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HomeMy WebLinkAbout041-680-006--t'�. r7►ti .:...r�w.K�n:y-'�-T+�`"ar• ""ti.'.' . � (�r i+ ti1tf^t"�:� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive Oroville, CA • (530) 538-7541 CORRECTION NOTICE 03 - 2 yY7 OWNER c PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have -'any questions pertaining to this matter, or need additional explanation, please contact this office immediately z �F Date r d Inspector REV 10/92 {i NOTES -RESIDENTIAL PERMIT No. y041-680-006 _ . 04-1239 STAATS, JOHN 2492 VILLA VISTA DR, OROVILLE i CONT: RYTHER & DAILEY ADD SQ FT TO BP#03-3363 �y'i Zlc �jrL��c�lr s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE,REQ. FIRE SPRINKLERS REQ. SPECIAL INSPEGTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK NotApplic. Not Readyable 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;-/ P' L 'ft. - / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1. Date Cara '.T Date Card B-1 Date Cara' .ti Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1.. Zoning Requirements-Setbacks-Easements r 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 -GR 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 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s - - 1. Zoning -Setbacks -Easements -Flood -Slope 48. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date - Card B-1 Date Date Date Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 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 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87: Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 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 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 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- Purl in -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 g • 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. 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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks O Yes 0 No/Planters 0 Yes 0 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: 04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041239 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/13/2004 APN'' 041-680-006-000 the Business and Professions Code, and my license is in full force and effect. S 6 License Class: Lic_ens/e Number: Site Address: 2492 VILLA VISTA DR ORO G�-� Date: d I Contractor:�►V 1� 6 "' Map Index: Description: ADD'L FIRE SPRINKLERS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STAATS KAREN' to its issuance, also requires the applicant for such permit to file a 532 WILSHIRE CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-7255 she is exempt therefrom and the basis for the alleged exemption. Any 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: SQUYRES JR, WILLIAM Code: The Contractors' State License Law does not apply to an pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 3176 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: SQUYRES JR, WILLIAM and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 3176 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 Date: Owner: License #: 275206 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. ❑ 1 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 IxI certify that in the performance of the work for which this permit is Census Code: 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 forthwithcomplywiththose provisions. Date: ��P.�1'V I : 16 Applicant: �- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one r 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 anrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 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 su tance of any official form or docu t f Butte County. I hereby authorize rep esentatives ofButte Cqualy to enter upon the above mentioned property for inspection p oses. Print Name: Signature: v Date: ❑ Owner Contractor 0 Agent for Owner ❑ Agent for Contractor rw;% BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041239 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/13/2004 APN' 041-680-006-000 ' the Business and Professions Code, and my license is in full force and effect. r� I License Class: `� License Number: S 6 Site Address: 2492 VILLA VISTA DR ORO Date: ('Z;1 d I Contractor. J �f �SqV 6 Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADD'L FIRE SPRINKLERS Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STAATS KAREN to its issuance, also requires the applicant for such permit to file a 532 WILSHIRE CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-7255 she is exempt therefrom and the basis for the alleged exemption. Any 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: SQUYRES JR, WILLIAM Code: The Contractors' State License Law does not apply to an pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, p O BOX 3176 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor; SQUYRES JR, WILLIAM and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 3176 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95927 Date: Owner: License #' 275206 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 IxI certify that in the performance of the work for which this permit is Census Code: issued, 1 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 complywiththose provisions. Date: 11917390 ?"et'VeC't.4 !LI ! • qb Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor -- - code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodA 2nrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 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 su tante of any official form or docu t aLf Butte County. 1 hereby authorize rep esentatives o Butte Cpuatv to enter upon the above mentioned property for inspection p oses. �X� Print Name: U Signature: Ci ZI Date: ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. N __11123i DATE: j c,� APN: ® _ C—o (goNEARE ZONING: i CROSS STREET: TRACT/LOT#: SITE ADDRESS- CITY. ZIP: OWNER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E -ML* CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX. CITY, ZIP: E-MAIL LICENSE NUMBER: LICENSE TYPE: ARCH ITECTIENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: ZS 03-33 � O ❑Structure Built 6ithout permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration -of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received b : Date: Receipt number: �j Amount Received: J H b B. C. Building Permit 01-23-04 pg 2 t. ,. spry.... w � v... ,. �� .. �T i.. ,,., ..- --•• - � -�!-"`vfi.. ...,.... ,.- ..- .. ., .. ti..,r .. •. ..,.a -� ...- - ,... . . 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: St60 +-_--,-, " bh n t -,kc rcv) ASSESSOR PARCEL NUMBER 11 (08 OC) Proposed Building Use: -A% r' h �-}�r5 'f 01� Qd• �y S Coun erTechnici � r Date: LI Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in or r to apply. Fl 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate,,(C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer... ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in�duplicate ❑ 11. Site plan and business license approval from the City of Biggs , ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other r Remaining items needed t9 issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers....`....-..�..................... r........... ❑ 18. Agricultural Buffer clr and site plan aprsfrom the Ag Commissioner Sent by ' ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan R60bired......................................................................... :.... ❑ .2.1. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about ' Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ' ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ' ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits...........................................`............... ❑ 36. Deed Restriction.......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: /�// Date: (l/ lT -'?,D -c 4- 1. Index permrt apj5Fication for the above items numbered: PNn Clock Letter 2. Addit! I items required ontr ctor esigner, owner, was advised of the above data by one, ❑ mail, ❑ counter, b Date: -- .� r, 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 Date: Note transfer by: Date: Yellow: Building Division I , 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 q�p .OWNER ��,�-S4� �Vl A.P. # PROPROSED BUILDING USE fiW swh'Icitr uv'Gdd t S4 fb0V` E —1 _ > O `^-'/ 3 -33 (03 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)...... X # Units Amt. (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (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 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be chan ed during the plan checking pr ss. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) I NorthStar ni+ ENGINEERING Civil Engineers • Surveyors April 13, 2004 Clark Ryther Chico, CA RE: Foundation for Staats residence located near Butte College in Butte County NorthStar Job No.: 8227 To Whom It May Concern: With this letter "it is acceptable to pour the foundation in two pours per the details previously provided. No forms are required during the first pour. If you have any questions, please call' me at (530) 893-1600 ext. 210. Sincerely, Jeff Richelieu, P.E. NorthStar Engineering ` 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 Page 1 of 1 530-893-1600 FAX -893-2113 1 y M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041238 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/02/2004 APN' 041-680-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: 70 Site Address: 2492 VILLA VISTA DR ORO Date: It-.30-vG Contractor: 10s Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADDITIONAL SQ FTG (254) TO BP 03-2447 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STAATS KAREN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2581 CALIFORNIA PARK DR #164 the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any 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 RYTHER-DAILEY CONSTRUCTION Code: The Contractors' State License Law does not apply to an Applicant: owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1947 ROSELEAF COURT year of completion, the owner -builder will have the burden of CHICO CA 95926 proving that he or she did not build or improve for the purpose of sale.). 530-345-5202 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: RYTHER-DAILEY CONSTRUCTION pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1947 ROSELEAF COURT Date: Owner: CHICO, CA 95926 530-345-5202 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pedury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 709986 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: JEFFREY RICHELIEU -NORTH STAR g insurance carrier and policy number are: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft' 254 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $16,510.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 5 -c7G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. TO[� <G^7 30 v CONSTRUCTION LENDING AGENCY This pe it is hereby issued under the applica le provisions of the Butte County CO&I and/Or I hereby affirm that there is a construction lending agency for the Resolutio s tp dpwork indicated abov r hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 6 Name: By: Date: Address: PERMIT EXPIRES ON: IiDatjo ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of to County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: t q -k P. V, Signature: Date: 0/1-30 "-CY1 0 Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 0c(-1113.8 DATE -�-o APN: O41 - - 6 ZONING: NEAREST CROSS STREET: TRACT(LOT#: SITE ADDRESS: CITY, ZIP: OWNER NAME: PHONE oW Aare S S STREET ADDRESS: CITY, ZIP: �� ��� ✓ / ��� � E-MAIL: APPLICANT NAME: PHONE-- HONESTREET STREETADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE 9173 STREET ADDRESS: �- - F , S - J CITY, ZIP: calcj CA E-MAIL: LICENSE NUMBER 20 11,94 LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER E-MAIL, DESCRIPTION OR SCOPE OF WORK: AA4t t QUGc-e gots • i-7) O —` u 11 Structure Built without permits El 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration *of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: `7 Application Received by: Date: Receipt number: Amount Received: B. C. Building Permit 01-23.04 Pg 2 J. E.H. USE ONLY Rat Ren Anecl o"— Roar Ran Anschad�— F r, Sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �d 5 S Owner Location AP# Plan Approved for: Sewage Disposa'I-,,- Water Supply, Public Private Wel Clearance for dwelling. Other rjj% 4 C A � iT,,Q,. Hold final for: Final clearance O.K. for: NOTE: dvd--s Environmental Hea th Specialist Date 8/96 it ••'�"' � ""'ti"� Ott. �, "Y-�-:' ; � YC�'.;�,'�'%K9'"7n@.-�,�."rS=�e'!r.�wy�vj;;yis.�;+rrr•n.rn-..,,k,"•r�y�;-L,pf��.;�FS3,.��. A�..�...-.-.-,�-�-- -••'e^.r-�..r. � ..- • -. ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive;'Or vine CA 95 65 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET A,/�'L� t.2OWNER: S �` �► l f I��' 1 ASSESSQR P EL UMBER VT I r (0 r� 00 Proposed Building Use: i,-dd I4 �C✓r SQUC`V e �01;/ t.;ounter Technician: Date: iitps required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o 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. -8-- 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. VVI 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9: Metal, bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form RO 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other P WA. Remaining items needed to issue the permit7(May require additional plan review upon receipt of.the fol�ow!ng itepls.) ❑ 17. Fire Sprinklers..............................................