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058-210-174
RECORDING REQUESTED BY: l AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0056102 Recorded I REC FEE 10.00 Official yyRecords I CoButte f I CONFORMED COPY 1.00 CANDACE J. 6RUBBS 1 County Clerk-Recorderl" I I LV 011:52AM 16 -Sep -2M I Gage 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at -the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JESSE AND MELINDA CECIL REAL PROPERTY OWNER/LESSOR " 5728 PORCUPINE COURT MAILING ADDRESS WEED SISKIYOU CA 96094 CITY COUNTY STATE ZIP 4215 PAIUTE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT t ' CONCOW BUTTE CA 95966 CITY COUNTY STATE - ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1291 (530) 538-7541 BU DING PERMIT N0. TELEPHONE NU E 1 ll d� IGNATURE OF LOCAL A rY dFFICIAL DTE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FAR WEST HOMES INC 1984 24X53RL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 3411 VB 53 x 24 277917/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) a REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP# 058-210-174 SEE ATTACHED ;. HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. EXHIBIT "ONE" PARCEL I: Order No. 103866 Parcel 4, as shown on that certain parcel'm'ap, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Pages) 36 and 37. PARCEL I1: A right of way for road and public utility purposes -over -Paiute -Drive, -a-60 foot-roadway,—as------------ =shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on December 22, 1986, in Book 105 of Maps, at Page(s) 41. .EXCEPTING THEREFROM all that portion lying within the bounds of Parcel 1, described herein: PARCEL III: An easement 60 feet wide for road and public utilities purposes on, over and under a strip of land lying 30 feet on each side of the following described centerline: COMMENCING at the Southwest corner of the Northeast one quarter of said Section 35; ' thence along the South line of said Northeast one quarter, North 88°45'17" East, 399.59 feet; thence leaving said South line, South 25°08'58" West, 210.90 feet to the true point of beginning for the herein described centerline, said point being in the center of a cul-de-sac having a radius of 60 feet; thence along said centerline south 42°27'56" West, 215.90 feet; thence South 56 016'55 n West, 250.79 feet; thence South 740 13'53" West, 239.46 feet; thence North 06°42'07" West, 267.41 feet; thence North 02038'25" West, 82.30 feet to the centerline of Paiute Drive, an existing 60 foot wide easement as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, in Book 105 of Maps, at Page(s) 41. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. PARCEL IV: A 60 foot non-exclusive right of way and public utility easement over Paiute Drive, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Page(s) 36 and 37. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. Assessor's Parcel No: 058-210-174 2 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16—Sep-2005 2005-0056102 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property.- JESSE roperty. JESSE AND MELINDA CECIL REAL PROPERTY OWNER/LESSOR 5728 PORCUPINE COURT MAILING ADDRESS WEED SISKIYOU . -CA' 96094 CITY COUNTY STATE ZIP 4215 PAIUTE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT - CONCOW BUTTE . CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1291 (530) 538-7541 BUU.DB_ JG PERMIT N0. TELEPHONE E -, , A 4 - IGNATURE OF LOCAL AY OFFICIAL Ir DTE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO FAR WEST HOMES INC ' ' 1984 24X53RL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAML/NUMBER 3411A/B b 53 X 24 277917/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNL4/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED . ASSESSOR'S PARCEL NUMBER AP# 058-210-174 14r.T) FORM 43VA) RFV. R/91 EXHIBIT "ONE" . . PARCEL I: Order No. 103866 Parcel 4, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Page(s) 36 and 37. PARCEL 11: A right of way for road and public utility.purposes.over Paiute Drive, a 60 foot roadway; as shown on that cerfain:parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on December 22, 1986, in Book 105 of Maps, at Page(s) 41. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel 1, described herein. PARCEL III: An easement 60 feet wide for road and public utilities purposes on, over and under a strip of land lying 30 feet on each side of the following described centerline: COMMENCING at the Southwest corner of the Northeast one quarter of said Section 35; thence along the South line of said Northeast one quarter, North 88 045117" East, 399.59 feet; thence leaving said South line, South 25°08'58" West, 210.90 feet to the true point of beginning for the herein described centerline, said point being in the center of a cul-de-sac having a radius of 60 feet; thence along said centerline south 42°27'56" West, 215.90 feet; thence South 56 ° 16'55" West, 250.79 feet; thence South 74013'53" West, 239.46 feet; thence North 06042'07" West, 267.41 feet; thence North 02°38'25" West, 82.30 feet to the centerline of Paiute Drive, an existing 60 foot wide easement as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, in Book 105 of Maps, at Page(s) 41. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel 1, described herein. PARCEL IV: A 60 foot non-exclusive right of way and public utility easement over Paiute Drive, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Page(s) 36 and 37. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. Assessor's Parcel No: 058-210-174 2 - '} FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 04-1291 Address or location of unit: 4215 PAIUTE DRIVE, CONCOW Legal Description of Real Property: AP#: 058-210-174 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JESSE CECIL AND MELINDA CECIL Owner's address: 5728 PORCUPINE COURT, WEED CA INSIGNIA OR HUD NUMBER: 277917/8 SERIAL NUMBER OR V.I.N.: 3411A/B MANUFACTURER'S NAME: FAR WEST HOMES INC YEAR: 1984 OFFICIAL APPROVING INSTALLATION: 61,6//n/ DATE: 9/d--/0j- PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAJ1251 Manufacturer.ID/Name 09945 FAR WEST HOMES INC Trade Name FARWEST Model 24X53RL2BR DOM 02/16/1984 DFS 06/18/1985 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type. 3411A 277917 16,250 53' 12' 58 SFD LPT 3411B 277918 17,250 53' 12' Issued Total Fees Paid Jan 13, 2004 $92.00 ITY o ' e o e ' IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE 'DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3268275 01132004- 166 wj ; • RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 103866 -CC Title Order No. 00103866 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Jesse Cecil 1275 Leah Ct Oroville, CA 95965 Illllfllllllllllllllllllllllllllll '��Q53—�27f 3. 4 1 73 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 07 -Mar -2003 GRANT DEED SPACE I REC FEE 10.00 I TAX 52, I l I I Kathy 1 Page 1 of 2 The undersigned grantor(s) declare(s) Documentary transfer tax is $52.25 i X_ ] computed on_full_value-of-property-conveyed;-or-- ------ ,-------------------_--. [ I computed on full value less value of liens or encumbrances remaining at time of sate, — I X ) Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Kyle King, A Single Man hereby GRANT(S) to Jesse Cecil and Melinda Cecil, husband and wife, as Community Property with the Right of�" Survivorship the following described real property in the County of Butte, State of California: DATED: March 5, 2003 STATE OF CALIFORNIA ' COUNTY OF ON Mf�2cr� (or 2op�,4�E_ before me, bAl'+Itf A (' �.