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040-100-069
NOTES I RESIDENTIAL 040-100-069 -02-0783 'A RK & PAM PERMIT NO.9870`NIKKI-CREEK; DURHAM CONT: CARE FREE POOLS MASTER POOL 502-97 r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS, SUB -STANDARD HOUSING LETTER I 3 a ' JOB FINALED Signature ✓ = OK d = Not OK = Not Applicable • MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. 4. Water; Location -Test -Easement Needed (Sketch) 5. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. 7. Well Clearance & Discohnect 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal j a 1.. Light Niche 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.-Con nectors Shthg.-Frg-Bracing f 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date WAL (Plans) OK except #'s et cks-Easements degcil ompaction-Structure Stability d -P61 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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval , fZ4. P b.; Cir. Test -Water Supply Test j a 1.. Light Niche Date Dat o2 Card B-1 Date Card B -i Card B-1 Date Card B-1 t V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral E) Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes 0 NoMalks 7 Yes D No/Planters 0 Yes ❑ No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Dare Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if.Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) 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 Hngle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes 0 NoMalks 7 Yes D No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ._yy. �r+-�� ;-rlr--��-ay"'�Y7�r' f:+fela'�t"a36yp• '�ye+�•�'e �-�' '�'�..r'14'E�'�tt�` .�.., .a--•, �y,ht-y�x. �.a�t . t i t r l 2 4 j a i> n i t t t t r .. � r t - > t.',�•, - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO w A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, of need additional explanation, ,off please contact this office immediately. a, .'e�Y• A/A /l�-f t ,v V As COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. rev �/�/CC' �/�Gc- /-�✓� ��; '' S l7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARC�INUMBER 040-100-069 TONING BUILDING PERMIT OWNER MARK & PAM LOPES TELEPHONE 343-5544 SO. FT. OCC. BUILDING VALUATION est 25 000.00 OWNEg5�d91LjN ff1JSil CREEK LN. , DURHAM CA 95938 CONTRACTOR'S NAMEEE CAREFRT, POOLS TELEPHONE 342-4639 CONTRACTORS MAIUNG ADDRESS 9 ALYSSUM CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation s2!),000.00 ARCHITECT OR ENGINEER UCENSE No. FI $ 2 0.0 0 lin Fee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 9870 NIKKI CREEK DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 295.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1 Describe Work: EQ01- MASMIM A501-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 6000" LE Main Service .,V1 OR 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 i full force and effect. Q License Class �— S� Lic. No. >?C DL(a OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO W: 3.50FT. OR ADONS. ( a acC. S. NEW Cjf NON IpT MULTI-OUTLETITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ I'50 Ex. Occup. OUTLET OR FVTURES BAS @ .so Ex. Occup. DF'.ED AESIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pool electric 30.00 PERMIT FEE $ 50.00 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 rformance of the work for which this permit is issued. eI' 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 permitis issued. My workers' compent ation insurance carrier and policy number are: Carrier `L Yy Policy Number _7� /.15-0 7 (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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �Qor)-- Signature of Applicant - ❑ Owner lErContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 3-00.0 10 HA2. D. FEES IMP ✓ 0-,.P C H ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date z PERMIT EXPIRES ON IDa e Receipt No. 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, CA pt,5 Phone (530)538-7541 Fax (530)538-2140 ,PERMIT APP -I WATION DATA SHEET OWNER: /'� `V''l �'� �� - ASSESSOR PARCEL NUMBER Vo — / �� f"C Proposed Building Use: apo Ol Wr s�7 _ / Counter Technician: Date: It ems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. lot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. A 4. Engineered truss details and layouts in duplicate. No faxes! En r&. compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down -or ' foundation plans, all in duulicate. 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit wille indexed and returned to the plan review line-up when required items are received. Date Received B Y ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form ....:........ 1• ❑ 13. Other�:�. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ' ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ..................................... - 1 Statement of Intent for Non -heated and A/C Buildings ............. J" 16. Sanitation and plot plana roval from the Environmental Health De artmnn et i'r ❑ 17. City of Chico Plumbing permit......................................................................... w4 ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ` ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... a ❑ 24. Worker'sCompensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner).................... ❑ 26. Letter of Signature authorization.................................................................... , ❑ 27. Recorded copy of Agricultural Acknowledgment Statement.. ................................... J.s ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of k above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above 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: Plans reviewed by: Date: -- Plans approved by: Date: Structural reviewed by: Date: Structural approved:by: Date: Note transfer by: Date: •,..rc. ,F Yellow: Building Division .. kti"• E.N. USE C b 1 b Moa Plan Anachad Floor Plan Atm d Sena to B.D. C ! TO: Building Department / �` 0"?FROM: Environmental Health SUBJECT: Sanitation Clearance Z AKO OPE" Owner Location AP# Plan Approved for: Sewage Disposal °r Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist / / Date 8/96 f , FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B: No. 3067-0077 ELEVATION CERTIFICATE Expires July 31, 2002 Important; Read the Instructions on pages 1 -7. SECTION A - PROPERTY OWNER INFORMATION For_Ihsursnce.Com rty BUILDING OWNE / paUae: -M49 'S NAME k 6 O PEPolicwNurrtbefr BUILDINGS aEET ADDRESS (Induding Apt„ Unit. Suite, and/or Bldg. No.) OR P.O ROUTE AND BOX NO CompatfyNAIC.Number C;'` STATE ZIP CODE PRO -PERT DESCRIPTION (Lot and Block Numbers T Panel IN r• Legal Description, at .J - � , o pia B',ILDING USE (e.g.. Residential, No-(esidentlel, Addition. Accessory, etc. ase Comments section if nece.-zary.) �e5 /,OE N Tl - , 11+TITUDE'LONGITUDE (OPTIONAL) HORIZONTAL DATUM: i # or ') XJINAD 1927 Li NAD t 983 SOURCE: LI GPS (Type): LI USGS quad Map i_) Other. SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 9'' NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME I B3. STATE d pu -7 E Co . CA . o 4y2-'--P37ic 81. MAP AND PANEL B5. SUFFIX 56. FIRM INDEX 97. FIRM PANEL B8. FLOOD 89. BASE F1000 ELEVATIONS) NUMBF_R 0600 --OSZ0 C DATE EFFEC'IVE/REVISED DATE Z NE(S) I (Zone AO. use depth of flooding) JoNE- 8 /9q � 3 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. i_j FIS Profile �_� FIRM L-1 Communi De): B11. Indicate the elevation datum used for the BFE In B9:)jetermined �J Other (DesCibNGVD 1929 j_j NAVO 1988 1--I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Lj Yes No Designation Date: • SECTION -C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl.. Building elevations are based on: [-�—jConstructlon Drawings* 9 ' LjBuilding Under ConsbS.lctiOn• j_jFinished Construction 'A new Elevation Certificate will be required when oonsttvcdon of the building is complete. C2. Building Diagram Number 1_ (Select the building diagram most similar to the building for which this certificate is being completed - see Pages 6 and 7. If no diagram accurately represents the building,'provide a sketch or photograph.) Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR]AF1, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the -atom used. If the datum is different from the datum used for the BFE in Section B, Convert the datum to that used for the BFE. Show flu;d measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments LTTE Elevation -e ark used ATA , $. ' 2 J Does the elevation reference marls i&9d appear on the FIRM? Yes j ! No Z) a) Top of bottom floor (including basement or enclosure) ¢— b) Top of next higher floor R•(i�") � — . ft.(M:) i c) Bottom of lowest horizont it structural memt +r {�,� �s . � d) Attached garage (top of slab)/A -- p`t ii) c`V •.•,.'°''• 'f All a •• ±; . e) Lowest elevation of machinery and/or equipment servicing the building /4 6_ f) Lowest adjacent grade (LAG). ft.(n,) 3 W 1 =� `' , g) Highest adjacent grade (HAG) — % ,^ ❑ h) No. of permanent openings (flood vents) within 1 R above adjacent l .. � ft(m) o• 2 +7 i) Total area of all I grade �•: (: V . 6•�� Permanent openings (flood vents) in C3h sq. in. (sq. crri) `I'�t •'••�..� ,,• ••.��. ` SECTION. D • SU OR. ENGINE R. ER, OR ARC � + C' QN ' ' L;,,• _�-y This certification is to be signed and sealed t7y a land surveyor, engineer, or architect authori 1 certify thatthe imbrmad on In Sectliona and A; 8, C on this cerdflcate represents my best e/fo?" ffi t Ge ' I understand that any false statement maybe punishable by fine or imprisonment under ®ef �. • r CERTIFIER S NAME .� ;aRT N - - -- KCS z�fi4I�' 5i L ?UA - i'.(W ET T . Q ✓G Y atJ STATE i+ lip rnnc— Pt=MA Fnnn Al i1 AI IMQQ .r ` )w r:nKMNl IAT nN __..._. 8 -7 -7 z 53 IQP;11 Ar:F.q At I 0QPM(1l I,q Fr1Mn1 , q ORTANT: In these spaces, copy the corresponding Information from Section A- �- ILDING STREET ACIJRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX t.'C^ STATE -A' CODE For Insurance Comoany Use: P011cy! Number Company MAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Cooy both sides of this Elevation Certtflcate for (1) community official. (2) insurance agent/comper.y, and (3) building owner. COMMENT$ Co 0 F L0g , _ PowX 43E - G G � GE VAT/ON = l � /. S Z. -- SECTION E - BUILDING ELEVATION INFORMATION (SURVEY.NOT REQUIRED) FOR RislE AO and ZONE A here If attachments THOUT For Zone AO and Zone A (without BFE), complete items E1 through E3. If the Elevation Certifica;: is intended for use as�supporb BFE) information for a LOMA or LOMR-F, Section C must he completed. E1. Buildin6. Dlagrm Number . (Se(ectthe building diagram most similar to the building for vrilich this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is �_� _ ft.(ITl) _ in. cm (check one) the highest adjacent grade. I ( ) LI above or �� below E3. For Zone AO only: If no flood depth number is available, is the too of the bottom floor elevat.Xdin accordance with the community's good lain management ordinance? Yes No 1_1 Unknown. The local official mustcertify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION he property owner or owner's authorized representative who completes Sections A, B, and E for -Zone A (without a FEMA -issued or �-ommunity-Issued SFE) or Zone AO must sign here. °RrPERT" OwNER'S'JR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME AJORESS �ITv GTURE S .... TATE ZIP CODE S;tin TATE TELEPHONE �C�.tMENTS ' SECTION G - COMMUNITY INFORMATION (up TIONAL)—� Check here if attachments The :ocal efflcial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sect!ons A, B. C (or E), and G of this Elevation Certificate, Cd"r�pleta the applicable item(s) and si.::1 below. V1. ;_j The information in Section C was taken from other documentation that has been signed ar.,i embossed by a licensed surveyor, engineer, or architect who is authorized 17y state or local law to certify elevation inforrnadcr;. (Indicate the s elevation data in the Comments area below.) ounce and date of the G2. ISI A community offlcial completed Section E for a building locatsd in Zr_•:ne A {/;,out a FEAIIA-+Slued or Community -issued FSI E) or Zone AO. G3. ;_I The following Information (Items G4 -G9) is provided for community floodplain managemerf: purposes. G4, PERMIT NUMBER G5. 0 rE P RMIT ISSUED ISSUED .. '-.-.. '"•.-....�w..�r r,v l.: G7. This permit has been issued fur L-1 New Construction �j Substantial Im G8. Elevation of as -built lowest floor (including basement) of the building is: provement G9. 8FE or (in Zone AO) depth of flooding at the building site is: - fL(m) Datum: LOCAL OFFICIAL'S NAME "' -- ft.(m)Datum: TITLE ' C:,M IUN17Y VAME TELEPHONE - SIGNATURE DATE - �CUMENTS R1,11 411 ; oa -----I_.I Check here if attachments ' - DCDI 4r`FC Al I [�qC1/I/-�I iC r-r•11T1 . r'1NQ NOTES RESIDENTIAL 040-1007069 - 02-0128 ~' PERMIT NO_LOPES, MARK &,PAM _ t 9870 NIKKI CRK,,DURHAM CONT: STEVE SICKE BARN IN FLOOD ZONE �= Agl 7 T SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ JOB FINALED Signature. ; � ,. I i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ JOB FINALED Signature. ; � ,. r V=OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connector . Decks; Girders and/or Joists- Decking ;,jBracing-S Wood Awn.; Posts-Beams-Rftrs.-Connectors r Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal - 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'tt. / P Nat. or / /"L"tt./ /'LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels i Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ti's 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cen. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MISCELLANEOUS 1 DECKS, COVERS, CARPORTS GARAGES (Plans) OK er 1. 2. 3. 4. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connector . Decks; Girders and/or Joists- Decking ;,jBracing-S Wood Awn.; Posts-Beams-Rftrs.-Connectors r Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal - 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date r FINAL (Plans) OK except ti'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- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' �1'Ji } 'r s w RESIDENTIAL (Single & Duplex) ,Vtfderfloor (Plans) OK except #'s k jY oning-Setbacks- Ease ments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg,., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porch &Decks; Soils -Steel-/ /" Ftg. Depth .5. Stem)osl s, Main; Steel-Blockouts-Wrapped 6. mwaR<Garage; Steel-Blockouts-Wrapped Date 1-e` Ho)Id6owns and Special Anchors FRAMING (Continued) LZe'flab, Steel -Wrapped Hangers -Post Caps -Anchors -Connectors 8. Piers -Fireplace Ftg.-Steel Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Fireplace Ties or Type A Flue -Fireplace Throat Clearance 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 11. Water Pipe; Test -Anchors -Regulator -Service Test Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 12. Electric Underground Garage Fire Protection Framing 13. Plenums & Ducts; Clearance -Material -Support -Ins. Property Line Firewall & Openings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 15. Access & Ventilation Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 16. Insulation Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Date / _ Card B-1 IXIDate Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Shear Walls; Nailing -Bolts 17. Water Htr.; Vent -Access -Combustion Air Baffle Brace Interior/Exterior Wall Panels 18. Water Pipe; Test & Anchor -Nail Protection Insulation -Walls -Ceilings 19. D.W.V.; Test Fittings & Anchor -Nail Protection I nfiltratio n -Walls -Windows 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 23. Fixture & Transformer Clearance -Ins. Protection Bedroom Exiting 24. Elec. Receptacles Spacing -Lights & Switches at Doors G.F.I. & Bath Fixtures & Tub Access -Spa 25. Size Boxes & No. of Conductors Stapled Elec. Trim & Subpanel, Breaker Sizes & Labels 26. Romex Installed Close to Edge of Studs & C.J. Stairs & Rails 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Fireplace or Stove, Clearance -Hearth 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Outlets at Wood Panel, Int. & Ext. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Elec. Outlets & Receptacles at Kit. Counter 31. Service -Riser Conductors & Ground Main Disconnect Garage Fire Door; Swing -Landing -Closure 32. Equip. Clearances Panels-Motors-Mech. Equip. A.C. Duct in Garage -Damper 33. Clothes Closet Light -Shower Light -Spa Light Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 34. Smoke Detector Plb., Elec. & Mech. Equip. Listed for Location 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 35. A.C. Ducts Insulation & Support PIN' 36. Vent Fan, Exhaust above insulation Following Instid./Drive ❑ Yes ] NoMalks J Yes J No/Planters Yes No 37. Condensate Drain & Overflow, Size & Grade ! 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet A.C. Unit Disconnect, Electrical -Plumbing 39. Attic Access & Platform if Furnace in Attic Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Corrections from Previous Inspections 40. Sits Proper Materials & Anchors Gas Test -Meters Tagged, Gas -Electric 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Water & Sewer Connected -C/O to Grade -HD Approval 42. Bearing Walls over Girders & Floor Nailing Energy Compliance Certificate -Other Certificates 43. Draft Stop in Walls (rat proof) Address Posted 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-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer _ 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfiltratio n -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Hails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive ❑ Yes ] NoMalks J Yes J No/Planters Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4�0p •�• • . •COUNTY OF BUTTE ; ~�• � � Y r _ _... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 1'.411 "&5 D/a-� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you,have any questions pertaining to this matter, or need additional explanation, please contact thi's office immediately. 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 02-0128 AS 8Ei4qj0Jr0J"-1169 ZONING 0 BUILDING PERMIT °'""MARK & PAM LOPES TE 343-5544 SO. FT. OCC. BUILDING VALUATION 6336 U @ 13.00 sf= 82,368 °W"lpb" ' 1117, DURHAM 95938 CONTR�T,9P�$-,NAn CKE �jf�,y j', Jl TELEPHONE 520-0788 °ONfnTOffAJtbIftffAEsLN, CHICO 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 82,3b6 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 563.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 365. B"IL,'gAffENIKKI CREEK , DURHAM Energy Plan Checking Fee $ $ Garden Creek Country Est. PERMIT FEE $ 948.95 LAT NO. SUBDIVISIONS NAME142-67/69 12-29-97 PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE acre SF ❑ Duplex ❑ Mobilehome J] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IM Describe Work: NEW BARN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR IESS 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 iSfull force and effect. License Class 6-1 Lic. No. 3 )4913a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWELLNG occuP. OR ADDNS. ( a ACC. BLD S. so 3.50FT; NON-R°SID. T. 'ITSMULTI•oUTLET @7.50 POWER APPARATUs SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDTTURES .00 SAL @ 1. 0 Ex. Occup. p EDTg gale,°FRP 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ T3 00 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 'S F. ,1k Policy Number 1SG1?©67-K)C> (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 f hwith omply with those provisions. X Date(? DL, ignature of Applicant - ❑ Owner ErContractor ❑ Agent ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 991.95 Mobile Home Installation Fee $ Energy Inspectio Fee $ 0 T. n TOTAL FEE $ H p, IM COF PAR H ISS This permit is he y issued under of the Butte u C de and r indicate o wh ch fees ave By PERMIT EXPIRES ON I --I- the applicable provisions Resolutions to do work been paid. •� �i'"7 ; Date ! [J CjN� Date ReceiptNo. 337208/$405.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT QF DEVELOPMENT SERVICES -BUILDING DIVISION T 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: U , A %wlelcl / 1 '1q ASSESSOR PARCEL NUMBER Proposed Building Use:N Counter Technician: �/ ►' Date: ` —/ 7` eR 1. Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed by the"preparer of the plans. 91--2.,06mplete plans, 3 or 4 sets, signed by the preparer of the plans. 0 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. wl,f ❑ 44, Engineered truss details and layouts in duplicate. No faxes! f i' S. Energy compliance design and supporting documentation in duplicate. r /y%,�7 6.' Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie downor .,foundation plans, all in duplicate. Metal buildings: (A) Metal Building Plans,, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate., ' (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ineer. ' Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.{permit will be indexed and returned to the plan review line-up when required items are received. -119te Rece'v `lood Elevation Certificate, wet -stamped and signed, in duplicate ................................>" 9. Plot plan and business license approval from the City of Biggs .................................... 0'1 Letter of intent for non-residential buildings .................................... � ................. Detached Accessory Building Form filled out by the owner .............. �.................... �❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other I Remaining items needed to issue the permit. (May require additional plap, review upon receipt of the following items. .Fees as shown on the attached Schedule of Fees Due Sheet ...................... ...... 5. Statement of Intent for Non -heated and A/C Buildings.................................r.. Sanitation and plot plan approval from the Environmental Health Department in e Ali 7. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... a ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1. -0 31. Other: When issued Telephone and hold for pickup. I have been info ed of he above items and requirements for obtaining a building permit. Applicant: �� Date: 1. Index permit application for the above items numbered: Plan Check Letter r 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: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: %Date: aZ Structural approved by: Date: O Note transfer by: Date: Yellow: Building Division 6A E.H. USE. ONLY Fla: flan Artechad _,-FIcay"Amn Anqco4d San% to G.D. 9rf-9 TO: Building Department 9(1 FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: mental Health Specialist Date, 8/96 ............ . FPOM': STEUE S1CKE PHONE NO, : 916.345 5740 Feb. 26 2002 02:50PM P1 Department of Development Services Building Division 7 County Center Drive f G Q Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX j 1 DE'T'ACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: 17A,44 Lairs Phone: 3M- S S `t`y� Mailing Address X720 C v C� It �l. , G. �• 1 i�U t3 t Did. • l Site Address: U abs A550301's Parcel Number: 40 -- ICS 7 Zone: i� 0 Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: Yes No (] 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? Yes D No ' . 3. Will items produced in this building be offered for sale? Yes ❑ NO 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising. on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes I] No Vj S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 0' 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated door,, walls, or ceiling? _ Yes 0. No CT 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No Yes No 13. Will flus building have a sink? Yes No O 14. Will this building have a water heater? i 5. What type of floor covering will the building have? 16. What type of -all covering will the building have? fovlc 01.1:2 1✓0 Jan. 22 2002 11: 59AM . R ND. OTHER FPCEINJLE START TIVE USAGE TIME MODE PAGES RESULT 01 5382140 Jan: 22 11:56AM 02'56 TX 04 OK M FROM': STEVE SICKE PHONE NO,. : 916 345 5740 Feb. 26 2002 02:50PM P2 Department of Development Services Building Division 7 County Center Drive OrOville, CA 95965 (530) 538-7541 (530) 539-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE ` Plan review will not be started until this form"is.completed, signed by the property owner., and'.. . returned to the Butte County Building Division. Attached Accessory Buildings and Additions:. . will be checked for residential use. Exception: Garages and Carports. Owner A"(4 (��nCs Phone: 3t3 - .S S it Mailing Address GQ10 IJ dtk lrce url,ov� PO li i17. ua...,..' Site Address: Cnr,� ops G�6mL !° ' Assessor's Parcel Number: . 4 D — /C> - 6 Y Zone: /© _.j Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 Of ..: . this form. GENERAL INFORMATION: ' Yes(No' []-., "•: '., I. Is there a primary dwelling on the property? .. ... 2. Is the structure already built, under construction, or under notice of code violation? ..� ..• . . Yes 0 No. ' A. Will items produced in tlus.building be offered for sale? Yes 0 No' 0 'No 4. Will the public have access to this building? 5. Will any adcenising, on or off site. be associated with the use of this building? Yes Yes 0 .No f SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank -or 10' of leach lines? Yes No' ` 7. Is any portion of the structure located closer than 20'. to your -front property line? Yes 'o. No . 8. Do you plan to add a driveway or modify. existing access to.a county maintained road? Yes.(]•. No. , ..: •' 9. Will the proposed structure encroach within any recorded easement? CONSTRUCTION FEATURES: Yes 0 'No. 10. Will this building have insulated floor, walls, or ceiling? Yes No :. .. 11. Will this building be heated or cooled? 12. Will this building have a water closetitodet7 Yes 0 No Or Yes 0, No.' 13. Will this building have a sink? Yes 0 No 14. Will this building have a water heater? Yes ❑ No .. .' IN 15. What type of floor covering will the building have? 4-4r, " 16. What type of %wall covering•will the building have? ro&" Duly OVER 1 of 2 FROM FAOM-: STEVE SICKE PHONE NO. , : 916,345 5740 F(X: NO. : S'1h5.377075 Fr7 E. NQ. : SIC, -345 t740 Feb. 26 2002 02:51PM P3 12 '2002 06: 26PM P1 ?an. lti 2iYOZ: ,:1:413PN FII PROPOSED USE: (,heck only one box) in flus building and it will t. C&zRcjjdctIjiUl Slorsgc Shod I ill be ari at+d ne wttag of coaling)• is tx uxxl far s►ny other purpo 2. C private Garai c -A banding or a portion of a buildln$ not; mote shut 1,000 square feta. (3.000 by e.,cmptiun) in area in'v'.tielt only motor velludes tired by tenants of the building or building ort the premises we stored ur kept." 6 samaw dont is reQtared. 3, [] Residential %.apart - A COMed StWUIT 1=00dad for patlting cd vohiclt9.Two of raoto sides mutt be 4. fref oy ren, E9 o to a stor4c shed, tlamge, or wr l Residential Occupt-acy - Structures meant to be otxatO PPoaed if you checked 04. atease chair the uW below which beet St this building in-law quatlas [� Guastliot" C Pool House ❑ Swdio Ap&ft011 l-ibtuy Rccreatlos p.e0il1 Game Room study. Stu6i0 BMW quem Plnytoom Den Stwtn Rvein Artig Studio § Hobby Room Craft Roost Canning Kitchen C3 MiAir Room [I Family Room Q Sun Rooth ❑ Private Office 0 Wa*sbog t ❑ Home Occupancy ° 0 Otbor - Use t. 9awtao Ma ut WwWvy :. Mu.. 1.. wp—.i by 'he has Cd%m 7jWI 4WWWM. . Uplanattons: This arca lS for e.Xplanatloa of any "yes" easvert oa queaUotu 2- l4. Planar indicate the Quenon number before the QXRla deft. Addition4lInforM1111011: ref aPy�y Plan reriow will not be etatud until telt form h completed and trxeived. A Yfans Z"Miner will eodiact'tlie. owner with spaci& eaquieemenb per the use udlca" ; I ImMy 35-m under po Wty of pet jtuy, that the above irdbrmadon Is tau apd Correct- I uadermid that any ch8at to the' w. or character of nao. of INS building will Muife permits IMU the Perminleg Authority. I uitdafstand Hoar Pool zsla% nie,6mefe taws require disclosure of this hdkmWcn if or wbar the Property is offered tot Sale. . Owner's blame: ?feast MIL`l % ��'�� Zoe /• O�raCr'S 5:gna we: Date' � ,/ �! 2Of2 . r FROM FAOM•: STEUE SICKE FFL, :. 1E; PHONE NO., : 916-345 5740 FMX NO. , 5105.77 7375 FdC(,.;: 'iSG, • 91; 347 [741 Jar,., 1.: 200 05:32PM P1 32 v34-' 31PM PS r�r� .1yU Department of Development Services Wldint VAPID 9 COUM cedar Ddu C)MVille, CA 95969 (510)S3&.1541 (530) 531E-3140 FAX Non-residential Buildings Energy Conservatioja Standards d'Up Statement Of Intent for Non -Heated and/or Nom -Air COU"'ola please print clear and legiblcl Owner's Name: Date: IP*i=-- �- ur�L [.mDe Assessor Parcel Number: 40- /� -�y — Hvildrng Permit Number: Occupancy of Building:.. p �- I. hweby testify that I do not intend to heat or coos this building.in ouch a mariner as to be. subieet to other than the :nandatory sections of the State Energy Requiremetits. I understand that if 1 do heat or cool this buildii►g in the fbtum, that I will be subject to the energy requirements in effect at thattiM4. I understand that if 1 change the use or otcupancy of this building in the future, that I will be subject to the energy requirements in effect at that time fof that specific occupancy. I also understand that if I become subject to the energy requirements in the future, h may be necessary to redesign and/or sizer any of the fallowing: 1. The building envelope. 2. The insulation requirements of the helaing, ventilation, and air conditioning systems. 3. The heating, ventilating, and air oondWenjug equipment. 4. The water heating systern. 5. The lighting of the building to comply with the regulations. I understand that any of the above chliages will require me to obtain the necessary Permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Own.,:- Mailing wneMailing Address: PO_8g, A/2 •�o�e CO - Telephone Number: 3%I4 C -S 5 ` Ie, s67 d F,V-0o� 3 FROM': STEUE S1CKE FROM PHONE NO.': 916 X45 5740 v IdO. : -',I 107' Feb. 26 2002 02:52PM P5 JZr. 18 2902 06:24Pr1 P1 January 17, 2002 To Whom it May Concern: The proposed usage of the roofed structure under consideration is to shelter horses, hay and tractor With attachments. Sincerely, Mark Lopes A 0, c FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 i I ELEVATION CERTIFICATE - Important; Read the Instructions on pages 1 • 7. SECTION A - PROPERTY OWNER INFORMATION i For Insurance Company -use: BUILDING OWNER'S NAME I Policy -Num r ST"� ✓fs SI C� BUILDING STR ET ADDRESS (Including Apt:, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 'Company NAIC Number -7079 / c K K I, CITY STATE �� ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) f ,}PAI adv -0/0 - 66 -7 11 BUILDING USE (e.g., Residential, Non-resideritlal, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTION ( ##° . 4W - ##.##" or ##.#####°) HORIZONTAL DATUM: i�e(NAD 1927 i -i NAD 1983 SOURCE:' i_i GPS (Type):_ L-1 USGS Quad Map i—i Other: -v SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION _ 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME - B3. STATE liur0W , w � B4. MAP AND PANEL B5. SUFFIX L B6. FIRM INDEX 87. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVEIREVISED DATE ZONE(S -7 _ U u L ' cfcl �) (Zone AO, use dept of oo gI i 6. B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. �dat Br,(� 6hea./7 2 `3;Sorp� 1_1 FIS Profile 1_1 FIRM 1_1 Community Determined �_� Other (Describe): U B11. Indicate the elevation datum used for the BFE in B9: Sd NGVD 1929 �_� NAVO 1988 1-1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: JAConstruction Drawings' I_IBuilding Under Construction',Finished Construmon -A new Elevation Certificate will b required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificates being comoieteo - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according' to the building diagram specified in Item C2. State the datum used. If the datums different from the datum used for the BFE in SectionB, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropn te, to,document the datum conversion. Datum Conversion/Comments C I'O 0 P 7-S- P -i4 , e /Z _. Elevation reference mark used Does the elevation reference mark used appear on the FIRM? �`� Yes i No Q a) Top of bottom floor (Including basement or enclosure) C) Z ft-( m) Q b) Top of next higher floor O ❑ c) Bottom of lowest horizontal structural member (V zones only) In _ fL(m), , Q d) Attached garage (top of slab) ft.(m) Q e) Lowest elevation of machinery and/or equipment ui servicing the building —m ^� -,:J y M'• >,. ( ) Q f) Lowest adjacent grade (LAG) Z Pr Q g) Highest adjacent grade (HAG) 11 ft (M). O h) No. of permanent openings (flood vents) within 1 R above adjacent grade r� N0 3��//Q7, •':, O i) Total area of all permanent openings (flood vents in C3hCP •� C j t \�.• sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION I 11Q X01 uiicauon is to oe slgnea ana sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. f understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIERS NAME �l LICENSE NUMBER ER TIT[ F /2GE 2•%( 4% 5437 i3� SIGNA C 'IT NAM= CJ8!;T STATE e n ZIP CODE �Y ,, --7 Q/TELEPHONES Ta .7 7 —& Z � 3/ b FFM4 Firm RI -11 At jr, pA FF /FRCP CIr1F Fr1R f'r1NT1Nl IAT1r1N RFPI ArFC At I PRF\/If11 IC Fr11TIr1nLC IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Comoany Use - BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number CITY STATE ZIP CODE I Company NAIL Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this E le vation Certificate for (1) community official, (2) insurance` agent/company, and.(3) building owner. COMMENTS c -U 2 i�� LUT 6, � g Z S 67''69 � IU l41 L 7 O ti = I % 1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3. If the Elevation Certificate'is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being comDleted - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is �_�� ft.(m) 1_1_lin.(cm) 1_1 above or t_; below (check one) t0e highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_1 No 1_1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS — - -- CITY - STATE ZIP CODE' - --------- SIGNATURE DATE TELEPHONE _ COMMENTS — 1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can comDlete Sections.A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and signbelow. G1. �_� The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information'. (Indicate the source and date of the elevation data in the Comments area be!ow.) G2. �_� A community official completed Section E for a building located in Zone A (without a FEMA-,ssued or community-,ssued BFE; or Zone AO. G3. �_� The following information (Items G4 -G9) is provided for community floodplain management purooses. NUMB G6. DATE CERTIFICATE OF COMPLiANCEidC—,f-PAN ISSUED G7. This permit has been issued for: 1_1 New Construction 1_1 Substantial imorovement —" G8. Elevation of as -built lowest floor (including basement) of the building is: — _ ft.(m) Datum: _ G9. BFE or (in Zor e AO) d9pth of flooding at the building site is: ft. (m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE —" SIGNATURE DATE COMMENTS Check here if attachments PFPI Ar`FC AI I OPM/Irll IC t=i11T1r1NA APPLIED TESTING CONSULTANTS I • MATERIALS ENGINEERING TESTING AND INSPECTION CERTIFICATE OF BOLTING INSPECTION DATE: 03/26/02 CLIENT: Steve Sicke 31 Gardenia Lane Chico, CA 95928 PROJECT: Lopes Residence Nikki Creek Lot 6 Bolt Size in dia Req'd Tension lbs Test Torque Turn of the Nut Impact Test ft -lbs turn past snu sec 3/4" 1 28,000+5% 3 sec. DESCRIPTION OF WORK Arrived at the jobsite at 0800 hrs. to perform special inspection of high strength bolting at the Column to Beam & Ridge Connections. Before tightening the bolts we verified that the materials used in this assembly were in conformance with the requirements of section 2 (Bolts, Nuts, Washers and Paint) and section 3 (Bolted Parts) of the RCSC Specifications. The bolts used in this structure are'/4" diameter A325 grade high strength bolts with hardened steel washers beneath hardened steel nuts. The Calibrated Wrench Tightening method was used per Section 8(d)(2) of the RCSC Specifications. A representative sample of 3 bolts from each diameter, length, and grade used in this structure were tightened in the Skidmore Wilhelm tension -indicating device using an impact wrench. We recorded the amount of time (in seconds) that it took to achieve the required tension for each bolt size. Three readings were recorded for each bolt size in order to establish an average job test time to provide a tension not less than five percent in excess of the minimum tension specified in Table 4 of the RCSC Specifications. Each bolt assembly was installed and tightened to a snug -tight condition by the contractor prior to tightening. There were a total of 164 bolts in the structure, all were tightened using the above mentioned procedure. Based on the above mentioned procedure, it is our judgment that all A325 high strength bolts installed in the structure have been properly tensioned in accordance with the RC; contained in the AISC Manual for Steel Construction. P. Dickinson Inspector Staff Engineer 3060 Thorntree Drive, Ste. 10 • Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 �I .,rROM : STEVE SICKE PHONE NO.,: 916 345 5740 Oct. 29 2001 05:12PM P4 (530) 891-4243 f-4 Oct 29 01 05:00p ATC APPLIED TESTING CONSULTANTS 0 M AMTcm MATERIALS ENGINEERING TESTING AND INSPECTION Nuclear E)enSlty i esung magus ► resp Milt Sicke Constructionpate: WNW 31 Gardenia Lane City, State: Chico, CA 95929 Ata,: Steve Sickt: Proioct: Lopez Residence Soil 0e6cription: Light Brown Clayey Sift w/ Small to Medium Cobbles Gauge 4 CALIBRATION DATA: Densio etd•: Com :;ion c of rnem: Regan Seq. No. 2 Palm: 1 of 1 10/16/01 qech: K. Coy . ate atvre sta.: D nsiN x Moisture xi : Rei •d % COmpactila Curve No.: Y-1 ,lax Dry Density. Test Tessa Ocpsh Location: Bcil&. Pad Elev. 130.01Opt. JVat M Densis Denety Moist. eoMent 13.8 0,, Maw � Dersi Content Comp 900A Results 5 8" Northwest Comer of Pad FPG -1' 136.0 17.2 118.7 14.5 92% PASS 6 8' Northeast Corner of Pad FPG -1' 131.8 15.01 116.6 12.9 90% PASS 7 8" Southwest Corner of Pad FPG -V 133.5 17.8. 115.7 15.4 90% PASS —J a" Southeast Comer of Pad FPG -1' 133.9 17.3 116.6 14.9 90% PASS REPORT: Arrived at jobsite at 1530 hrs. to perform compaction testing of the Building Pad. Performed 4 nuclear density tests at random locations, as Indicated above. Aif 4 test results indicate at least 90% relative compaction. Coptea tc: Reviewed by: a 3060 Thomtree Drive. Sta. 10 - Chico. CA 95973 • Telephone: (630) 891-6625 - Facsimile: (530)691-4243 PROM STEVE SICKE PHONE NO. 916 345 5740 Oct. 29 2001 05:13PM P5 1 Oct 29 O1 05:00p HTC (530) 891-4243. P•5 Hrr mcu 1 co 1 Kivu 4unOu�IA111 a — AmEdowRIALS ENGINEEAlNG TESTING AND INSPECT/ON N MATE clear Density Testing Report Per ASTM 1557 c SICke Construction ess: 31 Gardenia Lane su+te: C`tiCo, CA 9$928 Steve Sicke aee Lopez Residence n...�.:..a...,. t inns Rrnwn Ctavev Silt wt Small to Medium Cobbles Report Saq. No. 3 page: 1 of 1 pate: 10124101 Toth: K. Coy Gauge a CALIBRATION DATA: Density Std.: Moisture Std.: Dens w X : Mo alum Xl: Com aicn E ui rr:ent: _ Req'd % Ttte=1 Test ii Dcplh Location: BuiWillo Pao WetM20 Elgv. Oer'bilyDensity r r Dry Mois-uto % oen9ily, Content Comp. Result6 9112' Northeast Comer of Pad FPG 135.2 16.8 118.4 14.2 92% PASS 10 12" Southeast Comer of Pad FPG 137.7 16.7 121,0 13.8 94% PASS 11 12" Center of Pad FPG 138.7 13.0 123.7 12.1 96% PASS 12112- Southwest Comer of Pad FPG 133.6 16.8 116.8 14.4 90% PASS REPORT: Arrived at jobsite at 1200 hrs. to perform compaction testing of the Building Pad. Performed 4 nuclear density tests at random locations, as indicated above. All 4 test results indicate at least 90% relative compaction. Copies to: vo cawed by: 3060 Thomtree Drive, Ste- 10 • Chleo, CA 95973 • Telephone: (530) 891-6625 Faceirrtile: (530) 891-4243 PROM STEVE SICKE PHONE NO. 916 345 5740 Oct. 29 2001 05:14PM P6 Oct 29 01 05:01P RTC [530) 891-4243 P•6 ATc APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION ASTM 1557 Moisture/Density curve 2 sample No; T-1 0 Sicke Construction Data: 16 -Oct -01 Client Tech: B. Carter Address: 31 Gardenia Lane City, state zip: Chico, CA 95928 Attn: Steve Sicke Protect: Lopez Residence 128.1 light Brown Clayey Silt w/ Small to Medium Cobbles Soil Description: 114.8 i Sample location; Jobsite 3 I d oh N/A amp a tip Trial No: Water Added Gross compacted wt: Container Tare: Net compacted wt: Wet density, pcf: Dry density. pcf; Pen No: Gross wet wt: Gross dry wt: Pan tare; Net dry wt: Moisture loss: 96 Moisture Content: 1 2 3 4 0 100 200 7080 7397 7260 2724 2724 2724 4356 4673 4536 128.1 137.4 133.4 114.8 i 121.6 115.1 1 21 3 4 941.9 969.8 822.7 852.9 867.2 721.6 83.1 79.4 83.9 769.8 787.81 637.7 89.0 102.61 101.1 11.6%1 13.0%1 15.9% Sample Weight: Rock Correctic Total sample wt: +314 rock wt: % of +3f4 rock: Sppclfic Gravity of 4314: Rock ad]. density: 5,000 grams 1 53.75 12.9 24.0% 2.60 130.0 • 123.0 _ 122.0 121.0 --�- �a 119.0 116.0 �• 117.0 _ fl �16078x1 +447 5.2x -180.76 116.0• I R2=1 115.0, _ 114.0 ........._ - --... _ _... i 10.0% 11.0°.4 12.0% 13.0% 14.0% 15.0% 16.D%i 17.0% 18.0% MoIsW►e Content (% of dry weight) Max density from curve: 122.4 Oe...... A: * A As..c LMr a3n_n net Odtimutn moistut'e: 13.8%. ---- --•-----5-------/- This test was performed per ASTM 1557 Reviewed by: 3060 Thorntree Drive, Ste. 10 - Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (630) 891-4243 . le STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION C E F - U' i N'D* CERTIFICATE OF WORKERS' COMPENSATION INSURANCE J 14 N 1 J A R Y 1 ?,:.. '2'.0@1: POLICY:.NUMBER: Y 7 80C14 0 CERTIFICATEEXPiRES: I—V 'F* -,- This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded by the policies listed herein: Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT F.."'IPLOYER) 9 L I AB I LI TY LIMIT TNCLU�`TMIGI)EFF-EMSE 0210, i"?VtM,l c ` - V; - EMPLOYER F RAPILEY, BEND Individual Employers and Husband RED BLUFF MOBILE. :10M— IV MIF e and if' Employers are not eligible 1-1770, ANTELOPE PLVD for benefits as employees under this RED BLUFF CA 9EAW policy. CO POLICYHOLDER'S MEMO-- 1 /2' REBAR 9946 1 /2' REBAR • i `� L.9 9946 N GREEK TRy ESTATES ! +•��� h1.., alt 'P• 000, / / ! 