>................:....... r .................... ❑ 18. Agricultural Buffer dlr And,§ite-plan apr frorp the Ag Commissioner Sent by :a ❑ 19. Soils Report and/or Engineered Foundation required ..................................... ❑ 20. Erosion Control PIan4uifed::..`............................................................. ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. - 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... _ ❑ 26. NPDES Form..........................................':...::............... .............................. _ ❑ 27. Encroachmerht Peftit for dfiveway from the Public Works Dept ........................... _ ❑ 28. Pre -Inspection for required....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... _ ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... _ ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... _ ❑ 32. Letter of Signature authorization......................................:............................. _ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. _ ❑ 34. Manufactured home utility clearance............................................................... _ ❑ 35. Existing violations and/or expired permits......................................................... _ ❑ 36. Deed Restriction.................................................................g ...................... ❑_ ❑ 37. Grant Deed, 6 M.H. m 1 e P Letter from Legal Owner, ❑Check to H.C.D. $ ❑ 38. Other: � ' "J \ _ ❑ 39. Other:_ When issued Telephone and hold for pickup. I have been informed of the above items and for obtaining a building permit. Applicant: Date 1. Index perm application for the above items numbere :W 2. Additional items required 01 Plap Check Letter Contractor, designer ne as advised of the above data by p one, ❑ mail, ❑ counter, by goK Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b , Date: Plans reviewed by: Date: Plans approved by: Date (structural reviewed by: Date: Structural approved by: Date: la0 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 OWNERS/ M+5 M V) * fes`✓� A.P. # ��' �0�D'V'0(D PROPROSED BUILDING USE PaM rh U L 5�Uarc DATE — -I V r� �� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Jq I I </ --- Balance Due ..................... $ -I vp --- Additional Fees Due........... $ -- evised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES `� V� ��� V✓1 l -�/ (paid at School District Office) (form available after Plan Check) Q 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ 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. Ftg. Amt. 5. RECREATION DISTRICT FEES GSL U (paid at Recreation District Office) (form avai able after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (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. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT , DAT%�� X30 - 01 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) , ; .. i � y� .. ♦ i ^ti 1v+.."�Nr.TRY"".^++.. ..-.. e... :+7 n..s�.. T;'^�Y`a. ,. � it t �r�.I: , w . -.IZ .. :v BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) M School District �� S._J J_ BuildingQ ` 7cou A.P. Number O � 6 Q ' 6 Jurisdiction: City nty Property Owner ..._. —a a:4s Property Location/Address Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supp me2taaT (Group R) Units installation Conversion Permit # 71 *(No foundation Inspection) .................................................................... .......................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New .Addition Building District Identification No. c, A 86, Sq. Footage (Including Exterior Roofed Areas) Date School District certifies that STS f� T S (Applicant) 9Ay/ V1 57 ,4 (Street Address) (Phone Number) &114--yp lle y , &A9 s�( (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing .2-Tq square feet.IM by payment of $ s� ,� • Sfo 2926 : FULL MmGAT10N $ / 7 yr-cz.L -7- Z - O `� School District Representative Date Paid by Check # ���� Remarks: J�Lp� / 19�/n c .� :'X X frotice: You may protest the imposition of the fess Identified above by submitting a written protest to the District. In compliance with Governrtme code Section 66020(a), within 90 days from the dab fees are paid. Failure to submit a timely written protest wlll'prohibit you from challenging the Imposition of the fees In any court action. N, subsequent to the School District Representative signing this Bulb County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being rwrlow ed under the California Envlrorarnntal Quality Act (CEQA) Oft pnojset may be sd set to additional school fees to fully mitigate. Its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xds (10/03)dmm ,.��r r. -.y.� y+-.Y1.`^..+-«�rJ'-. ti.:•,.•��'•4.�,a� s s.�'. ...:.�1.i►+; 1.� r r in". :'�I'..^tY� �AJ,•r...♦,'` .y, Vxp :.. ,.tis'. r'^ -. .e. '!� .('i.nt-�'C� p•11'h.Y �.. r..^.UYA�.t."a.�r� , :7 . r.y. BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM t' DURHAM RECREATION'AND PARK DISTRICT Assessor Parcel Number (s): W/Lo --o0 Property Owner (s): Project Location/Address:` y 9 Subdivison Name: Assessable Square Footage: Type of Residential Development (check one): New Development Afteration/Addition Mobile Home (s) Non -Residential to Residential . ry Comments: Buildifig Division Represents ive Date Durham Recreation and Park, District (DRPD) certifies that harm D+d 1-5 "-6 `-tq — 135 y Applicant Name Applicant Phone Number a:5? l CD�I i' CcTn ia. Tol_rL )e, y Street Address ''! a.i( 0 City State Zip Code 3. has, complied with the requirementsof the Butte County Board of Supervisors Resolution No. 93. 114 by payment for 4q5L4 square feet at $ 1.04 per square foot for a total payment Of $ Vii nou -7 /z/off —bTVD Representative Date PAID BY CHECK No.: BANK No.: I .l PAID BY CASH: RECEIPT No.: 1 R -7 (o q Remarks: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW -BUTTE CO. BUILDING DIVISION O.M.B. No. 3067-0077 Expires December 31, 200: ZIP CODE For Irsi rm Company Use: OROVILLE CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 041-6804)06 BUILDING USE (e.g., Residential, Non-residential, Addition, Acoesso'ry, etc. Use a Comments area, if necessary.) New Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: tj GPS (Type): ( W - ##' - ##.##' or ##.###R) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNffY NAME 8 COMMUNITY NUMBER 82. COUNTY NAME W. STATE BUTTE CO, CA B INCORP. AREAS 060017 BUTTE COUNTY CA B4. MAP AND PANEL EFEDERAL EMERGENCY MANAGEMENT AGENCY ^a NATIONAL FLOOD INSURANCE PROGRAM B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) ' ELEVATION CERTIFICATE o c) Bottom of lowest horizontal structural member (V zones only) Important: Read the instructions on pages 1- 7. COMPANY NAME SECTION A : PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME C KAREN STAATS JUNE 8,1998 BUILDING STREET ADDRESS (Including ApL, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. DURHAM-PENTZ HWY. NIA ft.(m) CITY STATE O.M.B. No. 3067-0077 Expires December 31, 200: ZIP CODE For Irsi rm Company Use: OROVILLE CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 041-6804)06 BUILDING USE (e.g., Residential, Non-residential, Addition, Acoesso'ry, etc. Use a Comments area, if necessary.) New Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: tj GPS (Type): ( W - ##' - ##.##' or ##.###R) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNffY NAME 8 COMMUNITY NUMBER 82. COUNTY NAME W. STATE BUTTE CO, CA B INCORP. AREAS 060017 BUTTE COUNTY CA B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER o 0 o c) Bottom of lowest horizontal structural member (V zones only) EFFECTIVEIREVISED DATE COMPANY NAME (ZoneAO, use depth oflloodM) 060017 990 C SEPT. 29, 11989 JUNE 8,1998 X 2609 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ❑FIRM ❑ Community Determined ® Other (Describe): SEE COMMENTS B11. Indicate the elevation datum used for the BFE in 69: ®NGVD 1929 ❑ NAVD 1988 ❑ Other (Desaibe): _ B12. Is the building looted in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date NIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3. -ani below according to the building diagram specified in Item C2, State the datum used. If the datum is dil wt from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion Datum NGVD 1929 ConversiordComments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No ca o a) Top of bottom floor (including basement or enclosure) 272.28.(m) I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. o b) Top of next higher floor IVA_ft. (m) o 0 o c) Bottom of lowest horizontal structural member (V zones only) NIA. _fL(m), COMPANY NAME o d) Attached garage (top of slab) 271.P.0) w `° o e) Lowest elevation of machinery and/or equipment 5437 BLACK OLIVE D PARADISE CA 95969 o servicing the building (Describe in a Comments area) NIA ft.(m) Z.0 o f) Lowest adjacent (finished) grade (LAG) 269.6 it(m) n o g) Highest adjacent (finished) grade (HAG) 270.5 R(m) J o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NWA o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. am) QROf ESS Ip\ ��e No. 27647 EXP. 3/31/06 CST SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER ROBERT G. AGEE, JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING. ADDRESS CITY STATE ZJPCODE 5437 BLACK OLIVE D PARADISE CA 95969 SIGNATURE DATE TELEPHONE OCTOBER 15, 2004 (530)877-6253 FEMA Form 81-31, January 2003 See rev rse side for continuation. Replaces all previous editions i t. _ r ,f .. .. `ii • Ilk' i i.M c� t k6 I •�,�y .A t _ Ff`t - . 1. •Js9s.Ii.4 !_ .. i r J �� IMPORTANT: In these spaces, copy the information from Section A and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. For Irsurarnce Company Use: Poioy Number DURHAM-PENTZ HWY CITY STATE ZJP CODE Company NAIC Number OROVILLE CA SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. COMMENTS BENCH MARK: COUNTY #273, STANDARD TABLET, IN CONCRETE POST, STAMPED `W541948". ELEVATION 265.80' A DETAILED HYDROLOGY STUDY WAS MADE OF THE DRAINAGE AREA FROM EXISTING US TOPOGRAPHIC MAP AND A CONTOUR MAP OF THE SITE. THE BASE FLOOD ELEVATION WAS DETERMINED FROM THE ABOVE MENTION DATA ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ lt.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagram 6$ with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in.(cm) above the highest adraoent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Ione AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the oommunity's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (items C3.h and C3J only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Seddon A, B C, and E are oon d to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA�issued or oommunity-issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. NUMBER G5. DATE PERMIT ISSUED G7. This permit has been issued for. ❑ New Constiuotion ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including baserient) of the building is: fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: f4m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, January 2003 Replaces all previous editions .4r � 'lam ._ , .....,.. raa,.w....L. .... w.. ' � - `���`. ... ,. _ ..r »-..... r-u -r. • y t n1✓rr's.. ..._ ._�... •... _� ..r ... .-I.w- •.. ._.r, _. ... _ .. ..-. .,. ._, '.. ni.rn1.v (s'^7\!�•. T. y-+i+-H �.... ..�.... ... ....« ....- _ ... ...- .. .. _ .„..t^ <, war j1,rC1'�• a ,... ... wT.. j . ti ._.. � ...., moi' "M. � ..y;. . '' •., .' '. `. ..~/. ' ..! � � Y _ � s STI <� • a. j , 1r,,� li 74 r` - .. !ham*, • L ' _ y,f •. S� a 03/25/2004 13:46 5303431124' WESTERNWOODS EWP PAGE 01/01 1 APdr� Certificate of .Conformance Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing --,Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to �eguiar audits in accordance with the Engineered Wood Systems (EWS) Ouality Assurande Program. Routine audits include inspection of the manufacturing process and evaluation of the7in-plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and giueline-bond quality. .•♦,!`�c.O�MW 0 0O _ Zw - SEAL r" ^ by u, y Thomas G. Williamson Executive Vice President IN tell as ENGINEERED WOOD SYSTEMS is a related. corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 SCUM 19th SVM • P.O. Box 11700 • Tao ma, WA 98411.0700 Telephone: (263) 586.8800 • Fax Nuff"r: (253) 5857285 It ? i t �� • y a � + i too K a {_. �+ i of of 03/25/2004 ,13:46 5303431124 �WESTERNWOODS EWP m e IMMUM APAEVVO PAGE 01/01 V r Certificate of Conformance Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products – Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 – Manufacturing – Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject t6 regular audits In accordance with the Engineered Wood Systema (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant OA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. �.� �.• �,Q` �P 0 At SEAL E #i; .4 H IN 0 by 4�L �—J A&,. . Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS Is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 SOUM 19th Stteot 4 P.O. Box 11700 • Tuonla. WA 98411.0700 Telephone; (253) 58&8800 • Fax Numper (253) 585-7286 NOTES RESIDENTIAL PERMIT NO. 041 680006 JOHN . ; ,r __04-1238 STAATS, 2492 VILLA VISTA DR, OROVILLE CONT: RYTHER & DAILY' ADD SQ FT TO BP#03-2447 i t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 'JOB FINALED (Date) tI Signature f - OK 0� Not OK . = NotReadyabte MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements 7. 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/0 -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) 10. Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Ext.; Steps -Doors -Landings 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG - Braced Wall Panels 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card�i9jy?v Date Card B-1 Date CarcT `- 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 #'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 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 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. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope FINAL (Plans) OK except #'s 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 64. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Smoke Detector 5. Stemwalls, Main; Steel-Blockouts-Wrapped 66. 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped G.F.I. & Bath Fixtures & Tub Access -Spa 8. Piers -Fireplace Ftg.-Steel 69. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stairs & Rails 11. Water Pipe; Test -Anchors -Regulator -Service Test 71. Fireplace or Stove, Clearance -Hearth 12. Electric Underground 72. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 15. Access & Ventilation 74. 16. Insulation 75. Garage Fire Door; Swing -Landing -Closure 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 Plb.; Elec. & Mech. Equip. Listed for Location 18. Water Pipe; Test & Anchor -Nail Protection 79. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Insulation -Foam -Looked in Attic 21. Test Tub & Shower, Second Floor -Tub Access 81. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 84. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Unit Disconnect, Electrical -Plumbing 26. Size Boxes & No. of Conductors Stapled 86. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Water Well, Disconnect, Electrical, Plumbing 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 88. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Ventilation Throughout House 32. Service -Riser Conductors & Ground Main Disconnect 90. Glass Protection 33. Equip. Clearances Panels-Motors-Mech. Equip. 91. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 93. 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 Fire Sprinkler 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Date 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Card B-1 Date Card B-1 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. 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 O Yes _ 83. Following Instid./Drive 0 Yes 0 No/1Nalks O Yes O No/Planters 0 Yes 0 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/0 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041238 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 07/02/2004 APN'' 041-680-006-000 the Business and Professions Code, and my license is in full force and effect. �/ License Class: -a� Cwt License Number: �J &5w Site Address' 2492 VILLA VISTA DR ORO Date: �t—.�� l Contractor. tet5S Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADDITIONAL SID FTG (254) TO BP 03-2447 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STAATS KAREN to its issuance, also requires the applicant for such permit to file a 2581 CALIFORNIA PARK DR #164 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO' CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any 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 . RYTHER-DAILEY CONSTRUCTION Applicant. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1947 ROSELEAF COURT year of completion, the owner -builder will have the burden of CHICO CA 95926 proving that he or she did not build or improve for the purpose of , sale.). 530-345-5202 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor' RYTHER-DAILEY CONSTRUCTION ' pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 1947 ROSELEAF COURT Date: Owner: CHICO, CA 95926 530-345-5202 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 709986 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: i the work for which this permit is issued. My workers' compensation Engineer: JEFFREY RICHELIEU -NORTH STAR insurance carrier and policy number are: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft' 254 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $16,510.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: a v Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of /1 �p . compensation, damages as provided for in Section 3706 of the Labor N(� code, interest, and attorney's fees. reof CONSTRUCTION LENDING AGENCY This pe it is hereby issued under the applica le provisions of the Butte County CohA enNor -- 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.) Resolutions to dp work indicated abov , r hich fees have been paid. b BY Date: a Name: PERMIT EXPIRES ON: Address: at ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health i£ 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. 1 acknowledge it is unlawful to alter the substance of any official form or document of to County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ��I`rF-+L_ Signature: Date: 6'-30 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES~} 411 Main Street • Chico, CA • (530) 891-2751 ` 7 County Center Drive.'• Oroville, CA • (530) 538-7541 kV CORRECTION NOTICE"f OWNER f` a PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when coaection of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 y ! >- a � � . `�/✓ 7 � �� CJ%•00 471 ;tea, i Ar \ �,r �r ' r' jr r kj i CA l�� IQ ffti5.% �B�1Q,✓ SGS w ems- ✓�e�✓�; �' �S 7 eJ� , i Date Inspector REV 10/92 c COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE Sic, C' �_.S D�- ZH ui `- OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE SQA AT -S CD3- ZYy� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /"/j� "'4 /016S /y i i t t i t �y��DateMZD Inspector y:REV` 10/92 CertainTeed-M w Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite Name i ;ZA19 \/s �ddress Ips ,D-8� Installer/Contractor (sign) Company Name Date c _ Builder (sign) Company Name Date t 1t a Inspected By (sign if required) Date i R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM i j SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag j should not cover ° more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: Cin.) 60 36.5 27 k �. 0.986 22 49 29.6 34 4 0.800 181/2 44 26.4 38: • 0.712 163/4 38 22.8 44't ' 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 i 1 0.353 9 19 11.1 90 F 0.301 73/4 13 7.7 129 �' 0.209 51/2 11 6.6 151 } { 0.179 43/4 !Y THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION " • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft'of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. ii • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 { R -VALUE THICKNESS AREA (SQ� FT.) INSULSAFE 4 ) BAGS USED BAITS/ROLLS (✓) )13,41 CEILINGS ?3 WALLS �4 FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION " • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft'of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. ii • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 { L, ■ Manufacturer Insulation Fact Sheet CertainTeedll This is CertainTeed. Corporation l nsulSa 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: 'Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 1072 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 512 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 29 35.8 28 0.967 71/4 22 27.2 37 0.733 52 16 19.8 51 0.533 4 15 17.9 56 0.484 31/8 14 17.3 58 0.467 31/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in.your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get -the marked R -Value, it is essential that this insulation be installed properly. ,• NOTES RESIDENTIAL 4 041-680-006 —032447V PERMIT NO. STAATS, JOHNqjj) I,\,) qq OROVILLE Cont: RYTHER/DDAILE',, NEW SINGLE FAMILY SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. N, 'FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS ,t SUB-STANDARDHOUSING LETTER DETACH FOR SERVING UTILITY Address GAS Meter By Date ELECTRI c Meter By Date t JOB FINALED (Date) Signature J=OK 0 = Not OK able 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/0 -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 Date Date Card B-1 Date , Card B-1 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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. Verifv #'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. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready, „ Fireplace or Stove, Clearance -Hearth Date UN FLOOR (Plans) OK except #'s 73. oning-Setbacks-Easements to ' -Slope 74. Ftg., Main; Soils-Elec. Gr .-/ ti" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Gc " Ftg. Depth LjY d. / 75. 4. 'Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 76. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 77. 6. Sleff1walls, Garage; Steel- Blockouts-Wra ed 78. 6 . d Downs and Special Anchors / 7 b, Steel -Wrapped P' -Fire lace Ftg.-Steel Y o.W.V.; Fall -Fitting -Test -2 Way C/0 Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 11. Water Pipe; Test -Anchors -Regulator -Service Test Clearance Looked under Floor ❑ Yes 12. Electric Underground Forowing Instld./Drive O Yes O No/Walks 0 Yes 0 No/Planters O Yes O No 13. Plenums & Ducts; Clearance -Material -Support -Ins. Stucco Brown -Finish 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies A.C. Unit Disconnect, Electrical -Plumbing 15. Access & Ventilation 16. Insulation Date Date Z Date Card B-1 Date Card B-1 Card B 1 Date Card B-1 r PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle ater Ripe; st & Anchor -Nail Protection .1-! ,107 ; TeWlFittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21 Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & An ors R3. Fire Sprinkler; Tq Date Q Card B-1 / Date Card B Date o Card B-1 -- Date Card B-1 Date FLECTRICA (Permit) OK except #'s '2g! Fixture & Transformer Clearance -Ins. Protection 5. Elec. Receptacles Spacing -Lights & Switches at Doors ?,6. Size Boxes & No. of Conductors Stapled 27.,Romex Installed Close to Edg9Z Studs &�.J. 26. Equip. Ground made up w ech Fasten rs-Bon Gas & ter, : 20' 2 Appliance Circuits in Kite, n & Conductor Size GFI ' 30 feed Wire Sizel / or AI-A.C. Wire Size/ /ga Cu or Al V � mange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Jnsulated Neutral 0 Yes O No `' 32. Service -Riser Conductors & Ground Main Disconnect .82 -equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light .,Smoke Detector Date /j w) Card B-1 CW4, Date Card B-1 Date Tr 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 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet gt 0. Attic Access & PI Vorm if Furnace in Attic Date Q Card B-1 Date Card B-1 Date I ICard B-1 Date Card B-1, Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 4. Draft Stop in Walls (rat proof) 4. ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4W Headers & Beams -Size & Bearing L4-0 Single & Duplex) Date FRAM NG (Continuedi / (3 ling. Joi flies-Purjp=Roff Brac.-TrA<Shting.¢fpg! fireplace Ties o y�A Flue -Fireplace Throat Clearance N<Altic Acce ;size & Romex Protection -Draft Stop -Ins. Baffles qj warm. vvrnaows or txiting uoors- uimzosions ,Garage Fire Protection Fram -RC Channel 53. Property Line Firewall & Openings ,54. Ext. Doors -One 3' -Check Garaae 3rd Storv. 2 Exits ':! irs; Width -Headroom -Rise -Run -Landing -Fire Protection t5K Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. Siding -Nailing Venper St co Mesh -Drip Screed -Fd. Vents-Underflr. Access G zigg Area. Glass rotection-Skylights-Plastic 0 ar s; N * g-Bd di race I /Ex r Wall Panels *Y' y fQ . Insulation Walls Ceilings /tr/t j .63. Infiltration -Walls -Windows q Date '9/1//& -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 Card B-1 Date Card B-1 Clearance Looked under Floor ❑ Yes _ 83. Forowing Instld./Drive O Yes O No/Walks 0 Yes 0 No/Planters O Yes O No j. 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 Protec ' n 91. orrec ' from Previous Inspections s eters Tagged, Gas -Electric �+ qq W5err & 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: WCMTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7 County Center Drive • Oroville, California 95965 o Telephone (530) 538-7541^? of (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-680-006 ZONING A-5 BUILDING PERMIT OWNER STAATA. JO'O & karen TELEPRnE SQ. FT. OCC. BUILDING VALUATION 2391 54 129,114-00 . OWNER'S MAILING ADDRESS 532 WILSHIRE CT. CHICO 95973 929 18 16,722.0 CONTRACTOR'S NAME RYTHER & DAILY TELkFHONE - 1130 13 14,690.00 DDNTRAcESS 12111LIWINDECKER DR. �. CHICO 95926 1, 371T8001!r- CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 160.526.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee `$ 20.00 Permit Fee $ 853.