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041-080-158
041-080-158 03-2304 ABILDGAARD, BILL ZEPHER POINT RD, PARADISE NE SINGLE FAMILY 041-080-158 , 03-3137 PERMIT RENEWAL ABILDGARD, BILL DATE: 5—//. Cont WF SQUIRES /� - ura ^S: a3-3/37 FIRE SPRINKLERS �'V�` E\PIRFF.S: 041-080-158 75M243ABIDGA.ARD. BILL 4901 ZEPHYR POINT RD, PARADISE Coni 13LUC• HAVEN POOLS NEW POOI:. MSTRN01=517 .. F/NA'i� l % Iy�6ro 041-080-158 MISCELLANEOUS Phtovtaic Sys Gm GROUND MOUNT SOLAR SYSTEM 4901 ZEPHYR POINT RD ABILDGAARD, REVOCABLE TRUST PERNUT RENEWAL DATE: 5 --"/ EP4_0 3 -z3ay /� ^ n �, Ert>ures: �/ (t„„Y 1/ .4i J� r� T` r� e r -SPECIAL CONDITIONS CHECKED BY -SRA CERTIFICATE REQ. j FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS- VERIFY– USE TEMS- VERIFYUSE PERMIT CONDITIONS •�� SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter B Date _LE CTRI OFFICE COPY Address yq� �Q r GAS Meter By Date ELECTRIC Meter By Date JOB FINALED (Date) •r Signature / i► jd' 0 NOTES F;ESiDENT1A4 Z..�e'�,' n Y�� cam, •, � 0-41--0-80-158 03-2304• PERMIT h1 ABI II LDGAAR_ D, BILL ' D ZEPHER POINT RD, PARADISE r� y / NEW -SINGLE FAMILl' - � C?eA 3 iC 3 o K ��� �r -or �Uvs� rl &r C- (_rc -SOG fi t, —PERMIT RENEWAL DATE: S n _ 3�y EXlip EXPIRES: / 2 -/-06 .4i J� r� T` r� e r -SPECIAL CONDITIONS CHECKED BY -SRA CERTIFICATE REQ. j FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS- VERIFY– USE TEMS- VERIFYUSE PERMIT CONDITIONS •�� SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter B Date _LE CTRI OFFICE COPY Address yq� �Q r GAS Meter By Date ELECTRIC Meter By Date JOB FINALED (Date) •r Signature / i► jd' 0 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s g., Main; Soils-Elec. GrNd.-/ Y\./" Ftg. Depth Fjtg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.117A. Porches & Decks: Soils -Steel-/ /" Fta. Deoth 0' emwalls, Garage; Steel- Bloc kouts-Wra ed X Hold Downs and Soecial Anchors Lf 7. Slab, Steel -Wrapped / 8. Piers- Firelace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 1 as Pipe; Size Anchors -Yard Gas Piping; Size Test 1 ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 1 lenyms & Ducts; Clearance -Material -Support -Ins. 14 irders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date 7 Car B-1 Date Card B-1 Date RLUM ING (Permit) OK except #'s 1 Water Htr.; Vent -Access -Combustion Air Baffle r Pipe; Test & Anchor -Nail Protection 1 .V.; Test Fittings & Anchor -Nail Protection - Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access . Gas Pipe; Sixe & Anchors 3 Fire Sprinkler; Test Date (�K Card B-1 Date Card B-1 Dates` Card B-1 Date Card B-1 Date ELEC CAL (Permit) OK except #'s 2VXxture & Transformer Clearance -Ins. Protection V. lec. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled 27 mex Installed Close to Edge of Studs & C.J. 2 uip. Ground made up w/Mech Fasteners -Bond Gas & Water 22,.,"2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Sizele /ga. Cu or AI=A . Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes Cl No 3 Service -Riser Conductors & Ground Main Disconnect A Equip. Clearances Panels-Motors-Mech. Equip. 3e Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B 1 Date Card B-1 Date 7 Card B-1' Date Card B-1 Date MEC ICAL (Permit) OK except #'s *4t C. Ducts Insulation & Support 3 '. ent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 . Att' Access & P tform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FR MING (Permit) OK except #'s Sills Proper Materials & Anchors 4 Walls Studs -Nailing Spacing & Braces -Plates -Sound 50. Bearing Walls over Girders & Floor Nailing 4./6raft Stop in Walls (rat proof) 4V Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing ,P�✓r7. I A_ / 5 Date FRAMING (Continued) 47. ers-Post Caps -Anchors -Connectors q72?/,,5,,j 4 ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Tru hjo�.-Rtng. 4U Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5V)Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5Z Garage Fire Protection Framing -RC Channel 5 Property Line Firewall & Openings X. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -fi .2nItairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 5 Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59! GI 'ng Area -Glass Protecti -Skylights-Plastic 6Q. hear Walls; Naili o 61. ace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 63. Infiltration -Walls -W ndows Date C• 2G v -w Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous In a tions 92. Gas Test -Meters Tagged, s lectric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 EDate Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 CERTIFICATION OF INSULATION WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#20202611 J Ufw 1yn 605 S.AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 2.3th '^ 3881 Y, SUITE CHICO, CA 95928 2026 "j ❑ 8924 AIRORT ORAD, R DDING, CA 9 002 LIC #202026A, DATE INSULATION COMPLETED x-15 -a5 S ( square feet) ( square feet) ( square feet) TYPE OF INSULATION TYPE OF INSULATION • TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BATTS FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER_ MANUFACTURER. Y 'r•," CT OCF KN CT OCF KN CT OCF KN BAGS R -VALUE APPLIED R-VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SQUARE FOOT INSTALLED THICKNESS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS IG AT E - IN UL N T TI LE /� ,n DATE 1� T SIGNATURE - GENERAL CONTRACTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy NOTES PERMIT NO RESIDENTIAL 041-080-158 ABILDGARD BILL Cont: WF SQUIRES FIRE SPRINKLERS 03-3137 PERMIT RENEWAL I DATE: S-/( I ` EXPIRES:� 3137 SPECIAL CONDITIONS 11 CHECKED] BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER pesa- ©h 'JOB FINALED (Dant Signature, J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK = Not Applicable * = Not Ready 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Enclosures; Conduit Entries -Terminals -Listed 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Health Department Approval 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / P' L "ft./ P LPG 11. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r) BALANCE OF FEES SHEET DATE: PERMIT: ASSESSOR PARCEL #: OWNER'S NAME: _ FEES: (Amount and Purpose): BALANCE OF FEES: _v�3- 31 -meq U'�) - 0�6d - N JO ADDITIONAL ES: REVISED PLAN HE r SRA COP URBAN ARFAA. FEES A 87 (North Chico Spec.) WATER TENDER FEE THERM DRAINAGE FEE OTHER OTHER VALUATION - IF BALANCE 0: TOTAL, VALUATION: ADDITIONAL VAL: (Check one) COt CITY OF BIGGS (Check one) RESIDENTIAL COMMERCIAL C(� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51243 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/17/2005 APN: 041-080-158-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.C I -� Q1 0*9 License Class: �' License Number: Site Address: 4901 ZEPHYR POINT ROAD PAR r QIP t>t�� Date: 5 Map Index: Contractor: Description: POOL MASTER 01-517 OWNER -BUILDER DECLARATION - 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ABILDGARD, BILL & GLENDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 5016 LAGO VISTA WY signed statement that he or she is licensed pursuant to the provisions of PARADISE, CA. the Contractor's State License Law (Chapter 9 commencing with Section 95969 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530)822-4075 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BLUE HAVEN POOLS Code: The Contractors' State License Law does not apply to an DIVING LADY INC. DIVING owner of property who builds or. improves thereon, and who does such work himself or herself or through his or her own employees, 275 STREET provided that such improvements are not intended or offered for SUITE 100 A 95973 sale. If however, the building or improvements are sold within one 530-899-8445 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractorsto construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BLUE HAVEN POOLS not apply to an owner of property who builds or Improves thereon, DIVING LADY INC. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 275 FAIRCHILD STREET ❑ I am Exempt under Article 3 of the Business and Professions Code SUITE 100 A 95973530-899-8445 Date: Owner: License #: 718849 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. VI have and will maintain workers' compensation insurance, as Engineer: \ required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurancecarderand policy number are: Carrier: S l�-� C70 Q Total Square Ft: 0 S. F. �3 Policy#: -`(� Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers'��� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi those, provisions. � � 0 Date: - y—/� � . z- 67 Applicant: _!W� WWA)A� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor _ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resoluti ns. to do work indicatede f which fees have been paid. /� 3 Name: BY' Date: 7/0, V PERMIT EXPIRES ON: Address: A Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 0827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a y official form or do en of utte County. I hereby authorize representatives of Butte County to ter on the above mentioned property for inspection pure s. Print Name: a 1,4-,) X b r Signature: 6 Date: I S ' /contractor ,❑ Owner ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name ; First NanceU- �l Address L-Iq C>1 2 e_te\ City`Z--„ "i Stal Ziq Phone _ i�D--j 6 Fax E-mail APPLICANT NAME CONTRACTOR Nam )AO-000 �i ynob Address Ol Address City , State Zip - Pho �Q (; `I E -mai Li ." Class APPLICANT NAME ARCHITECT/ENGINEER Name City h State Address P a� C1 -F5 F&3n 3Lj.Q -6-72 L/ City �Q (; `I Stat n oC g P nl �Qt_tJ�' __7 Fax E-mail LENDING AGENCY Sta License umr APPLICANT NAME Name • ` • `' L T Address `Q �� City h State Z'9 73 P a� C1 -F5 F&3n 3Lj.Q -6-72 L/ E-mail APPLICANT IGNATURE X For office use only: Zoning Flood Zone I X I SRA I No Occ. I Type Const. Subdivision Name Map Book P2qe Lo PI nner D Approved: r1) MIN- lb -v OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT �la� BIN # Page 1 of 2 Desc ption pScopelf Work: u�1Wo . cl Sq. Footage _3 ❑ Structure Built without emits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receivedk: Amount: LOCATION Bldg Property Address (-vlolZ� Cross Street t WORKER'S COMPENSATION Policy Number , 3)0 9 -3 06 S rri r m PLn baa - i o n If hiring anyone other than license contractors, a certificate - worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 1 Address Page 1 of 2 Desc ption pScopelf Work: u�1Wo . cl Sq. Footage _3 ❑ Structure Built without emits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receivedk: Amount: K-7. ' 10 Bldg SRA Sheriff SMIP Total REV 2-24-05 L d SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Noh-heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd*plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form .