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066-360-009
66-36-9 Leo Marso � /0�7,7 MAYS Nimshew Ridge across from Ponderosa, Nimshew Permit k23 9-76P,E(utj1.,NH) ELEC. ;SAS 4 UP ORT STRUCTURE REQ. Al COMPACTION TEST REQ. /U o - 66-36-9 Permit #4897-761v il` ✓% ' issued AV 66=36-9 contra Snerra,,obile Home Serv., Para. .Permit #5837-76B(new awnings/MH), 66-36-9 contr: Fred Cox, Paradise Permit #2732-77B,,P/P(rtew .private', 066-360-009 05-2204 BURNS 13801 NIMSHEW RD, MAGALIA Cont:,OWNER DEMO /lir -Q 066-360-009 05-2646 BURNS, PATRICK 13801 NIMSHEW RDN, MAGALIA Cont: OWNER „ p,Q"i�1Q NEW SINGLE FAMILY �V°'� Lll;r Butte County Department of Development Services N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 wwv+.buttecounty neUdds a•cOp"�y• Mm- R i J � �i E APN: — _.Permit No. 066-360-009 - Owner: BURNS, PATRICK 05-2646 13801 NIMSHEW RD, MAGALIA Site Address: _ Cont: OWNER NEW SINGLE FAMILY Contractor: Type of Permit: OFFICE COPY Address *Mer By 4 Date�� ELECTRIC G�� Meter By Date CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r -- DATE JOB FINALED: i SIGNATURE: e � + i' 's .e� s �_ � � . a i. c z FRANK M. GLAZEWSKI Architect 3045 Ceres Avenue Suite 135 Chico, Calllomia 95973 530/3434630 5301894-8164 fax November 16, 2005 County of Butte Building Division 7 County Center Drive Oroville, California 95965 Attn: Deborah Simmons Re: Bums residence Permit # 05-2646 In reply to your correction notice dated November 16, 2005. Item 1 I have discussed this matter with the owner, Pat Burns. In this particular case, the dowels shown on details 01 /S-5 and 03/S-5 may be considered optional and may be omitted by the owner at his d icretion. Mr. Bums has used anchor bolts with a length of 12". These anchor bolts will provide for a significant shear -friction connection between the slab and footing. We typically specify these dowels in areas of expansive clay and as a backup for the anchor bolts that are often omitted or intentionally installed as a retrofit. The anchor bolts for this project will be installed in the first concrete pour. Item 2 Stamped details provided — submitted by owner. Item 3 Please refer to item 1 above. The dowels in this detail may be considered optional and may be omitted by the owner at his discretion. uestions, please feel free to contact this office. 1.0018 13a1Tg3JV sullmeH laeO ZCSOC68089 MVJ 1Z L1 900Z/91/11 • - t v- vis __ J _ (l IS f �s -6-1Zy c, %: r 3G'`% C 1Ty�lj 4ol , L -J/ 6X6 W/, Vr, wi, L/ (Al eS \J -e. OJ 3C� �f�/G 7- m f I1. c 0")T- CA if C'J �we(I «5 i M ��.� � / •1'� )CA,f 6Q�ros. I 010 5(a' ) 5 -e � i - e v,21 / v7 ed y (c, V— �.. t i t � � �j + 'r � � �, 94/Z4/2006 MON 16:39 PAX INSUATION CERTIFICATE 2001/001 Job Number: 7263 PAT BARNS 13901 NIMSBLFW, MAGALLA CA Contractor/Owner Name Job Address (stsvet, city, state) BUTTE County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION ROOF Material: Thickness (matches): z. CEILING 3. Brand Name: Thermal Resistance (R -Value): Batt or Blanket Type: Fiberglass Brand Name: Knauf TLidmesn (inches): 151/2 Thermal Resistance QWWue): 51 Loose ill Type: Fiberglass Brand Name: I{nauf Minimum Installed WeighHft .780 lb Mmiumni Thickness: 17 incises Mamdncturer's installed weight per square foot to acNeve Thermal Resistance (R Vakae): 51 .' EXTERIOR WALL Dame Type: A. Cavity Insdation Material: Fiberidass Thickness (inches): 61/4 B. E>tererior Foam Sheathing Material: sickness (mcbes): 4. RAISED FLOOR Materiel: Thickness (inches): 5. SLAB FL It/PRRIMETER Material: Thickness (inches): Perimeter Insulation Death Inches: 6. FOUNDATION WALL Material: Thickness (inches): Brand Nam: NOW Thermal Resistance (R Value): 19 Brand Name: Thermal Resistance (R -Value): Brand Name: Tbermak Resistance (R -Value): Brand Name: Thermal Resistance (R-Vohte): Brand Name= Thermal Resistance (R -Value): DECLARATION I hereby certdy that the abaft insulation was installed in the building at the above location in codfbrma nee with Ute current MemV fifflo m7 Standw* for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. - 2,3&4 � / Cbaico Insulation & fireplaces Item Number's Sigpature and Date Installing Subcontractur (Co. Name) or Item Number's Signature and Date GenerrA Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner 1 /. a •Ir w .. 4�i,� " i I � ~ _ � } BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE P. O. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (530) 891-2727 TE : (530) 538-7281 The Sewage Disposal System was inspected at �� O / syI s ,o ;��j FOR / 9 SEPTIC TANK Size /"--4O Q Material - eox_.� C Gallons D�Tl31,� %or�L LEACHING FIELD Length feet Width -47 inches No. of lines Rock Under Pipe The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be required if experience sh _ it to be necessary. Remarks: _ © d r '9&0 -ego oo Date: e2,z� ® p (�y S2 - 778R (Rev. 4/98) AL Jan 28 2006 9:32RM BUILDERS-PRRRDISE, [530). 877-4278 P.1 WES I N MDS EWP PAGE 161/01 c rr� Z�v► � 1�� 1 Ce'fttofic4t of � Conformance THIS 19 TO CERTIFY that th Engineered Wood Systems I andassociated specifications I ANSI -Standa Laminated TI NER-468 sit Computer Pr AITC 117-93 Glued Lamin IT IS HEREBY CERTIFIED th were produced in a rnanufact Wood -Systems (IF W9) Ou manufacturing process. and i xnformartce to industry stmt C�1K)\ate laminated timber products Identified with a collective mark of rare manufactured In ACcordanee with the applicable standards below. 1'-1982. For Wood Products = Structural Glued nated Timber Combinatlom And °GAP' Qr Detarmining pmIgn Strssaea aaturing — 9tertdatd Specifications For Structural bei".Of Sottwood.Spaclas w DA E1N8tradsmartced structural glued laminated timber mombers liity subject to r�egufar autft in accordance with the' Engineered Durance` Program. Routine audits inotude ,inspection of the r -, n of the in -plant CIA program withF'adequate sampling to verify lumber grade and gluellne bond quality. 91� �r••�Q w o oa+•.,� = SEAL. c by Thomas 0. tMglamson % * - . Executive Vice President SMa>AM a waft, ctArA-rHr8wrmERWvK=AB90WT0M en+n• P.QEool tt7oo•Twoon�a, w�►v��aoroo (?fill 68949M • f x Number: (2" MFP? 6 01/30/2006 10:01 FAX 5308930532 I Gary Hawkins Architect FRANK M. GU►ZEWSKI Architect 3045 Ceres Avenue Sufte 135 Chico, California 95973 53013434630 5301894.8164 fax January 30, 2006 County of Butte Building Division 7 County Center Drive Oroville, Califomia 95965 Arm: Field inspector Re: Burns residence Permit # 05-2646 t Mr. Bums has informed me that several anchor bolts were omitted and required retrofit. These omitted anchor bolts may be replaced with Y:" din. x 5-1/2" Simpson Wedge -All andiors or Ramser Redhead ancho If you have n questions, please feel fret to contact this office. Sincerel G RC'S'/f F Glazewski �� * No. C•27470 9J`c �N 0e•3�.0�� ®001 +=OK 0 = Not OK Y 'MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed-RegulatorStairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap `Nat ❑ or LPD Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr•& Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ' DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning Setbacks -Easements - 2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing 'y 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors - 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings - 12 Braced Wall pnls 1c °' m` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards=lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test '11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide `$ `041 m Pool Drawing +=OK 0 = Not OK I- RESIDENTIAL (Single. & Duplex) MINI 59j:8 eZeI:7 Main; Soils-Elec Grnd �_ Ftg Dpth tg Garage; Soils-Steel-Elec Grnd Ftg Dpth: J&KPorches/Decks; Soils -Steel Ftg Dpth rwalls Main; Steel -Blockouts-Wrapped walls Garage; Steel-Blockouts-Wrapped owns and Special Anchrs t1-22-0$- (1a1b5. SV�; , Steel Wrapped Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IF I N G Is Proper Materials & Anchrs Walls Studs -Nailing Spacing & Braces -Plates -Sound 19,Bearing Walls over Girders & fir Nailing 2raft Stop in Walls (rat proof) ZV'F're Stops, Furred CeIIingsStairs-Chasers-Tubs 2e aders & Beams-Sz &Bearing Bearing angers-Post Caps-Anchrs-Cnnctns 2 e(ling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 c Ties or Type A Flue-Frpic Throat Cirnc 2 i Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 2 . m Wndws or Exiting DoorsSill &Dimensions arage Fire Prtctn Framing -RC annel 2t� rty Line Firewall & Opngs 34r—t Doors -One X -Check Garage 3rd Story, 2 Exits V 'Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn ,3�lywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 S cco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 3lazing Area -Glass PrtctnSkyLts-Plastic 35eShear Walls; Nailing -Bolts 7race Int/Ext Wall pnls Insultn-Walls-Ceilings 394filtration-Walls-Wndws s tb 0/'06 4 DATE JELECT RICAL !9,,Fxtr &-Trnsfrmr Cirnc-Ins Prtctn _41,,Kc Rcptcls Spacing-Lts & Switches at Doors .42 Sz fixes & No Of Cndctrs Stapled 43�Ro�ek Installed Close to Edge of Studs & CJ 44.�gp Grnd made up w/Mech Fstnrs 45 Gr ding Electrode Bond Gas & Wtr 4f�ppinc Cires in Ktchn & Cndctr Sz GFI "47 -ftbfeed Wire Sz ga ❑ CU or ❑ AL AC Wire Sz gaCU or ElAL 4*49ange Circ ga CU or ❑AL Oven Circ ga CU or ❑ AL Insulated Neutral ❑ Yes ❑ No -4etervice-Riser Cndctrs & Grnd Main Dscnnct SWfqp Clrncs pnls-Motors-Mech Eqp _-54-61othes Closet Lt-Shwr Lt -Spa Lt 5Z/Smoke Detector PLUMBING 5 Htr; Vent-Acc-Cmbstn Air Baffle 5 tr Pipe; Test & Anchr-Nail Prtctn 5f,016W Test Fittings & Anchr Nail Prtctn wr Pan; Test, First fir -Tub Acc 57 Jest Tub & Shwr, 2nd fir - Tub Acc tOGas Pipe; Sz & Anchrs k)0,3C .TC -Sr Z; 37 We Sprinkler; Test 40 Yard Gas Piping UAIL IME HANICAL Ducts Insultn & Support 6 nt Fan, Exhaust abv Insultn 6ndensate Drain & Ovrflw, Sz & Grade Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65/Attic Acc & Pltfrm if Furnace in attic ps-Door & SideLt Prtctn-Landings Detector P8'Furna nts-Clrnc-Comb, Air-Cnnctr I arage; abv-flr-Ducts-Mech Prtctn 70 G� & B h Fxtrs & Tub Acc-Spa 1*1GFJ411Fc Fault Breaker Szs & Labels 73 7l3 EW Ou at Wood Pnl, Int & Ext At Kt F tr & Appinc; Grnd-Air-Gap-Cooking Clrnc 7 Outlets &Rcptcls at Ktchn Counter Garage Fi .e Door; Swing -Landing -Closure 79 AC ct in Garage -Damper 8 tr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir Mech ctn; LPG Appince Undr House 3" drain 81 P c &Mech Eqp Listed for Loctn E Rcptcls in Garage (GFI) Romex Prtctn Insultn-Foam-Looked in Attic 84 Guard ails & Deck Cnstrctn-Post Caps 85 F n • Crawl Hole Door Drnge & Wood -Earth r rn Planters EDYes ❑ No U Brown -Finish VUnit Dscnnct, Elec-Plmb Vnts oof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 r Well, Dscnnct, Elec, Plmb Ext E ri�rn -GFI Rcptcl-Undrgrnd 92 to tf�vtfHouse -W,C,dFrec tons from previous Inspctns TT eters Tagged, Gas-Elec 98 S Cnnctd-C/O to grade -HD Apprvl gey Cmpinc Cert -Other Certs Qf Address Posted 99 Fire Sprinkle NOTES 3 RESIDENTIAL PERMIT NO. ( 066-360-009 05-2204 BURNS 13801 NIMSHEW RD, MAGALIA Cont: OWNER DEMO. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 =Not OK = Not Applicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Data 1. Zoning Requirements -Setbacks -Easements Date 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L W P LPG 7. Well Clearance 8; Disconnect 8. Utility Clearance 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 Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connecto? 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date . PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas-, MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits . 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 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 S. 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 Data Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. -Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not OK = NotApprratile = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ / Fig. Depth 3- Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. / 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 72. Elec. Outlets at Wood Panel, Int & Ext. Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 'if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 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. Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. 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 -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-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 InsUdJNve 0 Yes 0 No/Waft 0 Yes 0 No/Plarrters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pfbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP052646 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 10/26/2005 APN: 066-360-009-000 the Business and Professions Code, and my license is in full force and edea. License Class: License Number: Site Address: 13801 NIMSHEW RD MAG Map Index: Date: Contractor. Description: NSF(1841)GAR(538)COV(792) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BURNS ELMER C & CECILIA.G..TRU.ST. .,.,�.