TA/AT ABCnJ 4 04"N4C /YYY. 4) 40T04/ATAC i/RC JUMRCSJION JPRINKLCR Jr r&"d J✓ACL I)L /NST4USI) IN 4LL YEW PBS/OC"VUL SrIX r"PCI /N ACGLVnIA.CC Nn)) TY$ Nd%OAYL F/¢6 PRCTSCT/CN OSTOL"Wc" STAun4Rn LOR Tt/L /NST4L[ATMN CP JPRINKLCR J ✓TTCMS /N CAAT 4YO TwC MMIC ✓ nWELL/NGS ANA ; Aft"" AI7AAC3', N. i. P 4. STANn4Rn /S O, UNC6SS 4 PRCTJUR/TCn k/4TCR JVJTLAS WITH —W dMOW TY /1 /,ffmaea S.) A)ATc/)Ln 4R$A5 OR$ 5C)L AM IVfLCPMCA TCAAM FCR 9U¢RCW/Ap OWL AUA— T don MAY CR MA✓AAOT CONTA/u VBRNOL mews.. L.) CROSS YAMmen 40CAV ARC VCRN4L POLYS, 4PPROYIM4TC /N SIIC 4Nn LOCATION, LAITY/N Tl/C n$VCLOPA446 ARCO. }) ALL !OCAS NOT /YCLUMO /N 'NE VCRNAL PCO4 CCTR.4C/e UNEP 1C' RURn/A,r JCTAb4C.V LIN", R040w4VC, AYn L64cW AWC IVLLL ARU AS /N NOT$b/ARC JUITAALE fVA SG TK LCACAI U.VLS'. a.) /x✓$LJP41L•NT N TULJL -d45 MA✓ R$ JUJJJCT m PAYHENT N RUTTL CO Vl "RL ACM"~M/. "TC,V4$.¢ AMS. MWR6�- � -I . nA1 4nnITIONdL .MOP JU$CT JYC/rd O/M/TION!( AI% 04MITICN /B I RIP /NM I'll" p/R is CA#M/A/NC LtlNR r Aw OB Of AIC n4lE Cf F/L% 16 ONn /J AroT /NTC,tNiJ7 TC dFf6CT A'!'CCRn TATC6 /NTLR66T HIGH SIERRA ESTATES IW/.W,4 IM 7''1"Cf WE SOUW 1i CF W45 SOUwEdST Y CFSECT/CAV /7dAJI)4 /1OB770N OF 1-AjENCR72X457tiOFSECT/ONZO, 414 /N TOWNS7/iPi9A OV,en/, QdAXE M. /AV 7A16- Cl 11A1eop1>oe47V) 41PE4 CF BUTTE COUti/TY, edLh-OPN/A. r RECORDING REQUESTED BY fl.mlr3 (Zrayps (Engineer or Surveyor) AFTER RECORDING RETURN TO: BUTTE COUNTY PUBLIC WORKS LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 WHEN RECORDED FILE WITH MAP LISTED BELOW Recorded Official Records County Of Butte CANDACE J. GRUBBS Recorder 09:91AN 12 -Nov -1998 SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATE OF CORRECTION COUNTY OF BUTTE )ss. STATE OF CALIFORNIA ) im�cogoo� COLOR 7.08 .00 Vickie Page 1 of 1 Ronald L. Graves , Being duly sworn, deposes and says: (Name of Engineer or Surveyor) That the following corrections or additions to the map of u;qh Sierra ;catatgo Sj,bdi••;-,j^^ as filed in Book 135 , at Pagels) 45, 46 a 47 of Mans in the office of the Recorder, are made by me in accordance with Section 66469 through 66472.1 of the Subdivision Map Act: condition no. 5 is amended to read: "Through the building. permit review process that staff verify that with each building permit there be at least 50 percent of land area set aside for the Signature of Engineer or Surveyor R.C.E No. L.S No. 4nA5 Certificate of County Surveyor: Listed below are the present fee owners of property affected by the correction or addition: This is to certify the above certificate of correction has been examined for compliance with Section 6647.1 of the Subdivision Map Act. &f /,/ County Surveyor, DEPvrY R.C.E. No. Z 9 /3 Z Nwer /5&� - 9 '19 yg eAwp51Vom9Ud 1440 19196) N4VWILLies ,DA�N June 29, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1003 Assessor's Parcel No: 030-250-062 Description: Brinker - NSFD/Gar/Cov Willdan Project No: 14353-1565 Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 0, 2 and 4 through 8, not dated, sheets 1 and 3 dated 6/23/03, by Darren Diver. # Structural Calculations: Two (2) copies revision dated 6/10/05, by Joe Aquistapace, Architect. * Truss Calculations: Two (2) copies dated V10/05, by Endeavor Homes. * Energy Calculations: Two (2) copies dated 1/2/05, by Barry Rubanoff. * Miscellaneous: Two (2) copies HIB -91 Summary. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. SWI LLDAerving Public �N APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Sprinklers Stories 1" Floor Sg Ft 2°d Floor Sq Ft Total S Ft Dwelling R-3 V -N No 1 3230 NA 3230 Garage U-1 V -N No 1 1 1178 NA 1178 Porch R-3 V -N I No 1 1 1554 NA t 1554 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and notes as redlined on the plans. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, J Michael LeBeau Ricardo Guzman,S.E. Plans Examiner Structural Engineer Cc: Alice Mefford, amefford@buttecounty.net Joe Aquistapace, 32 Quista Drive, Chico, CA 95926 Arlin & Beverly Brinker, 85 Hunter Drive, Oroville, CA 95966 Email: arlinandbev@yahoo.com Page 2 of 2 County of Butte 05-1003 Willdan 14353- 1565.PC2.F f AND WHEN RECORDED MAIL TO: BUTT&COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 1 COPY of Document Recorded 28 -Jun -2005 2005-0037056 Has not been compared with original BUTTE COUNTY COUNTY RECORDER 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 6' ` f PROPERTY OWNERS: / State of California ) • County of On A(x-1: I beforeme, personally appeared(�;{ 1 i �� 1�t i ,n�L�s G vide `e Flu ,n\L�' personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that tw/sire/they executed the same in W/Ifer/their authorized capacity(ies), and that by Irts/Ifer/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 c� 1 Seat: U WINDY HILL 3 r COMM, # 1333071 O NOTARY PUBLIC-CALIFORNIAO A p L;,._�(,� �(� BUTTE COUNTY A COMM. EXP. DEC. 3, 2005'1 Order Number: 0403-1515294 Page Number: 5 LEGAL DESCRIPTION Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I: LOT 11, 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 RECORDER'S SERIAL NO 98-49045. 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. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. APN: 030-250-062-0 Mid Valley Tt/e & Escrow Company L �A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) -• APPLICATION AND PERMIT ��— ASSESSOR PARCEL NUM ©� ZONING BUILDING PERMIT OWNER TELEPHONE S . FT. OCC. BUILDING VALU TION OWNERS MAI NG ADD fcy Jai (7 7 VV (� K� Q CONTRA 'S E L2A TELEPHONE 2 CONTRACTORS NG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Q C C) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS O -^ IIYG/— Energy Plan Checking Fee $ a PERMIT FEE $ LOT NO. SUBONISpNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑. Other SPExIFY SPECIFY Each Tr 7.00 Solar or heat um water heater 23.00 Water piping 5.00 l — 15.00/s-- Each as water heater or vent 15.00 — TYPE OF WORK New ❑ Addition ❑ Remodel ❑/, /U61'Ities ❑ pation ❑ Other ❑ Describe Work: W Gas piping stem 1 - 5 outlets 15.00 _ Buildingsewer 15.00 Mobile Home S G W (920.00 PERMIT FEE S l ELECTRICAL PERMIT Fling Fee 20.00 Main Service �w oA LLESs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ` "� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 46.00 NEW CONST. D'WELLMIG OCCUP. SO OR ADDNS. a ACC. BLOB. 3.5¢FT: ppµRNEW ESID.NST' BRANCH MULTFOIRCUT 97.50 POWER APPARATUS a SINGLE OUTLET CDL OUTLET OR FIXTURES 20 O 1'50 Ex. Occup.BAL @ ,,o Ex. Occup. ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 1 MECHANICAL PERMIT Fling Fe 20:00 Heating Cooling Hood 6.50 5 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ l -- 0 HAZ D FEES FLOOD COF C PO HD ISSUE This permit is hereby ed under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the app icable provisions Resolutions to do work been paid. Date (Date) Receipt No. u ao � WHITE-D.D.S.