HomeMy WebLinkAbout021-160-116ZZ�
21-16-1:16 :',',1860-90B',
621
-166-116 AG 97�
ARMSTRONG Robeit, MORGAN, RUTH & LANCE
1090 Lewis- Oak7'Rd-�Gfid
le 1090 LEWJS'0,��.S'
J�D., GIRDLEY"',
new,,sin
9 .AGRICUTURAL EXEMPT PERMIT
HOUSE TRACTOR, SPRAG RIGS, ECT.
................
.21 16
- EROBERT CHRI S - -DEWSNU. P�,,,
Recorded AE Ack q/18/89
M1.196-116
-;, 0471371
q
MORGAN,'� LANCE
I 0§01EWIS' 'O"A-K RD, GRIDLEYo
%:
Cont: P06LS B''Y 'JAYI.�,4-.
-POOL�,MASTERl0l-51§',_5"-
iV
NOTES RESIDENTIAL
021-160-116 V-CF4--13 7 _1_'�
MORGAN, LANCE
1090 LEWIS OAK RD, GRIDLEY
Cont: POOLS'BY JAY
POOL MASTER 01-518
SPECIAL CONDITIONS
CHECKED
BY
- SRA
- FLOOD CERTIFICATE REQ.
- FIRE SPRINKLERS, REQ.
SPECIAL INSPECTION 'ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) fit
Signature
V= OK
0 = Not_QK
- = NotApplicable
* = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Size -Spacing -Marriage Line
1.
Zoning Require me nts-Setbacks- Easements
4.
2.
Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
7.
4.
Water; Location -Test- Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ /I L 'ft.
P Nat. or/ /"L'ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date----- Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector.
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type- Installation Ceri.
10.
Exits; Insp.-Sketch
11.
Cart. of Occupancy
12.
Permanent Fou ndation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
a
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1 .
Zoning Require ments-Setbacks- Easements
2.
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs- Rails
4.
Wood Awn.; Posts- Beams- Rftrs. -Con neclors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns-Conneclions-Splice-Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing- Veneer- Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings .
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date.
FINAL (Plans) OK except #'s
1.
Setbacks�Easements
0 mpaction-Structure Stability
9-1rool
Structure; Steel -Connections -Thickness
Dea."en-Lining
4,`fiec.;
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.-Heat.er
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main in Conduit
9.
Health Department Approval
Plurale',"Cir.. est -Water Supply Test
ht Niche
Date&-�-(,�:(
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date
RESIDENTIAL
Date
Underfloor (Plans) OK except Ws
Hangers -Post Caps -Anchors -Connectors
1
. Zon i ng- Setbacks- Ease me nts- Flood- Slope
Cling. Joist-Rftr. Ties- Purlin-Roff Brac. -Truss- Sht ing, Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils- S feel- Elec. Grnd.-/ f' Ftg. Depth
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width- Head roo m- R ise- Run -Land ing- Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test-Ancho rs- Regulato r- Service Test
Glazing Area -Glass Protection- S kyli g hts- Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
. Insulation -Walls -Ceilings
15.
Access & Ventilation
1 nli It rati6n-Wal Is- Windows
16.
Insulatic,
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection- Landings
17.
Water Htr.; Vent -Access- Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fillings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Su6panel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -C learance- Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mach. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / ga. Cu or At-A.C. Wire Size I / ga Cu or At
Guard Rails & Deck Co nstruclion- Post Caps
30.
Range Circle / ga Cu or Al -Oven Circ. ga Cu or At
Insulated Neutral Q Yes C) No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor Q Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Insild./Drive :) Yes :I No/Walks j Yes :) No/Planters D Yes D No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Elect rica I- Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/0 to Grade -HD Approval
39.
Attic Access & Platform it Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces- Plates- Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
oingle Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roff Brac. -Truss- Sht ing, Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width- Head roo m- R ise- Run -Land ing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection- S kyli g hts- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61
. Insulation -Walls -Ceilings
62.
1 nli It rati6n-Wal Is- Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection- Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Su6panel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec: Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -C learance- Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Co nstruclion- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Insild./Drive :) Yes :I No/Walks j Yes :) No/Planters D Yes D No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Elect rica I- Plumbing
85.
Vents Above Roof, PIbg- Appliance- Fireplace -Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
`7
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive Oroville, CA (530) 538.-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exis it the
above address and sho)Ad be corrected. Please notice this office when correction of work is
completed. It you hayXany questions pertaining to this matter, or need additional explanation,
please contact this,01fice immediately.
/4., �///z 0 V / j�' ZI /71 71MV01" //�� 7 X�1,
nr_v lvru�
National Pollutant Discharge Elimination -Systern (NPDES) Phase 11
Construction Storm Water Permit and Storm.. Water Pollution
Prevention. Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE
Project Title: /,, �q A! �'? - Z6 I "'e, // .
By signing below, L the project owner/owner's agent� certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Wa . ter Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the StateWater Resources Control Board to obtain such a permit if my project
disturbs I acre or more of land. L ftirther, certify that this project will not disturb 1 acre or
more of land. I I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other pem*s or other sanctions provided by law.
