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Home My WebLink About040-170-091r 040-170-091 PERMIT#94-2355 MEGIBON, JOSEPHINE 2036 BENZ RD., DURHAM. CONT;' EXECUTIVE HOMES 1v, MH ON PERM FND 040-170-091 r 01-1185 BRETT, ARMANDt �aI 2036 RENZ RD., DURHAM _g cIL CONTR: OWNER DEMO FDN FOR EX MH 040-170-091 n I -13U3 , BRETTT+1rma WALED 2036 RENZ RD. DURHAM CONT: GEOFF LANE NEW 5BR SF 040-170-091 01- 20 BRETT, ARMAND 2036 RENZ RD. DURHAM CONT: WINDSONG CONST b 0/ TEMP POWER FOR SF v 7 v -I , w . T, r� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES) BUILDING PERMIT APPLICATION' Phone: (530) 538-7601 Fax (530) 538-2140 Website: www.buttecounty.net/dds Payment of Fees Required at Time of Application PLEASE PRINT CLEARLY/ PROJECT. LOCATION` APN> 0-170-0 -000 Property Address- t 2036 Renz Rd: City Location must not be in the city limits of Chico, Gridley, Oroville or Durham Paradise, click below for parcel information hftp://sk.chicomagworks.com/ PROPERTY OWNER INFORMATION, Last Name First Name Brett Armand Mailing Address 2036 Renz Rd. City State Zip Durham CA 95938 Phone Fax 530-345-9551 Cell Email Cell 1armandjoey@oomcast.net 4'jmzq 1 CONTRACTOR Name Emard's EST dba Solar Universe Mailing Address 3344 Swetzer Ct. Ste. A City State Zip Loomis CA 95650 Phone Fax 916-444-1680 916-677-8373 Email Cell alindsey@solaruniverse.com 916-344-4603 License No. 4'jmzq 1 876123 C10Class1 �22 WIC IIIt= APPLICANT •. ARCHITECT/ENGINEER Name Lindsey Maili ddress Mailing Address City State Zip Phone F Email Cell CA State License No. Fax APPLICANT •. Last Name First Name Lindsey Adam Mailing Address 3344 Swetzer Ct. Ste. A City State Zip Loomis CA 95650 Phone Fax 916-444-1680 916-677-8373 Email Cell alindsey@solaruniverse.com 916-343-4603 PERMIT NO� BINN02 WORKER'S COMPENSATION Policy Number, 57WEQT2246'" mer ^ artford- If hiring other than a licensed contractor, a certificate of worker's compensation must be shown at the time of permit issuance LENDING AGENCY " 1 Name Mailing Address City State Zip DESCRIPTION OR SCOPE OF WORK Mobile Home permits (other than installation, foundation, utilities & non-attached structures) are issued by the State. Tell staff if this permit is for a Mobile Home. Click below to see Manufactured Home Alterations and Permit Guidelines at: htto:/twww.hcd.ca.gov/codes/mho/HCD Phone: (916) 255-2501 Installation of 7.2kW Ground Mounted Photovoltaic System. JOB VALUATION (Enter value of labor, including $32,000.00 non -contracted, plus materials charge) ;- Code Enf: LJ YES Square Feet Detail Living Area: Garage: Open Area: Covered Area: Permit Tech: 3,200. ElStructure Built without permits TOTAL SQ:' 3,200 Ll Proposed Change of Occupancy/Use - Note previous/current use below: related to this application is subject toe Forms/Building Permit Application 1109} FOR OFFICE USE ONLY Zoning: Flood Zone: SRA: ❑ YES NO NPDES YES ETN6, Code Enf: LJ YES U NO Legal Lot: YES ONO. Occupancy l Type Construction. Permit Tech: Date,:, j �L� related to this application is subject toe Forms/Building Permit Application 1109} BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#: (530) 538-4365 OFFICE #: (530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds b+",9 N"r la tf. vc� 4 R �sPROJECTgINFORMATION' "J*` Site Address: 2036 RENZ RD Owner: Permit NO: 1310-1309 APN: 040-170-091 WELLNESS WORLD TRUST, Issued Date: 09/14/2010 By: KEJ Permit type: MISCELLANEOUS 2036 RENZ RD Subtype: PHTOVTAIC SYS GRND DURHAM, CA 95938 Expiration Date: 09/14/2011 Description: GROUND MOUNT SOLAR (530) 345-9551 Occupancy: Zoning: A-10 Contractor Applicant: Square Footage: EMARD'S EST DBA SOLAR UNIVERSE EMARD'S EST DBA SOLAR U Building Garage Remdl/Addri 3344 SWETZER CT STE A 3344 SWETZER CT STE A LOOMIS, CA 95650 LOOMIS, CA 95650 Other Porch/Patio Total (916) 444-1680 (916) 444-1680 FEE'INFORiVIATION 'i`Y r DB CA SB1473 100% $2.00 DBEH Building Review Fee $105.00 DBMSC Photovoltaic System/Syst $444.00 DP Planning Clearance for Perm $81.50 Total Charged: $632.50 Fees Paid: $632.50 Balance Due: $0.00 Receipt No: B003262 "LICENSED CONTR_ACTOR'S DECL`ARATION;'w` `�'OWNER`IBUIL'QER!DECL:ARATIONgti+a Contractor (Name) State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for EMARD'S EST DBA SOLAR UN 87612.3 / / 04/30/2012 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the 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 applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions is in full for an effect of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the X ~ Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by for 09/14/2010 any applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contractors Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or �4 r WORKERS COMPENSATION DECLARATION _' - I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, ❑ I have and will maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or compensation, Issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of the property, am exclusively contracting with licensed Contractors to ❑ 1 have and will maintain workers' camperisation insurance, as required by Section 3700 Of the Labor Code, for the performance of the work for which this permit is issued. My workers' construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Hartford 57WEQT2246 12/31/2010 Cartier. Policy Number. Exp. Date: Law.). I am exempt from licensure under the Contractors' State License Law for the following ❑ ❑ 1 certify that, in the performance of the work for which this permit is issued, I shall not reason: employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' X 09/14/2010 pe ation provisions of Sectio 3700 of the Labor Code, I shall forthwith comply with Owners Signature Date t e ovisions. 09/14/2010 PERMIT,'APPLI.CANT D'ECLARATIONx _ Sign ure Date WARNING: FAILURE TO SE RE WORKERS' COMPENSATION COVERAGE IS By my signature below, I certify to each of the following: I am U a California licensed contractor or U the property owner* o<uthorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owners behalf". AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I agree to comply with all applicable city and county ordinances and state laws relating to building I authorize epesenttati es of this city or county to enter the above -identified property fo=ption purpose ..California Licensed Contractor, Property Owner' or Authorized CONSTRUCTIONLENDING AGENCY;DEC L:4ARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). X 09/14/2010 Lenders Name and Address Name of Permittee GNI Print Date FILE COPY Lenders Name & Address City State Zip Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B10-1309 Date: 09/02/2010 Location: 2036 RENZ RD By: KEJ Parcel Number: 040-170-091 Owner Name: WELLNESS WORLD TRUST, Description: GROUND MOUNT SOLAR Sub Type: PHTOVTAIC SYS G: Phone: (530) 345-9551 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 -acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: �� et 7l 3.s...t S� �-a.✓�-� FILE Date: 09/02/2010 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit (per Butte County Code Chapter 26, Article 1, Section 263.1). A permit may be renewed (for a fee) prior to expiration a maximum of two (2) times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://muniCipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B10-1309 Location: 2036 RENZ RD Parcel Number: 040-170-091 Date: 09/02/2010 Owner Name: WELLNESS WORLD TRUST, Phone: (530) 345-9551 Description: GROUND MOUNT SOLAR Signature of Applicant: a Date: 09/02/2010 FILE NO MO RECORDED M111 TO: eorE BUILDING 7 COUNTY STIM ADW= OROVILLE Off. STATE. Aw a DIVISION CENTER DRIVE CA 95965 94-043250, I Recorded I Official Records I• County of I Butte I Candace J. Grubbs I I Recorder I -`2: 18pm 13 -Oct; 94 -1 v 94-43250 ' Rec Fee .00 Total .00 1 ,. COMS XX 13 1 NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the locai,agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such'local agency has issued q certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed ' by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. JOSEPHINE MEGIBOW REAL PROPERTY OWNER/LESSOR 2060 AMANDA WAY #75 MAILING ADDRESS CHICO, BUTTE, CA 95928 CRY COUNTY STATE ZIP 2036 RENZ ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT DURHAM, BUTTE, CA 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (.If also property owner, write "SAKE") KAIL:NG A=RESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT wW CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CRY COUNTY STATE ZIP 94-2355 (916) 538-7541 BUILD NG PEWT TELEPHONE NUMBER 10/13/94 SIGNATURE OF LOCA OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (I°•n _ _ aM.•'_or sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD HOMES 1995 561-3D MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLR17A/B168085K 61' X 26' RAD783477/783478 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) P A . P,` #040-170-09.1: REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. OIL141 Or ~••4iHCD FORM 433(A) 4/86 w 30 1 • O I :� / C0 94-43275:0�.- The land referred to herein is described as-followsz _f• All that certain real property situate in the County of Butte, California, described as follows: PARCEL I: State of A portion of Allotment'9 according to the Subdivisional Plan of the Durham State Land Settlement recorded in the office of the Recorder of the County of Butte,.State of California, on September. 17, 1918, in Map Book 8, at pages 16, 17 and 18, and more particularly described as follows: The Westerly one half of the following described property: Commencing at the Southeast corner of said Allotment No. 9, which corner lies in the centerline.of Cummings Road; thence North O1° 02' West, 145.00 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described, said true point of beginning being also the Northeasterly corner of the land described in'Deed from Charles R. Crowl, et ux, to Robert Lee Scott, et ux, recorded May 29, 1963 in Book 1248 of Official Records of Butte County, at page 288; thence from said true point of beginning, along the South line of said Scott parcel, South 88° 47' West, 535.83 feet parallel to the South line of said. Allotment No. 9; thence North O1° 02' West, 162.59 feet parallel to the East line of said Allotment No. 9; thence North 88° 47' East, 535.83 feet parallel to the South line of said Allotment No. 9 to a point on the East line of said Allotment No. 9 and the centerline of Cummings Road; thence South 010 02' East 162.59 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to.the point of beginning. AP No. 040-170-091 PARCEL II: A nonexclusive easement for road and public utilities over, under and across the Westerly.20 feet and the Southerly 40 feet of the following described parcel: The Southerly 125.00 feet of the following described parcel of land: A portion of Farm Allotment No. 9, as the same is designated and delineated on that certain Map entitled, "Subdivisional Plan of the Durham State Land Settlement, being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was recorded in the office of the Recorder of the County of Butte, State of California, September 17, 1918, in Book 8 of Maps at pages 16, 17 and 18, more particularly described as follows: Commencing at the Southeast corner of said Allotment 9, which corner lies (Continued) 9 3 in the centerline of Cummings Road; thence North -010 02' . West,` 20.00 lv .feet along the East line of said Allotment 9 and the centerline.of Cummings Road to the true point of beginning for the parcel herein, described; thence from said true point of beginning, South 880471 West, 535.83 feet parallel to the South line of said Allotment 9; thence North 010 02' West, 737.48 feet parallel with the East line of said Allotment 9 to a point on the North line of.said.Allotment 9; thence along the North line of said Allotment 9, East 535:74 feet to the Northeast corner of said Allotment 9 and the centerline of Cummings Road; thence South 010 02' East, 726.10 feet along the East line of said Allotment 9 and the centerline of Cummings Road to the point of beginning. END OF DOCUMENT END OF DOCUMENT Zell �,U„i Z � r x i ,^� » t, � 'C it .i 7'•- f _ � f�.,� syt r � 1 � - fc�iV.:!}�,,df3k k�ia ',� s V�v t � r 4 f R r r x s�',� i. '�,C'.�.ir a { ri' �. F•i .s 'J'i f.; , i r n , :;• a� . �t �' r •'° `iidjYYsy 3�r r r. - r"^ r a t. :s >�,t8r r , �. "�n .sr{. -F `h °l..az•;,!S•?`�.c. ;'. ... ?�4 H �.r r+. ••�+ fr }�i a-�i w taR. K �<• COMMBRCE 'SECURITY BANK u Date: 8-10-94 To Whom It May Concern: This is to certify that Commerce Security Bank will be the lender for a manufactured home'and the property located at Lot 91, Renz Rd D ham a, 9593.8 A.P. No. 040- j0-091 Our permission is given to place said manufactured home on a permanent foundation. In fact, this is required by Commerce Security Bank to secure both home and land with a 1st Deed of Trust. Sincerely, Mike Pearsall. Loan Officer r 14301,151 Aventie. Suite I Chic%). Cii111nrnla 05921. (916)342.0300 This unit is a: Decal (License RAD783477 RAD783478 TEL No . Oct 13,94 .13:27'No.006 P'.02. SODSINGFANDLCOMMUNITY OEPARTMSKT'OR N DEVELOPMENT DIVISION OF CODES AND STANDARDS RE6ISTRATION AND TITLING SECTION STATEMENT OF FACTS Mobilehome Commercial Coach Floating Home o.(s) Trade Name Serial No.(s) FLEETIMD CAFT. R 17A 168085K CAFLR17B168085K .I/Ke, the undersigned, hereby state that the unit describol above; THIS IS TO VCRIFY THAT THE ABOVE DESCRIBED M0l31l.hHUMIt IIAS NEVER BEEN INSTALLEb -PREVIOUSLY. Truck Camper %ffiant further agrees to indemnify and save harmless the Director of Housing and Community )evelopment, State of California, and subsequent purchasers of said unit, for any loss they. nay suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. t/we Certify -under penalty of perjury that the foregoing is true and correct, :xecuted on at a e y tate) Signature of each affiant Printed name -of each affiant ,ddress i ty State CO 416.6 (Rev 11/86) Addrou or location of 1.0901 Dewriplion of ROW prop". SEE ATTACED LEGAL DESCRIPTION.. v c * �a'r ccs c. B RMR NO. 94-2355 2036 RENZ ROAD, DURHAM A.P. #040-170-091 A T-.Mobilehome/Manufactured Home ElCommercial Coach has been affixed to real property described above by installation on a foundation system pursuant tc Health and Safety.Code Section 18551. Owner's name: JOSEPHINE MEGIBOW Owner's address: 2060 AMANDA WAY #75., CHICO CA 95928 INSIGNIA OR HUD NUMBER: RAD783477/783478 SERIAL NUMBER OR V.I.N. CAFLRI7A/B168085K HOMES YEAR OF MANUFACTURE:- 10/13/94 ANUFACTURE:_10/13/94 MCD 9 1 3G f7/001 1995 (916) 538-7541 'fir ' RECORDING REQUESTED BY Lw I Ida -E. Wangberg A!t!D WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE SHOWN BELOW, MAIL TAX STATEMENT TO: Name Josephine Megibow Street 2060 Amanda Way #75 Address 0iry8 scare Chico, CA 95928 Zip Title Order No T 355 Legal (2-94) Escrow No. 94-03412S r. I Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I �CLA P e�, .piv,t �. Rec Fee. 12. 00� Check 12.00 8:00am 15 -Aug -94 I BWTC JR SPACE ABOVE THIS LINE FOR RECORDER'S USE Grant Deed 3 THE UNDERSIGNED GRANTOR(s) DECLARE(s) DOCUMENTARY TRANSFER TAX IS $ — 0 — XX unincorporated area ❑ City of Parcel No. 040-170-091 ❑ computed on full value of interest or property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ida E. Wangberg, a widow hereby GRANTS) to Josephine Megibow, A married woman as her sole and separate property the following described real property in the UNINCORPORATED AREA county of Butte , state of California: Dated (see attached) "This is a bonafide Gift and Grantor received nothing in return, R & T 11911:" S -s - 9 LK STATE OF CALIFORNIA } S.S. COUNTY OF On --5 before me, a Notary Public in and for said County and State, personally appeared personally Known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the Within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(es), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the ed a ecuted 94 i strument. WITNESS n ff' i seal Signature / • DAVID HAU(OLA ■ ■ NOTARY 8610 WIFOF011I► e ■ -m Mme res • s My !ni W a ■ (This area for official notorial seal) naa�aara.r wtAn Ac niDC!`TCT AR(1VR MAIL TAX STATEMENTS TU PA I'T 5.nUWr4 Ur rULLAJTTu.as a.u" ., ..