• �l , - ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed,, El M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. , If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS - Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT'APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Dams required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. O 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. 14. Other �epnaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ............................. ❑ 23. California Department of Forestry Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..a'-...-, ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ IPT' 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........... ................ El 28. Contractor's license information. (Number, Name Style, Classification). .................. ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... O34. Deed Restriction........................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been inform d of the ab o e s and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items num re : Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the abo phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 6V T TF o o e d I0 ' o t \0 0 \AC'OUNZ�s UC YVCF� Department C o u n t J. Michael Crump, Director of Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution. Prevention Plan (SWPPP) Acknowledgement tLESS THAN 1 ACRE] Project Description: i Project Location and/or Parcel Number: �i d � 0— By By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: l Date: T 5 - Less than 1 Acre NPDES & SWppp Compliance Certification Butte County Storm Water Manaeement Proerarn COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 9P65 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 40.3-3/_47 ASSESSOR PARCEL NUMBER I �, C/ o _ 1 0 ZONING BUILDING PERMIT OW 3 `1 r ' �� Ia ^ TELEPHONE SO. FT. OCC. BUILDING VALUATION 5110 .6 8176.00 .OWNERS!M LAGO VISTA WAY PARADISE 95`969 CO CTO )7 _YA � ` ' � rH Nb Z CONTRACTORS MA (YREge [4/\ }J� [`•/ L CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 198, 20 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �< Duplex ❑ Mobilehome ❑ 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 Re Describe Work: `` r1 ttiim Y%, k+ iC �n/C� L V 1 •1 01' Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ,��-St-f ELECTRICAL PERMIT Fling Fee 20.00 a*OVORLESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,r,oµR6lp and my license fUl f rce and effect. •� O / ^� b License Class " Lic. No. J S 2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith co with sions. X Date ' — o Signature of Applicant - iN Owner ntractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To LoaoA 46.00 NEW CONST. DEWNO OCCUP. SO WEL OR ADDNS. ( & ACC. BLDS. 3.5¢FT. MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex, Occup. SAL 0 1.00 OUTLET OR FIXTURES.50 Ex. Occup. ouTFLIEis Ra D °EEA. 5.00 Temporary Service 23.00 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 198.20 FEES IMP I nAOO I CDF PARCEL I PO HD E 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 .2 I 0� PERMIT EXPIRES ON `f pgT / Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) o ! COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 959'35 • Telephone (530) 538-75,1PERMIT No. APPLICATION AND PERMIT G 1 I �6 l ZONING BUILDIPIG PERMIT ASSESSOR PARCEL NUMBER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER � Ll5 MA0.1N ADDRESS NTRACTDRS NAME �/ C `-r �ONE CONSTRu v ICER �� CQ> I� NS Ex. Occup.UTLETS�ESL °Ea ELECTRICAL PERMIT Fling Fee 20.00 (� �w on LFs�a Fireplace Main Service MA To loom LENDER'S MAILLNG ADDRESS NEW CONST. ADONS. Total Valuation $ 350 ._.. DDNs . My9Tto 1Er i1 LICENSE NO. Filing Fee $ 20.00 ARC HREGT OR ENGINEER $ �� Permit Fee anpLrtE= OR ENGNEERS MARJNG ADDRESS Plan Checking Fee $ _ BUR=NG ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT D. SUBDNSIDN'S NAME N PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15. DO SF ❑ Duplex ❑ Mobilehome ❑ Other Each as water heater or vent TYPE OF WORK Gas pipin stem 1 - 5 outlets 15.00 New ❑ Addition 13Remodel [3 Utilities E3Installation ❑ Other 13BuO ding sewer 5.00 Mobile Home S G W @25. Describe Work: .PERMIT FEE PAID SRA SHERIFF OTHER s AMOUNT RECEIVED $ DATE RECEIVED J6 RE[EIPT Ex. OCCU OUTLET OR WTURES PERMIT FEE S NS Ex. Occup.UTLETS�ESL °Ea ELECTRICAL PERMIT Fling Fee 20.00 Main Service �w on LFs�a 23.00 Main Service MA To loom 46.00 NEW CONST. ADONS. WCSP. __O=OR 350 ._.. DDNs . My9Tto 1Er i1 97.50 Ex. OCCU OUTLET OR WTURES Bmt-Eb .5C NS Ex. Occup.UTLETS�ESL °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 L_ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 6.50 Ventilation PERMIT FEE 1 S Mobile Home Installation Fee $ Energy Inspection Fee $ Gc -_T' _PE TOTAL FEE $ U HAZ I D. FEES I IMP I FLDOD — F PARCEL PD 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 (Dare) COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DIVISION / 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541T (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-080-1-58 ZONING BUILDING PERMIT DWNEABILGAARD BILL & GLENDA T872 4075 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5016 LAGO VISTA WAY PARADISE 95969 5110 R 275 940.00 1384 U 24 912.00 CONTRACTORS NAME OWNER TELEPHONE 1286 C 16 718.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAULING ADDRESS Fireplace Total Valuation $ 317 520.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 1402.50 Plan Checking Fee $ 911.63 BUILDING ADDRESS 4901 ZEPHER POINT RD PARADISE 95969 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 2337.13 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00133.00 -Jq Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 Each gas water heater or vent 1 15.00 15.00 TYPE OF WORK New N1 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 20pp OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that 1 am exempt from the Contractors License P kY P 1 rY P 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly ith those provisions. X - _ _ Date 1- 0 Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is requ ed for excavations over 60" deep and demolition or construction of structures over 3 st ies in heig,1A t. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO 22/.29 OR ADONS. ( & ACC. BLDS. 3.5¢x: NEW CONST. MULTI.OUTLET �G 7.50 NOI}RESID. BRANCH CIRCUITS POWER APPARATUS 8 SINGLE OUTLET S.. Ex. Occup. OUTLET OR FIXTURES SAL @1.Q Ex. OCCU • FlXEO APPLNS. OR OUTLETS RLNS EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 270.29 MECHANICAL PERMIT Fling Fee 20.00 Heating 2 120.00 40.00 Cooling 2 25.00 50.00 Hood 1 6.50 6.50 Ventilation 5 4.50 18.00 3 GAS FIRE 3 15.00 45.00 PERMIT FEE $ 179.5 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE AL FEE $ 45.9 HAZ. D. FE IMP FUDO CDF PARCFly L'/ H ISsu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat 2 2 Q.D.S.-B.D. to rR7eceiptNo. !i .� CANARY -ASSESSOR PINK -INS ECTO ODE OD-APP;1A T TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan AporovXo, �% Sewage Disposal Clearance jo welling. Other \-. Hold final for: Final clearance O.K. for: NOTE: Environhiertfal He 8/96 9 'LY Flo2 Ran Anac"-'- .1 L11- -A Floor Ran Atwcttsd�� Saw to S.D. %-, -11 %- -a Qr- :022 AV# ply: Public Private Well /A te :,p;«7r�;'j�fy�.-.� „ti..,. 7:9St'-Y:Y�t�rw�Ty „+d+''"•r-•vy,..� •,-T•I;�;, .�� �-*r.+..:wr.�� p..�,: ��rk......1'fY:�;. *.F.r;s�. • _ 'w -,-�, r,.-• ,i . -r .., s.•.- .- - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965Thone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DA�TI;A SHEET OWNER: dil ASSESSOR PARCEL NUMBER C./7l ' C/ F Proposed Building Use: Q 1 Counter Technician: & Date: Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. -J:3 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 3Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. —V-4. Engineered truss details and layouts in duplicate. No faxes! 'IC2. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form.......................... ..................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other nmg items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ...................................... 17. tatement of Intent for Non -heated and A/C Buildings ............................................ Sanitation and site plan approval from the Environmental Health De artment in �4 O 124, 10 19 City of Chico Plumbing permit .............................................. ft. .... . 20. California Department of Forestry plan approval ❑'paid. Sent by: �...................... ❑ 21. Planning approval for (A) Use: K(B)Parking: (C) Parcel Check: 2. Contact Land Development abt Improvements, E) Drainage ............................... NPDES Form.....J.....Q'yi............................................................. j24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. 50,29�._etter 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When Tissued Telephone R �2a - U•i,) rI 1 and hold for pickup. I have been informed of the �ve items and requirements for obtaining a building permit. 3 I Eppde ant: ?�' 1x permit application for the a ove items numbered: Plan Check Letter ,�.gip i"4aditional items required Contractor, designer, owner, was advised of the above data by 0—phom eD mail,c�yDate: Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, i Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: _Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965,TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER alZd Oil A.P. # PROPROSED BUILDING USE DATE / RECEIPT # DATE REC. LTILDING PERMIT FEES ` --- Balance Due ..................... $ --- Additional Fees Due........... $ ---_Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES /QA 0 (paid at School District Office) (form available after Pla heck) j �S O�C3.HERIFF FEES (paid at Building Division) dential............ X $360.00 =$ 63 b Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $10.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone . X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER 385037 --011A At time of permit application, I wt ised the above fees are required to be paid prior to issuance of the permit. These fees y be changed during the plan cngces Q�,, DAPLICANT i Pursuant to Government Code Section 66020, you are hereby otified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ISION f"�' / q 7 County Center Drive • Oroville, California 95965 • Telephone (5 ) 538-7 41 PERMIT N 96)x41 lk ' b 9 - 68s /5 / APPLICATION AND PERMIT � �� 3� 3 ' a ORPARCl31fLYBER� �Q S8/ ZO BUILDING PERMIT "; �02S- SQ. FT. I OCC. BUILDING VALUATION A/1AiWNO ADDR�S�C, ()J;3(its &A.,\ LWtJNO ADORESB ;7. T.