Signed:
Title:
Date:
— A
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP041371
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/02/2004 APN: 021-160-116-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: (fl— 5- -7 Li=se NUmbX:
Site Address: 1090 LEWIS OAK RD GRI
Date: 0-49el Contracto
Map Index:
Description: POOL MASTER 01-515
OWNER-BUILDkA DEdLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MORGAN LANCE C & RUTH E
to its issuance, also requires the applicant for such permit to file a
1090 LEWIS OAK ROAD
signed statement that he or she is licensed pursuant to the provisions of
CA
the Contractor's State License Law (Chapter 9 commencing with Section
GRIDLEY,
7000) of Division 3 of the Business and Professions Code) or that he or
95948-9530
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).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: POOLS BY JAY
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
CHESSON, JAY
such work himself or herself or through his or her own employees,
PO BOX 1137
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
GRIDLEY, CA 95948
year of completion, the owner -builder will have the burden of
530-682-5003
proving that he or she did not build or improve for the purpose of
sale.).
Ell 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: POOLS BY JAY
and who contracts for such projects with a contractor(s) licensed
CHESSON, JAY
pursuant to the Contractors' State License Law.).
PO BOX 1137
ZI I am Exempt under Article 3 of the Business and Professions Code
GRIDLEY, CA 95948
530-682-5063
Date: Owner:
License #: 738866
WORKERS'COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Q I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance c 6 r d olicy num�pr are,
Carrier:—
Total Square Ft: 0 S. F.
Policy #:_
Valuation: $0.00
13 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
On
q67 q;L-
Applicant:
WARN140//Fail secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued unde the ap licable provisions of the Btifte County CodA enrVcir
Ir
I hereby affirm that there is a construction lending agency for the
Resolution o o work indicated bov ch fees have been paid.
-
2
performance of the work for which this permit is issued (Sec 3097 Civ.)
1
V, A bk
Name:
By: A J at
PE 494.
V —T / 1,
ES ON: 6 WaY--
(Dale) /
Address:
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
U Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application. that the above information is correct, and that I am the owner or the duly authorized agent of the oVer. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of Ay—b�cial form or doc t Of a County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pur po�"-
Print Name: Signature:
Date:
0 Owner 0 Contractor LI Agent for Owner 0 Agent for Contractor
I - . -1 -<-
Z, .. I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 61 orsa�,_ ASSESSOR PARCEL NUMBER
V
Proposed Building Use: 0(�)n I . Counter Technician.00YA Date:
Items required in order tolapply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations.
0 .4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplica te. (D) Floor plans in triplicate, All of these
must be stamped and wet -signed by the enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
ci 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
0 20. Erosion Control Plan Required ...................................... ......... ** ............. ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit .............................................. ............
0 23. California Department of Fore tr plan approval 0 paid. Sent by: ..............
0 24. Planning approval (A) Llse'153R (B)Parking: _(C) Parcel Check:
T_
o 25. Contact Land Development about - Improvements, - Drainage .................. I ......
0 26. NPIDES Form ............................. ........ .......
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
28. Pre -Inspection for required .......
29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number ..........................................
0 31. Owner -Builder Verification ( * Given to owner, -Mailed to owner) ..................... .
32. Letter of Signature authorization ............................................. * .... * ....... 1.
0 33. Recorded copy of Agricultural Acknowledgment Statement ........................ I ........
0 34. Manufactured home utility clearance ..... : ............. I ..................... ...........
0 35. Existing violations and/or expired permits ................................. ........
0 36. Deed Restriction ...................................................................
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other:
When issued Telephone and hold for pickup.
I have been informed of Welbi� nts for obtaining a building permit.
Applic Date:
tt ZY
0
pp'ic F
't 'hetter
1. Ind xx per it licati r ti3eabove'items nu-mbered: Plan Chec
Ic I
2 ems req V Z ! - �1. - -
sjg r, 0 "0'
ontract designer, owner, was advised of the above data by C!r phone, 0 mail, 9 c6unter, by Date:
o tr ctor. sl a r 0
ntractor, designer, owner, was advised of the above data by 0 phone, 0 mail ' 0 counter y Date:
Plans reviewed by: -Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: DateAWi I �T_
Note transfer by: Date: I ir �/ - IF
Yellow: Building Division
Q
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
t7 --V �w
r -use ONLY
Plot IN&* Artfilchad��
Rear Ron Attached
Sent to G.D. _/
L40co-,, &--" DO, — Q I
Owner Ili Location AP#
Plan' Approved for: Sewage Disposqj Water Supply: Public Private Wel,'N---,,
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8196
naie
RESIDENTIAL
---T8-6-0--9OP,'----�
(-2 1 f6 1 ff PEM
!ARMSTRONG, Robert
1090 Lewis.Oak Rd, Gridley
(new single family)
4,
OFFICE COPY
W
Address
FG
Dat��?
Me er By
ELECTRIC Date
Meter By
OFFICE COPY
Address/&
GAS
Meter y ate -
E C
LECTRIC
M .t.r B, D �at e
eter By
JOB FINALE
Signature
ENERGY CER111FICATION
CA
LOCATION - -- A.P.1NO.
