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HomeMy WebLinkAbout047-670-045047-67-0-045 00-1323 OB & MARGARET PAY O[3 LANE, CHICO CONTOWNER NEW SINGLE FAMILY /0- GREGORY- At PEITZ ARCHITECT 383 RIO UNDO AVE., CMCO CA 95926 (530) 8945719 /3o / -k 6. O Pj�zt- �`T - a aft// RA cr',�,-t �b 4-lhkSpbllf - TO, * e q i -r- -S %- . y 't"v t -7 " rw (-t-) e, s Wo c,;, Z-0 JUL-27-00 09:16 AM ATC—APPLIED TESTING 530 891 4243 P. 03 APPLIED TESTING CONSULTANTS MAMMALS ENOINEENIV-0 TESTINO AND INSPEC7WN Expansion Index Test. th)s test was performed per ASTM D-4829,-:!� Revieved by: 3060 Thorntree DrIve, Sti, 10 - Chico, CA 95973 - Telephone: (530) 891-6625 - Facsimilo: (520) 801-4241 Date 21 -Jul -00 Client: Robert Fay T&O, B. Carter Pmriao Fay Residence of)MISP-t. Robert Fay -Soil desviplion: Brown Sandy Clayey Silt Sample lv�atlon.' Pheasant Landing Lot 35 89-nie talon by. ATC Depth of sample. -V lolature delerminallor, time I Readingl 'GrOSS Y,$t VA. 320.8 Stall: tj:z)u v.uuuu am$ dry wt: 288'8 7 7:11101 --Vum Pan wt. 86.5 3 Ma ­Tm Not dry Wl: 202.3 4 Melfilum Loss. 32.0 5 - 9-10 Ovi 49 Moisture content: 15.8% 6 U.0 151 ensitly daterininition 7 19:45, W61 Wt of soil & ring: 555.5 8 Tire o! ring: 200.1 9 13:30 Net compecAad soll WI: 355.4 10 Dry Density, pet: 93.1 07122100 11 ts:uu 0.0197 4turatian delermInat'lon 12 f:uu 0.0197 Wilurrit of solids. 0.551 13 7 Volume o' water: 0.236 14 Volvii% 61 air: 0.213 16 Degree or saturation: 52.6% IB 17 Gross final wet YA 470.1 Gross final -efy wt 401.0 to Final molattre loss. 717 20 Final not dry wt: 314.5 Final: r —I6:00 —M -T" Final moisture cwitent:. 24.8%. Expansion Index: 20 th)s test was performed per ASTM D-4829,-:!� Revieved by: 3060 Thorntree DrIve, Sti, 10 - Chico, CA 95973 - Telephone: (530) 891-6625 - Facsimilo: (520) 801-4241 JUL-27-00 09:15 AM ATC—APPLIED TESTING 330 991 4248 F'•N2 APPLIED TESTING CONSULTANTS Robert Fay 60 Lexington Drive Chico. CA 95973 Attn: Mr. Rohen FaN WC hazy completed an Expansion Index {t?t)'lest per the 1997 Uniform Building Code (UH(_) Standatd 18.2 on the soils obtained from the building pad of the Fay Residence located at Phow"int Landing Lot 33. 'rhe site is identifted on plans prepared by your chcc ns AP4 047-067-045. The soil described above tNas sampled for expttasion index testing. The test result %kas an El = 20. The UB.0 classifies this soil as haring; a potential for expansion. The butte C0011'' Building Department requires recommendations for mitigating the; effects of soil expansion if the El cxceads 20. 4npl cd Testing Consultants does not rcpresent that tliesc test results and/or rownuuendadons arc; suitable whether or not modified. for any other site or structure on t]its site than the one for which the; Werc specifically -prepared. Applied testing Consultants disclaims responsibility for these lest results and/or recommendations if thcy are used whole or in part at .grty other site or strvcturc on this sit; - Thank %-oil for the opportunity to be of service, PiLase contact its at the; address and number abo%c iryou have any questions. Sin�crcly yours_ Brad Forsithc Viae -President Director of Operations .ry ' 30BO Thorntroo Drive, Ste. t o • Chico, CA 95973• • Telephone: (534) 891-6625 • Far*lmlle: (530) 891.4243 6OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 1,.�,.,T "'PLICA TION DA TA SHEET Proposed Building Use� �,'_ 7 Building VI" d the foRowing I At time of permit -Application, I was ad El 1. AlLitehave been submitted ---- — ----------------- 13 2�51ot plans, 3/4 sets, signed by the preparer of plans. El 3. Complete plans, 3/4 sets, signed by the preparer of plans. PARCEL NUMBER: 04/ 5 ector: a:,& Date� d;�! ZZ.2,Zo nif proclessmIg and/or issuance: Date Received By 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation - ------------------------------------------- 0 7, Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------ 118. Hazardous Material Form - -------------------------------- ------------------------------------------------- 0 ".anufactured.-Home data and installation instructions including Tie Down Specificatidn's -------------------- Awjeesof $ ------------------------------------------------------- : ------------------------------- pact fees as shown on the attached schedule - ------------------------------------- — - - --- -------------- -17 California Department of Forestry plan approval/fees. v - ---- -- 0El 410 -------------- -------- lood elevation certificate - ------------------- ------------ 14. Sanitation and plot plan approva0ki. () Health Department - ------------------------------------------- 0 15. City of Chico plumbing permit - ----------------------------------------------------------------------------------- El 16. Plot plan and business license approval from the City of Biggs - ---------------------------------------------- Planning approval for (A) Use: 03) Parking: --------------------------- Contact Land Development about 6,Up"roTements, 11 Drainage, dLHeg1a11`Parc4el - ----------------------- 8-Z-00 M 4- 2 V119. VECncroachment Permit for drivewayl (construction approval prior to occupancy). -Z49,0--f/-Z-4a ----- E120.1're-inspectionfor required. Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification). E122. Workers' Compensation carrier and policy number - ----------------------- E123. Owner -Builder Verification (Given to owner 0, Mailed to owner 11) - -------------------------------------- Letter of signature authorization - -------------------------------------------------------------------------------- ecorded copy of Agricultural Ackr�owledgment Statement - -------------------------------------------------- 026. Letter of intent on building use - ----------------------------------------------------------------------------------- E127. Manufactured Home utility clearance - -------------------------- E128. Existing violations and/or expired permits - --------------------- [--129. 0433 A, 0Grant Deed, 11 M.H. Title, 0 Check to H.C.D $ E130. other: (Date) ou issue the permit, process as follows 0 Mail to owner, E]Mail to contractor. and hold for pickup aCV16-6) office. 11 Deliver with inspector. tTelephoneQ Z Apphclz— Copy of Haz-Mat form sent 11 Health Department, 11 Fire Department, 13 1 Copy of plans sent 0 Health Department, o Fire Department, 0 e 4*,,,,,�tDate: By or the above items numbered: 1. Index permit application f f V 3 Plan Check List 2. Additional items required: F , J111k, V. Contractor, designer, owner, was advised oftlie above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, d=grier, owner, was advLse&6f the above required data by[] phone, 0 mail, 0 Building Division counter'by Date: Contractor, designer, owner, was adOiged of the above required data by 13 phone, 0 mail, 0 Building Division co ter, by Date�: iv o/ Contractor, designer, owner w.dFadvised of the above required data by 0 phone, 0 mail, 0 Building n unter, by Dat Plans reviewed by: Date: Plans approved by: Dtte: Sets of pl'a"ns' on hold 'in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: t�� Date- Vpllr%xxr W COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER �tl 1%" %%%Q/ w�l�! N A.P. # PROPOSED BUILDING USE tJ 5/et DATE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (f i U (paid at District Office) SHERIFF FEES (paid at Building Division) Alesidential ........ �_ x $360.00 = $ 310• 0-0 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. CREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 9 �89.00 SRA FIRE INSPECTION AND PLAN CHECK (paid at Building Division) Pa( &1) 2_lo o Ae_G 0 y373 8. WATER TENDER FEES (Battalion # ) $ 00.00 (paid at Building Division) 9. CSA 87 TRAFFIC. FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC 6;ZZ-C 0 0--4-6-0 . 7 w 91: � - �_ - 0 0 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ` t DATE '/ Z 26 —O U Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building .permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. YESJM.. NO 13 2. I HAVE HAVE NOTA signed an application for a building permit for the proposed work, 3. I have contracted.with the following person. (firm) to.pro,tbe proposed. constriction: NAME: - ,,,► . .,�, ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:- PHONE: ITY:PHONE: CONTRACTOR'S LICi NSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 4-12- ZUI_� . NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. • I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been. submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license Srom the city or county. They are also required by law to put their license number on all permits for which they apply. ,, . If yod plait to da jpto it own work, with the exceptlon of various trades that you plan to subcontracf, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (includingmaterials and other costs) is 5300 or more for the entire . project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your oblitioas under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi Ara, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda �r14 OVER '''''"�"1!�`�hiY�,ry,���j'T.�"i..,+�rv7};1k.S,�y�'.+7i„'-K���►i�1G�!'.��+�.1�.�".