-B.D. CANAR -A SOR PINK -I ECTOR GOLDENROD -APPLICANT 7,4�: '9 /5xc;Z"3,c3 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ¢� PERMIT APPLICATION DATA SHEET ^� OWNER: / ALJ ASSESSOR PARCEL N VMBER: Proposed Building Use: Building Inspector: Date: At time of permit application,,Fwais advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted. ❑2o�tPlplans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- U257 -Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 'nee ed Z;;r' d truss details and layout in duplicate (required prior to plan review) No faxes! --------- Energy rgyDesign Compliance and supporting documentation. ----------=-------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- 099.�. Manufactured Home data and installation instructions including Tie Down Specifications. tZ0. Fees of $ 0------------------------------------------------------------------- lJP4l " Impact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13 .�F 0od elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval � Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 0 20. Pre -inspection for required Request to Building Inspector on .r 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑2 tter of signature authorization. ------------------------------- OM'2 5. Recorded copy of Agricultural Acknowledgment Statement. - 026. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- ❑ 28. Existing violations and/or expired permits. --------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) r Wh you issue e t rocess as follows 11 Mail to owner, ❑M ' to contractor. GTelephone F30 and hold for pickup at '� ffr . ❑ DelLver with inspector. 33S�VY494A&_%"fApplicant:Date: �jq8 ! -1 o Copy of az-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note trar#er by: Date: Yellow Copy - Department of Development Services, Building Division. - /Pi ivr (' oiilhL� iC/J'1 - COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE J V_ 1. BUILDING PERNIIT FEES -- Balance Due ................ -- Additional Fees Due ........... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... 2. SCHOOL DISTRICT FEES (paid at District Office) lG� �3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq:ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. fib DATE=41f LQ RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT")) hi!1\ l /�r�i�� DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your ' project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaftm. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO E3 2. 1 HAVE HAVE NOT O signed an application for a building permit for the proposed W6&' 3. I have contracted with the following person (firm) to provide the proposed construction:.; A •... ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 7 4. I plan to provide portions of this work, but I have hired the following person to cooidingoe; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK'` SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ (� DATE: –7)1199, -This Owner -Builder Verification is required by Section 19831-1798 California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, -you should be aware that as "owner -builder" you are the responsible parry 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 P46 -your own work, be aware of the owing information for ♦ If you e#iploy or otherwise engage any 1 and o r costs) is $300 or more for subcon ctorsr, then you may be an the exception of various trades that you plan to subcontract, you should benefit and protection: ►ons other than your immediate family, and the work (including materials entire project, and such persons are not licensed as contractors or ♦ If you are register with the State and Federal Governments as an employer and you are subject to sev ob igations including state and federal income tax withholding, federal social security taxes, ,. Workers compensation insurance, disability insurance costs, and unemployment compensation contn'butions . ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations ulderFederal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. r r If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4icly, '�, lC. Vi ira,C.B.O. r, Building Inspection NOTE: This Owner-Builder•Informallon is required by Section 19830 of the California Health and Safety Coda OVER June 30, 1998 Butte County Building Department 7 County Center Drive Oroville, CA 95965 In Reference to: New Home Construction. near the Afterbay & Hwy 162 AP # 30-25-62 10.33 Acre Lot Owners - Robert A. & Denise M. Forde Dear Sirs: We are applying for a building permit to begin construction of a new home located in the High Sierra Estates. This subdivision is located south of Hwy 162, east of the Afterbay, and west of Wilbur Road. This is the first of 14 lots in this subdivision to be developed for a house. We plan to build this project in two or three phases. The first phase includes a 446 square foot, one room livina area, located above a 930 square foot garage. The second phase includes an approximate 2,300 additional square feet. The Third phase includes an approximate 1,000 additional square footage. All three phases may include four bedrooms. The first phase is planned to be constructed and completed this year. The second phase is planned to be constructed next summer. There is not a timeline set for the third phase; other than it is planned for the future if we choose to build. A swimming pool is planned next year. My wife and I plan to build this project with the assistance of contractors. We have not selected a contractor at this time. We will secure Worker's Compensation insurance as required for the project. Access to our property is located in the Northeast corner at the West end of Sparky Way. We will build a 15'dirt road from this point running South along our property line (along the utility easement) approximately 650 feet. P.G.