=ON LEER IENDEFIS IANIJNG ADDRESS Fireplace Total Valuation is a ARcI4REGT OR D=NM uCE76E ND. Fi6n as $ 2 0. t), 0) Permit Fee SIq 0 D . �. ARCIQTE= GR ENOWEERS ►WUNS ADDRESS Plan Checking Fee Energy Plan Checking Fee s 0 0 951e7 Q PERMIT FEE t a 33 USEOFSTRUC SF A Duplex ❑ Mobilehome ❑ Other _ TYPE OF WORK N_ Addllion ❑ Remodel U06es E3Installabon ❑ Other ❑ Describe Work: �j J s F•L, ex� X� USS 5 C3 S lzlp� B AF PLUMBING PERMIT Firing Fee D.DO Each Trap 7:00 �i Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 -- Gas piping systarri'll - 5 outlets 15.00 Buildrng sewer ( 15.00 ^ Mobile Home S I GI W (9?2D.Oo Ex. Oeeu ounzr OR FLCTURB PERMIT FEE i©O ELECTRICAL PERMIT Feng Fee1"1,-20. — Mafn Service a=oatFNI 23.0D 00 Main Service 20" TO ID00A 46.00 twa t. ( o W. Dcam. 3.5CcsT° OA ADDNS OR A i AGC. mos. oZ PERMIT FEE 07.50 Ex. Oeeu ounzr OR FLCTURB eAL ®I.so . Ex. Occup. un ErsAm °Ex 5.00 Temporary Service 23.00 Moble Home Faeil'ities 20.00 Wsc. Wiring 23.00 PERMIT FEE 4a5L '7!0 • Qv MECHANICAL PERMIT Firing Fee 20.09 t 6•00 Heating p.00 Cooling 19JS -co DO Hood 6.5 D 4) Ventilation , . ,rKy 5 l T -O a Mobile Home Installation Energy Inspection Fee i Is Dcc=' -Pe TO AL FEE $ S -Z. I D. FEES 94FI00D .DF P EL K GS' E 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 PERMIT EXPIRES ON Date _. Pala) b6z -S- BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District r if / ��� L�[�' r Building Department No. A.Pl..-Number �`��— f / D Jurisdiction: City County Property Owner /'7 / / / l� ©f7 _'_L_/_`// Property LocationlAddress �� Pl�f�' Subdivision Lot No. t. ..............................................................:..................................... Residential Development F Q Q Q No of Living Mobile Home Addition/ *Supplemental to Units Installation Permit # i •(No foundation inspection) ..................................................................... ...................._... CommerciaUlndustrial 0 New Additior IV)- ODD Sq. Footage _%//O (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) &_13-03 Date District Identification, No. �vlite' IjKloyl1School District certifies that (Applicant) -of �e� iJo(►��- K��.. 4���--�'>n-rte'.: (Street Address) (Phone Number) Pwe-4 (City) t (State) (Zip Code) has complied 1. representing School District the requirements of Resolution No. G) l0 square feet. Paid by Check # Remarks: log -go by payment of $ to 2926 $ FULLMITIGATION = Date NoNea: You may protest the Imposition of the fess identified above by submitting a wrltbn protest to the District, In compliance wflh Govarnmsnt Code Section 66020(a), within 90 days from the dab hes are paid. Fallursto submit a timely wrltten protest wlll'proMbk you from challenging the Imposition of the hes in any court action. N. subsequent to the School District Rep asenfative signing this Butte County Schools Impact Fee Certification Form, the School DisP W Is notified by the sWlic isle Local Planning Agency that this project Is being reviewed under the California Environmental Nudity Act (CEQA), anis project may be subject to additional school fees to fully nrtigate.lts impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm AUG 6 2003 COUNTY OF BUTTE - DEPARTMffNT OF DEVELOPMENT SERVICES - BUILDING DI ISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 ) 536-7 41 PERMIT N 6� ' 60 G� /5 / APPLICATION AND PERMIT � (- 1 ORPARCEIN ER� �v S� Z�°�r-+gyp_ q D . BUILDiNGPERMIT JX7�M� 0975—So. FT. OCC. BUILDING VALUATION ;„ Fwcno LENDER ;ENDERS MAan+c ADDRESS ARCHITECT OR DMEM ARaarea'oR ENOWE3M MAL M ADDREss BULDWO ADDRESS I a n 0 LDT No. ruBDW50Ns NAME USEOFSTRUCTURE SF 1 Duplex ❑ Mobtlehome ❑ Other TYPE OF WORK New Addition ❑ Remodel ❑ UGU6es ❑ Installation ❑ Other. ❑ Describe Work - ND. EX. Oeeu . ONRET OR FLCTUPM PERMIT FEE EX. Occup. ovnzmFc= ro E& ELECTRICAL PERMIT Firing Fee �_ TO -OT Main Service Fireplace 23.00 100 Main Service Total valuation 46.00NON Comm OR ADDNS. Filing Fee S 20:00 Permit Fee SIL4 d D. Plan Checking Fee _ Energy Plan Checking Fee L 3 ' 00 5 PERMIT FEE s a 3 3 - PLUMBING PERMIT Feng Fee i D-00 Each Trap 7:00 OC Solar or heat pump water heater 23.00 Water piping / 15.00 Each gas water heater or vent 15.00— Gas piping system' 1 - 5 outlets 15.00 ' �— Build'ing sewer ( 15.00 r— Mobile Home I S I G W @20.00 EX. Oeeu . ONRET OR FLCTUPM PERMIT FEE EX. Occup. ovnzmFc= ro E& ELECTRICAL PERMIT Firing Fee �_ TO -OT Main Service zoic oa ue 23.00 100 Main Service ¢oM TO lova► 46.00NON Comm OR ADDNS. as ,��=. OLDS.. � � ^ _ 3.5¢57 0` - 3T ) EX. Oeeu . ONRET OR FLCTUPM Bat4 .ao EX. Occup. ovnzmFc= ro E& 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Esc_ Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.0 Heating rS [7.OU x-00 Cooling 1 •UD - D� Hood 6.5 D (p • j� I .c I el.. tt-) t r. n n /.3-. tau Z� • —u PERMIT FEi= S v� CS O Mobile Home Installation Fee S Energy Inspection Fee D"I "-'Pe ITOTAL FEE $ NAZ. I D. FEES j IMP I FLe0j1 I CDF I PARCEL I PD ND 16" 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 PERMIT EXPIRES ON Date November 4, 2003 Mr. Michael-NVieira County of Butte 7 County Center Drive Oroville', CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 r v s • ' County of Butte- RINAL REVIEW Jurisdiction-Appl. No.: 03-2304 LP2A Job No.:203015.066 Re: Plan Review:. Abilgaard residence Address: Zephyr Point Road, Oroville Dear Mr. Vieira: Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies of sheets 1 through 11, sheet 1 dated July 2003 sheets 3,16 and 10 revised, by Brant Nightingale/Designs and two (2) copies parcel map with notes undated by L & L Surveying. 2. Structural Calculations: Two (2) copies dated June 2003 and two (2) copies Structural: Calculations Addendum No. 1 dated October 3, 2003, by FLT Engineering. 3. Title 24 Energy Compliance Documentation: Two (2) copies dated 07/16/03, by Paradise Mechanical. 4. Truss Calculations: One (1) copy dated 07/29/03, by Truswal Systems. 5. Miscellaneous: Two (2) copies Butte County Special Inspection Form. These documents were reviewed only for their conformance to the 2001. -California Building,. Plumbing, Mechanical, and Electrical Codes.: We. have no further plan review comments. Therefore, we are recommending approval of the abovenoted.items with'the following,, conditions: 1. Compliance with SRA - CDF requirements (form was not included with plan -set) 2. Redline revisions as noted on plans The above documents now bearing the ."LP2A Plan Review Approval'!;'stamp on all appropriate sheets are enclosed. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERSEN POWERS ASSOCIATES �P 6y 1ZNE Roger Peterson, S.E. Richard N. Essenwanger Structural Engineer I.C.B.O. Plans Examiner JV/RP/RNE:jv enclosures LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 ®20 (916) 725-4200 FAX (916) 725-8242 • Toll Free (877) 23570653 BOB MANGRUM 1✓NERGY CONSULTANT 530-576-9616 VAKADISE MECHANICAL NICAL DESIGN Title 24. Residential - Title 24 ConimerciaL, uc. 11518627 TITLE 24 SUMMARY JOB NAME: 141611-044,4" H.E:R.S. VERIFICATION REQUIRED YES NO -,�7 INSULATION: ATTIC = -3g WALL = 9 . FLOOR SLAB = FENESTRATION: "U" VALUE SHGC = 0.37 A.elo SHADING = r.4�Vps4R.D HVAC SYSTEM: C-R-4K/c- Act &lCrrWOP- L 5655 ALMOND STRFtT PARADISF,,CA 95969 " 530-977-3979 FAX - SEP 8 2003 iARNA 4mN,7'p apllow&ft SQUARE FOOTAGE S//O IIEATING btu's =$' IISPF AFUE: 9Z COOLING Utu's = G9S2/ SEER: /. WATER HEATING SYSTEM: -2 v✓Ar ,2 ri�E,� i ,QS GAL. STORAGE GAS p ENERGY FACTOR GAS INSTANT = RADIANT ROOF: YES: NO: HOUSE WRAP: YES: NO: . ✓ AP NO 041 080168 DATES 08/01/03 01/00100 01/00/00 01/00100 t - UT), Count o Butte o�> BIII. Ablldgaard O OWNER , Phone I(530) 8774075; Glenda 's�` ' Phone:srz°y s DEPARTMENT. OF ^: MAIL DEVELOPMENT SERVICES °Ou►I�y " 5016 La O�/ISta EWa ttz �. Phone NADDRESS Building Division = ParadlSe #y CA 95969 zt` Email° or° z s a E 7 County Center Drive Owner n ,' ' ' Phone . Y zrz a1A� s _ CONTRACTOR Oroville, CA 98965 ° m.y.° ' ° ° ° „xxxx Phone. ;` (530) 538-7541 xx CAS x' xx^a.e.xxx.x. „ x x; z.x c c " .xx-x-:x z . xxx 3. zt xx.x .„ „x„, Phone: s„ I x..x..,._ 3xlxx xx„=, r. _ - ARCHITECT OR ENGINEER 1 ka -ge . ,z M.PERMIT - c a z' ca 1 ,r z 5 „ Lie No e a NUMBER: 2304- xS a x;CA Email SITE „ r 8 z") Ze her l? I Road c 3 'ADDRESS: t Stix ,n : APPLICATION AND PERMIT. ,:x t Paradise k kv ' f ) ')E c. CAx„,; °.. 959x9 ,fi. ,Email .. r. n er a e( s r s r a z USE npSF D Ix MH Other 6 r k ”, T k H i °:€ s S k '� 5rC 9 s t x R C 9 p z + s t e a xnx ri ` ._ 3 7 r e y „„.. _..xx,x r S az xxcSx ,nMR.,a ...•t�3"_^`5•"L„.v�_rzT"{ _ .M1.. _....:.__. ___. ravxxTc±xxx:;2xxx . ?......:_ .._ TYPE OF ;New Addn kRmdl Utlts Inatln s: r c fink t o -,. Other: z'.z k T c ice e t •:- WORK x xam$ o t k. x't' D e o D a c s s F r .. '.__:.:_._ tl_____. DESCRIPTION NSF c:. eca. s . s (e t aa; zs s... t_.” _ .pp.c _. LIC'ElaA ATIOLEN$EDkCONTRACOEC I hereby affirm under penality of perjury that I am licensed under Provisions of Chapter 9. (com mencing with Section 7000) of Division 3 of the Business and Professions Code, andmy-' license is in full force and effect ;: F_ r I Ews azt's zri. sz xx� LicenseLicense Class ie, No .x.x S .. ..". L z,�: �:a .-; x.f ;. t r , 8,z. BUILDER'DECLARATION' " .. OWNER , ?, .._ �,..:� s; . F "....... x. . h `', .. I hereby affirm under penality.of perjury that./ am exempt from the Contractor's Slate License.Law for the following; reason: p , 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.•` o I; as owner of the property, am exclusivety contracting with licensed contractors to construct the project. i am exempt under Sec. i Business and Professions. Code for this'reason: -, y p c .,., Svw p M o. WORKERSI€COMRENSATION DECLARAT:.ION..... Y i v, "E 3�Y may, >,,X _,E+ _: .. ,. k - �..� �.t , _,.� ..; I herebyaffirm under penaty 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 p for which this permit is issued.. , . - I have and will maintain workers' compensation insurance,.as required by Section 3700 of the Labor Code,' foe the performance of the work for which this permit is issued.a My workers compensation insurance carrier and policy number are pk sn-C t' C 1`C1 .:is' t•• �cr ^a^s^'• . r �; A cam' r: x xxx„xxRSERN :e„: x? :x c xxsxxxxc„ a N # c s . .. xx.x ,.: ::,�.: .7: k t.: ..HS G :"p.; :; xxt.0 x7 xxCxn„ 7 C d Y ExOxx x.." ::7:: „ xxx x.x wo 6 x: rxx„k3xx.xxx.,xxxxxxxx.x.xxx:.:.,cxx,x x:xxxx„x„xxxx„xx x::;;.1; Poli Number. ra ? oY, „„„„xax;x„xx..„„x„„xxx„.•: „xxx.„,„„xx„xx,xx„xxxc„„„..,xx..xxxxxxxxxxe .x„.xxxx.„.„xxxxxxxx„„„.xx:r.,xxxxx„„„,„x„x�xxxxxx„„ .xxx.„„x :x �;,:„„„xx x>xx„.„..x „;:„.:x.xxxxx..:x.cc.z;;�:xxx. This section need not be coin feted if the permit is for one hundred dollars $100 or leis). I certify that, in the performance of the work for which this permit is issued„I shall not employ any person in any manner so as, to become subject to the workers' { p compensation laws of California; and agree that, if l should become subject to the workerscompensation pr& sions'of:Section 3700 of the Labor Code; I shall forthwith comply with those provisions. WARNING:' FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL;'AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL, IVIL- FINES FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),, IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE 'r LABOR CODE, INTEREST, AND ATTORNEY'S FEES.' 3^r' Y i'- 4x •� .Sg:. P- �4.5fL �. x - 4.4G 1x3 E .'