^� NQ -TA, -Ll personally appeared 1-1 m c, ---- personally known to me (or proved to me on the basis of satisfactory evidence) to be theperson(s)_whose_ names) 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, executeg,the instrument.. Witness Signature • CYNTHIA A. COSTA COMM. ,171279287 t'"ARY PUBLIC-CAUFORNtA COUNTY OF BUTTE Comm. Expires Oct. 30, 2004 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED y. f • ` NOTES ;_' • i _. RESIDENTIAL - PERMIT NO. _1058-210-1'74 04-129 i CECIL, JESSE&MELINDA ! �f PAIUTE DR, YANKEE HILL Cont: OWNER-- J NEW MH PERM FND NEW SITE A THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE RE INSPECTOR MUST RETIVE). _ --- (2) STATEMENT OF FACTS'(ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED / BY '1 SRA OOD CERTIFICATE REQ. �f FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS '4 VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I OFFICE COPY Address `IL) S PA i -V T -E, GAS 777 Meter B _ " a �, • Y =• - qDate ELECTRIC 'f f Meter By"''J�Date 1 6 A/�� as 3`i ► 66,,d 4 Da&�_ 0�,� I JOB FINALED (Date) r ( 2( Signature J=OK 0 = Not OK '-'NotReadyab% . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Tie Downs -Type -Installation Cert. 7. Well Clearance & Disconnect 11. 8. Utility Clearance Card B-1 Date . Q Card B-1 Date Card B-1 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- . Date Card B-1 y Date' PSR ENT END SYSTEM (ONLY) f -.-Zoning Reiluirements-Setbacks sements 2. Fo ` gs; Size -Spacing -Ma W ge Line 2. locking ,4. Gas; MH � errand -Valve (� Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1 ' Electricity; M_ H Tey- 4. 6. Water; MH 7. Water and Sew onnecte Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Gale tri ' ag d 6. xits k10. License Decals �~ Electric 11. Verify #'s -with Office 8. 1q9 ah uo Dated -y -C) and B-1 ate Card B-1 Date . Q Card B-1 Date Card B-1 «�Cf CAL a4 C A L t �-r q�Z 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 8-1 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 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 52. 6. Stemwalls, Garage; Steel- Bloc kouts-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/O -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. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 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 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 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 A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Clearance Looked under Floor 0 Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic 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 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 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/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: I 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. BP041291 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: 10/29/2004 APN: 058-210-174-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4215 PAIUTE DR CON Date: Contractor. Ma p Index: Description: NEW MH ON PERM FND(1272) OWNER43UILDER 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 Owner: CECIL, JESSE & MELINDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 5728 PORCUPINE 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 7000) of Division 3 of the Business and Professions Code) or that he or WEED, CA 96094 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).): ' F8 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: CECIL, JESSE & MELINDA Code: The Contractors' State License Law does not apply to an 5728 PORCUPINE CT 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 WEED, CA 96094 sale. If however, the building or improvements are sold within one 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and P ofessi s Code Date: -9`9V Owner: License #: WORKERS'C43611PENSATION 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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: 1272 S.F. Valuation: $82,680.00 Policy #: Census Code: Jd I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ Date: 1 2�7C. a 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 II�S�g9 �'�� 4 • Q 5��./O¢ code, interest, and attorney's fees. �i O(p 3 C+- 74 G S 4 - - CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Butte County Coda and/or I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for -which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) I- ( O, 29 . ok Name: By: GiCi Date: PERMPIRES ON: b' Z % ' O J5— 6) Address:1 Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 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 Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Imo` �J Print S eg e, e C! / Name: Signature: y L Date: to1-2-910,1 downer 13 Contractor ❑ Agent for Owner ❑ 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. BP oq 1 o --q/ NEAREST CROSS STREET Y TRACT/LOT g APPLICANT NAME: PHONE STREET ADDRESS: Ck.S a..hvv FAX CITY. ZIP: E-MAIL CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY. ZIP: E-MAIL' LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL DESCRIPTION OR SCOPE OF WORK: Mew ` o ome- L] Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) SNS L-0 ZM)-E> ---©. 2�' '�- L_ X 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:, ' 9t/. Notes:. _ : Asa . ev 3 Application Received Date: s�s� by: �� Receipt number:cjcy� Amount Recelved: 4f'.D ?3 -'� ----.a..- :ati7w�.�+-'u..r^'-�..o-y.�,y+^+--'.^-c:,.-+-rR.v�,.•G4^^„�-i".6:.+`'.rye%�{,:�`.�`•`w}d•'*R'y.r.r:-,,.:�.u''...'.'ti:.:�.4':��`rG.€s�..a.�' t" ..`�"[3G..i�r.-�I'i'v"'_ .,�,,,�--. �.-�.ra.. ". COUNTY OF BUTTE-DEPARTMENT`OF DE1IELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 15K -O I O Proposed Building Use: Counter Technician. "��Date: �� S hems required in order to apply for a pdrmit. All boxy MUSt be checked OR marked NA in older to apply. ` 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. , ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. n l •, , Yy,c� V)�( ❑ 6. Energy compliance design and supporting documentation in duplicate. 1" ' 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured home) Data sheets and installation inst, fe-) looran, (a) 'e 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers......................:.................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required...............................:........................................- 21. Fees as shown on the attached Schedule of Fees Due Sheet.....5�hwL..G.a 22. City of Chico Plumbing permit..................................................................... 23. California Department of Forestry plan approva 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 ................................................... ... ❑ee Restriction .............................................. 17' . Grant De M.H. tie/Statement of Fact�e er from Leggy Own beck to H.C.D. $ 38. the 39. Other: 1 -� r lr rr`Yl/G/es Whe is ued elephone Gi � C �..-(„ and hold for pickup. A a,t l� � `1 I have formed �f th�e��oJe items and requirements for obtaining a building permit. Applicant: /7 !r i r 1. Index permit application for the above items numbered: 2. Additional items re f r S i7 Contractor, designe , n as advised of t e above data by phone, ❑ mail, ❑ cc Contractor, designer own as advised of thea ve to by gone, ❑mail, ❑ cc Plans reviewed by: Date: ' OD Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division 2a�q ';Z 7-04 pp - \� E.H. USE ONLY • —� �c Plot Plan AnachaA "; Roos P%n Ansch®a\ Sona to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance .ass I Owner Location AP# Plan Approved for: Sewage Disposai"� _ Water Supply; Public Private Well l Clearance for dwelling. Other 12-1 Hold :final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE A.P. # DATE V RECEIPT # D&T REC. 1. BUILDING PERMIT FEES � --- Balance Due ..................... $ � r7 q, 6 11te -3 1. --- Additional Fees Due........ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES iLAi i K-4'7 (paid at School District Office) (form ava'lable�fter Plan k) �/ 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. Fig. 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 ` "'OU (paid at Building Division) ►sa� �Y 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. 0.OTHER SM P 9, o-27 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 DATE, D� 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) School District A.P. Number Property Owner I , Property Location/Address BUTTE COUNTY SCHOOLS IMPACT'E CERTIFICATION FORM E (One fo 100�,-lng) Jurisdiction: city I Building Department No. County Subdivision Lot No. .................. . ........................................... . .................................. Residential Development Q Q Q Sq. Footage 7 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) .................... ! ................................................... 1 ............................. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (including Exterior Roofed Areas) X4-6,11 Date District Identification No. 0!5 00 17 School District certifies that CQSS P- f Q I Yl 4 (Applicant) - P,>, �V1 (Street Address) I — 1 1 has complied with the requirements of Resolution No. representing School District square feet. Paid. by Check # 433 S Remarks: (Phone Number) (state) (Zip Code) / 0 -5-- � D by payineint of $ OLI-7. q OIL FULL 2926 $ MMGATIOM $ - 1 -7 Date Nods : You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Governrnent Code Section 66020(a), wMn 90 days from the date fan are paid. Failure to submit a timely written protest will'prohlbit you from chellstWng it* Imposition of the fan In any court action, K. adne,*sert to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notifiedbytit applicable Local Planning Agency that aft project Is being rwlownd under the California Environmental Quality Act (CEQA), this project may be subject to additional school fen to fully nAlgate.ft Impact on tit act" diertrIdIs edmm". White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dm.m i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 INI ill 111 l 1111 l 111 l 1111 l 11111 11 11 21004-0066664 Recorded Official Records I REC FEE 10.00 I COPIES County Of 2.50 I BUTTE I CAME J. GRUBBS. I Recorder I ROSEMARY DIMSON i Assistant I Mark 03:40PM 29-0ct-2004 I Page 1 of P 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 011 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: See, cz'I'I-Ach e � Date PROPERTY OWNERS: MIAR H WJl /(ills= -` - - Z Le_ State of Calornia County of bvJ& On S -5 -ZOO / before me, J/ I ,ZC Pwr-S I-C.a L eatu er , "oTcary AVLbIit personally appeared /t'I c [, �•-ch /�1, Cc c� r l p}}y --ttnewa-ia-me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) i0m subscribed to the within instrument and acknowledged to me that-im/sheAbW executed the same in4ti /her/their authorized capacity4es), and that by4iis/her/their signature(s) on the instrument, the persons or the entity upon behalf of which the person(*) acted, executed the instrument. WITNESS my ha d and official seal. Signatur Seal:IAMESIAMO '" COMM. 41177145 NOTARY �l / PUBLICPUBLIC='CALIFORNIA A.P. # ��/ /0-17 BUTTE COUtftY 7 J4.. Comm. Expires Sept'2% 2006,• j���W w----4%,Wrs» 11 3.3.1 A t bebmoa9y, lb -1 Mllilu �Ytrto oj 1Lie ltidittW A SJHd"W ! ""hold YHAK-fau 1 tryst, 3 3rtsraizaH to 9p44 ! #66-tou-e MJ4 kLu 4 ►132V!?X RAP, AJ Z NIAL a a8 M£ S; .�r MOD �. r IdR0T,'A3 DU"M Y'RATCA v v7Huo3 31 Tt1$� w N_ EXHIBIT "ONE" PARCEL I: Order No. 103866 Parcel 4, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Page(s) 36 and 37. PARCEL 11: A right of way for road and public utility purposes over Paiute Drive, a 60 foot roadway, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of _.gutte,..State..of.._California,.-on--December-22; 1-986; in Book 105 -of -Maps,- at-Page(s)"41: - EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. PARCEL III: An easement 60 feet wide for road and public utilities purposes on, over and under -a strip of land lying 30 feet on each side of the following described centerline: COMMENCING at the Southwest corner of the Northeast one quarter of said Section 35; thence along the South line of said Northeast one quarter, North 88°45'17"East, 399.59 feet; thence leaving said South line, South 25°08'58" West, 210.90 feet to the true point of beginning for the herein described centerline, said point being in the center of a cul-de-sac having a radius of 60 feet; thence along said centerline south 42°27'56" West, 215.90 feet; thence South 56 ° 16'55" West, 250.79 feet; thence South 740 13'53" West, 239.46 feet; thence North 06°42'07" West, 267.41 feet; thence North 02°38'25" West, 82.30 feet to the centerline of Paiute Drive, an existing 60 foot wide easement as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, in Book 105 of Maps, at Page(s) 41. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described herein. PARCEL IV: A 60 foot non-exclusive right of way and public utility easement over Paiute Drive, as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Page(s) 36 and 37. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, described .herein. Assessor's Parcel No: 058-210-174 2 5,k Z - A4 SO APPR6 Ct Butte Coun 1 E, vironmental h a 71eaft Skgnawfe National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREl Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board, and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: n ► AD r Date: 5--v2-{ 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. I..I personally plan to provide the major labor and materials for construction of the proposed J properly improvement: YES X NO ❑ 2 I HAVE D HAVE NOTXsigned an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: ADDRESS . PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE:_ ,5 S — 0 L� NOT' This Owner -Builder Verifkation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification mast be completed and returned to our office before we are permitted to issue the permit. OVER r,. I OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -budder" you are the responsible party ofrecord on such a permit. Budding 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 time proper permit in his or her name. Contractors are repaired by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 Ifyou employ or otherwise engage any persons other than your immediate fey, and the work (mchxUng materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wOEkers compensation insurance, disability insurance costs, and unemployment compensation contributions, a 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 infon nation about your obligations under Federal Law, contract the Internal Rev=m Service (and, if you wish, the U.S. Small Business ). For more specific information about your obligations under Slate Law, contact the Departmemt 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 wort- 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 budder" building Penn% Woneously 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 tors may be obtained by contracting the Contractors State License Board in your commumity or at 102014 Street Sacramento, CA. 95814. Please complete the "Owner Burda Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building paw will not be issued until the verification is returne& lY, lull I C. Nr ira, C.B.O. Budding Inspection NOTE: T Isis 0wner-Bu"4rAf0rmation is required by Section 19930 of the California Health and Safety Code OVER Building Permit Number: O q -10-q C Owner Name: 006 I Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechaiucal Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: 00 -CA I Parcel lies within the. State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 04 - q� The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of :�50 feet from the side and Aa- feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. . Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. SiUv� cn s, w V� U r ciii ! I� \ � t BUTTE COUNT r111,1116ILDING DEP V f �h AP �s X,3 T Bu o ' iro eealth _A I 1� r- SiUv� cn s, w V� U r ciii ! I� \ � t BUTTE COUNT r111,1116ILDING DEP V f �h AP �s X,3 T Bu o ' iro eealth _A I v � r g� SiUv� cn s, w V� U r ciii ! I� \ � t BUTTE COUNT r111,1116ILDING DEP V f �h AP �s X,3 T Bu o ' iro eealth _A I 1. Owner.'s,�Name: , c• E'<S-,2 and ` P:L' 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[A' No[4 Permit -No. 5: Is the site an existing site? YesNo[i� (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome..l.0 Amperes. 7. What is the mobilehome site circuit breaker rating? 0(9 Aiimperes 8. What is the electrical rating of the mobilehome site? 000 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Now If it is, what is �. the rating? Amperes. 10. Isthereany other electric load to be served by the mobilehome site _electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes- 3 (� b) The main service: Load- Amperes - .11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of gas pipe . at the mobilehome site from the meter or tank: 3 inches. r 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION P, i ' a. TMi r. y -' 4.h 0 May 1995 8.5 Mobilehome Manufacturer: �����% �� T Manufacture Year: 9 gl_z If other than single wide, furnish Setup Model Number:- Y63 P L -R Width:,&�L_(ft.) Length: (ft.) Tagalong or Expando Size ' . (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[vl'/Other: SUPPORTS: Concrete block[4'Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 01 Line 2 Line 2 ................................................................................................ Main Beams Line2...............................................................................:................ e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line 1 ..................................... ... ine S Tag or Triple ine 4 ine 1 ■ �nummum: Line'1 Openings r lxrSize minimum: [ I a ] x 136) ]. Spacing maximum: Each side of openings From ends -maximum] with width over: Q ` Line 2 Piers: Line 4 Piers: Size minimum: lag ] x [3G]. Size minimum: [ ] x [ ]. Spacing maximum: I L ` 0 Spacing maximum: ` From ends -maximum: a From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): �Co K U f{—LL f) TT ---7z I Ole— r, Line 5 Roof Loads: Size minimum: Location (from,,front)�.� ,�. I .,F , . t ��, ; OVER 2'x 2"x 3/16' 3/8' CAD PLATED BOLT, NUT R WASHER STEEL' ANGLE COUNTER BORED FLUSH WITH B07. AT 8" O.C. ;8) REQUIRED 1/4" STAND BASE." ABESCO ABS PAD P503 DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE�P (2) REQUIRED -1/4- GR;PPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS "- (4) REQUIRED 01'111" SCH 40 PIPE RISER WITH 91/2- ADJUSTER HOLES AND 3/8" THICK TOP PLATE :02n SCi 40 PIPE STAND WITH TWO 0.1/2' ADJUSTER HOLES y .,)ABESCO ABS PAD #503 --� rSTEEL FRAME 3 . � SEE'4DETA11 m 36" MAX ,TO BOTTOM OF PAD 01/2'x ;3" C.R. LOC)! PIN WRH 01/8" BRIDGE ° - PIN s 10.00 COACH 'C" FRAME 2" CHANNEL TEK. STS •(2) REQUIRED 1/4- GRIPPER - BASE 1/2' A307 BOLT - (2) REQUIRED 3/8"x 6'x 6' - STEEL PLATE 1/2' A307 BOLT - (2) REQUIRED 1.0.00-1 og/16 HOLE (TYP) STAND - BASE TOP VIEW $Std; TUF-1 PERMANENT FOUNDATION SYSTEM ASESCO-GUS GUARD COMPANY 5851 FLORIN- PERKINS ROAD SACRAMENTO, CA 95823 PFI: (800) 382-8831 FAX: (916) 383-5207 GRIPPER 'LATE ATTACHMENT .COACH "J" FRA11E a TEK STS (4) REQUIRED 1/4- GRIPPER BASE 1/2" A507 BOLT (4) REQUIRED J—SEAM ATTACHMENT CD N CD N m G) A M w 00 LD m w 00 w Ln N m 30" STEEL FRAME ao ' TOP VIEW STATE APPROVAL H C7 z a o 1 v RF V a S° c z I ly rI 1 rn s i CD f WAYNE T. POLVADO, PE—LISTING NO. F94249 sHEET 1 of 3 t6_ FOUNDATION 91.005 16'x 16'x1Y ?OURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS OISCRETION ALTERNATIVE TO PADS. SINGLE WIDE '-OACHES DOUELE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. £= 2' MIN. / 11 LAX_ S= 6' MIN. /16' MAX. S= 6' MIN. / 22 MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S 5 S E u t u n a RIOG£ BEAM SUPPORT AS REQUIRED BY MANUFACTURER I—i (TYPICAL)El a ❑ 0 8' M. . 2' NOM. PADS IN ANY PAIR MAY BE 1 STANDARD M.H. FOUNDATION- ROTATED OUNDATION-ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY OFFSiT TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. 1'PICAL THROUGHOUT vi .7 'fx. REQULRED. ANCHOR STAND TO C{NCRETESLAB WITH TUF-1 PERMANENT - FOUR (4) 1/2'x 3 1/2- EXPANSION ANCHORS FOUNDATION SYSTEM '1 IS. GUS GUARD TUF-i FOUNDATION SYSTEM PROVIDS ALLOWABLE SNOW LOAD TO 100 FSF WHEN INSTALLED AUE.SCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED 3Y COACH 5851 FWPJN - FERKINS ROAD WANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. SACRAMENTO, CA 95823 PH: (BOO) 382-8831 FAX: (916) 383-5207 V frim■ PVC SERIES SUPP RT PAD TTP) m N CD N CD CD A CD r w 00 LO N cn w m Lo Ln N CS) D m n 0 STATE APPROVAL N Z n. a O < A y d ouo V O g`8 Z - g m ai CD N WAYNE T. POL.VADO, PE -LISTING NO. F94249 SHEET 2 of 3 w GENERAL DOTES GUS GUARD TUF-1 1. DESIGN LOADS: - LIVE LOAD - 30 LB_ FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXFOSURE 'C” SEISMIC ZONE '4' * SNOW LOAD IGO PSF (SEE NOTE #IS) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EKISTING SOIL PROBLEMS. S. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LCADS AS SHOWN IN THE 'MOBILE HOME INSTALATION INSTRUCTIONS". 4. IV AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MIANUFAC'.UREO HOME SHALL BE READJUSTED WHEN DS EXCEEDS 114'. OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOVE UNIT. 5. CARRY ALL FOOTINGS DOWN. TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPAIIBLE WMTA LOCAL SOIL CONDITIONS. COMPACTED SAND NAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEL: FABRICATED ACCORDNG TO AISC SPECIFICATION. WELD ACCORDING TO AV15 SPECIFICATIONS. ELECTRODES -370 'LATES-ASTM 036 BOLTS -SAE G? S=ASTM A449=ASTIR A3725, 7_ THE GUS GUARD ASSEMBLES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED EY BSK AVD ASSOCIATES FOR THE FOLLOWING LOAD& ALLONABLE LOADS: HORLZONTAL VERTICAL GUS GUARD TUF-1 22001 6000E GUS GUARD MGP PAD 2200# 6000f GUS GUARD E -Z TIE PAD 2200f 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT. MOBILE TOME CHASSIS BEAMS AR= OF STANDARD SECTION, 9. EXISTING COACHES MAY Bi RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD 7UF-1 UNITS AS S3WWN ON THIS PAGE OF TYPICAL FOUNDATON PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD /LAW AREAS WHERE DEPTH OF FLOODING TOES NOT EXCEED THE HEIGHT 4F THREE FEET. ,tit 1. MULTIPLE KNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SH01YN REQUIRED PER EACH UNIT. —_12. SD'IGLE-WOE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET 113. ALL METAL COMPONENTS AND ATTACHMENTS REPS SHALL BE PROTEETTVE COATED. Y 1 +�14. WHEN CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT t6_ FOUNDATION 91.005 16'x 16'x1Y ?OURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS OISCRETION ALTERNATIVE TO PADS. SINGLE WIDE '-OACHES DOUELE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. £= 2' MIN. / 11 LAX_ S= 6' MIN. /16' MAX. S= 6' MIN. / 22 MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E S 5 S E u t u n a RIOG£ BEAM SUPPORT AS REQUIRED BY MANUFACTURER I—i (TYPICAL)El a ❑ 0 8' M. . 2' NOM. PADS IN ANY PAIR MAY BE 1 STANDARD M.H. FOUNDATION- ROTATED OUNDATION-ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY OFFSiT TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. 