-.�,q, 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`statefnent ttikhe or she is licensed "pursuant to the' provisions of C/O BIJRNS;PATRICK TRUSTEE the'Contractor's StateL ense Law (Chapter 9 commencing with Section 7000),of•DiAion 3 of. -the Business and Professions Code) or that he or �, 13845 NIMSHEW ROAD ; she is exempt therefrom -and the basis for the alleged, exemption. Any MAGALIA,.;CA• 95954 violation: of Saction' 7031.5 by any applicant for a permit subjects the ` applicant to,'a civil penalty of not more than five hundred dollars ($500).): ) „�.,--,•�^„"�A'•`..,., I,-as•owner,of the property, or; my employees with wages as -their ..� .•= sole compensafion, will' do the work, and the structure is not ,�,�, intended or offered for-sale.(Sec.,.7044„_Business aid Professions ,Code The Contractors' State License Law does not apply to an .•,•,,, .•• , „�•- • _ _ Applicant. BURNS ELMERPC & CECILIA IS TRUST „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 M sale'. "'If however, C/0 BURNS PATRICK TRUSTEE tWbuilding or improvements are sold within one year of completion, the owner -builder will have the burden of 13845 NIMSHEW ROAD proving that he or she did not build or improve for the purpose of MAGALIA, CA 95954 sale.). t, ,.aso.wner,,..of„tho,•Property,• am, exclusively .,contracting with licensed contractors to construct the project (Sec. 7044, Business and .Professions Code. , The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed •, -.:Pursuant to the Contractors' State License Law.). ."X Contractor: O•.�,;:4 am" Exempt under Article o he Business and Professions Code - r Di- -"41.' ,,� G' Owner: ” ,,n,..-ALWORKERS• COMPENSATION DECLARATION I here by.•.affirm.under penalty of perjury one of the following declarations: O' ..I'have'and will maintain a certificate of consent to self -insure for License #: --.• • "•• •.-••...� ...,w.. �.a worke'�sior•ecompensation,.as provided for by.Section .3700 of the. LabCode, for the performance of the work for which this permit is issued.. '❑ l Have and will maintain' workers' compensation' insurance, as Architect: GLAZEWSKI, FRANK required by Section. 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance. carrier and policy number are: Total Square Ft: 3171 S. F. Policy#: - O~ If ceZi 'that in the performance of the work for which this permit is ” Valuation: $145,249.00 •.issued;?:I•shall not employ -any person in 'any manner so as to Census Code: ,become subject to the workers' compensation laws of California, and,,agree- that - if I should. become subject to the workers' ffompes anon provisions of Section 3700 of the Labor Code, I shall orthwdh comply with;those provisions. �l aq Date . Applicant:—� , .. , :p"r:"•.. „ .... „,, .. 1 .1 Gam. YJWARNING. • . Failure to" secure workers' compensation coverage is un4w,f6l,sand shall'subject an employer to criminal penalties and one _ •-- ,.• -• _• ... . hundred" thousand' dollars ' ($100,000), ..in addition to the cost of compensation; damages as provided for in Section 3706 of the Labor code, interest,'and attorney's fees CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cody enrUor I.hereby-affirm that there is a construction lending agency for the Resolutio s to do work indicat d above for which fees have been paid. perfornance'of the work for which this permit is issued (Sec 3097 Civ.) ^ Name: rn BY: ii /'� Date: ( n - IO n PERMIT EXPIRES ON: 1 l 1- (A' OCA Address: Date ❑` , I"hereby certify that ttie use ofthis 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O " Ai'tachQ are copies of the required E.P.A. notification forms. I hereby certify that.l:have.read this application, that the above information is correct, and that I am the owner pelie July authorized agent of the owner. I agree to comply with all county and state laws'relating to building construction.., l;acknowledge it unlawful to alter the substance f any fficial form or document of Butte County. I hereby authonze'representatives/,of Butte County to enter upon above mentioned properly for inspection pure es 6/0 PnntName-Al"Iti6 F Signature: Date,;,. W i,,�Ip S . Downer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 1.1 0 0 0 7-ir-AMPAW 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 ' A FEE WILL BE REQUIRED AT TIMrXaxo ICATIO q "PLEASE PRINT CLE T/ OWNER Last Name U rams Name irst Name 10A -TK 1 Ch Addresst32LJs NIMSHE-W (koArO City M^ GAL (A State C -A Zip ? 5 4 5 4 Phone 3,{3 -( 39 3 Fax S 7 3- 0? 0 0 E-mail A (ck 0 13 UKmS AoL• oM ARCHITECT/ENGINEER CONTRACTOR Name City C N 1c 0 Address Zip 9 59't 3 City Fax 893-o53L State • Zip Phone C- Z7 y 0 Fax rff:mTll_ Date Approved: Lic. # Class ARCHITECT/ENGINEER Name _ FIkAN A z1Lws K Address 3o'iSrL94,-S A rL . Sv►-rE 13S' City C N 1c 0 State.A Zip 9 59't 3 Phone 343-4630 Fax 893-o53L E-mail State License Number Map Book C- Z7 y 0 APPLICANT NAME Name SA�lC r45 OWN Address City State Zip Phone Fax E-mail PLICANT SIGNATURE X For office use on Zoning z lood Zone SRA a No Occ. 23 1 Type Const. VW Subdivision Name Map Book Page Lot # Planner Date Approved: AP# 6G-36-0®9-'0 Property Address 13$01 N1i`SHr%,w 12oA0 City /NA 0tGAc-1A Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS It KAFORMSMILDING F0RMS0dgApplSubRgmts.doc Page 1 of 2 (�5) loge 03-59 3. S7 Receivedy: Amount: Bldg �1 SRA Receipt #:,13 Sheriff ( _ SMIP Date:. I jQ'Other l 4 / CJ. 'S:S7 Total REV 6-16-04 ' '. -r SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in'.order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with.wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS1B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 6S _2104(el COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �JU f�S , / G� % IL IASSESSOR PARCEL NUMBER �(J�l!/� ~J / Proposed Building Use:JGF_ Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 2 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. �03. 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ,10 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or find 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form j0- 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remainin ' ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) if� 6anitation and site plan approval from the Environmental Health Department in Er6ico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required........................................................................ lig �+v )0 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approvals paid. Sent by: 7-e lZ 24. Planning approval for (A) Use: (B)Parking:(C) Parcel Check:.. .......... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 10 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ,"TO 30. Owner -Builder Verification (A/Given to owner, _Mailed to owner) ..................... �❑ 3� Letter of Signature authorization................................................. ............... � 2. Recorded copy of Agricultural Acknowledgment Statement-.YPA(. 4�..( 1Q� - ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: - , &trA 37. Other.�oii,S., YI'1�'Irl_ �r�� .� i/l� fr-�->l�,i��S vl -mai f1a7/qoSo __ When issued Telephone. /_/ . - E , -) -/Q lJL jr/P( and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. � 1 Applicant: IIDate: 1. Index permit application for thejbpe item nu bered: Plan Check Letter 2. Additional items required Contractor, design own as dvised f thea ove da a by 13 phone, Vmail, ❑ counter, by Date: Contractor, design ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: b Structural approved by: Date: Note transfer by: Date: _ Yellow: Building Division 11 r . I /t. l t " i 1. I t i r . r, t r E.H. USE ONLY P102 Plan Attached Rosa Plan Attached Sant to B.D. t C r, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6 /see/ -00a_ Owner Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well x,/Clearance for Zdweiling. Other '�� 1 e,<j t u� Hold final for: Final clearance O.K. for: NOTE: l 61Ct- 17, ,tao 5 ronmental Health isiscialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER ) iri it els A.P. # PROPROSED BUILDING USE�'� %� 1 DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ -- Additional plan checking Fee.... $ . SCHOOL DISTRICT FEES _ ry1A1Lc� 60 0 5 (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units yI�ommercial (sq. ftg.)..... X $0.03- \0 Sq.Ftg. tze edFEES /U lir OS I��2�O1�� (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES cJ COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) p� 8. SMIP 9. OTHER , 10. OTHER V II 11. OTHER At time of permit a tca 'on, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed ring t e an checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) is A.... Department of Public Works ffi�'o% C o u n t Y o f B u t t e LAND DEVELOPMENT DIVISION !'I` Fr 9 ) . -Michael Crump,Director Storni Water Mana;enent Program ' ® 7 County Center Drive Orov530 A 95965 66 Al g AUC WCF� ` (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan'(SWPPP) Acknowledgement jLESS THAN 1 ACRE ANG c �. l��^ti rvF,�✓ Ko ^�� � � S " Z %'�`� Project Description: S Project Location and/or Parcel Number: 4'FF `~ By signing below, L the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit „ t fiom the State of California Regional Water Quality Control Board. Phased projects that contain �. multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs oneacnyla ore of land may result in revocation of grading and/or other permits or other sanctions provid Signed: Title: Date: N nS Butte County Department of'De velopin en t services 0 111,T� 7 County'Center Drive ' Oroville, CA 959650 t - o (530) 538-7601 Telephone oc -= y' (530) 538-7785 Facsimile Dual BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a X need to submit applications for septic and/or well to Butte County Environmental Health immediately. v I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building. Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building, permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: V67 3 �'�"' S + APN: L Building site address: (3 8e l N l M S Nfi W 1W- M�GtK � CA. Permit No.: 2_ 7l4 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission e Bove -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE )�ad05-2,&46.o . �,�.r �`C..a �°<,.., v��' .` Zit. ^.Ij ,.,y'.i�^ r B :e b".. ,�•R..7t��,.� �: 'E• Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ] NO[ ]. 2. I HAVE [x] HAVE NOT [ ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME:' ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: %/Z 91/0 S NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o- For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice- of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. UK C. Vieirl C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ~' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �,Q�f /%/5 49- rl F_ 0 Building Department No. A.P. Number /��,(� -,��Q -OC) Jurisdiction: 0 City lCounty Property Owner lb<IV 5 i Ti9 Ti2iC rL Property Location/Address / �j �4 / X/% 7 t 111c w d< ",q . Subdivision Lot No. , ..................... ............................................................ Residential Development Q Q Q Q ' Sq. Footage / y No of Living Mobile Home., Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # *(No foundation inspection) :........................................................................................ f Deed Restricted Sq. Footage x`• ', ''. : "-` " Attach a si `ned,copy-of Deed Limited Use Facili document f ( 9 , , r ty ). Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative. Date District Identification No..� Z V bol'District certifies that (Applicant) 610 (Street Address) (Phone. Number) (City) (State) (Zip Code), E . has complied with the requirements of Resolution No. by payment of $ �Y 3 representing d �f / square feet. B 2926 $ MITIGATION / # School District Representative Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fees Idendfled above by submitting a written protest to the District, In corrrplla Government Code Section 66020(a), within 90 days from the date two are paid. Fallure to submit a timely written protest wilt prohibit you from challenging the Imposition of the fess In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the Caflfomia Environmental Quality Act (CEQA), this project may be subject to additional school bas to fully migga% Its Inrpeet on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeformids (3M5W= BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE'RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number cl Property Owner (s) Z v4A/s . �ft i �2iGl� Project Location /Address / 380/ RID Subdivision Name 1' Assessable Sq. Ftge /gyl 50 IS38 S G� 6,0 . Type of Residential Development (check one) New Development _ Alteration/Addition(s) _ Mobile home Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement �C Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department Building Department Representative Date 0 FR_" t" �0 CARD . J�YPj�TD ❑ DRPD certifies that: rl!