. .G. Mr., '"AGE CONS,TRUCTION�L.ENDINGAGENCY r,.�..:.;.. , . I hereby affirm under•penaltyof pepury.that there is a construction lending agency for the performance of the work for which this permd is issued{' p � - i f Mffi'� z p - C :. �. _ cr. G xt "'7 c 9 ° X61 - -n : , •.. ,; Lenders Name: , . ...__,..F R” .;.. :�C.c,__.a.. ._. _.., _.:a ,; .. a...".. ea ...„;s. ?.,.. _..: ,_.:...:.-.."e:e .. .e ..... c ..:!� , ..,._._ar_.,! .:_:.: _: ......:_..?" '” Lenders Addressi r... a..x j<: k # a,zrze..:r.. �x<. a s ....t.,, x a,a> t.... certify that I have read this applicatlonand'state that the above information is correct. 1 agree.to complywith'all •city and county"ordinances and state laws relating to building construction, and hereby authorize representatives,of this county to enter upon'the above-mentioned property for inspection { , purposes. Signature of Applicant Date ° +, Owner. ° Contracto"r Agent _. xx �Mn, _.. An OSHA permit is required for excavations over 5'0" deep 'and demolition or construction of structures oyer,3 stories in height. X 31 TV This permit Is hereby Issued under the applicable provlslons of the Butte Countya 9, na o' - ndicated above for which fees have been paid. ( . �. By, Date j• u`r cJd i u'' •PERMIT "EXPIRES ON: . UNHART P Wfif1B A906>IEB Date' J, a 'q AP NO.: 041-080-158 DATES: 08/01/03 - M OWNER: Abildgaard SITE ADDRESS: - Phone: Zepher Point Road (530) 872-4075 Paradise O Zoning FR -40 Acres 82.1.8 Name/Date Flood ry X; Map/Book -155 Page 91/93 Block - Lot 2 Panel 0575C Snow Load Other 12/13/2002 SRA i Yes _ VALUATION CODE `' `SQ FT' $/SQFT, °` VALUATION t Residential/ Guest House/Heated Fun Room R 5110 $54.00 $ 275,940.00 Garage or Storage Shed U 1384 $18.00 $ 24,912.00 Covered Cov 1286 $13.00 $ 16,718.00 0 0 $ - $ - Re -Roof 200' x 300 60000 SQ 600 $ 60.00 Calculatesquares 20 ft x 30ft = 60 sf = 6 squares Fireplace A (Zero Clr): Masonry: t $ TOTAL VALUATION $ F 317,570.00 ' BUILDING PERMIT:FEES QTY FEES FILING FEE 1 $ 20.00 $ 20.00 Permit Fee - Full 1 Permit Fee -1/2 (MH) Y . ';, $ 1,402.50 Plan Check @ 65% Permit Fee 1 ' ` $ 911.63 Plan Check Minimum/Mobile Home State Approved Plan $ 23.00 $ - Plan Check MASTER PLANS ONLY $ _ Revised Plan Check $ 46.00 $ - Energy Inspection Fee 1 $ 46.00 $ 46.00 Energy Plan Check Commericial 4000+• f , $ - Residential 1 - To Master: 1 $ 23.00 Mobile Home Installation Inspection $ 100.00 $ - $ TOTAL BUILDING PERMIT FEES $ PLUMBING PERMIT:: FILING FEE 1 $ 20.00 $ 20.00 Each Trap 19 $ 7.00 $ 133.00 Solar or heat pump water heater $ 23.00 $ - Water piping 1 $ 15.00 $ 15.00 Each gas water heater or vent 1 $ 15.00 $ 15.00 Gas piping system 11-5 Outlets 1 5+ Outlets : $15/$3 $ 15.00 Building Sewer 1 $ 15.00 $ 15.00 Mobile Home Utilities Sewer: Water: Gas. $ 20.00 $ - $ - TOTAL PLUMBING PERMIT FEES $ ' ` „ X213:00 �'. AP NO ::. 041-080-158 DATES 08%01 /03 211.1. ' h _ _51.1 51-1511 •. - �. 1rt ,',.. ...,... ..°n.:, m��... NOWNER:. Abildgaard Phone: (530),8724075 SITE ADDRESS Zepher Point Road Paradise In ELECTRICAL PERMIT -<, 4 ...... ,... -<., s ,< -,.. , .. _.."'av, °? .�-..-;n.., vfy:e.E' ....-na' .....+.# "$ ee>: ✓ a FILING FEE:. -. 1, $ ; 20.00 $ ': 20.00 600V orless/200A or less ,'' 1, $ 23.00, $-` 23.00 Main Service 200+A .to' 1000A _ _: ._,. $ 46.00 `. $ New Construction; or Addns Dwelling,Occupied &.Accessory Bldgs , 6494 $ 0.035 $- 227:29 New Construction Multi,Outlet. Branch, Circuits' ' $ ' 7.50. $ '' i - Non-Residential,Power Apparatus &.Single qutlet•Cir.M. .-5 $ -20 $ 1.00 $- Outlets or Fixtures - 20+-:-= U011;1 . Existing Occupied ,..�..;. $ . 0.50 $ _ Fixed Appliances or 0utlets,(Res) _ $ ' 5.00 `$ } ea. �.. Mi . - Temporary Service : $ 23,00 ". Y.3.. 5C --..._... $, _ Mobile Home Facilities 20 .00j $ Miscellaneous Wiring "" ......;:.§.; „s,xk1un Pre -Inspection (existing MH, existing site) N-1-11- °,>' $ 23.00 $; "' yy,,, - -• Pool Electric $ 30.00 i" $ -. _a n I <5 _. e, 4 j 7 74 5 XXK�Xxx2 TOTALELECTRICALPERMITFEES$: kEE" E E x 270 29 �a MECHANICAL PERMIT< r ..w,._. r.,;:.: �T:,_.;w�€,.,. :<n .<:'.�'. ., n FILING FEE .,: �� �... $. 20.00 ` $ 2000 y Up to•and including 100,000 BTU $ 15:00 $ Heating' Greaterthan 100,000 BTU ' =°Z $ <20.00 . :: $ 40.00: Up to 3 HP and "100;000 BTU ,. $ ,15.00 $' 3+to 15 HP and Over100;000.BTU 1?.....,°. �2:. $ 25.00 $ 50.00 Cooling, Evaporative Cooley ° -k 'Nhwlpii! ........:.:..: ; - Extend Ducts in' Additions -M...11 .... $ 15.00. Hoods`... 6.50` $ j s.50 Ventilation ':. $ 4.50 ,,;,5: $ 22:50' Gas. Fireplace "" x $ . .. . �......� n..n ...;��3k _ ::.15.00 $ a5.00 .., `. I ._ ...:-... .u.,R-... 1N�...-5:.....1,5.,...5....x'....:.5 ..... .... .. .... ... ...........N3.. . 5. r'.,...... VAC .C...-.. v. 5 ......,5� 5.:..-..- .5Na ..3..3 ..... _� n$ : r :»5 M, u Kr i'A x MECHANICALS PERMIT FEESz _.. $E§ c.€ f.� -:. f,� ,x 1 4 00 ... ....:A. r, .., s—vf.. .v, sxv Y'L^l. 'ria -H...:....v_.!.o-_ , I ry ..0 -.M«- ri9k q v<: .<...J ..7 ya� `M PERMIT�FEESe 3 h'fr°��3;070 42 ti _TOTALOF�AL"L,BUILDING , �f.-..<. Occupancy: Construction ISSUED 7 HAZ FEES IMP FLOOD --CDF PRCL PD HD pJ NNIU�.501111 a C.. -„.. .1 15 �.�9.<....... i . - - - •. - AP NO.: 041-080-158 DATES: 1 08/01/03 _ a Notes: _ -- OWNER: Abildgaard - Phone: (530) 872-4075 STT Zepher Point Road Paradise STATE RESPONSIBILITY AREA SRA BALANCE DUE SRA Per Strucue 1 1 $ 89.00 1 $ 89.00 • SRA FEES $ 89.00 5 as.00 ._ " . „ - IMPACTrFEES} .E4 ¢` fA SHERIFF Sheriff Residential Per SF Livin Unit 1 1 $360.00 1 S 360.00 TOTAL SHERIFF FEES $ 360.00 300.00 $ 60.00 DRAINAGE Th—lift, Residential P.,Lii..Unftl IS 510.001$ - Commercial I Per Ordinance 3304 S TOTAL DRAINAGE FEES $ STREET IMPROVEMENTS Chico Urban - Commercial Per Each Kdti Living U $ 1.370.00 $ Am Commercial Office/Medcal Strcbs 11 Per Sq. Ft. $ 2.22 $ Thermalito Urban Am Residential per Each Sinafe Livina Unit S 595.00 $ Commercial - Office Per Acre $ 11,9241 $ Industrial Light Per Acre $5962.40 $ TOTAL STREET IMPROVEMENT FEES $ - WATER TENDER Water Tender Per Parcel S 200.00 $ TOTAL WATER TENDER FEES[ $ NORTH CHICO SPECIFIC PLAN(NCSP Residential ISR -1.1 - Per DLI ._ $ 3,315.000 $ - IndustriaUCommercial Office' I Per SF s 2.3z $ - School School - $ 72,614.000 $ - TOTAL NCSP FEES $ - �a TOTAL IMPACT FEES? r $�� 360.00'4 44 300.00 5 s $ 60.00 ani_ Collected by Development 7 OTHER FEES: _ y Services ,.. - :.-, TOTAL BUILDING PERMIT FEES 3,070.42 80.97 s.,'�. 2;989.45 - ±- TOTAL ALL FEES $ 3,519.42 $380.97 OWES $ 3,138.45 $ - $ - $ - 338.45 PAID PAID PAID MINIMUM`PAYME �" �' "" " NT + ' "E OF -FEES BUILDING,-' - � ,. Filing Fees _ .. $ °.m. .:. _._.. -. $0.0.0 Receipt No. -385037 " Receipt Date ": 08/01/03 Staff Initials , ; -TH _ `•: .:--F= - Receipt Name "' ; WBfiam Ahild nerd Check Number Check Amount $ 3,138.45 Cash TOTAL PAID E 3,138.45 E - $ 1 $ Plan Check Fees $_ 934.63 SUBTOTAL BLDG $ 1,014.63 SRA FEES $ 89.00 ,.: "REQUIREDMINIMUM PAYMENT OF -FEES;' " "', 1,103:63 '; PROOF OF PAYMENT REQUIRED FOR FEES BELOW RECREATION DISTRICTS - Proof of Payment Onl - Chico Area Residen8al Per Livin Un8 .: =' " S 1.189.00 $ - _ ❑ Durham Resided.11 Per Sq. Ft. 1 1$1.04 $ - _ ❑ . •-.: - :.: $ ❑.. SCHOOL DISTRICTS - Proof of Payment Onl Durham 070 • -:. -. - Reside l ; 5,110- 2.14 $ 10,935.40 . '.. ❑ ' . Y' '.+` "CHECK T ('. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ■ 04 uocument Recorded 10 -Oct -2003 2003-0071299 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain parcel map, recorded in the office of the recorder of the County of Butte, State of California, on December 13, 2002, in Book 155 of Maps, at page(s) 91,92 and 93. Reserving therefrom a non-exclusive easement for ingress and egress and public utilities, as shown on said parcel map. Portion of APNS: 041-470-110-000, 041-470-086-000 and 041-080-151-000 Date Ob"I er Joo3 PROPERTY O ERS: William Harry JUgaard, Jr. Glenda Lee Abildgaard State of California ) County of On 0/9- --7-. '-�003 before me, '/ 6,p /9 /f "; /4o2ivL/c'_ , /VO personally appeared i d Cr le personally known to me (or proved to me on the basis of atisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that helshe/they executed the same in hisflrer/their authorized capacity(ies), and that by hWber/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hj9d and official seal. Signature al: -1- -- DEBORAH J. HORNER j` Commis i It2a7att A.P.# V/1-0$8`lif son Notary Pudic a .Butte Count , CaliforniaU *Comm. N. DEC. 27, 2003 Butte County Department ofDevelopnent Services YVONNE CHRISTOPHER, DIRECTOR Q7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile N> Q TO: FROM: SUBJECT: DATE: LP2A Michael Vieira (530) 538-7159 mvieira(@buttecounty.net Plans Transmittal For Review Per Contract 9/16/2003 Applicant: Abild aard, Bill & Glenda Permit No: 03-2304 Project Type: NSF APN: 041-080-158 100% 70% Plan Check Fees $ 911.63 $ 638.14 Energy Calc Fees $ 23.00 $ 16.10 $ 934.63 $ 654.24 LP2A Fee $ 654.24 Copies Attached: Qty Chk 1 Application I Site Plan Review FEMA Elevation Certificate J)LBuilding Plans Truss Calculations ti Energy Calculations Structural Calculations Residential Plan Review Guide ( Residential Construction Requirements Other Other ,,e 1i CDF FIRE SAFE REQUIREMENTS AP# PERINUT # NAIVE Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties, in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [4 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. L 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [� 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�j 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 r� Q —250 AP# PERMIT# NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstruction traffic on that roadway. f14 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. All parcels 1.acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 1 [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 f� /� l- D S,Z) - /,6-p 0 3 -,z ao V lam, +sd-Z . c - AN PERMUT # NAIL Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ J If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to.exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 0-,� - -6 3 1-0,4 Date Signature Page 3 of 3 . .v SITE PLAN REVIEW APPLICATION Date: - �--) — C� AP# Q L) Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: A g-, 1 L &A P Oa�) LL Owners Address: �O (P Lj� 6-C) V 1S T� w FJNY2_A D CS 6 Telephone No.: Li C),11; Situs Address: 2 E7 P)_1 TZ . 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 ❑ Agricultural Buffer Form DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Iff Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By, Date Page 1 of 5 i ALL ITEMS CHECKED APPLY TO THE PROPERTY r " Parcel Is In: ❑ . Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O S`) 5 C— Index Date: G-8—') P ❑ 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: F OR,' — '-10 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Aono 7 ^f,; Zoning Code Streets & Highways Fire Prevention Subdivision Map Front -g=4p—w 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. Aono 7 ^f,; Applicable Development Fees: Standard Fees Amount Formula ❑ Fire School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees in Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 W4 Subdivision Map/Parcel Map: Map Date of Recording: 12— ) 13 — &-12— Lot: 2 Lot: 2- ❑0 Use Permit/Minor Use Permit Permit Number: Book: ISS_ Page: 9 )13 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions Comply with the following Conditions of Approval: A?-rA C—+-? iE7P Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ® Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from'all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4of5 TO, LARRY PAINTER IRN 'TO CHICO EH SITE PLAN REVIEW APPLICATION Date: �� �'AP# ©YD o Permit Number (if applicable) 03 — 2301') Bin Number APPLICANT INFORMATION nn Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: —$ �AR ���- o? Z�/��//� pD /,()! Proposed Use: ( /0' M . V'dential 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 jer eptic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): GAJ C.SI ❑ Single Family Remodel 1 s ojJ A Ll. _8'4 ��rg ounty (,�`.� SANT �— C � OrO�i/Je�'?Ie Urive ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve ProentSl-rlroval ❑ Site Plan Stamped Approved AU6 1 7 2003 By Date Chico, California 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) M SRA = (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Q • Flood Panel No.: 45-15 C Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (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: F2 OR — 1� 0 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 G'0 2 - Side 2� 3 0 Side Street Rear �' 0 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Aihount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads Sheriff Drainage ❑ NCSP/CSA 87 ❑ 'Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement - ❑ North Oroville Area ❑ Other (per map) Formula * 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 n Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage. on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ - Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision ME/Parcel Man: Map Date of Recording: Lot: 2 ❑ Use Permit/Minor Use Permit Permit Number: Book: S Page:�� 3 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions OR Comply with the following Conditions of Approval: A -r -r 1 GN e�> fl Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood, stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. . ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 101 Page 4 of 5 rp�-, iS5-�i �%q3 ►2-�3-02 NOTES: STRUCTURES, DUMPING, FILL MATERIAL, VEGETATION REMOVAL, AND/OR EXCAVATION SHALL NOT BE ALLOWED IN AREAS HAVING A SLOPE OF 30% 0'R GREATER UNLESS AN EROSION CONTROL PLAN PREPARED BY A REGISTERED CIVIL. ENGINEER OR OTHER QUALIFIED PROFESSIONAL IS SUBMITTED TO AND APPROVED BY THE DEPARTMENT OF PUBLIC WORKS. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS. THE FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT. A DEVELOPMENT IMPACT FEE FOR SCHOOL FACILITIES SHALL BE PAID PRIOR TO ISSUANCE OF BUILDING PERMITS. THE FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT. NO PUBLIC ENTITY SHALL BE RESPONSIBLE FOR THE MAINTENANCE OF THE STOP SIGN. IN ACCORDANCE WITH CIVIL CODE SECTION 845, MAINTENANCE OF THE ROAD, INCLUDING THE STOP SIGN SHALL BE SHARED BY THOSE PROPERTIES WITH A LEGAL INTEREST IN THE PRIVATE RIGHT-OF-WAY OR EASEMENT. CONSTRUCTION, INSTALLATION OR DEVELOPMENT OF STRUCTURES OF FACILITIES ON THE PARCELS/LOTS SHALL COMPLY WITH THE LEAST CALIFORNIA FIRE SAFE REGULATIONS (PUBLIC RESOURCES CODE SECTION 4290), AND ALL OTHER APPLICABLE STATE AND COUNTY CODES, ORDINANCES AND REGULATIONS IN EFFECT AT THE TIME OF APPLICATION OF IMPROVEMENT PERMITS. FIRE SUPPRESSION SPRINKLER SYSTEMS SHALL BE INSTALLED IN ALL NEW RESIDENTIAL STRUCTURES IN ACCORDANCE WITH THE NATIONAL FIRE PROTECTION ASSOCIATION STANDARD FOR THE INSTALLATION OF SPRINKLER SYSTEM'S IN ONE AND TWO FAMILY DWELLINGS AND MOBILE HOMES, N.F.P.A. STANDARD 13 D, UNLESS A PiRESSURiZED COMMUNITY WATER SYSTEM, WITH HYDRANTS THAT MEET FIRE DEPARTMENT SPECIFICATIONS, SERVES THE PARCELS. WOOD STOVE AND FIREPLACE INSERTS INSTALLED IN ANY HOME WITHIN THE SUBDIVISION SHALL BE E.P.A. APPROVED AND DESIGNED TO MEET EMISSIONS STANDARDS OF THE CALIFORNIA CLEAN AIR ACT. OF 1988 AS AMENDED. DUST GENERATED BY THE DEVELOPMENT ACTIVITIES SHALL BE KEPT TO A MINIMUM WITH A GOAL OF RETAINING DUST ON THE SITE. FOLLOW THE DUST CONTROL MEASURES LISTED BELOW: (A) DURING CLEARING, GRADING, EARTH MOVING, EXCAVATION, OR TRANSPORTATION OF CUT OR FILL MATERIALS, WATER TRUCK OR SPRINKLER SYSTEMS ARE TO BE USED TO PREVENT DUST FROM LEAVING THE SITE AND TO CREATE A CRUST AFTER EACH DAY'S ACTIVITIES CEASE. (8) DURING CONSTRUCTION, WATER TRUCKS OR SPRINKLER SYSTEMS SHALL BE USED TO KEEP ALL AREAS OF VEHICLE MOVEMENT DAMP ENOUGH TO PREVENT DUST FROM LEAVING THE SITE. AT A MINIMUM, THIS WOULD INCLUDE WETTING DOWN SUCH AREAS IN LATER MORNING AFTER WORK IS COMPLETED FOR THE DAY AND WHENEVER WIND EXCEEDS .15 MILES PER HOUR. (C) SOIL STOCKPILE FOR MORE THAN TWO DAYS SHALL BE COVERED, KEPT MOIST, OR TREATED WITH SOIL BINDERS TO PREVENT .DUST GENERATION. AT ALL TIMES OF BUILDING PERMIT APPLICATION, IF A DEER HERD IMPACT FEE(S) IS CURRENTLY IN EFFECT, IT SHALL BE PAID PRIOR, TO THE ISSUANCE OF THE BUILDING PERMIT. FENCING FOR AREAS OTHER THAN RESIDENTIAL AREAS SHALL BE LIMITED TO A MAXIMUM OF 5 WIRE STRANDS. THE LOWER STRAND SHALL BE AT LEAST 16" ABOVE THE GROUND AND THE UPPER STRAND SHALL BE NO HIGHER THAN 48' ABOVE THE GROUND. SHOULD GRADING ACTIVITIES REVEAL THE PRESENCE OF CULTURAL RESOURCES (I.E.. ARTIFACT CONCENTRATIONS, INCLUDING ARROWHEADS AND OTHER STONE TOOLS OR CHIPPING DEBRIS, CANS, GLASS, ETC.; STRUCTURAL REMAINS; HUMAN SKELETAL REMAINS), WORK WITHIN 50 FEET SHALL CEASE IMMEDIATELY UNTIL A QUALIFIED PROFESSIONAL ARCHAEOLOGIST CAN BE CONSULTED TO EVALUATE THE REMAINS AND IMPLEMENT APPROPRIATE MITIGATION PROCEDURES. RECOMMENCEMENT OF DEVELOPMENT ACTIVITIES SHALL NOT OCCUR UNTIL CLEARANCE IS PROVIDED BY THE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES. SHOULD HUMAN SKELETAL REMAINS BE ENCOUNTERED, STATE LAW REQUIRES IMMEDIATE NOTIFICATION OF THE COUNTY CORONER. SHOULD THE COUNTY CORONER DETERMINE THAT SUCH REMAINS ARE IN ARCHAEOLOGICAL CONTEXT, THE NATIVE AMERICAN HERITAGE COMMISSION IN SACRAMENTO SHALL BE NOTIFIED IMMEDIATELY, PURSUANT TO STATE LAW, TO ARRANGE FOR NATIVE AMERICAN PARTICIPATION IN DETERMINING THE DISPOSITION! OF SUCH REMAINS. ALL GRADED SLOPES OVER 5 FEET IN HEIGHT SHALL BE SEEDED, PLANTED MULCHED /H YDROSEEDED, OR OTHERWISE PROTECTED TO PREVENT SOIL EROSION. DEVELOPMENT OF THESE LOTS MAY REQUIRE PAYMENT INTO THE WATER TENDER FUND. NO WELL MAY BE LOCATED WITHIN 100' OF THE USEABLE SEWAGE DISPOSAL AREA ON PARCEL 2. �r BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive Oroville, CA 95965 TEL: (530) 538-7281 FAX: (530) 538-2140 A61/_DG-Ar9k_D 411 Main Street P.O. Box 5364 TEL: (530) 891-2727 FAX: (530) 895-6512 APPLICATIONFOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name ave Nei � � o, < Z --Assessor's Parcel No. U 9 / - 0 20 4 5' 8 Applicant's Name :1\ ; uw, ks�`i l � e bo. i n Phone No. S 22 "/0> >' -).a;^ Mailing Address S c:i co Lada W , (_,h -;Oo 5` 33-3s)( 1. Construction S 2. Lot Size feet x >o _. Q A - and number or 6W �kl,_�-L Z . P,4 P- it - to nearest feet. 1(� Z acres 3. APPLICATION FOR: New system for new building El Repair of or addition to old system ❑ 4. Type of building to be served by proposed system: Mobile Home ❑ House 1P Other ❑ Auxiliary or secondary system ❑ New system to replace existing facilities ❑ (size I No. Bedrooms No. Bedrooms y (specify) Garbage disposal? Garbage disposal? y�5 5. Water supply for premises: (Must be safe, potable water) Community ❑ Private well ®.Other Water supply for ajoining properties: Community ❑ Private well ❑ Other 6. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code. Which requires every employer to be Insured against liability for Workmen's Compensation. SCALE PLOT PLAN TO BE FURNISHED ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ® I certify that In the performance of the work for which this permit Is Issued I shall not employ any person In any manner so as to become subject to the Workmen's Compensation Laws of California. Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximaftnt of slope. fSource of water. b. Location of all proposed and existing buildings, . . mA��alNp/ structures, driveways and parking areas. g. Water lines. 7 Q��r_ o o c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements.p rav /1� Priv d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system andCarea for water on the parcel and within 100 feet of property line. replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied orthe system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can take pl ce. Signed Owner E41 Authorized agent ❑ Licensed contractor ❑ Date (An original letter of authorization must accompany this application in order for an authorized agent to sign.) Legal parcel? Access Water plans cleared Comment S4 -579R FOR OFFICE USE ONLY Zoning Use permitt Rcpt. No. 2 Amount i't� — —�� Potable water fi U7r 141 LUUJ LU. JO JJUOI rO.LJN 'j.Lv1 VI\LW uailZ�us i•iil 07:47 PAX 530.533.0408 W. H. gkBILDGAARD, M.D. ENiCROACHM ENT PERMIT County of Butte Department of Public Works 7 Count Ccl: Ecr Drive 0iOV1 C. CA 95965 Phone (530) 538-7157 Ext. 20I6 Fax: (530) 538-4356 Download'Fotms:.tti ww,buttecotutry.netlpublicwarlcs/fozms.httnl ® 002 a1 2 - NOTIFY NOTIFY COUNTY 24' HOLiZS.BEFOAE WORK IS TO BE DONE Phone.(53'!)):•53$-71571 Ext. .2016 IPermit Number 1031Y08E Di9Rict APPLICATION I I WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the Ctxtnty toads and highways. all in accordance with'Coue ordinamcs•and general laws. 'All information narypt 9i aturemut:t be or 1e bl ted 1. Applicant's Names ��1; r� F a. CompanY N;zmc: 2. Address:— (!-Lb-Z, Q*.:-' 4-A. c) I Phone: 90'r 04 _v • 4. Assessor's Pareel Number. S. fixation of Work to be Done 6. Applicant'sSlgtaLum 7.Oeste: •O1iiItACTOR'S INFORMATION S. nanctor': Name A -t` Cp -R 6- C T 0 9. Address . . 