9/4' IRON PIPE ... i f I 1 rS�.rl�c°v O�N' Eng F_X15TING WFI.I- >; '� ' ,. 100'5E TIC I�ICLL LOCATION ~SETBACK LINE +S III 50' BUILDINC5 _ 0 S 9ETBAGK LINE .���', r,, j•� t jjjr I' I I 1 �;{` • . III - �` NOTE: MINIMUM aP,: I1 i ELEVATION FOR FLOOR AND HVAC EQUIPMENT e, TO BE 1 74.1'. ! _ 105' --- j - Environmental Health 259'5:1/2, `.� II 1 {j DRIVEWAY Chico, C all®rn0a "-,,FUTURE POOL (N.I.G.) `ALL POOL5 TO HAVE FIRE DEPARTMENT Abd ' AND APPROVED FIRE DEPARTMENT GONNE !'l i'I� 5EPTIG d LEACH FIELD A5 PER- i"f \BUTTE COUNTY HEALTH REOUIREMENT5. ! .. 'Fl.•,;;t•.�• III - LOT (b GARDEN GR ���,; I 1 I • . EEK GOUNTRY ESTATES alf'R�- ;y;;; ISI 5.-7 9 ACRE5 iGRO55) 5.15 ACRES` NET) ,,,�.,.<<.�� III _:.:..----•----- � --� a — _ '_ - ., �_ - :_ _. �._ ;-� - _:_ . APS 40 — 10 69 09' PUBLIC �uTILITIES NOTE: AUTOMATIC FIRE SUPRESSION SPRI EA5EMENT BE INSTALLED IN ACCORDANCE WITH THE f PROTEGTIbN ASSOGIATION 5TANDARD5. HOME TO HAVE THE FOUNDATION AT LEASV ABOVE THE 100 YEAR FLOOD PLAIN. {��t .. III :_ - - '. ,•. � Lopes, � r jp(g A)('k yl,,l•': I I SD r our /,A C 1 /2 REBAR '�h' L.S. 3 4 6 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: Maa_ akA7�ua,_ Loaf -ADDRESS: QC ''"I ml OITY & STATE:__DU-y hxw� Cly �SC3� DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS ON REVERSE SIDE ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLAIM NO. OWNER DECIDED NOT TO BUILD:.AP# 040-100-069, BP# 01-2484, RECEIPT# 332011 DATED: 10- OWNER: MARK & PAM LOPES 2-01 AMOUNT PAID: 143- 25 AIN REFUND PROCESSING FFF! STAIN BUILDING PERMIT FILING FEE: 20. 00 ETAIN PLUMBING PERMTT PTT.TNG FEF* 9() RErAIN ELECTRICAL PERMIT FTLTNG FEE* qn-, ------------ RETAIN PLAN CHECKING FEE: 23, AL AMOUNT TO BE TAL AMOUNT TO BE REFUNDED: TOTAL he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true J correct as stated. ted this _a-?) day of �c� , t�� �t l.lLl- , Calif. SignawM of Claimant :he undersigned, hereby certify that. to the best of my knowledge, the services or ar 3t there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for :ted this 28' 'day of NOV tVOlat OROVILLE , Calif. :pt. Code !pt. Code !pt Code 440-002 above IAve been performed or dellvred and Head or Authorized Deputy Exp. Code 4210500 PAYABLE FROM RI ITT nTNG PFRMTT — FUND Exp. Code PAYABLE FROM FUN Exp. Code __PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ------------ FOR BUILDING DIVISION USE.- Receipt SE:Receipt Information: ~ x Y ____.�... Number:...,.._... Date: 1fi � y .,Issued,To Amount: Fees Retained: Y IIProcessing Fee: t• $ , f 1- k -'Bldg Filing Fee: $ `�Plbg Filing Fee: $ 5` ._ -• _...Mech Filing Fee: - Energy P/C Fee: $ V/Plan Check Fee: , Inspection Fee: $ SRA Fee: Total Amount Retained T_OTAL REFUND DUE r 11 r _ y . 14,7 701� : r CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) r REFUND CLAIM APPLICATION 2C 13oy- M7 uur l� rv� Ck- Ct 5 g 3 3 bq0- too- 0(o9 '3320IS —fe,rYvCl Request a refund of fees paid on the above receipt number(s) for the following reasons: l:.Dt t.Vl o r 141 rje;q U est--, 4\X, in�lul�a. o,n s Yc.nv-ke-r--n oWC how . c c%i�si -to sell VVx-o b i lc h oyA e (A sf-eaA . Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) 'Sheriff 'Fees ( ) SRA Fees (CDF Fire Planning) :( ) Urban Area Fees -- Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE \ r DATE 1 0 'PLEASE'DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM, DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. 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 01-2484 ASSESSORPAA6E4 UMBlUO-069 ZaNI G BUILDING PERMIT OWNER MARK &PAM LOPES TELEP343-5544 HONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 1117, DURHAM 95938 924 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ 207.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ 2 BUILDING ADDRESS NIKKI CREEK LN, DURHAM Energy Plan Checking Fee ' $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT -1--illffia'Fe—el 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH NEW SITE PERM FNnN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 - Mobile Home I S I G I W @20.00 PERMIT FEE $ r� ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service 2o0A OR LESS 23.00 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (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. _ Date _ nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO LoOOA 46.00 NEW CONST. DWELLING OCCUR so OR ADONS. ( a ACC. BLDs. 3.5¢FT; PIOµROESiU MULTI.OUTLET @7,50 PowER APPARA a SINGLE OUTLET CI Ex. OCCU OUTLET OR FIXTURES 20 @ I•00 BAL o .w FIXI Ex. Occup..OimETS AFSID•DEEA 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 FEi= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 343.25 HAZ. _ C. FE IMP X FLOOD AE COF e PARCEL pD HD ISSUE X 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 Data Receipt No. I 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 P RMIT NO. (Rev. 12/96' AND PERMIT -%�" �J AS SESSOR PARCEL NUMB :OPMNG � v BUILDING PERMIT ' OWNERO�o • / +• / „`r7 TELE N E S• O BU�L RATION OWNER'S lu DRE COMRACT TELEPHONE CONTRACTORS MAJUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 ARCKITECT OR ENGINEERS MAJUNG ADDRESS Permit Fee S Plan Checking Fee S BUILDING ADDRESS / Energy Plan Checking Fee $ L$ PERMIT FEE s ..�T NO. I MAP PLUMBING PERWIi'1 Filing Foc 2C._4 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEc�v Ea;:h Trap -.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ( -- Mobile Home S G W 1@20.00 PERMIT FEE $ 4 ' x ZP ELECTRICAL PERMIT Fling Fee 20.00 OOOVLESS Main Service zo A OR LESS 23.00 I J *PERMIT FEE 1PA2b SRA ' SHERIFF $ -' OTHER / AMOUNT RECEZVEb ��.�. ,y ,L� J *RECM 1e�N AM O [ 5 * TO BE P , ImTo COmPuTER Mein Service To 1000A 46.00 NEW CONST. IWELUNG OCCUP. 3.5¢So. E OR ADDNS. ( 8 ACC. BIDS. FT. NEW CONST MULTI.OUTLET @%.50 NON•RESID. POWER APPARATUS Q SINGLE OUnET CIR. EX. OCCU . OUTLET OR FDCTURES 20 1.00 BAL O .50 Ex. Occup. ovr�is��lD.DEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FJEE i MECHANICAL PERMIT Fling Fee 20.00 Heating ,Coolin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO AL FEE $ IIA2.. — FEES I;FD CIF �• P EL HD ISSUE This permit is here y 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 ro H: ('`r�,,,.1-•.r+.� w--�w.•fJ��� �w� *ni'�"' F*4•.+''+,'fc-w-r....r�:YY'�"���v�y "Nh.fii��3�r'. 41�.a:.a� �r��-'� ,_ �•-:`?-�..,r:.�".:•i.��i�`' f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 f PERMIT APPLICATION DATA SKEET OWNER: l ASSESSOR PAR NUMBER: Proposed Building� Use: Building Inspect Date: At time of permit application, I was adiiied the following data m st submitted prior to permit processing and/or issuance: Date Received By ❑ . All items have been submitted -------------------------------------------------------------------------------------- 2.,Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- d�4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. S r ro.,0. . / •+ ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ !'rr `r -S-) ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ----------------------------------- === --------------------------------------------------- b� 9. M actured Home data and installation instructions including Tie Down Specifications. -4Z- ❑ 1ees of'$ --------------------------------------- ------------------------------------------- 1�4 w 1. Impact fees as shown on the attached schedule. ----------------------- ; ------------------------------------------ 11 --------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.----------------'------------------- TAA Flood elevation certificate.'+-�--------L-----------------------anitation and plot plan appro 1 ealth Department.. City of Chico plumbing permit.---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- d� 17. Planning approval for (4) Use: 4V ti (B),Parking: _. ❑ 18�ntact Land�v�lop`�it out ❑pre eds, ❑ Drainage, ❑ Legal Parcel. El 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. E323. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑2 tter of signature authorization. ------------------------------------------ 5. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. ------- ❑ 27. Manufactured Home utility clearance. ❑ 28. Existing viol tCbns and/or expired permits. �29. ❑433 A, /et1,�C1 M.H. 30. Other: c� (Date) When�u issue the permit,processas slows ❑ Mail to owner, []Mail to cor�ctor. O} Telephone �dt % ' 7 ��6 �vv and hold for pickup at /I'll// office. ❑ Deliver witinspector. / �Ve, S��rint��e,� R �, G/ Applicant- Date: � 0 r Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air ollution Date: By: Copy of plans sent ❑ Health Department 1P ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Plan Check List 2. Additional items required: i Y Y' G� S�Std4� 5 I')L't Wt rinrlw' Contractor, designer, owner, was ad of the above required bata by soffione, ❑ mail, 13Building Division counter,by NYS Date: l0 • O t Contractor, designer, owner, was advised of the above req 'aired data by ❑ phone, Vrnail, ❑ Building Division counter, by -M—Date: l0• 0 1: 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: IM P -.., Date: _(p • 4 -t7 Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: October 4, 2001 Mark and Pam Lopes P.O. Box 1117 Durham, CA 95938 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 040-100-069 Building Permit Number: 01-2484 This off'i'ce reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: NON-STRUCTURAL COMMENTS: 1. Fire sprinklers are required for this residence. Please provide two sets of water supply calculations by a licensed C-16 contractor and two copies of the manufacturers' listings for the sprinkler system at the time that you make application for the permit. 2. Apply to the State of California, Department of Housing and Urban Development, for the permit to install the sprinklers in the home, as this is an alteration to the mobilhome. The phone number for additional information on this State permit is (916)255-2501. Bring copy of this permit to the building department. 3. Permit for mobilhome and fire sprinklers will be issued together. PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. Impact fees: 1.1. Complete and return the enclosed Butte County Park Facility certification form. 1 of 2 1.2. Complete and return the Butte County School Impact fee certification form. 1.3. Water tender fees in the amount of $200.00 are required prior to the issuance of this building permit. 2. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. 3. Complete Contractors license and insurance declarations on building permit or complete and return the enclosed Owner -Builder Verification. Either the contractor or the owner must sign permit. 4. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any non-structural requirements in PART - I, you may contact the Plans Examiner at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural questions should be directed to the Plan Check Engineer. The attached PLAN REVIEW RESPONSE FORM must accompany corrected items. Sincerely, Martha Christy Plans Examiner 2 of 2 Addendum to Mobile Home Permit APN# 040-010-069 This is to certify that we hereby agree to abandon this mobile home and to render all utilities associated with said mobile home useless'�� of occupancy of home currently under construction on this parcel. Mark Lopes Date—?� 6 Pam Lopes zi� �AWO--- Date-q--' o NOTICE TO ASSESSOR HCD 4 y3.(B) 41 .' THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE - ORIGINAL PURCHASE PRICE FOR: The Basic Unit S �`� / 00 1A%00 G1 Type of Exterior Wall Covering: . Optional ent 'Q Upgrades Equipm S / (Metal, Woad. etc. ) • Type of Roof Covering Subtotal S (Metal, Wood. Composition, etc.) Accessories 6 Accessary Structures S Meeting Type: P5�arced Air ❑ Floor or Wall Ooser I[Spedfy) S Air Conditioning: ❑ YES `F-' NO Tons Delivery; Fnstollation s Evaporative Cooler: ❑ YES 51, No O Q Built-in Cooktop: "YES ❑ NO TOTAL SHIES PRICE S Built-in Oven: Ej� YES ❑ NO - 80E5 THE BASIC PRICE INCLUDE: Built-in Dishwasher. -YES ❑ NO The To-bar(s)❑YES W NO Buikynweteon: ❑YES I�NO Tires Wheels ❑YES � NO Refrigerator. ❑YES ®NO Wheelhubs 6 Axles ❑YES NO Roof O Overhang (Eaves): ❑YES NO inches Furniture Included: ❑ YES NO Value S UST NUMBER OF ROOMS: Carport: ❑ (LENGTH X WIDTH) YES NO X Awning: ❑ YES NO X Bedrooms -3_ Dining Room Porch: ❑ YES 5'NO X Baths Family Room Geroge: ❑ YES [91NO X � Storage Shed: ❑ YES ' Q� NO X Kitchen Utility Room I Skirting: ❑ YES &INO LINEAL Living Room Closer Rooms FEET '.e sales price as shown does not include any amount for any in-place location. e Assessor's Parcel Number of the installation -site is DO -© 69 (Signature) Address Telephone J 1 IIIV 1 L 1 VJVLJ I V I I IJ 22770 ANTELOPE BLVD. RED BLUFF, CA, 96080 (.530) 5-R9=4085 811093 NOTICE: THIS FORM IS COPYRIGHTED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT -'URCHASER: DATE: ✓1 �DDRES '.ITY: STATE: ZIP: SALESPERSON: ')iect to the terms and conditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase (lowing MFD./MBL Hom, IC Ropformkfl 8. MS APPROX. (NOT INCL. ❑ NEW�09Tf J�17CiYygA f/ s,.�'1 tSl1T W AR/EAV . � iT(%7T / F� t I L qe CJ.TC � L W. D �a z.o-t �/�P/�P�.�� ���z SERIAL NUMBER APPROX. HUD OR HCD NO. DT. OF MFG. / Reno, 1 "0F1-uXJqA'72707gr1. �ztZ;o v wo COST OF THE MFD./MBL. HOME EXCLUDES THE LISTED PRICES FOR THESE ITEMS. S . LAI �N%G AREA OW BAR, HEELS. HEEL HUBS. IRES, t4A&LES ( (i MFD. HOME PRICE BOA MFD. ORD. ESCROW OPEN STKMlOTHER USED HOME SALES TAX. IF ANY, (1 ST SOLD PRIOR TO 7/1/80) =MIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS) tlomE $jam RS (,5� WN -EA Stns =j1i�Ts vQRCDivDcTcoN, D uuE�e T 7F.-1 Am,4 Cao A,7 �� .2�fu Ali e��f- tc lumbi I-vraace must be rn e� (,clorkr _ u� f1 horn �`5 hoofct u ctfilift,e .. �ni. rs. _P�>�c� io�Q E0 :toy /4PP,_o x (v ,4r9 -LL( 3 /rLw . )-9/n AclnE -VA a (l Irl us -f .d E14) P_oPF,�, Jo2Kr vG C0ivot.t-X/L) Pot?. aAF'I'54. 5 A 7t�tE' hs _I �aEs mo ���r wrr�i fbin�.wn f , _r01%*uE,TIE-�bPAJS a 5TH P TOTAL ACCESSORI (OUTSIDE HOME) $ TOTAL MFG. HOME 8 ACCESSORIES $ '*z S , r6e./11Qfj SALES TAX (ITEMS NOT INTEGRAL TO HOME) $ T14/`515A CR1J� mf �/) Df}%F—• FOUNDATION SYSTEM / TIE DOWNS $ e TRADE-IN DESCRIPTION DELIVERY SETUP — HO M E TO 131- 5_fOke-0 $��.,,VGLUIDED $ _$ • .riE MODEL BEDROOMS HCD FEES INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) $ Z $ ' TLE NO SERIAL NO. COLOR ESCROW FEES Alar / $ ',MOUNT OWING ACCOUNT NO. SCHOOL FEES OTHER / PRE PAID TAXES $ $ TO WHOM: ADDRESS/PHNE DOC. FEE (NOT A GOVERNMENTAL CHARGE) 1. TOTAL CASH PRICE $ $ -iE MANUFACTDqLR_ZTATES THAT INSULATION HAS B N .S ED IN THIS HOME AS FOLLOWS: (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE N S 'R' FACTOR LESS BAL. DUE ABOVE $ NET ALLOWANCE $ PAID HEREWITH $ CASH BEFORE DEL. $ DESIGNATED DEPOSIT $ DOF <TERIOR WALLS :OOR JA NTNG U e a ch rge is include this Agreement for 'ubli Liabili o Property Damage Insurance, nt for such (INC. IN DN. PMT) over a is n t p ovided by this agreement. 2. LESS BUYERS DOWN PAYMENT $ ILI, $f5, �^ If the dea er is also licensed as a real estate broker, the sale 3. UNPAID BAL. ON CASH SALES PRICE ! Z' $ f manufactured home or mobilehome being installed on a a. FINANCE CHARGE $ )un n system pursuant to Section 18551 may be 5. ANNUAL PERCENTAGE RATE -iCluded the purchase document for the underlying real 6. TOTAL PAYMENT AMOUNT (3+4) $ _ roperty, pr 7ded that the requirements of HSC SEC. 7• UNPAID BALANCE DUE PRIOR TO DEL. $` '8035.3 are me. 8. TOTAL DEFERRED PAYMENT PRICE (2+6) $ PAYABLE AS FOLLOWS: l( THE DEA CERTIFIES THAT THE INSTALLATI ONTRACTOR IS: U AME C. # USINESS ADDRESS In the event the manufactured home cannot be delivered *and/or' inspection completed within the agreed delivery time due to nonperformance by the buyer, b r agrees to one of the following at the option of seller, either (1) to pay $ TY CA ZIP A Contractor is required by law to be licensed and regu b the charges per day until a manufactured home installation acceptan ertificate of Contractors State License Board, P.O. Box 26000 Sacramento, CA occupancy is obtai in addition to all other consideration owing or (2) pay the sum of $ in lieu of total consideration. ' @ = (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS. "IY BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAI .,REEMENT AND, IF PURCHASING A MANUFACTURED/MOBILE HOME COVERED BY A WARRANTY. A COPY RECORDING REQUESTED BY: County Building Department v.. --x -�--^J / AND WHEN RECORDED MAIL TO: '4AME i, S.y STATE : • >' rf . 9 and ZIP SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document of the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the dote of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the reol property and shall be deemed to give constructive notice os to its contents to all persons thereafter dealing with the real property. 1-k toep-eiS REAL P VY OWNER/LISSOR MALLING A DRESS q qclP CITY COUNTY STATE ZI► INSTALLAICN MAILING ADDRESS. IF DIFFERENT LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY Po .nc,.. ---b MAILING ADDRESS CITY COUNTYy STATE zip WILDING PERMIT NO. TELEPHONE NUMBER Cr" COUIPM STATE II► SIGNATURE OF IOCAt AGENCY OFFICIAL DATE UNR OWNER (11 olw property V~' .•.N. "SAME'j DEALER NAME (N rol o dw4r u4, vrtl» "NONE'] PALLING ADDRESS DEALER LICENSE NO. C" COUNTY - S1A1E ZIP UNIT DESCRIPTION ,,_,o o d (�Q c{ .,.... .w,r.■.•e -A-9 DATE OF MANUFACTURE MODE R, Vv®Lj! 1 —7), -)Di LENGTH x WIDTH INSIGNIA/LABEL NUMSER(S) SERIALNUMiERjS) /� REAL F*OPnTY LEGAL DESCALfn*W ASSESSOR'S PARCEL NUMBER ®'1 D �O© © � MCD FORIA 433(A) 2.66 I.rn eu:K.. Rnnl•.-M 17.01111 unOD••P„aq,ne D•:al uv/Z4iauul 16:21 FAI 680699088o AdAIaR>rO&FAM;SOV ilM0��0 536WAM cwwm ars 1Liesnas M 47"" LoOMM lid Cko* Read Oerlos. CA Strictly Used Mobiles oil IN 24* ml M�t+t: Flettagod-�aaY#�),'t.WiG4A7S7476M—>�lair: 1ta66--Yses: ll9i—,btd4�(t) ,. sobo-::tet- Wftm fmam ow bmw • . Z. [me CP 04 aoeaear� eni. a t.soo oo s. 40 Ank $ ioo�oo 1. �0■drdd �(� oat,aotode panmlt oft lots) ! I3t000 Tod ddatr '�Arq r ro ntpyy► gyp► W tits sock od ulllka► yat'b. IMft =m,ba. a AW of m -to, botao! Gnaw wM dl pm oh awb wAiw h SOL - P— piprW= of l"6037M dwILWM� o[ twad}ndalroty�otnt(lR��.�Oj dre ooedMioa arfwoL N1iee door Lrb water, tswgt, tttd ebeaQleet ceseeac reseQy at sod ar MvW a 3:OAo par ear IWW and 10 a11 a sdlf wlll bs diSod for nrsao td p gob** ap &dildoe. t >�nmaerl u.,�,larwa.ay: Dm <L-ZV-C91 wool Ua/La/LEI LUQ 1U:21 raa 530 527H828 FIDELITY TITLE CO. STRICTLY USED 00.3 ORNMMM Ufa N >STAT! Of CAL1:70a1rA 11110NrE9S, TRANSPORTATION. AND MOUMM AGENCY TRANS COOS pEPARTMDIT 1 CPARTMENT OF MOUSING AMO COM.a Rmniv oevtwPMENT ' USE ON" DM810A1 OP COPA AMD ZTAta)ARDa DG l ND. MAMI ACTUR ID OWU 1M P11001IAM Sim cc GPALEA REPORT OF $ALE OR LEASE WnM AN s+ No. OPTION TO BUY A USED MANUFACTURED HOME, MOB""OIYIE, MOLT{-UNIT MANUFAIP I ED EXP DATE TAX TYPE .. HOUSING. OR COMMERCIAL COACH ILT LPT EXT CC vut,eOOML e,lC Oft ISA[[ SWC[ ILT FJ94T COST COO[ %AT%" TUA n[u•1rM ooer.11DOP 5� euoAe,t . n.T> MM FACTUIMM tam ucwfil! tto. g,�jA [ E,i�GL.,7wF b ry� �IACIUI hb�bLKNwE oA n�fTi OF M^ae"m TYrE tth.4 a) MATTE Y -qQW N ❑ 18661 (Pam) arm IPlen � a (0 79 6> ra rt w attAWeExsE, I MANUrACnMfn 31hiAL NuNsoa[1 NUD IMM or NL9 MSIdNIA Nur�[n191 rENent anew. YNOTN nnen..l WOW 0.1LW04a'7370`7 �H1 f3� 7 l ca w AVD SECTION p OEPAMrmfirWE ONLY M•Q•1°, °f+l Raeaw vt•' p„x Reonared Lut PIM [tlaflr Odmf(: P►f nametsU Q. pCrMSLA LT YMF H OWW$01% Wbot elre of M te{bNq: 13 Trmwm OR J1R8 0 Tfliwis AND O COMPRO PEM, cAmem Nam" Addressr .�..