�, . _— Name Street Address city & state Grant Deed I w CHICAGO TITLE COMPANY 0 WESTERN REGIONAL HEADQUARTERS 1717 WALNUT GROVE AVENUE ROSEMEAD, CA 91770 (818) 307-7000 Grant Deed CHICAGO TITLE COMPANY 0 WESTERN REGIONAL HEADQUARTERS 1717 WALNUT GROVE AVENUE ROSEMEAD, CA 91770 (818) 307-7000 Grant Deed CHICAGO TITLE COMPANY O WESTERN REGIONAL HEADQUARTERS 1717 WALNUT GROVE AVENUE ROSEMEAD, CA 91770 (818) 307-7000 w Order No. 2-167229 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of Allotment 9 according to the Subdivisional Plan of the Durham State Land Settlement recorded in the office of the Recorder of the County of Butte, State of California, on September.17, 1918, in Map Book 8, at pages 16, 17 and 18, and more particularly described as follows: The Westerly one half of the following described property: Commencing at the Southeast corner of said Allotment No. 9, which corner lies in the centerline of Cummings Road; thence North 01° 02' West, 145.00 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described, said true point of beginning being also the Northeasterly corner of the land described in Deed from Charles R. Crowl, et ux, to Robert Lee Scott, et ux, recorded May 29, 1963 in Book 1248 of Official Records of Butte County, at page 288; thence from said true point of beginning, along the South line of said Scott parcel, South 88° 47' West, 535.83 feet parallel to the South line of said Allotment No. 9; thence North 010 02' West, 162.59 feet parallel to the East line of said. Allotment No. 9; thence North 880 47' East, 535.83 feet parallel to the South line of said Allotment No. 9 to a point on the East line of said Allotment No. 9 and the centerline of Cummings. Road; thence South 01° 02' East 162.59 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the point of beginning. AP No. 040-170-091 PARCEL II: A nonexclusive easement for road and public utilities over, under and across the Westerly 20 feet and the Southerly 40 feet of the following described parcel: The Southerly 125.00 feet of the following described parcel of land: A portion of Farm Allotment No. 9, as the same is designated and delineated on that certain Map entitled, "Subdivisional Plan of the Durham State Land Settlement, being a portion of the Esquon Rancho. situated near Durham, Butte County, California", which Map was recorded- in ecordedin the office of the Recorder of the County of Butte, State of California, September 17, 1918, in Book 8 of -Maps at pages 16, 17 and 18, more particularly described as follows: Commencing at the Southeast corner of said Allotment 9, which corner lies (Continued) Order No. 2-167229 SCHEDULE C r The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: ._.PARCEL I: �A portion of Allo ment 9 according to the Subdivisional Plan of the Durham State Land Settlement recorded in the office of the Recorder of the County of But e, State of California, on September 17, 1918, in -Map Book 8, at pages (, 17 and 18, and more particularly described as follows: \ 'The Westerly one ha�� of the following described property: Commencing at the So t east corner of said Allotment No. 9, which corner lies in the centerlin of Cummings Road; thence North 010 02' West, 145..00 feet along the ast line of said Allotment No. 9 and the centerline of Cummings oad to the true point of beginning for the parcel herein described, said rue point of beginning being also the Northeasterly corner of he land described in Deed from Charles R. Crowl, et ux, to Robert Lee Scot et ux, recorded May 29, 1963 in Book 1248 of Official Records of Butte ounty, at page 288; thence from said true point of beginning, along a South line of said Scott parcel, South 880 47' West, 535.83 feet paral el to the South line of said Allotment No. 9; thence North 010 02' West, 1 2.59 feet parallel to the East line of said Allotment No. 9; thence Nort 880 47' East, 535.83 feet parallel to the South line of said Allotment o. 9 to a point on the East line of said Allotment No. 9 and the cente ine of Cummings. Road; thence South 010 02' East 162.59 feet along the Eas line of said Allotment No. 9 and the centerline of Cummings Road to a point of beginning. AP No. 040-170-091 PARCEL II: A nonexclusive easement for road an ublic utilities over, under and across the Westerly 20 feet and the o therly 40 feet of the following described parcel: The Southerly 125.00 feet of the follo\of ribed parcel of land: _ A portion of Farm Allotment No. 9, as is designated and delineated on that certain Map entitleisional Plan of the Durham State Land Settlement, being a f the Esquon Rancho, situated near Durham, Butte County, Ca, which Map was recorded in the office of the Recorder of the Cutte, State of California, September 17, 1918, in Boosat pages 16, 17 and 18, more particularly described as follows Commencing at the Southeast corner of said Allotment 9, which corner lies (Continued) a 34 123 Order No. 2-167229 in the centerline of Cummings Road; thence North 010 02' West, 20.00 feet along the East line of said Allotment 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described; thence from said true point of beginning,. South 88° 47' West, 535.83 feet parallel to the South line .of said Allotment 9; thence North 010 02' West, 737.48 feet parallel with the East line of said Allotment 9 to a point on the North line of said Allotment 9; thence along the North line of said Allotment 9, East 535.74 feet to the Northeast corner of said Allotment 9 and the centerline of Cummings Road; thence South 010 02' East, 726.10 feet along the East line of said Allotment 9 and the centerline of Cummings Road to the point of beginning. lIffill Flu. . END OF DOCUMENT I Recorded at the request of Return to ..................... Fitt M.1e./r.-ao.a.1ty UP............ 2128 Cohasaett Road .................................. o: -California 27190 wK1370 PACE528 RECORDED' AT THE REQUEST Of OROVILLE TTTLE Co mpANV .! _/7 -min. pasF �� o'eloeL OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA cTTH L M. ES,TGS; County R.cotd., Qd/ OEPUTY RECOROER GRANT DEED (Joint Tenancy) For value received LEONARD R. SCHREINDL and BEVERLY JEAN SCIR2EINDL GRANT ............ to LOWELL D. WANGBERG and IDA E. WANGBERG husband and wife, ' as JOINT TENANTS all that real property situate in the County of Butte . State of California, described as follows: A portion of Allotment 9 according to the Subdivisional Plan of the Durham State Land Settlement recorded in the office of the Recorder of the County of Butte, State of California, on Sept- ember 17, 1918, in Map Book 6, at pages 16, 17 and 18, and more particularly described as follows: The Westerly one half of the following described property: Commencing at the Southeast corner of said Allotment No. 9, which corner lies. in the centerline of Cumming Road; thence North 010 02' West, 145.00 feet along the—East line of said Allotment No. 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described, said true .point of beginning being also the Northeasterly corner of the land described in'Deed from Charles R. Crowl'et ux to Robert Lee Scott et ux recorded May 29, 1963 in Book 1248 of Official Records of Butte County, at page 288; thence from said true point. of beginning, along the South line of said Scott parcel, South 880 47' West, 535.83 feet parallel to the South line of said Allotment No. 9; thence North 010 02' West, 162.59 feet parallel to the East line of said Allotment No. 9; thence North 880 47' East, 535.83 feet parallel to the South line of said Allotment No. 9 to a point on the East line of'said Allotment No. 9 and the centerline of Cummings Road; thence South 010 02' East 162.59 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the point of beginning, and containing 2,00 acres, more or less. Dated ............ Apri.... 26.......... I*N1 D. SCHLA ! NOTARY PUBLIC Ui T= -DJNiY, CALIF. STATE OF CALIFORNIA County.ol Butte pti_April 26 lg 65_, before me^ Irvin_D, Schlaf a Notary Pubuc, In and for sai&llutte County and State, yeraonaUy appeared -_..Lennard R _ -91 hrai ndl and Beverly Jean S,-hreindl - -- -----• --- k++won to me to be the persaIL&whose names_5_—sululscribed to the within instrument. and achnow .ed to +ne tAat —Shey—executed the same V ►� My commission erpires_August 12a 1968-C._�—� � OROVILLE TITLE COMPANY Notand Pubue 0 gQ 7175o -m -6o -67rr- 0 E s s To _ 3-13- 199 1 ; w ) r 4 boy 6As0.rnC C) t/Z9 MCOM MO FMOUlST[O ey r;.. Ida.E. Wangberg MO *KN fLLCCnDto VM IWS DEED AW. Vfa.166 OfHPglla 09000il DO 40W. NA4 IAA arAfttltllf 10 hl— Josephine Megibow a 206U Amanda Way 075 la... Chico, CA 95928 to Tdk (IW" No. _ I-- No .._.� T 366 Log (2AI) It 9a -3m 113 94-0341231 Rvc Fee 12.00 I Check 12.00 Recorded 1 Official Rocbrde I County of 1 Butte 1 Candace J. Grubba I Recorder I 8t00am 15 -Aug -94 I BWTC JR 3 SPACE "OV£ TM UHE FOR RECORXR•$ UM Grant Ind THE JNDERMGNED GRANTORt.I DECtaREm DOCUMENTARY TRANSFER TAX IS S -0- 6(X-- unircwpont iJ area ❑ City of Parcel No. _030-170-091 ❑ nxnpulcd on full value of ialtresl or property conveyed. or ❑ computed on full value less value of liens n c(xvmbrances remaining m tinve of ink. and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ida E. Wangberg, a widowi hereby GRANTS) to Josephine Meg ibow, 'A married waren as her sole and sepe-rate property the following described real property in the UNIPX)ORPORATED AREA cO my of . Butte .state of California: (see attached) "This is a bonafide Gift_ and Grantor received nothing in', return, R 6 T 11911." I)atcJ v --s - � STATE OF CALIFORNIA �7 COUNTY OFk. C _, y B.S. On -- before me. o Nolnry PuMrc in and I(x Said ounty and State, personally appeared ---- tj4--- persona:ly Known to me (0, prrwod to me on I� kis of sati9factory evrdencn) to be the per "49) whose namp(s) Is/are subscnbed to the within instrument and ocknOwtodgnd to ma that holsh.dthey er9c sited ,hp same in hmifieftlf er auilYxl)M cAenr'tyfias). and IhAt by NA/hAfAhou spnalure(s) on Inn inslrumant the person(s), of the entity upon behalf OIwhich Ihe,parsay(g) lad, exotulExi 1 strvmenl W17 NE SS nand am f�Na1 S-gnature ._ . ✓ ._ .. _. __ . �"T 161 1:. WANc7)1:ItC� ✓/ ge�•ooa■oeeea■eeeaeee® CAM HAUOLA • \ (ptkP•r net �: ix •OTasA ■ • ®Seaeeeeee■eeeeee•eeeFjl J 94-34123 ;L Order No. 2-167229 SCHEDULE•C The land referred to herein is.described as follows: All that certain real property situate 4n the County of Butte, State of California, described as follows: PARCEL I: AP No. 040-170-091 PARCEL II: A nonoxclusive easoment for road and public utilities over, under and across the Westerly 20 feet and. the Southerly 40 foot of the following described.parcel: . The Southerly 125.00 feet of the following described parcel of land: A portion of Farm Allotment No. 9, as th© same is designated and delineated on that certain' Map entitled, "Subd.ivirional flan of the Durham State Land Settlement, being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was recorded in the office of the Recorder of the County or Butte, State of California, September 17, 1918, in Book 8 of Maps at pages 16, 17 and 18, more particularly described as follows: Commencing at the Southeast corner of'said Allotment 9, which corner lies (Continued) A portion of Allotment,g according to the Subdivisional Plan of the Durham State Land Settlement recorded in -the office of the Recorder of the County of Butte, State of California, on September 17, 1918, in Map Book 8, at pages.16, 17 and It,-. -and core.particularly described as follows: ,Q The Westerly one half,of the following described property: G� Commencing at the Southeast cotner,of said Allotment No. 9, which corner S lies in the centerline of Cummings Road; thence North O1. 02' West, 145.00 feet along the.East line of said Allotment No. 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described, said true point of beginning being also the Northeasterly corner of the land described in Deed from Charles R. Crowl, et ux, to Robert Lee Scott, et.ux; recorded May 29, 1963 in Book 1248 of Official Records of Butte County, at page 288; thence from said true point of beginning, along the South line of said Scott parcel, South 88' 47' West, 535.83 feet parallel to the South line of said Allotment No. 9; thence North -01. 02' West, 162.59 feet parallel to the East line of said Allotment No. 9; thence North 88° 47' East, 535.83 feet parallel to the South line of said Allotment No. 9 to a point on the East line of said Allotment No. 9 and the centerline of Cummings Road; thence South 01. 02' East 162.59 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the point of beginning.. AP No. 040-170-091 PARCEL II: A nonoxclusive easoment for road and public utilities over, under and across the Westerly 20 feet and. the Southerly 40 foot of the following described.parcel: . The Southerly 125.00 feet of the following described parcel of land: A portion of Farm Allotment No. 9, as th© same is designated and delineated on that certain' Map entitled, "Subd.ivirional flan of the Durham State Land Settlement, being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was recorded in the office of the Recorder of the County or Butte, State of California, September 17, 1918, in Book 8 of Maps at pages 16, 17 and 18, more particularly described as follows: Commencing at the Southeast corner of'said Allotment 9, which corner lies (Continued) 94-34113 Order No. 2-167229 in the centerline of Cummings Road; thence North 01. 02' West, 20.00 feet along the East line of said Allotment 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described; thence from said true point of beginning, South 88. 47' West,' -535.83 feet parallel to the South line of said Allotment 9; thence North 01. 02' West, 737.48 feet parallel with the East line of said Allotment 9 to a point on the North line of said Allotment 9; thence along the North lino of said Allotment 9, East 535.74 feet to the Northeast corner of said Allotment 9 and the centerline of Cummings Road; thence South 01. 02' East, 726.10 feet along .the East line of said Allotment 9 and the centerline of Cummings Road to the point of beginning. 3 RESIDENTIAL '040-170-091 01-1308 IA RMAN D,�BRETT ,2036 RENZ RD. DURHAM ,CONT: GEOFF LANE ,NEW 5BR•SF t .l f ''� - .ti tr .""N. .S ^n�Y tit Ltd• �/ �' r' L.r, SPECIAL -CONDITIONS 3.. 1 IN F `f`.w - � ,' *x* :; .? `•; } ¢ CHECKED - f SRA', *. _L"FLOOD CERTIFLCATE REQ. s i• s' ., ,. FIRE SPRINKLERS REO: SPECIAL`INSPECTjONIITEMS r t, (3 Cit USE PERMIT. CONDITIONS; SUB -STANDARD HOUSING LETTER _. OFFICE COPY Address- { tlMet r'By Datei" } ELECTRIC Meter By Date ELECTRIC �r Meter By Date INALE� JOB FINALED (D e r Signature �r - Ili �j RESIDENTIAL '040-170-091 01-1308 IA RMAN D,�BRETT ,2036 RENZ RD. DURHAM ,CONT: GEOFF LANE ,NEW 5BR•SF t .l f ''� - .ti tr .""N. .S ^n�Y tit Ltd• �/ �' r' L.r, SPECIAL -CONDITIONS 3.. 1 IN F `f`.w - � ,' *x* :; .? `•; } ¢ CHECKED - f SRA', *. _L"FLOOD CERTIFLCATE REQ. s i• s' ., ,. FIRE SPRINKLERS REO: SPECIAL`INSPECTjONIITEMS r t, (3 Cit USE PERMIT. CONDITIONS; SUB -STANDARD HOUSING LETTER _. OFFICE COPY Address- { tlMet r'By Datei" } ELECTRIC Meter By Date ELECTRIC �r Meter By Date INALE� JOB FINALED (D e r Signature OK r D = Not OK NotAppable • = Not Ready MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 Zoning Requirements -Setbacks -Easements „- 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors w Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete t 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater a 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test 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 Date 3. Gas; MH Test -Demand -Valve -Connector Date 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 -FID 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 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except#'s- J' T' 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 w 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 7. 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 4 ✓ = OK 0 = Not OK - = Not ApplicIble - RESIDENTIAL (: = Not Ready Date 4nderfloor (Plans) OK except #'s j),'�C),Ot 1` 4:37� 3yning-Setbacks - Ease me5k�±lood-Slope �-r— VAXer' , Main; Soils-Ele rnd.-/ /" Ftg. Depth A.0 s Insulation & Support Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Y �� e Fan, Exhaust above insulation g., Porches & Decks; Soils -Steel -/12_ P' Ftg. Depth 3 ondensate Drain & Overflow, Size & Grade emwalls, Main; Steel -Blockouts-Wrapped 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -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 Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date MBING (Permit) OK except #'s Wate Htr.; Vent -Access -Combustion Air affle 18. er Pipe; Test & Anch -Nail Pro coon (—,& W.V.; Test Fittings & Anchor -Nail Protection 2 Shower Pan; Test, First Floor -Tub Access -L- 1/1 VL21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date ECTRICAL (Permit) OK except #'s Fre re & Transformer Clearance -Ins. Protection EI . Receptacles Spacing -Lights & Switches at Doors z oxes & No. of Conductors Stapled nstalled Close to Edge of Studs & C.J. 464p Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu o0AI- Wire Size / / ga(u> At 30. Ran Circle / / ga Cu or AI -Oven Circ. / a / ga or AI I ulated Neutral es O No vice- tser Conductors & Ground Main Disconnect -s-f'_Egwt0Xiearances Panels-Motors-Mech. Equip. 