ROOF
Material Brand Name
Thickness Tbermal Resistance (R Value)___
EXTERIOR WALL
Material FI ERGL SS
Brand Name CERTAINTEED
Thermal Resistance (R V'a*I-u'*e--)----*-
CEILING 13_
Thickness (Inches)
Batt or Blanket Type FIBERGLASS Brand Name CERTAINTEED
Thickness (Inches) J.1) Thermal Re-sistance
Loose Fill Type..jE_jBqRC;LASS (.R Value
Brand Name CERTAINTEED
Minimum Thickness (Inches) — 1,�, No. of Bag h t---/- -2--5-----1-- b -s -
Area Covered (Sq. Ft. )_... /&aao- Thermal Resistance (R Val. -u---'*
FLOOR,ELEVATED e),IP-
Material F.I-5JERGLASS Brand Name CERTAINTEED
Thickness inches) Thermal R��iistance (R Valu--'-*-"---"'
FLOOR, SLAB e)
Material Brand Name -
Thickness (inches) 1'hermal R�sistanc�—(-R
FOUNDATION WALL Value)_.,_
Material Bz-and
Thickness (Inches) ---- Thermal Resistance (R Value)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLFT) IN TITE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKIN-S-J.N Q.tJ-S.TRJ-F, 379407
Firm Name/Owner State Contractor's License No.
Signature Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS . AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF'CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name/Owner
Date
Signature Gen. Contractor/Owner Date
COUNTY OF BUTTE
DEPARTMENT -OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
A routine inspection irndicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
42416 RACle F-Z101c.)
r 6 f -
./- 1 6 4 T!5
[late Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial'Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
NER
��ff , <5�) �
'ERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please co tact I ffice immediately.
7�
Aj's L)Z- t kic
oU �-AAVLV P -W
Da Inspector
-7
COUNTY OF'BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 E I I iott Road, Parad i se — Phone: 872-6307
CORRECTION NOTICE
Aelv'��r�/Mu / Fv6o -1�0-
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co'rrection of work is completed. If you h ave any question pertaining to this
matter, or need addit)qpai explanation, please contact this office immediately.
'0,7eln Ael
� - I -%.R
p c t -C
Date9—r�5i—�4�'' Ins e
%I = OK
0 =Not OK
= Not Applicabld
= Not Aeady MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ P'L"ft./ P'LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy 4
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
_j
Pi
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK ex6ept #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Conn6ctors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GF1
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 -Pane I boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 Not OK 14 1
Not Applical�le
Not Ready__� RESIDENTIAL (Single & Duplex)
Date "ONDERFLOOR (Plans) OK except #'s I
+-I&n i ng -Setbac ks- Ease me nts-Flood -Slope
2..FfJ.'. Main; Soils-Elec. Grnd.-JAL-Ftg. Depth
2,�
, Garage; Soils-Steel-Elec. Grnd.-JZ/�' Ftg. Depth
4. Ftg., Po�oes & Decks; Soils -Steel-/ /Ftg. Depth
&.-Sfe—mwalls, Main; Steel -Bloc kouts-Wrapped
&.-�TV`mwalls, Garage; Steel- Bloc kouts-Wra p ped
6a. Hol_dRowns and Special Anchors
Uellrab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor- Reg u lator-Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Da!;7;31-5& Card B-1 xz� DateT_�_-F46 Card B-1
DatC-?� 6n Card B-1 Date Card B-1
Date PWMBING (Permit) OK except #'s
01�.Aater Htr.; Vent -Access -Combustion Air -Baffle
Lef'-f!'L Water Pipe; Test & Anchor -Nail Protection
A),�D.W.V.; Test -Fittings & Anchor -Nail Protection
L_Af.'Shower Pan; Test, First Floor -Tub Access
L>-'2oAest Tub & Shower, Second Floor -Tub Access
Gas PiDe: Size & Anchors
5? � 10
Date-t-JV5 Wcard B-1 1�� Date Card B-1
Date Card B-1 Date Card B-1
Date E�IECTFIICAL (Permit) OK except #'s
\_,-'2,?, Fixture & Transformer Clearance -ins. Protection
6 2':�,,Elec. Receptacles Spacing -Lights & Switches at Doors
��4 . size Boxes & No. of Conductors -Stapled
4____ 234Romex Installed Close to Edge of Studs & C.J.
C 26Aquip. Ground made up w/Mech. Fastners-Bond Gas & Water
L--_2�7. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. S6bfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu'or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
0,Servic -Riser-Conductors & Ground -Main Disconnect
1�3 Equip. Clearances Panels-Motors-Mech. Equip.
t,-"3�,Clothes Closet Light -Shower Light -Spa Light
L�-'33. Smoke Detector
Datd_�1'_45__TQ0ard B-1 tU 02 L,, Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
777777'34. A.C. Ducts Insulation & Support
1----35-Vent Fan; Exhaust above insulation
',W�ondensate Drain & Overflow; Size & Grade
.L_1,7-.F6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
Access & Platform if Furnance in Attic
Dat.5�- �'-70Card B-1 16� Date Card B-1
Date Card B -I Date Card B-1
Date F"ING (Plans) OK except #'s
k-"39. Sils, Proper Material & Anchors
L,< -Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
,_�'�Bearing Walls over Girders & Floor Nailing
\,A-'42,Draft Stop in Walls (rat proof)
sf� re Stops; Furred Ceilings -Stairs -Chases -Tub
, C4_4VHeaders & Beam -Size & Bearing
Date FRAMING (Continued)
4 angers -Post Caps -Anchors -Connectors
4 Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
G4Aireplace Ties or type A Flue -Fireplace Throat clearance
(-48,;Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
j,�. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
050.1 Thrage Fire Protection Framing
,L,- 5-1. Property Line Firewall & Openings
1.�2. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
Width -Head room -R ise- Run-Landi ng- Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
V,---55. Siding -Nailing Veneer
�.ucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
Glazing Area -Glass Protection -Skylights -Plastic,
_.�Shear Walls; Nailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-7) Card B-f��� Date Card B-1
Date -% Card B-ikl� Date Card B-1
Date FINAL (Plans) OK except #'s
0_67 I. Steps -Door & Sidelight Protectio n -Landings
U,42. Smoke Detector
.3��ace; Vents -Clearance -Comb. Air-Connector-
_,�' In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
L,--16_5;�_G.F.I. & Bath Fixtures & Tub Access -Spa
A ----66. Elec. Trim & Subpanel; Breaker Sizes & Labels
$airs & Rails
L--_68.-F4replace or Stove; Clearances -Hearth
L,-'69. Elec. Outlets at Wood Panel; Int. & Ext.