[ Q-7 RtZv PEN= car A%0 u3A CCU Stec, Future MaUrg sm" Address ot TRP diN,t,At dte, aA•ry OM1, Oavttr Sun. � Too u 90" Address Of Unit ouwr DPp cO anK. CRY r"l ILL eAf! M c L&OW Owner 5U80 tumur[Iff,I Wef nu, A+ts•lrli REPO ARM i1 •PPI10"", on,c11 olr, a ua la•e•tra: G T[Ncom OR E] .mis 0 TBIGOM AND O Comm Mail" Addtasa anew c kyarae Z:P Nsf Jur" Llenhelder bxltn PLT ,rue onvamm" SIT l epPBa,bt•. dt•r k on. d tll, rMb�tllnQ d TEMGOM OM 0 JrR9 13 TiIC0II1 AND COMPRO UTP RT A•" Stm ASP CERTIFICATION .: The topeo.,I[.,te o.wr [tiMry rover. ass eA aM t»,L.a Yr t rAa.1:sQ...e e•r.r drt *to-wram *WIG on INS moosmdw tree r,w ww to"ect. T!• e•A1w oenM•• tier the d••afted WA b b Aa- Alan N P64910A1 •f Oar Of Illi Ce Drovulathms , t•, PVPWZQj t � • t CeQo. � 181i P TOTAL 'gip SIOYATURE OF A 'ALFA ADOX1164: A cD Seo a (r�TI Owr T - 0[o[Mntlt, caor 2 - PurcM[,1•r, Ceoy 3 - TeX At,tmm, CA" 4. Dealer aa+oll 1110. 310198 09/25%01 Td 10:21 FAX 530 5278828 FIDELITY TITLE CO. -»4 STRICTLY USED IM005 . Use Description: ' The described unit on the reverse side of this application is a: ,. A. M�anurr f-arctured HomelMobilehome and is constructed as a ;eSctingle Family Dwelling of a ❑ Multi -unit Manufactured Housing S. ❑ Commercial Coach and is constructed to be used as a (Olfica setwpf, 9tw% ctc.1 C. ❑ Floating Home D. ❑ Truck Camper Last Registration Information: A Is this a new unit? .......................... f9 ................... []Yes . No if "NO", enter the date the unit was first sold new B. Has this unit been registered in California or any other State? .... .. .......... 2Kes ❑ No If "YES", enter the state and the date the unit was first registered in C. Enter the month, day , and year the unit entered California. .2 D. When the unit was last licensed, what state were you a resident of? E. Are you a resident of California? ............................................... .Ble's []No If "YES" when did you become a resident? F. Are you gainfully employed or in business in California? Yes ❑ No If "YES", enter the date you became employed or entered into business 1. Title Information: A. Except for any accompanying titles, are there any outstanding titles for this unit issued by any state? ❑ Yes 217o B. Is this unit now being used as security for any lients) other than the lients) shown (if any) on the reverse side of t 's application? ................................................ . ........... ❑ Yes No Purchase Dates and Price: A. This unit was purchased from adie er ❑ manufacturer [3Individual S. Enter the date of sale G B C. Enter the date of delivery or installation 1-7 61 D. The purchase price or sale price of this unit was: 1) Base unit (do not include sales tax, finance charges, transportation or installation charges) 7) Unattached accessories Iskirting, awning, refrigerator, etc.) ........................ $ TOTAL.................,.......................................... S Exemption Information: A. Are you an active duty member of the U.S. Armed Forces? ............................ ❑ Yes ®'No B. When this unit was last licensed, were you on active duty as a member of the U.S. Armed Forces? ❑ Yes ❑"No If "YES", enter the state or country where you were stationed C. le the unit installed on the tax free porton of a military reservation? ...................... ❑ Yes C No D. Are you a member of a Federally Recognized American Indian Tribe? .................. ❑ Yes i...J No Enter the name of the Federal Indian Reservation or Rancheria and the date(s) the unit was located there. E. Are you a disabled veteran? .................. . ......................... ❑ Yes L1 No If "YES", complete form HCD 475.9. F. Are you requesting exempt registration? .. .. .. , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ❑ Yes ,2rNo Exempt registration is being requested based on the fact that this unit is owned or leased (the unit must be registered in the exempt party's name) by the following exempt organization. ❑ U.S. Government ❑ State Agency ❑ City or County Agency ❑ C1vli Air Patrol ' 0 Fire Department ❑ Consul or Other Foreign Government Official ❑ Public School District [] Other Political Subdivision (enter the agency or organization name below) :O 080.6 •P:,,e 2 17M71 Roproduetion by ACS Systeme. Inc.. HCD approved April 9, 7999. 09/25%01 TUE 10:21 FAX 530 5278828 FIDELITY TITLE CO. STRICTLY USED 004 MENT USE OKY Ir3 St ASC Of CA"INNIA DEPARTMENT use ONLY 61 AMESS, TOANSPORTATION AND HOUs N0 AGENCY DEPARTMENT OF HOUSING AND CDMhdVMTV DEVELOPMENT NEW DECAL a DIVISION OR COOS$ AND STANDARD$RE418MATICN 7TRANSCODE ❑ TENCOM AND AFP TITUNO PROGRAM STICKER b er Current Mailinn Address st"I APPUCATION FOR REGISTRATION OLO DECAL b mra ID b Tr Mosel Nf4Ae Or d Ste o Mated ttBe' Calif. edar laanm N street DWxat Trawar to Dada ham II. tion Doles RrVSWId a� Clty County Stara MFO 7 /5-ro 9 DECAL/LICENSE C MANUFACrURMI WIAI, r(uM HUD U09069 11MONIA, b U MOTH WIDTH N P13GHT DATERA&T SOLD 9.��� zip fkh*" (Inmted Ipaundd (It dtfterate � e) rabov %%t �j / T lm-/ ADD UNITS ❑ USE CODE EXPIRA ON A TAX TYPE 0 OTr PkTc-E COD YR SALE PRICE PPF 117 Ex OEPAI;TeWENT USE ONLY RF NEC IP NUMeRR141 CLERK'S INlil ,, DAT ILT Owner(s) (Print True Nama(s)1 1. (New Title Information) a. —Z -Ane. W - Ir3 If a0vJjr-bio, dwdt one of the Following: t...�1 ^ TENCOM OR JTRS ❑ TENCOM AND ❑ COMPRO Current Mailinn Address st"I �U Cky County 0Stato 9- C.09- zip Future MUiling Address pr dirhttr.nt :hen *ova) street Clty County Stara Zip situs ommlon 11 Address of unit stroet /Vi dCK C�,e _ �Ryl� cam- 9.��� zip lienharderl Owl tnae -NnoW( f aaofiaable, check one at Cite foll wailing Address street Junior Lienholder Print uw nb*eleli Auilin0 Address str FOD JRIW /We certify under n,, -xocutod on `f'j 3igneture(s) 1. )f Above legistered awner(s) 4 - .., , ,,._..... . perjury that the L et _1 USA Dlty COMPLETE THE QUESTIONNAIRE ON in this 8WcerionM true and correct. 'Co 4190.8 - Pape 1 (71071 Reproduodon by ACS SYMM. Ina,. NCO approved April 9. 1999, utf/Go/Ul IL'lz iu:iu r.A.& 04U Z)Zloaza ril)LLI.Ll ILLL& CU. 44--) biKItLLX Ubbi) LV u u i 41 ,"kw.. . 1.1-.. .. '. ... iS:CMnFW-A 'ft -op. -'n.T F WAAjNSI "UNVIL.' ECT - Jr —ECT PROCESSING APPLICANT: ? -'q�w - Lo p-e,�b OWNER: It PEZ Sl A. P. 040- too --•oc0 WORK DESCRIMON: DATE DESCRIPTION OF STEP Lb.c.4•o� ckk- , A-�P-f spm Q. . 5-,twe . ti jw �at:rt S h�� 5 yvy ' ` Ypre ved 1 �y � wen � S..e��" r-�-�s�wr�-� -K� r'✓n, .. (o � c S � o l i`'t � . -i k e cAky-y-&V-� ✓y\. ?Klo o�iCG .fie vv►1i� n • I NOTES ; , RESIDENTIAL J 040-100-069 01-2684 f PERMIT N0,L0PEZ,.MARK- R � 9P6 NIKKI LN, DURHAM. I BILL SQUYRES FIRE SPRINKLERS O 01-2237f i 11 SPECIAL CONDITIONS II SRA ✓ �FLOOD CERTIFICATE REQ. ✓FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _ VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Da Signature Z�_ 1_04��4 r t� t S t�, Y t!/ l l i 11 SPECIAL CONDITIONS II SRA ✓ �FLOOD CERTIFICATE REQ. ✓FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _ VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Da Signature Z�_ 1_04��4 r ✓ = OK 0 = Not OK - - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch 11. 3. Sewer; Location -Test -Fall -C/O -Concrete 12. 4. Water; Location -Test -Easement Needed (Sketch) MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Electricity; Location- Clearances- Grnd-/ /Amp -Concrete Zoning Requirements -Setbacks -Easements 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"N./ /'LPG Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. 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 7. Electric I 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Date Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Vent Fan, Exhaust above insulation 5. Stemwalls, Main; Steel-Blockouts-Wrapped 37. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 12. Electric Underground Card B-1 Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 PLU*9ING (Permit) OK except #'s 17. W r Htr.; Vent -Access -Combustion Air Baffle 35. ater Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Vent Fan, Exhaust above insulation 20. Shower Pan; Test, First Floor -Tub Access 37. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; SixejfAnchors 39. Attic Access & Platform if Furnace in Attic Date Date 55. Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date 56. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Date 24. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 25. Size Boxes & No. of Conductors Stapled Card B-1 Date 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Date 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes Q No Date 31. Service -Riser Conductors & Ground Main Disconnect Date 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 35. A.C. Ducts Insulation & Support 50. 36. Vent Fan, Exhaust above insulation 51. Garage Fire Protection Framing 37. Condensate Drain & Overflow, Size & Grade Property Line Firewall & Openings 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 58. Card B-1 Date Card B-1 Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date FRAMING (Permit) 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 dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s--'�- 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yesy NoMalks Z) Yes Z) No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . l ` 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 01-2684 ASSESSOR PARCEL NUMBER 040-100-069 ZONING BUILDING PERMIT OWNER LOPEZ, MARK TELEPHONE SO. FT. OCC. BUILDING VALUATION 1995 4638 @160 7,420-00 . OWNERS MAfUNG ADDRESS CONTRA fid " ) DURIWIa 95938 TELEPHONE WILLIAM SQYRES 1099 3555 R 57688.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDR1316 NIKKI LN, DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT FiltiKdTiEreT 20.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UlilCides ❑ Installation ❑ Other IR -}- Describe Work: � (� J 51 f" t �1 It P S, }sem,; }2Ej;?441T 0=22237 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 Fling Feel 20.00 Main Service ( oA mss 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(!u f r e and effect. License Class " Lic. No. 2 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ( S. SO 3.5¢FT: cors . MUACC. NON RESID.LTH' @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup.ovneroR FaTUREs SAL @';50 Ex. Occup..oUTLEEDTs R6 D.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 rovisions of section 3700 of the Labor Code, I shall �ithh th provisions. X Date 10 - 1 ) ®1 Signature of Applicant - ❑ Owner X1Contractor ❑ Agent An OSHA permit is required for 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 $ 153.65 HAz. — D FEES IMP — FLOOD CDF PARCEL PO — 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. // / �l Dae C l ( v Ie ReceiptNo. 332081/$183.35 WHITE-D.D.S..B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT GREGORY A., PEITZ ARCHITECT ) 1907 MANGROVE AVENUE, SUITE 'U. CHICO, CA 99926. (916) A94.3719 AR Ft y 4. Na c 1263.4 ca REN. ------------- 11 +-Ll.c' dl:L C p AR Ft y 4. Na c 1263.4 ca REN. ------------- 11 HYDRONICS.: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 1 CONTRACTOR: WILLIAM F. SQUYRES, JR. FIRE. PRO'.1'ECTION ( 530 ) 345-1 01 2 ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-17-2001 File: LOPES -1 JOB : LOPES RESIDENCE, 1 HEAD FLOWING r STATIC : 50.0 Psi RESIDUAL 40.0 Psi- FLOW 35 Gpm SPRINKLER MANUF RELIABLE MODEL : F'1/RES/CC MIN SPR FLOW 15.0 Gpm MIN SPR PRES : 14.8 Psi .i NODE ELEVATION' K- PRESSURE DISCHARGE NO. FEET FACTOR Psi Gpm ------------------------------------------------------------------------------- 1 15.0 3.90 15.4 15.3 2 15.0 18.3 3 15.0 19.5 4 15.0 20.9 5 15.0 23.9 6 1.0 SOURCE 31.0 TION SPRINKLERS FLOWING 1 AREA PER SPRINKLER 256 Sq. Ft . W. ES -� TOTAL DESIGN AREA 256 Sq. Ft . F ®c£l' .1 � o� REQUIRED DENSITY .06 Gprn/Sq. Ft. Lic. No. 275 06� COMPUTED DENSITY .06 Gpm/Sq.Ft. �A e, a �T�o TOTAL SPRINKLER FLOW 15.3 Gpm CP,��FOP� TOTAL DOMESTIC FLOW 0.0 Gpm TOTAL WATER REQUIRED 15.3 Gpm 'TOTAL SPRINKLER PRESS 31.0 Psi WATER METER LOSS 0.0 Psi @ SOURCE VALVE FIXED LOSS 0.0 Psi @ SOURCE Copyright(1991) SUPPLY PRESS AVAILABLE 47.8 Psi. by DEMAND PRESS REQUIRED 31.0 Psi Hydronics Engineering PRESSURE CUSHION 16.9 Psi 34119 Fremont Bl, Suite 609 Fremont, Ca., 94555 (4 15) 487-9160 MAXIMUM VELOCITY 8.0 F/S Ng 1;AeJo 'vJ , • T HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 2 CONTRACTOR: WILLIAM F. SQUYRES, J.R. FIRE PRO'L'ECTION (530) 345-1012 ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Dat,e: 10-17-2001 File: LOPES -1 JOB : LOPES RESIDENCE, 1 HEAD FLOWING PIPE, BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END DIAMETER TOTAL (Psi/Ft) ------------------------------------------------------------------------------ 1 q= 15.3 K= 3.90 L= 9.5 Pt 15.4 Pt 15.4 1 Q= 15.3 F=2LR F= 15.0 C= 150 Pe 0.0 Pv -0.4 Vel= 8.0 D= 0.884 TL= 24.5 0.1204 Pf 3.0 Pn 14.9 2 Pt 18.3 -------------------------------------------------------------------------- 2 q- 0.0 K= 0.00 L= 4.0 Pt 18.3 Pt 18.3 2 Q= 15.3 F=2B F= 6.0 C= 150 Pe 0.0 Pv -0.4 Vel= 8.0 D= 0.884 TL= 10.0 0.1204 Pf 1.2 Pn 17.9 3 Pt 19.5 ------------------------------------------------------------------------- 3 q= 0.0 K= 0.00 L= 26.0 Pt 19.5 Pt 19.5 3 Q= 15.3 F=3RB F= 8.0 C= 150 Pe 0.0 Pv -0.2 Vel= 5.1 D= 1.109 TL= 34.0 0.0399 Pf 1.4 Pn 19.4 4 Pt 20.9 ------------------------------------------------------------------------- 4 q= 0.0 K= 0.00 L= 58.0 Pt 20.9 Pt 20.9 4 Q= 15.3 F=10RL F= 17.0 C= 150 Pe 0.0 Pv -0.2 Vel= 5.1 D= 1.109 TL= 75.0 0.0399 Pf 3.0 Pn 20.7 5 Pt 23.9 ------------------------------------------------------------------------- 5 q= 0.0 K= 0.00 L= 14.0 Pt 23.9 Pt 23.9 5 Q= 15.3 F=4RS F= 11.0 C= 150 Pe 6.1 Pv -0.2 Vel= 5.1'D= 1.109 TL= 25.0 0.0399 Pf 1.0 Pn 23.7 6 Pt 31.0 ------------------------------------------------------------------------- Meter = 0.0 ' Valve = 0.0 -----------------------------_-------------------------------------------- ------------------------------------------------------------------------- 6 Q= 15.3 <<< SOURCE >>> Pt 31.0 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + RM 70 + 60 + 50 X Static X X X 40 + X Resid 30 +* Spr Sys 20 + 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB : LOPES RESIDENCE, 1 HEAD FLOWING X - Water Supply Curve * - Water Demand Curve Static 50.0 Psi Avail Press 47.8 Psi @ 15.3 Gpm Residual 40.0 Psi Req'd Press 31.0 Psi @ 15.3 Gpm HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 1 CONTRACTOR: WILLIAM F. SQUYRIS, JR. FIRE PRO'T'ECTION (530) 345-1012 ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-17-2001 File: LOPES -2 JOB : LOPES RESIDENCE, 2 HEADS FLOWING STATIC : 50.0 Psi RESIDUAL 40.0 Psi FLOW 35 Gpm SPRINKLER MANUF RELIABLE MODEL : Fl/RES/CC MIN SPR FLOW 12.0 Gpm MIN SPR PRES : 9.5 Psi NODE ELEVATION K- PRESSURE DISCHARGE NO. FEET FACTOR Psi Gpm --------------------------------------------------------------- 1 15.0 3.90 9.9 12.2 2 15.0 3.90 11.8 13.4 3 15.0 15.0 4 15.0 18.5 5 15.0 26.4 6 1.0 SOURCE 35.0 SPRINKLERS FLOWING AREA PER SPRINKLER TOTAL DESIGN AREA REQUIRED DENSITY COMPUTED DENSITY TOTAL SPRINKLER FLOW TOTAL DOMESTIC FLOW TOTAL WATER REQUIRED TOTAL SPRINKLER PRESS WATER METER LOSS VALVE FIXED LOSS SUPPLY PRESS AVAILABLE DEMAND PRESS REQUIRED PRESSURE CUSHION 2 256 Sq. Ft. 512 Sq. Ft. .05 Gpm/Sq.Ft. .05 Gpm/Sq.Ft. 25.6 Gpm 0.0 Gpm 25.6 Gpm 35.0 Psi 0.0 Psi @ SOURCE 0.0 Psi @ SOURCE Copyright(1991) 44.4 Psi by 35.0 Psi Hydronics Engineering 9.3 Psi 34119 Fremont B1, Suite 609 Fremont, Ca., 94555 (415) 487-9160 MAXIMUM VELOCITY 13.4 FIS MYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1- SUBMITTAL. Page 2 CONTRACTOR: WILLIAM F. SQUYRES, JR. FIRE PROTEC`1'ION (530) 345-1012 ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-17-2001 File: LOPES -2 JOB : LOPES RESIDENCE, 2 HEADS FLOWING PIPE' BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END DIAMETER TOTAL (Psi/Ft) -------------------------------------------------------7---------------------- 1 q= 12.2 K= 3.90 L= 9.5 Pt 9.9 Pt 9.9 1 Q= 12.2 F=2LR F= 15.0 C= 150 Pe 0.0 Pv -0.3 Vel= 6.4 D= 0.884 TL= 24.5 0.0798 Pf 2.0 Pn 9.6 2 Pt 11.8 --------------------------=---------------------------------------------- 2 q= 13.4 K= 3.90 L= 4.0 Pt 11.8 Pt 11.8 2 Q= 25.6 F=2B F= 6.0 C= 150 Pe 0.0 Pv -1.2 Vel= 13.4 D= 0.884 TL= 10.0 0.3136 Pf 3.1 Pn 10.6 3 Pt 15.0 ---------------------------------=--------------------------------------- 3 q= 0.0 K= 0.00 L= 26.0 Pt 15.0 Pt 15.0 3 Q= 25.6 F=3RB F= 8.0 C= 150 Pe 0.0 Pv -0.5 Vel= 8.5 D= 1.109 TL= 34.0 0.1039 Pf 3.5 Pn 14.5 4 : Pt 18.5 ------------------------------ q= 0.0 K= 0.00 L= 58.0 Pt 18.5 Pt 18.5 4 Q= 25.6 F=10RL F= 17.0 C= 150 Pe 0.0 Pv -0.5 Vel= 8.5 D= 1.109 TL= 75.0 0.1039 Pf 7.8 Pn 18.0 5 Pt 26.4 ------------------------------------------------------------------------- 5 q= 0.0 K= 0.00 L= 14.0 Pt 26.4 Pt 26.4 5 Q= 25.6 F=4RS F= 11.0 C= 150 Pe 6.1 Pv -0.5 Vel= 8.5 D= 1.109 TL= 25.0 0.1039 Pf 2.6 Pn 25.9 6 Pt 35.0 ------------------------------------------------------------------------- Meter = 0.0 Valve = 0.0 -----------------------------_-------------------------------------------- ------------------------------------------------------------------------- 6 Q= 25.6 <<< SOURCE >>> Pt 35.0 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + 90 + 70 + 60 + 50 X Static X X X 40 + X Resid I* Spr Sys 30 + 20 + 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+-=----------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB : LOPES RESIDENCE, 2 HEADS FLOWING X - Water Supply Curve * - Water Demand Curve Static 50.0 Psi Avail Press 44.4 Psi @ 25.6 Gpm Residual 40.0 Psi Req'd Press 35.0 Psi @ 25.6 Gpm Caution Read Carefully! Installation Instructions — General 1, Use the Model CCP Cup and ush on Cover Plate Assern- bly only with Model F1 R. F1 R OREC or 155°F F1/RES 18 Pendent Sprinkler. Figure 2 is typical. 2. Do not use any other cover late assembl with Model F1FR, F1FR O EC or F1/RES 18 Sprinkler. 3. Use only the 135°F temperature rated model CCP cover plate assembly with the Model F1/RES 18 Pendent sprin- kler. Refer to Bulletin 141 and this caution sheet for techni- cal information. 4. Use the appropriate temperature rated Model CCP cover plate assembly with either the Model F1 FIR or F 1 FR ORF_C Pendent sprinkler in accordance with Bulletin 143 or 151 and Caution Sheet CA -70. 5. Install sprinklers after ceiling is in place. 6. Never apply paint and/or other coating to sprinkler or con- cealed sprinkler cover plate. 7. Do not install concealed sprinklers in ceilings which have positive pressure in the space above, and do not cover the cup vent holes. An open plenurn space must be above the sprinkler cup. 8. Use a Model RC 1 Wrench, (Fig. 1) to install sprinklers. Face of sprinkler fitting to ceiling dimension is shown on Fig. 3 or Fig. 4. Ceding hole diameter is 2'10 . g, Final adjustment of each cover can be made by hand turn- ing the cover plate in the clockwise direction until It is tight against the ceiling. 10. Never install the Model F1/RES CCP Concealed Residen- tial Sprinkler in areas where ceiling temperatures exceed 100°F. 11, When residential sprinklers are installed in plastic piping systems containing glycerine, special care is required to achieve a proper thread seal. Contact the fitting manufac- turer for recommended sealant and installation procedure. �n - Installation Wrench Model RC1 Sprinkler Wrench r, t Fig. 1 Technical Data _ Thread Maximum Temperature Rating Size Pressure Sprinkler Cover 7Ceil�ng p.I2'�175 _ _ pSlg 15J"I' I 13:i'1= __Singte_ Sprinkler Two Or, More Sprinklers Inctnllatinn nate Model F1/RES/CCP Concealed Residential Sprinkler Description The Model F1/RES CCP Concealed Residential Sprinkler is a UL listed residential sprinkler intended to be installed in the wet pipe sprinkler systerns of one and two family dwellings and mobile hornes, in residential occupancies up to four stories in height or in the residential portions of any occupancy per NFPA 13D, 13R or -13. The Deflector of the Model F1/RES 18 is marked "Pend", "Res. Sprkr", "F1/RES/18," 155°F and "K=3.9". The frame wrench boss is marked "Basco" and "F1 3.9". The push on cover plate assembly is labeled "Basco 135°F (57°C) Model CCP cover plate - - - - for use with Reliable Model F1/RES 18 3.9 K orifice, 155°F sprinkler only'. Installation Apply a Teflon' based thread sealant to the sprinkler threads only. The Model RC1 Wrench is then used to engagge the sprig) ler wrenching surfaces to install the sprinkler in the fifling. A 2 5e di- ameter hole cut into the ceiling allows the sprinkler to be properly covered by the push on cover plate. Push the cover plate assem- bly by hand Into the cup. Final adjustment, if required, is made by turning the cover plate clockwise until the cover plate flange is in contact with the ceiling surface. The Model F1/RES 18 Sprinkler is o� to be installed with 135°F rated Model CCP Concealed Cover Plate Assemblies. Use care to avoid damaging the sprinklers before, during and after installation. Replace all sprinklers which have any sign of damage. The temperature rating of residential sprinklers is stamped on the deflector. The sprinkler orifice size is determined by the "K" Factor which is marked on the sprinkler. Reliable authorized plated and painted Model F1/RES Sprinklers are distinguished by the bronze pipe cap Insert. When ceiling tem- peratures are in doubt, measure with an accurate thermometer. Refer to NFPA 13, 13D, 13R and Reliable product Bulletin 141 for further installation details and for specific approval Information. (')DuPont Registered Trademark. The Reliable Automatic Sprinkler Co., Inc., 525 North MacQuesten Parkway, Mount Vemon, New York 10552 NFPA 13,13D and 13R Nominal Maximum Minimum_Required Sprinkler Dlscharge.