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 554.45 BUILDINGADDRESS 2492 VILLA VISTA DR.. OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1450.45 LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap Ill 7.00 77.00 USEOFSTRUCTURE 5.47 AC SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 09 Each as water heater or vent 15.00 TYPE OF WORK Nev4 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSFjVA=4CHFD ZM C kEl) PM122 Gas piping system 1 - 5 outlets 15.00 sewer Building5 1.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t 157.0 nnTl ��p 0550SRA ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 "°�' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license iS in full force and effect. C F /� License Clas Lic. No. ilii i% ER -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. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier --Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) \ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' - compensation laws of California, and agree that if I should become subject to the w rk ripensation provisions of section 3700 of the Labor Code, I shall forthwit corn with tho provisions. X Date �� Signature of Applica - ❑ Owner 14Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei' ht. Main Service xooA TO 1000A 46.00 46.0 NEW CONST. ( DWELLING OCCUP. 3.5Q FTO. 16 . 2 OR ADDNS. NEW CONST, MULTI -OUTLET NON -REBID. BRANCH CIRCUITS G@7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUXEOAP FIXTURES Ex, Occup. BAL @': 0 Ex. Occup. otnLEE°TSAR °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 182.20 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.0 Cooling 2 Hood 6.50 Ventilation 2 4.509.00 aaS f-re-oIace 15.00 PERMIT FEE $ 95.50 Mobile Home Installation Fee $ orgy Insp ction Fee $ 46.00 D OTAL FEE $ 1906.20 HAZ. -- D. F IMp / FLOOD A CQF PAR/EL PDD H 5 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. ' B Dote f7 PERMIT EXPIRES O c3 pe Receipt No. `L. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- E TOR GOL ENR D -APPLICANT i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance el— - 4A 4-k Dt d jO VOL Owner Location Plan Approved for: Sewage Disposal n )Water Clearance for dwelling. Other Hold final for: Final clearance O.K. for:. NOTE: E. USE GAILY Plot Plan Attached Raw Plan Aehad Sant to ®.OrL — ! _ L/ 1 -6 � /)I- AP# lic Private Well Environmental Health pecialist Date 8/96 t�' +•wY'�fi:tL'.M�,:vya.,r�*a�tii. ':,�j� - ' wK1.,~•� YAW �'".r....w-.w•.-....n-- ._,. w,•,F,;,r�.�:r.,w„n,,sy,tr..,.-., _, , t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 Y PERMIT APPLICATION DATA SHEET OWNER: S`i �i�l S v D %� l �� �G ASSESSOR PARCEL NUMBE Oq °�t0O(0 Proposed Building Use: I V &tio Counter Technician: Date: ✓ � "_/ Items required in order to apply for a permit. All boxes MUST be checked O 4 mar ed NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items requir d for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be in and turned to the plan review line-up when required itemsF d. /��/') ate Receiv By ❑ 8 ood vation Cert' icate, wet -stamped and signed, in duplicat ... M-4) / !tea•.. . 9. Plot plan and business license approval from the City of Biggs ...................... , ❑ 10. Letter of intent for non-residential buildings ............................................ ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other r• !r Re ai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. ees as shown on the attached Schedule of Fees Due Sheet ....................................... ri. ement of Intent for Non -heated and A/C Buildings ....................................... ' °f itation and plot plan approval from the Environmental Health Department in r ofChico Plumbing permit....................................................................... . ifornia Department of Forestry plan approval ❑ paid. Sent by: ..........nning approval for (A) Use: 0� < (B)Parking: (C) Parcel Check: 8_ l? ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑' 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. ner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... , V2 • . Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................. ...... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 39. ❑ Grant D e M.H. Title/Statement act Letter fr m e al Owner, ❑ Check to H.C.D $ . Other: When issued Teleph ne d hold for pickup—arngell1c 1UP I have been in rmed�of thabove itemsrand requir nts for obtaining a building permit. ' � � t'0- Z Applicant: ?--/3-D3 1. Index permit application for the above items numbered Plan Check Letter ' 2. Additio.Qal items required igner, owner, was advised of the above data by V phone, ❑ mail, ❑ counter, by Date: I l-1 D - Contractor, designer, owner, ,advised of the above/d t y ❑ phone, ❑ mail, ❑ counter y Date: Plans reviewed by: �^ Date: G v Plans approved by: Date: Structural reviewed by: Date: Structural approved by:ATI Date: Note transfer by: Date% Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 A 1 SCHEDULE OF FEES DUE OWNER S"J "� 1 l el `Irka(f/h PROPOSE JILDING USE BUILDING PERMIT FEES Balance Due ....................... Additional Fees Due ................. $ dditional Fees Due ................. $ Revised Plan Checking Fee .............$ 4/2. SCHOOL DISTRICT FEES D L4 "�"V V 1 A lfl'CCJ paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. A.P. # CJ t '— DATE a—[ 22 — RECEIPT # DATE REC. ��-s-21 �' i mmercial (sq. ft.) ............—x—=$ Sq. ft. Amt. �A � ,4 5. RECREATIONAL DISTRICT FEES 1 AChV� �`� V ' t9 l ( (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES tV$510.00 (paid at Building Division) —J7. SRA FIRE INSPECTION AND PLAN CHECK c3co $89.00 (paid atBuilding Division) *8. WATER TENDER FEES (Battalion #) /} $200.00 (paid at Building Division) 7 -w7P. - 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed the plan checking process. APPLICANT Mr! Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM �DURHAM RECREATION AND PARK DISTRICT i z Assessor Parcel Number (s): Property Owner (s): Project Location/Address: Duki'1/4z- Subdivison Name: Assessable Square Footage`. Type of Residential Development (check one): f5� New Development ❑ Alteration/Addition Mobile Home (s) U Non -Residential to Residential Comments: . }... . ! _,,, i . t, _ •1,., �' � t .1. 1 -�_ � � .t - i t " r• t r - r Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that Applicant Name -A.. Phone Number 53 2 W r 15hcre'-, ( t Address �aC0 CA �50t-73 City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 't114 by payment for r"'°o"�"`j squarevfeet at $ 1:Q41per�sq - re•foot for a'total payment of $ ani , . � . r afxo--�f 21 0_3 {.., DRPD Representative Date PAID BY CHECK No.: , ` = ` Remarks.:. ` ' BANK No.:1_ PAID -BY CASH: H , RECEIPT No.. / 5 Z j A . . y, o DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION 4 School District A.P. Number BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Tpct S1) Yo ~( Jurisdiction: City Property Cnrmer f• Property Location/Address Subdivision Building Department No. 'County Lot No. 0.�- t1y7 .................................................................................................................. Residential Development i [ Sq. Footage _ No'of Living Mobile Home Additiord *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial Building 0 0/ Sq. Footage New Addition (Including Exterior Roofed Areas) A✓ / o - � 7 -0:5 ttive Date Irioor rians reviewed oy scnooi uistnct rersonnell District Identification No. U rc'�!>q-n URJ JF/E`a School District certifies that ia"qC_ /'J S7A A7S (Applicant) bU AIMM Ja8:,U T� (Street Address) (Phone Number) 2? t0e Abl;P? 1 QiPQ U/. t* C� A 95 9 to S (City) (State) (Zip Codel has complied with the requirements of Resolution No. t%o_ O by payment of $ representing v� .3 �% square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date 51 hHl /' ♦ Y Paid by Check # / Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020 Is), within 90 days from the date fees are paid. Failure to submit a timely written.protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is, being reviewed under the California Environmental. Quality Act (CEGA1, this project may subject to additional school fees to fully mitigate its impact on the sch000l'district's:.`schools. ! "• , +� White (applicant), Yeliow'.(building department), Pink (school district). ,�-4 ; a rfeeform.xls (10/981dmm ;a I . I, Feb 01 02 08:13a - P-1'. '74 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-75 PERMIT NO. (Rev,12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ /�( SO O® /' 20Ni�/}VS - IILc'� �. BUILDING PERMIT OWNER Sta TELEPHONE — SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORESSg ,3� (n J t J • l I ��-• � 1 � L (/_ r_� / � 2' �� -_ CONTPoICTO , Q rj�_I MAI CONTRACTORS`NG,.•AD/ ESS III I W I�'1 G�e - t-� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHRECT OR ENGINEER ARCMTECT OR ENGINEERS MAIJNG ADDRESS BUILDING ADDRESS r: �M 1511111FAW-s\— '=" _63_V_ T-T•c \/I -s S V j3 LOT NO. � I SUBDIVISIONS NAME USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other eel TYPE OF WORK New CI, ddition ❑ Remodel Remodel0 Utilities ❑ installato[3DescribeWork:V WV�f, s oo 1=L2__)r_>0; A)O-SSOQ� sq.A . Total Valuation $ —Filing Fee $ 20.00 Permit Fee $ �'- Plan Checkina Fee $ . $ Energy Plan Checking Fee $ $ PERMIT FEE EL MAP PLUMBING PERMIT T,y7AC Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets ❑ I Building sewer IMobile Home *PBtMXT * �. SPA SHERIFF rlAi1GUNTRECQVEC To is nrr :nrro coMwrea PERMIT FEE ELECTRICAL PERMIT Main Service 40011 OR LESS 700A OA LESS Main Service 200A TO I000A Filing Fee 20.00 7.00 .� 23.00 15.00 15.001 15.00 1 s.00 S, @20.00 g Fee 20,00 23.00 46.00 40 _[S @7.60 Ex. Occup. OUTLET OR FVCTURES 20 ® 1'00 BAL@ 50 EIC. Occup.FU(ED APPLNS. OR OIfiLE1T• REBID. EA 5.00 Temporary Service Mobile Home Facilities 20.00 Misc, Wirin 23.00 PERMIT FEE $ ( 6 "L, "eta i MECHANICAL PERMIT Fling Feel 20,001 Heat PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ -'� I 'INFRT JTOT4AL FEE $/ / Wt) _%7l - N I-- DFEF3 V D I C P(�y CEL I HD ISSUE .This permit is hereby issued under the applicable prbvisi6ns of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been-pai By Date eceiptNO. WHITE •D.D.S.•B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT ,� • NOTES RESIDENTIAL PERMIT N0. 041-680-006 03-3363 STAATS, KAREN ,# S ata Cont: WM SQYRES FIRE SPRINKLERS 03-2447 k �t '1 f� t �t 'r• 4 • 1 I 4 l JOB FINALED (Dat Signature SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Y J=OK 0 = Not OK = NotReadyab1e 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 Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 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. Elect; 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- Panel boards- 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 J=OK 0. = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 48. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 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 59. 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 FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htc; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. A.C. Duct in Garage -Damper 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 Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect Stucco Brown -Finish 33. Equip. Clearances Panels-Motors-Mech. Equip. A.C. Unit Disconnect, Electrical -Plumbing 34. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 35. Smoke Detector Water Well, Disconnect, Electrical, Plumbing 88. Date Card B-1 Date Card B-1 Date 90. Glass Protection 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 Address Posted 40. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Date 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. 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 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: 41 COUNTY OF;13UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 06urity Center DriveOroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev�12/96) APPLICATION ANDPERMIT ASSESSPR PARCEL NUMBER 041-680-006 ZONING A-5 BUILDING PERMIT OWNER JOHN & KAREN STAATS TELEPHONE 899-1359 SO. FT. OCC. BUILDING VALUATION 2391 .60 3826.00 .OWNERS MAILING ADDRESS 2581 CALIFORNIA PARK DR #164 CHICO 95926 CONTRACTOR'S NAME WM S UYRES TELEPHONE 345-1012 CONTRACTORS MAILING ADDRESS PO BOX 3476 CHICO 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 2492 VILLA Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO.SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other' Describe Work: FIRE SPRINKLERS FOR BP #03-2447 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo*A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 20GA TO 46.00so CCU000A NEW CONST. DwEUING Occup. orS. ( 3.52 F°: NEW MuiT�i-oLmS. NON-RESID. @7.50 UTLET CIOWER APPARATUs b E O R. Ex. OCCu OUTLET OR FIXTURES 200 I.00 SAL Q .SO OR Ex. Occup.LniET°s oAEID.) Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw h co pl i tho provisions. Date /�� -� �Inatuof Applicant - Owner ❑Contractor ❑Agent HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig . MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation :d PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. 1 D. FEES IMP FLO00 CDF pAgCEL I PD HD ISSUE This permit is hereby Issued under the applicable of the Butte CountyCode and/or Resolutions Indic e a v for h4h fees have been B PERMIT EXPIRES ON / D provisions to do work paid. to Te Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i i y rL i 'r1Cf'i!