1'PICAL THROUGHOUT vi .7 'fx. REQULRED. ANCHOR STAND TO C{NCRETESLAB WITH TUF-1 PERMANENT - FOUR (4) 1/2'x 3 1/2- EXPANSION ANCHORS FOUNDATION SYSTEM '1 IS. GUS GUARD TUF-i FOUNDATION SYSTEM PROVIDS ALLOWABLE SNOW LOAD TO 100 FSF WHEN INSTALLED AUE.SCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED 3Y COACH 5851 FWPJN - FERKINS ROAD WANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. SACRAMENTO, CA 95823 PH: (BOO) 382-8831 FAX: (916) 383-5207 V frim■ PVC SERIES SUPP RT PAD TTP) m N CD N CD CD A CD r w 00 LO N cn w m Lo Ln N CS) D m n 0 STATE APPROVAL N Z n. a O < A y d ouo V O g`8 Z - g m ai CD N WAYNE T. POL.VADO, PE -LISTING NO. F94249 SHEET 2 of 3 w 1/2'x 3 1/2" - EXPANSION ANCHOR (4) REQUIRED 3,14" DIA. x 13" LC - 1/2'x 8- LONG (4) REQUIRED ANCHOR BCLT 3/8- CAD PLATED BOLT, NUT aQ WASHERy C4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED CCNCRETE PAD INSTALLATION 1 CHASSIS FRAME POURED PLACE l6x`16�'2CONCRETE at^•"iii �l"� '���r111 • 11^•r FOUNDATION INSTALLATION 'tlj[1�1�LjLli1fY Zi1s��� =ildll� LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION .t. Q 1 1/4 GRIPPER PLATE 40 1'• (2} REQUIRED-.._ - - 1/4" GRIPPER BASE — 1/2-13UNC-A307`x 4- BOLT.'MTH NUTS f , (4) REQWIEO x� _7k tiM s xst�lfr'SCH 40 PIPE RISER WITH r"- !1/2 :ADJUSTER HOLM AND 3/8' , 'TH= TOP,. PLATE ' -r -'- --•tom ?- 2�: 7,,-02'-:40SCHPIPE STAIID. WITI• TWO !t . AEUUSTER HOLES ABESCO.ABS PAD #503 0 'i STEEL FRAME C. w a 37- Do Z 18 1 TO BOTTOM t OF PAD• - 01/2-x 3- C -R - LENGTH OF HOME 24 VADTH OF HOME 2W I 2B 144 044 •8 B 1 H 1 12 44-1 Sa 66'1 12--1 12 12 1 18 6e -f' to 801 20 1 201 20 t ?A.1 OF WIC C9 N m N CS) M p am w OD OF HOME wv ' G 6 - 8 8 , 10. t0 LOCK PIN WITH M• NUMBER OF TUF-1 REQUIRED : NUMBER .OF TUF 1 REOWRED h •'4 ; 01/8" BRIDGE :. t. '• .r1,•i »•! . . M. K.> •, - r r r. PIN - COTE. SINGLE •IMIDE UNITS REQUIRE 4 E -Z TIE PADS. CUS'GUARD.TUfml.'PIERS ARE x f TO -BE PLACED AT APPROXIMATELY EQUAL INTERVALS AL13140 EACH FRAME: RAIL may-" - - ` _.• .. - '!fit• s.j -�. I i O • -� ����� . STAGE-APPROVA.'z ' _ b t" • tfi fe n N t TUF-1 PERMANENT F� $ z FOUNDATION SYSTEM x ABF.5C0-GUS GUAMCOM'ANY � � 3 5851 n cm - PERYdNS ROAD A ry SACRAME LPO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 e -D D m CS) ., Al ' I CDF FIRE SA&'E REQUIREMENTS ST -)-4 0 -7 OL(I r- - � 1 72,45 � AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates IN 1. Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal. to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 ' 1r • AN PERMIT # • Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves A.ME [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat • Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 NOTES RESIDENTIAL PERMIT NO. 058-210-174 04-2445 �-° i CECIL, JESSE i PANTE DR, YANKEE HILL I4 Cont' FOX COMPANY FIRE -SPRINKLERS 9., f 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) Signature ° o J=OK 0 = Not OK Not . NotReadyabte 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 Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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. Roof; Shthg-Roofing 10. Exits; Insp.-Sketch Ext.; Steps -Doors -Landings 11. Cert. of Occupancy Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Blocking Elec.; Receptacles and Lighting, Distance-GFI 4. Gas; MH Test -Demand -Valve Elec.; Pool Lighting; 15 Volts-GFI 5. Electricity; MH Test Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 8. Gas and Electricity Tagged Health Department Approval 9. Exits Plumb.; Cir. Test -Water Supply Test 10. License Decals Light Niche 11. Verify #'s with Office Enclosure; Fencing -Alarms Date Date Card B-1 Date Card B-1 Date 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 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 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/O -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. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; 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 Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 O 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 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date 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 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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted ,96"Fire Sprinkler Date ^c, j Card B-1 �,J7-- 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. BP042446 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: 11/01/2004 APN: 058-210-174-000 the Business and Professions Code, and my license is in full force and effect. License Class: C7-/6 License Number: ?zG Site Address: 4215 PAIUTE DR CON Date: Contractor. Map Index: Description: FIRE SPRINKLERSFOR BP 04-1291 OWNER -BUILDER DECLARATION 1 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 Owner: CECIL JESSE &MELINDA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 5728 PORCUPINE CT signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or WEED, CA 96094 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: CECIL, JESSE & MELINDA 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 pffered for sale. If however, the building or improvements are sold within one 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 Contractor: FOX COMPANY not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3995 OLIVE HWY OROVILLE, CA 95966 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-533-2730 Date: Owner: License #: 305365 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 self4nsure 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. Engineer: I have and will maintain workers' compensation insurance, as 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: Cartier rcwy Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 2 740 Unl 23 ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure r ers' 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. ], 3 - — CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This perm)l't is ereb sued under the applicable provisions of the Butte County CodR anrVo Resolu 'ods t ork indi ted ab ve for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) I . G Name: BY Data - Address: PERMIT EXPIRE ON 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 & 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 fficial form or d ment of Butte County. I hereby authorize representatives of Butte County to enter upon the mentioned property for inspection purposes. above Print Name: Signature: Date: �� �//� ❑ Owner Contractor 13 Agent for Owner 13 Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 1 PERMIT APPLICATION DATA SHEET Q - , l OWNER: 1 t ASSESSOR PARCEL NU 5y ER CJ ' G a.` i Proposed Building Use: 1/ \- // t ) Counter Technician: Date: Items required in order to apply for a permi� All boxes MUST be -checked OR marked NA in orde to apply. / ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 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. 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:, U When issued Telephone ' and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ,�1 /Je-.� / A .Ev( Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner advised of the above data by ❑ phone, ❑ mail, ❑ count r by Date: Plans reviewed by: _ e Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division FOX Compaiqy 3995 Olive Highway, Oroville CA 95966 916-533 2730 / 916-533-1825 FAQ, Lie. #305365 C-10, C=16, C-20, C-36, C-43 Water Source Pump and Holding Tank I _ I CA. LCULAT IONS 2 _ BOO S TER PUMP 3_ PRE S S URE I SW I TCH 4 _ TANK F I L.L CONTROL 5 _ 2 POLE FLOW SWITCH 13U TTE COON 1VY G _ ALARM BELL AuILDING DEPAR M #tPPROV.f 7 _ HOLD I NG TANK �O� GOMpq�L y s ro py' 16 IFORNIA * 7�C ICENSENO . 