___ _ __ Orifice Sprinkler Distance __Singte_ Sprinkler Two Or, More Sprinklers Size "K" Spacinq To Wall Flow Pressure Flow Ea. Pressure Ea. Model (In.) Factor (Ft.) (Ft.) (gpm) (psi) (gpm) (psi) 12 x 12 6 11 8.0 10.5 7.2 14 x 14 7 12 9.5 10.5 7.2 F1/RES/CCP "a 3.9 16 06 8 15 14.8 12 9.5 Concealed 18 x 18 9 16 16.8 13 11.1 20 x 20 10 18 21.3 14 12.9 The Reliable Automatic Sprinkler Co., Inc., 525 North MacQuesten Parkway, Mount Vemon, New York 10552 (p .)"OTTEIR0 Potter Eleclrlc: Signal Company 2001 Craig Rd.,/p.0. Box 20400 St. Louis, MO 63-146 - (3-14)0-10-432'1 / (000) 325-39:16 BELLS PBA -AC & PBD -DC Pollor Electric SIgn1>1 1J. Mfg. LTD 19C,11 Leslie Street Don Mills, Ontario, Crulada M3B2M3 (4.16) 44.1-1033 - ... 1 Ic-rr-n- FM APpnOVED of Ic)r use as lire, burglor, or �.lenoral signaling devices. They have low power box 10r Indoor use, or on a mode vibralinr type bel.31*0 closi�neil lliosc J1*1 u; Ln,i1 mounts ort a slar,dord 4" square electrical i arca hie h dells el r�ltinis. consumptlol J c1111)I'"11011S• (3(31(- I Weall'lel'1)I.00f backbOX fol Ol11dc�01' l 11ANSIrN7 PIgO fCCiIO i'%)1_/�fl►/I_l� AND HAVE 131111.1 IN Al,A- DC 1317-:1-1-S Al:11= _..__. TYPICAL dB MINIMUM de _.......... ........... . .._.._........__...... :. STOCK NO. CUi1f1EN'1" (M 4D 10 f T. 0 10 FT. SIZE VOl rnGf MODEL NO. 06 76 ---- -- 12V1)C 1'01)1215 - 1700012 -_•- -- - -- .12 — -' 76 6 -•-•-----.....-..._.._.._ ........-- -..._.__........ _._.. ---1'111) 1211 -• 1700017. .120 ... ................... _... ............_._.... 92 7 _ 0 I'1.V17t: _ . • 1'131) 17_ 10 .. 1710012 12A�_ �_ ------'- 117 7__- _..._. I v V DG - ...._._... - ------ 1 %0 01112 4 ___ _._.._ 79 IIn17; 415 c---' -....._........._.........._ I710124 .........._......__ .von DI 78 40 - ..._........... _._. 10024 OOA 94 — 76IUI)).4 10 __.._.__---- 10 --_.- --- ... 2.1Vnc I IDA246 1000024 -- — _ _ ------r--' ---.170 U4 7 c' --••-• ;,,Tune.; ___-- 1000024 --•---•----_" -- 04 76 0 ----...._.._...._... __._.---- -._._..._...__..._.._... ---- - -- I'f)n2410 11111)07.4 _.._..._........_........ ,170 .._.._.- 02 02 10 ........................ ....................._........ - 1'001201) I IIOIi 120 .urn -•-•-'_ .-..- _.—_. --'----. OU02 -` 1'1.OV nC: I' I M 1200 1 11011120 ON ......,.............___- 06 ........ I1... ..... ... L'nnl2ulo 111 111 1 20 .06A ....... ............ -...-•- .............Lc) uvnc I) wkbox modal lJOK-I :7110. No. 115010001. Weallierpi0 )f Notes: ers l'106 as tod 1111) 1. M Inimum W3 ralinUs aro ratci+lalud In)nT inte11e)ran o)Is1�3U" I>s1� yiror)suromonls Inadevetl meter anld aretindicative o1 output specified it, UI_ Slandar(l 464. UL ll)nip0r+)I+ d 2. Typical d13 ratings Are calculaled iron, n,oasurenienls made wllh a amvenllonel sour lavels in an actual Inslalla'"01). PAGF 1 OF 2 'a MK•(.110060001-1 "1 PRINTED IN USA MrG.116400776 VSR-SF VANE TYPE WATERFLOW (P)POTTEIRFOR SMALL PIPE SWITCH WITH RETARD Potter Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.,/P.O. Box 28480 Don Leslie Street St. Louis, Mo. 63146 Don Mills, Ontario, Canada M3B2M3 (314)878=4321 / (800)325-3936 (416)441-1833 STK. NO. 1113000 U.S. PAT. NO. 3921989, CANADIAN PAT. NO. 1009680 OTHER PATEN-rS PENDING. The Modol VSR-SF is a vino type walerllow.switcll for use on wet sprinkler systerrls (fiat rise 1 ", 1 1/4", or 1 1/2" pipe size. The unit may also be used as a seclional waterflow detector on large systems. The unit contains two single pole double IIirow snap action switches and an adjustable pnoumalic retard. The switches are actuated when a flow of 10 gallonsper minute or more occurs downstream of the device. The Flow condi- tion must exist for a period of time necessary to overcome the selected retard period. INSTALLATION: These devices may be mounted in a horizontal or vertical pipo. On horizontal pipe they should be installed on the lop side of the pipe where they will be ac- cessible. The units should riot be installed within 6" of a valve, drain or tilting which changes the direction of file waterflow. The unit has a 1" NPT bushing for threading into a non corrosive "TEE". See figure 2 for proper "TEE" size, type and installation: UL & ULC LISTED Service Pressure: Up to 250 PSI Minimum Flow nolo for Alarm: 10 GPM Maximum Surge: 18 FPS . Enclosure: Cast Aluminum, red enarnal finish. Cover held In place with tamper resistant screws. Contact Ratings: Two sets of S.P.D.T. (Form C) 10 Amp. @ 125/250 V. AC 2 Amp. Q 0-30V. DC Conduit Entrances: Two openings for 1/2" conduit. Usage: Listed Plastic, Copper and Schedule 40 Iron Pipe. Fils pipe sizes - 1",1 1/4", & 1 '/z" Note: 8 paddles are furnlshed with each unit, one for each pipe size of threaded or sweat TEE, one for CI'VC, and one for polybulylone. Environmental Limitations: 40" F/120" F 4.5" C/49" C Caution: This device Is not Intendod for appllcallons In . crxpiosive environments. Service Use: NEPA-13 Aulornallc Sprinkler NFPA-13D One or Two Family Dwelling Residential Occupancy up to 4 Stories NFPA-71R Central Station Local NFPA-72A Auxiliary NFPA-72B NFPA-720 Remote Station NFPA-72D Proprietary Optional: Cover Tamper Switch , ordor Sit(. No. 0090018 Kit for Outdoor Use: Order Stk. No. 1940036 Screw the device into the "TEE" filling as shown in Fig. 2. Care must be taken to properly orient the device for the direction of walerllow. The vane must not rub the inside of the "TEE" or bind in any way. Tie stern should move freely when operated by Land. The dovice can also be used in copper or plastic pipe installations with the proper adapters so that the specified "TEE" filling may be installed on the pipe run. TESTING: Check the operation of the unit by opening the "Inspoction -rest Valve" at the end of the sprinkler line or the drain and lost connection, if an Inspectors Test Valve is not provided. If there are no provisions for testing the operation of the flow detection device on the system, application of the VSR-SF is not recommended or advisable CAUTION: There are 8 paddles furnished with each unit. These paddles have raised lettering that shows the pipe size and type of "TEE" that they are to be used with. The proper paddle ID= be used. The screw that holds the paddle must be securely tightened. PRINTED IN USA nEv D BULLETIN 002 PAGE 1 OF 2 Bask Principles of The solvent cemerlced Connecliorl irl thermoplastic pipe and linings is tvic last vital lilll( in a 1-*.1stic pil:)e instz111afiorl, II: C::ul 11na::ul the SUCC'ss ur f11(Il.ne of I:I-Ir.::yslCnr as :.1 wllol(.. Ac:cordirlrlly, ii. ror(tlirc7s I.1 -1l sall'le profcssionul c<i of id ,:111c1'001 1 1.1 I - Al ;11 C, Clival 1 1.0 Otllc:r Conlponcrils ()f the sySl(I11). There ::u'c nearly solv(:nl. CCI Ilei It'll tc) U:CIu'lic-lura published coverirlcl stc:1., I,y sle.p 111()(:C(.It.nCs On just: how to Ilalcc solvelll. c:ClIlcv'1lc'cl j()ir11s. I lowevel; we f(::cl th:.11: if the h.I1 i(: brie l(:i1:,1(r; it IV()Ivurl "liv eX171Llirlccl, known :nIcl t.nIclersltxl(I, a Im"Ilc::1' undCrsl;'lJt(airlg wc)lfill I,c: O:1i11(.(I, :1. I(, w11,11. Seel a liclues :.11e 11CCc: , ,: fly lc, .,11il 1 ,. 11 1 ir1 11; u applicafiOnS, lernPt:raftnCl Coticlil.i(IIIS, ;11lcl va1'i ll.ic111S if-) size �ulcl fits of pipe and fiffil Be aware at all Lill -ICS Of good safely pracl.ices. Solvent Cenlenfs for pipe_ rulcl fittil 1C)s :Ire 11,-m if liable, so there should be rlo Snlol(irlY I K)[' (_11.1 )rr' sources of heat or flame in woflcinC) or st()r::ldc areas. 13C sleet to work Only ill a well venfil,liccl.sp ice and avoid unnecessary skin contact wilII X111 solverll:s. More detailed safely it Iforrrlafion i'; ;1v:ai1,:11,1r. Erol l l Harvel or IPS (Welcl-Un) COrpor�lficn 1. I0': consistently. 6.1'ake ,good oiints,,;the following' sliould Vie; c57!refully Uri Urstood: :��;,';c ..., `'`'•' ,:fit,:' ��'','i��r:? ;•;;l he joining-surf,.lces;n'iust be Softened ':'land made'sell'IiflUid. yl'-Sufficielit'cenlcrlt I-TlLISCbr_ :_Ipplied'i:o fill' .,the`gap'betweell pipeand fitting, • ,I,." � Assembly.of pipe and;fiuings nlus4.uin;,'; f :niade..while the surfaces at still•,yyet, is •ilnd flUld. :�)':. ��t: •fr,f a 4!:Joint'strength dcvelops as the cemenC dries.:In the tight part'of the joinu,the .• ;•.(... t' `surfaces will tend to fuse u... .,I;llle,loose.part the cement will bond to; .t,-`•.: bosh.surfaces. -I'viese areas must. be softened and penctrated wl,cl r r rtli iq if it ONE STI -l' • Lei] u9.li(H I process, pelletl'atlorl al ld Sul lar (incl r`.It i I)c icl ifevccl by the r.rn 1(•nl it a:lf (read ONr_ STIP (.rnu:nlirrcl Inorecll.rret carefully: lrlr•i In li,cl,dl;dl(nl InsU'ucllansl. I'v1 1.1'911111 Sir(^:, (.Alder ccr'laln ..a((lilt.nl% it lrtay be drtliable Lo u•..: IIA• IUVU S11i1' pl'or.CSt Which ulllh,r•..tlnlnrer (e)ellst.uc;adccp.0k: solo r iin(.I. ear cxanlple, when wnr I(ii i(I Ir i (:olrl wcatl'te1' wltl'I large (liarllrlr:l' Tripe, illore link and ilddillullml applications may be required. . Cement coatings.of sufficient thickness n. Mire )hart sufficlent cement to fill 11 m In..,tr. pai t. or 1.1112joint must be applied. I1r'SICIes filling the gap, adC(1LIMC ccrrlerrt layers will peneu;rlr: Ute surfaces and also renclln We tarlill the Joliet IS attenildrxl. I'rOVC 1111s yourself. Apply oil the lOp surfaeC of a piece Of plpc iw(, Separate layers of rc:n ua d'. 1:11 -SL flow on a heavy, hyer of r.r.nuatf, Ilir-r1.Ilol-lgsl(.Ie It a thin I)rlrsherl Out layer.'rest ll'1e layers every I.1 Seconds or so by a gentle uap with your finger. You wlll,,rlolc . that the thD'1 layer becomes tacky ru ici 11 ir-r i dr les quickly (probably - willlirl I; Seconds) 'IIle heavy, layer will remain wet rrluch Ionger..,NOw. cI reel( for penetration a few mimics ,liter applying UiCSC layers: Scrape them wilfi a luilfe.'I'Ile thin layer, will have achieved little or no Ilei ir:1.1 oboe t. 'I 11C I Lewy one, r lo-lCh ntorr p(-rrrlrallort. Surfaces,.must be assembled, while they are wet and;soft If lite Cerirent coatings ort lyre pipe, and fitiings are wet and fluld when, Zwenlbly takes place, they will lend to flow together and become one. layer: Also, If the cement IS wet 11 IC tu(facrt beneath then) will still IPI? Nort, :old these solicited sluraces ho Llic liQllt part Of 1he)mitt will trn(1 U. ruse logell9ec SUrfaceS' liomlr(1 S(J'f7CCt Fusel) Surfaces As the solvent,dlsslpates, the cement layer and the softened surfaces will harden will I a corresponding Increase in Joint stiengtl i. A good jolnt will take the ICqulleci working pressure Iong ' before the'jolnt Is fully dry and flrlal slierlglh Is obtained.'. In the light (fuse(l) part of the joint, Strength will develop more qulddy than In 11 -le looser (bonded) part of the Joint. Inforrpation about the LI.a of bond strength of Solvent CCI rientedjolt its Is avallahlr iliac QUAX,Ia Y Li,, FIG. 23 HANGER FOR C.P.V.C. PLASTIC PIPE DOUBLE FAST NER STRAP TYPE r I 4- -D—�I�-77—►-I d C Imo— A Size Range - 3/4" lhru 2" C.P.V.C. pipe. Matet-lal- Carbon Steel with galvanized (!nista 0-90 govt. spec. Function -The Pig. 23 and Ply. 24 are intended to perform as a hanger/restrainer to support only C-l-'.V.C. piping used In automatic fire sprinkler systems. Pig. 23 and Pig. 24 can be installed on the top or on the bottom of a beam. The Pig. 23 can also be Inslalled on Lhe side of a beam. The 1=1y. 23 and Fig. 24 can also Miction as a Ivstralner to prevent the upward movement of the sprinkler head during activation. Approvals - Underwriters Laboratories Iisled to support fire sprinkler piping. Meets and exceeds (lie re(juh-emenls of N.P.I:I.A, 13, 1311, and 131). Features - The Pig. 23 and I'ly. 24 Incorporate features which protect the Alpe and ease Insla llallon. The flared edge deslyu C.I'. V.C. PIPE SIZE PIG 3/4 3.1 1.114 4-3 :4-, 2 4-7 RCVISED 3/94 1 FIG. 24 MANGER FOR C-P.V.C. PLASTIC PIPE I.)00I3LE FASTENER STRAP TYPE - SIDE MOUNT protects the. C.P.V.C. pipe from any rough surface. The Ply. 23 design Incorporates snap retainers allowing easier and fasler Inslallatlon. The Pig. 23 and Pig. 24 are easily attached to the bulidhig struc- ture using Ilse two hex head self Ihreading screws' furnished with the product. It Is recommended that rechargeable electric drills filled with a hex socket attachment be used as installallon tools. No impact tools (such as a haimner) or Inipact fasteners (such as drive screws or nalls) are allowed. Damage has been known to result from Installallons using Impact type tools. No pre drilling of a pilot hole in wood is required. Order 13y - Figure number and C.P.V.C, p1pe size. Natenfs 1'ending '-1•hvrdened hex head self threuding screw Is furnished wlih file produri and is the minfmuan fastener size acceptable. C MAX.IIANGI?Il FASTENER APPROX. SPACING I IEX IIEAD WEIGHT -!q.24 -FIG_2S _ FIG. 24 . _ (rl:.) SIZE PER 100 16 I1.9/16 1-5/32 113/16 13/16 51/2 5/16 9 G 3 12 3/32 1-1/2 113 16 1-3j 16 I 6-1/2 5/16 11 2_7/a.G..:.:27/32_.L...1.3/..1G_......';/_�......_L..._.._--------.._._.......--_5/1G 15 — w\ f lt cC;-- `: ufl:ty — ...1u bOIN(lFsf tc, I �/I (AQ ,U(A rtc'.>r,.I"* ►volt IN 0 vn�_v J-0 E! z v Ivs ti GALVANIZED PRESSURE TANKS 75 PSI WORKING PRESSURE FIG I //,— I NPI- PLUG NPT 11"I ON 0120V PLUG 13 I i5i5 12 24 .... . ..... . Q120VW 7 NPT I'LUG FIG 3 la I C �__,_ --�D A 0220VW 061bvvy 0-1!Lqv;�(JYY NOMI NAL 171M1.:NS10NS'--- N I YT MODFL w I-- I C; 1-1 -1, FIG. A 1.3 c D I 11) V 7111 I 1 51 12 26 82V 111111 I 20 60 63 12 3:1 120V 15,111 I 711 GO 611 12 33 120vw 'I S lilt FIGUREE 2 ,2. Y o V w 3 03 It 3 3 6 711 2 11 2 3'1!iVw 111611 3 36 C) fi) 79 7 30-� 2 .. . .... ............... ......... —W1011 1180v! --•2 3 4) 7). [17 71 36 3 QUICK,. Galvanized yanks_ 75 psi Working Pressure—_,____ Capacity Drawdown/Gallons Dimension Model Gallons 20-40 .30-50 Dia.x I -It. Wt. Lbs. 42 fall 42 G.5 4.3 16 x 48 72 2 Short 42 6.5 4.3 20 x 32 74 82 82 12.7 8.4 20 x 60 '114 120 West 120 18.6 12.2 2.4 x 60 161 220 West 2.20 34.1 2.2.4 30 x 78 303 3 5 West 315 48.8 32_.'1 36 x 80 416 C� 80 VSQW-) 480 74.4 49 42 x 87 640 �'Jri-Cbniho 525 8'1.4 53.6 36 x 128 685 900 Combo 900 139.5 91.8 42 x 159 1040 900 Models have both horizontal and vertical mounting. Note: 57.5 and gallon All others are vertical only. -K41 r IMIL—A -L-j 200 1b, ww1--) bronz(--.,� check Horizollial swim) - [Iccilinding 1Y1 -w• - kkwlemihll. 200 PSI Noir-Shm* 11"'old Water A- ---- —1 KI -403-W NPT toNIII 4. ADE IN AN IE R. I (CA 4 KT -603-W lllvt�.-;Ided - -'.P-HO MATF RIA1. F FAM SPEIAI ICA I 1p?l Olnlen .inns. 1. Ilinpe Pm ural, r I't I' 6.) Sim It Ill All"t, It MVI livi 11".'Jilillf 1111.1tililir 11.9i Alhiv Mv. 11,114.01 1,;) 7. Sgal Ovx I 'uhhol lilt r Lli!:c Nin *.!:II.I It 16. r,, It 9; 111'.11, 1:65,Amp l4l B.1-113 f-11111 (M.4 I is.: W; •1'. 11,11 A 17.! AU.)V I 4. ADE IN AN IE R. I (CA 4 KT -603-W lllvt�.-;Ided Olnlen .inns. Aly, V, 6.) Sim Alt It MVI livi 11".'Jilillf 1111.1tililir l4l Ith :-it 1 Ib 2 4.9 2 111 I 11111:1.1 sAwck v.11 ni;iy be I in -1.11 m I. I vomfull —;It. up .,1 In :Ir'y int. I Iflu., lint'! NOTES RES1064TIAL A,,-- PERMIT NO. 0 _046_71_007_06 0 9�__[ 017-2137 LOPES; MARK &-PA N IKKI CREEK, DURHAM v CONT: STEVE SICKE NSF (A -L n ioll SPECIAL CONDITIONS CHECKED BY� F_LWD-CERTIFICATE�REQ...- E SPRINKLERS REQ. SEE fir Y SPECIAL INSPECTION, ITEMS VERIFY: 2il, USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER! )7% Ai-------- _j OFFICE" O.'Y ,CO Address GAS Meter By Date5�` 0-)- ELECTRIC Meter Date/ YT 2- 6;1 A/MV Y JOB FINALED (Da Signature ✓ = OK Card B-1 Date Card B-1 0 = Not OR Card B-1 Date Card B-1 . = Not Applfcable MOBILE HOMES = Not Ready Zoning Requirements -Setbacks -Easements Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal , Date Card B-1 Date 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 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK = Not Applicable = Not Ready Date loor (Plans) OK RESIDENTIAL (Single & Duplex) #'s I Date / FRAMING Main; Soils -Elea Grnd.-Il,A /" Ftg. Depth -�Ftg., rage; Soils-Steel-Elec. Grnd.-/ /,2'/" Ftg. Depth 4. K., Pdriqlaes & Decks; Soils -Steel-/ /" Ftg. Depth S myls„Main; Steel-Blockouts-Wrapped and Special Anchors !�/P' rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF_07, Pipe; Size Anchors -Yard Gas Piping; Size Test 1X,46ter Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date -,7 - -0 f Card B-1 Date -la,91 Card B-1 Date (f Card B-1 Date Card B-1 Date P MBING (Permit) OK except #'s Htr.; Vent -Access -Combustion Air Baffle 1 Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection -?r: 20 Shower Pan; Test, First Floor -Tub Access M 1. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Transformer Clearance -Ins. Protection I . Receptacles Spacing -Lights & Switches at Doors S' Boxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. E uip. Ground made up w/Mach Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / r AI 30. Range Circle/ / ga Cu or AI -Oven Circ. / g / or Al Insulate eutral ❑ Yes ❑ No 31. Ser ce-Riser Conductors & Ground Main Disconnect quip. learances Panels-Motors-Mech. Equip. CI es Closet Light -Shower Light -Spa Light 4—P -19 -oke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M ANICAL (Permit) OK except #'s _e cis Insulation & Support V t Fan, Exhaust above insulation Gar Cond sate Drain & Overflo Size & Grade ace -Vent Access -C b. Air -Return Air Vent 115 outlet Attic Access Pla ; 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 4(r-'Sit5olfroper Materials & Anchors tl-Aos Studs -Nailing Spacing & Braces -Plates -Sound ar' g Walls over Girders & Floor Nailing D ft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 4Z,-Clin oist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. replacer Type A Flue -Fireplace Throat Clearance 49. ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing 52. Pro erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55lflywood of Overhang -Attic Vents -Rafter Outriggers 56. Si ' -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. 912zing Area -Glass Protection -Skylights -Plastic 3 Z / Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings —G� 1 . -/62. Infiltration -Walls -Windows Date W d- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ! FINAL (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings fto's%exrebetector Furnace Vents -clearance -Comb, Air -Connector - In Ga+9V'"_bove Floor -Ducts -Mach. Protection `eT I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69. _ ZO!Fir_epdce or Stove, Clearance -Hearth 7V-19lec �ets at Wood Panel, Int. & Ext. t. Fi pliance; Ground -Air Gap -Cooking Clearance _e utlets & Receptacles at Kit. Counter Gar re Door; Swing -Landing -Closure 4e.—Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in ge; Above Floor -Mach. Protection ech. Equip. Listed for Location lac. eptacles in Garage (F.F.I.)