�iJ..R,,r�.,,,�trdl^�!1��. t,?•��``'�l�c�,� iiN++!.'�O�r:.�^�; ,a�#..Zr.� •x; ` yY. s •r COUNTY, OFbUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 •Telephone (530) 538-75g iPER IT NO. r APPLICATION AND PERMIT (ReJ.12/96) 1 -- zow G 13UILDINGPERMIT ASSESSORPARCEI NUMB E1( - /�/� —r DwN - w�V R� - SQ. FT. _ OCC. BUILDING VALUATION ,. OWNERS Mg6JNG ADDRESS \ � � � �_/ L W I OCCU UTLETS IDES I EEA ELECTRICAL PERMIT Fling Fee 20.00 Main Service 23.00 Main Service zooA To 1ocoA CO RAC RS NAME NEW CONST. TEL�NONE 3.5Q OR ADONS. 8 ACC. aLI)s. MAIUNG ADDRES C+ T A Sqa W l ^ MULTFOLRLET Li0 7.50 C NSTRUcnoN ER I t Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Fee $ -� ARCMTECT OR ENGINEERS MAILING ADDRESS ` 1 \ V \ J i • Permit Plan CheckingFee $ SULDINGADORM . YNCI Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Duplex [3WaterI Mobilehome ❑ Other ing 15.00 SPECIFM15.00 Each gas water heater or vent TYPE OF WORK Gas i in stem 1 - 5 outlets 15.00 New ❑ Addition ❑ Rem 1 ❑ U6G6es ❑ Installation Other Building sewer 15.00 Mobile Home S • G W 020.00 DescEibe Work: .PERMIT, FEE PAID SRA SHERIFF OTHER I P AMOUNT RECEIVED $)a 3.95 1 DATE RECEIVED � 3� RECEIPT # � Ex. Occu OUTLET OR FIXTURES PERMIT FEE $ I OCCU UTLETS IDES I EEA ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LuEss zow oR ps 23.00 Main Service zooA To 1ocoA 46.00 NEW CONST. OWFILING OCCLJP. 3.5Q OR ADONS. 8 ACC. aLI)s. NEW zo ^T- ^ MULTFOLRLET Li0 7.50 Ex. Occu OUTLET OR FIXTURES a4L a .50 I OCCU UTLETS IDES I EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ,MECHANICAL PERMIT Filing Fee 20.00 Heating._ Cooling U-4 6.50 PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ c ccONsT. TYPE TOTAL FEE $ t Gj MAZ D. FEES IMP I FLOOD I COF I PARCEL PD HD LSSUE This permit is hereby issued under the applicable provisio of the Butte County Code and/or Resolutions to do w indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Poate) ., il.;a:'. yYe ♦w { • µ �i�' le} '1�w �n .. 'fie :� .•, � ♦ . a IL A.' i, yt�Ie4. � •+ .. S•�q� ��Z� 4 •t w1�� -.. � Vit: 'k _ �i. ✓ ... ._ _ � J��•� ♦. BUTTE EFEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 R COUNTY NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200. MAR 15 2004 'ELEVATION CERTIFICATE �3_���-7 DEVELOPMENT Im Read the instructions on es 1.7. / SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number JOHN STARTS BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.Company NAIC Number DURHAM-PENTZ HWY. CITY STATE ZIP CODE OROVILLE CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 04180408 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Commerris area, if necessary.) New Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( mr - #AP - ##.#I' or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE BUTTE CO., CA & INCORP. AREAS 888017 1 BUTTE COUNTY I CA B4. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX DATE 87. FIRM PANEL BB. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER _ Elevation reference mark used Does Does the elevation reference marl used appon the FIRM? E]Yes EFFECTIVE/REVISED DATE )FESS,p (Zone A0, use depth of Iloodng) 080017 990 c SEPT. 29, 1989 JUNE 8, 1998 X 260.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑FIRM ❑ Carnrnunity Determined ® Other (Describe): SEE COMMENTS B11. Indicate the elevation datum used for the BFE in B9X ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Oftmvise Protected Area (OPA)?❑ Yes ® No Designation Date WA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Consbidon Drawings* ❑ Building Under CoriOuction• ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, APJAH, ARIAO Complete Items C3. -a4 below according to the building diagram speafied in Item C2. Stats the datum used. If the datum is different from tie datum used for the BFE in Section B, =wait the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Commems area of Section D or Section G, as appropriate, to document the datum corrverslon. Datum _NGVD 1929 Corrversion/Comments _ Elevation reference mark used Does Does the elevation reference marl used appon the FIRM? E]Yes ® No )FESS,p o a) Top of bottom floor (including basement or enclosure) 271.5ft(m) w �O . (G• AGF•r. 0 ccs' o b) Top of next higher floor WA ft. o c) Bottom of lowest horizontal structural member (V zones only) NIA . _fL(m) E o d) AttadW garage (top of slab) 271.0 ft(m) w 10 o e) Lowest elevation of machinery and/or equipment * No. 27 7 ' o servicing the building (Describe in a Comments area) o f) Lowest adjacent (finished) grade (LAG) N/A fL(m) 269.6 fL(m) Z L '. d �tel. �>' LSV CIVIL . •' �1`P q o g) Highest adlatent (finished) grade (HAG) 270.5 ft(m) • • • • . • •t; 0� J o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade WA o ) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best e8`orts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER ROBERT G. AGEE, JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING.' + ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE DR. PARADISE , , .CA 95969 SIGNATURE DATE " *TELEPHONE MARCH 15, 2004 x(530)8774253 10 + ,7R !! y .. ... . ,• .. .... J, , ,i•t�s. 't,� r tY.;.r: ., ,.'.. ,y � , ,40 � � ..... .. ;. .. .,. .. :..,. ,..-�.._... .e ,....... e.+ .. ..... .. .. ... ... ...... .. .. ..... . .. .w ....., ... .. .. ... ... .. , .. .. . .. r, ... .. .,�.. .. . . is ... I .. ... - .e.. BUTTE COUNTY MAR 15 2004 DEVELOPMENT SERV TCES .... IMPORTANT: In these spaces, copy the corresponding Information from Section A For Insurance company use: BOILDING STREET ADDRESS (Indudng Apt., Unit, Suite, andror Bldg. No.) 911 P.O. ROUTE AND BOX NO. DURHAM-PENTZ HWY r. PoI4 Number CITY STATE ZIP CODE OROVILLE CA Comparry NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community offical, (2) Insurance ageWcompany, and (3) building owner. COMMENTS BENCH MARK: COUNTY #273, STANDARD TABLET, IN CONCRETE POST, STAMPED "W54196'. ELEVATION= 265.80' A DETAILED HYDROLOGY STUDY WAS MADE OF THE DRAINAGE AREA FROM EXISTING US TOPOGRAPHIC MAP AND A CONTOUR MAP OF THE SITE. THE BASE FLOOD ELEVATION WAS DETERMINED FROM THE ABOVE MENTION DATA Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number—(Select the building diagram most sim1arto the building forwhich this certificate is beim completed—see pages 6 and 7. tf no diagram aocurately represents the building, provide a sketch or photograph.) E2 The top of the bottom floor (including basement or enclosure) of the building is_ k(m) _in.(cm) ❑ above or ❑ below (check one) the highest adaoent grade. (Use natural grade, 'f available). E3. For Building Diagrams 6,8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(cm) above the highest adacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the buildup is_ k(m) _in.(cxm) ❑ above or ❑ below (check one) the highest adacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must ce,* this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized represerfative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued orcommunity- issued BFE) or Zone AO must sigh here. The statements in Seniors A, B, Q and E are carred to foe best of my fcrrowtedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is aut1horized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Ete+ration Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from otherdocumentatim that has been signed and embossed by a licensed surveyor, engineer, orarchitect who is authored bysfate or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMArissued or oanmunityissued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been issued for.[:] New Cord x tion ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS EFEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIQNAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Impoduttr Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Comparry Use: BUILDING OWNER'S NAME Policy Number JOHN STAATS BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number DURHAM-PENTZ HWY. CITY STATE ZIP CODE OROVILLE CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 041480-M BUILDING USE (e.g., Residential, Non4esidential, Addition, Accessory, etc. Use a Comments area, if nary.) New Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (rype): ( #d° -#JR -##.w or ##.#W ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME & COMMUNITY NUMBERI B2. COUNTY NAME I CSA.STATE TTE BUCO., CA. & INCORP. AREAS 080017 BUTTE COUNTY B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL BB. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER _ Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes EFFECTNEIREVISED DATE QROFESSIO A •� (Zone A0, use depth of floodng) 060017 990 c SEPT. 29, 1989 JUNE 8, 1998 X 260.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile [-]FIRM ❑ Community Determined ® Other (Describe): SEE COMMENTS B11. Indicate the elevation datum used for the BFE in B9X ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ® No Designation Date WA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® C mbuctim Drawings' ❑ Building Under Construction' ❑ Finished Constructm •A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photog *.) C3. Elevations — Zoos Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, ARIAI-A30, ARIAH, AR/AO Complete Item C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to Mused for the BFE. Stow field measurements and datum conversion calmlalion. Use the space provided a tie Comments area of Section D or Section G, as appropriate, to document the datum conversion. Dalian _NGVD 1929 CorNersion/ComanenLs _ Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No c QROFESSIO A •� o a) Top of bottom floor (including basement o enclosure) 271.5ft(m) � � G• . C o b) Top of red higher floor o c) Bottom of lowest horizontal stnichaal member (V zones only) N/A—ft(nn)o N/A. _ft(m) ca 1 ' 0, 0 ;Q� ' o d) Attached garage (top of slab) 271.0 ft(m) u, o e) Lowest elevation of machinery ardor equipmerrtE * : No. 27647/ ••* o servicing the building (Describe in a Comments area WA ft{m) z' m N 331 Q(>r• o f) Lowest adjacent (finished) grade (LAG) MA ft(m) � cS'�: � CML . • • . ��� o g) Highest adjaoent (finished) grade (HAG)270.5 ft(m) 'q% • • • • • • SFO o h) No. of pemharmt openings (flood vents) within 1 ft above adjacent grade WA o ) Total area of all permanent openings (flood vents) in C3.11 WA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signal and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, 8, and C on this certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code Section 1001. CERTIFIER'$ NAME LICENSE NUMBER ROBERT G. AGEE, JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING. ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE 9R PARADISE CA 95969 DATE TELEPHONE MARCH 15, 2004 (530)8776253 "WAS AW Vv A Dll i':!i. if !ION "Y x opt clainabylvol "A W4 .�M vo -on eon vs. w ,J6. AG r aplylvismill OEM 1m-10 QAT: Outy, WO MA IMPORTANT: In these spades, copy the ooffesponding information from Section A For Insurance company Use: IEE STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No) OR P.O. ROUTE AND BOX NO. DURHAM-PENTZ HWY Policy Number CIN STATE ZIP CODE OROMLLE CA Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bath sides of tltis Elevation Certificate for (1) community official, (2) insurance agentlow ry, and (3) building owner. COMMENTS BENCH MARK COUNTY #273, STANDARD TABLET, IN CONCRETE POST, STAMPED "W541948". ELEVATION= 265.80' A DETAILED HYDROLOGY STUDY WAS MADE OF THE DRAINAGE AREA FROM EXISTING US TOPOGRAPHIC MAP AND A CONTOUR MAP OF THE SITE. THE BASE FLOOD ELEVATION WAS DETERMINED FROM THE ABOVE MENTION DATA ❑ Check here ff attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zane A (without BFE), complete Items E1 through E4. H the Elevabon Certificate is irtterrded for use as supporting Information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Numba_(Select the building diagam most sinttlarto the buildingforwhich this certifeate is beingcompleted—see pages 6 and 7. ff rho diagram accurately represents the building, provide a sketch or photograph.) E2- The top of the bottom floor (Including basement or endosme) of the building is_ IL(m) _in.(cm) ❑ above or ❑ below (check ane) the Highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the next higher floor or dwated floor (elevation b) of the building is _ t(m) _in.(an) above the highest a*acent grade. Complete items C3.h and C3.i m front of form. E4. The flop of the platform of machinery and/orequipment seroicdrhg t he building is ft(m) _in.