+tiiyrliFy^�M`�+t��iti"+Q�'” BUTTE COUNTY PARKS DEVELOPMENT FSS CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT . Assessor Parcel Number(s) Property Owner Project Location/Address •(rt6J5r* Subdivision �ffj�.,.Mrfi �/f'.r/D/ Lot Number(s)-35 Residential Development: (check one) V/1-ew Development _Alteration/Addition Mobilehome(s) Non -Residential to Residential Total Number of Dwelling Units 4 �� Comment: a Building Department Representative. Date ���t*�t�t�r�r�tx,�,r�r�r�c,��t�trr�cvrx�r�rrr�r�rr�rrr�r�r�r*�r�r,r�c�r�rrrx�rxwx�r�r�r*�*�r�r�r*�r�r*,�r*�r*�r,t�c*rr�r�r�r�r�r�r Area Recreation and Park District(CARD) certifies that (Applicant Name) (Street Address) 1-1 Q dpi �v =' (City) aa: 0 ti F+ 3 z r +p ro A/ State (Phone Number)" r• Zip Code r. has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units.@ $1,189 for total payment of $ f ` ARD Representative PAID BY CHECK NO. REMARKS: BANK NO . ) - 7 Y! 110 (�^ PAID BY CASH RECEIPT NO. EbIUD date Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) E.H. USE ONLY PI t Plan Attached Ye5 0 . , -. 6 FloorPlanA ah d Sent to B. ,TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -7-'- Ax V Owner 1-46ation AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well X Clearance for Other I Am-P— Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date ,,:,,,+�,,.,,.irtip ^�•7•, ... m ;A..K-�••T•t•R�F+h4��'�h +�`�^1T. +i.IJr� v �v'w��x;T•,r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM y . (One form per Building) School District Building Department No. A.P.:r.Number �7"l0'7' Jurisdiction: City County s. Property Owner / + AA41a/j•P74 4&1�1 Property Location/Address 4:�I� A -e- - Subdivision �G(�J G ` �u Lot No. n Residential Development ........................................................................... a ... .......................... No of Living Mobile Home Addition/ "Supplemental to Units Installation Conversion Permit # '(No foundation inspecti `� Commercial/Industrial �. New Addition U, Building Department Representative (Floor Plans reviewed by School District Personnel District Identification No. School District certifies that ' SP U!� (Street Address) (City) has complied with the requirements of Resolution No. Y' representing pi/� square feet. AJ? School -District Representative Paid by Check # Remarks: ,3,T— Sq. Footage ���6 (Group R) Sq. Footage (Including Exterior Roofed Areas) Date (A licant) 13 8( (Phone Number) 0 (State) (Zip Code) 797-00 by payment of $ AB 2926 S FULL MITIGATION � E 7 a7 G Date 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(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency',that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As 110/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUMDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 02 -Aug -2000 2000-0029793 Has not been compared with original BUTTE COUNTY RECORDER •AGRICMTITRAL, STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL, DEVELOPMENT Seeder 26-8 of the Butte County Code required this admowledpoent to be recorded prior to issuance of a building permit. The property described herein is adjacent to land"Included within an area zoned for Property -may be subject to inconveniences or agricultural.purposca, and residents of this dt eoirtfort 0M the use of agric�Iltural chemicals; including but not limited to herbicides, pesticides, and fertilizers; and from the_pulsuit of agriclrttural operatics including.. plowing, sprayu�g,.pr�g-���g. ding, but not limited to cultivation, agncuitural-Pwpo�s-and msidents within said zones and ons �� ��' and_odm. Butte County has established or- discomfort -from n adjacent Property should be prepared to accept such inconvenience normal, necessary farm operations. All that real property situate in the County.of Butte, State of California, described as follows: . .. /1roN' Tifq-T c /r Q Ti4 /N .ti/}� ././v i / j� /s�7, a /�/f/.L;.4.r�b.►i- � �D/� v •vim No, �. PiyAS/: / " w /ti�i t /yi a� cv,q.S.. /P¢c oA p Ep ,,I rh7 00"14-- 7. 0"14-- o,c 7- /�;�2 De�Q. aF �Z TiY-� G o c•a..i,- y . o/'= .civ r; � S.—A-Z er G,q L //'sl.Q N / ,q 7- 32, 33 Date. W'1e. ZZ, 2C00 State of California. County.of. . 'T1ti_CCQ, On 7l_YlP_ -22 PROPERTY OWNERS: 2�cQci before me, Cl- lmown tome (or proved to me on the - - of sa�facto , u� w �' neon ry evidence) to be the persons} oame(s) Ware subscribed to the within instrument and-aclmowiedged tome that .he/she/they executed a same in his/her/their eignature(s) on the instrument, the .person(s) or the entity -upon �o�d ��(�), and that by instrument. �y pun behalf of which the pereon(s) acted, executed the CRYSTAL D.JONES coftmom Seal: NWAMPUMC.ca GLM JW u y'• � �:. Permit C/earance F1112M. q 77t Septic Permit Review: Agriculture Affldavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes _ _ Land Development Review: Drainage Plan (ConVW/Multl) ❑ No ❑ Yes 3arcel Created by ❑ Deeds Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference:. Legal AC[ess Required: ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road'Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: - `ISI— GASB L1�afU�l �V(�,-- SU f3 U?J1T — P14r+ ,fit 