-Romex Protection sulation; Foam -Looked in Attic 80. Gua ails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth CI ce Looked under r ❑ Yes Xlowing lngd./DriveQrres ZI NoMalks s J No/Planters es 0 No connect, Electrical -Plumbing Roof, Plbg-Appliance-Fireplace-Clearance to Trim, G.F.I. Rec rouqhout House 9e!Corr io om Previous Inspections t-Mpters Tagged, Gas -Electric er Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Address Date 11Af.11 / Card B-1 Date Card B-1 Date V§ffiCard B-1 Date Card B-1 Date r Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE .................. . • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the ,above address and should be corrected. Please notice this office when correction of work is completed. I( you have any questions pertaining to this matteri or need additional explanation, please contact this office immediately. L Al'? i Al Dat%�_ ' C)— Inspector REV 10/92 COUNTY OF BUTTE - ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 41.1 Main Street •Chico, CA • (530) 891-2751 -�- 7 County Center Drive • Oroville, CA • (530) 538-7541 rte: CORRECTION NOTICE • OWNER PERMIT NO. ^ - - T'•r A routine inspection indicates'that the following violations of butte county Ordinances exist at the above address and should be' corrected. Please notice this office when correction of work is 'b completed. If you have any questions pertaining to this matter, or need additional explanation, s , please contact this office immediately. =t I/? --k IYP Ilk Y l G� ,Gzz- ,`. ` f���!C..7' i9, l /A/C all d/ ,FF4;J ✓ J Date �' =Inspector ' , REV 10 2 -7 ; �: .......... .. .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street,* Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE f. OWNER PERMIT NO. A� A routine inspection indicates that the following violations of butte county Ordinances -exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t.<AK - COUNTY OF BUTTE ............... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 4.% CORRECTION NOTICE 0l OWNER PERMIT NO. A routine inspection in icates that the following violations of butte county Ordinances exist at the above address and ould be corrected. Please notice this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, please contac�Ais office immediately. nd'X rW1v i �W Cf/ r � T v� ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street Chico, CA • (530) 891-2751 7 County Center Dtive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �i OWNER PERMIT NO. •x A routine inspection indicates that the following violations of butte county Ordinances exist at the =£ above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t .:1 GL,'W/ 41 / ,4!�Z/vim/ 17Z-t: r Date REV Inspector -+.-cam- - �-• 's Y • a-.-� c: �-----..-Ry.v---mss...—,�.�-.w... �. - , , .,---� �-,.� - , fr�;!-.syQ, COUNTY OF BUTTE i j? BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 U611 OWNER CORRECTION NOTICE v,w PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont -this office immediately. 47,1ed n -l" i'Zyt'JUr)r7 ayeOST C Llviv'l, 'F .1� 3- h' ........ . .. . ........... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE kwlt 72 OWNER PERMIT V— A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ''COUNTY OF BUTTE " BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530).891--2751 7 County Center Drive • Oroville,-CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the -= above address and should be corrected. Please notice this office when correction of work is - to completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. h '"COUNTY OF BUTTE; 'BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA - (530) 538-7541 CORRECTION NOTICE / 401- 22-7. OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. INTER-DEPARTNffiNTAL MEMORANDUM TO: BUILDING MSION, OROVILLE % — ENVIR. HEALTH, CHICO FROM: DATE: `RELEASE 'I'II HOLD ON BUILDING FINAL FOR: �S SEPTIC: � WEL OWNER NAME' iL-- AP#: _/ ADDRESS/LOCATION: Ile Comments: GUmamodm ld 4 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION M . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -- 01-2237 ASSESSORPARCELNUMBER 040-100-069 ZONING A10 - BUILDINGPERMIT OWNER MARK AND PAM LOPES TELEPHONE 343-5544 SA. FT. OCC. BUILDING VALUATION 3555 19 970.00 . OWNERS MAILING ADDRESS PO BOX 1117, DURHAM 95938 CONTRACTORS NAME STEVE SICKE TELEPHONE 345-5740 CZ23 -C-()V— -0 CONTRACTORS MAILING ADDRESS CONTRACTORS . 31 GARDENIA LN, CHICO 95928 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ADD BUILDING688.65 10 NIKKI CREEK LN DURHAM Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 112 0 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 00 Building sewer 15.00 5-00 Mobile Home S I G I W 920.00 PERMIT FEE S1 Q,) in' ELECTRICAL PERMIT Filing Fee 20.00 Main Service ZDOA 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. JL�t3� -' Lic. No. License Class J D —� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service PDA TO I000A 46.00 NEW CONST. owELUNo OCCUP. OR ADDNS. ( 6 ACC. BLDS. s0 - 3.50 FT162 NoµR6IDT. MULTI.OUTLET ITS97,50 POWEAAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruREs 20 Q 1.00 SAL o .50 Ex. Occup.,OUTLEEOTB AEESID °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereaffirm 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. EII 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 '-l(� MECHANICAL PERMIT PIing ee 20.00 Heating 2 40.00 Cooling Hood 6.50 Ventilation o PERMIT FEI: $ Policy Number _74 3116-7-daO (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- fo with omply with those provisions. q X lu_Date I gn re of Applicant - ❑ Owner Contractor 13 Age An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R U CONST. TYPE TOTAL FEE $ HAZ. D. F IMP FLOOD CDF pAgCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Ad?Daate PERMIT EXPIRES ON IJ provisions to do work paid. 6 to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rA E * H. USE ONLY - Plot Plan Attached 'j'k-or Plan Attached J—j Sent to 6.0 It -Z d /I TO: Building Department /fo �A FROM: Environmental Health 0� SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling, Other .4 AW5 Hold finil for:— VII'00A I t, I X44 17-r- 4KV PIN (elm rM F", FIX I W-14 � ,.�- V•TARii 9f "* y R: y V[ A i!�t h„. ""ii .,... .�^i �,`'. � `r. -^•yeti •.,�7•,.��.:.iw .ir. d.:-wti. ,y+�%er � �YC,�i7'W •e+7j,.,.i•,:�:. ��`.,r„(•Y Kr -fig �,ti..t�,r.++'''� r . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: Proposed Buil"g g se: Building Inspector: Date: At time of permit application, I was advised the following data muni be bmitted prior to permit prose in g anWor issuance: Date Received By !�^❑ 1. items have been submitted-------------------------------------------------------------------------------------- t plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- gineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ nergy Design Compliance and supporting documentation. ---------------------------------------------------- 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ anufactured Homed to and install ti n instructioins ' eluding Tie Down Specifications.-----------------= eesof $ ---�� s_ -Q t -------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- `+ 2. ,California Department of Forestry plan approval/fees. --------------------------------------------------------- .Flood elevation certificate. ------- - --=------------------------------------------------------------------------- Sanitation and plot plan approval liV 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: Q (B) Parking:L--------------------------C)–)9-C> 1 ❑ Contact Land Development about ❑ Improvements, ElDrainage gal Parcel. ----------------------- Encroachment Permit for driveway (construction approval prior to occupancy). -�✓---*--L-k----r--o-o--•-d-- --' ---- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). n ----------------------------------- 0 Workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- _ 4 24 Letter of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement.--------=-------------------------------------- S 6l ❑ 26. Letter of intent on building use.----------------------------------------------------------------------------------- r ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1430. Other: "V'(YC-r1 rZlC��ei►�� — en you issuece s/ follows 11 Mail to owner, Telephone345 CJ and hold for pickup at �TCZuc-�'• CzEVIC-W 101'a3/01 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Affice. q Deliver with inspector. 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 Vphone, ❑ mail, ❑ Building Division counter, byMC- Date: 1O'3.0 I 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: - tff) f Plans approved by: Y' �� , Date:1.0 I Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Title CSI Date: % O/ By: Date: 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 Vphone, ❑ mail, ❑ Building Division counter, byMC- Date: 1O'3.0 I 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: - tff) f Plans approved by: Y' �� , Date:1.0 I Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Title CSI 1( COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER i A.P. s F! PRO OSED BUILDING USE DATE �' � � RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ l U 1 --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking J Fee.. $.. 2. SCHOOL DISTRICT FEES Q , (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES . Residential ............................ -x-=$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Atnt/� 5. RECREATION DISTRICT FEES U� J 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) n 7. FIRE INSPECTION AND PLAN CHECK U' $89.00 (paid at Building Division) 1 \ J I 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 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 �� DATE ®I Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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. 6/00) t . 4N ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District l Lo J Building Department No. A.P. Number Jurisdiction: City ®County Property Owner �' 1 �{ �� { }' >dC y 1 01 �r S Property Location/Address %� I Y ( I t e L. Subdivision �r _f, -('. Y1 ,�(C �' �� - 'U �� T ,� Lot No. .................................................................................................................. (� Residential Development \ Sq. Footage NWofivingN Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial t =. - = ! e , ^ . :, -_ t _Sq. Footage . T New Addition (Including Exterior Roofed Areas) Building Department Representative Date moor vans reviewea oy acnooi uisinct rersonneq District Identification No. C.O GO e . () School District certifies that 1-n A e r— f %%Yl LOAF S (Applicant) N (kk l Ce e<�� L A-nC (Street Address) (Phone Number) �u leuA-n ' 9sq 3 g' (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 3sss square feet. 00-4 by payment of $ %a S'%, %.S B 2926 $ FULL MITIGATION $ School District Representative Date If Paid by Check # % / Remarks: e 't y Notice: You may protest OWimposition of the fees identified above by submitting a written prottist to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm "'.""'�' .;,�.^`%n..r-t:'�4..«-�.c•,v�Sti..-•l�.r�..ti.�.;'v""„'�.'"`„�'1iw.�j."i�".�'"."Y'..ry„rY�y�r""tl�+i�,•✓�I.�i"'�-•--,..�i.r•�.•�-�rY./v�.�.�eii'^r+ i•-:s+`.,,�-r•S'��+a}�.�Jr.ti.,.�"''`� BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): '0 ` ( CLQ - L) Lo 9 Property -Owner (s): �' `l t ��1'� i ; �: L I .c -5 Project Location/Address: �i i i� f �__ ►�- Gvrz Subdivison Name: '<-u r 4,jf Ls4-�� c D Assessable Square Footage: Type of Residential Development (check one): 1/ New Development ❑ Alteration/Addition ❑ Mobile Home (s) ❑ Non -Residential to Residential Comments: Building Division Representative ltd, 3-C) Date Durham Recreation and Park, District (DRPD) certifies that Applicant Name. 3� C-- rdC-0i0- L -Y) Street Address, � 5- 5740 Applicant Phone Number � c0 CASS�i2� City State Zip Code y' has complied with the rtequirements 'f the'�Butte County Board of Supervasor`s Resolution No., 93 - 114 by payment for 3555 square feet at $ 1.04 per square foot for a total payment of $ DRPD Representative Date PAID BY CHECK No.:- BANK No.: 90- 3�6, 9 Co PAID BY CASH: RECEIPT No.: I L4.14 y y Remarks: n, c 77 l ..- DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE -CO. BUILDING DIVISION .-.ND WHEN RECORDED MAIL TO; BTtTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 2Q9Q5 I —Q)Q153 1 r=03 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:04PM 15 -Nov -2001 REC FEE 10.00 COPIES 1.50 Cindy 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 Al�rl 1 2 44 ZOO PROPERTY OWNERS: State of California County of Ou t -a v.Va 14. Zo o ( personally appeared yy-/vl CVPC-> personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sbe/they executed the same in his/ber/their authorized capacity(ies), and that by his/her/tbeir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS and and Hal eaL GREG WOOD Signature Seal: O; �, Comm. #1278505 �) G V.J pvp %R F NOTARY PUBLIC CALIFORNIA V BUTTE COUNTY 1 " MY Commission Expires Oct. 25, 2004 A.P. # ORDER NO. BU -186107 TB DESCRIPTION: THE LAND REFERRED TO HEREIN IS SITUAT.E.D_''`,k THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBEa."XS..FOULOWS: PARCEL I• LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GARDEN CREEK COUNTRY ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 29, 1997, IN BOOK 142 OF - MAPS, AT PAGE (S) 6-7.:T'HRU'64. .. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES AS SHOWN ON SAID MAP. APN 040-100-069-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES,, AS SHOWN ON THAT CERTAIN,)MAP ENTITLED, "GARDEN CREEK COUNTRY ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE.,7STATE.,OF CALIFORNIA, ON DECEMBER 29, .1997, IN BOOK 142 OF MAPS, AT;'VAdEf!J) 67 THRU 69. FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B: No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002. ELEVATION CERTIFICATE Important; Read the Instructions on pages 1 - J. SECTION A- PROPERTY OWNER INFORMATIONFor.•lhsunnica.Compacry Use:-, BUILDING OWNS 'S NAME FOIIcwNumberr l4oe k BP`S BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO, CompanYNAIC:Number C'TY STATE ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers TParcel Numb�eer, Legal Description, at - /4;�A O 0FO — O /O BUILDING USE (e.g.. Residential, No -residential, Addition, Accessory, etc. Use Comments section If necessary.) �E'S/,DEN?l�L LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type): ( u#° • ##'- ##.sl#" or ##.#+ ) . XINAD 1927 L_I NAD 1983 LI USGS Quad Man . i_I Other. -_ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B'.. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME 83. STATE 613 —Ire 60 1AJC0tet,1 Ca4L i� 84, MAP AND PANEL B5. SUFFIX I B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATIONS) - NUMBER O C DATE EFFECTIVE/REVISED DATE Z NE(S) (Zone AO, use depth of flooding) 106 00 wNE 610. Indicate the source of the Bdse Flood Elevation (BFE) data or base flood depth entered in B9. 3 �_1 FIS Profile 1_1 FIRM j___1 Communi Determined L_1 Other (Describe):; . B11, Indicate the elevation datum used for the BFE In 139: J NGVD 1929 1_1 NAVO 1988 1_1:Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (DPA)? �j Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_lConstruction Drawings'_ L—IBuilding Under Conshi.lction' I_jFinished Constriction ;Anew Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _ I (Select the building diagram most similar to the'building-for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building,'provide a sketch or photograph.) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V '(with BFE), AR, AR/A, AR]AF_, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-1 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the. BFE. Show fio(d measurements and datum conversion calculation. Use the space provided or the Comments area of Section Dor. Section :G;as aporppriate, to, document .'the datum conversion. Datum Converslon/Comments Bt1TTE <0tJNTY ' `0, Tq , S ,J Elevation reference mark used Does the elevation reference mark a„sd appear on the FIRM? Yes I No 0 a) Top of bottom floor (including basement or enclosure) ft. 1.r b) Top of next higher floor (') QR4� ESS/n 0 c) Bottom of lowest horizontal structural member zones only) N/�— 'L ft. m /� 1• y) �_ ft. (ITI) A Q •m•••••a,� 'j. ��f 'ip., d) Attached garage (top of slab) N/A ' _ ft.(m) ��.••• G. 0 e) Lowest elevation of machinery and/or aqui ment W ` servicing the building P N �� __ ft.(m) ,y 0 f) Lowest.adjacent grade (LAG.).... 7 O ft. �,t z 0 g) Highest adjacent grade (HAG) l7 $ ft(m) ID �' No. 2 �' 0 h) No. of permanent openings (flood vents) wfthfn 1 R above adjacent grade — �6e 0 i) Total areaof all q. in. (sq. crri) �I'• ; C; `�'.•'•, �• °�3 permanent openings.(flood vents) in C3h s l •••i ••\ SECTION: D'- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certlflptlon is to be -signed and sealed by a land..surveyor, engineer, or architect authorized bylaw to certify elevation i' fonhatlon. 1 Cert/ly that the information In Sectfo4A,'8,4nd C on this cerdficate represents my best efforts;to interpret the data available. 0 I understand that an false statement may be punishable by fine or imprisonment under 18 U S Codej Sactlon 1001 CERTIFIER'S NAME LICENSE NUMBER TITLE ,�ogE27G�E -�R Z76 COMPANY NAME ADDRESS CITY .S ¢ Lr9-CK OL/✓L° 9l9-d�SE ' ZIP CODE SIGNATURE DATE PFtu14 Fnrm R1 -'A1 At Ir; QA CFI= Fr1R r.nKMNl 14TION RFP 4f^ I.I L�R�l1f1,FS FI1t n(1t�lC IMPORTANT: In these spaces, copy the corresponding information from Section A- Tor•Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg, No.) OR P.O. ROUTE AND BOX NC, Ii PollcA Number —) CITY STATE i'1' CODE .:Company NAIC Nu SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/compecy, and (3) building owner. COMMENTS , ` ,. 1 CU O f— L-� f / �- Z S (b % (0/ /�' �/ C / AJ _PowE--re twG�/V.(/V 1_._.1 Check.here If attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1, through E3. If the Elevation Cartificatn is intended for use as supporb'ng information for a LOMA or LOMB -F,, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for YA.Ach this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is 1-1-1 ft•(fn) 1-1—lin•(cm) 1-1 above or 1*I below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the tOD of the bottom floor elevat<-d; in accordance with the community"s . Floodplain management ordinance? t—I Yes j__1 No 1_1 Unknown. The local officialmust certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for. Zone A (without a FEMA -issued or community -Issued BFE) or Zone AO must sign here. I PROPERT" OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME nUORESS CITY STATE Z1P CODE SIGNATURE DATE TELEPHONE CCMMENTS - 1-1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL.) The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sl -.70 below. G1. 1_1 The information in Section C was taken from other documentation that has been signed ani embossed by a licensed surveyor, engineer, or architect who is authorized try state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1_1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3, ;—I The following Information (Items G4 -G9) is provided for community floodplain managemerr: purposes. G4. PERMIT NUMBE ISSUED G7. This permit has been issued for. New Construction - I �I 1_1 Substantial Improvement G8. Elevation of as-buiR lowest floor (including basement) of the building is: R(m) Datum: -�•� .;� G9. BFE or (in Zone AO) depth of flooding at the building site is: , ft(m) Datum:i`�► ^t ti LOCAL OFFICIAL'S NAME TITLE _ v - J .. XX COMMENTS I_I Check here if attachments P=AAA Fnrm A1.'J1 Al I.: QQ DGDI Ar`FR AI I Cq�/il�I iC GT�ITI nhlC a FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM i ELEVATION CERTIFICATE Important, Read the instructions on pages 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For. Insurance Company.,Use: BUILDING OWNER'S NAME *Policy;Num r-•-_._ _ . -✓� S G ` BUILDING STR ET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O: ROUTE AND BOX NO. Company NAIC'Number -707,9 Al l G K K 1 C1eE K CITY Dv "? �+e STATE �` ZIP CODE I'KUt'tK I Y utSCKIII I ]ON (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) A -%Al adv -o io - 069 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I—I GPS (Type): ( W - ##' - ##.##" or ##.###W) 1�6AD 1927 1_1 NAD 1983 I—I USGS Ouad Map 1_1 Other: i SECTION B - FLOCO ;NSURANCE RA i cc MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME &COMMUNITY NUMBER B2. COUNTY NAME B3. STATE lc� c lrUCbis w 84. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL 88. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) DG 00/7-0S2-0 J0 A) C-- 199 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_1 FIS Profile 1_1 FIRM 1-1 Community Determined �_) Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: W NGVD 1929 �_� NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1-1 Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I_lConstruction Drawings' I_IBuilding Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropri te, to document the datum conversion. Datum Conversion/Comments t -r7 Ccs Uit! T't' i i4 /l f /Z Elevation reference mark used Does the elevation reference mark used appear on the FIRM? �_� Yes No ❑ a) Top of bottom floor (including basement or enclosure Q b) Top of nerd higher floor _( ) n� < �? f� m72 a.r'ay, ix'vyF.'r�r r ❑ c) Bottom of lowest horizontal structural member (V zones only) // _ ft.