33. C hes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card Date Card B-1 *Date CHANIC L (Permit) OK except #'s A.0 s Insulation & Support e Fan, Exhaust above insulation 3 ondensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 DateAMING (Permit) OK except #'s Sill ro er Materials & Anchors 4 Studs -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing 4VIr Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) Range Post Caps -Anchors -Connectors 4Z.., ing. oist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting. -Rfng. 48 replace Ties or Type A Flue -Fireplace Throat Clearance 49. AtticAccess; Size & Romex Protection -Draft Stop -Ins. Baffles 0 dr . indows or Exiting Doors -Sill HL & Dimensi s arage Fire Protection Framing 1 52. Prope_dy ne Firewall & Openings %_20_Q,.4,s-One 3' -Check Garage 3rd Story, 2 Exits rs' Width -Headroom -Rise -Run -Landing -Fire Protection 55. Ply ood on Roof Overhang -Attic Vents -Rafter Outriggers 56. .ding -Nailing Veneer StucQo Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. ace Interior/Exterior Wall Panels . Insulation -Walls -Ceilings 62. Infiltration -Wal Windows Date Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date INAL (Plans) OK except #'s x Steps -Door & Sidelight Protection -Landings d%'Smp<e Detector 6 urnac ents-clearance-Comb. Air -Connector - In arage; Above Floor-Ducts-Mech. Protection Bed om Exiti F.I. & B Fixtures & Tub Access -Spa 6 . E i Subpanel, Breaker Sizes & Labels ai & Rails fireplace or Stove, Clearance -Hearth 7 e utlets at Wood Panel, Int. & Ext. MX Fi Appliance; Ground -Air Gap -Cooking Clearance 7 e utlet's & Receptacles at Kit. Counter ge F're Door; Swing -Landing -Closure A.0 uct in Garage -Damper tr. Htr.;,Vents-Clea rance-Comb. Air Connector-P.R.V. in age; Above Floor-Mech. Protection Ib. Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection 79. I nsofflion- oam-Looked in Attic (j�Muapkllails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under F ''or C) Yes 82. Following Inslld./Driv s D NoMalks J Yes o/Planlers J Yes io 89!Stuc rown-Finish C. Disconnect, Electrical -Plumbing ents Above Roof, Plbq-Appliance-Fireplace-Clearance to Openings 86. W r Well, Disconnect, Electrical, Plumbing rt�LExt%' lec. Trim, G.F.I. Receptacle -Underground 8&-1_en_LiW<on Throughout House 9 ections from Previous Inspections y f Gas t- eters Tagged, Gas -Electric & Sewer Connected -C/O to Grade -HD Approval n Compliance Certificate -Other Certificates ddress Posted Date Card B-1 Date Card B-1 Date Card B-1 v Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: cam COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751.. 7 County Center Drive • Ciroville, CA • (530) 538-7541 CORRECTION NOTICE -OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinance.s 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 heed additional explanation, cam f COUNTY OF BUTTE j BUILDING DIVISION v ( DEPARTMENT OF DEVELOPMENT SERVICES =' 411 Main Street • Chico, CA • (530) 891-2751> 7 County Center Drive • Oroville, CA • (5W)'538-7541 CORRECTION NOTICE `3 OWNER PERMIT.NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the r above address and should a corrected. Please notice this office when correction of work is -7i completed. If you have ' a p y y questions pertaining to this matter, or need additional explanation, : �? please contact this o e immediately. \ r�4 Date—/Inspecto REV 10/92 ti - I� A-7 w /& I� � DYE Cmlt r4,f /hr Li , N F/ °4 ate,' & WO \ r�4 Date—/Inspecto REV 10/92 ti 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 t t 13 a � OWNER t PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the t 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. 4 _ f 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. •F 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 COUNTY aF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /Z 3ORMyT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-091 ZONING AS BUILDING PERMIT OWNER ARMAND B= TELEPHONE SQ. FT. OCC. BUILDING VALUATION _. a _ JA/ 765 11 13,77o 00 . OWNERS MAILING 111DRESS 2036 RENZ RD. DURHAM, CA 95938 CONTRACTOR'S NAME GEOFF LANE Z WINDSONG CONSTRUCTION TELEPHONE 895-0781 -6o CONTRACTOR'S MAILING ADDRESS 319 CHICO CANYON ET). CHIM, CA 95928 216 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER aFn'FFRFY W- TANE LICENSE NO. C14954 —Filing Fee 20.00 Permit l=ee $ 986.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS 319 CHICO CANYON RD- CHIC0, CA 95928 Plan Checking Fee $ BUILDING ADDRESS 2016 'REN7 ]RD- DURHAM, CA 95912 Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 115.00 15-00 Each gas water heater or vent 15.00 15 00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work: NEW 5 RR SF Gas piping system 1 - 5 outlets 15.00 15 oo Building sewer15.00 Mobile Home S G W Q20.00 PERMIT FEE $ 234.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service zo.A OR LESS 23.00 23 00 LICENSED CONTRACTOR'S DECLARATION I ereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force and effect. r 'cense Classhi ' (� Lic. No. J tfZ 9 19 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. owELUNG occuP. OR ADDNS. BLDs. 3.5¢xso: 140.0 Noa°es,o ' MULTI -OUTLET 97,50 PSO APPARArus a SINGLE OUTLET CIR. x. Occup. OUTLET OR FIXTURES EO 20 @'•0O BA @ .SO Ex. Occup.. ounEis qIDLNS°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen o,(� insurance carrier and policy number are: Carrier /–F MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4.90 22-90 PERMIT FEP $ 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. w Date _ Aignatu!rLe AV, pant - Owner PC Contractor ❑ 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 $ 46.00 OCC CONS T. PETOT L FEE $ 2 241.90 HAZ. ..� D. FEES I FLOOD CDF PAR H ISSUE This permit is hereby issued under of the Butte County Code and/or indic b for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / (Da te Receipt No. d , �; �`S I WHITE-D.D.S.-B.D. CANKAY-ASSESSOR 7 PINK -INSPECTOR G DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMEN�j&F b 7 COUNTY CENTER DRIVE - OROVILLE; MENT SERVICES - BUILDING DIVISION'' 95965 - TELEPHONE (530) 538-7541 � •w,� l � ;ry. PERMIT APPLICATION DATA SHEET OWNER: /q'ii /� ASSESSOR PARC NUMBER: G �D- I '7D- 01/ Proposed Building Use: - Building Inspector: l/ Date: - '>I-01 At time of permit application, I as advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ E13. Complete plans, 3/4 sets, signed by the preparer of plans. 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. . Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. ------------------------------------------- / ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. E/ ❑ 8. Hazardous Material Form. --------------------------------- Manufactured Home data and installatinim u Fees of $ a -- , pact fees as shown on the attached schedule. ------- Tie Down Specifications. I 1 ,* ",i, i,, . California Department of Forestry plan approval/fees. -------------------------------------------------------- Flood elevation certificate. ------- � /G------------------------------------------------------------------- V�! 14. Sanitation and plot plan,approval G Health Department .------------------------------------------- 6' - (J E ,<J 1115. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: K (B) Parking:--------------------------7-12--� 1118. Contact Land Development about ❑ Improvements, ❑ Draina e� gal Parcel. --------------- ------ ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 0. Pre -inspection for required Request to Building Inspector on (D Contractor's license information. (Number, Name Stylesificaho------------------------------------ O - Workers' Compensation carrier and policy number.-----------------------------------------------------------10-2,01-a 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization.------------------------------------------------------- ------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement.--------------------------------------------------- 026. ------------------------------------------------ ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- �9. 0433 A, ❑pGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- „. : r Other: Af RO o 1, `O C, Lc• m' . O'er 1 w—" r .9y rLAvm r-J6r Wh you issue e t,�pr1ose , as follows ❑ Mail to owner, ❑Ma to contractor. Telephone (,/� and hold for pickup at G��G office. El Deliver with ' Spector. SrnUC fi. k2EV ICW (0 n n 1 3 �)O� Applicant Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Dare: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered S eck List 2. Additional items required: .moi+✓� -( designer, owner, was advised ofthe above required data by ❑phone, maildm , ur ivrs counter, by _JWkDate: C ac .,Q designer, owner, was advised Qf the above required data by ❑ plOne,�mail, o Building Division counter, by Date: 7_2n6 -d Montractor., designer, owner, was add a abs=d*ata by hone, ❑ mail, ❑ Building Division counter, by Date: D 5 f designer, owner, was 'sed of the above by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: q_a4 I Plans approved by: Date: I Sets of plans on hold in Plan Cabinet, ❑ A.P. folder. Note transfer by: I Date: _- T___1 _f'. _ T _ _ TO: FROM: DATE: INTER -DEPARTMENTAL MEMORANDUM BUILDING D VISION ROVILLE ENVIR. HEALTH, CHICO RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AP#:DRESS/LOCATION: � �� C ENZ- kD � !� /� /D Comments'. GUmemos/releasehold- 2 q - D 1 61-1368 TO: Building Department FROM: Environmental Health +LE.H. USUSEENL_Y Plot Plan Attached ✓ Floor Plan Attached ttched Sant to B.O. SUBJECT- Sanitation Pearance Owner Location �— AP# Plan Approved for: Sewage Disposal -Le!:�' Water Supply: Public ,Private Well Clearance for dwelling. Other Hold final for: Final c earance O.K. for: NOTE: Environmental Health Specialist 8/96 Date OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE �z r BUILDING PERMIT FEES --Balance Due .:....................................................•.: $ --Additional Fees Due ............................................ •, 513-95 --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ....... :......................... $ 42. SCHOOL DISTRICT FEES �Ut� (paid at District Office) EE SHERIFF FEES (paid at Building Divisio ` Residential .................................... x $360.00 = $ 4W Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. �Nc RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. . CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER f A.P. # 7 /,a'3Di Zr�/ v DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT "v DATE31/0) Pursuant to Government Code ection 6/02 you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above mayave 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) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ' School District &I" Building Department No. F A.P. Number. ®yo -17(249/ Jurisdiction: City County Property Owner r�/�%� /� r Property Location/Address L ®3 6 9 €N Z 92 A Subdivision Lot No. .................................................................................................................... Residential Development Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # f *(No foundation inspLmss /SS7: a 4 . Commercial/Industrial New Addition Building Department Representative �( J Sq. Footage Date (Including Exterior Roofed Areas) Irioor rians reviewed oy acnooi uistnct rersonneu District Identification No. 1n z I-)Lk'f �n ^n r �� School District certifies that mPVf-�t� n (Applicant) ,90 -,me h-��-�-z ( kgs- 07 (Street Address) (Phone Number) -77�f A Y- ftVy-1 9 (City) (State) (Zip Code) has complied with the requirements.of Resolution No. DO by payment of $� representing square feet AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # & % Remarks: /Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), 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 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT ,,:'. Assessor Parcel Number (s): 0 yQ 470-09V Property Owner (s): A Pe6ilect Locati&YAddress: ,Subdivison Name: Assessable Square Footage: 333 Type of Residential Development (check one): '; e �Yell 'w"De opment ❑ Afteratioin/Addition ❑ Mobile Home (s) U Non -Residential to Residential ...Comments: A L ILI V 11-7 Building Division Representative bateP C Durham Recreation and Park District (DRPD) certifies that 0'1'57 -0-7 k Ap p I i ca" Jn't Name A p p l'i'c a n t'P ho' n e Nu"Ji'm b e r- �,k Va Street Address cityState tt Zip Code 'ryl l' " f has ,c6ropliedw" ith1he req Lirements of the .13 u t e,,Q ou'n t y B'69" r 0 -Upe sol*Repolbtion hP, 93 -'114 by payment for square feet at $ 1.04 per square foot for a total payment of $ I q 3. . a, DRPQ Rep 'regent6tLvb I Date " PAID BY CHECK No.: ( Remarks- - MWD".d 1553 BANK No.: 0 +2-o e2- o,,v,, A i -. (-"b) 'A ce, d ,, i l, s i , f + PAID BY CASH: dee i s -w y- a (fk.,ecv% c e, &-- e - RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK-DRPD YELLOW - BUTTE CO. BUILDING DIVISION FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM . ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING O'NNE S NAME _ - - BUILDING STREET ADDP SS (Including AA., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE OL) (Z-t+ht& - C/A PROPER D SCRIPTIO of and Block Numbers, ax Parcel Number, Legal Description, etc.) BUILDIN�I�e.g., Residence tial, Non-residential, Addition,'Accessory, etc. Use Comments section if necessary O.M.B. No. 3067-0077 Expires July 31, 2002 For Insurance Company Use:: Policy Number Company NAI C Number • ZIP CODE LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: [I GPS (type): or lm. °) I>QNAD 1927 _ NAD 1983 I_I USGS Quad Map Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 FIP CO,%I.%IUyN{TY NAME a COMMUNITY NUMBER B2. COUNTY NAME B3. ST .. ui`i� C:UUr,1Szt Dio00I`I 1�u�� TEL B4. MAP AND PANEL 65. SUFFIX . 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD 69. BASE FLOOD ELEVATION(S) NUMBER G e- DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) c' Rin i�,��,--,ro�ti� ..r.. 9 8 i / aa vi uaac nuuu uupui enierea 1n rasa. FIS Profile FIRM Community Determined - Other (Describe): 1311. Indicate the elevation datum used for the BFE in 139: 11/_1 NGVD 1929 �_� NAVD 1989 -�_� Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes 111/1 No Designation Date: 'SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on- (Construction Drawings' _(Building Under Construction' JXFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete: C2. Building Diagram Numb e (Select the building diagram most similar to the building for which this certificate is being completed -'see pages 6 and 7. If no dia(Zram 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/AE, AR/A1-A30, AR/AH, APJAO • Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used.'lf the datum is different from -the datum used for the El -::E in Section B, convert the datum to that used for the BFE. Shovi field measurements and dat_m conversion calculation. se the space provided or the Comments area of Section D or Section G, as appropriate, to document the alum conversion. Datum US2.4tri .. Canverslon/Comments Elevation reference mark used. Does the elevation reference mark used appear on the FIRM? L-1 Yes No ❑ a) Top of bottom floor (including basement or enclosure) ft.(m) FESS( ❑ b) Top of next higher floor 17io. ft.(m) Q ❑ C) Bottom of lowest horizontal structural member (V zones only) P.(m) „ 0� F2 Cid) Attached garage (top of slab) L E F� r. ❑ e) Lowest elevation of machinery and/or equipment W V servicing the building iJ l[� � m O 1114m)E Q � O fj Lowest adjacent gide (LAG) � '1 _ d [d0 . � R.(m) Z.9 .* ❑ g) Highest adjacent grade (HAG) I _ R.(m) cc�Jq C1V1� ❑ h) No. of permanent openings (flood vents) within 1 ft. abode adjacent grade 21 ❑ .i) Total area of all pe mi. anent openings (flood f� vents) in C3h 2dD sq. in. (sq. cm) E OF CA��F�.''� -SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signied and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation irformation. 1 certify that the information in Sections A; B, and C on this certificate represents my best efforts to interpret the data availabh. 1 understand that any false s`.tement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFI�R'S NAME , 11 , _ LICENSE NUMBER TITLE if lL) I LGK) 41 ` ki Q__COMPANY NAME ADDRESS5-A �A � CITY Gj� t (,CC STATE C A ZIP CO}� SIGNATURE 1"L DATE TP PPI-InbiFr FF7AA Fnrm R1_11 At Ir, Qq SFF RF\/FRSE CIr1F Fr1R rYINTINI IATinN RFPI Ar P.q AI 1 PRFVni IC Fr11TInN.q IMPORTANT: In these spaces, copy the corresponding information from Section L For Insurance Company Use:... BUILDING STRE DDRESS (Incl 'ng Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number.... CITY ,OLF)e— L , w STATE ZIPDg . Company NAIC Number? . >, SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS U1 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 _&2 (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 _"�4 ft.(m) 1—�_lin.(cm) LW 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 L-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 sian here. Im CITY STATE ZIP C DE SIGNAIURE11 1,T I DATE TELEPHONE 1_I 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 Rem(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: G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY • ISSUED - ' G7. This permit has been issued for. 