4 %Map Date of Recording: Lot: 3 157 Block: Book: I'� `7Pal 3 =ondidons That Must Mar Prior to Tssuanro �r Permit ❑ Verify, Legal Parcel ❑ Verify Legal Access [I Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a. Certiflcate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Applkatlon/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 EHD requirements. ❑ Other ;eneral Corr, LSA 0 To CX66 ❑ APPROVED dONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL, PERMIT CLEARANCE Permit #: _0�—�32 Date: Genera/Infori»adon ' ' AP#: Owners Name: So -r:3 � 2PrA 25T" 4'Aly Parcel Acreage:— 1 0'� A f✓ Owners Address: --60 Lexi Oy it . N b 2- C u 1 C n c A Building Site Address: L� 7 A 0 G-61-5 A L>e-p Provertytnforwation Permit TYoe: ❑ Agriculture Bwlding ❑ Commercial ❑ Industrial ❑ Mobile Home IN SFD ❑ Residential App ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: S J�— , Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: • ,Land Conservation Agreement jj No ❑ Yes,, check use Minimum Acreage: Nitrate Action Plan JeNo ❑ Yes Violation Area No ❑ yes Specific Plan ❑ No Yes Chico ❑ D2N ❑ Cohasset Enterprise Zone No ❑ Yes, check use ❑ Floodplain No Yes Zone: _ Panel Number: d ❑ Watershed Protection Zone No Yes Proposed Use Complies With: Q General Plan, 15 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑Administrative Permit ❑Accessary Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: Zcning Ccde Street & Highways Fre Prevention Subdivision Ma Front Side Side street —SO Rear D C> Height Gregory,, A. Peitz Architect .383 Rio Up& Ave., Chico, CA 95926 894-5719. FAX: 894-1523 e-mail: gregpeitz@cs.com FAX COVER SHEET M To: Via. Fax No.: From: ce Regitrding: Pages (including cover sheet): Comments: Oct 29 00 12:12p Robert & Margaret Fay 1. 15 pt� co ,. /323 1-530-899-1645 p.1 iOY9 #W G S2>3 6 41-7--G70 -- &� FAX COVER SHEET ❑UMeW ��Aw El Ps,,, m=mx Ej Total pWa% induofng cover. 3 FQr v C13 uu ac M FS -ONE High Performance Intumescent Firestop Sealant Product description • Intumescent (expands when exposed to tire) firestop sealant that helps protect combustible and non-combustible penetrations for up to 4 hours fire rating Areas of application • Steel, copper and EMT pipes • Insulated steel and copper pipes • Jacketed cables and cable bundles • Closed or vented plastic pipes For use with !. Concrete, masonry, drywall and wood floor assemblies • Wall and floor assemblies rated up to 4 hours Examples • Sealing around plastic pipe penetrations in fire rated construction System/Product advantages • Protects more than 95% of all typical firestop applications • Easy to work with and last cleanup • Quick sealing of remaining gaps • Can be repenetrated when laying new cables FS -ONE Intumescent Firestop Sealant Oroedng Dewiption Color Package contents Volume Item No. FS -W. tube red 10.1 os. (300 mq 18 in' oo2sss7flf FSOE, foil fed (ply 20) 20.2 oz. (600 ml) 36 in' 000311387 FS -W, pail fed 5 gallons (19 Ire) 1155 Ira 00259578 CO 200 PI.30QGI O ml 01spensef O0055205 600 ml Foil 011sperm 00024669 Simplicity Internationally tested and approved PSslpiR RLL VOID OR CAVMMATERIALS � 4 O CIASSRED BY C\II UNDERWRITERS LABORATORIES. NC. f eV� L FOR OSE IN TR =N-PENfTRATY,IN RAESTOP SYSTEMS APPROVED SEE IA ARE RESISTANCE DIRECTORY 56Y7 fm Pw•ghm fn 2m. QaauaefsmY MANE RKNMG•uvae�ADP�•GWa British Standard /i =�rs i57i W °m e O•�•T•n DIN Ste"e•`a vVesopcm Confidence 4 Value t_ann_nio_onnn .t 29 00 12:13p Robert & Margaret Fay 1-530-899-1645 P,3 FS -ONE High Performance Intumescent Firestop Sealant Product description • Intumescent (expands when exposed to fire) firestop sealant that helps protect combustible and non-combustible penetrations for up to 4 hours fire rating - Product features • Smoke, gas and water resistant • Contains no halogen, solvents or asbestos • High fire rating properties • Water based, easy to clean Tested In accordance with • UL 1479 • ASTM E 814 • UL 2079 Installation instructions for FS -ONE 2. Pack mineral wool. (ll required) Opening 1. Clean the opening. Surfaces to which FS -ONE will be applied should be cleaned of loose debris, dirt, oil, moisture, frost and wax. Structures supporting penetrating items must be installed in compliance with local building and electrical standards Application of firestop sealant 2. Install the prescribed backfilling material type and depth to obtain the desired rating (if required). Leave sufficient depth for applying FS -ONE. 3. Application of firestop sealant: Apply FS -ONE to the required depth in order to obtain the desired fire rating. Make sure FS -ONE contacts all surfaces to provide maximurn adhesion. For application of FS -ONE use a standard caulking gun, foil pack gun, bulk loader and bulk gun. With FS -ONE buckets, Graco type sealant pumps may be used. (Contact pump manufacturer for proper selection.) 