10. Phone:i 1. C53o) X77^ 3� fa.. 1Fax:C 7-6150 12 Contractor's License Ntriaber — �y 1;, Ccr 'ficste of bnswance: Yes M No ❑ 14. Contractor's Signature:, 1 de. Date Signe{: 15. Aulho62a Agcnt: .. a TYPE 'OF WORK TO BE DONE 16. Please Cheek: Qub: ❑ Gumm" ❑ k: ❑ 17. lhivewav (Litt Type): 1 a. Otter: :PERMIT GRANTED Ir compliance widt the above request, and 6bject:10 all t=: condifiana (including those on page 2 of tris pemut form) and spectal conlWow written below, >:rrgission is hcrcby gmrmdL 14. Conditions " J. UndemTgund Sor, icc Alert '.S.A.! amst be notified 4wo working deys riot to &"y excavation, MOM7-:606 i 2o. F) All work shall confofm to accpmpa.vying: Dctail ® Plans 0 Special Conditions 9 21. Date ]rived CJ 22, EpgfMior. pate: O `/ 23 Surety: Ye S Mike Crump, Director of Public. Works lay: " Note: if permits art: Fax to an). vit. her besid s (530) 538-4356, tbcy can be deleved up to ode week. Page I of 2 penes! Conditions – See Page 2 ^• DF-�gRTMENT OF DEVELOPMENT S� `VICES DEPOSIT SHEET BUILDING DIVISION DEPOSIT # 23 BAG # ACCOUNT # ACCOUNT # ACCOUNT # ACCOUNT # ACCOUNT#1800 PERMIT# RECEIPT#I(COPIES) 38 ACCOUNT# 0010 F-10 (SRA) 0100 (SHR) 1800' CUA (CSA87) 1800 03-2295 385024 $ 39.00 03-2296 385025 $ 66.00 385026 $ 47.00 F' 03-2297 03-2298 385027 $ 1,230.22 $ 43.00 i 03-2299 385028 F a: `500.15 03-2300 385029 , $ 55.027;' 03-1985 385030 J$ 270:25 ' 3371-80 385031 $ 46.00 385032 0.43 03-1940 385033 $ 42.00 03-2301 385034 $ 262.00 $ 43.00 03-2302 385035 $ 277.90 03-230.3 03-2304 385036 $ 227.90 �� —� • .� 0-3=230 385037 385038 $ 3,060.45 $ 43.00 �$ �35.00 $ 03-2306 385039 74.00 $ 2,008.20 $ 43.00 $ 335.00 03-2307 385040 $ 35.00 03-2138 385041 $ 52.25 03-2308 385042 $ 498.30 $ 43.00 0.4T- 8,79 2 215.00 V 370.00 _ ` GRAND TOTAL TO BE DEPOSITED MONEY COLLECTED: 81112003 �.� $ ,9, 3.77.,051 auditor:yellow COMPLIED BY: DIANE LEWELLEN extn 6869 DATE 8/4/2003 APPROVED BY: DATE 8/4/2003 MICHA VIEIRA _ I of KVMA CZ� :m F— LLj LLI F— Lu . ......... :s;ak ..... . . . . . . . . ... ...... NO I i`;"I I >k2c� ``a�. �. :':C'$>:b ;='�?i, ,�A< at. �\ \ M � ,Y.3i\=a. i; iF: k�' R. cc .0 CO F. mg CL COKv WIN ui UJ . I . . . . . . . . . . uj 0 LA. . . . . . . . . . . C:l — CD CD IN,G g aux . . . . . . ci ggo U— Of) zm% 0 0-1 CL uj (b ISC M 53 uj 1'. 1 , EM ............ CQ mill cn 11.1" ZI IN LU 00. LU MINIM". tf� M ,.t co®r.. a. LU W National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land *requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. rl Signed: Title: wry Date: F3- NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan O.B.- I OWNER -BUILDER VERIFICATIiON Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. PI personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES �: NO ❑. HAVE -0 HAVE NOT Fsigned anapplication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURI � DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I I OWNER BUILDER INFORMATION -I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations 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 "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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. rely, s A Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Subdivision Map/Parcel Man: Map Date of Recording: 2 ❑ Use Permit/Minor Use Permit Permit Number: ,➢ n Book: �� Page: 1 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ja Comply with the following Conditions of Approval• A i 7 A G.} -q iE71 . Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ® Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ^� ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 Applicable Development Fees: Standard Fees ❑ Fire ® School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ® Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) 4; Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 CHE Parcel Is In: ❑ . Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ I00 -Year Flood Plain: (See attached) • Flood Zone: _ • Flood Panel No.: 0 5-) S C, Index Date: 6- t�- ❑ 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 , _. r:a N r" ; rct Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ,y ❑ Agricultural Worker Affidavit ._ ❑ Agricultural Acknowledgement Statement Zoning: F Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D0rTc. 7 of C Zoning Code Streets & Highways Fire Prevention Subdivision Map Front®� 1N Side 211� 3� Side Street Rear ED Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D0rTc. 7 of C SITE PLAN REVIEW APPLICATION Date: AP# Q Ll 1— Q ®— Permit Number (if applicable) O JCi L� APPLICANT INFORMATION \ Parcel Size: Owners Name: - ) �-� CsA %� ) Owners Address: < (o LA (Q V 1S T�q w -y pA o uLSj Telephone No.: 2.-- Ll 0,1< Situs Address: 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 RECEIVED SEP 18 2993 ufflml wfiAa ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved E Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By — Date C Pagel of 5 NOTES RESIDENTIAL { PERMIT NO. x_041-080-158- - 05-1243 1 1 ABIDGAARD, BILL v Y U < `C/Y1 �r�!{ ��+-)• 4901 ZEPHYR POINT RD,zz Cont: BLUE HAVEN POOLS PARADISE, 6- / NEW POOL MSTR#01-517 % / c Co f� �•�t r ti i �r Y t I t i A SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER oFF 106/V 7Z JOB FINALED (Date) Signature L A_.Iy f/�✓ = OK =Not OK = Not Ralicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6.' Water, MH Test -Regulator -Connector' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOXS (Plans) OK except #'s Steel -Connections -Thickness Xec.; Receptacles and Lighting, Distance70Fl S. Elec.; Pool Lighting; 15 Volts-GFI 6. klec.; Enclosures; Conduit Entries -Terminals -Listed EI , Bonding; Metal w/5' -Circulating Equip. -Heater ec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ht Niche l~ i 9 -4- ci L Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date 06 Card B-1 ate Card B-1 J=OK 3 = Not OK = Not Appriable " = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -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 PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes 0 No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits _ 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 83. Following tnstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O_ No_ 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Aft -Return Air Vent 115 Outlet 40. Attic Access & Platform K Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits _ 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 83. Following tnstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O_ No_ 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: E.H. USE ONLY -Plat Plan Attnc�ad Rout Man Attached Sam to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C-1 9-9) A4, 0S_/ Owner L I -Station AP#,. Plan Approved for: Sewage Disp04:� . Water Supply: Public Private Well. Clearance for — dwelling. Other ' Hold final for: Final clearance O.K. for: NOTE: _�� �JU _ - N A_� , -0 ,K,6��: - - Environmental Health Specialist Date . A." SITE PLAN _....._......_...... .......... ....................... - .......... .... -..............---..........._...........---...... ...................... .. .. .. ... .. .. .. _. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. ... __..................... .. ...... :.. ..__. _ _ _ _ _ _ zEj . '_ _ ..:.. -. .. ... .. -- .. ... .. .. ... ._ .. .. _. .. .. .. .. .. ._ .. .............. ._........... ,..._.:............;. ..........;....._...........------ ......... .. .. .. .. .. ......................... .. ..:.. :. _........................... _... ...... .._.._ i ._....:_. _ c i c — _ �};NN1vG C�IVISION BUIE.pliv� PLAN gPPFiOVAi. •--. .. . r pate: Use: .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. -...._ Parkin: dscoping: .. .. .. .. .. .. .. .. ............ .. .. .. .. .. .. .. ...... _ .. .. .. .. ............ ............ ... .. .. .. other .. .. ... _. .. ............. ...... .. .. ............ .. .. .. .. ... .. .. ..._ .. ... .. .. ...i... .. ............. .. .. ... .. .. ... .. .. ... 5I n�tine"' ..... :.... :................... .....:............................................ ............................._ .. - -7• �T. • ... .. .. .. .. .. .. .. .. ... .. .. _. .. .. .. ........................ .. .. .. .. ... .. .. .. ._ i•— ,, i '....:......:.....:......:......:.....:............. ............. ................... .. .. .. ....................................... ............ .. .. .. .. ------ .. ....... ...... ,... f.- ..... ...... ...... ..... ...... ...... ................... _ .. . . ..... .:. P Q l.e•c� �� .................... .. .. .. .. .. .. ............ .. .. .. .. .. .. .. .. .. :...< = _ ... .. .. ... .. .. ... .. .. -_ .. .. .. .. .. ............. . .. . ' -- . •• ......................... �?r ............. .. .... .. ............ .. _ ............. - .. .... .. ... ._ .. ......................... .p '. .. .. .. .. .. .. .. _ ...... .. ....... .. .. .�A ............................................ U '1 E .O ..... .. ..... ......... 7 . ............. . . •. ............ ............. ....................................... .. ........ ........................%.............:........_...,......:........._.........:.....:................................................., ......;.. _.. . .. .. .. 09 . .. . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ......:......:.....:......:.......... .............................. .... .. ........ ....... .. .... .. .. ... .. .... .................................................... .. .:....:...:.. ..................::::.... Assessor's Parcel Number. 0 Q R-1 — � [5 E — ul Owner Name Q I 6r ( C, -Na 0 A 11 ri e o cxr Address I Phone No. 990 f- d 1 � Site Location '110 1 poi n AA Contact: Name R 'Phone 9 9 = zoo � Odabw 23, ano's . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: I 3ily forseven d. ac��OQ, .4 �c* �3 G {nom j BLUE HAVEN POD BLUE HAVEN OFFICE: C `^t t-0 0 --k- f-t:6z W-6 tk Euce,ss - I J g. tFi�f� i ,.. PooJ � �: ����.������-�•��.: �.. , , NN i'. r'• '..... .. i 560 Vj ' 3a' Resencc GENERAL POOL SPECIFICATIONS: (Temp.# ) Lot biocK tract Mapsco No. ����tAN SUR. r G 3 Z til MAXIM WI PERIMETER: -AREA: MAXIMUM LEN TH POOL CAPACITY: POOL DEPTHS: TURNOVER RATE: Hrs. EXCAVATION DECKING <�s Front Type nin Bob Cat Shuttle- Color Remove Dirt TWI Ce Risers P - Remove Stump(s) Footings tQ Remove Fence Replace Fence wig Mastic ley) D[ain 44' Remove Concrete h3 S. F, a Sa�Copge t' 1EGIUIPMENT 1 rX �A Rt b STEEL PUMD HP 1 2 Sp 1S Expansive Soil Steel Pattern BH Smart Box Yes M. PLUMBING Smart Pure Yes c Smart Li ht Yes I p) Filter Run Ftg: t>ZS .� Return Lines2S 500 W Light No P -Trap B/Wash Line Smart Vac II pt wjti ped No Gas Line Q13V_Ftg Drill Drive Ni() Heater BTU Nat 4E5 Div. Board ELECTRICAL . -� -Slide Run By �-- Ftg Ze Water Feature A2 R GUNITE Love Seat = PLASTER O"L �, s 11 Swim Out A In Color Ext. 2nd Step SPA 'f �tx� R.B.B. Q) in. X Ft. 71 R. B. B. 2 in. X Ft. Is Size tin Out Plumbing Run COPING Go,,Ae,� Dam Wail Length Type Number of Jets TILE Blower Hp Yes _fit Type Remote Model # Switch Yes Iqc� Spa Dam Spa Side Iqd Accent Tyle ) Smart Light Yes 100 Watt Light Yes W BUYER Initials • Approve above specification ,"xxV `b • Approve equipment location • Understand that decking shown is fo it ustration purposes only and understand,that t e are to receive 00- square feet of deck. ���i �%�irL'L`=%�� Sig nature• Date P e aij d Es���e�i�?