-Kit.. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
Zg��arage Fire Door; Swing -Landing -Closer
U:w'�3. A.C. Duct in Garage -Damper
__7A. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
JoGarage; Above Floor-Mech. Protection
��.b., Elec. & Mach. Equip. Listed for Location
%_��Garage; (G.F.I.)-Ro tection
lec. Receptacles in 7=1110
��7 Insulation -Foam -Looked in Attic '�Q_Yes
78. Guard Rails & Deck Construction -Post Caps
L_U-�n Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
L_ -SO. -Fol lowing instId.; Drive 0 Yes Pt<o; Walks ta-Ti5s' 6 No;
_P 0 Yes 0 No
Janters
cc ; Brown -Finish
�unit; Disconnect, Electrical, Plumbing
L 8
_.§�..Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Op.q�nings
L_-tg'water v
yell; Disconnect, Electrical, Plumbing
L__a&.-in'terior Elec. Trim; G.F.I. Receptacle -Underground
,__&6=4re�ation Throughout House
tj(e5��iass Protection
�_�crrections from Previous Inspections,-'
Test -Meters Tagged; �e-�Elnc
AAg,,Sajer & S wer Connected -C/0 to Grade -HD Approval
RzW
,q��Lnergy Compliance Certificate -Other Certificates
Dattl-I :I �__Card Pate Card B-1 -
2��XJJ'Card B -L-%
f�::� Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Ca.litornia,A'965 - Telephone: 916/538-7541
/6 �O_ go
APPLICATION AND PERMIT Z
ASSESSOR PARCEL NUMBER
21-16-116
ZONIa �k
BUILDING PERMI-F/,-"
OWNER
A'1)1PWi`MA`IRe%9R&S
TELEWHO'NE
846-1038
SO. FT. OCC. BLIILDING�VAL;UA
�O)N
1600 R
64,000
-
577 Ord Ranch Rd, Gridley 65948
572 M
8,008
CONTRACTOR'S NAME
Ownpr
TELEPHONE
120 cov
1,200
CONTRACTOR'S MAILING ADDRESS
Fireplace "All
1,000
CONSTRUCTION LENDER
none
WN
Total Valuation $
74.208
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
358.00
ARCHITECT OR ENGINEER
nonp
LICENEE NO.
Plan Checking Fee
$
179.00
Energy Plan Checking Fee
$
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1090 Lewis Oak Rd.
Permit fee
$
562.00
PLUMBING PERMIT
FilingFee
10.00
Each Trap
8 2.00
16.00
Gridley
Solar or heat pump water heater
20-00
L 0 T
SUBDIVISION NAME
PARC
i� M
_1P
Water piping
5.00
5.00
Each qas water heater or vent 5.00
5.00
USE OF STRUCTURE
SF EX Duplex F� MobilehomeF_J Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
5.00
Building sewer 7 5-00
5.00
Mobile Home Is
TYPE OF WORK
Newba Addition[:] RemodelEJ LltilitiesE] InstallationEl Other
Describe work: -3 bdrm
Permit Fee
46.00
Contractor
ELECTRICAL PERMIT Fi I ing Fee
10.00
main service 6001 OR LESS
100 AMP OR LESS
10.00
10.00
Main service EA. ADO'L 100 AMP
2.50
2,50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
11 VF �] I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code d y license is in full force and effect.
License No.- 39' Classificatl_
I, as the owner, or my employees with wages as their sole compen_
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F-1 I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING O�I�Pr)
OR ADDNS. ACC. BLOGS.
21/20scl f t 54.30
NEW CONSTR MULT'-OUTLET 2.50 ea
N . N. R E." , BRANCH CIRCUITS)
(POWER APPARATUS &)
SINGLE OUTLET CIR.
j.20 @ 50c
Ex. OCCUP( OUTLETS OR FIXTURES ALO 30t
OCCUP. FIXED APPLNS. OR
Ex-- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
t
-
Permit Fee $ 76 - RO
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Fi ling Fee
10.00
Heating 70,non
6.00
T)iiq I Pq k
Cooling 3T
6.00
Hood 3.02
3.00
Venti I ation
Permit Fee $
25.00
Contractor
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 authorize representatives of the C6untyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again�,L,paid County in,,pe9eqUence of the granting of this permit.
X Date f 0
Signature of Applicant Ow..rK Coltractor F-1 Agent [I
An OSHA permit is rTuired for excavations over 5'0" deep and demolition or construct-
ion of str ctures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee 30.00
0
f �3
CO SA�PE
V
1 TOTAL FEE $/ 739.80
HAZ
CUA I
PARK
I SCH�oj
F.1-0/1
v
P,%R L�P6
1 2-1 yi
I Ss
V17
This permit is hereby issued under
si�ns oi the Butte County Code and/or
work indicated above for which fees
DI T R OF C
By 4M,
I -g,= -
PERMIT EXPIRES Date _WZ
the applicable provi-
resolutions to do
have been paid.