4. Smoothing of firestop sealant: To complete the seal, toot immedi- ately to give a smooth appearance. Excess sealant, prior to curing, can be cleaned away from adjacent surfaces and tools with water. Leave completed seal undisturbed for 48 hours. 6. For maintenance reasons, a penetration seal could be permanently marked with an identification plate. In such a case, mark the iden- tification plate and fasten it in a visible position next to the seal. Technical Data FS -ONE Intumescent Firestop (at 73•F 123%) and 50% relative humiditv) Chemical basis: Water-based intumescent acrylic dispersion Density: Approx. 1.5 q/cm' Color. Red Working time: Approx. 20-30 min Curing time: Approx. 14.21 days Shore A Hardness: 12 rox. 35 Movement capability: Approx. 5% Intumescent Activation: Approx 250•F (121•C) Expansion rate (unrestricted): Up to 3.5 times original volume Temperature resistance (cured): -40•F (-40•C) to 212•F (I00•C) Application temperature: Surface burning characteristics: (ASTM E 84-96) 35•F (2•C) to 100•F (38•C) Flame Spread: 0 Smoke Development: 5 Approvals IC80 Evaluadon Service, Inc. Report No. 5071 California State Fire Marshal Listing No. 1200:108 City of New York MEA 326-96-M City of Los Angeles Research Report 25188 4. Smooth 5. Leave completed seal undisturbed for 48 hours. plate (if required). Notice about approvals Check that the penetration has been sealed according to the specified drawing in the UL Fire Resistance Directory or Hilti rirestop manual. For further advice, please contact Hilti customer service. Refer to Hilti product literature and UL fire resistance directory for specific application details. Not to he used... • For high movement expansion joints • Underwater • On building materials which bleed oil, plasticizers or solvents (impregnated wood, oil-based seals, green or partially vulcanized rubber) • In any penetration other than those specifically described in the Hilti Firestop Manual or the test reports Safety precautions • Before handling, read the product and material safety data sheet for detailed use and health information. • Keep out of reach of children • Wear suitable gloves and eye protection Storage • Store only in the original packaging in a location protected from moisture at temperatures between 40•F (5'C) and 86•F (30•C). • Observe expiration date on the packaging. 1-800-879-8000 NOTES RESIDENTIAL 047-67-0-045 00-1323 PERMIT NO. pFAY', BOB & MARGARET �`` AUGUSTA. LANE, CHICO CONTR: OWNER , NEW SINGLE FAMILY { SPECIAL CONDITIONS CHECKED ' BY SRA rt ' FLOOD CERTIFICATE REQ. tP FIRE SPRINKLERS REQ. f SPECIAL INSPECTION ITEMS I • r VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER I OFFICE COPY Address V GAS Date Meter By ��� � ELECTRIC/� rI Meter By Dat.,/ JOB FINALED Signature • ,/ = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Fequiremenis- Setbacks- Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. r / P Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance 6 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 43. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 -Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i� r NINK-34 '` • qq V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (� = Not Ready , Date Unclernoor (Plans) OK except #'s 1 .Zoni - etbacks- Ease ments-Flood-Slope g., n; Soils-E1ec. Grncl.-IQ r Ftg. Depth F ., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg. rches & Decks; Soil s -Steel-/ Ftg. Depth t mwalls,Main; Steel-Blockouts-Wrapped to walls, Garage; Steel-Blockouts-Wrapped, old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins, 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date r C.- Card B -i Date Card B-1 Date Card B-1 Date Card B-1 Date QlGMBING (Permit) OK except #'s 1 W 'r Htr.; Vent -Access -Combustion Air Baffle 1 W r Pipe; Test & Anchor -Nail Protection 1f. D. .V.; Test Fittings & Anchor -Nail Protection 0 hower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower. Second Floor -Tub Access Date Dif l t 490 Card B-1 4--) Date Card B-1 Date Card B-1 Date Card B-1 Date RAMING (Permit) OK except #'s 4 Proper Materials & Anchors 4VIXalls Studs -Nailing Spacing & Braces -Plates -Sound 4 . earing Walls over Girders & Floor Nailing 4!5!!raft Stop in Walls (rat proof) 44 Pre Stops, Furred Ceilings -Stairs -Chasers -Tubs Qr Headers & Beams -Size & Bearing t jingle & Duplex) Date 22. Gas Pipe; Sixe & Anchors Date l / ✓ Card B-1 Date Card B-1 Date F' eplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 ix ure & Transformer Clearance -Ins. Protection Property Line Firewall & Openings 2 Iec,,Receptacles Spacing -Lights & Switches at Doors 54. 25. 