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:::. _ fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE , COMMENTS Check here if attachments FPMA Fnrm R1 11 At Ir: PQ RFPI Ar:FC Al I PRFVlr)l IR FnITIr1NC [[ SITE PLAN REVIEW APPLICATION Date: — AP## mo Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: A e - Owners Name: `' �' ' 1 70 wy. Owners Address: �� 3 (o �-�•N Ze� 1�U12-►1r.. Telephone No.: Situs Address: 20 3 2 GA) 2, IN V , 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) mi -1. 1 -i1 -off . ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and- if verified proper foundation design required) ❑ SRA - (CDF to determine specific requiremets) 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: DSD 'L Index Date: 6- 8� ❑ 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) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A—] 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 0 G Side ' Side Street Rear ` 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 ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 11 Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: 1'37 — Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ® No ❑ Yes, Road Name:_ Complies with County Standards for Deed Creation: ❑ No ❑ Yes << Comments: \KAsr�o t zwF&L'6r,a.i 76v,o 6o\ A P N , 4 6 - 11 V- ,w At 0 ❑ Yes 11 Yes GOvNT1 Y AIWi_91A � %Z(IAO_ &tz SaY D6SG2iaL�t_�►�prccE�i� 40-1'1-a9) *- 40 -1-1-1=L ❑ Parcel Deemed to be legal til (A4 m4- -1-17--o I ❑ Verify Legal Parcel ❑ Verify -Legal Accessrovide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain aMerger ❑ Obtain a Lot Line Adjustment E] 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 OLS TO ISSL/L hC-(LMl j iL 6, 1?CI+ m.tS. ryl Page 3 of 5 ]�ASE173 per( ?A -5—i -2-( Z- o k [] Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ 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 ona 3 -to -1 ratio, utilizing existing oak tree stock. - Each tree to be preserved shall bd'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 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy DocumenMMlding Permit Site Plan Reviewl.doc Page 5 of 5 September 26, 2001 County of Butte: On the ground floor of our new house plans we have rooms on the other side of the garage from the main part of the house and a connecting bathroom and double laundry room. We will not wall off any part of the laundry room thereby creating a separate unit because we are planning for a future day-care in that part of the house that will take care of less than 6 children. Sincerely, Armand G. Brett Josephine Brett 11 ►�' RECEIVED SEP 2 6 2001 BUTTE COUNTY BUILDING DIVISION O� September 26, 2001 Windsong Construction 319 Chico Canyon Road Chico, CA. 95928 *Department of Developf. ent Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Armand Brett Assessor Parcel Number: 040-170-091 Building Permit Number: 01-1308 This office 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: N STRUCTURAL COMMENTS: 1. Contact the Butte County Planning Division to obtain approval for use. /"STRUCTURAL COMMENTS: G Provide shear wall lengths as specified in the structural calculations. The resistive wall length shown on page 13 of the calculations do not match the lengths shown on the plans. .� • 1/2. Please key all details correctly to the plans. The window strapping detail is keyed but the t reference to the detail does not match the number of the detail. IThe new page 13 in addendum A appears to be the same as the original page 13 of the calculations. Please clarify. PART - II 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. 1. Pay Balance of Building Permit fees in the amount of $1,513.95. 2. Impact fees:. 2.1. Complete and return the enclosed Butte County Park Facility certification form. 2.2. Complete and return the Butte County School Impact fee certification form. 1 of 2 3. Complete Contractors license and insurance declarations on building permit. If you wish to discuss any non-structural requirements in PART - I, you may me 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, Glenn Gibbons ICBO Certified Plans Examiner Cc: Michael Hubley, P.E. 2 of 2 Philo Hunt, P.E. Plan Check Engineer September 4, 2001 County of Butte: On the ground floor of our new house plans we have rooms on the other side of the garage from the main part of the house and a connecting bathroom and double laundry room. The hobby room will be for various hobby and craft activities (including homemaking crafts and recreation crafts like making fishing flies and lures). The guest living space, bedroom, bathroom, and double laundry room, will be used by our children's three grandmothers when they visit, by our five brothers and sisters along with their families when they visit (which they do often), and by our six children when they are visiting and home during college breaks. It is our desire to have a home where our children can feel comfortable staying both now and in the future, and our parents have space of their own where they can relax and rest separately from the young people. We have found that when our family members are visiting, our college children are home doing their laundry, and we are doing ours on the weekend, (which we must do because we both work full time), two washers and dryers are necessary. Sincerely, i Armand G. Brett 9 Josephine Brett Letter of intent for guestroom, playroom and hobby room. 2. Flood elevation certificate is not complete and is incorrect in some areas. �. Garage must have flow through flood venting on two sides. With only one exterior- —�j wall, how will this be accomplished? Additionally, the 5/8" firewall cannot be located in the flood plain. 4w III Flow through flood venting on two or more sides must be shown on the house plans. Z 1- ,l. Pony walls and post supporting the floor system must be flood proof construction. Provide clarification. .6: Exterior wall covering must be flood proof construction. Provide clarification. 'e-1-7 5(7 A' Stairs in the garage and the exterior must be flood proof construction. Provide clarification. 511 %1-7 �.8 The electrical service must be elevated above 166.5' and it must be provided with stairs that must be flood proof construction. Provide clarification. Additionally, all other electrical (i.e. well) must be elevated above 166.5'. X (-? 11-7 Air conditioner equipment and the mechanical duct system must be located above 166.5'. Provide clarification. 717 J.VThe foundation must be designed for the number of floors supported UBC Table 18- 1-C. With the proposed open deck on the roof, the total number of floors will become three and the foundation will need to be redesigned: d �-- -- Z C-67YS -t-&k'3 K'Roof trusses are not designed for the loading conditions of the proposed open deck. Provide revised trusses and support design for the additional live load. ` Wt -J F� 1?'Provide roof construction detail for the tile roof areas. '00-u.e- 511 1 -3 -'Overflow Drains and Scuppers need clarification for compliance with UBC 1506. 2-L7 W. Provide manufactures listing f s PA -cc" Provide clarification of bridge support for second floor level. Lltl L&. Indicate header sizes for all openings. < I-1 4-7. Plans and specifications shall be drawn to scaleon substantial pap re or cloth and shall be of sufficient clarity to indicate the location, nature and extent of the work proposed and show in detail that it will conform to the provisions of this code and all relevant laws, ordinances, rules and regulations. (Uniform Building Code section 106.3.3). 570_7dl R.ECEI V.,ED 13 ?001 B Uj UDING D � STY I �N 0 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: Building Permit Number: 00-170-0`21 Plans Examiner: Glenn Gibbons A. P. Number: 0 r— UG g GENERAL: y - Zoning requirements - (number of permitted living units). X Plans signed by the designer. X Proper description of work on the application fi! Existing violations on the property. Recorded notice of violation. 0.7 Building permit valuation. PLOT PLAN: 2' Complete parcel size and dimensions. e. Setbacks, side yard, easements, etc. A" Other buildings or structures. Grading, fills and/or drainage. Flood hazard. k. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ ' Water Tender ❑ Traffic and Drainage fees ❑ X Federal Aid Route and/or Federal Aid Secondary Route setback requirement. $� 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). a' 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). �! Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall 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). Skylights (Uniform Building Code section 2409 & 2603.7). 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 feet measured to the lowest protection from the ceiling (Uniform Building Code section 310.6.1). a' All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). 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). }� Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). 1 Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). y4� Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 _P. Water closet clearances (Uniform Plumbing Code 408.5). Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 7 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. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building l/ 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. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C). Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calculations if necessary. A' Garage door header size(s). Porch header size(s). �1 Typical header size(s). 17. Stud heights. 1 High expansive soil — special foundation design required. 1r4. Retaining walls requiring design. kr . Gypsum wallboard nailing inspection required. 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. 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 1006). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). s� Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2,15-13-1 & 2). .� Foam insulation — protection. Al 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). k6 Attic access and ventilation (Uniform Building Code section 1505). IC Sound requirements. 1,?."Energy design compliance and supporting documentation. A-3. CDF responsible area requirements. BUILDING PERMIT REQUIREMENTS: I. ❑ SRA. 2. 1�0 Flood elevation certificate. 3. Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. Page 2 of 2 1 a 1 -Frgommob§c -End US. Pat. 5,867,962 f1i• J/ 14=— ko , 70 N - NL r 4. 1 ; R.// y � 1`\ �Vrt6W_�Y►Y�1iPa''' •" Rt 1.1w. ��` C � 1 - � AYE _- - - . c` L a V 0 DOC 103 t IIIIIIIIIIIQIIIII Ilrlllllllil IIIlillllllllllllilI Arbillil r . - 5 IIII - tlllll Ill�tiiuiiillll IIIIIIiiillllliill � illlilllllullllllll: 'Y;III � C y 0 Other patents pending 1171"MY'r!"I V�"11-0 UrA=Ak Ifi SpaceJoist TE® combines the best features of an I joist and the SpaceJoist TP open metal web system, to create the most exciting floor joist product avail -able on the market today! 1 fi• Trimmable Ends Cost and Labor Reduction •: SpaceJoist TE's ability to be cut off •;• On-site "in place" costs are compet- at the job site gives the installer itive with conventional joist or truss tremendous flexibility. This, com- systems. The unique SpaceJoist TE bined with the excellent shear and design provides a light weight, con - bearing performance of 1 -joists, sistent, quality joist for fast place - makes SpaceJoist TE the perfect ment at any job, dramatically reduc- floor joist concept. ing onsite labor costs. Open Web System ❖ "On -flat" construction gives wide •;• The open webs allow easy passage (2% -inch) surfaces, to speed gluing of duct work, plumbing and elec- and nailing the floor sheathing. trical wiring within the floor. No ❖ cutting of plywood webs is required • SpaceJoist's TE unique design and no furring down is necessary to reduces pilferage problems experi- enced with conventional wood joist hide mechanicals. construction. '. Quality •;• Built with reliable stress -graded lum- ber and patented deep V -webs made of high-strength galvanized steel, SpaceJoist TE utilizes the most desir- able characteristics of wood and steel to produce a reliable, high -perform- ing joist. ❖ Each web has integrally formed metal teeth that are pressed into the sides of the chords. Each metal web has a patented deep shape reinforcing rib that allows the SpaceJoist TE V -web to be used in compression or tension. `��'"may' � ��" d ..� 1 fi• , lI '5' k 9 Engineered Design ❖ With SpaceJoist TE, each joist is cus- tom engineered using sophisticated computer design software, creating a product that is structurally superior to conventional framing, far outper- forming dimensional lumber. Designs are checked and sealed by registered Professional Engineers. Energy Efciency •;• The open web design and variety of depths allow placement of 12 inches or more of insulation without con- densation problems, and eliminate the need for any special air -circula- tion devices. Design Flexibility •;• With SpaceJoist TE, the designer or architect has freedom to create unique, modem structures, unham- pered by the span limitations of con- ventional floor joists. ❖ Shop -fabricated SpaceJoist TE engi- neered joists offer a range of depths that provide long clear spans. Fire Safety •;• The non-combustible webs eliminate a large portion of the combustible material in the floor. A variety of fire -endurance assemblies are avail- able to mect fire -rating requirements. SPACEJOIST TE FIRE -RATED ASSEMBLIES AND SUMMARY OF SOUND RATINGS ASSEMBLY FIRE CEILING RATING RESILIENT CHANNEL INSULATION * (3) STC RATING STC W/LIGHT WT. CONCRETE TSC/FCA 60-01 60 MINUTES 1 LAYER 5/8" TYPE C YES * (4) 50 55 TSC/FCA 60-03 60 MINUTES SUSPENDED * (1) N/A NO RATING NO RATING TSC/FCA 60-05 60 MINUTES 1 LAYER 5/8" TYPE C *(2) *(5) * (4) 50 55 TSC/FCA 60-07 60 MINUTES SUSPENDED *(1) *(2) N/A NO RATING NO RATING TSC/FCA 60-09 60 MINUTES 2 LAYERS 1/2" TYPE X * (5) NO 50 55 TSC/FCA 90-01 90 MINUTES 2 LAYERS 5/8" TYPE X * (5) * (4) 52 57 QUALTIM 120 MINUTES 3 LAYERS 5/8" TYPE X YES NO 53 60 * (1) FIRE -RATED CEILING SYSTEM * (2) TRUS GARD * (3) 1 1/2" "MINERAL WOOL BATTS" * (4) REQUIRED FOR SOUND RATINGS ONLY * (5) RESILIENT CHANNEL REQUIRED FOR SOUND RATINGS ONLY Web SpaceJoist TE Details * Note: If the sides of the hanger do not extend up to support the top flange laterally, web stiffeners are required. Rim E Load-bearing wall above. (Must stack over wall below.) 4'-0" Length YV reinforcement Rim Board on both sides. Closure l Attach reinforcement to joist top and bottom flanges with 8d nails at 6" o.c. Stagger nails to avoid splitting. T-0 Max. Blocking panels may be required with shear walls above or below. Cut squash blocks to be %6' greater than depth of joist. OSB Web ,h Blocks For More Information SpaceJoist® is a registered trademark of Truswal Systems Corporation. ©1999 71ZMA'�. L SYSTEM Call: 1-800-238-8678 www.spacejoist.com or contact your Local Distributor U.S. Pat. 5,867,962 7 • N\ V., r. Air rT it C Maximum Dimensions in Inches • 3x2 Flange D H W S X Y Z (8" dp) Z (6" dp) 9'4" 6.0" 3.8" 8.1" 5.2" 6.25" 24" N/A 26" 11'4" 7.5" 4.7" 8.4" 6.0" 8.25" 24" 26" 30" 14" 9.9" 1 6.2" 11.1" 8.0" 11" 14-24" varies varies 16" 10.4" 7.0" 10.3" 1 8.4" 13" 16-24" varies 7varies L/480 J 2 vz" J 2 uz" 11/2" I 1112" 15132" 15132" F1 2. 12.4 plf '', 1 f 'n" 1 vz•. 