�/ Mailing Phone Number City State Has complied with requirements of the Butte County Board of Supervisors Resolution No by Payment of: Remarks: Dwelling Units @ $ per unit for a total of $ n r Square Feet @ $ per sq foot for a total of $ (/ by Cash: and Part District Representative Receipt No: (� /D' Date Zip AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 26 -Oct -2005 2005-0065137 Has not been compared Frith original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and, on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date l © ? 4 �.� State of Cal�forn'a County of h� 'E]�T-Y— OWNERS: kA_ �t-�a� kc�cw- �3uw✓s On 7-4 a_ before me, personally appearedy_ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and�knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and th �y his/h r/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed eiinstrument. WITNESS my hhn and office �p.I� Signature Seal: D. FISHER f Commission # 1487634 Notary PubUc - CoOfomlo _ A.P.#_ 066-3GO-Oog Butte County My Comm. E)q*es MW 4.2008 FOKMILT "N' BEGINNING at a point in the Westerly line of Nimshew Ridge Road, 57 feet Southerly from the centerline of Ponderosa Way; thence North 820 45' West, 360.00 feet, more or less, to a point in the Easterly side of the -right of way of the Pacific Gas and Electric Company's ditch; thence North 40 30' -East along the Easterly side of the aforesaid ditch, 86.00 feet, more or less; thence North 870 East, 337.00 feet; more or less, to a,point in the Westerly line .of Nimshew Ridge Road, and 84.00 feet, more or less, Northerly from the centerline.of Ponderosa Way;thence South 40 East, 141.00 feet, more or less, to the point of beginning,.being part of Section 27, Township 23 Norah, Range. 3 East,. M.D.. B. & M., SITE PLAN REVIEW APPLICATION Date: / All �(— 3(0�— 00 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: / - ✓ ( �G'/l�S Owners Name: a& Owners Address: Telephone No.: 3 Situs Address: 3 YGI Proposed Use: Residential it New Single Family Residential Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ "Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic' ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval j Site Plan Stamped Approved By Date o 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: .0 a23U0 �T ❑ Land Conservation' Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) �f SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: G Index Date: & A T ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: l4 t. 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 _2O 1 Side 9d r Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 u _i Applicable Development Fees: Standard Fees, Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact . ❑ Other Subdivision Map Special Fees ❑, Water Tender ❑ Road Improvement ❑ North 0 ' ville 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 Co�ty Standards for Deed Creation:[—] No ❑ Yes Co nts: OZtS — 722�" ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ .Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance R. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: - ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EI t❑ Page 4 of 5 e El ' F—I _ Summary of Specific Requirements: I This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Jotul F 3 USA T W C V1 ' D Installation and Operating Instructions for the USA and Canada ANY WOOD FIRED DEVICE MUST COMPLY WITH AIR QUALITY MANAGEMENT DISTRICT RULE 20-7 RESIDE -N TIALV0"-",,,0DOut BUS I N, FOR MORE E S'EIE ATTACHMENT OR CONTACT THE' DISTRICT AT 530-891-2882 J0UL Kindly save these instructions fo,futu,e reference. m USA/Canada Table of contents: Standards and Safety Notices ...........................3 Installations.......................................................4 Chimney Requirements.....................................6 Masonry Chimney.............................................................. :........ 6 Prefabricated Chimney.........................................................:....6 Wall pass-throughs.....................................................................7 I Connecting to the Chimney ..............................8 Masonrychimneys......................................................................8 Hearthmount/Fireplaces.......................................................... 8 Prefabricated Chimney............................................................. 9 Clearances.....:....................................................9 Floor requirements..................................................................... 9 Wallshields...................................................................................io StoveClearances.......................................................................... n AlcoveInstallations..........................................12 Operation........................................................... 13 Controls.......................................................................................... i3 Breaking in your Stove............................................................... i3 Starting/Maintaining................................................................i4 Formation of Creosote............................................................... 14 Maintenance..........................:........................... 14 AshRemoval..................................................................................i5 GlassCare...................................................................................... i5 General Maintenance................................................................ i5 Gaskets........................................................................................... i5 Accessories......................................................... 16 Firescreen......................................................................................i6 Floor Bracket Kit ........... :.............................................................. i6 Stove -Top Thermometer........................................................... i6 I Appendix A (alternate floor protecion) ............................ 17 PartsDiagram.........................::...........................................18 Partlist.................................................................................19 Save these instructions and make them available to anyone using or servicing the stove. 0 r 00 N E E 22 3/47 - 577 mm 2 E E ,It USA/Canada Installation and Operation Instructions for USA/Canada Installation et fonctionnement pour ICanada Safety notice: If this solid fuel room heater is not properly installed, a house fire may result. For your safety, follow the installation directions. Contact local building or fire officials about restrictions and installation inspection,requirements in your area. Save these instructions for future reference. Avis de s6curite: Une installation non appropri6e de ce poele de chauffage risque de provoquer un incendie. Assurez votre s6curite en respectant les directives d'installation suivantes. Consultez les autorit6s locales du batiment ou de la pr6vention des incendies au sujet des restrictions et exigences relatives aux inspections d'installations dans votre region. (=�C)u.Tested and listed by ITS, Intertek Testing Services, Middleton, Wisconsin. Tested to U.S. Standards: ANSI/UL 737 andANSI/UL 1482, Canadian Standards: CAN/ULC-5627-M93 Standards The JOtul F 3 woodstove has been tested and listed to: U.S. Standards: ANSI/UL 737 and ANSI/UL 1482 Canada: CAN/ULC-5627-M93 Tests performed by: ITS, Intertek Testing Services, Middleton, WI Manufactured by. Jotul AS., P.O. Box 1411, Fredrikstad, Norway Distributed by: Jotul North America, P.O. Box 1157 40o Riverside Street, Portland, ME 04104 This heater meets the U.S. Environment Protection Agency's Emissions limits for wood heaters manufactured and sold after July 1,199o. Under specific test conditions, this heater has shown heat output at rates ranging from 11,500 to 43.5oo BTU's per hour. The Jotul F 3 woodstove is only listed to burn wood. Do not burn any other fuels. Read this entire manual before you install and use your new room heater. Save these instructions and make them available to anyone using or servicing the stove. Check Building Codes. When installing, operating and maintainingyourlotul F 3 woodstove, follow the guidelines presented in these instructions, and make them available to anyone using or servicing the stove. Your city,town, county or province may require a building permit to install a solid fuel burning appliance. In the U.S., the National Fire Protection Association's Code, N FPA 211, Standards for Chimneys, Fireplaces, Vents and Solid Fuel Burning Appliances, or similar regulations, may apply to the installation of a solid fuel burning appliance in your area. In Canada, the guideline is established by the CSA Standard, CAN/CSA-B365-M93, Installation CodeforSolid- Fuel-Burning Appliances and Equipment. Always consult your local building inspector or authority having jurisdiction to determine what regulations apply in your area. USA/Canada Notices • Be sure to read this entire manual before you install or use your new Jotul F 3. • If this room heater is not properly installed, a house fire may result. To reduce the risk of fire, follow the installation instructions. Failure to follow these instructions may result in property damage, bodily 'injury, or even death. Jotul recommends that you have your new Jotul F 3 installed by a professional installer of solid fuel burning appliances. • Extremely hot while in operation! Keep children, clothing and furniture away. Contact may cause skin burns. • Avoid creating a low pressure condition in the room where the stove is operating. Operating an exhaust fan or a clothes dryer could create a low pressure area, causing poisonous gases to come out of the stove into the room. You can prevent low pressure conditions by providing adequate combustion air within 24" but not,closer than 12"from the stove. Or, Simply install the optional outside air manifold system, which allows the direct connection ofair from outside the house to the stove. • Do not use chemicals or fluids to start the fire. Some fuels will, during combustion, separate carbon monoxide and generate it in the burn chamber. Carbon monoxide is toxic, so please follow the guidelines in this manual for proper operation of your Jotul F 3. • If you for some reason experience smoke "roll-out" from the stove, it may activate smoke detectors if installed in the house. Do not connect this stove to any air distribution duct or system. Installation If this solid fuel room heater is not properly installed a house fire may result. For your safety, follow the installation directions. Contact the local building or fire officials about restrictions and installation inspection requirements in your area. 4 Reminder: Your local officials have final authority in determining if a proposed installation is acceptable. Any requirement, that is requested by the local authority having jurisdiction, that is not specifically addressed in this manual, defaults to NFPA 277, and local codes. In the U.S. or in Canada, CAN/CSA-8365-M and local codes. In"stalling the venting The Jotul F 3 can be vented from the top, the rear or from eitherthe right or left side. Follow the instructions below for the desired venting location. Top exit venting When top exit venting is desired, use a 3mm allen wrench to remove the two set screws that secure the top casting to the sides of the stove and lift off the top casting. Lay the top casting on a flat surface upside down and remove the comm bolt from the traverse bar and remove the smoke outlet cover. Reinstall the top casting, be sure to secure with the two set screws that were removed. See figure 1. Fig.t Upside Top cas Traverse bar securing Stove pipe top smoke outlet cover to top casting Rear exit venting When rear exit venting is desired it will be necessary to "knock -out" the vent hole from the rear casting. Remove the top casting of the stove by removing the two 3mm set screws that secures the top to the sides. The set screws are located on the outside of the stove on the top of each side panel. Using a lomm wrench