5Fie Boxes & No. of Conductors Stapled Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 26. Romex Installed Close to Edge of Studs & C.J. 27./Equip. Ground made up w/Mach Fasteners -Bond Gas & Water zing Area -Glass Protection -Skylight PI stic 2 Appliance Circuits in Kitchen & Conductor Size GFI 60. 2 bleed Wire Size / / ga. Cu or A ire Size / / ga Cu or AI Insulation -Walls -Ceilings Infiltration -Walls -Windows 3 . Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral ❑ Yes ❑ No Date 31. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 FINAL (Plans) OK except #'s 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date 'Card B-1 Date Card B-1 Date ` Card B-1 Date 1 Card B-1 Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support I Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade F. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Dif l t 490 Card B-1 4--) Date Card B-1 Date Card B-1 Date Card B-1 Date RAMING (Permit) OK except #'s 4 Proper Materials & Anchors 4VIXalls Studs -Nailing Spacing & Braces -Plates -Sound 4 . earing Walls over Girders & Floor Nailing 4!5!!raft Stop in Walls (rat proof) 44 Pre Stops, Furred Ceilings -Stairs -Chasers -Tubs Qr Headers & Beams -Size & Bearing t jingle & Duplex) Date FRAMING (Continued) gars -Post Caps -Anchors -Connectors 4 ing. Joist-Rftr. Ties- Purlin-Roll Brac. r -Shting.-Rfng. ' F' eplace Ties or Type A Flue -Fireplace Throat Clearance At 'c Access; Size & Romex Protection -Draft Stop -Ins. Baffles B m. Windows or Exiting Doors -Sill Ht. & Dimensions rage Fire Protection Framing Property Line Firewall & Openings Date '01 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59, zing Area -Glass Protection -Skylight PI stic Shear Walls; Nai ' -B is i.✓ 60. B e Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date ` Date Card B-1 Date Card B-1 FINAL (Plans) OK except #'s 6 xt. Steps -Door & Sidelight Protection -Landings Smoke Detector 0- Furnace i""' -clearance -Comb, Air -Connector - Above Floor -Ducts -Mach. Protection & Bath Fixtures & T Acces pa Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 ireplace or Stove, Clearance -Hearth 71 lec. Outlets at Wood Panel, Int. & Ext. 7 it. Fixt. & pliance; Ground -Air Gap -Cooking Clearance 7Y. Elec_00tlets & Receptacles at Kit. Counter ge Fire Door; Duct in Garai U.^tr. Htr..Vents-Clearance-Comb. Air Connector-P.V_*� in rage; Above Floor-Mech. Protection 7 Ib. ec. & Mech. Equip. Listed for Location 78. ec. Receptacles in Garage (F.F.I.)-Romex Protection 7 tion -Foam -Looked in Attic 8 Sa�Qrd Rails & Deck Construction -Post Caps AIr Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive D Yes ] No/Walks Zj Yes Q No/Planters i7 Yes ] No tucco Brown -Finish 84L C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground . Ventilation Throughout House Glass Protection Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 3 Energy Compliance Certificate -Other Certificates I Address Posted 1 Date '01 Card B-1 Date Card B-1\ Date Date Card B-1 Date Card B-1 ' Card B-1 Date Card B-1 Comments at Final: 03/09/01 12:02 SACRAMENTO INSULATION 4 CHICO CERTIFICATION OF INSULATION NO. 821 001 ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS LOT r ❑ P.Q. BOX 854, WEST SACRAMENTO, CA 95691 UC. 8202026 1309 MELODY ROAD. MARYSVILLE, CA 95901 LIC. 8202026 ❑ P.O. 80X 8651, FRESNO, CA 83793.9651 LIC. 8202026 l� J ` �� l� ❑ P.O. BOX 1631, RENO. NV 8950S UC. III 067S �� � �/�\�) _ ❑ 3326 A PONDEROSA WAV. LAS VEGAS. NV 89i t8 liG. 61 0575 OAT INSULATION COMP EO A f SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIALFIBERGLASS FIBERGLASS FIBERGLASS FOAM %ORM FORM BATTS BATTS A BLOW BATTS MANUFACTURER'S PRODUCT I.O. MANUFACTUREA'S PRODUCT 10 MANUFACTURER'S PRODUCT 1.0 MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R - VALUE APPLIED A - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED 114STALLED THICKNESS INSTALLED THICKNESS. WEIGMTPER SOU Ar INSTALLED THICKNESS IA KNEE WALLS IF R•VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM A VALUE MANUFACTURER FIBERGLASS BATT$ OCF AIR INFILTRATION SEALANT MATERIAL - MANUFACTURER W R GRACE THIS IS TO CERTIFY THAT INSULATION AND/OR $ ALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS, SI NATURE -1N ULA I TITLE DATE IF� MANAGER ` f 10 SIGNATURE -GENERAL CONTRACYOW TITLE DATE REMARKS: SIC -303 BUILDER COPY 0-t 29 00 12:12p Robert & Margaret Fay 1-530-899-1645 p.1 - 13P %mmpvi!!�ff 0� 6 tl- 7--670 c14�;" FAX COVER SHEET oIX D El ► Total pages indudng cover. 