15132" 2.5 plf J 2 vz.. 11/2" 15/32" 2.7 plf SpaceJoist TE Floor Span Chart Live Load = 40 psf / Dead Load = 15 psf • 3x2 Flange DEPTH DEFLECTION 24" O.C. 19.2" O.C. 16" O.C. 12" O.C. 9'/4" L/480 14'-3" 14'-10" 16'-1" 17'-9" L/360 14'-8" 16'4" 17'-9" 18'-0" 11'/4" L/480 17'-2" 18'-3" 19'-4" 21'-4" L/360 17'-9" 19'-11" 21'-4" 22'-0" 14" L/480 20'-3" 21'-7" 22'-11" 24'-0" L/360 20'-5" 22'-10" 24'-0" 24'-0" 16" L/480 21'-11" 24'-2" 25'-8" 28'-0" L/360 21'-11" 24'-8" 27'-1" 30'-0" Live Load = 40 psf / Dead Load = 15 psf • 4x2 Flange DEPTH DEFLECTION 24" O.C. 19.2" O.C. 16" O.C. 12" O.C. 9%" U480 14'-9" 16'-0" 16-10" 18'-9" U360 16-10" 18'-1" 18'-7" 20'-0" 11'/4" U480 18'-6" 18'-11" 20'-4" 22'-5" L/360 20'-5" 21'4" 22'-11" 24'-0" 14" U480 22'-0" 23'-4" 24'-0" 26'-6" L/360 24'-1" 26'-0" 27'-3" 28'-0" 16" L/480 24'-6" 26'-3" 27'-10" 30'-0" L/360 27'-0" 28'-0" 29'-0" 30'-0" GENERAL NOTES FOR RESIDENTIAL FLOOR SPAN TABLES SpaceJoist TE can be trimmed up to 12" off each end. If a specific project requires cutting off more, contact your SpaceJoist TE representative fi rst. Span charts reflect the use of composite action afforded by glued AND nailed or screwed sheathing on the top chord only. This composite action assists in deflection perform- ance only. If nailing floor deck only, contact your SpaceJoist TE representative for appropri- ate spans. Spans listed here are out -to - out at bearing supports. Minimum 13/4" bearing required. These spans are given for the uniform loads listed in each table. For concentrated (point) loads, refer to the tables on pages 12 through 14. For uniform loading conditions not listed here refer to the maximum uniform loading table on page 10. When in doubt about a specific or critical SpaceJoist TE load- ing condition, alternative spans may be possible. Contact your SpaceJoist TE representative for more options. Web fillers (stiffeners) must be installed whenever joist hangers do not support the SpaceJoist TE top flange. If loading needed is not shown, contact your SpaceJoist TE representative for more information. C\ Internal memorandum To; All Sales and Technical Services Representatives From: John Mulder Subject; FEMA Recognition Date: 3 November 1997 James Hardie Building Products James Hardie Industries JUSA) Inc. 10901 Elm Avenue Fontana, Calitomia 92337 Telephone 1-909-356 6300 1-800-426 4051 Fax 1-909-355 4907 Please find attached a copy of a letter from the Federal Emergency Management Agency recognizing James Hardie's non -asbestos fiber -cement interior lining and exterior siding products as Class V materials or materials highly resistant to floodwater damage. Also attached is a copy of the referenced Technical Bulletin 2-93, which lists acceptable Classes of Flooring" (Table 2) and acceptable °Classes of Walls and Ceilings" (Table 3) As indicated in the letter, James Hardie's non -asbestos fiber -cement interior lining and exterior siding products are now considered by FEMA as "flood -resistant materials", Class.V. You may make this information available (in its entirety) to both your Distributor's and your Customer's as well as to Local Building Officials having jurisdiction. Should you have any questions or if I can be of any further assistance, please do not hesitate to contact me directly at: telephone (909) 356-6366 or by facsimile (909) 427-0634. Best personal regards. John L. Mulder, Technical Services Manager Attachments cc: D. Merkley, R. Klein, File Jim p: y lm119971codesftma1110397a. doc ss Federal Emergency Management Agency f Washington, D.C. 20472 October 29, 1997 John L_ Mulder Technical Services Manager James Hardie Building Products 10901 Elm Avenue Fontana, California 92337 Dear Mr Mulder This is in response to your telephone conversation with Clifford Oliver and a follow-up letter of September 26, 1997. Thank you for sending us information about James Hardie's non -asbestos fiber cement interior lining,and exterior siding products. Based on the information you provided, we would consider these products to be flood -resistant materials. These products would be considered as Class V materials, or materials highly resistant to floodwater damage. In any future revisions to our Technical Bulletin 2-93, ""Flood - Resistant Flood - Resistant Materials Requirements" we will include non - asbestos fiber -cement products. Thank you again for bringing these products to our attention. Please give me a call at 202-646-3935 have any questions_ Sincerel- Paul Tertell, P.E. Civil Engineer Mitigation Directorat -VRT11 p R r t -f I It t I "d, z )I..Jl df';l t A -Yl ctl N" I I t9' t'•„II it- "'rin' F: or reol.."It"d 11v_ ::ix ai I'll I o i'to .1 'ItIvc Its,; It, F: I F:4 )t 1 of u('. f Ct "t %'at, !et': r7t r7t aj)(7rtCitt:rms% I low 1"i-( 11j, Ai r i 1�:;aic rt I r., C r'-5 x! 11 • FOo(L a;ltl vrl- 4% 0 J 9T'0' 9N Si: ST' * 1".), -L and 1"n. -Or -'heat! i;ns In uc'pi c.ii' ri•,'Jcm.-. nr I.Al y V. I t 1 -1 i'.Itz!ll. rhc.-Inla' rn7(ltrjr'o-'- 1'on[ -con, L ill 1c:111 f.s Mid 'Qns for (".-w Itpnents ji”? .:11id !T0 t ot ol I it-- twf 'c;f ades ',I I l(! r;ly he dffl; Or fl'c cwt W L ior uvn'.ZlUlltv ;w tar;atf:� 21a .`,r)jjje II)IIIS 8i5^. Orr7G!lir '1011 feet, (}l wErAmm lechilit'.11 Data prits"I'vw1u,`types _I e 'Q": Qf-1'1:' '1q illi? 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APA's rC-5;a-rCh and prk,)ni, -.ut),, I piny !.,I-ipo:w!A rolqs ii" ba npin!:i and and !,3 PAM. -I P1 Iniol-11 wtir)n !n tit's and kill APA pub,14f:a- 0!l (Ill) t! -Se.. of pallet pro�,,- v0l,; "51 (quality, Ahva,is kvint c,,n (Ile Illork- of qua'Jtv - the ibout ARA (]thiel tS .-Ind ppiic:uic )N ! 41shil "ci.ecl on the bac.* ".A;.l1g of odhu APA woduct t8!,let-1 :,i c)c- Assodatlon's Pl.lfllh-ar 110135 F,11!11 B`300, TYPI.OAL*APA TRADEMARKS WO. MWO !ON RM ED SM EAT Kr< -15/12 Mli. bma!u SPA�VNC . &14 An APA.- ty A $50 51A. TICIV - 'Mutt SH Nk", HAt ttt SH 3211 V1116POR SPOW roaa OQU IFA Wilt) y a I I ZO'd 9TO'ON-'Z2:ST TO'TT 17 TST2-S68-OiS-T:X]i AlddAS 'GIAA S 3 Aldd :t,i i od v --i: !or ,'Ir I n: F?rr p,w k.f, I-, -?,, X t I -) il f ;.0 :16 S, 125, C-2 o 3� 144- s 2 7 37 1 FJ,,: t]')0) 42 3- i 03 9,.i Si f tic 1,2"i"It CA: Mare, c CD t p. %..,.-un) A P A TO'd 9TO*ON 7�S:ST T0 ' T T aS T S 77- S' 758 "- 0 2S -T : -131 A Td df -I S ' 0 -� I rl 9 SS 3 -11 HH d d Page 6 of 32 Aflush-joint procedure is permitted on TiitanTm-FR (tapered - edge) panels. Gypsum board joint compounds, complying with ASTM C474 and C475, shall be troweled into the joints. Paper joint tape or equivalent is embedded into the wet joint compound and allowed to dry thoroughly. A second coat of joint compound, approximately 8 inches (203 mm) wide, is then applied across the joint and allowed to dry. A third coat of topping compound, 10 inches (254 mm) wide, is applied across the joint. Topping compound shall also be applied overall fastener heads in intermediate locations. Internal comers are finished by filling with joint compound, working the joint tape into the joint, and applying a second coat of joint compound. A third coat of topping compound is applied over the area. External comers are treated by filling the joint with joint compound and allowing it to dry thoroughly. Corrosion - resistant metal or PVC comer angles are then fastened to the comer, followed by a second coat of joint compound. When the second coat is completely dry, a third coat of topping compound is applied overthe area. Joint compound is also applied over all fastener heads in intermediate locations. 3.4 SUBFLOOR PANELS Compressed sheet is used as subflooring over complying wood or metal floor joists spaced a maximum of 24 inches (610 mm) on center. The panels have a smooth unsanded surface. Cutouts for plumbing and electrical shall be oversized. Floor opening penetrations shall be protected in accordance with the applicable code. Dimensions are noted in Table 1 of this report. Panels are installed over two or more spans, with the long dimension perpendicular to supports. The sheets are fastened to wood framing members by counterstriking minimum No. 10 by 0.350 inch (8.9 mm) HD wood screws spaced a maximum of 12 inches (305 mm) on center at all supports. The sheets are fastened to metal framing mem- bers by counterstriking minimum No. 9-18 by 0.350 inch (8.9 mm) HD S-1 27m, self -drilling, corrosion -resistant ribbed buglehead screws spaced a maximum of 6 inches (152 mm) on center around the sheet perimeter and 12 inches (305 mm) on center at immediate joist locations. Fasteners shall be of sufficient length to penetrate at least 1 inch (25.4 mm) into wood framing members or 1/4 inch (6.4 mm) into metal framing members. Holes are drilled in compressed sheet with a masonry bit, allowing a 0.04 inch (1.02 mm) clearance over diameter of screw to be used. Fasteners are located a minimum of 3/8 inch (9.5 mm) and a maximum of 3/4 inch (19.1 mm) from sheet edges, and 2 inches (51 mm) minimum from sheet comers. Fastener heads are flush with the surface. Edges shall be blocked or the panels shall be covered with minimum 1/4 inch (6.4 mm) thick underlayment or 3/4 inch (19.1 mm) thick wood strip finish flooring. As an alternative, sheets are field glued in conjunction with mechanical fastening with a structural adhesive (APA/HU D AFG-01) applied to joints. Framing members shall be free of surface moisture, dirt, cement and otherforeign materials prior to application of the adhesive. Adhesives shall be applied in accordance with the adhesive manufacturer's instructions. The application rate shall be a 1/4 inch (6.4 mm) diameter bead applied to each joist or blocking member, except two v4 inch (6.4 mm) diameter beads are applied where sheets abut on a joist. Installation of the sheets shall be within the time limit designated by the adhesive manufacturer. Where more than one sheet is used, an effective seal shall be provided between sheets. The bonded surfaces shall be clean and an approved structural adhesive (APA/HUD AGF -01) shall be used. Edges of the sheets to be joined shall be thoroughly cleaned and the dust removed. A layer Report No. NER-405 of adhesive is "buttered" to the leading edge of the first installed sheet and the next sheet laid against it ensuring that an adequate film of adhesive is present. Forcing adhesive into the joint after the sheets have been fastened is not permitted. After the joint is filled, any excess adhesive shall be removed from the surface of the sheet. Use as a diaphragm is outside the scope of this report. Allowable loads are as follows: ALLOWABLE UNIFORM LOAD AT DEFLECTION LIMIT = U360' For SI: 1 inch = 25.4 mm, 1 psf = 47.88 Pa 1. L = length of span (inches) 3.5 FIRE -RESISTANCE RATED ASSEMBLIES 3.5.1 Assembly 1 The nonsymmetrical nonloadbearing,1 hour, fire -resistance rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 20 gage (0.0359 inch, 0.91 mm), steel "C" studs at 24 inches (610 mm) on center with corresponding top and bottom tracks. One layer of 5/8 inch (15.9 mm) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with 11/4 inch (32 mm) long, Type S, gypsum board screws, spaced 8 inches (203 mm) on center at board edges and 12 inches (305 mm) on center at intermediate framing members. The 5/8 inch (15.9 mm) thick gypsum board joints and screw heads require treatment consisting of joint compound followed byjoint tape and a second layer of joint compound. The opposite face of the wall is covered with one layer of 1/2 inch (12.7 mm) thick Hardirock® Max "C"'"'(Type "X") gypsum board, followed by one layer of either 1/4 inch (6.4 mm) thick TitanTm (tapered - edge), Hardibacker® (square -edge), or Harditex® board. Boards are applied vertically to framing members with vertical edges staggered 24 inches (610 mm). The 1/2 inch (12.7 mm) thick Hardirock® Max "C"'TM (Type "X") gypsum board is fastened to the framing members with 11/4 inch (32 mm) long, Type S, gypsum board screws spaced 24 inches (610 mm) on center. Titan'"', Hardibacker® or Harditexe boards are fastened through the gypsum board to the framing members with minimum 15/8 inch (41 mm) long by minimum 0.323 inch (8.2 mm) HD Hi -Lo® S®or S-12TM' self - drilling, corrosion -resistant, ribbed buglehead or ribbed Phillips waferhead screws located a maximum of 8 inches (203 mm) on center. Board joints and fasteners require treatment similar to that described in Sections 3.3.1.1, 3.3.1.2, 3.3.2.2 and 3.2.4 of this report. 3.5.2 Assembly 2 The nonsymmetdcal nonload bearing, 1 hour, fire-resistant rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 25 gage (0.0209 inch, 0.53 mm), steel "C" studs at 16 inches (406 mm) on center with corresponding top and bottom tracks. One layer of 5/8 inch (15.9 mm) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with minimum 1 inch (25.4 mm) long, Type S, gypsum board screws, spaced 8 inches (203 mm) on center at board edges and 12 inches (305 mm) on center at intermediate framing members. The 5/8 inch (15.9 mm) thick Type "X" gypsum board joints and screw heads require treatment consisting of joint compound followed by joint tape and a second layer of joint compound. The stud cavities are insulated with JOIST SPACING PRODUCT 16 inches o.c. 24 inches o.c. Compressed Sheet 11 190 psf 105 psf (1/2 and 5/8 inch thick) Compressed Sheet II 300 psf 145 psf 3/4 inch thick) For SI: 1 inch = 25.4 mm, 1 psf = 47.88 Pa 1. L = length of span (inches) 3.5 FIRE -RESISTANCE RATED ASSEMBLIES 3.5.1 Assembly 1 The nonsymmetrical nonloadbearing,1 hour, fire -resistance rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 20 gage (0.0359 inch, 0.91 mm), steel "C" studs at 24 inches (610 mm) on center with corresponding top and bottom tracks. One layer of 5/8 inch (15.9 mm) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with 11/4 inch (32 mm) long, Type S, gypsum board screws, spaced 8 inches (203 mm) on center at board edges and 12 inches (305 mm) on center at intermediate framing members. The 5/8 inch (15.9 mm) thick gypsum board joints and screw heads require treatment consisting of joint compound followed byjoint tape and a second layer of joint compound. The opposite face of the wall is covered with one layer of 1/2 inch (12.7 mm) thick Hardirock® Max "C"'"'(Type "X") gypsum board, followed by one layer of either 1/4 inch (6.4 mm) thick TitanTm (tapered - edge), Hardibacker® (square -edge), or Harditex® board. Boards are applied vertically to framing members with vertical edges staggered 24 inches (610 mm). The 1/2 inch (12.7 mm) thick Hardirock® Max "C"'TM (Type "X") gypsum board is fastened to the framing members with 11/4 inch (32 mm) long, Type S, gypsum board screws spaced 24 inches (610 mm) on center. Titan'"', Hardibacker® or Harditexe boards are fastened through the gypsum board to the framing members with minimum 15/8 inch (41 mm) long by minimum 0.323 inch (8.2 mm) HD Hi -Lo® S®or S-12TM' self - drilling, corrosion -resistant, ribbed buglehead or ribbed Phillips waferhead screws located a maximum of 8 inches (203 mm) on center. Board joints and fasteners require treatment similar to that described in Sections 3.3.1.1, 3.3.1.2, 3.3.2.2 and 3.2.4 of this report. 3.5.2 Assembly 2 The nonsymmetdcal nonload bearing, 1 hour, fire-resistant rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 25 gage (0.0209 inch, 0.53 mm), steel "C" studs at 16 inches (406 mm) on center with corresponding top and bottom tracks. One layer of 5/8 inch (15.9 mm) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with minimum 1 inch (25.4 mm) long, Type S, gypsum board screws, spaced 8 inches (203 mm) on center at board edges and 12 inches (305 mm) on center at intermediate framing members. The 5/8 inch (15.9 mm) thick Type "X" gypsum board joints and screw heads require treatment consisting of joint compound followed by joint tape and a second layer of joint compound. The stud cavities are insulated with Report No. NER-405 Page 7 of 32 minimum 3 inch (76 mm) thick, 3 pcf (48 kg/m'), unlaced, friction -fit, mineral fiber insulation complying with ASTM C665, Type I. The opposite face of the wall is covered with one layer of 7/16 inch (11.1 mm) thick Hardibacker® (square edge) or Titan'"" (tapered edge) or Harditex® boards. The boards are applied vertically to framing members with vertical edges staggered 16 inches (406 mm). Hardi- backer®, Titan"" or Harditex® boards are fastened through to the framing members with minimum 1 inch (25.4 mm) long No. 8-18 by 0.323 inch (8.2 mm) HD self -drilling, corrosion -resistant, Hi -Lo® S® ribbed buglehead (or equivalent) screws located a maximum of 6 inches (152 mm) on center. Board joints and fasteners require treatment similar to that described in Sections 3.3.1.1, 3.3.1.2 or 3.3.2.2 of this report, and using the glass fiber reinforcing tape. 3.5.3 Assembly 3 The nonsymmetrical limited loadbearing, l hour fire-resistant rated wall assembly consists of nominal 2 x 4 wood studs at 16 inches (406 mm) on center with two top plates and a single bottom plate. The lesser of 800 pounds per stud or 31 percent of full design load is permitted to be superimposed, provided structural consideration for axial, flexural and bearing perpendicular -to -grain stresses are resolved in accordance with Part III of the National Design Specification, 1997 edition, published by the American Forest & Paper Association. One layer of 5/8 inch (15.9 mm) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with minimum 17/8 inch (22 mm) long cup -head gypsum board nails, spaced 7 inches (178 mm) on center at board edges and intermediate framing members. The sib inch (15.9 mm) thick Type "X" gypsum board joints and nail heads require treatment consisting of joint compound followed by joint tape and a second layer of joint compound. The stud cavities are insulated with minimum 3 inch (76 mm) thick, 3 pcf, unfaced, friction -fit, mineral fiber insulation complying with ASTM C665, Type I. The opposite face of the wall is covered with one layer of 7/16 inch (11.1 mm) thick TitanTm (tapered -edge) or Hardibacker® (square - edge) fibercement undedayment. The fiber cement board is applied vertically to framing members with vertical edges staggered 16 inches (406 mm) from the gypsum board edges. Boards are fastened through to the framing members with minimum 11/2 inch (38 mm) long, corrosion -resistant roofing nails located a maximum of 6 inches (152 mm) on center. Board joints and fasteners require treatment similar to that described in Section 3.3.2.2 of this report. The side of the wall clad with fiber -cement board is covered with stan- dard grade ceramic tile, nominal 1/4 inch (6.4 mm) thick . Tiles, any expansion or control joints, and grout are installed in accordance with ANSI A108.4 when Type I organic adhesive is used, or ANSI Al 08.5 if dry set, acrylic -modified or latex -modified portland cement mortar is used. 3.5.4 Assembly 4 The nonsymmetrical loadbearing 1 hour