(an) ❑ above or ❑ below (kdnedc ane) the highest adjacent grade. (Use natural grade, I available). E5. For Zane AO onty: If no flood depth number is available, is the top of the battom floor elevated in a co dance with the cornmunitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unftwn. The local dW must certify this infamatim in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A *bout a FEMA -issued orcormmuNty- issued BFE) orZone A0 must sign here. The statements in Sections A, B, G and E are correct to foe best of my knowledge PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS LJ Check hens ff attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local of tai who is authorized by law a ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (orE), and G dthis Elevation Certificate. Complete the applicable items) and so below. G1. ❑ The information in Section C was taken from oltodocummlation tlnat has been signed and embossed by a licensed surveyor, engneer, or architect who is authorized bystal e or local law to certify elevation information, (Indicate to source and date of floe elevation data in the Comments area below.) G2. [] A community offidal completed Section E for a building located in Zone A (without a FEMA4ssued or oommunity4ssued BFE) or Zane A0. G3. ❑ The following information (Items C40) is provided for community floodplain management purposes. G8. Elevation of as-buitt lowest floor Wuding basement) of the building is: fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at foe building site is: ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS to' 9 35 .... . ..... fir TAI; ;W. `1 '1 BUTTE COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 e),2I PERMIT NO. 0i-1-1 1.3 8 DATE: ; APN: v 6 ZONING: NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS: I L.4 VIS CITY. LP: OWNER NAME: -PHONE: ot�N �14�t1 5 S STREET ADDRESS: FAX: CITY, ZIP: ��� ` E-MAIL: APPLICANT NAME: - PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE STREET ADDRESS:^ F 11 CITY, ZIP: E-MAIL• LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX. CITY, ZIP: LICENSE NUMBER: E -ML DESCRIPTION OR SCOPE OF WORK: 0 2 Structure Built without permits Proposed Change of Occupancy (note previous use) EXPIRATION OF AP ICAT N 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration *of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: , Notes: �+�, Application Received by: .^ Date: 7 (/ Receipt number: 2 N �r n Amount Received: B. C. Building Permit 01-23-04 pg 2 411 Main Street COUNTY DEPARTMENT OF H LTH 7 County Center Drive P_ O. Box 5364 Environmental oville, CA 95965 CA 95927 DIVISION. OF ENVIRONMENTAL HE n PPrImpntal Heath 530 538-7281 �530) 891-2727 AUG 1 3 2003 FAX 530; 538-7785 AX (530) 895-6512 AUG5 APPLICA1%`FfA1&FF RM1T TO CONSTRUCT A SMALi iig t TER WELL WITH A CASING DIAMETER OF EIGHT (8) INCH Egdt., OR A CHAPTER 2313- 5c EXEMPT WELL Application for: Small Diameter'Domestic Well ❑ Repair or Deepening With Same Pump Capacity c3Replacement Well With Same Pump Capacityy Within 100 ft. of Destroyed Well ❑ Frost Protection [3 Fire Suppression c3Monitoring Well ❑ Publtc Water Supply Well ❑ Other L'A ^ b :�- O � Owner Name: Y,� )�2"<h eNA5 Assessor Parcel No Applicant Name: Applicant Mailing Addre Street Address of Site: Te WELL DRILLER INFORMATION WELL INFORMATION Well Driller 7-1,P t &S'-,- Proposed Depth C-57 LICENSED CONTRACTOR DECLARATION Diameter Casing ....6.. ,.. .;.a..e:�s:.:Q.r.;azv...:rciss>.•szs.aa: e:•roi¢s:a.:•:�n..:�zr: I hereby affirm under penalty of pperjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)) of Division 3 of the Business PERMIT and Professions Code and my license is in full force and epff~ec(t.- (EXPIRES ONE (1) YEAR FROM D.ISSUED) License Class Lic. No. l �I l� Fee Received , Date Fee Received G , WORKERS COMPENSATION DECLARATION F Receipt No. I hereby affirm under penalty of perjury one of the following Date Issued declarations: t: Approved By R.E.H.S.. ❑ 1 have and will maintain a certificate of consent to self-insureh' for workers' compensation as provided for by Section 3700 a Special Conditions: of the Labor Code, for the performance of the work for•which < QG this permit is issued. (\ ❑ 1 hav2 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 I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - ❑ Ownef ❑C-57 Licensed Well Driller Authorized Agent Date: ?^ ) _1_0 3 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 LABOR CODE, INTEREST, AND ATTORNEYS FEES. Web <8'2= W? 1. Provide a minimum twenty-four (24) hour notice prior to installing or placing sanitary seal or drilling a well expected to be completed in less than twenty-four (24) hours. (BCC 23139[b]) 2. A satisfactory final inspection by the Health Department and receipt by the Health Department of a Driller's Report or a satisfactory abandonment report and a disinfection statement is required for final approval of work. (BCC 23139[a]) To facilitate issuance of your well permit, please stake and flag the proposed well location at the site. SITE PLAN REVIEW APPLICATION Date: AN O (2c) - co t0 Permit Number (if applicable) O3 2.x'1 �'l -7 J11 71P APPLICANT INFORMATION Parcel Size: rJ A L Owners Name: -S i A fl T S J 8 H U. t IG P 2 E '/j Owners Address: S L&) i is N i 2G C.7' , C -H) C-0 .C-R, ':�) S9 7 my—rH P�Q t ->A ► L -C -y Telephone No.: -S y S- 5 2-0 2- 3 y 2-13 Situs Address: T -)o z i Pr", — P Proposed Use: Residential I 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: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well .1lAgricultural Buffer Form Brief Explanation (if necessary): a✓ 1 U �;..:i ' ;—� i._.f-1;,2.'��;�= i ��11 N i"�� — �(.� �%1L i �� %-- DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval 9 Site Plan Stamped Approved By Date a -`L,!;— Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: r% ❑ Snow Load Area: r ❑ Land Conservation'Act Minimum Acreage: [I 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 attac ed) • Flood'Zone: • Flood Panel No.:. OSS0 Index Date: 6 ❑ 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 `i Zoning: A -- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets &Highways Fire Prevention Subdivision Map Front :S -O. qL-- Side �- 3 Side Street Rear, 33 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. 0 Applicable Development Fees: Standard Fees Amount ❑ 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 Formula 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 Decd 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 Map/Parcel Man: (107-7e V) LLQ S v Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions f Comply with the following Conditions of Approval• R ---r qe__j-j 6 D ® 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 shallbe 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. IJ Page 4 of 5 NOD'S 1. THIS ADD1710NA1_ MAP SHEET SHOWS ADDITTO'NAL. I'N"FORM-AT10N, IS FOR INM0 ATIONAAL PURpoSES ONLY, Desmon--lal%G OQNDlrONS AT THE TIME OE FILING AND IS NOT fiNTENDED TO AFFECT R 'IKCORD TITLE IN`iER"T. 2. NO WAT. R WELL MAY BE LOCATED WITWIN TOa F-EEfi Of THE USABLE SEWAGE DISPO.SA1 AfWAS ON LOTS 4 AND 6. 3. NO DEVELOPMENT SFIALL OCCUR iWI•TH-41"N' TKE 1OD YEAR FiflOD PLAN. 4 AUTOMATIC FIRE S- PRIN1fLER SYSIRMS ARM RNUIRlt IN AtL NEW RESIDENTIAL STR.IJCTUI"t;a IN AC"GC1RIjA' CE WITH THE NATIONAL FIRE PROTECTION ASSN. S -l- AN0* D FOR THE INSTA :LAT10N OF SPRINKL-fA 'SYSTEMS IN ONE AND TWO FAMILY bW.ELLIN:GS AND MOBILEHOMES, LAPPA STANDARD 13p JJWL~ESS A 'PRESSURTZE50 COMMUNIVY (NATER SYSTEM, WITH HYDRANIS THAT MEET FI'R'E DEPT. SPECIRCATI"O11S; 8—m -P -M ES 11VE PARCELS. 5. ALL RESIDEWDA1r BUILDINGS SHFALL BE GONSTRUCTED TO COMPLY WITH THE REQUI'R'EMENTS OF THE UNIFORM BUINGLGCODE FOR SEISMIC SAFETY. M:081LI H'omt-S STALL BE OOKSTRUCTEO ON PtRMANENT FbUN.DA1109S. 6. 1 -H -E RVDADS IN THIS SUBDIM-SI.ON WERE NOT DESIGNED OR CON STI'R•U•CTED TO COMPLY WITH RiI'ADS TO BE A0(3EP70 BY THE COUNTY FOR MA1NISNA�1400-E. T. ALL NEW SIRUCTURZ-8 MLf'ST MEET THE EIRE SAFE RtaGULAT1'0NS OF BUTTE COUNTY ARID PPI 42010. 8. DVaL OPMONT Or THIME PAI3:pELS MAY RZOU At PAY�I'i NT OF WAVR Tk'RII3'BR FEES TD TK WATER AIDER FUND .PRIOR TO 18SUA-W E OF BUILDiNC fal J •F 1TS. 9. ALL EART-WORK„ 04CLUDIN-0 MUNAA110NS SMALL e'E MONITORED BY A I E,,G -,ERED CIVIL ENGINEM rJf A LXCEN3ED i4RCh11l>=CT. TO. A DEVEbPMENT IM ACT ftS F40R SH.004Pr PAOI.UT•II~S SHALL 81 PA b PURSIIAN'T TO THt P"VdSDO'NS OF ONAPVER 3, AIlm'CLE It 0 THE BUTTE COUNTY 00911, PR11013 TO ISSt-StOF 8VT&.DIN9 PtAMITS .R USE PERMIT IN THE CASK' OF A MDOILK HOM,.'t PARK, SA- 10. FEE AMOUNT WILL. BE DETERMINEfl A'NO CALCULATE0 AS OF 1%t DATE OF APPUCKWN FOR THE• BUILDING PER'I;iIIT OR USE PMIT. �: . ,:i �s -� t r ;''>t, �� .: i.• "... ���. 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X. } a .�F, � Y �' ••' � .r�' , �� . � r., . .`r -t _ ,,�• ,� BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: R Y rwL- 0 41 Z (re c�v S/ Phone: _ S'30 3%3 Mailing Address: ! �r lZ c��<<1y'►4l' _ E -Mail address Assessor's Parcel Number: N-1 - (_' k-0 - p (n 4 Reason you believe you qualify for the unusual circumstances exception:, or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION:, An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ....................................................................................................... internal Dept. Contact info: ..............""""""" ❑ Env. Health ❑ Planning �Bullding ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ..................................................................................................................................................................................... For Agricultural Commissioner offic..e use only: (to be completed after subm..ittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) Exception Recommendedexe+.,��clarN I" ' 4 ❑ Exception Granted with the Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations:' Q t-7zv ,, l�,^,cj z�n pd Ic.e0 .oma sca�� i`--��rt� u ices a. 3a-Mq AaOP�51 Agricultural Department Signature: �' l � Date: oFo a YMC 7/1/03 �e�Of'G''/� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20$3-0067448 Recorded Official Records 0�-?JWa7 Count Of TE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AM 26 -Sep -2003 REC FEE 10.00 Andrew Page 1 of 2 d�AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date /I��O� PROP RTY OWNERS: -Gla-s State of California ) County of —�� ) On ?ELSZO 3 before me, personally appeared'',- - , S' fp �#-g j�Y [�j S�Cta-"S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signa ure �(� vQ Seal: 6 KO -006 REBECCDSOE T Commissioil 51 a Notary PublU Butte CouniaMy Comm. 13, 2005 3, T,Uh ws ,ZMH 3 jw2lEA4 a i 97bq 1 M'r'-'Q9.-6 hA %F'O EXHIBIT "A" THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BUTTE VILLAS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1997, IN BOOK 142 OF MAPS, AT PAGE(S) 22, 23, 24, 25 AND 26. CERTIFICATE OF CORRECTION RECORDED JUNE 19 1997, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 97-22336. RESERVING THEREFROM A 60 FOOT WIDE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED APRIL 24, 1997, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 97-14855, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 041-680-006-000 PARCEL IL A 60 FOOT WIDE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER VILLA VISTA DRIVE,- AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BUTTE VILLAS SUBDMSION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1997, IN BOOK 142 OF MAPS, AT PAGE(S) 22, 23, 24, 25 AND 26. CERTIFICATE OF CORRECTION RECORDED JUNE 19 1997, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 97-22336. r �OTrFo Department of Development Services 0 o Building Division o _ o _ 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530)`538=21.40TAXI'+�- October 14,'2003'' John and Karen Staats 532 Wilshire Court Chico, CA 95973 Assessor Parcel Number: 041-680-006 Building Permit Number: 03-2447 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Fire sprinklers are required in this house. Please provide calculations and plans and apply for this permit. The house permit will be issued along with the fire sprinkler permit. 2. Your Flood Elevation Certificate is incorrect. Philo Hunt has discussed the problems with Mr. Agee. Please provide new certificates. 3. Please have Jeff Richelieu come to Oroville and stamp and sign the plans that we have reviewed. (2 sets) 4. Please provide a truss detail to accommodate the fdrnace°load in the attic. STRUCTURAL COMMENTS: ' 1. None ` If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. ¢� . Lind Simpson SA, -J Plans Examiner 1 of 1 1 1 STAATS Natural Channels -- English Units 5 Civil Tools for Windows (10-29-2003, 09:53:02) Flow Elevation = 260.88 ft Flow Rate = 1541 cfs Channel Slope = 0.0089 ft/ft Solving for = Flow Elevation Y = 260.88 ft A = 151.18 sf P = 66.29 ft r V = 10.19 fps F = 1.17 super -critical flow Dist Elev Coeff 0 265 0..03 ' 18 264 0.03 35 263 0.03 54 262 0.03 78 261 0.03 103 260 0.03 106 257 0.03 136 257 0.03 169 271 0.03 verLoo,,c/ O, 6.9 _VE -6,&T r-,(-CAj--__-_ - l -1 Af' I li / -2-7 X ,til/A/u Tc > /r No.2TQ4T -- STARTS Natural Channels -- English Units Civil Tools for Windows (10-29-2003, 09:53:02) Flow Elevation = 260.88 ft Flow Rate = 1541 cfs' Channel Slope = 0.0089 ft/ft Solving for = Flow Elevation Y = 260.88 ft A = 151.18 sf P = 66.29 ft V = 10.19 fps F = 1.17 super -critical flow Dist Elev Coeff 0 265 0.03 18 264 0.03 35 263 0.03 54 262 0.03 78 261 0.03 103 260 0.03 106 257 0.03 136 257 0.03 169 271 0.03 fp QROFESS/0 G. No. 27§47 CML•P �q�•OF CA 4q _---.__ __ _______-__-__.----__...____.__._...__._____.pc ..... ........ rAv -Y - I/C -el — ---------- Or 69 OF6, �---T- --------___—_ ; - S�-r2_-r��_- _ - � � � �----C Int d.�o��-?��------------- too No. /3F ro c ° .g�g�g+re g,g o a !6°�iol9 e�i'3 e e e October 14, 2003 John and Karen Staats 532 Wilshire Court Chico, CA 95973 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 041-680-006 Building Permit Number: 03-2447 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Fire sprinklers are required in this house. Please provide calculations and plans and apply for this permit. The house permit will be issued along with the fire sprinkler permit. 