3 WALU J Oct 29 00 12:12p Robert & Margaret Fay 1-530-899-1645 p.2 FS -ONE High Performance Intumescent Firestop Sealant Product description • Intumescent (expands when exposed to fire) fireslop sealant that helps protect combustible and non-combustible penetrations for up to 4 hours fire rating Areas of application • Steel, copper and EMT pipes • Insulated steel and copper pipes • Jacketed cables and cable bundles Closed or vented plastic pipes For use with • Concrete, masonry, drywall and wood floor assemblies • Wall and floor assemblies rated up to 4 hours Examples • Sealing around plastic pipe penetrations in fire rated construction , System/Product advantages • Protects more than 95% of all typical firestop applications • Easy to work with and fast cleanup. • Quick sealing of remaining gaps • Can be repenetrated when laying new cables FS -ONE Intumescent Firestop Sealant Ordering Description Color Package Contents Volume Item No. FS -ONE, tube red 10.1 oz. (300 ml) 18 ire 00269579 FS•ONE, foil fed (Oty 20) 20.2 az. (600 ml) 36 in' 00311367 FS -ONE, pail fed 5 Gallons (19 Ifter) 1155111" 00259578 C6 200 PI -3001310 ml Dispenser OW55205 800 ml Foil Obpnser OW24669 Simplicity Internationally tested and approved y,SSIPif FILL VOID OR CAVITY MATERIALS 4 O CLASSIFIED BY CM ` UNDERWRITERS LABORATORIES, WC. FOR USE W TROOGH.PENFTRATnN flRESTOP SYSTEMS APPROVED SEE UL FIRE RESISTANCE DIRECTORYFa hMbalim FYa 31... Sm Cuma Ne fxmry aaiNal Res mh C­AaO,"Grim. 0NJ fl• 'P vat.,. ./ British Standard z =7i MIS . _ Ocvm•n DIN S10060�a t,oV Confidence Value 4 i-ann_27o_onnn s FS -ONE Nigh Performance Intumescent Firestop Sealant Product description • Intumescent (expands when exposed to fire) firestop sealant that helps protect combustible and non-combustible penetrations for up to 4 hours fire rating Product features • Smoke, gas and water resistant • Contains no halogen, solvents or asbestos • High fire rating properties • Water based, easy to clean Tested in accordance with • UL 1479 • ASTM E 814 • UL 2079 Installation instructions for FS -ONE 645 Technical Data FS -ONE Intumescent Firestop (at 73•F (23•CI and 50% relative humidity) Chemical basis: Water-based intumescent acrylic dispersion Density: Approx. 1.5 a/cm' Color: Red Working time: Approx. 20.30 min Curie time: Approx. 14.21 days Shore A Hardness: Approx. 35 Movement capability: Approx. 5% Intumescent Activation: Approx 250•F(121•C) Expansion rate (unrestricted): Up to 3-5 times original volume Temperature resistance (cured): -40°F (-40"C) to 212°F (100•C) Application temperature: Surface burning characteristics: ASTM E 84-96 35•F (2•C) to 100•F (38•C) Flame Spread: 0 Smoke Development: 5 Approvals ICBO Evaluation Service, Inc. Report No. 5071 California State Fire Marshal Listing No. 1200:108 City of New York MEA 326-96-M City of Los Angeles Research Report 25188 wool. (if required) Opening 1. Clean the opening. Surfaces to which FS -ONE will be applied should be cleaned of loose debris, dirt, oil, moisture, frost and wax. Structures supporting penetrating items must be installed in compliance with local building and electrical standards Application of firestop sealant 2. Install the prescribed backfilling material type and depth to obtain the desired rating (if required). Leave sufficient depth for applying FS -ONE. 3. Application of Firestop sealant: Apply FS -ONE to the required depth in order to obtain the desired fire rating. Make sure FS -ONE contacts all surfaces to provide maximum adhesion. For application of FS -ONE use a standard caulking gun, foil pack gun, bulk loader and bulk gun. With FS -ONE buckets, Graco type sealant pumps may be used. (Contact pump manufacturer for proper selection.) 4. Smoothing of firestop sealant: T6 conipiete the seal, tool immedi- ately to give a smooth appearance. Excess sealant, prior to curing; can be cleaned away from adjacent surfaces and tools with water. Leave completed seal undisturbed for 48 hours. 6. For maintenance reasons, a penetration seal could be permanently marked with an identification plate. In such a case, mark the iden- tification plate and fasten it in a visible position next to the seal. 5. Leave completed 6. Fasten identification seal undisturbed for plate (if required). 48 hours. Notice about approvals Check that the penetration has been sealed according to the specified drawing in the UL Fire Resistance Directory or Hilti Firestop manual. For further advice, please contact Hilti customer service. Refer to Hilti product literature and UL fire resistance directory for specitic application details. Not to be used... • For high movement expansion joints • Underwater • On building materials which bleed oil, plasticizers or solvents (impregnated wood, oil-based seals, green or partially vulcanized rubber) • In any penetration other than those specifically described in the Hilti Firestop Manual or the last reports Safety precautions Before handling, read the product and material safety data sheet for detailed use and health information: • Keep out of reach of children • Wear suitable gloves and eye protection Storage • Store only in the original packaging in a location protected from moisture at temperatures between 40•F (5'C) and 86°F (30°C). • Observe expiration date on the packaging. 