fire-resistant rated wall assembly consists of nominal 2 x 4 wood studs at 24 inches (610 mm) on center with two top plates and a single bottom plate. Full design loads are permitted to be superim- posed, provided structural consideration for axial flexural and bearing perpendicular -to -grain stresses are resolved in accordance with Part III of the National Design Specification, 1997 Edition, published by the American Forest & Paper Association. One layer of 5/8 inch (15.9) thick Type "X" gypsum board, 48 inches (1219 mm) wide, is applied vertically to the studs and secured with minimum 13/4 inch (44 mm) long cup -head gypsum board nails, spaced 7 inches (178 mm) on center at board edges and intermediate framing members. The 5/8 inch (15.9 mm) thick Type "X" gypsum board joints and nail heads require treatment consisting of joint compound followed by joint tape and a second layer of joint compound. The stud cavities are either insulated or uninsulated. The opposite face of the wall is covered with one layer of 1/2 inch (12.7 mm) thick Type "X" water-resistant core gypsum sheathing and one layer of maximum 12 inch (305 mm) wide Hardiplank® lap siding lapped a minimum of 11/4 inches (32 mm). The 1/2 inch (12.7 mm) thick Type "X" water-resistant core gypsum sheathing is applied vertically to framing members with vertical edges staggered 24 inches (610 mm) from the joints on the opposite side. The 1/2 inch (12.7 mm) thick Type "X" water-resistant core gypsum sheathing is fastened to the framing members with 13/4 inch (44 mm) long roofing nails spaced 7 inches (178 mm) on center in the field and 4 inches (102 mm) on center along the perimeter of each board. An outer layer of 5/16 inch (7.5 mm) thick, 12 inch (305 mm) wide Hardiplank® lap siding is applied over the 1/2 inch (12.7 mm) thick Type "X" water-resistant core gypsum sheathing by attaching a 1 1/2 inch (38 mm) wide Hardi- plank® starter strip attached through the gypsum sheathing into the bottom plate and 12 inch (305 mm) wide Hardi- plank® lap siding applied horizontally with a minimum nominal 11/4 inch (32 mm) headlap and fastened with a single 6d corrosion resistant common nail driven through the lapped planks at each stud. 3.5.5 Assembly 5 The symmetrical nonload bearing, l hour, fire-resistant rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 20 gage (0.0359 inch, 0.91 mm), steel "C" studs at 24 inches (610 mm) on center with corresponding top and bottom tracks. Both sides of the wall are covered with one layer of 1/2 inch (12.7 mm) thick Hardirock® Max "C" m (Type "X") gypsum board, followed by one layer of either 1/4 inch (6.4 mm) thick Titan'm (tapered -edge), Hardibacker® (square -edge), or Harditex® boards. Boards are applied either perpendicular (horizontally) or parallel (vertically) to framing members. Base layer and face layer board joints of both wall sides are offset by 24 inches (610 mm). The 1/2 inch (12.7 mm) thick Hardirock® Max "C"TM' (Type "X") gypsum board is fastened to the framing members with minimum 1 inch (25.4 mm) long, Type S, gypsum board screws spaced 24 inches (610 mm) on center. TitanTM', Hardibacker®or Harditex® boards are fastened through the gypsum board to the framing members with minimum 15/8 inch (41 mm) long by minimum 0.323 inch (8.2 mm) HD Hi - Lo® S® or S-12Tm self -drilling, corrosion -resistant, ribbed buglehead or ribbed Phillips waferhead screws located a maximum of 8 inches (203 mm) on center. Board joints and fasteners require finish treatment similar to that described in Sections 3.3.1.1, 3.3.1.2, 3.3.2.2, or 3.2.4 and of this report. 3.5.6 Assembly 6 The symmetrical nonload bearing, 1 hour, fire-resistant rated wall assembly consists of minimum 3 5/8 inch (92 mm) deep, No. 20 gage (0.0359 inch, 0.91 mm), steel "C" studs at 24 inches (610 mm) on center with corresponding top and bottom tracks. Both sides of the wall are covered with one layer of 5/a inch (15.9 mm) thick Titan'*" -FR panel. Boards are applied either perpendicular (horizontally) or parallel (vertically) to framing members. Panel joints are offset by 24 inches (610 mm). The 5/9 inch (15.9 mm) thick TitanTm-FRpanel is fastened to the framing members with minimum 1 inch (25.4 mm) long, Type S, gypsum board screws spaced 12 inches (305 mm) on center. Board joints and fasteners require finish treatment similar to that described in Sections 3.3.1.1 or 3.3.1.2 of this report. 4.0 INSTALLATION Installation shall comply with this report and a copy of this report shall be available at all times on the jobsite during installation. Additional details are in the applicable manufac- turers product information sheets issued December 1993. Where non -editorial differences occur between the manu- facturer's product information sheets and this report, this report shall be null and void. Page 6 of 32 5.0 IDENTIFICATION James Hardie Building Products, Inc., Hardiflex®, Hardi- panel® and Hardisoffit® boards; Harditex® baseboards; Titan TM', Titan Tm-FR, Hardibacker®, Hardibacker5000and Multilay® lining boards and underlayments; Compressed Sheet subflooring; pallets of Hardiplank® lap siding; Hardie® Shingleside® cladding and Shingleside® Heri- tageTm panels shall bear a label identifying the manufac- turers name and telephone number, the product name, and the name of the quality control agency, Intertek Testing Services, Inc. (NER-QA219), and this report number (NER- 405) for field identification. 6.0 EVIDENCE SUBMITTED 6.1 The following test reports issued by the Building Research Association of New Zealand (BRANZ) in accordance with ASTM E72, Conducting Strength Test of Panels of Building Construction, Section 9, Trans- verse Load, and Section 14, Racking Load: Report No. Date ASTM Standard Section S100 June, 1984 9 S101 June, 1984 9 S102 June, 1984 9 S103 June, 1984 9 S104 June, 1984 9 S105 June, 1984 14 S106 June,1984 14 S109 July, 1984 9 S112 August, 1984 14 S113 August, 1984 9 STR122 April, 1985 9 STR123 April, 1985 14 STR127 April, 1985 9 STR128 May, 1985 14 STR131 May, 1985 9 STR132 May, 1985 14 6.2 The following test reports issued by the Building Research Association of New Zealand (BRANZ) in accordance with the weatherability test procedures noted: Report No. Date Procedure MTR658 November, 1983 U.B.C. Standard IC -1042-88 February, 1989 32-12 MTR662 November, 1983 Freeze/Thaw MTR709 June, 1984 Percolation Test MTR723 May, 1984 ASTM G26, D2616, IC -1203-92 January 22, 1993 FD -714 MTR778 June, 1985 NSZ3204; Wet/Dry IC -1271-94 April 20, 1994 Cycling MTR787 June, 1985 U.B.C. Standard IC -1120B-91 March 20, 1991 47-17 T176 June, 1984 ASTM E96 T177 I June, 1984 ASTM E96 6.3 Quality control procedural manual signed by James Hardie and Company (November 5, 1993), and ETL Testing Laboratories (November 8, 1993). 6.4 Manufacturers descriptive literature 6.5 United States Testing Company, Test Report No. LA 50049-1, dated February 7,1985,containing testing in accordance with ASTM E84, Test of Surface Burning Characteristic of Building Materials. No. NER-405 6.6 Ramtech Laboratories, Inc., Test Report No. 8047-87, dated April 6, 1987, containing testing in accordance with ASTM E72, Conducting Strength Tests of Panels for Building Construction - Section 9, Transverse Load; and Section 14, Racking Load. 6.7 Structural Calculations for "Determination of Wind Speed" by Ronald 1. Ogawa, P.E., in accordance with Section 1205 of the 1988 Standard Building Code. 6.8 The following test reports were issued by Inspection Concepts for "Transverse Load Tests" of panels: Report No. Date IC -1021-8B May, 1966 IC -1022-88 May, 1988 IC -1042-88 February, 1989 IC -1054-89 September, 1989 IC -1055-89 September, 1989 IC -1121A-91 March 20, 1991 IC -1121 B-91 March 20, 1991 IC -1201-92 January 22, 1993 IC -1203-92 January 22, 1993 IC -1228-93 July 2, 1993 IC -1270-94 April 20, 1994 IC -1271-94 April 20, 1994 6.9 The following test reports were issued by Inspection Concepts for "Racking Tests" of panels: Report No. Date IC -1013-88 January, 1988 IC -1014-88 January, 1988 IC -1030-88 September, 1988 IC -1032-88 September, 1988 IC -1037-88 November, 1988 IC -1038-88 November, 1988 IC -1057-89 September, 1989 IC -1062-89 November ,1989 IC -1100-90 ' October 30, 1990 IC -1107-91 January 5, 1991 IC -1108-91 January 6, 1991 IC -1109-91 January 8, 1991 IC -1110-91 January 8, 1991 IC -1120A-91 March 20, 1991 IC -1120B-91 March 20, 1991 IC -1120C-91 March 20, 1991 IC -1120D-91 March 20, 1991 IC -1202-92 January 22, 1993 IC -1202-92 January 22, 1993 IC -1237-93 August 5, 1993 IC -1273-94 April 20, 1994 IC -1274-94 1 April 29, 1994 6.10 The following test reports were issued by Inspection Concepts for "Transverse Load Tests" of planks: 6.11 The following test reports were issued by Southwest Research Institute for "l hour Fireresistant Assem- blies": Report No. Report No. Date March, 1989 March, 1989 IC -1020-88 May, 1988 IC -1011-88 January, 1988 IC -1034-88 October, 1988 IC -1035-88 October, 1988 6.11 The following test reports were issued by Southwest Research Institute for "l hour Fireresistant Assem- blies": Report No. Date 01-2602-802 01-2602-803 March, 1989 March, 1989 Report No. NER-405 Page 9 of 32 6.12 Structural calculations verifying design values for Table 2 and 3 of this report, prepared by Inspection Concepts dated March 7,1990, signed and sealed by Ronald (.Ogawa, P.E. 6.13 Inspection Concepts, Test Report No. IC -1093A-90, dated October 18, 1990, in accordance with ASTM E136. 6.14 Smith -Emery Company, Test Report No. L-87-1732, dated October 8, 1987, in accordance with ANSI A118.9. 6.15 United States Testing Company, Inc., Test Report No. 176842, dated September 14, 1990, in accordance with ASTM D1037. 6.16 Truesdail Laboratories, Inc., Test Report No. 30240-1, dated March 1, 1989, revised March 28, 1991, in accordance with ASTM G21. 6.17 Truesdail Laboratories, Inc., Test Report No, 30240-2, dated March 1, 1989, revised March 28, 1991, in accordance with ASTM G22. 6.18 Inspection Concepts, Report No. IC -1131-91, dated May 8, 1991, in accordance with ASTM C947, C666 Procedure B, and ANSI -136-1. 6.19 ETL Testing Laboratories, Report No. 497742, dated March 5, 1990, in accordance with ASTM E84. 6.20 Inspection Concepts, Report No. IC -1039-89, dated January 6, 1989, revised May 11, 1990, containing comparative fastener pullout and pull-through testing results. 6.21 James Hardie Building Products, Inc. product informa- tion sheets issued October 1991. 6.22 Structural calculations verifying design values for Table 2 and 3 of this report, prepared by Inspection Concepts dated October 20, 1993, signed by Ronald (.Ogawa, P.E. 6.23 Letter correcting structural calculations for BRANZ Reports S106 and STR128 prepared by Inspection Concepts dated February 14, 1993, signed and sealed by Ronald I. Ogawa, P.E. 6.24 Letter reviewing "Racking Tests" and "Transverse Load Tests" for Group III wood species verification for Table 2 and 3 of this report, prepared by Inspection Concepts dated October 14,1993, signed and sealed by Ronald I. Ogawa, P.E. 6.25 The following test reports were issued by Omega Point Laboratories for "1 hour Fireresistant Assemblies": Report No. Date 11710-92783 February 13,1992 11710-92851 September 9,1992 11710-98414 May 1, 1995 11710-105198 August 2, 1999 11710-105199 August3,1999 6.26 Ramtech Laboratories, Inc., Test Report No. 8108A- 87, dated May 20, 1987, in accordance with ASTM C725 forflexural strength tests conducted on w inch and 3/4 inch thick compressed sheet panels. 6.27 Ramtech Laboratories, Inc., Test Report No. 810813- 87, dated May 26, 1987, in accordance with ASTM E72, Section 18, concentrated load on 12 inch and 3/4 inch thick compressed sheet panels. 6.28 Ramtech Laboratories, Inc., Test Report No. 8108C- 87, dated June 24, 1987, in accordance with ASTM E72, Section 9, transverse load on 12 inch and 3/4 inch thick compressed sheet panels. 6.29 Inspection Concepts, Test Report No. IC -1257-94, dated January 13, 1994, in accordance with ASTM E331 for water penetration of 1t4 inch thick Hardi- panel® vertical siding. 6.30 Inspection Concepts, Test Report No. IC -1243-93, dated August 26, 1993, in accordance with ASTM E228 for linear -thermal expansion of 1/4 inch thick James Hardie fiber cement products. 6.31 Ramtech Laboratories, Inc., Laboratory No. 9778-93, IC -1225-93, dated June 4, 1993,. The Hardibacker board was tested in accordance with ASTM C177 Test for Steady -State Thermal Transmission Proper- ties by Means of the Guarded Hot Plate. The results are listed in Table 4 of this report. 6.32 Ramtech Laboratories, Inc., Test Report No. IC -1230- 93, Laboratory No. 9778-93, dated June 1993. The Hardibacker® board materials were tested in accor- dance with ASTM E96-90 to determine the water vapor transmission properties. The average perm- eance (perms) of the panels are shown in Table 5 of this report. 6.33 Ramtech Laboratories, Inc. Laboratory No. 10367A- 95/1363, dated September 18, 1995. The 712 inch and 912 inch wide Hardiplank® lap sidings were tested in accordance with ASTM E330 Transverse Load Test. The panels were installed on nominal 2 x 4 wood structural members spaced, 16 inches on center (o.c.). 6.34 Structural Calculations verifying design values for Table 3 of this report, prepared by Inspection Con- cepts dated October 6, 1995, signed by Ronald I. Ogawa, P.E. 6.35 Wind analysis and calculations for Hardishingle and Hardislate roofing and Hardie® Shingleside® cladding installed with 8, 7, and 6 inch weather exposures. Analysis and calculations conducted by Ronald I. Ogawa, P.E. dated March 28,1997; March 31,1997; and April 2, 1997. 6.36 Structural calculations to determine design wind load on 8.25 Hardiplank®, dated October 24,1996, signed and sealed by Ronald I. Ogawa, P.E. of Inspection Concepts Inc.. 6.37 Structural calculations to determine design values for Table 2a, 2b, and 3 of this report, prepared by Inspec- tion Concepts dated July 16, 1997, July 19, 1997, and August 19, 1997, signed and sealed by Ronald 1. Ogawa, P.E. 6.38 Ramtech Laboratories, Inc., Report Lab. No. 10868- 97/1475, dated June 26, 1997. The report contains results of testing in accordance with ASTM E72 and ASTM E330 on 5/16 inch thick Hardipanel. 6.39 Ramtech Laboratories, Inc., Report Lab. No. 10869- 97/1482, dated July 14, 1997 containing results of transverse load testing in accordance with ASTM E72 on 912 inch wide Hardiplank® lap siding. 6.40 Applied Research Laboratories, Lab No. 29278-UD1, dated September 1, 1994, containing reports of tensile pull-out testing of fasteners. 6.41 Structural calculations to determine the allowable fastener spacing based on a wind speed of 110 mph, Exposure Category C, prepared by Inspection Con- cepts, dated November2,1994, signed and sealed by Ronald I. Ogawa, P.E. 10 of 32 6.42 Ramtech Laboratories, Inc., Laboratory Number 10794- 97/1458, dated March 13, 1997, containing results of an Uplift Resistance Test of 18 inch long by 12 inch wide by 1/4 inch thick HardishingleTm roofing installed on 15/32 inch thick, 4 ply, 3 layer CDX plywood. 6.43 Ramtech Laboratories, Inc., Laboratory Number 10794-97/1460, dated March 13, 1997, containing results of an Uplift Resistance Test of 18 inch long by 12 inch wide by 1/4 inch thick Hardie® Shingleside® as siding roofing installed on 7/16 inch thick Oriented Strand Board utilizing 2 siding nails per 12 inch wide panel. Report No. NER-405 24 inch centers and fastened with 1 12 inch long x 0.083 inch shank x 0.187 inch HD nails spaced at 8 inches o.c. perimeter and intermediate framing members. 6.52 Wind analysis and calculations for 24 inch wide vented Hardisoffit® panel for exposure categories B, C, and D. Analysis and calculations signed and sealed by Ronald (.Ogawa, P.E., dated May 4, 2000. 6.53 6.44 Ramtech Laboratories, Inc., Laboratory Number 10794-97/1464, dated March 13, 1997, containing results of an Uplift Resistance Test of 18 inch long by 12 inch wide by 1/4 inch thick Hardie® Shingleside® as siding roofing installed on 7/16 inch thick Oriented Strand Board utilizing 3 siding nails per 12 inch wide 6.54 panel. 6.45 Ramtech Laboratories, Inc., Laboratory Number 11149-98/1554, dated October 7, 1998, containing results of an ASTM E330 Transverse Load Test of 6 1/4 inch wide Hardiplank® siding installed on 20 ga. metal framing members spaced at 16 inch and 24 inch centers and fastened with ET & F pin fasteners through the lap to each stud. 6.55 6.46 Ramtech Laboratories, Inc., Laboratory Number 11149-98/1554A, dated October 7, 1998, containing results of an ASTM E330 Transverse Load Test of 12 inch wide Hardiplank® siding installed on 20 ga. metal framing members spaced at 16 inch and 24 inch centers and fastened with ET & F pin fasteners through the lap to each stud. 6.56 6.47 Ramtech Laboratories, Inc., Laboratory Number 11 149-98/1554B, dated October 7, 1998, containing results of an ASTM E330 Transverse Load Test of 81/4 inch wide Hardiplank® siding installed on 20 ga. metal framing members spaced at 16 inch and 24 inch centers and fastened with ET & F pin fasteners blind nailed to each stud. 6.48 Ramtech Laboratories, Inc., Laboratory Number 11284-99/1580, dated April 15, 1999, containing results of an ASTM E72 Racking Shear Test of 5/16 inch thick x 48 inch wide x 96 inch long Hardipanel® siding installed on 20 ga. metal framing members spaced at 16 inch and 24 inch centers and fastened with ET & F pin fasteners spaced at 4 inches o.c. perimeter and 8 inches o.c. intermediate framing members. 