& E. will follow the utility easement. I plan to provide the trench for the utility. Pacific Bell and TCI Cable Television is not available to this subdivision at this time. I plan to communicate using a cell phone and direct broadcast satellite until additional facilities become available. A private well is planned to be located near the house. The well is planned approximately 700 feet South of the Northeast corner and 50 feet West of this point. A private septic system is planned to be located near the house. The septic system is planned approximately 600 feet South of the Northeast corner and 150 feet west of this point. Included with our application are rough drawings. The architectural plans and drawings are being completed by Bob Metzger ODS located in Chico, CA. Phone Information Bob Forde Work Home 533-4504 894-2030 Denise Forde 533-2885 Mailing Address 4 Chancery Lane Chico, CA 95973 Thank you in advance for your department's work to complete this building permit on our behalf. Bob and Denise Forde is P, i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/s6)98- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-250-062 ZONING BUILDING PERMIT OWNER ROBERT AND DENISE FORDE TELEPHONE 894-2030 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 4 CHANCERY LN CHICO CA 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CON NONE ION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 640 SPARKY WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDN510N'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )ff Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Newer Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1BR Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Llfor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors < to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 X Date �t _ Signature of Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is requiredkir excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IIXUA 46.00 NEW CONST. DW NO OCCUP. 3.5Qso ADDNS. ( NOR EW CONST. MUACC-0u�TLS. ET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, Occup. OUTLET OR FIXTURES 920 1.00 0 Ex. Occup. oUr rs AES1FIXED NS6J EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 244390 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT &o COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-250-062 ZONING BUILDING PERMIT OWNER ROBERT AND DENISE FORDE TELEPHONE 894-2030 SO. FT. ..00C. BUILDING VALUATION . OWNERS MAILING ADDRESS -4 CHANCERY LN CHICO CA 95973 COPITRACTOR's NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 640 SPARRY WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT, FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 101 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat 'ump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New)e Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1BR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service mon o .ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POSINGLE License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lfor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, _0 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors N to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: \, Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation [ - of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ( Signature of Applicant -Owner ❑ Contractor ❑ .Agent An OSHA permit is required r excavations over 60" deep and demolition or construction of structures over 3 stories`in height. Main Service 200A To 1000A 46.00 NEW CONST. DW OCCUP. 3 5aS0. O AD oNS. ( FT MUL�Tcou�rLesr NON-RESID. . CIRCUITS 97.50 8 OUTLET WER APCIA.PARATUS 20 Q 1'00 Ex. Occup. OUTLET OR FD(TURES BAL 0 .50 Ex. Occup. oimEEis(RRo °EA 5.00 Temporary Service 23.00 r Mobile Home Facilities �'. 20.00 e y Misc. Wirings 23.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I Date Receipt No. 390 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4t:� , -y'S..-,•....T.'+`%-'='�„-'l..r+l'rRr�y..,n�...-�...r�.�'i.+.l�::.%.!`-j` -•n ...-.i-r.,,,par"�•� s � :1; , _'"T`'r 'r'.'Y"J:` .4 i"t, _ z,�—„�,.., .__ ,r- ,r,,, � ...r ._ } -t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) , APPLICATION AND PERMIT” +�- ASVJVRPARC L-"V6E ZONING BUILDING PERMIT OWNER ROBERT AND DENISE FTORDE TELEPHONE 894-2030 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS ,4 CHANCERY LN, CHICO CA 95973 CONTRACTOR'S NAME !OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS 1 CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 640 SPARKY WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF dY]C Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewG3 Addition ❑ Remodel 13 Utilities 11 Installation 13 Other 13Buildin Describe Work: IBR Gas i in stem 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 VORMain Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i� I, as owner of the property, or my employees with wages as their sole compensation, .. will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO 1000A 46.00 NEW CONST. oWELUNG OCCUP. .. OR ADDNS. AAOrCouI 3.51tso NEW CONST, M TLET NON•RESID. @7.50 8 SINGLER AOUTLET CIR. Ex. OCCU . OUTLET OR FDRURFS 20 @'•50 BAL @ .50 Ex. Occup. O�SJR=.o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under,penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700'of the Labor Code, I shall forthwith comply with those provisions. —1 -) ``of X Date 1 Signature of Applicant - + Owner ❑ Contractor ❑ Agent An OSHA permit is required or excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ FEES IMP I FLOOD COF PARCEL Pp HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 4439V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. . (Rev. 12/96) APPLICATION AND PERMIT ASV Ste ORPARCELNUTMBER 62 ZONING BUILDING PERMIT OWNER ROBERT AND DENISE FORDS TELEPHONE 894-2030 SO, FT, _OCC. BUILDING VALUATION • OWNER'S MAILING ADDRESS I, CFiAI CERY LN., CHTCO CA 9`3973 CONTRACTORS NAME INNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT_ OR ENGINEER NON LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDINGADDRESS Q SPAM WAY. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 8 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New)9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IN 1 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LIC. No. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L for the following reason: Li I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will 'maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 Date E } _ Signature of Applicant -i Owner ❑ Contractor ❑Agent ' An OSHA permit is required or excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO lOooA 46. 00 NEW CONST. DWELLING OCCUP. SO W so OR ADDNS. ( 8 ACC. S.3.5¢FT, NO"EN.ROSID. MULTI -OUTLET 97,50 8 OUTLET COWER APPARATUs IR. Ex. Occup. OUTLET OR FIXTURES BAL @ I:50 OWNER Ex. Occup. DUT�is RZ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF pARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date OBfe .+ N Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 030-250-062 PERMIT#98-1429 \ FORDE, Robert & Denise 640 Sparky Way, Oroville New Sin. -le Family COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A` 030=250=062--'- —"PERMIT#98=1429 O:NFORDE,—Robertr&_Denise 640 Sparky Way, Oroville C1tpSingle-Family 4 PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite Do Not';POur.Concrete: Until. Above. Signed; Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install :Floor,:or Slab Until Ab.ave Signed Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan 'Do<Not;lnsulate`UntitAbove <Sign ed Insulation Do: _ot:. over::nti ove? _Sinned Fireplace Footing Fireplace Throat Do' Not: Continue; Fire 0lace _Until Aho i'.