remove the double rear heatshields from the back of the stove. Remove the front door toavoid damage to the glass. Reminder: Loss of the doorwasherwill result in improper door alignment when reinstalling the door. Using a claw hammer or a small sledge hammer strike the center of the 6""knock-out" disc from the outside of the stove. The "knock -out" disc will break into four wedges and may need to be tapped out. Touch up any remaining sharp edges with a file or hand grinder. Note: The ivory Jotul F 3 's are rear vented from the factory. It is not necessary to "knock -out" the rearcasting of the stove. However, if top exit is desired it is necessary to install a smoke outlet cover on the rear outlet of the stove. Reinstall the top casting and front door, remembering the washer. Thetwo rear heatshields must be reinstalled on the stove. Remove the metal cover plates from the heatshields and reinstall. Reminder:There is a small nut used as a spacer between the two heatshields. See fig. 2. Fig. 2 ti. Heatshield with listing label should be installed on the outside Side exit venting If venting through the side is desired it will be necessary to remove the top casting. Using a 3mm allen wrench remove the two set screws that secure to the top to the side panels. Remove the front door to avoid damage to the glass. Reminder: Loss of the door washer will result in improper door alignment when reinstalling the door. Using a claw hammer or a small sledge hammer strike the center of the 6" "knock -out" disc from the inside of the stove. The "knock -out" disc will break into four wedges and may need to be tapped out. Touch up any remaining sharp edges with a file or hand grinder. Reinstall the front door, remembering the washer and the top casting. Installing the stove pipe adapter After the appropriate flue outlet in the stove has been established the stove pipe adapter (included with every stove) must be installed so that standard stove pipe can be installed onto the stove. USA/Canada Insert the end of the adapter with the four holes into the stove. These holes allowthe adaptorto be attached to the stove's internal collar, using the nuts and bolts provided with the stove. See figure 3. Fig. 3 Direction into the stove 0 a The adaptor should be inserted into the stove until the bead on the adapter is flush with the top, back or side casting. Now the adaptor is ready to accept single or double walled stove pipe. See figure 4. Each joint of chimney connector or stove pipe must be secured with at least three sheet metal screws to ensure that the sections do not separate. Adaptor bead should Fig. 4 be flush with stove Stove pipe - chimney connector The chimney connector is a single walled pipe used to connect the stove to the chimney. For use with the Jotul F3 the chimney connector must be 6" in diameter, with a minimum thickness of 24 gauge black steel. Aluminum and galvanized steel pipe is not acceptable for use with the Jotul F3. These materials cannot withstand the extreme temperatures of a wood fire and can give off toxic fumes when heated. Each chimney connector or stove pipe section must be installed to the stove flue collar and to each other with the male (crimped) end toward the stove. See figure 5. Fig. 5 I Crimped end installed toward the stove I USA/Canada This prevents any amount of condensed or liquid creosote from running down the outside of the pipe or the stove top. All joints, including the flue collar connection must be secured with three sheet metal screws to ensure that the sections do not separate. For the best performance the chimney connector should be as short and direct as possible, with no more than two go* elbows. The maximum horizontal run is 36"and a recommended total length of stove pipe should not exceed io feet. Always slope horizontal runs upward fb" per foot toward the chimney. No part of the chimney connector may pass through an attic or roof space, closet or other concealed space, or through a floor or ceiling. All sections of the chimney connectors must be accessible for cleaning. Where passage through a wall or partition of combustible construction is desired, the installation must conform with N FPA zn or CAN/CSA-6365, and is also addressed in this manual. Do not connect this unit to a chimney flue servicing another appliance. Do not use the connector pipe as a chimney. Chimney requirements There are two types of chimneys suitable for the Jotul F3: 1. Acode- approvedmasonrychimneywithaflueliner. z. A prefabricated chimney complying with the requirements for type HT (zioo°F) chimneys per UL 103 or ULC S629. The chimney size should not be less than the cross- sectional area of the flue collar, and not more than three times greater than the cross-sectional area of the flue collar. When selecting a chimney type and the location for the ce of the chimneyas well asthe proximityof surrounding trees or buildings. As a result, a short masonry chimney on the exterior of a house will give the poorest performance. This is because it can be very difficult to warm the chimney thereby creating inadequate draft. In extremely cold northern areas it may be necessaryto reline the chimney or extend its height to help establish draft. Oppositely, a tall masonry chimney inside the house is easier to keep warm and will perform the best. The following guidelines give the necessary chimney requirements based on the national code (ANSI-NFPA zii for the us. And CSA CAN -13365 for Canada). However, many local codes differ from the national code to take into account climate, altitude, or other factors. It is important that you check with your local building officials to find out what codes apply in your area before installing your new Jotul F3. Masonry chimneys When installing theJOtul F3 into masonry chimneyyou must conform to all of the following guidelines: • The masonry chimney must have a fireclay liner or equivalent, with a minimum thickness of 5/8" and must be installed with refractory mortar.There must be at least 1/2" air space between the flue liner and chimneywall. The fireclay flue liner must have a nominal size of 8" x 8", and should not be larger than 8"x iz". If a round fireclay liner is to be used it must have a minimum inside diameter of 6" and not larger than 8" in diameter. If a chimney with larger dimensions is to be used, it should be relined with an appropriate liner that is code approved. • The masonry wall of the chimney, if brick or modular block, must be a minimum of 4" nominal thickness. A mountain or rubble stone wall must be at least iz" thick. • A newly -built chimney must conform to local codes and in their absence must recognize national regulations. • When using an existing chimney, it must be inspected by a professional licensed chimney sweep,fire official, or code officer,to ensure that the chimney is in proper working order. • No other appliance can be vented into the same flue. • An airtight clean-out door should be located at the base of the chimney. Prefabricated chimneys If a prefabricated metal chimney is to be used it must be a chimneytype that is tested and listed for use with solid fuel burning appliances. High temperature (ht) chimney standard UL103 for the U.S. And high temperature standard ULC S-629 for Canada. The manufacturer's installation instructions must be followed precisely. Always maintain the proper clearance to combustibles as established by the pipe manufacturer. This clearance is usually a minimum of i", although it may vary by manufacturer or for certain chimney components. Chimney height Whether a masonry chimney or prefabricated metal chimney is used it must be the required height above the roof line. The requirement is: The chimney must be at least 3 feet higher than the highest point where it passes through the roof and at least 2 feet higher than the highest part of the roof or structurethat iswithin iofeetof the chimney, measured horizontally. See figure 6. Fig.6 At At least 3 feet Chimneysshorter than 14feet may not provide adequate draft. This could result is smoke spilling into the room from the stove when loading the stove, or when the door is open. In addition, inadequate draft can cause back puffing, which is a build up of gases inside the firebox. Other times, chimney height can create excessive draft which can cause high stove temperatures and short burn times. Excessive drafts can be corrected by installing a butterfly damper. If you suspect you have a draft problem, consult your dealer. Wall pass-throughs When your installation unavoidably requires the chimney connector to pass through a combustible wall to reach the chimney, always consult your local building officials, and be sure any materials to be used have been tested and listed for wall pass-throughs. In the U.S. The national fire protection association's publication, NFPA 211, standard for chimneys, fireplaces, vents and solid fuel burning appliances permits four methods for passingthrough a combustible wall. Before proceeding with any method be sure to consult with your local building officials to discuss any local code requirements. USA/Canada Common method When passingthrough a combustible wall to a masonry chimney this method requires the removal of all combustible materials from at least 12" around the chimney connectors proposed location. With a 6" round liner the minimum area required would be 31" x 31" square. The space is then filled with at least i2" of brick around a fireclay liner. Remember, the liner must be ASTM C35 or equivalent, with a minimum wall thickness of 5/8". It is important to remember to locate the pass-through at least 18" from the ceiling for proper clearance to combustibles. It will be necessary to cut wall studs, install headers, and construct a sill frame to maintain the proper dimensions and to support the weight of the brick. The bricks must be solid brick with a minimum of 31/2" thick (4" nominal). Refractory mortar must be used at the junction of the chimney and the pass-through liner. The pass-through liner must not penetrate the chimney liner beyond the inner surface of the chimney liner. Use extreme care when constructingthe hole in the chimney liner,thetiles can shatter easily. See figure 7. Fig. 7 Wood Clearai Chimn Heade 3( Passthrough construction: 12" Brick frorr thimble to combustibles Thimble: 5/8' Fireclay Liner equivalent Sill / Sup N... I IRP/ In Canada In Canada the standard has been established by the canadian standard association. The installation must conform to CAN/CSA-B365, installation code for solid fuel burning appliances and equipment. Before proceeding be sure to consult your local building inspector. USA/Canada Common method This method requires the removal of all combustible materials from at least 18" (457mm) around the chimney connector's proposed location. With a 6" round linerthe minimum area required would be 43" x 43" square. It is important to remember to locate the pass-through at least 25" from the ceiling to maintain the proper clearance to combustibles. The space that is cleared of combustible materials must then remain empty. Sheet metal panels can then be used to coverthe area. However,when using a panel on both sides of the wall each cover must be installed on noncombustible spacers at least 1"from the wall. If one panel of sheet metal is to be used it may be installed flush to the wall. See section 5.3.1 and 5.3.2 of CAN/CSA - B365 -m91. Consult your local building inspector, authorized Jotul Dealer, NFPA 211 in the U.S. or CAN/CSA-6635 in Canada for other approved wall pass-through methods. Connecting to the chimney Masonry chimney When installing a JOtul F 3 into a masonry chimney through a "thimble"(the opening through the chimney wall to the flue), the thimble must be lined with ceramic tile or metal and be securely cemented in place. The chimney connector/stove pipe must slide completely inside the thimble to the inner surface or the flue liner. It may be necessary to make use of a thimble sleeve (a pipewith a slightly smaller diameter than standard stove pipe). This special pipe can be easily installed into a thimble. See Figure 8. Fig. 8 Connector oioe must bel insi Chir Con Pipe Lie Tile Make sure the connector pipe or thimble sleeve does not protrude into the flue liner, thereby restricting the area the smoke has toflowthrough. This bottle-neckwill have a negative affect on the chimney system. The chimney connector should be sealed at the thimble with refractory cement and the stove pipe leadingto the stove should have a minimum of three screws. Do not connect this stove to a chimney flue servicing another appliance of any kind. Hearth -mount into a masonry fireplace The Jotul F 3 may be installed into a masonry fireplace provided the opening is a minimum of 28 i/2" high. The short leg package reduces the stove's height by 214". When installing the Jotul F 3 into a masonry fireplace, code requires that the fireplace damper plate be removed or securely fixed in the open position. A connector pipe must then extend from the stove's flue exit through the damper area of the fireplace and into the chimney the liner. See figure g. Fig. g first g is sealed I plate and The inside area of the flue liner must not be less than the area of the stove's flue exit, and cannot be more than three times greater than the cross sectional area of the stove's flue exit. If the chimney liner is too large to accommodate the stove, an approved relining system must be installed to resize the flue. A new sheet metal damper block -off plate must be installed around the connector pipe at the damperframe and sealed with the proper sealant (usually high -temp silicone). Fireplace installation must also observe the proper clearances to surrounding trim and mantels (addressed in clearance section of this manual). In addition, fireplace installations must also adhere to the floor protection guidelines specified in the following section. Prefabricated chimneys When installing the JOtul F 3 to a prefabricated metal chimney always follow the pipe manufacture's instructions and be sure to use the components that are required. This usually includes some type of"smoke pipe adapter" that is secured to the bottom section of the metal chimney and allows the chimney pipe to be secured to it with three sheet metal screws. See figures io and n. Fig.io Listed Cap Storm Collar Fig. ii Listed Flashing himney Attic Insulation Specified Shield Ceiling Chimney Connector Floor Protector USA/Canada Clearances to combustibles Floor protection Floor protection under the 1otul F 3, must be one of the following: 1. Any non combustible material with an insulative R value of 1.1. 