WORKS
nqtp
Receipt No. 66548
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
7., !FZ;�;
COUNTY OF BUTTE - DEPARTMENT 0,f,.PIJALIC WORKS - BUILDING DIVISION
nDKIIA QrQQF TC1 CDUnKIC. AI&MID 7-4
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .. ...................... ...........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on Plans
15NMazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
eTK8. Engineered truss details and layout in duplicate (required prior to Ian check) !�24
%_1 , � - P I E,7 ve--) 6�8
9. Mobilehomef installation data including manufacturer's installation
instructions .........................................................
10. Fees of $ . ........................
11. Chico Urban Area fees paid ........................................
,-oJ2. Park f es aid ... 1. �!* .......................................
�� f" I a Scbool District fees paid ......
_92�43- :*:* 6 74 5n eq
(!-Q4<,4. Sanitation approval fro V-1 19 U I ltla Health* Department 61,J�S-10 r) dLd
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
1 R. Improvements may be required. Contact Land Developm ent Section DPW 7�
9. Driveway permit (construction approval required prior to occupancy)
.require Pre-Inspec. request to
20- Pre -Inspection for d Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) . ..
22. Ce rtificate of Workmans Compensation Insurance ..................
_P& Owner- Builder Verification (Given to owner 0, Mail to owner cl) .....
&T44. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit rocess as follows: — Mail to owner. Mail to contractor.
So-?qe--
Telephone and h6ld-'for pickup alo-02-0--office. —Deliver w/inspector.
Other
Applicant—ae 0. 12'j— —.Date 6_"Z—Rc;�
Copy of Haz-Mat form sent —Health Pept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date By
The following'data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional I items required:
Contractor, designer, owner, was advised of above required data by —phone ---mai I —counter by—date
Contractor, designer, owner, was ad.vised of above required data by—phone —mal I —counter by— date
Aa., <7
Plans checked by Date Plans approved by==� Date
— Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO
FROM:
SUBJECT:
.;" I A
Buildinc Department
Environmental Health
Sanitation Clearance
Location A?#
Owner
Plan Approved for: Sewaqe Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobi other
NOTE
sanitarian
Water Supply
Water Supply
Water Supply
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
109,9 5
location AP #
owner
Driveway permit has been -issued* for the above property.
date
si ature
(S,,-,-J"COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
'7�County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLIQPT-��RMIT
PERMIT NO.
A SSOR PARQEL NUMBE ONING
SZI—IL - // (J
-1) BUILDING PERMIT
MR rzm�_-�
bevr,+ /1rms+re)A(3 44, - 3 03 L
—
SO. FT. oc�,. BUILDING VALUATION
OWr4ER'S MAILING OORER,,,, � pAU— Gr_A
fl 9s9y8-
_;RACTOR'S NAME
LEPHONE
L
CONTRACTOR'S MAILING ADDRESS
Fireplace I 1_1V r/ I
TION LENOER
C;VS ;I;�
UNKNOWN
Total Valuatidn' Is
LENDER'S MAILING ADDRESS
Filing Fee
10.00
Permit Fee
$
A:UECT OR ENGINEER
& &JL4
ILICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$
A'ACHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
is
PARCE/L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF DuplexF� Mobilehome[] Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00-2
TYPE OF WORK
NewX Additiono Remodel[] Utilitieso Installation[] Other[]
Describe work: 65 16 A
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 800V OR LE SS
100 AM -P OR LESS
10.00
Main service EA. ADO -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCC
OR ADONS.* ACC. SLOGS.
'0 q ft
_)�,usqft
F2.5
NEW CONSTR MULTI-OUTLF,'
No.."ES', , -BRANCH CIRCUIT;)'
go
0 e a
POWER APPARA al
SINGLE OUTLETTUS
Ex. OCCUP( OUTLETS OR FIXTURES
1.20 @ 504
AL930c
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESIO.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ W9. EEC
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for S100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi ling Fee 10.00
Heating Gq
Oug
2Q_ 4/9()
Cooling ST�
Hood
3.00
Ventilation
Permit Fee
$ cg n
Contractor
I certify that I have read this application and state that the above information
I s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature OF Applicant — OWner [I Contractor C! Agent
An OSHA permit is required For excavations over 5'0" deep and demolition OrConstruct.
n of Structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
�0.00
occ
CONST TYPE
-1) 9, M
TOTAL FEE S '/(-)
IIAZ
I CUA I
PARK
I SC.L
I ILD
.0 1 ISSUE
This permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne applicable prov
utions t
resoi 0 do
have been paid.
WORKS
Date
C -�4
rR0
eCeipt No. Z�
.. I , klt�'
WHIYE-O.P.W.. YELL W-A33ESSOM. PINK -INSPECTOR, COLD ENROO-APPL I CANT
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
.(One Form per Building)
Building Department No.
A.P. Number
school District'6 ('1d hl city = -county Jurisdiction
AProperty Owner A I �r ms�-ro no
Project Location/Address— _�Q )_ (-' �' 0 A,
A0
Subdivision Lot Number
Residential Development:
Sq..Footage
of[jLi]ving MHI AQn (Group R)
Units
Commercial/Industrial:
New
Bui
Sq _. 1"Footage
Addition (Including Exterior
Roofed Are�as).
A
Date,
(Floor Plans reviewed -by School District Personnel)
District Id No.