(m) H��,�::•vm°c,,.� ❑. d) Attached garage to of slab _ S ° f`' - 9 9 (top ) ft.(m) E P4�S o °ON , ❑ e) Lowest elevation of machine and/or equipment W servicing the building machinery P N14 _ ft.(m) �Y •' �, A' ' - ❑ f) Lowest adjacent grade (LAG) 170 ft.(m) z cc„- ❑ g) Highest adjacent grade (HAG) 1-7 �_ fL(m) 90. ❑ h) No. of permanent openings (flood vents) within 1 ft above adjacent grade O .i) Total area of all permanent openings (flood vents) in C3h _ sq. in. (sq. cm) • � �Y0„C,s• na�� -ty SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION t•, '' :' << This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized.by law to certify elevation"irifomiation. ' I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001 CERTIFIERS NAME 17 LICENSE NUMBER �GE 2-7647 76 47 /NLgs , J TITLE /L N COMPANY NAME l2 _ Sf E72rt/4 G(��T SU AVE' //IJ ADDRESS 54 /- D CIN STATE A ZIP CODE q/ SIGNATURE �� DATE 7i,, - -7 0/ TELEPHONE 7 `� Z S3 FEMA Firm R1 11 Al Ir: QQ FF /FRCP CIr1F Ff1R r.r%i-nml IAT1f1N RFPI Ar^FC Al I PRF\/Ir\I IC;:nI71r1N5, IMPORTANT: In these spaces, copy the corresponding information from Section A For -Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy,Number CITY STATE ZIP CODE Company•NAIC Number SECTION D - SURVEYOR, ENG!NEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/compan, , and (3) building owner. COMMENTS 1, 13, &, Al AJ 42�2_-47-r- Lo.7 Z -S 65 A)4)L I_I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR4Section C must be compieted. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1-1-1 ft -(m) 1-1-1in.(cm) 1-1 above or 1-1 below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1-1 Yes 1-1 No . 1-1 Unkncwn. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) (:ERTIFiCATION The property owner or owner's authorized representative who completes Sections A, B, and E for Lone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME - - - ADDRESS CITY ';TATE ZIP CODE - SIGNATURE DATE TELEPHONE COMMENTS 1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the communit)'s floodplain management ordinance can complete Sections -A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 1-1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 1-1 The following information (Items G4 -G9) is provided for community floodplain management purposes. G6. DATE CERTIFI ISSUED G7. This permithas been issued for: 1-1 New Construction 1-1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft. (m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft. (m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I_I Check here if attachments OPP1 Ar:FC At I PRF\/Ir11 I.0 PrWn0NI, ?cq 73 FA FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B: No. 3067-0077 ELEVATION CERTIFICATE Expires July 31, 2002 Important, Read the Instructions on pages 1 - d, 'S NSECTION A- PROPERTY OWNER INFORMATION 1; Forlitsunnim.Company,Use: BUILDING OWNERMAR kAME 66r&-�5 PollcyfNumbetr BUILDING STREET ADDRESS (Inducting Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO ; ComparrYNAIC.Number C:TY STATE. ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel NNum r; Legal Des riptlon. at - 00q,0 _ BUILDING USE (e.g., Residential, NW -residential, Addition. Accessory, etc. Use Comments section K necezzary.) KEjS/,OE Iy?lr�L LATITUDE/LONGITUDE (OPTIONAL)XINAD HORIZONTAL DATUM: SOURCE: LI GPSor ##. ) 1927 (_I NAD 1983 I�I USES 7uad Map . i_) Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 9 1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME I B3. STATE u -7'E •Co . C� . p A-2� .� � Tic Bd, MAP AND PANEL B5. SUFFIX 86. FIRM INDEX 87. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONS) NUMBER O C DATE EFFECTIVE/REVISED DATE Z NE(S) (Zone AO. use depth of flooding) JOKE 8, /9 3. B10. indicate the source of the BAse Flood Elevation (BFE) data or base flood depth entered in B9. 1-1 FIS Profile 1-1 FIRM communityDetermined Ll Other (Describe)::. B11. Indicate the elevation datum used for the BFE in B9: L& NGVD 1929 1_1 NAVD 1988 1—I :Other (Describe): B12. Is the building located in a Coastal Barrer Resources System (CSRS) area or Otherwise Protected Area (OPA)? L1 Yes No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1 -/Construction Drawings' 1_113uilding Under Constli.lction' I--IFinished Construction -A new Elevation Certtflcate will be required when construction of the building is complete. C2. Building Diagram Number I_ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the buiiding,'provide a sketch or photograoh.) C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARIAR-, AR/A1-A30, AR/AH, AR/AO Complete Items C3a i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show flu;d measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G; as appropriate, to, document the datum conversion. Datum Convemlon/Comments BdTTE �061V'V DATA , 5 # ` 2 ;f Elevation reference mark used Does the elevation reference mark I1:;sd � a) Top of bottom floor (Including basement or enclosure) ¢ ftI ^ a PPe� on the FIRM? Yes :\X No b) Top of next higher floor ctu1-7 ( E$$/n _ . L ft. m c) Bottom of lowest horizontal strural member , N zones only) — N/f� ••.....,. Q d Attach — R ('71) . � •• ed garage (top of slab) N �,q o �t, •� r.. O e) Lowest elevation of machinery and/ aqui ment — R.(rn) �� (G. n p W ti y<�• c. servicing the building N m C� f) Lowest adjacent / R.(m) 3 C-3 =� 1 grade (LAG.)... % O S R..;1 Z e O g) Highest adjacent grade (HAG) �5— N0. 2 i' ❑ h) No. of permanent o ft (m) 2 tJ �6� openings (flood vents) within 1 R above adjacent grade '-' � � ••�• ; C: �- ;.°� 1 O i) Total area of all permanent openings. (flood vents) in C3F1 i \ sq. in. (sq. aril J'%�� ••..... ::�a` �. SECTION. D ENGIN _ - CERTIFICA...,,. I nls certification is to be signed and sealed by a land surveyor, engineer, or architect authorizao by law to c arttfy elevation IrTfc I certlty that the iftrmadon /n Sectfons A -B, tend C on this ceWcate represents my best efforts tti interpret the data available. 1 understand that an false sKatement.ma be unishab/e. b fine or im risonment under 18 U.S. Code, Section 1001. CERTiFIER'S NAME ?o aER -T - G. . - AL,—, _ 1 n LICENSE NUMBER ✓/� �� v 1'3 7 &.A, PPMA Fnrm Al �1 Al If?AA L/✓Lo CFt= RF1/1=RCF RIr1F Fr1R r rVIMNI 14 Kc6 -27617 5/47 w 4 G(JE's T. 5QRV✓-Y/A4 1.5 STATE ZIP CODE��yG 9 rELEPHONE L�.. 8 7 7-L z S3 noN . RFPI Ar.F.0 At I Ppp:mr11 IC Fr1mr1ALC IMPORTANT: In these spaces, copy the corresponding information from Section A. For. Insurance Company Use: BUILDING STREET ADDRESS (Including Apt„ Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX N i Policy. Number C, -y STATE 2"1' CODE . Company MAIC Number SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompe:r<y, and (3) building owner. COMMENTS �W „ 1 cU p Or- LV f �-z 5 6_769, N04 -IC I.v 1_1 Check.here If attachments 'SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZUIVE AO and ZONE A (WITHOUT BFE) r twlklrvuk ora/, cumple[e nems ti.tnrough E3. If the Elevation Certificai!, is intended for use as supporting information for a LOMA or LOMR-F,• Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for vritich this certificate is being completed - see pages 6 and 7. If no diagram accurately represents tho building, provide a sketch or photdgraph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is 1-1 —I ft.(Irr) 1—I—Iin•(cm) I_I above or LI below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated: in accordance with the community's . 9oodplain management ordinance? (•_I Yes L1 No 1 Unknown The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION he property owner or owner's authorized representative who completes ons A,'B, and E for -Zone A (without a FEMA -issued or wmmurnty-issued 8FE) or Zone AO must sign here. pROPERT" OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME nUCRESS :;ITY STATE LP CODE SIGNATURE ]ATE TELEPHONE Check here if attachma—z SECTION G - COMMUNITY INFORMATION (OPTIONAL) The vocal official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and -G of this Elevation Certificate. Complete the applicable items) and sl -:;i below. G?. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized try state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. j_I A community official completed Section E for a building located in Zone A (without a FEMA•4ssued or community -issued BFE) or Zone AO. G3, ;_1 The following Information (Items G4 -G9) is provided for community floodplain managemerc purposes. G8. Elevation of as -built lowest floor (Including basement) of the building is,4�,�aol nnprvvomeni G9. BFE or (in Zone AO) depth of flooding at the building site is: f(r) Datum: LOCAL OFFICIAL'S NAM(m) Datum:E TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE CGMMENTS I I Check here if attachments =kAA Form A1,11 At 1 : cap „ gCDI Ar`.FC At I r%0M/1^I'p ani-nrli.IC FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM i Expires .July 31, 2002 ELEVATION CERTIFICATE ; - Important. Read tha instructions on pages 1 - 7 SECTION A - PROPERTY OWNER INFORMATION For Insurance Comoany use: BUILDING OWNER'S NAME Policy Num r _ -✓i 5i Com= BUILDING STR ETADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO., Company NAIC Number 0 7S /V.IGKK/ CIeC�K CITYPU STATE �A4 ZIP CGDE PROPERTY DESCRIPTION (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) ,-qOnJ o v -U/o - O&9 _ BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) 2esiDewTir9c- LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type):_ ( ##° - ##'- ##.##" or #I#.##1###°) 1IYNAD 1927 I—I NAD 1983 I-1 USGS Quad Map I—j Other: SEC'"I O N S - FLOOD It.SURANCE RATE MAP (FIRNrl) INFO,:ZMATiON 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE rL C lrvcblt J1 #f &U r /L B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD I 89. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) Dr000/-?-USzo .0 luC 9 /99 - 1 173, B10. Indicate the source of the B.1se Flood Elevatlon (BFE) data or base flood depth entered in B9. 1_1 FIS Profile 1_1 FIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: W NGVD 1929 1_1 NAVD 1988 1-1 Other (Describe): _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? i_1 Yes 5ZNo Designation Date: SECTIONC - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' I_lBuilding Under Construction' Finlshec Construction 'A new Elev, pion Certificate wil: a required when construction of the building is complete. C2. Building Diag:-arn Number (Select the building diagram most similar to the building for which ',his certificate is being comoleted - SPP pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30. AR/AH. ARiAO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datums different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropn te, to document the datum conversion. Datum Conversion/Comments 0 7 7 C CO Urtl TS- A 1IL- /-a _`f Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ;`; Yes No L] a) Top of bottom floor (including basement or enclosure) 1-74- Z ft. m :.;t ❑ b) Top of next higher floor -% ❑ c) Bottom of lowest horizontal structural member (V zones only) N 1,4ft. m ^ a - ❑ d) Attached garage (top of slab) Al _ ft (m) 8 0 �„ ', c•''.:a. F�,;;.. ❑ e) Lowest elevation of machinery and/equipment W servicing the building ❑ f) Lowest adjacent grade (LAG) 170 g ft (m) z' c" CC ❑ g) Highest adjacent grade (HAG) 170 ft.(m) N °? No - ❑ h) No. of permanent openings (flood vents) within 1 R above adjacent grade,z' ❑ i) Total area of allermanent o �� �c V•,� t e y., p openings (flood vents) in C3h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION "' ' This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify.: elevation 'irtformation. 1 certify that the information in Sections A; B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIER'S NAME A LICENSE NUMBER J Tz, /2GE' 2 %(o 4% TITLE COMPANY NAME Ci /6 EiiJ iVE'ER S r �2d.i4 CI,JaS r Su oe VE IAA ADDRESS 543 G Q CITY �rin,dd STATE ZIP CODE SIGNATURE �� ,`/ DATE. TELEPHONE 877 PPAAA F'nrrn A1,41 Al I(; qq FF /PPRP PIMP ;:np r:r)N-nNI IA-nnm 7. RFaI Ar.FC Al I PRF1/Irll IC Pmmrr.ic :r �Csideaig IMPORTANT: In these spaces, copy the corresponding information from Section A- For Insurance Comoany Use. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO Policy Number CITY STATE ZIP CODE I Company NAIC Number SECTION D - SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Ce rtifi 1cate for (1) community official, (2) insurance insurance agent/company, and (3) building owner. COMMENTS KJ 5d to %C� I l Z. s �ji %"` A) 41 (_ 1-1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3. if the Elevation Certificate is intended for use as supporting information for a LOMA or LOMB -F, Section C must be compieted. ; E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1—Ll ft.(m)1-1-1in.(cm) 1_1 above or —j below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1-1 Yes 1-1 No 1-1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ^ ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS - - 1-1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 1—1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor. engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and Nate of ;ne elevation data in the Comments area below.) G2. 1—1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BF=_', or Zone AO. G3. �_�,The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANC`! ISSUED v/. i nis permithi�s been.;ssued for. 1-1 New Construction 1-1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft. (m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE - SIGNATURE DATE COMMENTS Check here if attachments FFM4 Fnrm Al -11 Al I(: AQ . RFDI Ar..FC Al I OPPWIrll IC PnITIr1KIC SITE PLAN REVIEW APPLICATION Date: -► �-) - CJ 1 AP# T 3 9 D_ 1 DO - 6 bg Permit Number (if applicable) Q) APPLICANT INFORMATION Parcel Size: S - 9 A C_ Owners Name: LO Pe S A e 1<1 P4:4 -1,� - Owners Address: P r3o >� . �) 7 -b U 2H Arrr, C A 9 S9 3 6 Telephone No.: Situs Address: OV! K 9 / C -12 C-9 le- L1`/. Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ® Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ® Well 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 Date Ci --1 9-0 1 Page 1 of 5 r 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) ® 100 -Year Flood Plain: (See attach) • Flood Zone: • Flood Panel No.: Index Date: �-8-9A ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico* Specific Plan (See Development Fees Section and attached standards and requirements) ❑ C hapman/Mu I berry (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 A- o Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S n /L Side Side Street Rear O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ---------------------------------------------------------------------------------------------------7--------------------- Subdivision Map Special Fees 0 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ 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 Page 3 of 5 10 Subdivision Map/Parcel Map:r�-1-VS5 " Map Date of Recording Lot: �O ❑ Use Permit/Minor Use Permit Permit Number: Book: % WL Page: 6 % L6 Date of Approval: IM 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 on slopes steeper than 30%. 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. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any_ area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 —FI rz ear_ )ACZA—ES 5, i> 02k P i ❑ Summary of Specific Requirements: 4 This information provided in this summary is based on the application information and on the best available data at the time of review. C:Wy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5~ FROM : STEVE SICKE PHONE NO. : 916 345 5740 Jan. 22 2002 11:56AM P1 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 539-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions; will be checked for residential use_ Exception:. Garages and Carports. Owner: Pzx, 14 Lades Phone: S `t Mailing Address g)O r (<k; tre AD i ' �r Site Address: 6 .� o. c a.(o mv*p— Assessor's Parcel Number: �t 0 — to - 6 9 Zone: Please answer questions 1-16, and explain any yes answeis for questions 2-14 in the space provided on page ;.of + this form. GENERAL INFORMA'T'ION: �� Yes No 0 (2/No.. 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or urider notice of code violation? {tom Yes [1 No. 3. Will items produced in this building be offered for sale? Yes El' Ni 4. Will the public have access to this building? Yes. Q 'No` 5. Will any advertising, on or off site. be associated with the use of this building? Yes ❑ N9.. . SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? o Yes ❑ No - 7. Is any portion of the structure located closer than 20' to your front property line? 7. yes0 140 8. Do you plan to add a driveway or modify existing access to. a.counry maintained road? Yes Q NO: .: 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES; 10. Will this building have instilated floor, walls, or ceiling? Yes ❑ NoT�' 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No g_ 13. Will this building have a sink? Yes C3 'No-- �} 13. Will this building have a water heater? Yes El •No 15. What type of floor covering will the building have? i r -t 16. What r_vpe of %vall covering will the building have? I"00f DuIT ,yo ILX_k'1S . OVER: I -of 2 • .1 ` FROM : STEVE SICKE PHONE NO. : 916 345 5740 Jan. 22 2002 11:57AM P2 FROM FAX NO. : 510`;377075 jar-. 18 2002 06:26PM P1 an. 1E 20V 34: a9Pr) Fl PROPOSED USE: (check only Clue bol) ! XRcsidculiul Storm Stwd -I will be 6tet'lne • .�.i ,�_,^ to Qtis building utd it will yspl rrn ,"y abler purpose (no badvoom rind uo cot ng tx coolla0 A btriidttt� or a poetion of a buiitmt; toot eaete ttutt t,0o0 sgre het t3.Cl40 by -Aa W2, private Garai o on iltc tpiSes ATe er=ptiunl in area in %V.uch only motor vehicles Beed by teaaate of the building of buildi= stored or kept.- $4;,,;,f,' gaLiA-"'r—�- rpe 3. ❑ Resideatiel Ca rt - A covered structure iMpft for lig dVOW0l".Two or more sides caust be 1 e . to a storege shed. garage, or fin• a R.esidealta) ®ccupnnC7 - SI1vt Ittte6 below t0 be ot> , as opposed If you chocked 04. Please &red��use below Nh1CLbest $t #hisbuiidlttg, � in -lots quarters cucaouse 6axG0 Aim I.ibtztry Recreation R0041 C)Game ROM grudY• l VA0 Bonus Raote Playteem Pon Sewinz Roan $tAio Hobby Rooth Creat Room Sim Room Canning Kitchen Music F.000 Paz* ROOM, Warkybop How 06supancy = Ota - Use = Q Private Office L boaft"of Wa6alvp 1. Mr. h. oi' Facptanattoas-. This arca is fur e�laneciott of tory "Yes" "'erg4rrestloas �-ib. Pleas indicate tht gritSsOn number Ware the orpl=tioa AdditionalInfor0riftoe: Me Nly A,10 �f�s Pian review will not be started until tlits lOrm Is emultoed and twtived. A Pian Esmiaer WiH cooed-w.owner with spcelflc rcquirlments per the use In4kate I tmmy effi sn uactar perttatty of per wy that ;he above itt4ormadan is trop and eetteet I undd5tand dw M Change's to the use. or cMratter of arse, of tins building mill require permits fmo, true permioin authority. I uadarmd that Raul $state Diteloscra Isws requiN disclOMM cd•this lafbratatlou if Or whets the properly is offered for sale. . 2i. 6� OWC& s tiaxae: ?WM Prim Q�.r's 5ignatsue tate: / / -,�, A) Z. 2Of2 FROM FROM ': STEVE SICKE PHONE NO. : 916 345 5740 Jan. 22 2002 11:57AM P3 FRG" • STE., -- FA;e NO. . 5101_77075 F'riCi(ir I'.0. 916 345 57x0 Jan. 18 2002 05:32PM P1 21W2 04:31PM P1 Fir 3 S! S7�o nepartment of Develop Tent Services Bill In% Division 7 WV'. �� �sy69 orovil)a CA (53U) 538+7541 (56) 33"►40 FAX bion -Residential Buildings Energy Conservation Standards s%tement of I>tttent for Non -heated u0w Non -Air Condltione+d Bait "g 4laase plim clow laid WWI owner's Dame: Due- p L Assessor Parcel N=ber Huildiog Permit Number: Occupancy of Building: L I hotby certify that I do not intend to hW or cool this building in such a maftw as to be subjeci to other than the inandaroly sections of the Sure Energy RequireMBI-s. I =derstwd that if I do heor coot this building in the fiiture, that I wrili be subject to the energy at .requirements in effect 6t tbattime. I understand that if I change the use or occupWy of this building in the Suture, tW 1 will be subject to the energy requirements in effect a: th't time for that spemfrc ocC Wcy. I also understand that if I become subject to the energy requirements in the fuWm, it may be necessary to redesgn aad/er alter any of the following: 1. The building envelope_ 2. The insulation requirements of tke heating, ventilation, and air conditioning systems. 