2. Any UL, ULC or WH hearth board or prefrabricated non-combustible material. The bottom heatshield (standard equipment) is required in all installations. Individual sections of floor protection must be mortared together t,o prevent sparks from falling through to combustible materials. Any carpeting must be removed from under the floor protection. In the U.S.and Canada The Jotul F 3 must be installed on a non-combustible surface extending a minimum of 16" for U.S. (46 cm for Canada) in front of the stove and 8" (20 cm) on the remaining sides of the stove (measured from side and back panels). This will result in a minimum floor protection of 39 cm Dx39cm W.for U.S.,and 104cm Dx99 cm W forCanada. See figure 12. In a rearvent installation thefloor protection must also extend under the stove pipe a minimum of 2" (5 cm) beyond either side of the pipe. Fig. 12 -31(5 cm) A A O A 39"U.S. (104 cm Can) B 1.0 39" -t (99 cm Can) Hearth Protection A: 8" (20 cm) B: 16" for U.S. (46 cm for Canada) 0 USA/Canada Clearances to walls and ceilings The following clearances have been tested to UL and ULC standards and are the minimum clearances specifically established for the Jotul F 3. (see next page) The following charts and diagrams give the required clearances you must maintain when installing the Jotul F 3 near combustible surfaces. A combustible surface is anything that can burn (i.e. Sheet rock,wall paper, wood, fabrics etc.).These surfaces are not limited to those that are visible and also include materials that are behind non-combustible materials. If you are not sure of the combustible nature of a material, consult your local fire officials. Remember: "Fire resistant" materials are considered combustible; they are difficult to ignite, but will burn. Also "fire -rated" sheet rock is also considered combustible. Contact your local building officials about restrictions and installation requirements in your area. Using shields to reduce clearances Pipe shields: When using listed pipe shields to reduce the connector clearance to combustibles, it must start i" above the lowest exposed point of the connect pipe and extend vertically a minimum of 25" above the top surface of the stove. - Double wall pipe: Listed double wall pipe is an acceptable alternative to connector pipe heatshields. Wall -mounted protection: When reducing clearances through the use of wall mounted protection: In the U.S. Refer to NFPA 211, standard for chimneys, fireplaces, vents and solid fuel burning appliances, for acceptable materials, proper sizing and construction guidelines. In Canada, refer to CAN/CSA-6365, installation code for solid -fuel burning appliances and equipment, also for acceptable materials, proper sizing and construction guidelines. Stove mounted rear heatshield is standard equipment on all Jotul F 3's. No other stove mounted heat shield may be used. 10 Wall Shield for close clearance .Combustible wall Wall shield Must be 30"wide and centred behind the stove. Must be i" off the wall and i" off the floor. With standard legs, the shield must be 32" high. With optional short legs, the shield must be 3o" high. ,/Combustible wall ,/Wall shield O The wall shield must extend a min. of 4" (i02mm) past the side of the stove. The wall shield must extend a min. of 4" (102mm) past the ash lip of the stove. Must be i" off the wall and i" off the floor. With standard legs, the shield must be 40" high. With optional short legs, the shield must be 38" high. Both shields must extend and join in the corner. Combustiblewall Wall shield The wall shield must O extend a min. of 12" (305 mm) past the side of the \ stove. The wall shield must extend a min. of i2" (305 mm) past the ash lip of the stove Must be i" off the wall and i" off the floor. With standard legs, the shield must be 40" high. With optional short legs, the shield must be 38" high. Both shields must extend and join in the corner. Jotul F 3 Clearances USA/Canada Stove Clearances Unprotected Surfaces Protected Surfaces Top vent/vertical per NFPA 211 or CAN/CSA-6365-M Side Rear Corner Side Rear Corner Rear heatshield with 24" 25" 18" 1011 14" 10" Single wall pipe 61omm 635mm 46omm 255mm 355mm 255mm Rear heatshield with 18" 10" 14" 6" 6" 6" Double wall pipe or shields 46omm 255mm 355mm 150mm 150mm 150mm Stove Clearances - Unprotected Surfaces Protected Surfaces Rear Vent/Horizontal per NFPA 211 or CAN/CSA-13365-M Side Rear Corner Side Rear Corner Rear heatshield with 24" 25" 20 11 10" 25" 18" Single wall pipe 61omm 635mm 510mm 255mm 635mm 46omm Rear heatshield with 18" 14" ' 17 6" 6" 6" Double wall pipe or shields 46omm 355mm 430mm 150mm 150mm 150mm Connector Unprotected Surface Protected Surface Clearances per NFPA 211 or CAN/CSA-8365-M Singlewall pipe -vertical installations 18" (46omm) 6" (150mm) Double wall pipe -vertical installations pipe mfgr. listing pipe mfgr. listing Single wall pipe -horizontal installations 18" (46omm) g" (230mm) Double wall pipe -horizontal installations pipe mfgr. listing pipe mfgr. listing Very important: Top vent/vertical- assumes the connector pipe is exiting off the top of the stove and traveling vertically. If top vented A 1 to any horizontal runs —the stove's position is dictated by O I-- Og the connector pipe clearances. Rear vent/horizontal- assumes the connector pipe is n existing out the rear of the stove and is traveling horizontally to the chimney. If rear vented to vertical run — the stove position is dictated by the connector pipe clearances. Dimensions in Inches represent U.S. requirements. Dimensions in Millimeters represent Canadian A:ToptoMantel 34" 86o mm requirements. B:ToptoTopTrim z0" 510 mm C: Side to Side trim 13" 330 mm Wall protection is discussed in furtherdetail on page D: Side to Side Wall 24" 610 mm 10 of this manual. 11 USA/Canada Notice Accessories for woodstoves for clearance reduction have been developed by many manufacturers. If not following the methods of the installation codes, be sure that any accessoryyou choose has been tested by an independent laboratory and carries the laboratory's testing mark. Make sure to follow all of the manufacturer's instructions. Always contact your local building inspector or fire officials about restriction and requirements in your area. Reminder, it is the local officials who have final authority in the installations approval. Alcove The JOtul F 3 is approved for installations in an unprotected and protected alcove provided the following guidelines are followed: Stoves must be positioned as shown in figures 13 or 14. Alcove floor protection must be:A UL/ULC or WHI listed hearth board or a non combustible material with a minimum rvalue ofi.i. Minimum unprotected alcove: Assumes - Top exit, single wall pipe, and stove's rear heatshield. Minimum alcove width = 7i" (i8o5mm) Maximum alcove depth = 40" (i015mm) Height above the top of the stove = 68" (i730mm) Top vent/vertical - assumes the connector pipe is exiting off the top of the stove and traveling vertically. If top vented to any horizontal runs — the stove's position is dictated by the connector pipe clearances. Fig. 13 71"(1805 mm) 12 Minimum protected alcove: Assumes - Top exit, double wall pipe, and stove's rear heatshield. Minimum alcove width = 35" (89omm) Maximum alcove depth= 24" (61omm) Height above the top of the stove= 40" (i0i5mm) In a protected alcove installation both side walls and rear wall must be protected per NFPA 211 or CAN/CSA-6365. The wall protection must be elevated i" from the floor and at least i" off the combustible wall to allow for an air -flow. Fig. 14 Max. depth 24"(610 mm) Min. 35" (890 mm) Rear exit alcove installations: Unprotected alcove:Assumes,single wall pipe and stove's rear heatshield. Minimum alcove width = 7i" (i8o5 mm) Maximum alcove depth = 40" (i0i5mm) Alcove ceiling above top of stove = 68" (i730mm) Protected alcove: Assumes double wall pipe and stove's rear heatshield. Minimum alcove width = 35" (890mm) Maximum alcove depth = 30" (76omm) Alcove ceiling above top of stove = 40" (i0i5mm) Max. depth 402 (1015 mm) Warning: Do not install in a bedroom/sleeping room. The structural integrity of the mobile home's floor, wall, ceiling/roof must be maintained. Operation Before building a fire in your new Jotul F 3, please read the following section carefully and completely. Do not burn First this stove is designed to burn natural wood only, wood that has been air-dried for a period of 6 to 14 months will provide the cleanest most efficient heat. Do not burn: 'Coal 'treated or painted wood 'Garbage 'chemical chimney cleaners 'Cardboard 'colored paper 'Solvents 'any synthetic fuel or logs The burning of any of these materials can result in the release of toxic fumes. Never use gasoline, gasoline -type lantern fuel, kerosene, charcoal lighter fluid, or similar liquids to start or "freshen-up"the fire. Always keep such liquids away from the heater at all times. Important Never build or allow the fire to rest directly on the glass. The logs should always be spaced at least one inch from the glass to allow for proper air flow within the stove. Controls on the Jotul F 3 There are two air controls on the Jotul F 3. The primary air control lever (A) is located on the front of the stove in the top right corner. The primary air lever controls the amount of air that enters the stove for combustion. The start-up air control lever (B) is located below the glass in the center of the front door. This control is for"start - up"aironly and should not be used tofreshen an existing fire or during refueling. Never leave the stove unattended while this control is open, overfiring could result, which can damage the appliance. See figure 15. Fig. 15 USA/Canada When first starting a fire: The primary control lever should be at the far right position, and the start-up air lever should be in the far right position. This will allow for the maximum amount of air to enter the stove and assist in starting the fire quickly and most effectively. Once the fire is established the start-up air lever should be closed and the primary air lever should be adjusted according to the amount of heat desired. Remember: The more air entering the stove the hotter the fire the shorter the burn time. Moving the primary air lever to the left reduces the air -flow into the stove which prolongs the fire at a lower heat output. See figure 1S• Breaking in your new stove Your new Jotul F 3 is constructed of cast iron and stove furnace cement. This type of construction requires the stove to be "broken -in" gradually so that heat expansion does not occur too quickly and cause damage. To monitor the stove's temperature, Jotul recommends the use of a magnetic stove -top thermometer, placed directly on the corner of the stove's top plate. Complete the following steps for the proper break-in procedure for the Jotul F 3: 1. Light a small fire, newspaper and kindling only, only allow the stove to reach a maximum surface temperature of zoo*. Burn for approximately 1 hour. z. Allow stove to cool to room temperature. 