2. Your Flood Elevation Certificate is incorrect. Philo Hunt has discussed the problems with Mr. Agee. Please provide new certificates. 3. Please have Jeff Richelieu come to Oroville and stamp and sign the plans that we have ap reviewed. (2 sets) Please provide a truss detail to accommodate the furnace load in the attic. STRUCTURAL COMMENTS: 1. None If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data, Sheet. Linda Simpson Plans Examiner 1 of 1 PLAN REVIEW .RESPONSE FORM In order to expedite the review of your plans, please complete the followinginformation and return this form with your re -submittal. I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vali response to every item requested in our plan correction letter. 'By others' is not considered a valid response. Please indicate you response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME DATE USESSORS PARCEL NUMBER PERMIT NUMBER # CHECK LETTER DA' 0e!�70991P— /�// Zoo3 RESPONSE BY. LOCATION ON PLANS/CALi VR. All ON PLANS/C41 Cs - CATION ON PLANS/CAL- CS-C HECK ITEM # RESPONSE BY. LOCATION ON PLAN �%3 T o ;r o o RESIDENTIAL PLAN REVIEW GUIDE o ..-^:'#- • - c SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY Owner. �41 Building Permit Number: 7 Plans Examiner-: 1_;/zdq 5' 'psora A. P. Number: yU� ErER�L: ements — (number of permitted tieing units). onini liequir. Plaasrsigned by the designer. Proper description of work on the application. Existing %iolations on the property. ecorded notice of -violation. Building permit valuation. PLOT PLA`: Complete parcel size and dimensions. Setbacks, side card, easements. etc. Other buildings or structures. Grading. fills andior drainage. Flood hazard Special conditions on Parcel Map: Iroise [j SR. Fire Sprinkler g WaterTender Traffic and Drainage Federal aid Rout`- and/or Federal Aid Seconddity Route setback mens Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 201. When nindo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glaring in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ailing height of not less tlnm 7 fed measured to the lowest_ Droiection from the ailing (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 &ei is any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. purge, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters "hich depend on the combustion of fuel shall not be installed in a room cued or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening boo a bath or bedroom (Uniform Plumbing Code section 509.0). 1t) Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedroom. or in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Coda mcdon306.3). Garage frewall separation - required on garage side including supporting walls and posts (Uniibttn g Cade section 302.1 exception #;). nder no circumstances shall a private garage have any opening into a room used for sleeping purposes ((:nifor-n Building Code section 312.4). Wood stove location - Alcove - UMC section 203 confined space & 223 unconfined space & 304.2). Smoke detectors (UnLform Building Code section 310.9.1). Pagel of 2 Water closet clearances (Uniform Plumbing Code 408.5). bower compartment minimum J 024 sq. in 8 30 circle (Uniform Plumbing Code 412.7). $eaNtg walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support RU loads (Uniform Building Code.section 1806.3). ,BSUCT[JRAL DETAILS: - raced wall panels shall start at not more than 8 feet from each end of a braced wall line. Brand wall Panels must be in line or offset from each other by, anot more 4 feet. (UBC section 2320.11.3). SPadng shall not exceed 34 feet on center in both the`longitthan inal and transverse directions (UBC section 2320.4ai) Braced wall lines must be continuous throughout the structure. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Unifoi in Building Code. This must include the designees -wet« stamp, signature, registration number and expiration date on all ibects of plans depicting the designed elements and cover sheets of calculations. I . Clerestory requiring balloon framing and/or engineering. Foandation plans complete enough to construct building (Uniform Building Code Table 18•I-C�. Floor construction details complete enough to construct building. Elevations and wall construction details compleu enough to construct building ' Roof construction details complete enough to'construct building. Fireplace concoction details and calculations if necessary. �. Garage door header size(s). . Pokb header size(s). Typical header size(s). Stud heights. .-High expansive soil - special foundation design required. .. g walls requiring design. . Gj�siun wallboard nailing inspection required. the area below- the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for everyy square foot of area enclosed with the bottom of the openings no mom-than one foot above grade. Alternati,�ely. certification may be prodded by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction i design requirements must be shown on the building plans. ectric, heating, ventilation, plumbing and air conditioning equipment and other senice facilities shall be designed and/or located so as to prevent water from'entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: Stairway details - landings, rise and run head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Extirior plaster- weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 21 15-D-1 & 2). Foam insulation - protection. 36", hails and stairways (Uniform Building Code section 1064.3.3.2). TWO exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. Energy design compliance and supporting documentation. —1OT-CDF responsible area requiremenu. BUILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑. Flood elevation certificate. 3. ❑ Fire SpdrLUers required , 4. ❑ Special Inspection requirements. 5. ❑ , Use Permit conditions. 6. ❑ Sub.Standard Housing lever. Pace -- , f a National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP 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. 01), 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, acknowledge that 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 BMPs, 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:QA1L-ry1 CPs-.Sf_. Date: By signing below, I, the project owner/owner's agent, certify that this project will disturb more than 1 acre of land and that I, therefore, need to apply for a Construction Storm Water Permit from the State Water Resources Control Board. Photocopies of the Notice of Intent (N.O.I.), the Storm Water Pollution Prevention Plan (SWPPP) and the check for $700.00 made out to the State Water Resources Control Board are attached. These documents 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. I am aware that submitting false and/or inaccurate information, failing to update the SWPPP to reflect current conditions, or failing to properly and/or adequately implement the SWPPP may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: �� Title: Ry, r L x-- Utq,L�r- u' aamu s r. Date: —0 3 NPDES & SWPPP Compliance Certification Draft Butte County Stormwater Plan l HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 1 CONTRACTOR: WILLIAM F. SQUYRIS, JR. t F:1:1U;1 PR0'1TC'.I':I:ON (530) 345-1012• ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-12-2003 File: STAATS JOB :,STARTS RESIDENCE, 2 HEADS FLOWING STATIC 50.0 Psi RESIDUAL 40.0 Psi FLOW 35 Gpm SPRINKLER MANDY RELIABLE MODEL : Fl/RES/49 MIN SPR FLOW : 14.0 Gpm MIN SPR PRES : 8.2 Psi NODE ELEVATION K- PRESSURE DISCHARGE NO. FEET ------------------------------------------------------------------------------- FACTOR Psi Gpm 1 12.0 4.90 8.3 14.1 2 12.0 4.90 9.2 14.9 3 12.0 12.0 4 12.0 18.1 5 12.0 28.4 6 2.0 SOURCE 35.5 JVON COV SPRINKLERS FLOWING 2 Q A� Q AREA PER SPRINKLER 256 Sq.Ft. TOTAL DESIGN AREA 512 Sq.Ft. ir W. F. ES O Fire rot i p REQUIRED DENSITY .05 Gpm/Sq. Ft . Co * Li o. 75 O - COMPUTED DENSITY .06 Gpm/Sq.Ft. -1d TOTAL SPRINKLER FLOW 29.0 Gpm S A'9T P TOTAL DOMESTIC FLOW 0.0 Gpm OF CAL�F� TOTAL WATER REQUIRED 29.0 Gpm TOTAL SPRINKLER PRESS 35.5 Psi WATER METER LOSS 0.0. Psi @ SOURCE VALVE FIXED LOSS 0.0 Psi @ SOURCE Copyright(1991) SUPPLY PRESS AVAILABLE 42.9 Psi by DEMAND PRESS REQUIRED 35.5 Psi Hydronics Engineering PRESSURE CUSHION 7.4 Psi 34119 Fremont B1, Suite 609 Fremont, Ca., 94555 (415) 487-9160 MAXIMUM VELOCITY 9.6 FIS h f HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page 2 CONTRACTOR: WILLIAM F. SQUYRE:S, JR. FIRE PROTECTION (530) 395-1012• ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-12-2003 File: STAATS JOB : STAATS RESIDENCE, 2 HEADS FLOWING PIPE BEG FLOW K -FACTOR LENGTH C -FACTOR PRESSURE NO. Gpm FITTING TYPE FTG FR- LOSS Psi END DIAMETER TOTAL (Psi/Ft) ------=-----------------------------------------=----------------------------- 1 q= 14.1 K= 4.90 L= 11.0 Pt 8.3 Pt 8.3 1 Q= 14.1 F=2L F= 14.0 C= 150 Pe 0.0 Pv -0.1 Vel= 4.7 D= 1.109 TL= 25.0 0.0344 Pf 0.9 Pn 8.2 2 Pt 9.2 ------------------------------------------------------------------------- 2 q= 14.9 K= 4.90 L= 11.5 Pt 9.2 Pt 9.2 2 Q= 28.9 F=2B F= 10.0 C= 150 Pe 0.0 Pv -0.6 Vel= 9.6 D= 1.109 TL= 21.5 0.1298 Pf 2.8 Pn 8.6 3 Pt 12.0 ------------------------------------------------------------------------- 3 q= 0.0 K= 0.00 L= 37.0 Pt 12.0 Pt 12.0 3 Q= 28.9 F=L3R F= 10.0 C= 150 Pe 0.0 Pv -0.6 Vel= 9.6 D= 1.109 TL= 47.0 0.1298 Pf 6.1 Pn 11.4 ------------------------------------------------------------------------- 4 Pt 18.1 4 q= 0.0 K= 0.00 L= 51.0 Pt 18.1 Pt 18.1 4 Q= 28.9 F=7R3L F= 28.0 C= 150 Pe 0.0 Pv -0.6 Veli 9.6 D= 1.109 TL= 79.0 0.1298 Pf 10.3 Pn 17.5 --------------------------- 5 Pt 28.4 5 q= 0.0 --------------------------------------------- K= 0.00 L= 10.0 Pt 28.4 Pt 28.4 5 Q= 28.9 F=4RS F= 11.0 C= 150 Pe 4.3 Pv -0.6 Vel=, 9.6 D= 1.109 TL= 21.0 0.1298 Pf 2.7 Pn 27.8 ------------------------------------------------------------------------- 6 Pt 35.5 ------------------------------------------------------------------------- Meter = 0.0 Valve = 0.0 ------------------------------------------------------------------------- 6 Q= 28.9 <<< SOURCE >>> Pt 35.5 E=>45-Elb L=>90-Elb B=>TeeBch R=>TeeRun C=>CouPlg S=>SwgChk G=>GatVly HYDRONICS FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + 90 + E:Z11M 70 + 60 + 50 X Static X X X 40 + X Resid * Spr Sys 30 + 20 + 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+------------+ 0 "200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB ; STAATS RESIDENCE, 2 HEADS FLOWING X - Water Supply Curve * - Water Demand Curve Static 50.0 Psi Avail Press 42.9 Psi @ 29.0 Gpm Residual 40.0 Psi Req'd Press 35.5 Psi @ 29.0 Gpm - - -------- (-A U. �\A Z:) rl) GALVANIZED 1:31�E-SSURE,TANKS 7-5 psi WORKING PRESSURE I'l.AJO, U 1 4 A ...... . ....... L 0220VW , a'), w", v W' I'LUO UICK, Galvallized 1 .1111( P) I)Si 1-)1 owdowl V)illlellsioll 20-10 Dia., I -It. Wt. 1-bS. Model Gallolls 1 x 41.. G.5 +3 20 x 32 PI '12 Sllul( 112. '12.1 11 20 x 60 -1,1 4 02 -120 West 112. '120 .4 .113.6 12.2 24 x 60 '161 303 220 West 220 34.1 2 2.4 30 x 70 36 x 60 4'16 )J.5 West "" 3 1111; 48.0 32.. 4 9 42 x 13*1 640 V W'*" '113 10 4110 53.6 36 x,1211 G () 5 I 52!� '!.39 6 9 1.0 42 x,159 '1040 .... .... .. ....... . . . ................ 900 G01111 - - - - 900 i - i - - - - - _ . . : . . ... .. I ''; M InIn Imvn 1)(All Im 17.()l 11'al ;111J Vol Aical Illot.111011(j. i2- ',- all' 000 I'LUO Model F1 Res 49 CCP 4 • Model F1 Res 49 Recessed Fig. 3 Fig. 4 Technical, Data: F1 Res 49 CCP and FP CCP Options Data: 1 618- DK (W P 6116• AK Ambient 7.0 0.48 HOLE CEXA (68.7mmJ e W Temp- n9 Pressure Temp. CUP Length 20 x 20 6.1 x6.1 20 75.7 16.7(l.14) psi �� 1'r 1/2• AWLAr" °F CLIP °C OF °C CEILYVC '/xRNPT 155 68 135 r r/s• sa►�l 1 175 (12) 100 150 38 66 4AN FACE OF PrfiW ,i..... TO FAgE. OF pElL6VQ A�11E'76i{�S�N COVER AWUSTWW J e/r6. OK INW` F1 RES 49 CCP PEND. 4 • Model F1 Res 49 Recessed Fig. 3 Fig. 4 Technical, Data: F1 Res 49 CCP and FP CCP Options Data: Max. Sprinkler Flow Spacing m. gpm(Pm) CCP Assembly Max Ambient 7.0 0.48 Sprinkler Thread Size e W Temp- n9 Pressure Temp. K Factor Length 20 x 20 6.1 x6.1 20 75.7 16.7(l.14) psi �� Inch (mm) °F °C OF °C OF °C '/xRNPT 155 68 135 57 1 175 (12) 100 150 38 66 4.9 2.25 (57) Max. Sprinkler Flow Spacing m. gpm(Pm) Pressure �Idrar P () Sprinkler ��si 12 x 12 3.6x3.6 13 49 7.0 0.48 R3516 14 x 14 4.3x4.3 13 49 7.0 0.48 16 x 16 4.9x4.9 14 53 8.2 0.56 18 x 18 5.5x5.5 18 68.1 13.5 0.93 20 x 20 6.1 x6.1 20 75.7 16.7(l.14) 3. "A„ "B„ Cover Adjustment CCP Height Inch mm Inch mm )/2(12.7) 's 24 slf, 7.9 3 19 FP Data "A": FP Position Inch mm Fully Recessed Y18 11 Fully Retracted 's 24 u Basic Principles of These areas roust Solvent Cementing be softened and 9 penetrated The solvent cemented connection ill thermoplastic pipe and fittings is the Inst vital link in �l plastic pipe � — instalf�.Ilion.. It can mean tlic suu=csS rlr Glilure of the systerrl as;:1 whole. Accordirully it le(luiles llie same professional C; if uel11 c.ul aLti(ln I;llI l ;it clive to c)tlIc:r Coll Ipolrc I-II.