3 • The heating, ventilating, and air oenditioning equipnmit 4. The water heating syetma. 5. The lighting of the building to oomply with tM regulation. I understand that any of the above charges will require me to obtain the neeemary pertnits, inspections, and approvals from the Butte County Building Division. Sig n&ture of *e Building owner. Telephone Number. 3 C FROM STEVE SICKE ,.FROM January 17, 2002 PHONE NO. 916 345 5740 Jan. 22 2002 11:58AM P4 FAX N0. : 5105377075 Jan. 18 2602 06:24PM P1 1 To Whom it May Concern: The proposed usage of the roofed structure under consideration is to shelter horses, hay and tractor with attachments. Sincerely, Mark Lopes 4- ��- PLAN REVIEW RESPONSE FORM r, n.ode: to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid response .to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate your response to each item and the location where the information can be found on the planstcalcs. 'ATracH THIS FORM TO A COPY OF YOUR PIAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME DATE: ro ASSESSORS PARCEL NUMBER PERMIT NUMBER 40 3� /7 RESPONSE FOR PLAN CHECK LETTER DATED: / ,D/ PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/C7ALCS: LOCATION ON PLANS/CALCS: • COMMENTS: PLAN CHECK ITEM # RESPONSE BY: �J LOCATION ON PLANS/C7ALCS: COMMENTS: PLAN CHECK ITEM ## RESPONSE BY: LOCATION ON�PLANS/CALCS: COMMENTS:. GJ O PLAN CHECK ITEM # ,,. RESPONSE BY: C� r LOCATION ON PLANS/CALCS: / COMMENTS: PLAN CHECK ITEM # IRESPONSE BY: LOCATION ON PLANS/CALCS: PRC —ECT PROCESSING R -r.ORD APPLICANT: OWNER: PERMIT l: A. P: WORK DESC DAM DESCRIPTION OF STEP 10.5-01 2 �neh. Lny-iL l ol-� --Ao,-- �.c� i vc c,�..2�� �' �sf-errs . C /�'`.�'`-',�.� • Phi lo -b to•s i �--�.,,.a to•2�• �cvwy� � � • 30 • o 1 CFYr��e-� Ll RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: J Building Permit Number: Ot — a 37 Plans Examiner: Martha Christy A. P. Number: ©" �r�o GENERAL: 1. Zoning requirements — (number of permitted living units). �. 2. Plans signed by the designer. 3. Proper description of work on the application. k`� 4. Existing violations on the property. q 1 ' 5. Recorded notice of violation. 6. Building permit valuation. cp 5 PLOT PLAN: 1. Complete parcel size and dimensions. 2. Setbacks, side yard, easements, etc. 3. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. 6. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers"o Water Tender Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. „8l Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet. The minimum;net clear openable height dimension shall be 24". The minimum net clear openable width dimension sliall be 20": . When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). nSkylights (Uniform Building Code section 2409 & 2603.7). jl Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feei measured to the lowest proiection from the ceiling (Uniform Building Code section 310.6.1). All,habitable rooms except kitchens shall have an area of not less than 70 square feetand not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). IK GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). 11. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). V\ote__ rJ t(7n'1 Under no circumstances shall a private garage have any opening into a room used for sleeping purposes ilniform Building Code section 312.4). ood'stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet�from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral .analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. oundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). ,,3'Clerestory construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 3 l� rr1 8. Fireplace. construction details and calculations if necessary. 9. Garage door header size(s). -.e, f D 1� � � 10. Porch header size(s). ' " l� �'YZ 11. Typical header size(s). 12. Stud heights. 13: High expansive soil — special foundation design required. u 14. Retaining walls requiring design. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively,, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. - Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). o Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2,,15-D- I & 2). Foam insulation — protection. ; 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). P. Attic access and ventilation (Uniform Building Code section 1505). , ound requirements. VCDF nergy design compliance and supporting documentation. responsible area requirements. ` BUILDING PERMIT REQUIREMENTS: 2.Food elevation certificate. 3. Vre Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing letter. _ Page 2 of 2 �i • • VZ/ P,2,0v10tiF SN -Le �'' NOMINAL McM13612 A -7r �(Z�� ► v 1 OJ C� C� �-' N m �--1 N 6 A L O N G W A-K- �� v�J `�l�t'L.V SGC. S 3s o *- / S V���-t✓Sf. � � S � � l �I � 1 P�1-j-t-l� S-t-►�-v �-r, c�°r�c s .(P.5) SFAs. l N . \j , v2e A3 g s, 1 + �PrL S . (P. 5) .V1 'P� � S S t�vJ � SIS W ►��� �. (�t�YZ N o f \r3 s tt� &-V2, v� ►4-u- g c.1�v t.E . �� X e5o co PE) rz t o I \ 0 ( 'o I P IV . Foot2000 ver. 1.0, Copyright © 09-2000 Spyder Software Company Info I Project Into R. C. E. (Project: Foster Residence 3060 Thorntree Dr.; Suite 10 (Location: Lot 28 Osprey CT. Chico, CA, 95973 1 Chico, CA 95928 Phone: (530) 894-8833 (Client: Janice Lee Fax: (530) 894-8882 (Job No.: R.C.E 2001.047 E-mail: cj@r-c-e.com, lFooting Id: F04 Wall,Line 6; 02-8/01 11:46:14 AM FOUNDATION PARAMETERS Material Properties: Conc.. Strength Conc. Type Bot. Steel Top Steel Steel Yield f'c•, psi Cover, in. Cover, in. Ty, ksi Section: 1 2,000 HardRock 3.00 2.00 40 Section: 2 2,000 HardRock 3.00 2.00 40 Section: 3 2,000 HardRock. 3.00 2.00 40 Footing Section Geometry: Length, ft. Width, ft. Depth, inches Section: 1 3.00 3.00• 18.00, Section: 2 6.00 2.00 18.00 Section: 3 3.00 3.50 18.00 Column b Wall Data: Type Center Length Width Col-f'c Col-Fy 'Dowel Bars ft. in. in. psi ksi No. 6 Size Column. : 1 Other 5.50 3.50 3.50 n/a n/a n/a Column 2 Other 10.50 3.50 3.50 n/a n/a n/a Type Center : Length's Width. Height Density Use ft. ft. -in. ft.' pcf Stiffness? Wall 3 Stud ' 6.00 9.00 3.50 9.00 50 No Soil Bearing Results, psf (actual / allowable): Gravity Case Wind Case Seismic Case Section:,1 265 / 1,320 1,188 / 1,756 753 / 1,756 Section,: 2 266 / 1,320 484 / 1,756 529•/ 10756 Section: 3 262 '/ 1, 320 ' '1,`653 / 1,756 843 /, 1, 756 Beam Shear Stresses: Section: 1 ............................ 9.108•psi Stirrups not required Section: 2 ........................... 15.18 psi Stirrups not required Section: 3 ........................... 14.80 psi Stirrups not required Punching Shear Stresses: Column 1 ........................... 7.66 psi Column 2 ............................ 7.92 psi, Wall „ 3 ................ ... ... 2.35 psi Reinforcing Standards per ASTM -A615 Reinforcing Requirements per ACI Ultimate Strength Methods: Footing Top Steel Bottom Steel Transverse Stirrups Sections: in 2, Design inz, Design inz/ft, Spacing inz-, Spacing Section: 1 Strength:... 0.112 1-#4 0.38 2-#4 0.04• #4 @ 59:1in. Not Reqd... Section: 2 Strength:.. 0.37 2-#4 0.89 5-#4 0.00 -....N/A.... Not Regd... Section: 3 Strength:.. 0.07 1-#4 0.31 2-#4 0.08 #4 @ 30.3in. Not Reqd... Note: Strength,= Steel Required for- Strength-.,. i�, L 0 w U x ui o w v . ria Y 0 al I � 3 ff K�§ OC 0. � z a J a at 0 0 J 6 I. 6 N't .N LE 1092 wt OARAGE — wt COVERED PATIO m � PLnM L 4 a 15F 1$ P400D FRAMING NOTES n. 4 AVE DETAIL ff ROOF TO WALL FLASHING -�f 7F GABLE END DETAIL D FTFORCE E A10 L NIT :lt.U..!MOUNTINIS WALL BRACING I ROOF PLAN eiia oc- inn:rRANSFER oRAFTER TO BEAM STRAP 55�6.qm L.MABL. 109 SgPI bARAGG f9.q't 00".9 w PATIO F— M P WW40 rtil-icate, Off. Co.ft-Winance'. 0 7 316 C.) g! - ;,_,-J; iderl!ifir-d vvilh.P rolic" �V 9. ;>m belbwl Ell CIO ri P. :.gid Tmber Combinations i'ons And,'GAP" .,,r Determining.Design Stresses 'F� St(�-,Iu�� At -�';'Bt-andardSpecifications Glued Larnin�,'z:d- Timber Of Sof1W.'q,q;0 Species 'J . tur�.J glu irlited timber me IT 19 CERTI.rIEb that tliy APA EW_ tra.Agw stru m auol 6 in, c o6jnce'; ith w the Enginegim were produced in -a fbanufaoiurin6! -facility subject.' • Ass . urane R tidits-. nrlu-q.e in�pectton.'-- W60d.'Sysfe,ns.(EWS) ' �qtine-:A'- "y m�riufacluring process and•.-eval%Satior�, of the ft'�L&4 QA pros am.,With si�&quate sampling tp yon, • co*nibrM`anc�e to industry standards -for i6mber graa:,ancl giveline bond qUgilify. r j fega 0 0 P r by SEAL Thomas G. Williamson 0A-•�xscitive Vies President • OR $MIN j5AimNCC,RE6 %,vvoD SySrem.Sro a taialco co,peow,on 01 AAA — THE F.NG1NZ5AeD WOOL) ASSOCIATION 70% 1 Spoir, 160th 5T16el - P.O. DtA% It 700 - lacomb. WA 06411-0700 Ynsophont- (253) 565 -MOO I Ffiv Numbal; 4.10) 565-7P66 MalWriol - Th�b100i (NldiWs) «� c Brand Neon@ 11WMMd R M (RVWW) BA(! or Blanket _ Brand Name Johns Ma rgle Thickness MmuW R (R Vadis) ,Q. 39 LooW FIS 7W* —Floubw Brand Mame - Johns AlamAe C min. beeww sq.—L,z' W+. Mk*Mm wdmess /G -inches. MMeu bie�bnMdWSi9WsgWMf"te ed*weTI W MW Reddmnoe (R Velue) & EXTERIOR WALL Brand Name jdmMrarn�e { )-- Thermal Redd mos {RVWw fP 1 4L RMSM FLOOR B.:SLAB FLOOR / 1 Wr� ,',__�_, 7h mid Reeblom (R V& e) Brand Name TIM" RWdoW= (R-Va>ae) - Bt=d Nexne T6mr d RaddWM (R Value) LOERKE RMLAMON CO., Md. .r { o. tris) or Owns, Uce n•' U.I r (orm t^ c •lfc(r lf.. rc-gvrromonl. or d.o Adminit(r. tl+o Cod. t. or.r(on.(_ (.vc d.e 1^corm.don mw((�o rro v(d oQ .nd l ` ( j— f erml(frumt.or M installation cort�calo is rogtrirod to tae posted at Cho buil 'os Sao f ror (o (110issuance of filo occupancy �Orm� ��iS 1 Gartco tato los 141od bolo,',' aro tho actual Oqugpmont invlanod• Now may bo usod to moot thoso roquiromonts. An aP(t 9� [ante s • app Poaf Cortif c.: the cffrcioncy and typo of [ho appfiartco instanod must Vo oquivalo(tt or honor than tfto ted on the Contpfianoo (CF -1R). This canifiGato (or its cquivatont) shat, be proparod and signod by tho porson(s) assuming overall rospons(bifity for tho appGznco invatta(brt. 1. tho undorsignod. vorify, that Clio oQuipmont Good in tho "togory above my sgpaturo is the -Ina( ditbn.I h vo vori d a1 that tho oquipmont moots or occoods the (equiromonts of tho Applia(�o Etf<>O Standards. In additon, l have verified the oquipmont is equivalont to or morn offic;dnt than tho oquipmont spocifiod on tho Conificato of Compfianco submitlod v demonstrate c ompGanco watt Cho Eno(gy EfficioncY Standards for residontial buildutgs. HVAC SYSTEMS` 4! Nolo: Hydronir_ boiler information is enteced here. O:Itvr hydronc or combiied hydronie equipment is Gs[cd under Wzier Hoating Systoms. Heating Equip. CEC CoritfleQ Actual Olstrlbutlon Duct or Heating n Before Ovoad Equipment Typo (furnace. 14anuf. flake 4 EffSdancY Typo and Hoadng plp_In9 heat uMete) Modol Number (APl1E,otc) Location RYalue Slzlnq(8tuh) Capachy(8t Trane Duces Gas Furnace TUC 100C94883 go% in attic 4.2 100-nnn _80-00a TUC 0flQQ947Agnr 80-000 �c nnn TUC 060C936A 90X 60.000 48.000 CEC CanifloQ Cooling Equip. CornprasTorUalt Acivaf ' Distribution Duct of Type (a(rcond, L(anuC Wake & Efflclency Type and piping heat pump, etc) (dodo( Number (S t.ocatlon R -,value (,tl.> 13 Ducc TRANF. _►QA _ Compressor in attic 4.2 Tpff)l R* The building design haat toss and design heat gun rate havo boon detorminod using a method spociried in Scdion 150(h) • the 7arg6o __ St and d a tyro of the uitocia used for cquQraont sizing and soloabn. S(pnaturo -�— Oatc HVf.0 subonoactor (Co. tlzme) or Gcnorzi Concaaer o(() rt` ' WATER HEA nNG SYSTEMS Enorgyt External 1KitoCKaattng CECCocttfit:d Rated' Tank Factoror Tank System Type manuL "Ike & tnptR(kW Capacity R000a Standbys R JnzutatYaluo (storage gas, etc) 1Qodef Humber tx t3tutC) (gattons) EdfIdoney LOSS (% Cas -40 AI 5rasc 35_000 — Standard FRV 40 NOCT052 40 .62 t, FoCamaUoaaa(oraQ.(rltcdirlp(Q_<7S000Btu&ej.ot.tuteeeAdtAr,ceandhaatPUMP "(,fh..t.<a,tStEact9r1F2cw- FortarQoQaiatocao.W.C.r(c:tcditput>,00 7S0Otwiul. ratRa(cd(a.) n000wryEtlocncyand Startdbfloss. - FVCi(tstantaneoua o.a.vatarttactaca.CicRoad GVu:and ftcco-mgEtrooecy. FocInztant.anoouz doctdcw.t.chutcta.(atR.+tcdteym_ FAUCETS & SHOWER HEAOS Ali (aucots and showorho ads installed aro Lstod in fife Commisso(i s Oi(octocy of ConQiod favoott and Sltoworll°'d'• pursuant n T-cdo 24. part G`��or 2. Sact:on t t 1. •_ / -- O rac(or Oita f`I�w.(;rVSu4avnvactor(CO•(ca/ma)orG tno—`or (t �r • C.A.-d Transmittal Sheet Owner's Name: A.P. #: 0qo-1 0o— 0(,) 1. Transmitted Documents: ❑ Approved Plans Date: %0 ' D �2-- Permit #: Di – al;?, -5 -7 ❑ Approved Plans with remaining items on Permit Application Data Sheet. ❑ Plans to pickup for corrections and revisions. ❑ Building Division A.P. File. Please return to the Oroville office within three (3) business days. ❑ Other: " Process as Follows: ❑ Call and hold for pickup at the ❑ Chico Office Permit applicant has been called. Hold for pickup at the WChico, Office ❑ Deliver with next inspection. Remarks: %67' u l l CD �J v L IGS [ �o rz 'e- <t Se -e TY CV, e �L C- Ca i'deAj S r-� 3 zp r3 7 �b/ 02- Department of Development Services U Building Division. 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DATE: 2002 Thank you for taking the time to sign in your name, phone number and the reason (permit application, general information, correction notice, etc.) you are visiting the Chico office. J:\My DocumentsTORMSUECO SIGNIN SHEET.doc NAME PHONE REASON 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 J:\My DocumentsTORMSUECO SIGNIN SHEET.doc GENERAL NOTES I. THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS, ELEVATIONS AND SITE CONDITIONS ' BEFORE STARTING WORK. THE ENGINEER SHALL BE NOTIFIED IN WRITIN6 OF ANY -_. �'-O I DISCREPANCIES. 2. THE CONTRACTOR A6REE5 THAT HE SHALL ASSUME 50LE AND COMPLETE RESPONSIBILITY FOR JOB SITE CONDITIONS DURING THE COURSE OF THE PROJECT, INGLUDIN6 SAFETY OF ALL ' PERSONS AND PROPERTY; THAT THIS REQUIREMENT SHALL APPLY CONTINUOUSLY AND NOT BE I I f LIMITED TO NORMAL WORKING HOURS; AND THAT THE CONTRACTOR SHALL DEFEND,INDEMNIFY r-� AND HOLD DANIEL J. D0551E HARMLESS FROM ANY AND ALL LIABILITY, I _ _ _ 1 REAL OR ALLEGED, EXCEPT FOR LIABILITY ARISIN6 FROM THE SOLE NE&LI6ENGE OF —E - - - C- �- - - - -[ 3- - - - L - DANIEL J. D08BIE. T L .i._J lO lO L_.i._J I� L 1_J III L-� J W 3. 7HE CONTRACTOR A&REE5 THAT HE/5HE SHALL NO , DEVIATE FROM THESE DRAWIN65 =ca CW) WITHOUT FIRST OBTAINING WRITTEN APPROVAL FROM THE EN(51N)ER. 4. ALL OM15510N5 AND/OR CONFLICTS BETWEEN VARIOUS ELEMENTS OF THE WORKING ! DRAWIN65 AND SPEC IFIGATION5 SHALL BE BROUGHT TO THE ATTENTION OF THE ENGINEER. 5. IF CERTAIN FEATURES OF CONSTRUCTION ARE NOT FULLY SHOWN ON THE DRAWI N65 OR GALLED OUT IN THE NOTES OR SPECIFICATIONS, THEN THEIR CONSTRUCTION SHALL BE THE __ IO n W R l i SAME A5 FOR SIMILAR CONDITIONS WHICH ARE 5HOAN OR GALLED OUT ON THE DRAWINGS , I i I I r , I ( , I f Y G OR SPECIFICATIONS OR AS DIRECTED BY THE ENGINEER, b. ALL CONSTRUCTION, INGLUDIN6 MATERIALS AND WORKMANSHIP, SHALL CONFORM TO THE LATEST EDITION OF THE "UNIFORM BUILDING CODE" (UBC). 1 OFP -I. IN AREAS OF EXCAVATION THE CONTRACTOR SHALL DETERMINE THE LOCATION OF ALL L !_J O RAWO EXI5TING UNDERGROUND UTILITIES BEFORE STARING EXCAVATION. 8. THE CONTRACTOR SHALL NOT SCALE THE WORKING DRAWIN65. SPECIAL INSPECTION i v I. SPECIAL INSPECTION IS REQUIRED FOR THE FOLLOAIN6 TYPES OF WORK IN CONFORMANCE WITH SECTION Ii01 OF THE IQQ'1 EDITION OF THE "UNIFORM BUILDING CODE" (UBC): HIGH STRENGTH BOLTS 2. THE FOLLOWING REQUIREMENT SHALL BE MET FOR SPECIAL INSPECTION: t ! I A.' THE SPECIAL INSPECTOR SHALL BE UNDER THE SUPERVISION OF A REGISTERED I PROFESSIONAL ENGINEER. I j B. THE SPECIAL INSPECTOR SHALL OBSERVE THE WORK A5516NED FOR CONFORMANCE WITH THE APPROVED DESIGN DRAWINGS AND SPECIFICATIONS. t I G. THE SPECIAL INSPECTOR SHALL FURNISH INSPECTION REPORTS TO THE BUILDING OFFICIAL, THE ENGINEER, THE ARCHITECT, AND OTHER DE516NATED PERSONS. ALL DISCREPANCIES SHALL BE BROUGHT TO THE IMMEDIATE ATTENTION OF THE CONTRACTOR ! FOR CORRECTION; THEN, IF UNCORRECTED, TO THE PROPER DE516N AUTHORITY AND THE BUILDING OFFICIAL. t D. THE SPECIAL INSPECTOR SHALL SUBMIT A FINAL REPORT 516NED BY THE RE615TERED I PROPE55IONAL STATING WHETHER THE WORK REQUIRING SPECIAL INSPECTION 10IA5 IN CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND THE APPLICABLE Q WORKMANSHIP PROVISIONS OF THE U.B.G. 3. SPECIAL INSPECTION APPLICATIONS MUST BE REVIEWED AND APPROVED BY THE BUILDING (� I DIVISION PRIOR TO THE ISSUANCE OF A PERMIT. ALL INSPECTION REPORTS SHALL NOTE ANY I ! DISCREPANCIES AND BE FILED WITH THE BUILDING DIVISIION WEEKLY DURING CONSTRUCTION, WHETHER CORRECTED OR NOT, INSPECTOR SHALL MAINTAIN INSPECTION LO65 AT THE JOB 51TE FOR REVIEW BY THE BUILDING OFFICIAL OR HIS REPRESENTATIVE. I I j REINFORCING STEEL I I. BAR REINFORGIN6 SHALL CONFORM TO ASTM A6I5, INGLUDIN6 SUPPLEMENT 51 ALL REINFORCING STEEL SHALL BE GTRADE 60 (60 KSI). 2. DETAILS FOR REINFORCING SHALL CONFORM TO CHAPTER '1 OF THE AMERICAN CONCRETE 1 INSTITUTE PUBLICATION Sla-8Q UNLESS OTHER 15E NOTED. AT BAR—SPLICES IN CONCRETE GONSTRI;lGT ON SHALL`" BE CLASS A OR B CONFORMING TO CHAPTER 12 OF .THE LATEST EDITION OF THE AMERICAN CONCRETE L INSTITUTE 318. 4. VERTICAL BARS IN CONCRETE CONSTRUCTION SHALL BE ACCURATELY POSITIONED AT THE CENTER OF THE HALL, UNLESS OTHERWI5E NOTED. I ! ! 5. BAR SUPPORTS SHALL BE PROVIDED AS SPECIFIED IN THE "MANUAL OF STANDARD j I PRACTICE" 15WED BY THE CONCRETE REINFORCING STEEL INSTITUTE. ( _I 6. ALL REIFORCIN6 SHALL SECURELY TIED IN PLACE PRIOR TO PLACING CONCRETE OR r !_.1— _ x 1. WELDING OF GROSSING BARS AND TACK WELDIN6 OF REINFORCING SHALL NOT BE i l �! I PERMITTED. —i - - - I - - - ♦ ♦ i CE3 I � 11 l REINFORCED CONCRETE II II _ I I) I—I— ll-- ! !_ L I J I. A. THE MINIMUM 28 DAY CONCRETE COMPRESSIVE STRENGTH SHALL BE: L I_J FOUNDATION FOOTINGS 25010 P51 2�COLUMN PEDESTALS 25000 PSI TYPICAL PEDESTAL PER i, I I - B. THE MAXIMUM SLUMP -SHALL BE'4 INCHES.. � I UNLESS OTHERAISE NOTED I ' G. THE MINIMUM GEMENT CONTENT SHALL BE 500 L55/CY. r 1 O 2. PORTLAND GEMENT SHALL CONFORM TO ASTM( 0150, TYPE i OR II. 3. AGGREGATES FOR NORMAL WEIGHT CONCRETE SHALL CONFORM TO ASTM 033. _ _ 3-- 4. ADMIXTURES USED TO INCREASE THE WORKABIILITY OF THE CONCRETE SHALL NOT BE _!_ A L-- J-----� �----J CONSIDERED TO REDUCE THE SPECIFIED MINIMUM GEMENT CONTENT, I BUILDING Z 5. READY -MIX CONCRETE SHALL BE MIXED AND (DELIVERED IN ACCORDANCE WITH ASTM Ca4. 6. MINIMUM CONCRETE COVER (IN INCHES) FOR REINFORCING STEEL FOR NON- PRESTRESSED REFERENCE CONCRETE LINES I Z A. CAST AGAINST AND PERMANENTLY EXP05EID TO EARTH 5to B .FORMED SURFACES EXPOSED TO EARTH OR WEATHER O Z #6 AND LARGER 2„ FOUNDATION PLAN #5 AND SMALLER 1 I/2" ' SCALE: I/8"s l' -O" 7. SLEEVES, PIPES, AND CONDUITS SHALL NOT BE` PLACED THROUGH CONTINUOUS OR SPREAD L� FOOTIN65, GRADE BEAMS, OR TIE BEAMS. ` Q e).,ALL EXPOSED CORNERS SHALL BE GHAMFEREID 3/4 INCH UNLESS NOTED. Q. CONSTRUCTION JOINTS SHALL BE ADEQUATELY' KEYED. THEIR LOCATIONS AND DETAILS, , WHEN NOT SHOWN ON THE DRAWIN65, SHALL BE SUBJECT TO THE APPROVAL OF THE ENGINEER, fwmOVEDuj Ekitte Cou 0 col - Et1Mlf'Cti11i111i�Aj U. ry O 5 -*5 -TIES WITHIN 4 - 5/4" x 24" A.B. Q TOP 6 -OF PEDESTAL- - AT. EACH COLUMN TIEST APART PER STAR DRAWINGS - Z AROUND COLUMN I ANCHOR BOLT. COLUMN t FOOTING I ANCHOR ASSEMBLIES V A55EMBLY AT i I . COLUMN E PEDESTAL i i - FOOTING SCHEDULE: # �® I8"o.c.TRANS I D PORTAL FRAME - 5 3/4 CHAMFER AN�HOR BOLT ry Z 3/4 CHAMFER PEDESTAL NOTE. I SIMILAR TO TYP i TYP. A5�EMBLY PER TYP. i COLUMN — I BLDG SUPPLIER U5 TIES ®5"3 TIES ® 5" o.c. AROUND BOLTS "ry Z_ CONCRETE ARS)UND BOLTS CONCRETE 7"-'P UON b" PEDESTAL TYt4' UON PEDESTAL PLAN VIEW TYPE A B C D E F; G RE I NF. 0 -71-011-71-0113'-0" 1'-4" ' '' 2 NONE NONE NONE 5-#5 EW 4'-6" I'-4" 2'-3" I'-1I,� 8,, g,- t 4-:05 EW TOP E BOTTOM COLUMN PEDESTALS SHALL #5 c® 15 "o .c . i BE POURED MONOLITHICALLY ar LOMIG.AT TOP ! WITH FOOTINGS, NO GOLD ry = JOINTS SHALL BE PERMITTED. `l PEI2 TOLL y _ I✓ x� �L f `i - 1-#5 TIE I:: BELOW 2t' f v m z { TOP OF FOOTING f v ry i TO Environmental Health 23 >>— fII 5-#5 VERT. DOWELS IN KEY EO. SPACED (GNTRD IN FTG) W/#5 CONT. ® 12" b.c. (HORIZ) RE I NF REO'D I N T`(PE I. t I E FOOTINGS ONLY F `I A ' i r� x WIDTH B `12" MIN EMBEDMENT JAN 18 2002 AT ANCHOR BOLTS Chico TYP , California — BOTTOM LONG. REINF. or► I/D/02 PER SCHEDULE SCAU c�l�Of isSI MAYA urr�'`�'I�I •�l�iA���� �n. did r.r n 111.1/ %, FlUm ` l,-UlZ X 36 niwru Oft N& l"+ cUEARruwr. lb\ 1.15 r i� O F T 1-= I L 6a Aj V r REVISIONS I BY Date j ` j Scal• o0 Drawn Job fr Sheet / Of 1 Sheets