3053 ��lFCTION �� R1=SIDE.NTIAL. FI RE S[�RINICL[=R SYSTEM DESIGN BY FOX COMPANY C--16. [_IC. a# 3053' 5 PEF\ REQUIREMENTS OF NEPA 13D, 2002 EDITION JESSE CECIL CECIL HOME 5728 PORCUPINE: CT. AP058-210-174 WEED CA. 96094 PAIUTE DR. YANKEE HIL...I.._ CALCULATED FOR 2 HEADS 6/17/04 WATER SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL..VALVE MAIN SECTION EQUIV.FT. I--1/2' ' PIPE _ 100 FT. 1 GATE VALVE = 2 FT. 1 CHECK VALVE = 6 FT. 2 ELBOWS = 18 FT. 5 COUPLINGS = 5 FT. 0 TEES (RUN) = 0. FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 131 FT. X .0178 DEDUCT HEAD LOSS FOR ELEVATION ( 15 FT. X 0.434 ) DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. 1'' PIPE = 70 "FT.. B ELBOWS = 56 FT. 0 COUPLINGS = 0 FT.. 4 TEES (RUN) = 4 FT. 2 TEES '(BRANCH) = 10 FT. TOTALS = 1.40 FT. X 1067 2.33 6.51 —•14.94 45 42.67 36.16 .2.1.22 BRAND OF HEADS = TYCO LF—II G.P.M. — P.S.I. CONVERSION FORMULP K•FACTOR OF HEADS USED = 4.9 (C.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT FEET CALCULATED @ 2 HEAD 2 HEAD -= 26 G„P.11. FLOW ( 13 G.P.M.-EA.) FRICTION LOSS `C' FACTOR = 150 MINIMUM PRESSURE REQUIRED. = 7.04 P.. S, I. PRESSUREAVAILABLE .IN SYSTEM = 2.1...2._2 P. S. I,. r RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C--16 l...IC. lf 305365 PER REQUIREMENTS OF NFPA 13D, 2002 EDITION JESSE CECIL CECIL HOME 5728 PORCUPINE CT. AP058-210--174 WEED CA. 96094 PAIUTE DR. YANKEE HII..l.... CALCULATED FOR 1 HEADS 6/17/04 WATER SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK 45 DEDUCT PRESSURE {-OSS FROM SOURCE TO SPRINKLER. CONTROL ,_VALVE MAIN SECTION EQUIV.FT. I 1/2" PIPE = 100 FT. 1 GATE VALVE = 2 FT. 1 CHECK VALVE = 6 FT. 2 ELBOWS = 18 FT. 5 COUPLINGS = 5 FT. 0 TEES (RUN) 0 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 131 FT: X .0049 - 07.64 44.36 DEDUCT HEAD LOSS FOR ELEVATION ( 15 FT. X 0.434 ) - 6.51 37.85 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. 1'' PIPE = 70. FT. 8 ELBOWS = 56 FT. 0 COUPLINGS = 0 'FT. 4 TEES (RUN) = 4 FT. - 2 TEES (BRANCH) = 10 FT. TOTALS = 1.40 FT. X .0296 - 4.14 33.70 BRAND OF HEADS = TYCO LF -II G.P.M. - P.S.I. CONVERSION FORMUL...A K FACTOR OF HEADS USED = 4.9 (G.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT•FEET CALCULATED @ 1 HEAD 1 HEAD 1.3 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOS3S `C' FACTOR = 150 MINIMUM PRESSURE REQUIRED = 7.04 P.S.I, PRESSURE AVAILABLE IN SYSTEM _ 33.70 P,.S.I.. Gould 1. COOf IRRI-GATORT't O 8 J''\\114 3GT_ �7 .I 12 10 •r � \��,• x_1011 . a ' ®� 2 1 COMPONENTS.. .. DIMENSIONS AND WEIGHTS Item -No. De;crl tion.. ' ' Suction Lift GT20 Model Model '3 • "~ Seal ring ='diffuser': 4 Diaphragm 5 Machine screw 6 Diffuser 7 Impeller 8 Mechanical seal 9 Foot 10 Boll —foot to adapter 11 1 Motor adapter 12 Bolt — casing to adapter 13 Bolt — adapter to motor 14 Deflector PERFORMANCE RATINGS .Model. PSI Suction Lift GT20 Model Model Disch. In Feet GT153 GT203 Pressure 5 10 15 20 25 •'/� ., ' 20 44 41 36 31 24 GT07/ 30 34 31 26 22 14 :3 49th,- ?/e 20'/,e 40 104'0 0 0 20%e 20 53 51 49 46 41 GT10/ 30 43 41 38 36 32 GT103 40 29 22 16 8 0 Height 20 63 59 54 49 39 GT153 . 30 60 55 51 46 37 GT153 . 40 45 38 33 20 14 65 76 20 86 77 70 59 46 GT203 30 80 44GT20340 Single 65 43 t.67 05 60 GT30/ 30 ' 92 57 GT303 ,40' 73 50 .Model. GT07 . GT10 : :GT15 I GT20 I GT30 CT073 GT103 GT153 GT203 GT303 i ::;HP,,.:.:.. •'/� ., ' : ':1._ . . '1'/:: 2 3 % 1 1'r4 2 :3 49th,- ?/e 20'/,e %n 21' 19 193 20%e 20"/e 21'/re "``: Width ...... - . 8'b Height gy, Wt. (Ibs.),j 48 52 60 65 76 49 52 55 1 69 71 Phase I Single Three .(All dimensions are in inches and weights in lbs. Do not use for construction purposes.) /-1'/:' NPT DISCHARGE 1.'/i SUCTION P=RFORMANCE CURVE METERS 40l FEET 0 -Performance ratings arQ in GPM. 1 GoUL S PUMPS MT:Endus9trban Pill 80 1-- 20f 0 10 20 30 40 50 60 70 80 90 100 110 120 U.S. GPM 0 5 10 15 20 25 m3/hr. GRLL01'.IS PER MINUTE (0) Single and three phase have same perlorrnance. Water Technologies Seneca Falls, NY 13140 SPECIFICATIONS AFlE SUBJECT TO CHANGE WITHOUT NOTICE. PHINI ED IN U.S.A JUNE, 1980 Supersedes page P3 PUMPTROLC PRESSURE SWITCHES �. Dated 3/76 TYPE FSG ' 1 MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. ` The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off feature aids in preserving the life of the pump. When pressure in the system drops to approximately 10 P.S.I. below the set cut -in point for any reason, such as a low water condition, the switch will open to tum off the pump.* When the condition has been relieved, the manual lever is tamed to the start position and, if pressure is restored while holding there, the switch resumes normal operation.. F_w ' The Form M4 manual lever also has an off position for com- plete pump shutdown. -_ IMPORTANT: The cut -in point must not be set lower than 19 P.S.I.; consequently, the cut-out point on rising pressure must ' not be lower than 30 P.S.I. :: Electrical Ra tutgs — See preceding page. � 1 NOTE: Form M4 is not available on FYG types. *Example: Switch set 20-40. low water cut-out = 10 a TYPe PPrOX. FSG. Form G5 Mn (shovnng Compnation of Pitot Ught and Low Pressure Cut oh MWihcau0n5) Switch set 30-50. low water cut-out = 20 approx Switch set 40-60. low water cut -cwt = It; appf ox Z F= z 01 a 0 0 0 m FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES 3.93 100 W KE R�Me.I r law soutaaeD corwPatvr ^. C28 1.59 40 SWING RADIUS IS 225 IN. Typo FS1_-2.r-orm w UNDERWRITERS LABORATORIES LISTED 2.78 71 .l i 2.05 1 1.39 52 35 Dial Dim„n�„..: IIi(.r;C Manufacturers of Pumps and Supplies---- l�' Q 2081 Frontier TraJ PIPE, VALVES & FITTIN Anderson. CA 96007 (916) 365-255-n Sheet No. 1211 ATI nt L�Efreclive-�! Supersedes -0-00 ORDER DESK: CALIFORNIA (800) 4.16.4800 N; TIC 1NAI 18001 2?'.! !,VS. FAC'SIAa!I.::: 1`.r1 L) 1 C, BALL FLOAT VALVES' VALVES ONLY ORDER NO. SIZE WEIGHT LB. LIST PRICE NET 1-10 NET 11 & UP R400-1/2 1/211 1 $23.10 $11.55 $10.78 R400-3/4 3/4" 1 29.74 14.87 13.88 R400-1 1"11111 1 46.80 23.40 21.84 R600-1-1/4 1-1/4" 1 107.14 53.57 50.00 R600-1-1/2 1-1/2" 4 107.14 5.1.57 I 50.00 R610-2 2" 3 113.90 56.95 53.16 COPPER FLOATS ORDER__] SIZE WEIGHT LIST NET .NET NO. PRICE 1-10 I 11 & UP R440-5 S"V4ffairia 1 S24.58 Si 2'.20 ! S11.47 R440-6 I 6" 1 28.80 14.401 13.44 *R440-8 8" 1 I 79.83 :30.031 :37.27 *FOR THRU-HOLE ADD 40% TO NEI POLYPROPYLENE • 'FLOATS ORDER SIZE WEIGHT LIST NET NET NO. PRICE 1-10 11 & UP PFS ' 5" 1 59.32 S4.66 54.35 PF6 6" 1 , 11.02 5.51 5.14 *PF8 8" 1 12.92 6.46 6.03 * FOR THRU-HOLE ADD S4.03 EACH TO NET I t. PSI -z�r=FG;r.P400 VALVE VX r ALL PRICES AND SPECIFICATIONS ARE SUI31r.C1 TO CHANGE. WITt l;)U! r•:�)IICI . I .i t,li. >I I!i i'i .r • I :>!':! I1AYS PUMPS INC. 1990E INTI l PRLS,�URLS i .�.E. 125 105 85 65 ! VALVE GALLONS PER MINUTE G.P.M. 8400-1/2" 36.0 30.2 25.8 I 22.7 :'f'.£4 I I 16.r1 - -77 i 8400-3/4.. 64.3 56.:i I 47.1 R400-1 82.5 76.4 I 69.11 i r.. I ;°• :?5.. R600 ALL 160. SIZES I R(i10 267. 