% of 11Ic W%tclII. --+_-- Therc arc malty solvel it celnentil I(y fccla Iidues published covering step by step procedures on jl.rsl I ow to ni ike solvent CCI )lei joil its. I lowevel, we feel that if the basic principles involved sire explained, known arks underst(Iod. -I better understanding would be gairied, pis to what techniques are necessary to snait patticul�lr applications, temperature conditions, and variations in size and fits of pipe and fittings. Be aware at all times of good safely practices. Solvent cements for pipe and fittings are flainniable, SO there Should be nu smoking nclt ()l.hel S0UICrs of heat or flame in wolkirlg or stor,ige areas. Be sure to work only in a well ventW.i(ccl sl), -Ice and avoid unnecessary sl(in contact with ;.ill solvents. More detailed safety information is available from I-larvel or IPS (Wel(j-()I I) �orpclrnticu�. To consistently make good joints, the following should be carefully understood. 1 The joining surfaces must be softened and made semifluid. Z Sufficient cement must be applied to fill the gap between pipe and fitting. 3 Assembly of pipe aricl fittings must be made while the surfaces are still wet and fluid. 4 Joint strength develops as the cement dries. In the tight part of the joint the surfaces will tend to fuse together, in the loose part the cement will bond to both surfaces. WI '('I rsin(I Il)r ( INF Gllil' cclin )lit )(I prou•ss. peneU%Ilion and Softer ling (al) hr ac l)irvccl by if se r rnu•nl ilsr•If (Irlrl (,rt�IP SIII' ccttr(•nfiny pmur:rl(Ite.S carefully: rcfrr In insists/lion iosfrn!ctions). For rr?Iairl670%. muter CCII/iri Conditions, it nosy he desirable to ose, Ihe 1WO SIIiP process which UtiliZCS a INittICI to errsurr-' IdegUate softening. For example, when wotkil ng in Cold wealfler with large diameter pipe.. more tittle Incl addilionll applirations ttnay he requited. Cement coatings of sufficient thickness More lith sufli(irnt cenncnl to fill Il)e lops, tail of the joinf multi he applied. R(,SidCS filling [lie yap, I(Iccpi/lr rrunrtlr IlycIS will pr•nl�l t; rl r• Ihr surf;u rs Irtd Ikn Wall/in 'An•I lit Ili[ Ill(' ioinl 11, ISscrnhlCrl. Prove Ibis Y, )111 /apply nn Ir trip surface of it pieCe of pipe two separatr. Myers of c:ettlent. rirsl flow on I heavy layer of rCnuvll, Il)en Mongside it a 11 lin brukhrd orl layr•I. lest the Myers Owl 15 sr(.onrk of so by I gcnlle IIP will) your finyr:'I. You will note lltal lite thin IlyaheconlCs tacky Ind filen dries yuiddy (probably within 15 seconds) file heavy layer will rennin wet much longer Now Check for penetration a few minuteS Otto, applying these Myers. Scrape thein with a knife. Ihe Ihirl Myer will It, achieval little Or no penclrllio I.'Ihrh(:wyone, much tootr penelr/lion. Surfaces must be assembled while they are wet and soft If Illy ccru•rtl costings on the. hilt(.,! In(I fillings ire wet Incl fluid when Issrttoly lakes place. They will lend to flow I(I(IClhcr Ind l)eCOntC on(. Ilya. AM, if if ie Cement is wet lite SurfICCS brnellh If ten) will still he Soft, Ind ll)rse soflenal surfaces in Ihe fight plrl of the joint will Icnd to fuse logefltel: Surfaces Flo t fY1S,�Q! As I(t %olverll dissipates, the cenlenl Myer Incl the softened s(nfacrs will harden will) a u>ncspnrndind increase in joinl stienglll. A good joint will lake tl)r tr_rluired workin(I pressure long h0ow Ihr jninl is fully rrr y Incl final slr(tnylh is olllinr_(I. In III(.- li(IIII (fused) p;nl of the joint, strength will develop more quickly than in II ie looser (bonded) part of the joinl. Inform, lion abOut the development Of bond strength of solvent r.ertenledjnints is availlhle. 7lhe QU1 LITY Line VSR-SF (P)POTTER VANE TYPE WATERFLOW FOR _ SMALL P113E SWITCH WITH RETARD Politer Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.,/P.O. Box 20400 -1967 Leslie Street St. Louis, Mo. 63146 1 Don Mills, Ontario, Canada M3B2M3 (314)070-4321 / (000)325-393G (4'16)441-1033 STK. NO. 1113000 U.S. PAT. NO. 3921989, CANADIAN PAT". NO. 10096130 01-1-IER PATI-ENTS PLNI)ING. The Modal VSR-S1= is a villa) type walorllow switch for uso on wet sprinlclor syslon)s that use 1 ",1 1/4", or '1 1/2" pipe size. Tho unit Inay also bo usod as a Soclional walorllow detector on largo systorns. The unit contains two single pole double throw snap action switchos and an adjustable pnoun)atic rolard. The switches are actuated when a flow of 10 gallons per inirwle or more occurs downstream) of IhO dOvico. I hu �lOw condi- tion must exist lora poriod of lime necossary to overcome the selected rotard poriod. INSTALLATION: Thoso'clovicos Inay be m)ounled in a horizontal or vortical pipo. On horizornlal pipo 11)oy should be installed on Iho top sndo of 11)e pipe where they will be ac;- cessiblo. 1'ho units should not be Inslallod within 6" of a valve, drain or filling which changos Ilia direction of the waterflow. Thounithasal"NI'"I'bushingforllnoa(Iinginlo a non corrosivo " f l.I=". Seo figure 2 for pmol r "'I'EL" size, type and installation. UL & ULC LISTED SOIVICO 1 iossure: Up to 250 PSI Minimum Flow nato for Alarm: IO GPM Maximum Surge: 16 FPS Enclosure: Cast Aluminum, rod enarnal finish. Cover field In place will) tamper resistant screws. Conlacl nolings: Two sets of S.P.D.T.(Form C) 10 Amp. 11 125/250 . AC 2 Amp. Oa 0-30V. DC Conduit Enlrnimos: Two oponln4ls for 1/2" condull. Unrr41o: I_Islod 1'lasllc. Copper and Scho(luio 40 Iron Plpo. 1-11s p1po sizes - 1", 1 'A", & 1 ''/z" Nolo: O paddles are lumished will) each unit, one for Trach plpo slzo of Ihroadod or swoal TEE, one for CI'VG. and ono for polybutyiono. f_nvlronrnnntnl 1_Imltollons: 40'1-/120"1- 4.5" 0"1=/120"F4.5" G/49" C Cnutlon: l ills dovico Is not Inlondo(1 for applications In explosive onVlronnnonls. SolVlce Use: Aulomallc Spinkler NFPA-13 One or Two Family Uwollinq NFPA-13D Rosidenlial Occupancy up io 4 Slorles NFPA-13R Central Stallon NFPA-71 Local NFPA-72A Auxiliary NFPA-72B remote Station NFPA-72C Proprietary NFPA-72D Opllonal: Cover Tamper Switch , order Slk. No. 0090010 1(II for Outdoor Uno: Order SII(. No. 1940036 Sc:row Ilio clevi(;t) into Iho " TFzL" lilling as shown in Fig. 2. Caro must bo talon to proponly orient Iho device for the dinoclion of walorllow. 1 -he vane must not rub the inside of the "TEE"orbind in any way. Tho slom should move frooly when operalod by Land. The device can also be used in copper or plastic pipe installations with ilia proper adaptors so that the specified " 1,El=" filling Inay bo installed oil the pipe run. TESTING: Chocl(IIIo operalion of the unit by opening the "Insp()clionTosl Valve" at I110enc.1of tile sprinldortitle ortile diain and lost conneclior), if all InspoclorsTest Valve is not provided. II (hero are no provisions for testing the operation of the Ilow deleclior) device on the system, application of the VSII-S1= is not recornrnondod or advisable CAUTION: There aro 6 paddles furnished with each unit. These paddles have raised lettering Ihat shows tyle pipe size and typo of '1-12- E" that they are to be used wills. The proper paddle IlluBi be used. The screw that holds the paddle must be securely tighloned. PRINTED IN USA REV D BULLETIN 002 PAGE 1 OF 2 POTTERBELLS PBA -AC &PBD -DC UL Listed, FM Approved Sizes Available: 6" (150mm), 8" (200mm) and 10" (250mm) Voltages Available: 24VAC 120VAC 12VDC (10.2 to 15.6) Polarized 24VDC (20.4 to 31.2) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or outdoor use (See Note 1) -400 to 150"F (-40° to 66*C) (Outdoor use requires weatherproof backbox.) Termination: 4 No. 18 AWG stranded wires 6" BELL SHOWN Finish: Red powder coating Optional: Model BBK-1 weatherproof backbox These vibrating type bells are designed 'or use as fire, burglar'or general signaling devices. They have low power con- sumption and high decibel ratings. The unit mounts on a standard 4" (101 mm) square electrical box for indoor use or on a model BBK-1 weatherproof backbox for Dutdoor applications. Weatherproof backbox model BBK-1, Stock No. 1500001. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE INCHES (171111) VCDL77AGE MODEL NO. STOCK NO. CURRENT (MAX.) TYPICAL dB AT 10 FT. (gym) (2) MINIMUM dB AT 10 FT. (Jm) (Q 0 (I 5o) 2VOC PUD126 1706012 .12A 05 76 -0(200) i2VDC PBD120 1700012 .12A 90 76 10 (250) 12VD(; PUD 1210 1710012 A2A 92. 76 17 (15") '4VUC rlp )240 I711G024 .06A 117 711 °4Vnc 1'111/7411 1i11111174 1111A 91 711 117 (2.,0). ?4VUC PHD2410 1710024 .00A 94 79 r, (150) 24VAC rIJA246 1909024 .17A •91 76 0 (200) 24VAC rUA240 10001124 .17A 94 76 10 (2511) 24VAC PIIA2.410 1010024 .1 7A 94 76 0 (1511) 120VAC PIIA00r, 1000120 .05A 92, 112 11 (790) --17"VAC I'11A 17011 111011110 .11!.A 110 112 10(1-50) 120VAC PBA12010 1610120 .05A 99 05 Notes: 1.. Minimum dB ratings are calculated foom integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. U_ temperature range is -30° to 150"F (-34° to 660C). 2. Typical dB ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in'an actual installal on. Potter Electric Signal Company • 2081 Craig Road, St. Louis, M0,63146-4161 • Phone: 800-325-3936/Canada 888-882-1833 • www.pottersignal.com PRINTED IN USA MKT. 17650001 - REV P PAGE 1 OF 2 MFG. H5400776 - 3/99 T61 IN(:U 111'U IIA 1 r; 11 36 COnONA. CA • (WO) 717.65x111 FIG. 23 HANGER FOTt C.P.V.C. PLASTIC PIPE DOUBLE FAS'1'1:N►:►t STRAP lYPG Size Range -3/4" Ihru 2" CYN.C. pipe. Material- Cal hull S feel with yalvaniz(d finish ("•'..)0 (Tool. spec. Function - The I-iy. 23 and I kl. 2rl are. inlcnded lu perform as a hanger/restrainer to support ()Illy C.I'.V.C. piping used In automatic fire sprinlcler system". Pig. 23 and Pig. 211 can be installed on the lyi) (roll the bollon, of a beam. The Fig. 23 can also be installed (nt the side of a beam. Tl,e ny. 23.111d l"iy. 2x1 Can also lunclion as a r( sl l alnvr to prevent file upward Ilwvernenl of Ilse spl-inldcr head during activation. Approvals - Underwriters' I_aburalorivs listed to suppoll fire sprinkler pilling. Meets and exceeds the re(wirentenls of N.f.P.A. 13, 1:3R, and 131). Feufures - The Fig. 23 and Fiy. ?__,1 incorporate features which protect the pipe and ease ill-IMI'ltion. The Ilarvd edge design A It C.Ir. v. C. PIIT SIZE FIG. 23 FIG. 24 FIG. 23 FIG. 24 1-9116 1.5/32 3/4 3-1/8 2-5/16 1-1 4� 3 16T 3 2.3/32 lr.`4'6 az3.4 ,1,1-2 2:7/32 —2----x_7/8 3_11/16 2 7/16 1 27/32 1113VISM 3/94 TIG. 24 1►ANGr►t colt C. P. V. C. PLASTIC 1'11'►: ►)0l.)►3LL' FAS'►I NT•►t S'1'RA►' IYPC - SIDE MOUNT - C --- - - ->► prolecls tile. CYN.C. pips! fiam ;lily rough surface. The I ill. '2:3 rlesl�)n inl:()rpurales snail retainers allowing easier and fasivr Inslallali(,nl. -I"I IP Fiy. 23,111d Fiy. 2rl are easily al I I(,IWCI to Il,e butl(liny slruc- lure using Il,e Iwo Ilex l,aad self Ihlvadiny screws' furnished will, ll,e Ilroducl. II is leconunen(Icd Illat rechargeable electric drills filled with a flex socket altachmenl be used as Installation tools. No llupacl tools (such as a hammer) or impact fasteners (such as drive screws or nails) are allowed. Danlaye has been known I() 1'('.51111 from Inslallalions llsiIly Impact type tools. No pre drilling ()f a pilot holy- Ill wood is Urdra' ►3y - Fiyure number and C.I'.V.C;, pipe size. Potenis fending '- Hut(letIed) I ex 11eod sell( /I reodit i.qscren) is furnished tulflt file pimii(ra and is ille mininnnn. fusterler size ucceploble. C MAX. I IANGI:I( I AS'1'I-Nlat APPROX. SPAUNG (nXIIr-Au WEIGlrr FIG. 23 1:16. 24(f 1)- _ SIZE PER 100 1-316-----'1.3/16_.. --- -'S-1/2 _...------- --5/1G -------- 9 F i �. i trlyn 1=3/,rli?�1..,1 ,' 1 �1G 1-3/16 6-1/2 5/16 11 yl`-13�1g�.�'r'�1 3j1'l;�?"''':�,•;.;�,'i�;'•{r. �'.` ��/`�±�'g'��1'�i'���,'•TA'��'�.o,�"S'• ..;.� . �, 1.6- 1 3/ l G ... --_..._H ._..._ _..........._ . ..5/16 ._....._—. 15 T r, Al °.1Y l �Y. •8 � N Y a y .3 .n ~le .s gyp• Y f .4 M _ Ra R!tYw fi CA% M:) CCNIC%k p tON aQ W'so Fl Prot trI nI I Lic. No. 2A C-16 OF CP _: mF/A I M m FR -o+- -r SID2s 4 Re -A, p- c, Q 0 (n2I Lu b 4 1 i 2 a �i • i v��n„a � S�.Ti�yAc1� I r. I t \ s , o E tic loo' Gc.OL. + I ��►� LLriG 14 I I Jtf - ! I -o p - 1i4. 10 J / , Environmental Health AUG 15 20-03 7 County' Center onve . Croville® Ca Environmental Health AUG 13 2003 Chico, Califomia MN -1 i ZcNrU ts, '. A 4 Cod ✓ vON. L =1 T * (o S' �' • ..i ` r �. ,f �� �, S CaT't3P.t 5 41 -2 CO Mitt FRoty� i i �gv„n�N C� SETl3Ae.1� I � Storm I wig c.t` .I 6 l I + 'loo' 1 FSM Lac t k FIS„ n I L351 i Pr Si �00 2o' J 7a LA� 1'�DJ AC,e-T . P*P0e-ta L_ 'z A 5 Environmental Mea( AUG 15 2003. 7 County Center ®rive Oroville, Ce Environmental Health AUG 13 2003 Chico, Califomia 0 I.,F"S,� a� Qm L =IT 4 (o S' - S UaN• ��..A N '. L7o�. leparrpo.t.i=s P�7R .t-xr 'z, o' sloes X cjzqM MUa) 0 <00 2 50 F. s. g -r ' 1000 C• t- OL,I �:f�M Fid.. n I rJI / o r� f -A o y D 2 o I .9 �� O� LD,4 EnvirOnmental Health AUG 15 2003. 7 County Center ®rive . Orovilie, Cg Environmental Health AUG 13 2003 Chico, Califomia L,, T *. (o I v o j I(za2. =L nao P�.v. ,-! -,_-0aczvT P,4acg� ZcN��., � . A 1 (Qc� ✓ T_ -,a 3o 4 S 1"p4r-ca"r P� R -C_6" �rNQRA �. PlrAti► � Uo,t I yarP-Vo A,—K-s sloes a.Iz. '. I tePrie- I p, Ear, �D .9 \ Olt Z \i r So I'' F ' I F 1001 C L f -.I r-r�M LLAa A Flw..,.�, -I--, Environmental Healfh AUG 15 2003 7 County Center ©rive Oroviilc, Ca Environmental Health AUG 13 2003 Chico, California 11 Io 4 Zat-4Q.6 A ti Coco ✓ S ' Rar►.ti See•fh� � 1-` ti E AGiT zdN�a�; � •I I PvAti � Cao 1 -r 41 Das R -P, R <, ' le '5e Pr p0 -C .. I '100' GL2.I r-r�M Fid n Environmental Health AUG 1 5 2003 7 Co ntOrov le, tCa er rice Environmental Health AUG 1 3 2003 Chico, Califomia i \op, I-,F.5.t3 L _..�cevT P�acg` 3o 4 . a.3. Z oN w t® `, A � (a co ✓ G a N