1-800-679-8000 COUNTY OF BUTTE ;. BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. •A routine inspection indicates that the following violations of butte county Ordinances exist at the a above address and should be corrected. Please notice this office when correction of work rcompleted. If yo ave'any questions pertaining to this matter, or need additional explanation,. please cont this office immediately. i % ie rJ-f moo.., v�Pcti—SP' i.L .:ate Q �,n/Sc./� moo..✓ A7 6"Z2-- 6u r� e e a g,. 4` Date Date _ REV 10/92 o .:h. 7 - Inspector - 1� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ®� ASSESSOR PARCEL NUMBER 047-670-045 ZONING BUILDING PERMIT OWNER BOB'& MARGARET FAY TELEPHONE 893-4864 SO. FT. OCC. BUILDING VALUATION 2956 R 159,624.00 .OWNERS MAILING ADDRESS 60 LEXINGTON DR, CHICO 1066 U 19,188.00 CONTRACTOR'S NAME TELEPHONE 438 COv 5,694.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 184 506.00 ARCHITECT OR ENGINEER GREG PEITZ LICENSE NO. C21283 Filing Fee $ 20.00 permit Fee $ 937.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 609.00 BUS INGADDRESS 4144 A GUSTA LN CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1589.00 LOT NO. SUBDNAM ISIONSNE PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF G Duplex ❑ Mobilehome ❑ Other X SPECIFY Each Trap 4 7.00 98.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑}(Addition ❑ Remodel 0 l,Jtilities; 9 Installation ❑ Other ❑ Describe Work: F/,IM// (,�(f/ / Gas piping system 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 '..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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law,f&.. the following reason: I, ss 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. ❑ 1„ -,as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑, '1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR arS. ( ACC. .3.5Q : M LET NONRESID. @7.50 OWER APPARATUS 8 SINGLE OUTLET C1 R. Ex. OCCu OUTLET ORFWrURES 20 @ 1.00 BAL @ .50 FIXED APPLI'S . OR Ex. Occup. OUTIETS RESID, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .X _ / Date "'�2' 2-0oo _ ��- Signatur of Applica t - O� wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 12000 Cooling Hood 6.50 Ventilation- GAS FIREPLACE PERMIT FEt $ 99.50 Mobile Home Installation Fee $ Energy Inspection Fee $46 cc c TOTAL FEE $ 29111.27 HAz D. FE IMP 000 COF p CEL D SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByDate PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date Receipt No. WHITE-D.D.S.-B.D. CANARV.-B. D. A S SSOR PINK -INSPECTOR GOLDENROD-APPLICANTSSOR PINK -INSPECTOR GOLDENROD -APPLICANT �q����4 /�������� COUNTY OF BUTTE • DEPARTMENT OF DEVELOPMEN tr SERVICES - BUILOING DIVISION 7 County Center Drive • Orovilie, California 95965 • TdlephciiN :3.31)) 538.7541 PER APPLICATION AND PERMIT wu�oe�Meawrsa/�'�U %,� �oN..o BUILDING PERMIT Ali©t 7W04111 IJ ,1 WYUNO.o011sa �fcLfy_t�c--� __. 6 Q�SSO& F— I (;C--. BUILOING VALUATION,)WP44 -. m-i�J-1�--- -- -- J . 3� h -D :oNrPAcrows NAale rets�o«e CorlrnAcrdls wwNO CONsrfl cnollf umea • i Fireplace utrvas VAKM Aims Total Valuation : 0 AACH 00Y1111011111�� f u�No. Flin Fee f 2 Permit Fee s37, D -o Apcwmcramopmem AoOMS Plan Checking Fee u- 8110"0 DO�s Energy Plan Checking Fee i pip i PERMIT FEE S 9. "35 totI- wy i4, r "ACUL 61111 PLUMBING PERMIT Fling Feel 2c Each Tr 7.00 , a U3EOF8TRUCTURE SF Duplex 0 Mobishane 0 00W sreoslr Solar or heat um water heater 23.00 Water in 15.00 its Each as water heater or vent t 5.00 sON TYPE OF WORK New Addition ❑ Remodel ❑ Utillfes ❑ Installation 0 Other O Oescribe Work: Gas piping stem t - 5 outlets t 5.00 " Building sewer t S-001/4" Mobile Home ' S G I W @20.00 ,ar g .e) N L bete PERMIT FEE I _ 193, B►� PERMIT Film Fee 20- rELECTRICCAL a ce =ami U'= , 23.00 . I, 3 Yid ce 2004 ro 1000A 48.00DwELLYq OCCUP. SO.. A AOC. SUN. ® •Sa R, 410.71 New CONST. YUVI.OWLET NON.RE910.samcm cocurrsI @7.50 PO 0 1"ARATUS a sWo art Ex. Occup. oun-r OR ►ocrt-0 "' i.ao flAL !0 IOfEO ANLreT. OR I 5.00 Ex. Oceu ovnEn ew. rw Temporary Service 1 23.00 Mobile Home Facilities I 20.00 Misc. Wiring 1 1 23.00 PERMIT FEE • _ MECHANICAL PERMIT Fling Fee 1 20.0 Heating Cooling .mss Hood 8.50 ; �o•5*d Ventilation ,S'a ,00 d5 tc PERMIT FEE S Mobile Home Installation Fee i Q O Energy inspection Fee = ZI G , &--6 °CC iCONST nrpc TOTAL FEE S 2 . ;Z7 —Z. O. Re IMPlb P.WD I Cor i Aga` oO This permit is hereby issued under the applicable provision. of the Butte County Code and/or Resolutions to do wor, indicated above for which fees have been paid. 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