6.49 Ramtech Laboratories, Inc., Laboratory Number 11 149-98/1554D, dated September 14,1998, contain- ing results of an ASTM E330 Transverse Load Test of 5116 inch thick x 48 inch wide x 96 inch long Hardi- panel® siding installed on 20 ga. metal framing members spaced at 16 inch and 24 inch centers and fastened with ET & F pin fasteners spaced at 4 inches o.c. perimeter and 8 inches o.c. intermediate framing members. 6.50 Wind analysis and calculations for Hardipanel® panels for exposure categories B, C, and D. Analysis and calculations signed and sealed by Ronald I. Ogawa, P.E., dated March 26, 2000. 6.51 Ramtech Laboratories, Inc., Laboratory Number 11552/1636, dated April 20, 2000, containing results of an ASTM E330 Uplift Resistance Test of 1/4 inch thick x 24 inch wide vented Hardisoffit® panel in- stalled on nominal 2 x 4 framing members spaced at Ramtech Laboratories, Inc., Laboratory Number 11436-99/1602, dated October 29, 1999, containing results of an ASTM E330 Transverse Load Test of 1/4 inch thick x 19 inch long x 48 inch wide HeritageTm (half round) panel siding installed on 7116 inch thick APA rated Oriented Strand Board sheathing only with 1 1/2 inch long x 0.083 inch shank x 0.187 inch HD nails spaced at 13 314 inch o.c. Ramtech Laboratories, Inc., Laboratory Number 11436-99/1603, dated October 27, 1999, containing results of an ASTM E330 Transverse Load Test of 1/4 inch thick x 19 inch long x 48 inch wide HeritageTm (half round) panel siding installed on nominal 2 x 4 framing members spaced at 16 inch centers and fastened with 1 12 inch long x 0.083 inch shank x 0.187 inch HD nails to each framing member. Ramtech Laboratories, Inc., Laboratory Number 11436-99/1604, dated October 28, 1999, containing results of an ASTM E330 Transverse Load Test of 1/4 inch thick x 19 inch long x 48 inch wide HeritageTm (half round) panel siding installed on nominal 2 x 4 framing members spaced at 24 inch centers and fastened with 1 12 inch long x 0.083 inch shank x 0.187 inch HD nails to each framing member. Letter justifying horizontal application of panels in accordance with Table 3 of this report, based on Table 23-11-1-1 of the 1997 Uniform Building Code and similar tables in the BOCA National Building Code/1999 and 1999 Standard Building Code, prepared by Inspection Concepts Inc., dated October 20, 1999, and signed and sealed by Ronald I. Ogawa, P.E. 6.57 Wind analysis and calculations for Hardiplank® lap siding installed with ET & F pin fasteners for exposure categories B, C, and D. Analysis and calculations signed and sealed by Ronald I. Ogawa, P.E., dated December 14, 1998. 6.58 Wind analysis and calculations for Hardiplank® lap siding based on various test reports of installations with nail and screw fasteners. Analysis and calcula- tions signed and sealed by Ronald I. Ogawa, P.E., dated July 7, 1998. 6.59 Underwriters Laboratories Inc. letter, dated May 29, 1997, recognizing James Hardie Gypsum's 12 inch thick Hardirock® Max "C"'°" gypsum board as an alternative to Super Fire X gypsum board. 6.60 Underwriters Laboratories Inc. letter, dated February 23, 2000, recognizing James Hardie® Gypsum's 12 inch thick Hardirock® Max "C"TM' gypsum board as an alternative to Super Fire X gypsum board. 6.61 Underwriters Laboratories, Inc., File R8701, Project 96NK16606, dated December 19, 1996, containing results of ANSI/UL 263 (ASTM E119, NFPA 251), Fire Tests of Building Construction and Materials, for 12 inch thick x 8 feet long x 4 feet wide gypsum board installed on steel columns of 25 MSG steel studs spaced at 12 inch centers and fastened with 3 inch long Type S self -drilling, self -tapping board screws spaced at 12 inch centers in a UL G512 assembly. 08,102/2002 07:37 _ r,.,. 53034,1124 \5303431124 A I WESTER1,11.000DS EIhJP AMAMM is rrM'r '-r PAGE 01/01 Certificate of Conformance-'- Certificat THIS IS TO CERTIFY that the glued laminats Engineered Wood Systems (EWS) were man and associated specifications indicated below: ANSI Standard A190.1-1992, Laminated Timber .t X4075 •; �;� timber products identified with a-coiiective marmot ictured in accordance -with the applicable standards— - r Wood Products – Structural Glued _ NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 – Manufacturing --;Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWSIra�demarked structural glued laminated timber members were produced in a manufacturing facility subje�tto regular audits n accord ncr,�r�it wth� F_;r i aFe ' V1/aa. I—Sys`tems('z d^✓S) QU7aiiry wssu-rance NYrogram. Routine audits include inspection of the �~ manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. ••`��,o. W ° 0,0 �Q vo'PP 0 RA i -i 0.0 i y SEAL r 0 UA `'1111111110 � by JA&-_' Thomas G. Williamson Executive Vice President ENGINEERF_D WOOD SYSTEMS Is a related corporatlon of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 191h Street - P.O. Box 11700 - Tacoma, WA 994 t 1-0700 Telephone: (253) 565.6600 - Fax Number: (253) 565-7265 y �f� o�gi / CLIMATE PRO® FIBER GLASS BLOWING WOOL Your home. has beenprofessionally insulated to provide a guaranteed thermal resistance. HoA-rE0% ADDRESS CITY � '• `� w� STATE CDA- ZIP RECORD OF INSTALLATION BLOWING WOOL ❑ NEW CONSTRUCTION IF RETROFIT: ❑ RETROFIT DEPTH OF PREVIOUS INSULATION NUMBER OF BAGS USED AREAINSULATED ESTIMATED R -VALUE OF SO. FT' PREVIOUS INSULATION THICKNESS OF INSULATION TYPE(S) OF PREVIOUS INCHES INSULATION IN ATTIC R -VALUE OF INSULATION INCHES BATTS AND ROLLS R -VALUE THICKNESS AREA INSULATED CEILINGS (2— 2_ IN. y SQ. FT. MINIMUM WEIGHT; . PER`SO.FT.-o IN. Iiistalled' SQ. FT. q WALLS ,= \ S S IN. insulationinsulation SQ. FT. FLOORS' , IN. IN. sq. ft. of installed SQ. FT. '� ` not cover iiuulation should . SQ. FT. be. less than::. IN. more than:; . SQ. FT. CLIMATE PRO. BAG WEIGHT - 25 LB. NOMINAL R -VALUE MINIMUM- THICKNESS 1 : ' BAGS,P,ER. `. ,; 1000:SO: Ff. .. MAXIMUM' NET;COVERAGE•' MINIMUM WEIGHT; . PER`SO.FT.-o To obtain an Iiistalled' Thernumberof bags. Contents of, The weight per insulationinsulation per 1000 sq.fl. of this. bag should sq. ft. of installed resistance ,should. not- nq,area.shoubl not not cover iiuulation should . (R) of. be. less than::. fbe less than: more than:; . no -be less than:. 11' 5y in. r 7.0142 sq..ft.- 0.176 -•lbs. 19, 8%1n._ -M5, 79.9 sq. ft. 0.313 lbs. 22. 101iiL:. ' 14:6 68.4 sq., ft-. '0.365 lbs;- 26 I14.in: '` 17.2:. _ . 58:0 sq. -ft-.. 0.4311bs: 30 ' 13 in: 20.0 50.0 sq. ft: 0.500-1bs:.. 38 161; in.. 26.3 38.0 sq. ft:. 0.659 lbs. 44 18/< in... 3U.5 32.8 sq. ft. - 0.763"lbs. 50 20X in. 35.5 28:2 sq. ft. 0.886 lbs. . 60 23% in: 43.0 23.2 sq. ft. 1.076 lbs. INSULATION CONTRACTOR SIGNATURE \ DATE DR1-1 COMPANY r ADDRESS M& �1�00 .� - CnU)l PHONE S9 Lf -S(DQ HOME BUILDER SIGNATURE DATE f f'0 Z, COMP I,1 - ADDRESS iIq ICO �tnL/frk �Pl� PHONE 117" Johns Manville - - BIC -196 7/97' 0 1997Johns Manville Corporaatii000nn Johns Manville Corporation, P.O. Box 5108. Denver, CO 80217-5108, Internet: httpJtwww.im.com. For more information call 1-800-6543103. vc� c( -2-(g 'i" ��. .� �B7tiM ,...Z!R!!4ys"y�yT --�.r v.:r� �.,�,,.�C•�'ris..i..z-•Fr':.. 7 sf: +q ei �.Or ` COUNTY OF BUTTE - DEPARTMENT OF D.EVELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Q I -)I R5 ASSESSOR PARCEL NUMBER 040-170-001 ZONING BUILDING PERMIT OWNER :Z UWD LRMT TELEPHONE 30_4 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS T 2036 RE CONTRACTOR'S NAME J0 -.R TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2036 RENZ ROAD DURHAI'1 Energy Plan Checking Fee 5 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 30 Other SPECIFY 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 ❑ ;`, DEMO Ff3D FOR EX MQBILEHOME- Describe Work: ! SEPTIC To BE USED FOR *W- F- Gas piping stem 1 - 5 outlets 15.00 ' Buildin sewer 15.00 Mobile Home ISI GI W11 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 23.00 4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess ns Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affir under penalty of perjury that I am exempt from the Contract Is License Law for owing reason: s owner of the property, or my employees with wages as their sole com, ensation, will do the work, and the structure is not intended or offered for sale, jj ❑ I, as owner of the property, am exclusively contracting with licensed cntractors to construct the project. � ❑ 1 am exempt under Sec. , Business and Professions Coiie for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BIDS. SO 3.5¢FT, NONS . MULT1.0 LET NMR 1. @7.50 ARPARATUS 6 SINGLE O= CIR. EX. OCCU OUTLET OR FDITURES B20 50 ®1. so Ex. Occup. OUTLEEDTS RL.ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION I her under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure foil,workers' compensation, as provided for by section 3700 of the Labor Cod, 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 perm4 is issued. My workers' compensation insurance carrier and policy number area Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 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 complywith those; ons. M` X ' i �. r Date `,Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAz. I D. PEES I IMP FLOOD cOF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , 11, /' 11,% y _" W)k4 " l; PERMIT EXPIRES ON,'/t/�/2`/`'� I the applicable provisions Resolutions to do work been paid. Date 57.2/01 pate) Receipt No. 324570' % �. ! I WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DE;VELORMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75a� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT U % —�� ASSESSOR PARCEL NUMBER 040-170-091 ZONING - BUILDING PERMIT OWNER ARMWD B= TELEPHONE 343-4021 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2036 XENZ ROAD, DMAM, CA 95938 CONTRACTOR'S NAME OWLVEER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ` ., LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2036 RENZ RQi�D DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 10 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 ❑ Udlities ❑ Installation ❑ Other ❑ Describe Work: DEMO FM FOR 07, M03ILEH0ME_ SEPTIC TO BE USED FOR NEW SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service loon oA mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChapterOR 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affir under penalty of perjury that I am exempt from the Contractors License aw for ollowing reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I herunder penalty of perjury one of the following declarations: 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, ADDNS. ( & ACC. Blas. SO 3.5¢FT: NOPLREOSINSD ' MULTI.OUTLET CIRCUITS eG 7.50 POWER APPARATUS 8 SINGLE ovrLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ° 1.00 BAL @ .50 FIXED APPLNS. OR Ex. Occup.ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood d-4— 6.50 Ventilation PERMIT FEt $ Policy Number (Th above sections need not be completed •If the permit is for work of a valuation 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 provision of section 3700 of the Labor Code, I shall forthwith comply with those provi ns. Date gnature of Appli nt - ❑Owner Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE FEE $ 35.00 P JTjOTAL FLOOD CDF pggOEl Pp I NO I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have y PERMIT EXPIRES 05/22/02 the applicable provisions Resolutions to do work been paid. Date 5/22/01 ate Receipt No. 324570 �5. 00 WHITE-D.D.S.-B.D. CANA Y -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued until this verification is received. I personally plan to provide the major lab and materials for construction of the proposed propimprovement: YES[VK NO[ ]. C2. I HAVE[LJ HAVE NOT[ ] signed an application for a building permit for the J' proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 4. I plan to provide portions of this work, but I have hired the following person - to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNS SOCIAL SECURITY NUMBER: /O ATE: �/_2Z NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials -and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee'., building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ; Arel ; ;1 _ Micha 1 C. Vieira; C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. El ffff a "d` rIv _ENTIAL e - 040-170-091. PERMIT#94-2355 r; - { MEGIBON,,_ JOSEPHINE y t2036 RENZ RD., DURHAM T; t CONEXECUTIVE HOMES, MH ON PERM FND tl .\ ` t, olo"C Iv OFFICE COPY l\ ti Address GASO Date Meter By ELECTRIC Q pate Meter By 1. + 1i JOB FINALED (Data) V J� • F Signature V=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES • ' =, _ ' 1 • ' " t MISCELLANEOUS 'Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a'* Date/Initial DECKS, COVERS, CARPORTS, GARAGEC-(Plans)OK except #'a ` 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements •- ,. 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch).. 4. Wood Awn.; Posts-Beams-Rftm. Connectors 5.. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rig.-Bracing 6. Gas; Location -Teat -Wrap: / /" L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ P'L"ft./ P'LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses S -274Y19. /fi- BCdi^,ye-11Z 9. Siding; Nailing -Veneer -Stucco -Mash 10. ' Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials MOBILEJIOME INSTALLATION Plans OK except #'a oning Requirements -Setbacks Easements dings; Size -Spacing -Marriage Line as; MH Teat-De*mf g- alve-Connector Date/Initials POOLS (Plans) OK except #'a ectr ity; MH Test -Cr s -Breakers -Clearances 1. Setbacks -Easements Y rein; MH Test -Fell -Flex Connector 2. Soils; Compaction -Structure Stability eter; MH Test -Regulator -Connector i 3. Pool Structure; Steel -Connections -Thickness 7. -Water and Sewer Connected -C/O to Grade -HD Approval ^ Dead Men -Lining d 4. Elec.; Receptacles and Lighting, Distances-GFI .8. Gas and Electricity Tagged s; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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-Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval R 10. Plumb.; Cir. Test -Water Supply Test . t + ., r ... • • ` V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR tPlans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wel Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Alr-Connector- In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 9Q. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: -, t M— � c rE > BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, dKiiC CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION -NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ��' PIZy x142 5?da l�r� �• v-�' -�'�s Date i — Inspector REV 10/92 to. l rF s4 u COUNTY OF 9UTTE 9UILDING DIVISION �•' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. JV = CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at {�t the above address and should be corrected. Please notify this office when correction of work _ # is completed. If you have any questions pertaining to this matter, or need addition al'explanation, . please contact this office immediately. ; �Z! v -COW PAW, r civ i' `3v� 70 vs� v �. `!4 • y - V • „t r Date ��{ Inspector \ REV 10/92 "'�� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r + DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFOR.NIA,93965 — TELEPHONE: (916) 538-7541 J PERMIT NO. y— Z3J3 Address or location of mobilehome _zQ3� i� P�Z �l-1 DcafJQ� .. Ss Owner's name �� QU``/ . .% U S �� fif�L/'l •' Owner's address ZUr1d A 11,44/9. C, ,� Insignia or hud number D r19 3` rl % �� 6 Manufacturer's name FL1%Plr C.A (91741 �i�t�3 SIf Serial number/ of V.I/.N. n % Year of manufacture t (Officiod'Approving Installation) (Date) i IF. THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION; ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE., MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. �.; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 03Iss ASSESSOR PARCEL NUMBER 040-170-091 ZONING BUILDING PERMIT OWNER JOSEPHINE MEGIBON TELEPHONE 343-4021 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2060 AMANDA WY CHICO 1557 84 078.00 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 567.50/2 $ 283.75 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ 184.40 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9016 RENZ RD PERMIT FEE $ 488.15 D11RHAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 15-.