(Applicant Name)
0 90
reet Address)
M
y
School District certifies that
(phone Number)
State
5"�V
(Zip C(
has.complied with the requirements of Resolution No.
by the p* ment of $ representing 1600 square feet.
y
"Y4 -Z4
cho#1 District Representative
PAID BY CHECK NO. 117.47
BANK NO
PAID BY CASH.
REMARKS:
Date
white -applicant, yellow -building department, pink-sch-ool district
SCHOOL.FEE (8/88)
9
5/89
RESIDENTIAL,PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
OWNER
GENERAL
foning requirements: (sideyards
Valuation.
Plans signed by designer.
.Energy Design and Compliance.
. Existing violations on property.
. Items on data sheet.
PLOTPLAN
Bldo. Permit
A.P. #
and number of permitted living units).
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FAU & FAS road setback.
FLOOR PLAN
,,-Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205�9.t4d4'11'�
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
:'�GFCIs in baths, garage, and exterior outlets (Article 210-8).
?' Light fixtures, switches, receptacles, and exterior receptacles for maintenance
,,,of mechanical equipment
Locations of water heater,<5eating_and cooling equipmen
�) other electrical or
9 equipment, and plumbing-�t�tures.
D�-Z�ar ge firewall, door size, and closer (Sec. 503(d)(3)).
1. 3'0" exterior exit door (Sec. 3304(e)).
2. Fireplace and wood stove location, aicoves, and clearance.
3. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough- to construct building.
Roof construction details complete enough to construct.building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO.LOOK OUT FOR
---:--Stairway details:' landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
4< Brick or stone veneer (Chapter 30).
1 5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONVD)
��xterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
covering type - (fire hazard).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
-r- Adequate bracing.
r*-L ving area Over garage - complete 1 -hour separation required on garage side
-Including supporting walls and posts, etc.
1�_Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716)..
tt,c ccess and ventilation (Sec. 3205).
3 Underfloor access and ventilation (Sec. 2516).
Un
Combustion air for fuel burning appliances.
• Noise requirements on duplexes.
• Adobe soils - special foundation design.
etaining walls requiring design.
U rj
nusual shape, size, or split level house requiring lateral design.
I
lashing at all exterior openings.
Return,,,*to DPW AGRICULTURAL ST�TEMENT OF ACkNOWLEDGEMENT A 0 - 2 65`32
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County. Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
All that *real property situate in the County of Butte, State of California, described. as
f ollows:
RAGe f '9
i-ke '
ot4 f-oN VlAp -�!ij6oL IN -fhd
4-+ke COU14
'J
too -
Date:
State of
SS.
County
PROPERTY OWNERS:
wo
On this thecx_�6 day of 19.
the undersigned Notary Public,/personally appeared
lapersonally known to me. [-] Proved to me on the basis
0 ?F_1 �C'_ I A L _0E A L of satisfactory evidence.
REBECCA L. BLEDSOE to be the person(s) whose name'(s)
NOTAIlYPUBLIC-CALIFORNA subscribed to the within instrument and acknowledged that
BUTTE COUNTY ?Lh7,-- —
LIFOR W Comm. Expires Feb. 1, 1993 executed the same f or the purposes, therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
END OF DOCUMENT
The property described herein is adjacent
'Oee
to land or included within an area zoned
-90 Rec,-.
'926532.,
5�00
f or agricultural purposes, and residents
S.00
of this property may be subject to incon-
Re.'C orded' a I ly
veniences or discomfort arising from the
ciEil , Records
use of agricultural chemicals, including,
County -of
but not limited to herbicides, pesticides,
Buttel.� 4.
and fertilizers; and from the pursuit
C bb
�tndace,. J.. ru �s,",
of agricultural operations including,
Recor.der.,:
25 -Jun -90
but not limited to cultivation, plowingg
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agricul-
tural zones which have as a priority use for
productive agricultural purposes, and
residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that *real property situate in the County of Butte, State of California, described. as
f ollows:
RAGe f '9
i-ke '
ot4 f-oN VlAp -�!ij6oL IN -fhd
4-+ke COU14
'J
too -
Date:
State of
SS.
County
PROPERTY OWNERS:
wo
On this thecx_�6 day of 19.
the undersigned Notary Public,/personally appeared
lapersonally known to me. [-] Proved to me on the basis
0 ?F_1 �C'_ I A L _0E A L of satisfactory evidence.
REBECCA L. BLEDSOE to be the person(s) whose name'(s)
NOTAIlYPUBLIC-CALIFORNA subscribed to the within instrument and acknowledged that
BUTTE COUNTY ?Lh7,-- —
LIFOR W Comm. Expires Feb. 1, 1993 executed the same f or the purposes, therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
END OF DOCUMENT
*PS
U12
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PEEBMIT NO I
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public. I
ASSESSOR PARCEL NO I
ZONING A an
t2lf±�� 494 0zj-K,0-//3
7 C�'
OWNER a&J Z-�CAI,4 ffiet�'^J
PHONE NO. -7 Ott
sz- C) Ito -
OWNER'S ADDRESS VA C
I 't -I-(-)
--::,f
LOCATION OF BUILDING
ID (?,g Aa, D
ak-
USE OF BUILDING
Atb Is
5,d fle-� r i Arun; a 5 6
SIZE OF STRUCTURE I or (J I V
Q --2
0,0 ,
X SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME - STEEL. CONCRETE- OTHER (Specify)
TYPE OF
ROOF COVERING
FLOOR TYPE
O-rjy-7 eve&
ESTIMATED COST OF CONSTRUCTION
4
$. /&-Zp,0 . Cro
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows- J i e- I
'� A!�-- S I lAe-p-
FRONT DES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date -7 A& Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt from a building pe ft. '00�
F�OOD P./D I R(�� lStfl
I I X I P I
Receipt No.\30z/oq
Manager Building Division
White — DPW, Yellow — Assessor, Pink — 0. 1., Goldenrod — Applicant By Date
All that
f ollows:
Date:
real Droperty situate in the County of Buti�e.,�, State of California, described as
OW*
All that real property situated in Section 1�176�nship 1
2r:east MDM, Butte County, California and being�a �ortion
Gridley Colony No. 0, filed in book 6 of mapsiat pa I ge 58
particulary described as follows:
north
of Lot
and mo�
Commencing at the northwest corner of said lot.34; theni
easterly along the northerly true point of begining; thi
southerly and at right angles to said easterly line 200
feet; thence westerly and at right angles to the southe�
212 feet; thence northerly and at right angles to the
westerly line 206 feet.