241. I 2.1 £i. I 193. I -I U. ! ,r !t• ALL PRICES AND SPECIFICATIONS ARE SUI31r.C1 TO CHANGE. WITt l;)U! r•:�)IICI . I .i t,li. >I I!i i'i .r • I :>!':! I1AYS PUMPS INC. 1990E VSR-Sl POR SMALL PIPE VANE TYPE WATERFLOW ALARM SWITCH WITH RETARD ,~ potter Electric Signal Company potter Electric Signal & Mfg. LTD 2081 Graig Road m P.O. Sox 28480 1987 Leslie Street St. Louis, MO 63146-4161 Don Mills, Ontario, Cahada M3132M3 (314) 878.4321 6 (800) 325.3936 (416) 441-1833 STK. NO. 1113000 to U.S. PAT. NO, 3921989, CANADIAN PAT, NO. 1009680 OTHER PATENTS PENDING. UL, ULC, CBFM LISTED and NYMEA ACCEPTED Service Pressure: Up to 250 PSI Minimum Flow Rats for Alarm: 10012M Maximum Surge: 18 FPS Enetosure: Die-cast, red enamel finish. Cover held In place wtth tamper resistant saaws Contact Ratings: Two seta of SPDT (Form C) 15.0 Amps at 123/250 VAC 2.0 Amps at 0-30 VDC Conduit Entrances: Two Knockouts provided for 12' conduct Usage: Usted Plastic, Copper and Schedule 40 Iron 130o Fits pipe sizes - 1', 1 1/4', and 1 1/2' Note: 8 paddles are Itrmished wfth each unit one for each pipe size of threaded or aweat TEE, one for 1' CPVC, and one for 1 1/2' polybutylene (CTS -Copper tubing size) Environmental Specifications: Suitable for Indoor or outdoor use with factory Installed gasket and die -oast housing NEMA 4 Rated Enclosure • use with appropriate conduit fitting Temperature Range: 40° F/120° F (4.5° 014V C) Caution: This device is not Intended for appik:ations In exploalve environments Service Use: Automatic Sprinkler NFPA-13 One or two family dwelling NFPA•13D Realdendal occupancy up to four stories NFPA-13R National Fire Alarm Code NFPA-72 optional: Cover Tamper Switch, order Stk. No. 0090018 The Model V8R-SF la a vane type wataftw switch for use on wet sprinkler The vane must not rub the Inside of the TEE or bind In any way. The stern systems that use 1', 1 1/4', or 1 112' pipe size. The unit may also be used should move freely when operated by hand. as a sections) waterflow detector on large systems. The device can also be used in copper or plastic pipe Installatkxu with the The unit contains`two single .pole double throw snap action switches and proper adapters so that the specified TEE ftttfrlq may be Insts1W on the an ad)ustable pneumatic retard. The switches are actuated when a flow of pipe run. 10 gallon$ per minute or mora occurs downstream of the device. The flow . condition must exist for a psrlod of time necessary to overcome the INSPECTION AND TESTINQ: Check the operation of the unit by opening *elected retard pedod. , I the Inspector' teat valve at the end of the sprinkle► line or the drain and test oonneetlon, If an Inspector's test valve Is not provided. INSTALUITFON: Those devices may be mounted In horizontal or vertical pipe. On horizontal pipe they should be Installed on the top side of the pipe where they vAl be .ccessible. The units should not be Installed within 8' of &valve, drain or fitting w Och changes the direction of thewaterfiow. The unit has a 1' NPT bushing for threading Into a noncorroslve TEE, See Fig, 2 for proper TEE size, type and Installation. Screwthe device Into tho TEE tatting as shown In Fig. 2. Care mustbetaken to properly orient the device for the direction of waterflow. If there are no provisions for testing the operation of the flow detection device on the system, epplicabw of the VSR-SF Is not reeofnirm6nded or advisable The h*quancy of the inspection and testing and its assocloted protective monitortng system should be In fcMdance with the applicable NFPA Codes and Standards endlor authority having )urtadictlon (manufacturer recommends quarterly or more frequently). CAUTION: There are 8 paddles furnished with each unit. These paddles have raised lettering that shows the pipe size and type of TEE that they are to be used with. The proper paddle m Aj be used. The screw that holds the paddle must be securely tightened. PRINTED W USA MKT, 041100003 - REV I - - PAGIF 1 of= 2 ups. t16400408.3108 BELLS (B,POTTER. PBA-AC & PBD -DC Potter Electric. Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd.,/P-O. Box 28480 1967 Leslie Street St. Louis, MO. 63146 Don Mills, Ontario, Canada M3B2M3 (314)878-4321 / (800) 325-3936 (416) 441-1833 UL LISTED, FM APPROVED 6" BELL SHOWN Sizes Available: 6", 8", and 10" 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 (outdoor use require weatherproof backbox) Termination: 4' No. 18 AWG stranded wires Finish: Red powder coating Optional: Model BBK-1 weatherproof backbox These vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power consumption and high decibel ratings. The unit mounts on a standard 4" square electrical box for indoor use, or on a model BBK-1 weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MOOEL NO. STOCK NO. CURRENT (MAX) TYPICAL dB ® 10 FT. MINIMUM dB @ 10 FT. 6 12VDC PBD126 1706012 .12A 85 75 8 12VDC PBD128 1708012 .12A 90 75 10 12VDC PBD1210 1710012 .12A 92 75 6 24VDC PBD246 1706024 .06A 87 75 8 24VDC PBD248 1708024 .06A 91 79 10 24VDC PBD2410 1710024 .06A 94 79 6 24VAC PBA246 1806024 .17A 91 75 8 24VAC PBA248 1808024 .17A 94 75 10 24VAC PBA2410 1810024 .17A 94 75 6 120VAC PBA1206 1806120 .05A 92 82 8 120VAC PBA1208 1808120 .05A 99 82 10 120VAC PBA12010 1810120 .05A 99 85 Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum d8 ratings are calculated from integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. UL temperature range is -301 to 150°F. I 2. Typical d8 ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in an actual installation. PRINTED IN USA MKT: #8850001- REV K PAGE 1 OF 2 MFG. #5400776 - 4/94 67 T co State of California n_,-, _ �•t Business, Transportation and Housing Agency Department of Housing and Community DevelopmentDivision of Codes and Standards k: ✓APPLICATION FOR: l0 `f' j� Ef Alteration/ConversionOApproval to Remanufacture ❑ Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. 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 the Business and Professions Code, and my license is in full force and effect. _ License Class (7/& Lic. No. .510 Exp':. Date l'O G Contractor / < 7/v f4 Date 8 1/ 04 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.51, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of. the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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 11, as owner of the property, or my employees with wages as their solo compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 improvement is sold within one 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 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profgssions Code: The Contractors 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 pursuant to the Contractors License Law.). I ( ) I am exempt under Sec. B. & P.C. for this reason: Owner Date 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: .I )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. X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wn k for which this permit is issued. My workers' compensation ii rance carrier and policy number are: Carrier✓�' T1/7Z' 1't1A,-"P policy Number ,2 72 vw 2.3 (This section need not be completed it the permit is for one un re dollars (8100) or less). I 1 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. Applicant Date WARNING: PE A I COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED' . THOUSAND DOLLARS (8100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIOti.3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.• r i 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representa iyes of this county to enter upon the above- entioned propert for, inspection purposes. //p, � I r Signature Ap ip ca t o,,Aen ! ate 41 YELLOW - SECTION 1 - UNIT INFORMATION 1/We are requesting services for the following unit(s): (Check Appropriate Box) W Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure ❑ Recreational Vehicle ❑ Commercial Coach (Occupancy Group I ❑ Special Purpose Commercial Coach Decal or License No. _�' 779//7 /Z 7 79/ Serial 0 Manufacturer Name Model Name Year of Manufacturer Insignia/HUD Label Number(s) 2 7 7 917 A77 9/ COL NO. FEE RECD IDI) DATE l` 0 L AA NO. J RT TO ii RT BY r SECTION 2 - OWNER/APPLICANT INFORMATION No. 93 S —Ozy6 Owner r���� ('/J 6�/L Telephonnee NNo. Address -7 72R 1P0NCy P .q4 `" r- City WET County Zip 260 T7 Location of Unit if Different Than Above �® OS� �2/O—/%�% �jrJ/VTL� 17,E //1j{ii✓G���tC /JV77C-' Applicant Address City Zip Telephone No. _ SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION Contractor's Name Address -19 V -S 4/Ve /AyV 0/10 V// -e Architect/Engineer Name Address SECTION 4 - DESCRIPTION License No. Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany this form. Check box Wif plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or additions. Indicate the Total Cost of the Work to be Performed ,$ , .'z3 049 I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department, If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature must utrranImtni va COND 10 S Isee reverse side) 011-1— : of Department Representative PINK - Date �r ❑ DisapprovV (see verse 'de) i /'�/r2 r l v �' / Date `Building'Permit Number: 6q- 2 (/qS Owner Name: Ce., --i Residential Construction Requirements IENI PORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: C e epi I Parcel lies within the State Responsibility Area•(SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and _-,'�D feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be'encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Other 0 Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date q — 2�— Page 1 of 5 SITE PLAN REVIEW APPLICATION 2 nom, Date: 9 /dJ/ALJ " AP# • • Permit Number (if applicable) Cjy — J`Z�? , Bin Number APPLICANT INFORMATION Parcel Size: 1 5 - "Z"Z. A C_ ).42s5 Owners Name: e e e-, l Owners Address: o� % S Ove `�2 L,,17- 9j Telephone No.: 53-1 - K2 �! 1 Situs Address: Proposed Use: Residential V :.New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel mN Mobile Home rlResidential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi-family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other 0 Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date q — 2�— Page 1 of 5 w ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: IM Snow Load Area: 2CrOo -" © 2�; DR> -JT, • ❑ Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 3bOD C Index Date: iL- 8- g ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: rte- 5 - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front D L Side 1 C 3C� Side Street Rear O 2>� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees 20 Water Tender Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district„to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: • Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (lvsaps 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 11 Subdivision Map/Parcel Map: Map Date of Recording: '2--,5 9-2— Lot: 2Lot:Book: ❑ Use Permit/Minor Use Permit Permit Number: ,p t 2� Page: 3b ( • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions IM Comply with the following Conditions of Approval: 15 Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 is 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 Plane must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 01 Page 4of5 • y?.?J-?elY..ZZ dl-Z�1Y AI,(i'/7oJ2! 1 �7(C-/122rfii7� 2kA MY s7V -JW -?,4- 20 ll 5 3 1 b\�\ Y 20Y Y -2 -IMA d3�/fJ/`�P�d v11 i�r�/�illie�JtJS53J�fV 77� 3 W /1.7/75 71! jY)7 ?J31d/4 1537 VM S 2M A9X100elv//-I.-I//&1-?V/7JJO 79tV S 10-&-1-961W 3A U Y1Y Ai9N YO W1-41vrY7v v0 1VO1LeA/! 717.2 �vOild-Z3-q-qA 7Ve/71!f1Y . .�0-3,�Y69M 51a YO 113WdQ7-FA,:Fa o/ Y,1r/dyycf1vYI6 hlwy Y 153W411 -77199W (VVY SJ�/77-P/W A71WY../ OU ellYlV1YI9 jV/ 6W-?J-SA5 Y3ZX/ Vlld5 j0/b`GY.. Y7?d15/V/ .WZ bv-1 5 61vol-L.WoosSd jmoamoyo/ ael-I7djrQrlV1' .?1I/ #11A 37,11 bVW.7.7V)V/ SYR .717915 7b'11N3 -aIS-F& /'A -?/v 77611V/ a377VJ51V1 3v 77tf/r5 5WISitS X131 IVIS 3YIJ 21IVWD-117V sl- o/v 0 _ r";�X1,4 vane .33YJAlf �o / V'3?! V ZU4Y& ki) VI 00/ �esse - meh-mdA- Cecr c--..-4 96 0 9y a //8-6 15.22. es 70 n -e Ge,." e",a 121 �t v11W F t L ; � c0 110e S lhl r ENVIRONMENTAL. HEALTH APR p 20D4 1 COUNTY CENTER DRIVE C)C X - i 1 121 �t v11W F t L ; � c0 110e S lhl r ENVIRONMENTAL. HEALTH APR p 20D4 1 COUNTY CENTER DRIVE r. r AP/V.' 05,t -2/0-/7q Sop sus /,Ofn I J70DI4, "_ ELECTRICAZVITH ICAL, AND PLUMBI COIVSTRU T PLANK CHECKED SHALLCOMCURRENT EDITi0J1 OF NEC, VPPC, NOTE: See the attached a Edeatial Ccnstruct;jolj�,L ReCIuirementsL Pages 'PLANNING DIVISION - BUILDING:PN APPROVAL use: O I< Date: 5 —_.O L.� Parking: Landscaping. Other: Signature: 0 FSE't/iE�JEO/BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY (� approved as suf f mittad approved with conditions 0 r attached q- o \ $lgngtUre, - - {{ Date \e 7 �' nit IN QVu iQ D S \ne Fos % Mat a 0, c -e) 20. ta0 4L R � tt,-h6 ecQ ,,,LL STRUCTURES AND Ef 9�l€'tVI EI4T INCLUDING OVERHANGS SHALL f3E CLEAR Or A" � � SIDE OF —XI. Fi . FROG AND A SET BACK1 Pli o ERTY LINES ANA - . FF�OI'.` TNF REAo �. Ft=tO�l'� i"R:_- ROAD CI��-s ��tllf�`.SI-IA�E I Ut�T;9I�Ea AND Ei�U�P'F�E91I T FA€ OF STp ::OR 2 FT EAVE OVERHANO- PAli GS �------_ Ce v 1,0 9u 110 .tyro 1`60 1�u_ 1yo oR.Tc-ZN9L Scale r i?o' MUTE COUNT� UILDING DEPARTWA A P P R 0 V r X - r. r AP/V.' 05,t -2/0-/7q Sop sus /,Ofn I J70DI4, "_ ELECTRICAZVITH ICAL, AND PLUMBI COIVSTRU T PLANK CHECKED SHALLCOMCURRENT EDITi0J1 OF NEC, VPPC, NOTE: See the attached a Edeatial Ccnstruct;jolj�,L ReCIuirementsL Pages 'PLANNING DIVISION - BUILDING:PN APPROVAL use: O I< Date: 5 —_.O L.� Parking: Landscaping. Other: Signature: 0 FSE't/iE�JEO/BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY (� approved as suf f mittad approved with conditions 0 r attached q- o \ $lgngtUre, - - {{ Date \e 7 �' nit IN QVu iQ D S \ne Fos % Mat a 0, c -e) 20. ta0 4L R � tt,-h6 ecQ ,,,LL STRUCTURES AND Ef 9�l€'tVI EI4T INCLUDING OVERHANGS SHALL f3E CLEAR Or A" � � SIDE OF —XI. Fi . FROG AND A SET BACK1 Pli o ERTY LINES ANA - . FF�OI'.` TNF REAo �. Ft=tO�l'� i"R:_- ROAD CI��-s ��tllf�`.SI-IA�E I Ut�T;9I�Ea AND Ei�U�P'F�E91I T FA€ OF STp ::OR 2 FT EAVE OVERHANO- PAli GS �------_ Ce v 1,0 9u 110 .tyro 1`60 1�u_ 1yo oR.Tc-ZN9L Scale r i?o' MUTE COUNT� UILDING DEPARTWA A P P R 0 V r Tess e yne/rAda Ce el 72 9- C -e4 36 0 9y ck.ces E SION - BUILDING PLAN APPROVAL Date: Landscaping: g I` UJB 16 �G00e't.1nA�o ENVIRONMENTAL HEp,1,TH APR 0 g' 2004 1 COUNTY CENTER DRIVE h vr! got o r/ 7 o �o I? '4 r o 4i P w 3 •30 � 20' y° 4L R � ?AYAe 1,4,.116 bi' f e c� ut' �� I I i i I D� - Ali Ifo Ct/fie,/nP . 0 o UO 90 110 .IV 110 lip 140 pR��ZNq� Scale : 1' i20' �eSSe ehmd Lee11. 96 es zo C, -e, ENVIRONMENTAL HEALTH APR 0 a• 2004 7 COUNTY CENTER DRIVE Mat a (l,.c.,e i 20. yo qL R S 7,Me IM,, -h 6 b. f e A APIV,, 05S-210- /7q propose -r-, Sep f•.` A � r (A0 1 , 04 �Q�y s.� j P 9u 110 .lv 1%0 vo 140 oR,TGZivgL Scale Fi.P� ,Q�sFx SYSTEM -- Lcrtr��/ CO A,. �A.. i OCCUPANCY CITr �.4lu?G �.Q. ,4vs'mc Wixc. AIEVp6V027 . { # aj °RA, FOX COMPANY ,e ../ 3995 Olive Highway ,Lf °�r�ory 1Ot NO. ,243 Oroville, California 95966 c (916) 533-2730 Lic. No. 305365 ,-.� °f •L � - — • JifLiIECTCLQ � { - - .� 7sSST Y.OL✓l i�_:c 4 �! V i • k I# ,i • `i z NOTES = r r ` 1 ' ' C . P . V . C . TYPICAL THROUGHOUT. PIPE IS �N`ISAG , { SUPPORTED ON ROOF TRUSSES ON 24' ' CENTERS . ��,k5,,,�• ! PIPE IS STRAPPED FOR LATERAL MOVEMENT PER -• yrs SEC. 3-4.2 ,1 SOLID LINE RICAL, MECHANICAL, AND PLUN"S NG SHOWS PIPING ABOVE CEILING. + RUCTION ( NOT PLAN CCE -,,%K ) \ \Z! COMPLY WITH', CURRENT ED ION OF �•cEC, UMC AND: UPC. ; i ; BROKEN LINE / ; / SHOWS PIPING BELOW FLOOR. J„ r" ► ,5 t c� PIPING OF HOUSE SECTIONS TIED TOGETHER �� , *h UNDER FLOOR \ h FURNACE k WATER HEATER CLOSET TO HAVE Ire Ln 1750 HEADS. ALL OTHERS ARE 1550 HEADS. I 20-YDAc fk,wA.a'�ei N jet rY 1FS! .f/ AD-;..vau/' .✓avt� �f✓J. ©� ZK�i A/ten-y�-�rq i f oy 60TTE COON f �-IUfLDSNG DEPARTMF .: S30 G+A�L • 4 ., P R 01 /Q01�J7tE_tldl6 �i .�•L(. `, � //�L/.WL. /tw�A: /'� I AIN/ GATE V11LVc X"V-Salilr.V 001vc4rer JELL /t�vfoP.un+caQ JtA11.3 J1�S 7zr7- ��/ G►NECK Vz V. .,z.w /'"Cwerg YAt-/E caw rxi m- Np.fJ�a1TL7G �/ NoME / E ac omv NO TIE TO DOMESTIC WATER.. THIS IS A STAND ALONE SYSTEM. PROJECT G-L�C�/L �iOHIE SYSTEM -- ADDRESS �I���B - ?1G -/T4 CO A,. �A.. OCCUPANCY CITr �.4lu?G �.Q. ,4vs'mc Wixc. AIEVp6V027 . TITLE PIPING PLAN and DETAILS # aj °RA, FOX COMPANY ,e ../ 3995 Olive Highway ,Lf °�r�ory 1Ot NO. ,243 Oroville, California 95966 c (916) 533-2730 Lic. No. 305365 ,-.� °f •L I