�y:PAR • B fii �f`U � f Af'l � , •b.I � "•Q0. n O 1 Street + City T"Q('0.�l`' Zip Home Phone Work Phone (/e �i'�, S-13 040-1Designer Job No. Lot biocK tract Mapsco No. ����tAN ..C% - . *-& P.1 EvIrAl9k- G F.= 41 uit- ®Pe ITE PLAN ..................... ...... SL 6l'ow - U c� I MAP I C(.;P.4 le -c1' LIW, p00( 9 Assessor's Parcel Number: [91 TI [61 Scale: Iii =4 0 Owner Name C? Address/ Phone No. O� 'kv v- PC) I ^+"k -a 0 Site Location qq61 -Z-eptivlr-'-Aop �A �>'A j I - tj Contact: Name- kR- -p&'r'k Phone Odmbw 23. 3 'N &AT ............ FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS .ZONING: GEN PLAN: USES: I I bcA4 . 71 ACE ag rror, �- V;ew sea LiCrq.l t k___W__�+�'e,r ® 8" C"/. — Et E y, je � ENRONNIENTAL HEALTH - APR 1 _: %COUNTYCENTER DRI - -... :: __'.F' bar.°p` See i �twvu a-�- BLUE HWEN PALS Since 1954 BLUE HAVEN OFFICE: C V%� Llo 1.8 0 _.>1s6Z:- W ' lip -P, e I8'r . ' �... . � . X - 1 9W�.t�c. C(b) Carate �- E -d-co 6 pko ni 4eV_ PourRA It: Con 1, APPROVED._2;AcC�ss Butte CounI�ittyy vironmental0-({t at .i -- =_ 4igna ure GENERAL POOL SPECIFICATIONS: (Temp.# ) Lot Block Tract Mapsco No. y i (� SUR. `1 3 Z MAXIM WIDTH: PERIMETER: AREA: A POOL CAPACITY: POOL DEPTHS: 0 TURNOVER RATE: Hrs. EXCAVATION DECKING cc s Front 4EP Type Bob Cat Shuttle, Color - Remove Dirt Twi c e Risers Remove Stump(s) Footings fLn Remove Fence Replace Fence Mastic ►� Dtain �+ ' Remove Concrete _S.F. Sa�(CoPgeteaa a • t. rX EQUIPMENT �CQ /1ff�� Filter lype 'C 0 STEEL Pump HP C 1,f7 2 Sp 1 S Expansive Soil Steel Pattern_DtL Smart Box Yes (40. PLUMBING Smart Pure Yes Filter Run Ftg:Ft Smart Light Yes -ht Return Lines 500 W Ll No P -Trap B/Wash Line Smart Vac II plloo . `[e) No Gas Line lal Fig Drill Drive N10 Heater BTU Nat 4M Div. Board ELECTRICAL/Slide oly Water Feature n L Run B ��� Ft y g GUNITE_ OZft.PACICOLW _ Love Seat PLASTER �• I Swim Out _ A k% Color Ext. 2nd Step SPA c+r t Q aY1 R.B.B. in. X Ft. 77 Out R.B.B. in. X Ft. COPING i g 3 Size In Plumbing Run af'f Dam Wall Length Type Number of Jets TILE Blower Hp Yes _ Q Type Spa Dam Remote Model # Spa Side Switch Yes 9131) _/� Accent Tyle dW Smart Light Yes 190 100 Watt Light Yes BUYER Initials • Approve above specification • Approve equipment location • Understand that decking shown is fo it ustration purposes only and understand,that t e are to receive 4v V square feet of deck. `� f��.�LU�:l21 k', Signature Date 4 I i Prepaired Especially For: G �.e d a .: 7 0 i Street ! PQf 0.d1-�c City Zip Home Phone Work Phone �,��Designer 5-13 040-7 Job No. Lot Block Tract Mapsco No. y i Pool Eiv .. .... .. 0 FX K /x -MV e.)F -6,.L.0-F-C-- �WAJ 'r'P^l W LJN V'- TbO I M046 A %Y. TIAL Z16 I ITE PLAN ' ......... . ............ ...... eOr 44 PS C> 40�z�_ isuoefZ ((7A P N Ly4 f- 080 - 1% ENVIRONMEKITAL. LTH APR 2; 7 COUNTY CENTER DRII E Asse'ssor's Parcel Number:813 191 T [61 Ey N 0 ©12 Scale: I Owner Name, PI) I A Address / Phone No. "2 2.. Site Location PA LContact: Name 2om Phone 611 0 Oct, 21'2003 PAC F5i;vk L 1 dS En e. 0 APPROVED Butte County ............ c t mw.A (e -6L1r� � pool SG' PROM D'E FORAM.' Zoning: USE ONLY Zoning: General Plan Desig: Size, Acres ADJACENT PARCELS SIZE�(AC): -ZONING: GEN PLANS. 4.0(r USES: 7-7 _j THIS MAP SHEET IS FOR INFORMATIONAL PURPOSES ONLY, DESCRIBING CONDITIONS AS OF THE DATE OF FILING AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. NOTES. TION REMOVAL, AND/OR STRU�CTURES, DU it MFING, FILL MATERIAL, VEGETA EXCAVATION SHALL NOT BE ALLOWED IN AREAS HAVING A SLOPE OF 301% OR GREATER UNLESS AN EROSION CONTROL PLAN PREPARED BY A REGISTERED CIVIL ENGINE�ER OR OTHER QUALM PROFESSIONAL IS SUBMITTED TO AND APPROVED By THE DEPARTMENT OF PUBLIC WORKS. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL� BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3. ARTICLE 11 OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS. THE FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR 'THE BUILDING PERMIT. A DEVELOPMENT. IMPACT FEE FOR SCHOOL FACILITIES SHALL BE PAID PRIOR To ISSUANCE OF BUILI);NG PERMITS. THE FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDINO PERMIT. RARE PLANT AREA NO PUBLIC ENTITY SHALL BE RESPONSIBLE FOR THE MAINTENANCE OF THE STOP NO CONSTRUCTION WITHIN SIGN, IN ACCORDANCE WITH CIVIL CODE SECTION 845, MAINTENANCE OF THE ROAD, INCLUDING THE STOP SIGN SHALL BE SHARED BY THOSE PROPERTIES WITH A THIS AREA. NO DRIVEWAYS LEGAL INTEREST IN THE PRIVATE RJOHT-OF-WAY OR EASEMENT. WILL BE INSTALLED TO CONFLICT WITH RARE PLANT AREA PER (R2) CONSTRUCTION, INSfALLATION OR DEVELOPMENT OF STRUCTURES OF FACILITIES ON 0 THE PARCELSAOTS' SHALL COMPLY WITH THE LEAST CALIFORNIA FIRE SAFE REGULATIONS (PUBLIC RESOURCES CODE SECTION 4290). AND ALL OTHER 0 100' LEACHFIELD APPLICABLE STATE AND COUNTY CODES, ORDINANCE$ AND REGULATIONS IN EFFECT 0 AT THE TIME OF APPLICATION OF IMPROVEMENT PERMITS. FREE AREA FROM EXISTING WELL CL IRE SUPPRESSION SPRINKLER SYSTEMS SHALL BE INSTALLED IN ALL NEW w RESIDENTIAL STRUCTURES IN ACCORDANCE WITH THE NA71ONAL FIRE PROTECTION ASSOCIATION STANDARD FOR THE INSTALLATION OF SPRINKLER FIRE W 51 CRE RO R P , 1 SYSTEMS IN ONE AND TWO FAMILY DWELLINGS AND MOBILE HOMES, N,F.Pl.A. t J�T STANDARD 13 D. UNLESS A PRESSURIZED COMMUNITY WATER SYSTEM. WITH z Y I PARCEL 2 HYDRANTS THAT MEET FIRE DEPARTMENT SPECIFICATIONS, SERVES THE P I PA CELS. WOOD STOVE AND FIREPLACE INSERTS INSTALLED IN ANY HOME WITHIN THE AREA PROVEN SUBDIVISION SHALL BE E.P.A. APPROVED AND DESIGNED TO MEET EMISSIONS TO MEET SEWAGE STANDARDS OF THE "ALIFORNIA CLEAN AIR ACT OF 1988 AS AMENDED. DISPOSAL PARCEL 1 DUST GENERATED BY THE DEVELOPMENT ACTi,�TIES SHALL BE KEPT TO A MINIMUM WITH A GOAL OF RETAINING DUST ON THE SITE. FOLLOW THE DUST 20, CONTROL MEASURES USTED BELOW: BSL (A) DURING CLEARING, GRADINO, EARTH MOM, NO, EXCAVATION, OR 50' 8SL FROM CENTERLINE EASEMENT TRANSPORTATION OF CUT OR FILL MATERIALS, WATER TRUCK OR SPRINKLER SYSTEMS ARE TO BE USED TO PREVENT DUST FROM LEAVING THE SITE AND TO CREATE A CRUST AFTER EACH DAYS ACTIVITIES CEASE. (8) DURING CONSTRUCTION, WATER TRUCKS OR SPRINKLER SYSTEMS SHALL BE USED TO KEEP A!-1 AREAS OF VEHICLE MOVEMENT DAMP ENOUGH TO PREVENT DUST FROM LEAVING THE SITE. AT A MINIMUM, THIS WOULD INCLUDE WETTING DOWN SUCH AREAS IN LATER MORNING AFTER WORK IS COMPLETED FOR THE DAY AND WHENEVER WIND EXCEEDS 15 MILES PER HOUR. (C) SOIL STOCKPILE FOR MORE THAN TWO DAYS SHALL BE COVERED, KEPT MOIST, OR TREATED WITH SOIL BINDERS TO PREVENT DUST GENERATION. AT ALL TIMES OF RUILONG PERMIT APPLICATION, IF A DEER HERD IMPACT FEE($) IS CURRENTLY IN EFFECT, IT SHALL BE PAID PRIOR TO THE ISSUANCE OF THE RUILDNO PERMIT. FEN09G fOR AREAS OTHER THAN RESIDENTIAL AREAS SH ALL BE LIMITED TO A MAXIMUM OF 5 WIRE STRANDS. THE LOWER STRAND SHALL BE AT LEAST 16" ABOVE THE GROUND AND THE UPPER STRAND SHALL BE NO HIGHER THAN 48' ABOVE THE GROUND. SHOULD GRADING ACTIVITIES REVEAL THE PRESENCE OF CULTURAL RESOURCES (I.E., ARTIFACT CONCENTRATIONS, INCLUDING ARROWHEADS AND OTHER STONE TOOLS OR CHIPPING DEBRI$. CANS, CLASS, ETC.; STRUCTURAL REMAINS; HUMAN SKELETAL REMAINS), WORK WITHIN 50 FEET SHALL CEASE IMMEDIATELY UNTIL A QUALIFIED PROFESSIONAL ARCHAEOLOGIST CAN BE CONSULTED To EVALUATE THE REMAINS AND IMPLEMENT APPROPR4ATE MITIGATION PROCEDURES. RECOMMENCEMENT OF DEVELOPMENT ACTIVITIES SHALL NOT OCCUR UNTIL PMENT MAP' CLEARANCE IS PROVIDED BY THE BUTTE COUNTY DEPARTMENT OF DEVELO PAR L SERVICES. SHOULD HUMAN SKELETAL REMAINS BE ENCOUNTERED, STATE LAW REWARES IMMEDIATE NOTIFICATION OF THE COUNTY CORONER. SHOULD THE COUNTY CORONER DETERMINE THAT SUCH REMAINS ARE IN ARCHAEOLOGICAL CONTEXT, THE NATIVE AMERICAN HERITAGE COMMISSION IN SACRAMENTO FOR PARCEL 3 SHALL BE NOTIFIED IMMEDIATELY, PURSUANT TO STATE LAW, TO ARRANGE FOR NATIVE AMERICAN PARTICIPATION IN DETERMINING THE DISPOSITION OF SUCH REMAINS. "V-** i BAVID ELLIS, ET UX ALL ORADED SLOPES OVER 5 FEET IN HEIGHT SHALL BE SEEDED, PLANTED MULCHED/HYDROSEEDED, OR OTHERWISE PROTECTED TO PREVENT SOIL EROSION. DEVELOPMENT OF THESE LOTS MAY REQUIRE PAYMENT INTO THE WATER TENDER FlJt�D. NO WELL MAY BE LOCATED WITHIN 100' OF THE USEABLE SEWAGEDISPOSAL AREA CA PARCEL 2. BEING A PORTION OF THE SW 1/4 OF SECTION 6, T21 N, R41E, THE EAST 1/2 OF SECTION 1, T21N, R3,E AND THE NE 1/4 OF SECTION 12, T21N, RX, MDM I ml 0 --1 BUTTE COUNTY CALIFORNIA L s L & L SURVEYING SHEET 3 OF 3 �1007 B�ILLE ROAD PO BOX 671 PARADISE, CA 95967 (530)877-4300 900A /45-�f- 9' 3 ts IA I ivo 11, VA (Al VVIA*11'�_ C GALVANIZED pj:�ESSURE TANKS PIS i wOFMING PRESSURE., 75 ck� .4. -11, r 1111T '112 ;A A D A .1!. Flp'l* 01.1 (jl�jov -It t)vw (j2?.OVW 'd )wl I/Gall I Is lAillensioll C, p y �Io -130 I)ia.x 1,11 vvt, bs '72 model x4i (j). f 4.3 20 x 32 42. 12.7 20 x GO 114 tW. 1.12 12.2 24 x 60 61 - 12. 0 W e s, 120 22.4 34.1 30 x 76 303 116 '220 West 220 % 1 4 (). 6 32.1 36 x 60 11 3 RJ 1 640 42 x 8*1 130 vs -c -M-) 460 25 C, 525 13-1.4 3. 6 -128 665 36 x -104 0 4 2- 900 .13 9. "i 9 1.0 oo col�Il.!() , . , j (mi("ir, 1)(All koll .......... Vol ti(ml motill 7 717 1� M max. Sprinkler Flow Spacing gpm(Lpm) ft (M) rinkler NeMP- CCP Assemb[Y Max. MWL Ambient K Sprinkler Thread Size Rating 8.2 (OM) Pressure TOM. Factor La'glh psi (bar) inch (mm) OF OF -C -*C J 1121, NPT ,(RI/2) 135 —1 57 175(12) OR668 4.9 2.25 (57)_] max. Sprinkler Flow Spacing gpm(Lpm) ft (M) Pressure psi (bar) Sprinkler Idwitification Number(SIN) 12 x 12 (3.6x3.6) 13(49) 7.0(048) R3516 14 x 14 (4.3x4.3) 13 (49) 7.0(0.48) 16 x 16 (4.9X4.9) 14(53) 8.2 (OM) 18 x 18 (5.5x5.5) 18(68.1) 13.5(0.93) 20 X 20 .1 X6. 1) (75.7) 16.7(l.14 "A" Cover A ent CCP Height, djustm Inch (mm) Inch (mm) Y2 K (24) Yja (7.9) MUD - FP Data "A": FP Position inch (mm) Fully Recessed 111%, Retracted (24) 3. I J ppwr� IR ML These areas rndst Surfaces must be -li I ey Principles of be softened and asserribled while ti are wet and soft, Solvent Cementing penetrated 2. - The s olvent cemcnLed colinccLion ill LhernioplaSlk -id fittings is the last vital link irl a pI;lsLiC pil)e pipe at inStalL.1doll, It Can Illeilli l Sit(:(:( Ales Llic [lie System as a whole. Accoldilloly. it ieqt� saille prorcssioll�.11 c;1loolld �.Ittc,.Iltjoll Illot me ClIvc1l comporl(:l its of 11 le SYM(,Ill.. If Ille celyloOl coatiligs oil the pipe Wll(,Il ll%iliq Nie ()WSII:P Thcl -C lll�:.triy I solvcIll. cellielitillf: lechili(Itics C al J (�(.Ilqvf Itiliq plof p0holialioll awl -Y Will tcrl(l MSCMI)ly If IV sollellill(I (;Ill llcocllievv( )y 'r al )d become one (-ellivill ilwIf (ir;id if,) I low I o(. le. I I Ic -it is wet tile d laym Also, if the. refTlef I low to Illake solvelit collicill.(., Joilits. I I(mevel we feel that if the 1xisic pri4"'Iciples illvolved ;itlo "'IcIllill(I p1m:c(lillos cale�.fl illy; of**- + 51,111l bellealli till will still he lefel to Vol Sol,, I I(,5V sofl(!tlecl stjtface.