'\�his parcel
contains +/- 42,400 sqare
feet, slightly less than 4000r_
Return to DPW AGRICULTURAL STATEMENT OF ACK NOWLEDGEMENT
9_ 3 5 5:9 4,
FOR RESIDENTIAL DEVELOPMENT
fronts Lewis Oak road.
Section 26-8.-1 of the Butte County Code
OWNERS:
requires this acknowledgement be recorded
prior to issuance of a building permit.
F 6"
Rec C J�,
The property described herein is adjacent
189-0:35594
Check., 5 00,
to land or included within an area zoned
Re6orde'd
.for agricultural purposes, and residents
Off icfa 71 -Recoe�rds.
of this property may be subject to incon-'
.4 'Coun ty, of",.,.
veniences or discomfort arising from the
I 1 6
Butte-.
use of agricultural chemicals, including,
CaT4a'*c' e J �,G r u b b s
1 t.
but not limited to herbicides, pestic ides
I -der
Recor.
and fertilizers; and from the pursuit
2': 18pmi'48-Sep-89,
of agricultural operations including,
A
but not limited to cultivation, plowing,
spraying, pruning; -and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
I
All that
f ollows:
Date:
real Droperty situate in the County of Buti�e.,�, State of California, described as
OW*
All that real property situated in Section 1�176�nship 1
2r:east MDM, Butte County, California and being�a �ortion
Gridley Colony No. 0, filed in book 6 of mapsiat pa I ge 58
particulary described as follows:
north
of Lot
and mo�
Commencing at the northwest corner of said lot.34; theni
easterly along the northerly true point of begining; thi
southerly and at right angles to said easterly line 200
feet; thence westerly and at right angles to the southe�
212 feet; thence northerly and at right angles to the
westerly line 206 feet.
'\�his parcel
contains +/- 42,400 sqare
feet, slightly less than 4000r_
acre
and
fronts Lewis Oak road.
PROPERTY-
OWNERS:
State of CALIFORNIN
) SS.
County of Butte
7
On this the 18th day of September 19ag_, before me,
the undersigned Notary Public, personally appeared
r_X_1 Personally known to me. F1 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged that they�
executed the same for the purposes therein contained.,' -IN WITNESS'
WHEREOF, I hereunto set my hand and official seal.
OFFICIAL SEAL
KATHLEEN M MC CLUNG
NOTARY PUBLIC - CALIFORNIA ��4 ?Z.
Present A.P. No. BUTTE COUNTY Notary Public
MY
comm. expires JUL 20, 1992
END OF DOCUMENT
f3*
� e 9 ? E - 9 c
b
m
4L
,z C\?
i
I
Or ........
6utte, ountq
L A N D 0 F NATURAL W E.ALTH A N D BEAUTY
PLANNING DEPARTMENT
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
July 7, 1989
6i1r_Is:M- DeWsnu
.2ewsnu
P . 0
Gridley, CA 95948
Re: Variance, AP
Dear Mr. Dewsnup-:
Enclosed Is Your validated Variance No. 89-'6 to* allow the
qr-e-a.t.1 o f'a .97 acre lot
Y zoned A-40 located on the
x1mately 1200 feet north of
Should You have any questions regarding this matter, Please
contact this office between 10:00 a.m. and 3:00 p.m.
Sincerely,
A. Irch /r
Director of Planning
BAK:lr
Enc.
CC: Department of Public Works.(2
Environmental Health.
Department of Forestry
M
VARIANCE
BUTTE COUNTY BOARD OF SUPERVISORS
June 8, 1989
DATE
89-6
VARIANCE NO.
AP 211-16-113
ASSESSOR'S PARCEL,NO-.
Pursuant to the provisions of the Zoning Ordinance of the'County of
Butte and the special conditions set forth below:- Chris M * Dewsnup is
hereby granted a Variance in accordance with application filed:
1/23/89 to allow the creation of a .97 acre lot on property zoned A-40
located on the east side of Lewis Oak Road, approximately 1200 ft.
north of Peterson Road, southwest of Gridley.
SPECIAL'CONDITIONS:
1. Lot must meet minimum sewage disposal requirements as per
Appendix VIi of the Butte County Environmental Health Department.
2. Both parcels to be created in conformance with Chapter 20 of the
Butte County Code. (AP 21-16-112 and 113)
3. Applicant to file -an agricultural nuisance statement.
4. Applicant to comply with all setback requirements . of the A-40
zone.