3. Light a second fire, allowing the stove to reach a maximum temperature of 300° for 1 hour. 4. Cool the stove to room temperature. 5. Light a third fire and gradually allow the stove to reach a surface temperature of 400° 6. Cool stove to room temperature. This completes the "break-in" procedure. Never allow the stove to exceed a 400° surface temperature during any "break-in fire" with the exception of the last "break-in" fire. Note: It is normal for a new painted stove to emit an odor and even smoke during its first several fires. This is caused by the seasoning of the high temperature paint and will diminish with each fire and will eventually disappear. Opening a window or door to provide additional ventilation will reduce the odor as this process takes its course. 13 USA/Canada Never overfire the stove If any part of the stove or chimney glows, you are overfiring, and a house fire or serious damage to the stove or chimney could result. Immediately close down the air control if you notice this condition. Starting and maintaining a fire Burn only solid wood directly on the bottom grate of the stove, do not elevate the fire in any way. The ash pan door on the stove must always be securely closed when the stove is in operation. Burning the stove with the ashpan open will over -fire the stove and cause interior damage. With the primary air control lever and the start-up air control lever in the full open position (far right), start with several sheets of crumbled newspaper placed directly on the grate. On top of the newspaper, place several pieces of small dry kindling (approx.1"in diameter) with two to three larger logs (approx.3"to 5" in diameter) on top. Light the fire and close the door, slowly building the fire by adding larger and larger logs. Close the start-up air control lever after the fire is established and new fuel lights easily. Be sure to follow the break-in procedure before creating a fire that will damage the stove. Once the stove has reached a surface temperature range of between 400° and 600°, adjust the primary air control lever as necessaryto generate the heat outputand burn time desired. Jotul recommends the use of a magnetic stove top thermometerto monitorthe surface temperature of the stove. The optimum surface temperature range for the most efficient burn is between 400• and 600°. See figure 16 below for the optimum locations of a stove- top thermometer. Fig. 16 Stove top thermometer 14 Adding fuel When reloading the stove while it is still hot and a bed of hot embers still exist, follow this reloading procedure: • Always wear gloves when tending to the stove. • Push the air control lever to the full open position (far right). • Wait a few seconds before opening the door. • Use a stove tool or poker to distribute the hot embers equally around the firebox. • Load the fuel, usually with smaller logs first. • Close the door, be sure to latch the door tightly. • Wait 5-10 minutes before adjusting the primary air to the desired heat output setting. (If you have at least a z" thick ember bed when reloading, it may be possible to close the door and immediately adjust the air control setting). The formation of creosote When wood is burned slowly and at low temperatures, it produces tar and other organic vapors, which combine with moisture to form creosote. The slow moving smoke carries the creosote vapors, which condense in the cooler chimney flues, and this creosote then sticks to the chimney walls. The creosote that accumulates in the chimney is highly flammable and is the fuel of chimney fires. To prevent chimney fires it is important to have the chimney and chimney connector pipe inspected and/or cleaned semi- annually. A qualified chimney sweep or other authorized service person can provide this service. It is also important to remember that chimney size, temperature and height all affect draft which in turn affects the formation of creosote. Be sure to follow the installation and operation guidelines established in this manual. Maintenance Ash removal:Of course,foryour protection always wear safety gloves when handling the ash pan. Ash removal will be required periodically depending on how frequently the stove is used. Conveniently, the Jotul F 3 is equipped with an ash pan assembly for easy ash removal, without the need for opening the front doors. The ash pan door is located under the front ashlip of the stove. To open the ash door rotate the door knob counterclockwise to unlatch the door and clockwise to latch the door. Remove the ash pan. When the stove is in operation always close the ash pan door before leaving to dispose of the ashes. The ashes should be placed in a metal container equipped with a tight sealing lid. The container should be placed on a noncombustible floor or on the ground, well awayfrom all combustible materials, pending final disposal. If the ashes are disposed of by burial in soil or otherwise locally dispersed, they should be retained in the closed container until all cinders have thoroughly cooled. Glass care Cleaning: On occasion it will be necessary to clean the carbon deposits and fly ash off of the glass. If the carbon and fly ash are allowed to remain on the glass for an extended period of time it couldeventually cause the glass to become etched and cloudy. Any creosote, which might deposit on the glass,will burn offduringthe next hot fire. The proper cleaning procedure is as follows: 1. Glass needs to be completely cool. 2. Only use a cleaner that is specifically designed forthis purpose. The use of abrasives will damage the glass and ultimately leave the glass frosted. 3. Rinse and dry glass completely, before burning your stove. Important: Replace glass only with a ceramic glass panel specifically designed for the Jotul F 3. Do not use substitutes. Replacement glass panels can be ordered through your Jmtul dealer. Glass removal: Always operate the doors slowly and cautiouslyto avoid cracking or breaking the glass. Never use the door to push wood into the firebox. If the glass becomes cracked or broken follow this procedure for replacement: Never operate the stove with a cracked or broken glass panel. 1. Remove the door from the stove and place on a flat surface. 2. Carefully remove all of the glass clips from the inside of the door. 3. Gently remove all pieces of the glass panel and gasketing. 4. Remove all remaining debris from the glass area using a wire brush. {USA/Canada 5. Apply a small bead of gasket/stove cement and the new gasket. Do not overlap the ends of the gasket rope. 6. 'Center the new glass panel over the gasket and reinstall the glass clips. See figure 17. Important: The side of the glass treated with an infrared coating (marked on the perimeter) should always be facing outward. It is extremely important to tighten the glass clips slowly and in a repeating pattern, like tightening the lugs on an automobile wheel. 7. It may be necessary to retighten the glass clips after the stove has be burned and the gasketing has been seated. Fig. 17 Glass Glasi clips _ J sket Door General Maintenance Like your car, regular maintenance prolongs the life of your appliance. The following procedures do not take long and are generally inexpensive, but when done consistently, increase the life of your appliance and in turn, increase youryears of enjoyment. At least once a year you should perform the following maintenance procedures: • Thoroughly clean the stove. Enamel surfaces should be cleaned with soap and water. • Empty stove of all soot and ashes. Only use a vacuum for this job if the vacuum is specifically designed for ashes. • Inspect the stove; using a strong light inspect the stove inside and out for cracks or leaks. Replace all cracked parts and repair any cement leaks with furnace cement. Gaskets Check door and window gaskets for tightness. To check the seal of the front doors,close and latch the doors on a dollar bill and slowly try to pull the dollar bill free. If it 15 USA/Canada can be easily removed then the seal is too loose. Check several spots around the door, and repeat the procedure on the ash pan door as well. If gaskets need to be replaced, scrape out the old gasket and cement and clean the area with a wire brush. Apply a small bead of cement and push in the new gasket. After closingand latching the doors wipe clean, any excessive cement that has come from beneath the gasketing. Gasket list for the JOtul F 3 Description Order# Size Length Top plate gasket 100038 3/8" Id 6' Ash housing gasket 128213 sheet gasket Ash door gasket 200024 1/4" Id 3' Glass gasket 200028 1/4" Id 3'6" Door gasket 200024 11/32" Id' 5' Air manifold Gasket 200028 3/16" 16" The 10tul F 3 is designed to burn cleanly and efficiently when used according to the guidelines expressed in .these operating instructions.. However,to maintain the proper performance, a yearly chimney inspection and cleaning in necessary. Failure to keep the chimney system free of creosote and build up could result in a serious chimney fire. 16 Accessories Many accessories have been manufactured for use with the Jotul F 3. Only use accessories that are specifically designed for the Jotul F 3. Firescreen (part # 350168) The Jotul F 3 has been approved for use as an open fireplace, with front door open.This feature is especially nice when the ambience of a fire is desired. Some care should betaken when operating the stove as a fireplace. • Always have the firescreen in place, attached to the stove front. • Never over load the stove, for the best appearance burn in the traditional three log configuration. • Reminder,when burningthe stove with the screen in place,you are sacrificing efficiency for aesthetics, and you will be consuming wood at a much faster rate. Warning: Operate yourJotul F 3 with thefront doorfully open and thefirescreen in place orfullyclosed.A partially opened door may result in overfiring.Also, if the door is left partly open, gas and flame may be drawn out of the stove opening; creating risks from both fire and smoke. Floor bracket kit (part #750304) The optional floor bracket kit can be used in the event the stove needs to be secured to the floor. Complete installation instructions and diagrams are supplied with each floor bracket kit. Stove -top thermometer (part # 5002) Jotul recommends the use of a magnetic stove -top thermometer to monitor the surface temperature of the stove. The optimum surface temperature range for the most efficient, clean burn is between 400° and 600°. Appendix A: Alternate floor protection All floor protection materials must be non-combustible ie. Metal, brick, stone, mineral fiber boards)..Any combustible material may not be used. The easiest means of determining if a proposed alternate floor material meets requirements listed in this manual is to follow this procedure. R -value = thermal resistance K -value = thermal conductivity C -value =thermal conductance 1. Convert the specification to r -value; a. If r -value is given, no conversion is needed. b. If k -value is given with a required thickness (t) in inches: R=1/k X T. C. If c -value is given: R=1/C. 2. Determine the r -value of the proposed alternate floor protector. a. Use the formula in step 1 to convert values not expressed as "R". b. For -multiple layers, add r -values of each layer to determine overall r -value. ' 3. If the overall R -value of the sustem is greater than the R -value of the specified floor protector, the alternate is acceptable. Example: The specified floor protector should be 3/4"thick material with a k -factor of 0.84. The proposed alternate is 4" brick with a c - factor of 1.25 over 1/8" mineral board witha k -factor of 0.29. Step A. Use formula above to convert specifications to R -value. R=1/k x t= V.84 x •75 = •893 Step B. Calculate r of proposed system. 