$Jgned Stucco Lath Scratch and Brown Do:Not Cover, Until Above;:Sighed .. .......... ........ .. Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final :Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ..:.Addresses'>Information' 24=Hr tns ;: Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Revised 7/94 I UNITED STATES POSTAL SERVICE TM Because we know your time and money are valuable, we suggest you call your local Post Office before you install a mailbox. Call 1 -800 -ASK -USPS or 1-800-275-8777. Ask to speak to the Carrier Supervisor, who will tell you the proper location for your box and explain current requirements for mailbox installation. The location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin delivery. qI ankf ng you for your cooperation, the United States Postal Service and Your I ocaf Post Office LAND OF NATURAL WEALTH AND BEAUTY �r BUILDING DIVISION �.Yz-✓'�- Flt �! �' � 3i; �` DEPARTMENT OF DEVELOPMENT SERVICES M - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to •contact this office. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection RE:' Attached Building Permit Dear Permittee: e LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. t Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to .occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not -been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. IIRgn completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Mictiael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 030-250-062 PERMIT#98-1429 PERMIT NO. - FORDE, Robert & Denise 640 Sparky Way, Oroville PERMIT EXPIRI New Single Family OWNER CONTR. ASSESSOR PARCEL LOCATION SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature CHECKED BY V=OK , O = Not OK Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ PL"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light NIche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. ZoningSetbacks-Easments-FloodSlope FRAMING (Plans) OK except #'s 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth Sits Proper Materials & Anchors 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth 42. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Draft Stop in Walls (rat proof) 5. Stemwalls, Main; Steel-Blockouts-Wrapped 45. 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 50. 6a. Hold Downs and Special Anchors 51. 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Cdppies 15. Access & Ventilation 16. Insulation 61. Insulation -Walls -Ceilings 62. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date. PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Smoke Detector 21. Test Tub & Shower, Second Floor -Tub Access Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 22. Gas Pipe; Sixe & Anchors Bedroom Exiting 67. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 23. Picture & Transformer Clearance -Ins. Protection Elec. Outlets at Wood Panel, Int. & Ext. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 25. Size Boxes & No. of Conductors Stapled Elec. Outlets & Recepticales at Kit. Counter 26. Romex kstalled Close to Edge of Studs & C.J. Garage Fire Door; Swing -Landing -Closure 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GF] Wtr. Ho:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Elec. Receptacles in Garage (G.FI.)-Romex Protection 31. Service -Riser Conductors & Ground -Main Disconect Insulation -Foam -Looked in Attic 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 83. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 88. Ventilation Throught House 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaang Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date. Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Ho:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: d�M AND WHEN RECORDED.NL1IL TO: BUTTE COUNTY BUILDING DWISION 7 COUNTY CENTER DRIVE OROXILLE CA 95965 1 9CEP 8—Aa02890'Zi Recorded Official Records County Of Butte CANDACE J. GRUBBS Recorder 09:02AM 13 -Jul -1998 REC FEE 10.00 CONFORM .00 Fay Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Sectio; x?6-18of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation. ploxvi'ng, '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 Count}, of Butte, State of California, described as follows: Date: r7/O PROPERTY OWNERS: -09, :!/ll NA� State of California ) County of , &dZ&7 ) On 7/0 //Qg —.before me, personally appeared” IC -0440& - 7-4A1lCM W- %4Y //l• personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that helshe/they executed the same in hWh r/their authorized capacity(ies), and that by hisAw/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. JEANK L FIRM COWA, f 10MI Notaly Pima —cc INI BunE COUNIV Signature eal; J�i�plm4ycomm. E11:1, JUL 4.IM A.P.# 3) ^ 2 5 - W NOTE TO RECORDER: DO NOT RErY)RD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information.. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). ' 2. Property owners must sign in the presence of a Notary Public and have the form notarized. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) r- DESCRIPTION: r ORDER NO. BU -166310-3 THE LAUD REFERRED TO I14 THIS .REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL T. LOT 11, 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. CERTIFICA'T'E OF CORRECTION RECORDED SEPTEMBER 6, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-30526. EXCEPTING THEREFROM THOSE PORTIONS•THEREOF ON WHICH ARE LOCATED A RAILROAD OF THE FORMER NORTHERI,F ELECTRIC COMPANY, A CORPORATION, .AS SAID PORTIONS ARE DESCRIBED IN THOSE CERTAIN DEEDS, TO DAVID S. EDWARDS, F,'HIC'H DEEDS WERE RECORDED MAY 21, 1906, IN BOOK 95 OF DEEDS, PAGES 128 AND 136, RESPECTIVELY, BUTTE: COUNTY RECORDS. RESERVING THEREFROM AN EASEMENT FOR INGRESS, EGRESS, SUPPORT,STORM DRAIN AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. 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. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. ti . LAND DEVELOPMENT (ORORO / CHICO � TNz? BUILDIN / ENVINMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. �j miv- NAME' RS ' " Ie V i � �4W I - NUMBER PRINT LAST NAME'FIRST ADDRESS/ LOCATION: COUNTY ZONING DESIGNATION: A g i FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATIO LEGAL ACCESS PROVIDED: YES NO DEED REFERENCE: LEGAL ACCESS REQUIRED: COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: YES NO MAP INFORMATION: j~ ---'!DATE OF RECORDING: I ZZ -7 /�� LOT �� BOOK 3S PAGE 45 COMPLIANCE WITH OLD SUB (VISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YESyNO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DMSION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. /<2.. Maintain a �� ft. building setback from right-of-way/ceateraine C C- --3. _3. Comply with Zoning code for building setback from road. 7"�. Maintain a 100 ft. Ieachfield setback from all existing wells. —5. Maintain a ft. leachfield setback from X6. Pay water tender fees in the amount of $ 2-60 to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. t , 9. Connect to a public sewer system. X0. Automatic fire suppression sprinkler systems shall be installed in, all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ . 11. Pay T.D:D. (Thermalito Drainage District) fee in the amount of $ _ 12. ' Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission .requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. *Ala 1N311413AX dNV I 3J-LnS 10 A.Ano0 9661 < o in CI3AI333?I LD 6/98 FORMS\BLDG PERMIT CLEARANCE M r -N CD A4 Ln Cl) � ICE rn r- -56'-0* lop ol: 70 0 0 0 34 411 �q�H rn C.0 63 7 Co"TYCEA'T6RDRjvE rn Ct �� � J f 500'-0" WELL o o 1079.66' DRIVE wv� SPARKY- WAY 4 . # FU/4,� 1074.92' SLOPED�� NORTH SLOPED SEPTIC AREA PROPOSED 60'x40' SHOP PROPOSED HOUSE 10 LOT 11 m I WEL ELE 1079-66' C--/AsIV,e Aj 7- Pl V4F WAy SPARKY W/ 3995 Olive FEghway, Oroville CA 95966 * 916-533-2730/916-533-1825 FAX 10 . Uc#305365 C-10, C -'16—j C-202 C -36 C-43 - Residential Fire SprLnkler -U-", , k with Y=p & Holding Tam I - C-- �111- (-- UT,,^t -r I C>kJ S c IT J1 IN 2005 4- VVILLDAM -5 - --2-1 1:>c3T,1F- F'T—CDOW Swl-r�1-1 SIP -AR -177, :HF --,AID ��131NTJT--r mmum�� S) . F> -F-:Z- F' s s Lj P- F s w --'ski T- 1-1- I-TkDT-3DT1-1Tc31 J- 1-11-1 Ili I, -- "o< com C-16 CALIFORNIA LICENSE N0. 3052165 Tj RESIDENTIAL FIRE SPRINKLER 7.'a SYSTEM DESIGN BY FOX COMPANY C-1& LI _ =�. PER REQUIREMENTS OF NFPA 13D('-2002 EDITION --------------- ------------- THEVEOS CONSTRUCTION 7090 ORO COUNTRY CLUB RD. OROVILLE BRINKER HOME 640 SPARKY WAY 0ROVII_LE 5/31/05 CALCULATED FOR 1 HEADS WATER SOURCE IS WELL e HOLDING TANK WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 17.'~~ FT 1.-.1/2 PIPE VV6 M 80 0 GATE VALVE 0 FT. 1, CHECK VALVE W F T. 2 ELBOWS -. 18 FT. 4. COUPLINGS = 4 FT. 0 TEES (RUN) 0 FT,. 0 TEES (BRANCH) 0 FT, TOTALS - 108 FT, X DEDUCT HEAD LOSS FOR ELEVATION ( 16 F T ,. X 0.434 ) DEDUCT PRESSURE L.OSS FOR PIPING-; FROM CONTROL VALVE: TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV,FT. 17.'~~ PIPE ~M - 13S FT. 4 ELBOWS - 28 FT, 0 C0UPL.CNG5 0 FT. 11 TEES (RUN) 11 FT. 5 TEES (BRANCH) 25 FT,. TOTALS = 1.99 FT. BRAND OF HEADS m TYCO LF -II 45 x00'1.9 0,53 44.47 6.94 37.53 X .0296 5..89 31.64 G..P-M� __ P.S.I. CONVERSION FORMW K FACTOR OF MEADS USED w 4.9 EQUIVALENT FEET CALCULATED G 1 HEAD 1. HEAD = 13 C:i, P.M. FLOW ( 1.3 G. P.M, EA.) FRICTION LOSS 'C' FACTOR _ ISO MINIMUM PRESSURE REQUIRED PRESSURE AVAILABL..E IN SYSTEM FACTOR)2 = P.S-I- .w 7.04 P,S.I. 31.64 P-S,I- RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C--16- LIC. # PER REQUIREMENTS OF NFPA 1.3D, 2002 EDITION Ti IEVEOS CONSTRUCTION 6.40 SPARKY WAY -7090 ORO COUNTRY CLUB RD. OROVILLE OROVILLE S/31/05 CALCULATED FOR 2 HEADS__-___ ------------- WATER SOURCE IS WELL & HOLDING TANK BRAND OF HEADS TYCO LF ---II G.P.M. - P.S.I. CONVERSION FORMJ[ K FACTOR OF HEADS USED - 4.9 (G.P.M./ K F-1CTOR)2 = P-S.I. EQUIVALENT FEET CALCULATED G 2 HEAD 2 HEAD = 26 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOSS "C' FACTOR = 150 MINIMUM PRESSURE REQUIRED -. 7.01 PS -I - PRESSURE = 14.90 P.S-I- PRES�:.�.JfE AVAILABLE IN SYSTEM S WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 1...._1/2 PIPE %v' _ 80 FT. 0 GATE VALVE m. 0 FT. 1 CHECK VALVE 6 FT, 2 ELBOWS M 18 FT. 4 COUPLINGS M 4 FT:, 0 TEES (RUN) 0 FT, 0 TEES (BRANCH) = 0 FT, FT. X _- 1.92 43.08 TOTALS = 108 ,0178 DEDUCT HEAD LOSS FOR ELEVATION 6.94 36.13 ( 16 FT. X 0.434 ) DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV:.FT. 1' ,....PIPE 135 FT. .1. ELBOW; 28 FT. 0 COUPLINGS = 0 FT. 1.1. TEES (RUN) 11 FT. 5 TEES (BRANCH) 25 FT � FT, X .1067---21.23 1�4 „90 TOTALS _ 199 BRAND OF HEADS TYCO LF ---II G.P.M. - P.S.I. CONVERSION FORMJ[ K FACTOR OF HEADS USED - 4.9 (G.P.M./ K F-1CTOR)2 = P-S.I. EQUIVALENT FEET CALCULATED G 2 HEAD 2 HEAD = 26 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOSS "C' FACTOR = 150 MINIMUM PRESSURE REQUIRED -. 7.01 PS -I - PRESSURE = 14.90 P.S-I- PRES�:.�.JfE AVAILABLE IN SYSTEM tl/00FIre & BuIldIng 1,Pro 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� � f `) �� - r-� + r' -1 Ik-_r Pendent Sprinklers `l i 4.9 K -factor 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 1/4 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. Pace I of 4 WARNINGS The Series LF11 (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. ]� Identification C ± Number 1 I ii 'eed SIN TY2234 Approvals: UL and C -UL Listed. Maximum Working Pressure: 175 psi (12,1 bar) Discharge Coefficient: K = 4.9 GPM/psis/2 (70,6 LPM/bar1/2) 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 KHORONKON Deflector . . . . . . . . . . . Bronze Ejection Spring . . . Stainless Steel tDuPont Registered Trademark 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. `rF P400 (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 ARID NFPA 13R HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS 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 areasa 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- quired discharge from each of the four sprinklers is to be the greater of the following: ® The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. ® A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are lo- cated in closets. Sprinkler 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. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). 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 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 Sprinkler. Readjust the position of the sprinkler fitting to suit. The. Series LFII Pendent Sprinklers must be installed in accordance with the following instructions. Step 1. Pendent sprinklers are to be installed in the pendent position with the deflector parallel to the ceiling. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ref. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step C. Tighten the sprinkler into the sprinkler fitting using only the W -Type Minimum Flow (b) and Minimum Flow (b) and Maximum Maximum Residual Pressure Residual Pressure Coverage Area(a) Spacing Ft. For Horizontal Ceiling (Max. 2 Inch Rise For Sloped Ceiling (Max. 8 Inch Rise Ft. x Ft. (m) for 12 Inch Run) for 12 Inch Run) (m x m) 155'F/68'C or 175'Ff79'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 1817 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 ARID NFPA 13R HYDRAULIC DESIGN CRITERIA FOR THE SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS 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 areasa 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- quired discharge from each of the four sprinklers is to be the greater of the following: ® The flow rates given in Table A for NFPA 13D and 13R as a function of temperature rating and the maxi- mum allowable coverage area. ® A minimum discharge of 0.1 gpm/sq. ft. over the "design area" comprised of the four most hydraulically de- manding sprinklers for the actual coverage areas being protected by the four sprinklers. Obstruction To Water Distribution. Locations of sprinklers are to be in accordance with the obstruction rules of NFPA 13 for residential sprinklers. Operational Sensitivity. The sprin- klers are to be installed with a deflector to ceiling distance of 1-3/8 to 4 inches or in the recessed position using only the Style 20 Recessed Escutcheon as shown in Figure 2. NOTE So as to help avoid obstructions to water distribution, a maximum 12 inch deflector -to -ceiling distance is permit- ted for NFPA 13D and NFPA 13R ap- plications where the sprinklers are lo- cated in closets. Sprinkler 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. Table A) being hydraulically calculated (e.g., maximum 12 feet for a 12 ft. x 12 ft. coverage area, or 20 feet for a 20 ft. x 20 ft. coverage area). 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 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 Sprinkler. Readjust the position of the sprinkler fitting to suit. The. Series LFII Pendent Sprinklers must be installed in accordance with the following instructions. Step 1. Pendent sprinklers are to be installed in the pendent position with the deflector parallel to the ceiling. Step 2. With pipe thread sealant ap- plied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step 3. Tighten the sprinkler into the sprinkler fitting using only the W -Type 6 Sprinkler Wrench (Ref. Figure 3). With reference to Figure 1, the W -Type 6 Sprinkler Wrench is to be applied to the wrench flats. The Series LFII Recessed Pendent Sprinklers must be installed in ac- cordance with the following instruc- tions. Step A. Recessed pendent sprinklers are to be installed in the pendent posi- tion with the deflector parallel to the ceiling. Step B. After installing the Style 20 Mounting Plate over the sprinkler threads and with pipe thread sealant applied to the pipe threads, hand tighten the sprinkler into the sprinkler fitting. Step C. Tighten the sprinkler into the sprinkler fitting using only the W -Type ` FP400 Components: 1 - Frame 2 - Button 3- Sealing Assembly 1 4 - Bulb 5 - Compression 2 Screw 6 - Deflector* 3 7 - Ejection Spring 4 * Temperature 5 rating is indicated on 6. Deflector. 7/16" (11,1 mm) 1/2„ ESCUTCHEON NOMINAL NPT PLATE SEATING 2-7/8" DIA. MAKE -IN SURFACE (73,0 mm) 1 2-1/4" (57,2 mm) 7 1-5/8" (41,3 mm) T_ WRENCH STYLE 20 FLATS RECESSED ESCUTCHEON CROSS SECTION PENDENT RECESSED PENDENT Y FIGURE 1 SERIES LFII (TY2234) RESIDENTIAL PENDENT AND RECESSED PENDENT SPRINKLERS 2.7/8' DIA. 7/i6t1/8" (73,0 mm) 1/2" (12,7 mm) (11,113,2 mm) 2-1/4" DIA. 1/4" (6,4 mm) FACE OF (57,2 mm) SPRINKLER MOUNTING FITTING PLATE MOUNTING SURFACE 1/8" (3,2 mm) CLOSURE TY2234 1.3/8" (34,9 mm) 1-1/8" (28,6 mm) FIGURE 2 STYLE 20 RECESSED ESCUTCHEON FOR USE WITH THE SERIES ► FII (TY2234) RESIDENTIAL PENDENT SPRINKLER WRENCH RECESS (END -A- USED FOR TY2234) FIGURE 3 W- TYPE 6 SPRINKLER WREN1CH WRENCH RECESS PUSH WRENCH IN TO ENSURE ENGAGEMENT WITH SPRINKLER WRENCHING AREA FIGURE" 4 W -TYPE 7 RECESSED SPRINKLER WRENCH 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. Step D. After the ceiling has been in- stalled or the finish coat has been ap- plied, slide on the Style 20 Closure over the Series LFII Sprinkler and push the Closure over the Mounting Plate until its flange comes in contact with the ceiling. The Series LFII (TY2234) must be maintained and serviced in accord- ance with the following instructions: MOTES 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 shipped or stored where the tempera- ture will exceed 100'F/38'C and they must never be painted, plated, coated, or otherwise altered after leaving the factory. Modified sprinklers must be re- placed. Sprinklers that have been ex- posed to corrosive products of com- bustion, but have not operated, should be replaced if they cannot be com- pletely cleaned by wiping the sprinkler with a cloth or by brushing it with a soft bristle brush. 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 authorities having jurisdiction. The in- stalling contractor or sprinkler manu- facturer should be contacted relative to any questions. MOTE 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 fire or inad- vertent operation may result. It is recommended that automatic sprinkler systems be inspected, tested, and maintained by a qualified Inspection Service. Products manufactured by Tyco Fire Products are warranted solely to the original Buyer for ten (10) years against defects in material and work- manship when paid for and properly installed and maintained under normal use and service. This warranty will ex- pire ten (10) years from date of ship- ment by Tyco Fire Products. No war- ranty is given for products or components manufactured by compa- nies not affiliated by ownership with Tyco Fire Products or for products and components which have been subject to misuse, improper installation, corro- sion, or which have not been installed, maintained, modified or repaired in ac- cordance with applicable Standards of the National Fire Protection Associa- tion, and/or the standards of any other Authorities Having Jurisdiction. Mate- rials found by Tyco Fire Products to be defective shall be either repaired or replaced, at Tyco Fire Products' sole option. Tyco Fire Products neither as- sumes, nor authorizes any person to assume for it, any other obligation in connection with the sale of products or parts of products. Tyco Fire Products shall not be responsible for sprinkler system design errors or inaccurate or incomplete information supplied by 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 CONSEQUENTIAL 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' LI- ABILITY EXCEED AN AMOUNT EQUAL TO THE SALES PRICE THE FOREGOING WARRANTY I MADE IN LIEU OF ANY AND ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING WARRANTIES OF HHERCHANTARILITY AND FIT- NESS FOR A PARTICULAR PUR POSE. 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). 155'F/68'C or Chrome Plated ......... P/N 51-201-9-155 155'F/68'C White Polyester......... PIN 51-201-4-155 155'F/68'C Natural Brass........... PIN 51-201-1-155 175'F/79'C or Chrome Plated ......... PIN 51-201-9-175 175'F/79'C White Polyester.......... PIN 51-201-4-17y5.. 