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 5 , 00 Building sewer 15.00 5 , 00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation Other ❑ Describework: MOBILE HOME ON PERM FOUNDATION PERMIT FEE $ 65.00 Contractor ELECTRICAL PERMIT Filing Feet 20.00 Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 -� 00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) S0. 3.5C �. CONTRACTORS LICENSE LAW I are under penalty of perjury (check one) I am s licensed under provisions of Chapter 9, Division 3 of the Business and Professions o e license is in full for c and effect. _ License No. Classification ❑ I, as the owner, or my employees with wages as their compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.x050 BAL. FIKED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 . WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): A❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 41-00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co in consequen of the granWngof'his permit. It X Date Signature o Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOT L F $ 15 59,L-15, HAZ. D. F S Fl D C A L PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY— PERMIT EXPIRES ON��.S the applicable provisions Resolutions to do work been paid. !De tel Receipt No, l �J ��°"1 1 WHITE-D.D.S.-B.b. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER A. P. N Proposed Building Use ilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... r sof$ ".. Impact fees as shown on attached schedu "�D ........... LAY Abl �4 2. California Department of Forestry plan approval ees. ....................... . Flood elevation letter (100 year flood) by California Engineer. ............. 14 Sanitation and plot plan approval r/f/GO_ Health Department . ........... . City of Chico plumbing permit. .................................. . ` y 16. Plot plan and business license approval from City of Biggs/GridleyBiggs/Gridley.'............ . 17. Planning approval for (A) Use: f (B) Parking: 8. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o Build 9 �spector (Data) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ...:............... 0 ...... 23,..,Owner-Builder Verification (Given to owner ,Mail to owner. .........:: 4. Recorded copy of Agricultural Acknowled a.�nent Statement . .................. 25. Letter of signature authorization. ..... . . rv(Lov+1(L . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ...:..::::::::::::::::::::: ::: ; ; ::::: Mobilehome utility clearance. . 29. Documentation of legal access . ..................... :.................. #30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ................................... 32! Plan c eck list. When 6u issue the permit, process as followsf/ Mail to owner. Mail to contractor. Telephone o and hold for pickup at ` o ice. Deliver with Other Parcel Creation fi Acreage Applicant Date. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date _ Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior 1. Index permit Ifor above items NoR 2. Additional items required: ce: (Circle new item not checked above). .BY o ctor signer, owner, was advised of above required data by sZphone _ mail Cou er bjL`' Date Co tractor, designer, owner, was advised of above required data by _ phone _ mail -___,eCoqhter by _ Date Plans checked by Date Plans approved by Date ;-, 4 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i li.li. ll��1_1' Plot I'Lin Attached L", �F H(wr Plan Attached _ p Sent to If TO: Building Department T FROM: Environmental Health SUBJECT: Sanitation Clearance ner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well I,— Clearance for bedroom I cibilc home. Other Hold Final for: Final clearance O.K. for: NnTF.- *Iiron��mcntal Health Specialist 8/92-- . . Date COUNTY OF BUTTE - DEPARTMENT OF"DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 —TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE SCHOOL DISTRICT FEES D V (paid at District Office).. .................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. 21+3. ,.� Commercial (sqft) x =$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Res}dential (per unit) x =$ � # units amt.' owffnercial (per sq.ft) x , _$ sq.ft. amt. RECREATION DISTRICT FEES 41�)74 X ZO (paid at District Office) ......................... DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 0THER A. P. # rCC? DATE REC. # DAT P, F'o � m WoAf 4 0/ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 10 A ;."-.;.a+y.. y�. �. r..r� �i ^ @fi:IN r .-.R•�wtma. ,jjy ,rY,,+..� na*v.. j ..r..�K,.. fir. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) J� s Y School District Durham School District A.P. Number 04-170-91 Property Owner Jurisdiction[ Josephine Megibow Property Location/Address Renz Road DLxharn' CA Building Department No. City ® County Subdivison Lot No, Residential Development E� E31]❑ Sq. Footage 1557 - No. of Living MHI : Addition (Group R) Units Commercial/Industrial ❑ ❑ Sq. Footage New Addition (Including Exterior :4 . Roofed reas),. . Date t' (Floor Plans reviewed by School District Personnel) ,,District Identification No. 70�� School District certifies that �/> .�a r ✓��e% �� nf/ �. (Applicant) ' (Street Address) (Phone Number) (City) (State) (Zip Code) ,✓'' has complied with the requirements of Resolution No. 9if by payment of $ t representing ,� square feet. Ge Representative ❑ Check here if fee received represents "Full Mitigation". Date To be paid at close of escrow from Bidwell Paid by Check # Remarks: , Bank Number Title, escrow Paid by Cash 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.wkf (area) •A, V' Z.R.1jy{fi` .t I. l t t 'C , !, ��I'dfl� "Sr ^Rl.'3rN1^ r Pdr. ,�y ; •''T n�'. BUTTE COUNTY PARK FACILITY rEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): 04-170-91 Property Owner (s): Josephine Megibow Project Location/Address: Renz Road " Durham, CA a x, Subdivison Name: Assessable Square Footage: 1557 Type of Residential Development (check one): New Development Alteration/Addition Mobile Home (s) ❑ Non -Residential to Residential Comments: To be paid at close of escrow from Bidwell Title, escrow. #167229.- 4 Building Divi on Representative Date ) Durham Recreation and Park District, (DRPD)' certifies that ci'/� ~ �J. ,' /)Applicant Name Applicant Phone Number VV �l ? n 0- 0L-) Street Address 041 - city State Zip ode has complied with the requirements -of the Butte County Board of Supervisors Resolution No., 93 - 114 by payment for 155'7 quare feet at $ 1.04 per square foot for a total payment of $ / (O tz� DRPD Re g esentative tAppeov 9 a3 -itF) PAID BY CHECK No.:1N 65CRDW 164Z -q BANK No.: PAID BY CASH: RECEIPT No.: Remarks: -..2Z - 9 sZ Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION G f RICU_. "L STATENEN7yF'ACKNOWLEDG MENT 7 Q A _ 3 5 15 I � Re -turn to �w �._ `i,Builduig D vision''FOR RESIDENTIAL DEVELOPMENT - .f- 6-8 r,, ectioi< 2.1 ; of the:+Butte `County`: Code r,:quires thus' acknowledgement be recorded prior to, issuance of a building permit: t X 94-035151 I Rec Fee 12.00 I Check 12. 00 ' .The property described herein is adjacent to land or_included Recorded I within an area zoned for agricultural purposes, and residents Official Records I of this property may be subject ,to inconveniences or County of I discomfort arising from the use -of agricultural chemicals, Butte I including, but not limited to herbicides, pesticides, and Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations Recorder I including, but not limited to cultivation, plowing, spraying, 11 : 08am 18 -Aug -94 I PUBL XX 3 pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ,,,e 0++aJ/-IeJ- Date: EVIL_ g? 7 State of California County of a On �� before me, PROPERTY OWNERS: ' - C o personally appeared - — _ - personally known to me (or, proved to me on the basid of satisfactory evidence) to be the persons) "whose names) is/are subscribed to the within instrument and acknowledged tome that helshe/they executed the same In his/her/their authorized capacity(ies),and, that by his/her/their signatures) on the instrument, the person(s), "or.the entit' on behalf of - • ..; , � .'' .. .. �uuumtunwnuurunrimin�iunnuinruiuiiuneuurrne. Signatures i ` Seal: WlrNDY M. AUER�� Y. _ CL NOTARY,AU1LiC = CALIRCRNIA " _ � �MYCirtlrflrfltOUr E:pltlf Rtetftela?y t3 188A A Pail t7� �� .1.�7�� ,.L s Y t !+nttuutmliP t7tItUH1111t1�1r1ttJ1i11�t1E11j�llNtkl3rutuUarha � - � 94 -35 1 5 1 4.#tera'[ Sdt �.t dj ! °Phe land referred to herein is described •as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of Allotment 9 according to the Subdivisional Plan of the Durham State Land Settlement recorded in the office of the Recorder of the County of Butte, State of California, on September 17, 1918, in Map Book 8, at pages 16, 17 and 18, and more particularly described as follows: The Westerly one half of the following described property: Commencing at the Southeast corner of said Allotment No. 9, which corner lies in the centerline of Cummings Road; thence North 01° 02' West, 145.00 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to the true point of beginning for the parcel herein described, said true point of beginning being also the Northeasterly corner of the land described in Deed from Charles R. Crowl, et ux, to Robert Lee Scott, et ux, recorded May 29, 1963 in Book 1248 of Official Records of Butte County, at page 288; thence from said true point of beginning, along the South line of said Scott parcel, South 88° 47' West, 535.83 feet parallel to the South line of said Allotment No. 9; thence North 010 02' West, 162.59 feet parallel to the East line of said Allotment No. 9; thence North 880 47' East, 535.83 feet parallel to the South line of said Allotment No. 9 to a point on the East line -of said Allotment No. 9 and the centerline of Cummings Road; thence South 010 02' East 162.59 feet along the East line of said Allotment No. 9 and the centerline of Cummings Road to.the point of beginning. AP No. 040-170-091 PARCEL II: A nonexclusive easement for road and public utilities over, under and across the Westerly 20 feet and the Southerly 40 feet of the following described parcel: The Southerly 125.00 feet of the following described parcel of land: A portion of Farm Allotment No. 9, as the same is designated and delineated on that certain Map entitled, "Subdivisional Plan of the Durham State Land Settlement, being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was recorded in the office of the Recorder of the County of Butte, State of California, September 17, 1918, in Book 8 of Maps at pages 16, 17 and 18, more particularly described as follows: Commencing at the Southeast corner of said Allotment 9, which corner lies (Continued) ri .: 94-35 15 1 ROOM '•i0* the centerline of Cummings Road; thence North -°n010',021, West,"- 20.00 ,_ '��' 3 ; • feet along the East line of said Allotment 9 and the centerline.of Cummings Road to the true point of beginning for the parcel herein described; thence from said true point of beginning, South 88' 47' West, 535.83 feet parallel to the South line of said Allotment 9; thence North 01' 02' West, 737.48 feet parallel with the East line of said Allotment 9 to a point on the North line of said Allotment'9; thence along the North line of said Allotment 9, East 535.74 feet to the Northeast corner of said Allotment 9 and the centerline of Cummings Road; thence South 01° 02' East, 726.10 feet along the East line of said Allotment 9 and the centerline of Cummings Road to the point of beginning. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center'Drive, Oroville CA 95965 Phone: 916-538-7541 JOSEPHINE MEGIDON 2060 AMANDA WAY CHICO, CA 95926 RE: BUILDING PERMIT FOR Pli ON PERM FND A.P. #040-170-091 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 8/23/94 Mobilehome.Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and busin6ss license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemot.ion statement. Certificate of Workmans Compensation Ins:ra.^.ce. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. -XT--Documentation of legal access. Documentation of 5011 subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. MCV:ahb .Y rs very tr ly, Mic ael C. Manager, ieira,.C.B.O. ger, Building Inspection August 24, 1994 COUNTY OF BUTTE - Department of Building #7 County Center Drive Oroville, California 95965 Attn: Mike Terra RE: MEGABOW PROPERTY Flood Plain Elevation APN 40-17-91 Job No. 94-053 (a) Dear Mike: BACHMAN ASSOCIATES At the request of Executive Homes, this office performed a topographical survey of the subject property located on Renz Road in Durham, California. The survey was based upon Benchmark # 1183 of U.S.G.S. datum, which is located at the bridge on Durham-Oroville Highway. Said benchmark has an elevation of 159.31. Based upon the survey data and the review of the current FEMA maps for the subject area, it is my opinion that the finish floor of the mobile home should be constructed to have an elevation of 163.41 to be above the 100 year flood level for the area. In my opinion, the flood level in this area is 163.40. A 60d spike has been placed in a small Valley Oak on the south side of Renz Road with an elevation of 161.91. Therefore, the finish floor shall be V-6" above the referenced marl:. If I can answer any further questions at this time, please do not hesitate to let me know. Very truly yours, Zzz Q�OFESSIo C.W. BACHMANJ\r1 W'xeAC , CWB:trb Exp. 6-30-97 W V No. 168 cZ 9F C M M 10 ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 0 .._ . � r < `iC.."{AAiIIf'!�_v� _�"i�i�%�ii'��Aisflly' 1 t�o�t�y'\'a"»+!•�.i�^;�:.;...s+r.... ,y a I _ • AT �� ....rw ' f: r .•Y 1'.e ♦ . �..: .ice... .♦ :Sy,�= .i' 11<t r ... .. '✓1P!s !' _ ,: ._ COUNTY OF BUTTE - DEPARTMENT OF. DEVSLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7.541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �, r% 1-19 C -kc) ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER t TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSIUN\G ADDRESS UNG) _ � r CONTRACTOR' NAME ♦ TELEPHONE COMRAC R5 NG KESS � CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i SF ❑ 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 D Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Describe Work: __r1eau1`Gtl.. J(44_1 M _ Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home JTFdTW @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS ) Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. { , { d License Class Lic. No. ��S ! `k OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. so 3.5QFr; NON-REOSID. MULTI -OUTLET 97.50 PowER APPARATUS 8 SINGLE OUTLET CIR. FIXTURESEx. OCCU . OUTLET OR FIXTURES .00 BAL ®I.se FIXI Ex. Occup..ODUTLETB Aa oEAL 5.00 Temporary Service 23.00 , Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 those provisions. fort ith comply To X r _ I / �... _... Date K I d I SignatL o ' A ❑ pplkant - OHlner V� Contractor ❑ Agent An OSI pJ1 is/required for excavations over So" deep and demolition or construction of structures over 3 stories in height. J MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation f PERMJT FEN: $ Mobile Home Installation Fee $ Energy Inspection Fee $ PE TOTAL FEE $ 11M L. HAZ. D, FEES IMP FLoaD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work i Qdicate above for which fees have been paid. By /1 Date _ _3 't; PERMIT EXPIRES ON Date Receipt No. e &0 WHITE-D.D.S.-B.D.CANARY-ASSESSOR / PINK -INSPECTOR GOLDENROD -APPLICANT 1 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, i✓alifornia 95965 • Telephone (530) 538 -75 -Al PERMIT NO. APPLICATION AND PERMIT OR, .-19 Df) ASSESSOR PARCELNUMB — s ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S IUNG ADDRESS A. CONTRACTOR' NAME • TELEPHONE V CONTRAC j TIU RESP 4 LELENDER` CONSTRUCTION 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 ADDRESS jQ Oct Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Otherx Describe Work: �p^� &vf& • r ' clari Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE ! ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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. 5 '7 (4 _� I Q License Class LIC. NO. / ( _ ` OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 46.00NEW CONST. DWEUJNG OCCUP. OR ADONS. ( & ACC. eLDS. so 3.50F7, NO R6,U MULTI.OUTL5; 97.50 POWER APPARATUS 6 SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAS @ 1.550 Ex. Occup.DFlxUTLEEDTS�RES LNSOE 5.00 Temporary Service 23.0023.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S •� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 4-1 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 work rscompensation provisions of section 3700 of the Labor Code, I shall fort ith ply w' h thos provisions. / X Date l ° _ Signat e o f ant - ❑ O ner Ixontractor ❑ Agent An OSH pe it! required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cewp-WPE TOTAL FEE $ 3 ©� HAZ. D. FEES P FLOOD CDF PARCEL ro HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated -above for which fees have been paid. By Date PERMIT EXPIRES ON � '•� � �� (Da to) Receipt No. ♦ 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINK•INSPECTOR GOLDENROD•APPLICANT IIM