4" brick of c-1.25, therefore R brick =1/c =1/1.25 = 0.80 1/8" mineral board of K = 0.29 therefore R mineral board =1/.29 x 0.125 = 0.431 Total R = R brick+ R mineral board= o.8+0.431=1.231 Step C. Compare proposed system R =1.231 to specified R of o.893. Since R is greater than required, the system is acceptable. Definitions: Thermal conductance = C= btu = W (Hr)(ft2)(f) (m2)(k) Thermal conductivity = K = btu . = W = btu (Hr)(ft2)(f) (m2)(k) (hr)(ft)(f) Thermal resistance = R = btu = (n12)(k) = btu inch (Hr)(ft2)(f) W (hr)(ft2)(f) For the Jotul F 3 requires floor protection with a minimum insulating R -value of 1.1. Alcove installation require a minimum R -value of 1.1. (If a UL/ ULC or whi listed hearth pad is not used.) USA/Canada 17 6 t z 8 3 4 5 t3 tg t4 8 9 zo o n tz 4 15 16 17 18 b 6 5 66 22 6 6 7 �3 > 4 4 O24 0 0 5 t 26 9 i 5 ° s o 27 8t 28 ° o 63 �9 t 84 ' ° z 62 t 3 4 e 61 2 ` 3 83 Sz 4 o000�o0 5 8 6 5 4 3 0 7 7 5 c 8 87 8 8 9 4° 0 4t 85 8 Part list lmtul F 3/F 3 USA zz g 60 7 0 5 zt z t 48 49 46 45 43 1otuI AS Draw.no: Date: Fredrikstad, Norway ,-t t-Ptt Jun 04 Part list for Jotul F 3 No Description, Dim./Spec. 1 Nut brass, M6x2o DIN 1587 2 Heat shield aluz. f/ivory en. 2 b Heat shield 3 Screw, M6x16 DIN 965 4 Nut, M6DIN 934 5 Screw collar, M6x16 st.5.6 ubeh. 6' Cover smoke outlet rear 7 Traverse barto cover smoke outlet rear 8 Top plate compl. w/ cover smoke outlet 9 Gasket, LD 375-2 9.5x1800 10 Cover smoke outlet side 11 Baffle plate 12 Air distributor USA 13 Cover smoke outlet top 14 Traverse/cover smoke outlet top 15 Back plate 16 Screw, M6x35 st.5.6 ubeh 17 Gasket, LD 36o M/L 08.7x150 18 Gasket, LD 36o M/L 08.7x56o 19 Gasket, LD 187-1 M/L 04.8x540 20 Cast iron washer 21 Screw, M8x20 st.8.8 22 Side plate 23 Burn plate, back 24 Burn plate right 26 Air def lektor 27 Gasket, LD 187-1 M/L 4.8x410 28 Sliding vent 29 Front plate 30 Washer, 012x6xo.5 31 Log retainer. -32 Screw, M6x8 poz 33 Glass clip w\ gasket 34 Gasket, LD 36o 08.7x148o 35 Door compl. w/o glass 37 Hinge pin, Oo,6x33 38 Ignition vent 39 Washer, D nr. 531241 40 Cover/ign. vent 41 Screw/collar, M6x12 st.8.8 ubeh. 42 Handle compl., nickel -plated 43 Locking bar 44 Gasket, LD 187 m\I 04,8x1800 45 Glass, 358 x 233 mm 46 Spark screen 48 Spring 49 Knob, Plastic, o,3omm M6 50 Screw collar, M6x16 st. 5.6 51 Ash lip 52 Leg 53 Skrew M6x20 ST 8,8 ubeh. 54 Washer,018xo,6,4x1 55 Bottom plate, 57 Inner bottom plate 58 Screw sink head, M6x25 sortkrom.poz. (black-poz.) USA/Canada 59 Burn plate left 6o Insulation, Firemaster blanket (after X-607) 61 Screw, M8x25 st.8.8 62 Cover/sec. air inlet, 63 Screw sinkhead, M6x4o poz DIN 965 64 Gasket -flat 65 Ash house w\ heat shield and hinge (after 1998) 66 ! Hinge, ash house (before 1998) 69 Screw sh Pozid, M6x10 DIN 965 (before 1998) 70 Ash box,lmm steel plate 71 Hinge pin, 06xloo 72 Locking screw, M6x10 DIN915 73 .Handle for ashdoor 74 Handle stub 75 Spring 76 Door ashroom complete, 77 Gasket, LD 250-2 06.4x730 78 Door latch 79 Gasket, LD 250 m\I O6,4x600 81 Hexagon nut, M8 DIN 934 82 Locking pin,M6x2o DIN 914 83 Fixing bracket 84 Air blocker (for USA) 85 Heat shield rear (for Germany) 86 Heat shield under (for Germany) 87 Extention nut for heat shield, rear (for Germany) M6x18mm 88 Distance sleeve for heatshield, under (for Germany) 01ox06,2x15mm 89 Self closing mechanism (for Germany) 90 Nut, M10 DIN 934 91 Door latch, 3mm stainless steel 92 Spring 010 inside, 2mm stainless steel 93 latch bolt ash door, Steel 94 Wooden knob, Hard wood 95 Skrew, M6x6o DIN 84 1-1331-P18 Only use replacements parts provided through your authorized 1otul dealer. M Cm v a o 77 z ? Jotul pursue a policy of constant product development. Products supplied may therefore P .On. differ in specification, colour and type of accessories from those illustrated and described w o in the brochure. a 00 Jotul vise sans cesse a ameliorer ses produits. C'est pourquoi, it se reserve le droit de �° �° modifier les specifications, couleurs et equipements sans avis prelable. Quality Jotul AS has a quality system that conforms to NS -EN ISO goof for product development, manufacturing, and distribution of stoves and fireplaces.This policy gives our customers quality and safety piece of mind as a result oflotul's vast experience dating back to when the company first started in 1853• We appreciate your trust in welcoming our product into your home and invite your comment and appraisal of our efforts to provide you with the finest in home hearth products. OualM Le systeme de controle de la qualite de Jotul AS est conforme a la norme NS -EN ISO goof relative a la conception, a la fabrication et a la distribution de poeles, foyers et inserts. Cette politique nous permet d'offrir a nos clients une qualite et une securite reposant sur la vaste experience accumulee parJotul depuis sa creation en 1853• Jotul North America Poo Riverside Street Portland, Maine 04104 JOTUL Jotul AS, P.o. box 1411 N-1602 Fredrikstad, Norway 20 This product has been controlled by: Ce produit a ete controle par: Date: Sign: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052204 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/16/2005 APN: 066-360-009-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect.503�ig� Class �_ License Number: Site Address: 13801 NIMSHEW RD MAG License : —�- -- Map Index: p Date: $ If o Contractor. IATIR(GK QViuS Description: DEMO GARAGE W/BATHROOM 836 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any pity or county which requires a Owner: BURNS ELMER C & CECILIA G TRUST 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 C/O BURNS PATRICK TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 13845 NIMSHEW ROAD 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA 95954 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 Code: The Contractors' State License Law does not apply to an Applicant: BURNS ELMER C & CECILIA G TRUST 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 C/O BURNS PATRICK TRUSTEE sale. If however, the building or improvements are sold within one 13845 NIMSHEW ROAD 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 MAGALIA CA 95954 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). 41 ❑ lam Exempt under Article 3 f th Business and Professions Code Date: b oS Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: 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: 4'0)r- Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred •thousand dollars ($100,000), in. addition to the cost of compensation,, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. r CONSTRUCTION LENDING AGENCY This permit is hereb issued under the ap91ca le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutipns to dg ork indicated abov or w ch fees have been paid. I1 performance ohjwork for which this permit is issued (Sec 3097 Civ.) By Date: Name: PERMIT EXPIRES ON: Address: ate �C 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 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 any fficial form or document of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purpo S. Print Name: A—Q(c Signature: Date: g 6 S Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building PermitOl-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION BIN # Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For office use only: OWNER Last Name GVR�S A C3oV L i t Name aIGk Address 3245 IMSHff�.I t2oA+0 City M& LlA State State ZiP45`15W Phone 3o-34.3-1393 Faxs�_8?3—aZoo E-mail A 21CK D 113 1 UICIJ5 10 A o A. APPLICANT SIGNATURE X For office use only: CONTRACTOR Name SSA Nt FL RS A C3oV L Address SRA City Carrier (V 1A State Zip Phone Map Book Fax E-mail Planner Lic. #50:3 4 gy Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name (v JA Address SRA City Carrier (V 1A State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Scw-t F_ A Crojf_ Address SRA City Carrier (V 1A State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning 711ress V Flood Zone Cross Stret SRA Yes INo Carrier (V 1A Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# 7 711ress V SRA Cross Stret WORKER'S COMPENSATION Policy Number Carrier (V 1A If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name tv A Address ,,��^^� ,,,, Description or Scope of Work: l:1►AP,GE_ V� MoLtTIO/J Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must'be made prior to the expiration of the permit and no construction work has been done., Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b� Amount: G 1' C.Bldg SRA Receipt #- s T ` 5l �L Sheriff / SMTP Dat /6 C.� Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 1 s f PERMIT NO. 4897-76MHI � 1 PERMIT EXPIRES OWNER Kleo Marso i CONTR. owner LOCATION (A.P. 66-36-9) W/S Nimshew Ridge Rd.,across from Ponderosa, 1 Nimshew ys} . r' rt r Temp. Power Pole ' Called PG&E Temp. Elec. Serv.� Called PG&E Temp. Gas Serv. Called PG&E j JOB 1 FINALED /6 (Date) (Signatur a 3 . r,, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter -5, under permit number —for the following location: tt Owner Owner's Address Mobilehome Mfg.-� -� Model Year/ Insignia No. Serial No. 9- S 77 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date '� d ` r 7 i By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical. A. Is service large enough to provide adequate amperage -to mobilehome (mu'st equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Ye S4 No B. Is there proper clearances around panels? Yesi No ( C:) Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system'of the mobilehome at the pe estal. 2. Make sure that the power supply cord"or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch'all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure,the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the:grounding electrode and the chassis of the mobilehome.. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10• Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA &in ,(Manufactuur��er and/or Namestyle ��.J�' Length 'LV L% 'Width f Z - Vehicle Serial No. 4.2 �777:7 State Identification No. -1^1 7 Additional;Information or Comments: .a MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes -)-(No 2. Does the mobilehome have required clearances above ground? (Sec.5085) No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Y-,-, 4. Is the mobilehome level? (Sec. 5088) Yes, No 5. I.f more tha gle unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fkexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No Test - Does water piping withstand working pressure or.50 lbs. air test? Yes No C. Backflow -I oach is not State of California approved; does station have backflow device and pressure e f valve? Yes No 7. Wastes and Drains �A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? Ye No Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not to of .California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an 'approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test ciith slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No- Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU4L-DING - 'BUILDING (Cont'd) ' PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. forph sically handicaDDed Conformance of ex. Foot Test FIREPLACE Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Motors ELECTRICAL Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final ` DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 76 •• w 7 County Center DrLve `' 'Uroville, California 95965 / /PY7 _ Y_ Telephone: 534-4541 �( APPLICATION AND PERMIT / -. _.- '-- "t7;';d .-- ��.y — uu w cnwi uNUn ItIC above-meninero r inspection purposes. X Date Sigature of Permitee or �geint Receipt No. /S /S t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,OR.OF PUBLIC WORKS ermit expires Date BUILDING Owner %��� ° O d �j� SQ. FT. OCC. BUILDING VALUATION Mailing Address < Telephone o. Fireplace Contractor �.`,U�y�p��y Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee $ Building Address CV �Li1.[.tl. /c ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 p Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 f / A. P. No. l0 1� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe C. Sartitetiert Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bl47--hmrg-fted Parcel A60rr000val Plo pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR L Main service 100 AMP ORSLESS 5.00 �' V Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 'O OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CNR. OSTMULTI.OUTLET NON•R ESI.. ( BRANCH CIRCUITS) 2.50ea NEW CON5T. POWER APPARATUS & NON • R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@ 1100 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above- information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Anthori7o ronroconfnfi' a _f +1 c 1+,.��...., ,.f n....,. . 0 — TOTAL PERMIT FEE ? $ c� -. _.- '-- "t7;';d .-- ��.y — uu w cnwi uNUn ItIC above-meninero r inspection purposes. X Date Sigature of Permitee or �geint Receipt No. /S /S t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,OR.OF PUBLIC WORKS ermit expires Date Util. MH 2389-76 PERMIT NUMBER — B a P,E E PERMIT EXPIRES 5/18/77 f " OWNER K.leo MarsO) CONTR: Owner LOCATION (A.P. 66-36-9 a w/s Nimshew Ridge Rd., across from # Ponderosa, Nimshew. i Approx. 4z mi. from Skyway i t{ >� t I t 1 t ' 4 Util. MH 2389-76 PERMIT NUMBER — B a P,E E PERMIT EXPIRES 5/18/77 f " OWNER K.leo MarsO) CONTR: Owner LOCATION (A.P. 66-36-9 a w/s Nimshew Ridge Rd., across from # Ponderosa, Nimshew. i Approx. 