175'Ff79'C Natural Brass........... PIN 51-201-1-,1.75 Recessed Escutcheon: Specify: Style 20 Recessed Escutch- eon with (specify) finish, P/N (specify). 1/2' (15 mm) Style 20 Chrome Plated ......... PIN 56-705-9-010 1/2' (15 mm) Style 20 White Color Coated ................ P/N 56-705-4-010 1/2' (15 mm) Style 20 Bright Brass Coaled ................ PIN 56-705-2-010 Sprinkler french: Specify: W -Type 6 Sprinkler Wrench, P/N 56-000-6-387. Specify: W -Type 7 Sprinkler Wrench, PIN 56-850-4-001. TYCO FIRE PRODUCTS, 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Q) 25 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. Part Specification 1. Body -Bronze ASTM B-584 Alloy 084400 2. Stem Stainless Steel ASTM A-582 Alloy 530300 3. Spring 316 Stainless Steel 4, Disc Holder Stainless Steel Type 301 5. Disc Teflon, Fig. 3600 5A. 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 084400 Dime 8 We Nominal Size Dimensionsrox. et wt. Fig. 3600 prox. %twt. Fig. 3600SJ A B C 3/8 2 1316 1'/16 .4 .4 1/2 21A6 13/8 13/16 .4 .4 3/4 21/4 15/8 15/16 .5 .5 2510 2 111, .8 .9 11/4 25/16 23/a I'Viti 1.2 1.3 I,/? 35h6 2314 1 2 1.6 1._9 2 33/4 33/8 25/1G _ 2.4 2.7 806,854-1015 FIRE SPRINKLER PRESSURE GAUGES AMETEK a B UA y .A , i ' .' 4j or sprinkler e Solid brass backed! '/4 A TP -L brass lifting➢ 311 '7 diameter v 300 i .q. In. capacitY a ISO SLISTED P Rel APPROV E SM O - 1 N1 13NO to 3921989, CANADIAN PAT, NO. iDN680 PArPNT,; pniDING. Gervlc* Prosioum., UP to 250 PSI Mlnlmtjm Plow RM10 for Alarm! 100PNI Moilmum BuWs 19 FPS Fmicisum. ®I wt, red en&rnfil finish. Cover hold In plan® with tanVar realstant WOWS CcmWt Two sets of SPDT (Form C) 15.0 AnVs et 12-=50 VAC 2.0 Ampe at 0-30 VD0 Cootlult Fntritinotis., Two Knockouts provided for 1/2' Owyluft Woo, Listed Plastic, Copper grid Soedule 4o Iran Poe Fite pipe sizes - 1", 1 1/4', and 1 1/2' Note: 8 paddles Are fumlshad with each urift, ono for each pipe alae of threaded or sweat TEE, one for V CPVC, RM one for 1 1/20 polybLNOM (CTS-GoW@F tubing alzo) Environniientmi GPOMROBHOW Sulitbia for Indo.or or outdoor us* with factory IrwWW 995W and dI0=oW housing WMA 4 llat*d Enclogure - use with &ppropriato conduit WN Tsqwrature noinga: 4' F/1200 F (451 0/49' C) Caution. This dov1w Is not intended for goicati" In e anvirorwnente Ber49eo U*Q- NFPA-13 Autos tIc Sprinkler One or tm family dwelling NFPA-130 Residentiala=upancy up to four AtOdG& NFPA-i2 Nationat Piro Alarm Code NFPA-72 opbotml. Cover Tamp -or Switch, order Stk. No. 00GW16 The Model VGn.SF Is avnna type weLtOftw swItch for use onwet 1!iP?inldef The vane must not rub the Inside of 0" TEE of blend In any WAY. The MOM systems that u" 1 1, 1 1/4', or 1 1/2" pipe size. The ur)lt may also be uoad should "Ie fPoaly When Waratod by ham, so a eactiond watodlow detector on large eysterns. Tho dovk-a can also be lased in coWer Of P103k PIP'@ fttaUgma with the The unit contains two 8149 We double throw w snap notion sWles and proper Adgptefo to ftt the aWIW TEE flans may be h-mtaIW on the an ndluglabla pnoijmailo retard. The 9,ftrhgs are actuatod when ti 1`1101 of lefi run. urs downstream of thedevloo, The flow , 10 gtilono or minute or more or;c the INSpECMN AND TESTINO: ChecIc B-ig oporgti-an at the uM by oWing condition nwat exist for a poriod of time necessary to OWN" the Irtapulor, too VANG at the and of ow Wrin'der Wig w the dr& jqnd toot Bol ted retard period. WnNetjon, If an In8poctor's last valve fa not provIldod. INSTALLATtON,. Those devices may be mounted In horl2ontfil or varkW pipe. On horizontal pipe ffioy ghould be Installed on the top olds of the pipe kyhorr) they Of be acceBalble. 'rho units thoutd not be Installed Wiln B' of a valve, drain or tilting wt*hc-hangas the direction of the WOOMOW- The unit has a VNPT bushing for threading Into a non -corrosive TEE. Sea F19, 2 Jaf proper TEE sizo, type and Instalittlion. Screwthv da%&O into the TFF- fitting a3shown In FIg.2. tiara must bbtakeh to properly orient the davico for the direction of W8t()dl0w. If them are no pf0viAlOni for testing ft "ration of ft 110W d1§1800n devIct on the ortom, Wli--Ruw of the VSH-SF Is hot r reed or advisable The kMu@ry ly ®f the inspection and togng tnd Its fimclWad prate MWItor" 11yewm should be In jac,=dgrtc�e wlth ft ap*AWO NFPA uds*Wn (manufaorhiror Cis orid Standards and/or aLk'wlty WIN J recommiinds quarterly of more frequenti). CAUTION: There are a paddleis furnished with each unit. These paddles have raised letteew that holds he paddlering that showo the pipe silo and type of Tr -r- that they are to be used with, 7he proper paddle Mull be used. . The scrt it be eacurely tightened. Igniggit"x filukuz yBELL SHOWN Sizes Available. 6", 6", and 10" Voltages Available. 24VAC 120VAC 12VDC (10.2 to 15.6) Polarized 24VDC (20.4 to 01.2) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -400 to 100°F (outdoor use require weatherproof backbox) Termination: 4 No. 16 AWG stranded wires Finish. Red powder coating Optional. Model BBK-1 weatherproof backbox These vibrating type bells are designed for use as 'fire, burglar, or general signaling devices. They have low power consumption and high decibel ratings. The unit mounts on a standard 4" square electrical box for indoor use, or on a model BBK-1 weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MODEL NO. STOCK NO. CURRENT (MAX) TYPICAL dB @ 90 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 g PBA1208 1808120 .05A 99 �82�10 �120VA PBA12010 1810120 .05A 99 Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum dB ratings are calculated from integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. UL temperature range is -30° to 150°F. 2. Typical dB ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in an actual installation. PRINTED I USS d� a MPCT. #8850001- REV K PAGE 1 OF 2 MFG. #5400776 - 4194 -- ••�, r.ti✓aS ^cam Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 � s f i e. _a. � �.$.L ✓ d I r 't �' � (( -� t ✓ l t i '' d t fr ( t d s fI ! �.ar..�.. r a ata 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 S-prinkler_Head Cabinets are manufactured of heavy gauge 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 3 1/4" deep 12 head - 5" high x 14" long x 4" deep Weight: 6 head - 2.3 lbs. 12 head - 3.5 lbs. steel with knock -outs to accommodate either 1/2" or 3/4" N.P.T. threaded sprinkler heads and are painted an attractive red enamel. They are available in six (6) or twelve (12) head capacity. \1 I 2 COMPONENTS.. .. DIMENSIONS AND WEIGHTS item -No. Descr3 tp iori . '1 Plug' '/°;NP: PSI Suction '3' Seal ring ='diffuser'.: - 4 Diaphragm 5 Machine screw 6 Diffuser 7 Impeller 8 Mechanical seal 9 Foot 10 Boit — foot to adapter 11 1 Motor adapter 12 Bolt — casing to adapter 13 Bolt—.adapter to motor. 