� Ill explailicd, I<tiown and 0171clerstocid, ;,I bell I. (�l rail I S17CS, I if 1(1('.l CCI Pill I If we light part of VieJoilill will Wild iderstand ig would be gained, as to what cot)(fillof is, it I Ilay he flesilable, to to fuse togetllcl� ut if -T fxoce�.s W, Ii(_h I -se 11 le IWO s I I to sil parLicular techniques are liecessary LoCI)SLIM'adc(Pale, onditions, and variations sortel if (I. For ex;illiple, wi let I applicaLions, temperature c workh ig ill Cold Weathet wit I I large in size and fits of pipe and fiLLings". surfaces diamel [)file. MOle till)em 011d al Illay be Be aw,-ire at all tillies of good safety I.-m-actices. additional applic., Rcit ided St I, laces -it cernents for pipe aficl'fittings Solvet ate flaniniable, o ll I ShOUld bC 1:10 Sillokinq I lol o(hel so(lices s Ceirylerit coatings of of heat 01, rkillie ill.wolki'lly oi- stol;:11(y., 1.111�cas. LIC -it thick sufficielf ness Lwe to work only a -Ae I S irl well velitH� Cl space mid avoid unnecessary skiin contact with all Solvel Its. -rifoinial-ioll is avaW. More detailed safety i! r 1 mcd "t,11 laces Flarvel of- IPS (Weicl-011) Corporation, As tile solvent dissipates, tile ('vilivill. Wyet arld, tile softened -isi I stentl make good moll, mviii (elf,Hll to fill sUl faces will I lal (tell With a ase injoil R To col y Of f espol Idil Ig it Icre, 11 Ic loosr, pol I of I I le Joil)l 1-1 it Ist bo SUCH tl IC joints, the, following should applied. Ile'sides fillil)(I 111(' Will, gill, A goodiOillt will t, Ilfe(t woril pressute Iorig adeqUcIll COHICIA laYetS Will be carefully understood. pefir'll'"lle the thejaint is Itilly(hyand filial lolmill WO, uIllil Ille joilli. Is sl:r'el IgtI I Is (A)l ail led. If I If le 091 it I'lle joinirig surfac I es,must: be sortened assellibled. I'love 1-1 iis yol Irself. (rused) palt of thejoint, sttength I 1 11 /\I)I)ly ()II life �tflfaCeof a pi(�(:e will develop Illole quickly than ill and the loosel (borlded) P made SeIlliflUid. of pipe fw( aitol'the ) separate layels of aboUt tile lust be applied 10 fill Cellf(ll 11, rif St HOW Oil 0 1 KNIVy IIIYCI joint. Infomiation � 2 Sufficierit cerfient n ofu'lliflill, Illel)alowlsiflo It a thin developme.j it or bond st,rength of the gap beLWCCI'l pipe and fitting. r r (,l lil joii its is available. ly 1.10 1(7(l of 11 1py(,,. ic,,_st if ic layers -iiI fitLingS li-iUSL be ("Vely 15 sccollfls of so by agetille, 3 Assembly of pipe at I : ['11) With YOM fillg(r- Yot3will F101C rfaces are Still wet acky made while the su that the thill layer beconles It and fluid. alld I'lleti dries r1iiiciq (pobably ernenL withill 15 secoridsl five i layer 4 Joint strength develops as Lhe c will lelflaill,wet Illuch longer Now dries. In the tight part of the joint the (--I e(Ik for perietrA.1oi I a few Milit-Res -id to fuse together, in afterapplyincl these layers, Scrape surfaces will tet the loose part the cement Will bond to 111cill with I ki life. The it fill layer will I)ave achieved littl(l. Or If() both surfaces. peneiiiiion. 'llie,lieavy,ohe, Illuch The 0 UA. U TY Line moic i VSR-SF' VANETYPE WATEIFIFLOW POTTUR PIPE SWITCH WITH RETARD r -on SMALL LTD potter Electric Siglial &I Ml ctrictilgrial 7111pairy 1967 Leslie Street Potter Ele 2001 Craig Rd.,/P-O- Box 20400 oil M1119, Ontario, Canada M3132M3 D St. Louis, Ltio. 63146 (4-16)441-1033 (314)870-4321j(000)325-3936 -ED UL & Ul-C LIS'l sf)lvlcq) 1,10"atiree- UI) to 2!30 I --,SI Fl(pw milo for Attie oil: ioc"I'm MnxII-"jjln r:)urgo, 10 FPS lonilmell, led oil, Enclotil-11-0: (3�isl A it U -Int screws. I Old I iace Willi lanif)or tosir (,over rl"llng": TWO sots of S.P.D.T. (Form) 0) 10 Arnp. @) 125/250 V. A(; 2 An'[). Oa 0-30V. I)G r -one ,:we ol)orllilgs for 1/2"condult. '09: L1910d Pl;Irllc, C1"PPor and qc1lodnio 40 fro 1 11 Plim I)o A I'lls, 1)1 -11 mill, one g, Nolo: it) J)"Iddlos aro III Illshod Willi tim, ach I M Izo oI 1111o,,00d or swo. ono for lot 4). Ili ono for j)olybtItYI0n0 G �/ 120" F I-III-Iltullon". 40" 1 4.5" (3149" G -;Allons In 'I his dovico Is not 111lon(jod (or appik, catillon: OXI)IOSIVO onvirolinlents. Sorvlco Use: NFPA-13 Aololn.-Ilic sfminklor NFPA-13D 'Iwo F, onool- amilY 1?W0IIIIIY NFPA-13R a r 110skjonlial occul) Icy np to 4 Stories -71 NFPA I Station, Contra NFPA-72A I-oc, -72D NFPA Auxiliaty NFPA-720 n ilioto Station -72D o -101,iry NFPA -11 opt STK. NO. 1113000 "AT. NO. 1009680 OI)II01101:covor,l,llliporSwitcli,ol.-(JorS,Il�.No.100,90010 U.S. PAT. NO. 3921969, CANADIAN I- otdor Sit(. No. 1940036 O-Fl-IER PATENTS 1117END.ING. 101 fol. OtIldoor Ulm! IIlO1,,-I1,FI:,, filling, as s1lowtj ill Fig. 2. Sclow Illo dovico il )to to propoily orient 1110 (jovico for the on wol sprinkler systolt's 111,11 (so or'l 1/2" pil)o Cal() ,,list bo takon nit may also bo 11, o(I as a socliollal walorflow (jiloclioll (A walortlow. size. The U detector on large SYS10IIIS. w snap I actioll "l-Ilovalloillust not rub file insideOf Ille "'FEE"orbind ill ally Iwo sillglo� pole double 111, -1,110 sloill should nove frooly wilelloporaiedbyliand. TIlo unit C( plaslic pipe and ,III aditistablo prioutilalic (Olard. '1'1'0 ay switches orn,jillujo I I,(.) doviee call also be ut se ,(I in copper or i-oacti.jalodwilcliallOwOliOg'-"'ollsl) 1110pro it lat 1110 specified swiiclios a - s will I por adaptors so curs dowlIsil oa,,, of file dovi6o.ThO flow GOII(li installalioll, or more 0C d of limo necessary to Overcome g may bo inslall0d Oil 1110 Pipe "ll" r -r" fillill lion must exist for a porlo 1110 selected rolard P01-iO& 'ING: Gho( 1110 Oporalioll ol Illo unit by Opening file -hos ay bo Illoullio(I in a I*r--S'l i Idol 1110 sprinkiorlillo torlho INSTALLATION: 'I to dovicos 111, 11,11 I)ilm they should 'III jspo(,jiOI 'I'ostValvo"allhool rs'l'osl Valvo is "Of ljolizontal of- voltical I)ipo Oil horizol , t1l. liodioll. if .111 Inspoclo be ii istallod oi 111 Ito 101) s ld�; of 1110 1.)il)O whol o it loy will bel I(-- 'Xil I'll Id lost col I cossiblo. 1-110 units shojil(I liol be insiallod within 6" of a plovidod. Ing tile operation of file file diroctioll 0 file isiolis for lost valve, drain or filling wflieh changes lin Into it lliero are I)o PrOv ation of 1110 —i 1"NFI-l'bushing 101-1111'0a( ovice on the SyStOrn, applic waterflow. Tllounllllas� flow doloelioll d -IT: E Soo figure 2 for pi ol)or "T[E-E VSII-Sl- is not recon),nonded or advisable., a noll corrosive type and installation. ring that shows 1110 PiPO 'FI I jore are paddles furnished will] each unit. 'I'lloso paddles have raised 10110 w 11 tat holds Ihe paddle CAUTION: 'thatIlleyarolobousedwith. 'I'llo proporpaddloWUj-Abe use I d. 'File scre size and type of "TEE' toiled. urely tigh njust be see DULLFTIN 002 PAOF- I OF 2 [I EV D pRINI ED IN USA K 177T or OTTER'' BELLS PBA -AC & PBD -DC MODEL NO. STOCK No. cunHENT (MAX.) UL Listed, FM Approved MINIMUM dB Ari0FT, Sizes Available: 6" (1 50tTIT111), 6" (200rnm) and 10" (250mrn) IPVI)0� 1706012 APA Voltages Available: 24VAC 76 11(2 ) E 00) 2v,.)c 120VAC .12A 90 76 10(250) 12VDC (10.2 to 15.6) Polarized rnmp.io 1710012 IPA ---- -------- I)p 24VDC (20.4 to 31.2) Polarized Service Use: Fire Alarm 4: — J-70M)PA Genera I Signaling 70 ("'(w) :!4V1W ' V)( Burglar Alarm 170110PAI MIA 711 Environment: Indoor or outdoor use (See Note 24VI)C "V PTID24 10 .......... .06A 94 71) 6 (Im) 214VAG, 24VAG -,10" to 'I 50"F (-4 0� to 6W C) 11100024 TO(J81124 .1 7A .17A 76 8 (200) 10(250) 24VAC rOA2410 Inmf)24 (Outdoor use requires weatherproof 94 6 (1 rm) 120VAC , rnAI20r, I Vim, 120 backbox.) 02 02 Termination: 4 No. 10 AWG, strai id ed wires 6" BELL SHOWN Finish: nod powder coating 111011120 optional: Model BBK -1 weatherproof backbox g devi They have low power con - These vibrating type bells are designed for use as fire, burglar oi- general signalin ces. The unit ITIOLIIIIS on a standard 4" (101 inin) square electrical box for indoor use or on a sumption and high decibel ratings. BBK-1 backbox for outdoor applicatiol is. Weall ierproof backbox model BBK -1, Stock No. 1500001. model weatherproof PRA12010 AND HAVE BUILT-IN TRANSIENT P ROTECTION: A LL DC BELLS ARE POLARIZED 99 S17E CNES INCNES VOLTAGE MODEL NO. STOCK No. cunHENT (MAX.) TYPICAL dI3 AT 10 FT. P -W) MINIMUM dB Ari0FT, [,NS1,2'C (I IPVI)0� 1706012 APA It"i 76 11(2 ) E 00) 2v,.)c 1708012 .12A 90 76 10(250) 12VDG rnmp.io 1710012 IPA ---- -------- I)p 76 ',V., 2'V')( 141024f; — J-70M)PA 7- 01A 70 ("'(w) :!4V1W ' V)( 170110PAI MIA 711 — 10 (250) 24VI)C "V PTID24 10 1710024 .06A 94 71) 6 (Im) 214VAG, 24VAG IIIIA246 Fh3A?4n 11100024 TO(J81124 .1 7A .17A 76 8 (200) 10(250) 24VAC rOA2410 Inmf)24 t7A 94 6 (1 rm) 120VAC , rnAI20r, I Vim, 120 05A 02 02 IP�(iVA(, PlIA12011 111011120 WiA tit) UP 10(250) 120VAC PRA12010 18110i2o .05A 99 05 sNconPo"ArED C0110NA. CA (900) 731.r,599 ��36 AM FIG. 24 -1G. 23 F .1C PIPE I 1ANGER 1-011 C. P. V- C- PLASTIC PIPE HANGER FOR C.P.V.C. PLASl DOU13LE I-ASTENER'STRAPTYPE SIDE MOUNT -NER STRAP TYPE DOUBLE I ASTE W2 . . . . . . . . . . C C A A Size Range - 3/4" thru 2" C.P.V.C. Pipe. protects tile C.P.V.C. pipe from any rough surface. th galvanized finish G-90 gov(' Spec. The Fig. 23 design Incorporates snap retainers allowing easle I r Maierial - Car bon Steel wi arid faster Installation. Funciion -The Fig. 23 arid Fig. 24 are intended to perforrivas a The Fig. 23 arid Fig. 24 are easily attached to the building struc- hanger/restrainer to support only C.P.V.C. piping used In Ising the two hex head self thread ng screws* furnished ture t I automatic fire sprinkler systems. with (lie product. It is recommended that rechargeable electric Fig. 23 arid Fig. 24 can be installed oil the top or on the bottom (trills fitted with a hex Socket attachillent be used as Installation -ig. 23 can also be installed on the side of a tools. No impact tools (Such as a halumer) or irripact fasteners of a beam. 'rhe 1 (Such as drive screws or rialls) are allowed. Damage has been beam. ools. No known to result frorn Installations using impact type t TheFig. 23andFig. 24 caii-ilsoftitictioiiasirestr�iiiiertopreveiit required. the upward movement of the sprinkler head during activation., pre drilling of a pilot hole in wood is U derwriters' Laboratories listed to support fire Order- By - Figure number and C.1W.C. pipe size. Approvals n 3olents Pending sprillitler piping. Meets and exceeds the requirements of I shed with fire N.F.1:1.A. 13, 13R, arid 13D. *-Hurdened hex head self threading screw isfurni 'lie features wilich produci and is the minimum fastener size acceptable. r-eatures - The Fig, 23 arid Fig. 24 incorpor, protect tile pipe arid case jusiallation. The flared edge design GER FAs"rENER APPROX. A_ 13 C MAX. HAN I IEX I IEAD WEIGIIT C.P.V.C. SPACING SIZE PER 100 FIG. 23 FIG. 24 FIG. 23 FIG. 24 SIZE FIG. 23 FIG. 24 PIPE 9 3-1/8 2-5/16 1-5/32 1-3(16 1-3/16 5-1/2 5/1 AW 1 1-91.16 .- - -n I I '57 rR 4`11 1,51,17 zeu/W'55i. Tu 7 fT Z"r RZ 5� 4Z5, ".. % , 3/16 6-1/2 5/16 11 1-1 4 4-3/16 3 1-1/2 1-3/16 1 - AT OT1 all", -6 15 2 4-7/8 3-11 16 2-7/16 1-27/3, 8 REVISED 3/94