4z mi. from Skyway i t{ >� t I t 1 t 13 f� 13 I •j Zoning Foundation _ Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE REMARKS OR CORRECTIONS 9/jo of y a C� 0lc, v COUNTY OF BUTTE Department of� PubliO Works BUILDING INSPECTION RECORD 1 Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Pimg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING " Temporary Cert. of Occup. Final Final REMARKS OR CORRECTIONS 9/jo of y a C� 0lc, Y14 COUNTY OF BUTTE —.. DEPA_RTMENT OF PUBLIC WORKS 7 County Center Driye_ - ..,Uroville, California 95965 �J/ ` Telephone: 534-4541 —76 ©'O j / �/L�J-, APPLICATION AND PERMIT / w . . 1cF1U0c11iauv6a UI Ule VUUllly UI CSulle io enter upon the above-mentioned property for inspection purposes. X Date / 19 Signa ure of Permitee or Agent Receipt No. / X Ic /J r4- White-D.P.W. "White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS'- f/ By ate,<rIx '�Jo ding permit expires Date 7,7 BUILDING Owner ZLIff4/LJ,Q - f SQ. FT. OCC. BUILDING VALUATION Mailing Address �s-� (� !c L4A-0 iY0Ar,.v • ,,� , ��, Tel ephine No. Fireplace Contractor WNL/Z Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 6J AS A/Im PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Ac /Loss -'2a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping rJ Each gas water heater or vent 1.50 A. P. No.. -� -- 9 rn�jSt- Zo.-ning Gas piping system 1 - 5 outlets Q ^ Each additional outlet .30 / F VAC. a I to EQA Parking arcel Plans Declaration Fire Dept. Fire Zone Use Permit Building sewer - Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 BIPRec'd i �h?Parcel Approval Plans Approval Permit Fee $ 3— $ 33 — NEWADDITION ❑ ❑ UTI LITIES� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGS.CCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS &) NON_RES,(SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: - Ex. Occup(OUTLETS OR FIXTURES)I?25C 104 FIXED ALNT Ex. Occup. ( OUTLETS PP (RESID )REA) 2.00 Temporary service 10.00 ` Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this t� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws 'of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .I TOTAL PERMIT FEE // $ �lp w . . 1cF1U0c11iauv6a UI Ule VUUllly UI CSulle io enter upon the above-mentioned property for inspection purposes. X Date / 19 Signa ure of Permitee or Agent Receipt No. / X Ic /J r4- White-D.P.W. "White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU IC WORKS'- f/ By ate,<rIx '�Jo ding permit expires Date 7,7 PERMIT N0. 2732-77B,P ' PERMIT-EX'PIRES . „OWNER Kleo Marso CONTR. Fred Cox, Paradise LOCATION (A.P. 66-36-9 W/S Nimshew Ridge Rd.','$i mi.S.of Skyway, Nimshe, Area r yr . is :t }lr' �f Temp. Power Pole Called PG&E Temp. Elec. Serv. t(' Called PG&E t Temp. Gas Serv. l Called PG&E I r 'FINALED Z4 ✓ � 7 / —2 (Date) (Signature) '„ 1� fes;:"`` - . �. .. ♦ �� .�. ,_ 1. - ,,-Y`OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING " BUILDING (Cont'd) Water Htr. PLUMBING' Setback I-qX Firewall Soil Pipin / -- Forms Parapets 1st Floor Service Main Bldg. Restroom Finish 2nd Floor Finish Footin s Windows 3rd Floor Ventilation StemwalI Siding To out Final Slab Roof Sheathing Water Piping Water Piping Piers Roofing Sewer Support Garage Fdn. Vents Fixtures Gas Piping Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica pe.1 Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E ME INSTALLATI N Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS D (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — ,•Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abZot;rure ed prop inspection purposes. X Date /o' ermitole or Agent Receipt No. 1(O/E-J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRFT R OF PU LIC WORKS % B ` IJ Date L7 7 Building permit expires D e �� % BUILDING Owner k/eo SQ. FT. OCC. BUILDING VALUATI N Mailing Address Telephone No. Fireplace Contractor �6 Total Valuation Mailing Address 67 PC 4 Permit Fee Plan Checking Fee &/or Penalty Q _ 6 IT l ne N _p Permit Fee $ Building Address W S � �� � d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3� MAr S Each Trap 1.50 (r0 Repair drainage or vent piping 1.50 Water piping 1.50 �sd 5 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration_ Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 J_rBldg. Plans Recd Parcel pprovol PI Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD-[- 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 /^� Pr I V /`J�"�` NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2Q.SQ ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW NCONSTR. POWER APPARATUS &) ON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p License No.,� % 84 � / Classification %3—% Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE `3 $ C authorize representatives of the County of Butte to enter upon the abZot;rure ed prop inspection purposes. X Date /o' ermitole or Agent Receipt No. 1(O/E-J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRFT R OF PU LIC WORKS % B ` IJ Date L7 7 Building permit expires D e �� % 9r ti�H� J1d�G : (�. I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drjve; ,— .OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT duulUnce represenidnves or the County of Butte to enter upon the above-mentioned rop for inspection purposes. X Date Sig ture of Permitee r Agent ` Receipt No. T (v7V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF PUBLIC WORKS By BY - �� Date `Y t 73 2- 7 i' -BuiFdi"g permit expires Date BUILDING Owner c��S SQ. FT. OCC. BUILDING VALUATION Mailing Address 57A4-0_ /4 1,0 ,Fireplace Contractor C9 lX_/R�_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty e Telephone No. Permit Fee Building Address rrry1 j` /�f i�w PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 J/_/ VGA-) Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. G (O `3(� — 1Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe . -3arri-taNen FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 B14e. P4iw&-Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JK ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 2 Main service 600V .11 100 AMP ORLESS5.00 Main service EA. ADD -i- 100 AMP 2.50 Single Family ❑, Duplex ❑ Mobil Home ❑ Others Main service °00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 �� _ NEW CONST. DWELLING 0 & OR ACDNS. ACC. BLDGS ) 22sgft NEW CONSTR. ( MULTI -OUT ET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON.R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie Of: Y Ex. Occup(OUTLETS OR FIXTURES) 50 BA®� FIXED APPLNS. OR Ex. OCCup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FF I am exempt from the Contractors License Laws of the State of California. Permit Fee $ % $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7 y duulUnce represenidnves or the County of Butte to enter upon the above-mentioned rop for inspection purposes. X Date Sig ture of Permitee r Agent ` Receipt No. T (v7V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF PUBLIC WORKS By BY - �� Date `Y t 73 2- 7 i' -BuiFdi"g permit expires Date • it PERMIT NO. 5837-76B PERMIT EXPIRES / 0 s'/ ✓ IF OWNER Ileo Marso CONTR. Sierra Mobile Home Service, Parad;GP LOCATION (A.P. 66-36-9 ) W/S Nimshew Ridge Rd.,across'from Ponderosa, Nimshew ; J !F ,T v A a t, i . .Y sy .. k 6r: t Temp. Power Pole Called PG&E Temp. Elea Serv. Call d PG&E Temp Gas Serv. alled PG&E ' OB 74 6V? FINALED (Date) (Si t ) S • ' . .y a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'dl Setback /Z Forms Main Bldg. irage Footings Stemwa I I Slab �— irport �— aiau Patio Foot i =1111119 ucco Mesh Scratch Interior L Door Clos DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING N COUNTY OF BUTTE — `DEPA*TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me 'oned property for insp ction purposes. X Date Signature vof Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRESTO 0 PUBLIC WORKS r By Date_/Im ZJ '7L 1��- wilding permit expires Date '� 7� BUILDING Owner XCL- Qv SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address � Telephone No. Fireplace 1 Contractor Total Valuation - Mailing Address E 6 Permit Fee / Plan Checking Fee &/or Penalty ho n F 7 �JJ Permit Fee $ 13 $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ✓� S / P l,J t IVCf Each Trap 1.50 n //} C'2 O S S /' /� K Repair drainage or vent piping 1.50 Water piping 1.50 $ A -/Each gas water heater or vent 1.50 / /f/ A. P. No. �j 1p ' �l5 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 1A -e Sa o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. F-Wt-11ec'd I Parcel Appiovol I Plan royal Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L loo AMP 1.00 16 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS)2.50ea - NEWCONSTR. POWER APPARATUS & NON -REST D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �s v✓eL, yLl,o'%• 1 r, S�✓✓��-� Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �$ ��o al�Classification e Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forWorkmen'sWorkmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING -FEE • $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 13 authorize representatives of the County of Butte to enter upon the above -me 'oned property for insp ction purposes. X Date Signature vof Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRESTO 0 PUBLIC WORKS r By Date_/Im ZJ '7L 1��- wilding permit expires Date '� 7� 1 !1 AND WHEN RECORD MA BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 X005-0065#37 Recorded I Official Records I County of i •Butte 1 CANDACE J. 6RUBBS I County Clerk -Recorder! I I 09: 26 -Oct -2005 I REC FEEE 10.00 CWORMED C_iPY 1.00 SA Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SffE N—(TAC(,-Kc O CE_GA-i_ 101 S 62CN7'c'o -� Date Z // D s 1 State of Ca}j'fornia County of gloilk On 10 1.7_4vOS before me, 'EATY OWNERS: aw �a,-- ?A'-\1 tC(A P. 13vKi S k� >R t A1rL�S personally appeared i(3L -✓i CYA,, i,,/ S ,_ ((Q��,�L. --p-, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and th by his/h r/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed / inst ument. WITNESS m an a /d offic' eal. Signature Seal:ro D. FISHER Commission # 1487634 Notary Public - California_ Butte County A.P. # O 6 G- 7 C 0- O O 1 My Comm. Em*es May 4.2008 Ir Wr FMGMIT "V ' BEGINNING at a point in the Westerly line of Nimshew Ridge Road, 57 feet Southerly from the centerline of Ponderosa Way; thence North 820 45' West, 360.00 feet, more or less, to a point in the Easterly side of the right of way of the Pacific Gas and Electric Company's ditch; thence North 40 30' East along the Easterly side of the aforesaid ditch, 86.00 feet, more -or less; thence North 870 East, 337.00 feet; more or less, to a point in the Westerly line of Nimshew Ridge Road, and 84:00 feet, more or less, Northerly from the centerline.of Ponderosa Way;thence South 40 East, 141.00 feet, more or less,_ to the point of beginning, being part of Section 27, Township 23 North, Range 3 East,.M.D..B. & M. t REVISIONS BY r Frank M Glazewski archie t structural �esign 3045 Ceres Avenue Suite 135 Chico, California. 95973 tel(530) 343-46.30 fax (530) 894-8164 NO C-27470 REN 5-31-07 OF CA��F Frank M Glazovsk► Ar-chiuet expressly resorves eommon law con"ght and other property rights in those plans. These plans are not to be reproduced. changed or c"d in sill form or matter whatsoever, nor are they to be assigned to any third party wthout the expressed antten consent of Frank M Glazewski Architect. i--1 P4 C) �° tZ 4Hca� �U� � U Z �� o CZ 00�0 ca site plan DRAWN F.G. CHECKED F.G. DATE 09-2G-05 SCALE NOTED J08 N0, 05-053 SHEET A - • OF SHEETS • Frank Mz • Gla ewski argue t structural desi 3045 Ceres Avenue Suite 135 i A-4 I 52'r-2' 'I' -to• I r-OLL r -or Chico, California 95973 tel(530) 343-4630 ((53) 15' �• 10'-a• 2G'-2• fax 894-8164 G' --- --- --------------L------- -------------- ------- ---------------------------- ----------------------------- ------------------ ------------------ ----------- -------------------- -------- -------------------------------- --------------------------------'1 1 t �y�T D AR41 - NO C-27470 to , II' -10' , 3'—G" 3'-4" 'i'-4" '1'—I• ,II' -3' 5'-10" i i r REN b-31-07 y OF C A��F w LQ0 Frank M Glemzewsxl Architect x r h t e p eas yLn 1 IA 1 ! reserves commor law copyright ani '— s a other property rights In these plans. These plans are not to be reproduced, p p ,t changed or copied In an form or matter y Ili n whatsoever, nor are they to be assigned < AID ----- ----- — x-----• X-----• x-----• t;-----• n to any third par ; without the expressed ! 1 ---------------t------------------- --- written consent or Frank M Glazewskl O 1 Xrchltect. in\ Ij 100 ' 1 N / 1 --•►- 1 p10'— •4'— I'—I 5'—S" 3'—I • - �—r ------------------ ------------------ -------------- --1 ----- -__.----_-_----------------- \ / t o I ----- O Ln t v 1 I I r - O i ,\ ,t l p ` to - �..LL Ll O --------------- ----- -- 1 r5 1 5 —1 v t I 1 .n rcc�) Vi I i i i 1 I I 1 �., ,I •Is � 1 10 :. ` b 1 I 1 i III t. /J Ln a 0 0 b ' I