14 Deflector PERFORMANCERATINAGS Goulds TM oil Model. PSI Suction Lift GT20 Model Disch. GT103 -1 In Feet GT303 5 10 115 120 125 2 3 Pressure 20 44 41 36 31 24 GT07/ 30 34 31 26 22 14 GT073 40 10 4 '0 0 0 20 53 61 49 46 41 GT10 30 43 41 38 36 32 GT103 40 29 22 16 8 0 20 63 59 54 49 39 GT15/ 30 60 55 51 46 37 GT153 40 45 38 33 20 14 20 86 77 70 59 46 GT20/ 30 80 72 67 57 44 GT203 40 65 60 57 50 43 88 76 60 GT30/[�20 30 9 f29 84 75 57 GT303 Goulds TM oil Model. GT07 GT10 GT15 GT20 GT30 GT073 GT103 -1 GT153 GT203 GT303 1%; 2 3 �/a 1Yz 2 :3 be Ln 't 9•�d 19 S:ji '.'L1�I78 '' 20Y,,21'VS2 ME 19 19'/4 20%8 2O'��6 21�/i5 Height 9'/4 Wt. (lbs.) 48 52 60 65 76 49 52 55 69 71 Phase Single Three ..(All dimensions are in inches and weights in lbs. Do not use for construction purposes.) 1'h' NPT DISCHARGE �t 1% SUCTION e c 7 PoRFORMANCE CURVE �. `� 9Z METERS FEET 40 120 3020 4 10 2 40 7 621551501 0 oG 10 20 30 40 50 60 70 60 90 1C0 110 t 10 U.S. VY -1 Performance ratings ark hi GPM. 0 5 10 15 20 25 m3rtir. GALLONS PER MINUTE (0) ®U L 5-) PUMP'S Single and three phase have carne per(orrnarice. Water Technologies Seneca Falls, NY 13110 PInT, P,ff B DI fn n- t[j Q; -r SPECIFICATIONS AHE 1,tjBj1-CT TO CHANGE WITHOUT NOTICE. 11FiIN1 ED IN U.S"A MISS ME 40 7 621551501 0 oG 10 20 30 40 50 60 70 60 90 1C0 110 t 10 U.S. VY -1 Performance ratings ark hi GPM. 0 5 10 15 20 25 m3rtir. GALLONS PER MINUTE (0) ®U L 5-) PUMP'S Single and three phase have carne per(orrnarice. Water Technologies Seneca Falls, NY 13110 PInT, P,ff B DI fn n- t[j Q; -r SPECIFICATIONS AHE 1,tjBj1-CT TO CHANGE WITHOUT NOTICE. 11FiIN1 ED IN U.S"A JUNE, 1980 Supersedes page P3 PUMPT1ROLG PRESSURE SNITCHES Dated 3/76 TYPE FSG KV., MORE ABOUT THE PUPAPTROL PRESSURE SWITCH WITH FORM FA4 LOW PRESSURE CUT-OFF The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptsol pressure switch. in addition, the Form M4 low pressure cut-off feature aids in preserving the life of the pump. When pressure in the system drops to approximately 10 P.S.I. below the set cut -in point for any reason, such as a low water condition, the switch will open to turn off the pump.* When the condition has been relieved, the manual lever is turned to the start position and, if pressure is restored while holding there, the switch resumes norma] operation.. 4 per' The Foram M4 manual lever also has an off position for com- plete pump shutdown. 6° IMPORTANT: The cut -in point must not be set lower than 19 P.S.I.; consequently, the cut-out point on rising pressure must not be lower than 30 P.S.I. Electrical Rafmgs — See preceding page. , _- NOTE: Form M4 is no( available on FYG types. *Example: Switch set 20-40, low water cut-out = 10 a COX. Type FSG. Form G5 M4 (Snovono Ccmbtnat�n of P*t Ught and PP Low Pressure Cut-oa Moldif=tlons) Switch set 30-50. low water cut-out = 20 approx Switch set 40-60. low water cut-out = 11; apin)x QA SWING RADIUS 13 225 IN. 2.78 ) 71 i Type FSG-2,Fonn 6: 5 UNDERWRITERS LABORATORIES LISTED soma w uan Sq UArtB � Ct7 D:ipnAfY I i 2.05 1 1.39 52 35 N{: DUdI D—yn—„,�. - Manufacturers of Pumps and Supplies -\ 2081 Fronhe:., Tray! / Anderson. CA 96007 (916) 365-2666 Irv, ® G ORDER DESK: VALVES ONLY CALIFORNIA (800) 4-16-4800 '•.TIC )NAL (8001 2'2-I!A' ORDER. NO. SIZE WEIGHT LB. LIST PRICE NET 1-10 NET 11 & UP 8400-1 2 1 2" 1 $23.10 511.55 510.78 8400-3/4 3/4" 1 29.74 14.87 13.88 8400-1 1�� ***." 46.80 23.40 21.84 8600-1-1/4 1-1/4" 107.14 5 3.5 7 510.00 8600-1-1/2 1-1/2" 4 107.14 53_5 7 I 50-00 8610-2 2" 3 113.90 56.95 53.16 ORDER SIZE WEIGHT I LIST NET I NEI NO. PRICE 1-10 ll & UP 8440-5 5"" 524.58 I 512.29 1 511.47 8440-6 I 6" 1 28.80 1 14.40 ; 13.44 *R440-8 8" 1 79.83 I :31).93 37.27 *FOR THRU-HOLE ADD 40°/u TO NET ORDER SIZE WEIGHT LIST NET NET NO. - PRICE 1-10 11 & UP PRI-S,URLS ' 5" 1 59.32 54.66 54.35 7PF5 PF6 6" 1 11.02 5.51 5.14 *PF8 8" 1 12.92 6.46 6.03 * FOR THRU-HOLE ADD $4.03 EACH TO NET PIPE, VALVES & F1T7I�ti ': Sheet No. 12"11.01 Eftecti,'e Supersedes 0-00 IAC SI II.F: (916) "tt ALL PRICES AND SPECIFICATIONS ARi SUBJU:I TO 01ANU \V'III'nul I iAYS t'UMF INC. 19000 - - - I N I t 1 PRI-S,URLS 125105 �85 651 1 55 VALVE GALLONS PER MINUTE G.P.M. 8400-1/2' 36.0 30.2 25.8 I ??.7 8400 3/4.. 64.3 r 56.5 47.1 i 8400-1" 82.5 76.4 f 69.11 R600 ALL 160. -1 .1 t SILES j 8610 ?G7. 241. --L- ? I. £l. ALL PRICES AND SPECIFICATIONS ARi SUBJU:I TO 01ANU \V'III'nul I iAYS t'UMF INC. 19000 j- rel ii I mimil- Y 0 0 Lu C'4 cv - C7 ld.l a C'i 8 00 � CO IE I I 00 �W// fp—&55 ® _ a®10"tt p1mil alit] dfjvoara 1p i��asing ��;� 1��aza�;� lr�a�� ��� �� I iccilsplao ¢,, -Ilau ng the �apie;vblo proviviom of Calitorvriv Coft ofaqui 'i : Tiii 24. Acm. p2 rsc e, is riot gppttylial ins vk, )iwp any -I, cudi- : The I tri ruvi w iiavdu&—d xrq� f0l""AA9 WbAgaty (YIN) A/ structural _ Pium itig �L r;ro Lina, Sufa1y Energy l sr� rif i ,Ames6ibilhy Other plan e'V3'pr Lu - _ as X050 5M 3050 SW ® _a v �v 3050 5H 3056 SH 3050 SW ° STEP As REQUIRED inBY SITE AND GARAG GRADE LLJ Lo M X G x i� Y 0 0 Lu C'4 cv - C7 ld.l a C'i 8 00 � CO IE I I 00 �W// fp—&55 ® _ a®10"tt p1mil alit] dfjvoara 1p i��asing ��;� 1��aza�;� lr�a�� ��� �� I iccilsplao ¢,, -Ilau ng the �apie;vblo proviviom of Calitorvriv Coft ofaqui 'i : Tiii 24. Acm. p2 rsc e, is riot gppttylial ins vk, )iwp any -I, cudi- : The I tri ruvi w iiavdu&—d xrq� f0l""AA9 WbAgaty (YIN) A/ structural _ Pium itig �L r;ro Lina, Sufa1y Energy l sr� rif i ,Ames6ibilhy Other plan e'V3'pr Lu - _ as X050 5M 3050 SW ® _a v �v 3050 5H 3056 SH 3050 SW ° DRAWN BY, D,DIVER CHECKCDa DA.TEi 6-23-03 SCALE, JOB, --w 4050 SH 4050 3H W/ 12 Z:tIDIoLIGHT,- TEMP > A� IVY fs T A & C4i � d® i 6�0 I I I I I I I S U. r 7 2005 1 I I ILLJ 05, 1 V I L 11 iI A N De ou"'i L11 8 101!11� rj/cfl :r �"�' 61�tDs 7y�.c� � c�v� rns�Bsa sxs sxs a ��� � - , ,� . t11A LS L&R� �� GATEVALVt® ® — ® ® ®� ®� e Z �U�y �dB9 m5w%9�J✓ �aA;P 6 ;12 bF #2 ®v.a O' W&cc vc v. HEADER iYP ( PROJICT .W//V.�C�' X6100 "e®ar�,c�- ��®R�.�� ��'� �.a4.E'��/,rt/�iy/ � G®AIJp occu�acvN..s? CEJ o cLrr�2 CITY [7 ✓/Lim I as � ,®6" TITLE PIPING P. N an DETAILS ®0 13 0 - --- �'�10W �I ENSEN. �a��/�Gi� ANY 13'0" 12'm9"996 J®a Ivo. 2 a —6 11 ' -- _ - ®roville, California 95966 I ; N1- arnWaC� G'TY��1�� LLJ Lo f LO DRAWN BY, D,DIVER CHECKCDa DA.TEi 6-23-03 SCALE, JOB, --w 4050 SH 4050 3H W/ 12 Z:tIDIoLIGHT,- TEMP > A� IVY fs T A & C4i � d® i 6�0 I I I I I I I S U. r 7 2005 1 I I ILLJ 05, 1 V I L 11 iI A N De ou"'i L11 8 101!11� rj/cfl :r �"�' 61�tDs 7y�.c� � c�v� rns�Bsa sxs sxs a ��� � - , ,� . t11A LS L&R� �� GATEVALVt® ® — ® ® ®� ®� e Z �U�y �dB9 m5w%9�J✓ �aA;P 6 ;12 bF #2 ®v.a O' W&cc vc v. HEADER iYP ( PROJICT .W//V.�C�' X6100 "e®ar�,c�- ��®R�.�� ��'� �.a4.E'��/,rt/�iy/ � G®AIJp occu�acvN..s? CEJ o cLrr�2 CITY [7 ✓/Lim I as � ,®6" TITLE PIPING P. N an DETAILS ®0 13 0 - --- �'�10W �I ENSEN. �a��/�Gi� ANY 13'0" 12'm9"996 J®a Ivo. 2 a —6 11 ' -- _ - ®roville, California 95966 I ; N1- arnWaC� G'TY��1��