5. Applicant must also comply with all other applicable State and
local statutes, ordinances., and regulations.
I hereby decl are under penalty of' perj'ury that I have read the
foregoing conditions, that they are in fact the conditions which
were imposed upon the granting of this varianbe,- and that I agree
to abide 'fully by said conditions.
Dated:
Applicant
NOTE; Issuance of this . variance does not waive
requirement of obtaining Building and Health
Department permits 'before starting construction,.
nor does it waive any other requirements.
Chairm e County board of supervi- -
sors
CC: Department of Public Works (2)
�Health Department -
Department of Forestry
q.
109,
.md oc 0 --i I . I
510 c? 49 A F) P R n V ED
0 P E31t:N
q2O 120 D7TpO
2 L 4-L
Q,
105 cc v
I USEZ PERMIT RANCE
3. /_'71 AC
C)
.32
"400 (6 C7j
5.7-546 52-5
PM103-6 /0 1
-3 101
2 448
84 e 2 Ne,
Ac,
6,8 tr PO 4c
7.12 A C
8, , C., I 4c
—S L VA -LA-ME
4 4 j
.9.31 AC
P Ad 75, 7 1.53 4c 6 7,�j
W) 0 _ 103 A c
385 255
rm 104
4 0 /.1 7AC 41
4 z
/0/ 1
74C
6Ac
6.5.4:
493.26
.234
"'ETERSEN) P E TER
BU140 Co. Planning Comm
NOV 4
Oroville, Calitomia
N
1. Ceiling insulation
U -value
-4
Number of stories
i
R -value
One
Two
Three
R-0
-103
-49
-32
R-1 9
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
-17
-8
-5
0.50
-176
-84
-54
0.30
-102
-49
732
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
-5
R-5
-4
-4
2. Wall Insulation
R-1 1
-2
-2
Single-
Single -
-1
-8
Family
Family
Multi -
R -value
Detached Attached
Family
R-0
-68
-51
-34
R-1 1
0
0
0
.R-13
2
2
1
R-1 9
8
6
4
U -value
15
22
-37
(1.80
-153
-114
-76
0.50
-91
-68
-46
0 . 30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
.7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
3. Raised Floor Insulation
8
12
'Insulation in Floor
16
-20
0
Number of stories
R -value
One
Two
Three
R-0
-17
-8
-5
R-1 1
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-4
-3
-1
----.0.60
-i44
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21.
A4
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
.3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-20
-12
Number of stories
5
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-1 1
-2
-2
-2
R-1 9
-1
-8
-2
4. Slab Edge Insulation
14
25
-46
�iumbJr of Stories
-7
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
5. Infiltration (Air Leakage)
specificsition Points
SUndard 0
6. Glass Heat Loss
Total
Interior
U -value
%Glass North
Percent
South �.West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26.
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
-6
-8
-7
-23
3
0
-4
7..Shading (Shade Open)
&C�u ie Perew f G Ian
(Percent glass X SC)
Effective
Interior
Slab Floor. Raised Floor
%Glass North
East
South �.West
Skylight
18
5
1*
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
3
3
2
0
0
1
0
3
1
-1
-1
-1
-1
2
0
-1
-2
-4
-2
0
na not allowed
9 10 12
13
1 3
7.0
Shading (Shade
Closed)
Q
14
EffectivePesc tGlass
6
10 11 13,
(percent
glass x SQ'
8.0
7
10 11 13
14
14
8.5
7
%Gla:4
North
East
South
West
SkAht
18
-14
-48
-69
-6�_
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
1 2
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21,
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16.
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na - root allowed
0.75
6.88
3 -3 3 2
2
9. Interior Thermal Mass
Interior
Slab Floor. Raised Floor
SEER
Mass
Stories Stories
/CFA
One
Two Three One
Two Three
0.0
-8
-5 -4 -2
-1
.1
0.1
-8
-5 13 -1
0
0
0.3
-7
-4 .2 0
1
1
0.5
-6
-3 -1 1
1
2
0.7
-5
-2 -1 1
2
2
0.9
-5
-1 0 2
3 -
3
1.1
-4
-1 1 3
4
4
1.3
-3
0 2 3
4
5
1.5
-3
1 2 4
5
5
2.0
-1
2 4 5
6
7
2.5
0
3 5 7
7
8
3.0
1
4 6 8
8
9
3.5
2
5 7 9
9
10
4.0
3
6 8 9
10
10
4.5
3
7 8 10
11
11
5.0
4
7 9 11
12
12
5.5
5
8 9 11
12
12
6.0
5
8 10 12
13
13
6.5
6
9 10 12
13
1 3
7.0
6
9 11 13
Q
14
7.5
6
10 11 13,
14
14
8.0
7
10 11 13
14
14
8.5
7
10 12 13
14
15
10. Exterior Wall Thermal Mass
-4 -4
Exterior
Single- Single -
-2
7.0
Wall
0 0
Family Family
Mulli
0
Mass
9
D00W Attched
Family
0.00
3
0 0
0
1
0.20
7
3 2
1
22
040
13
5 4
3
11.0
E60
23 19
8 6
4
8
0.80
30
10 8
5
.14
1.00
13.0
13 10
7
20
1.20
10
13 12
8
2
1.40
10
12 13
9
4
1.60
3.5
10 13
11..
4.1
1.80
4.5
10 12
12
5.1
2.00
One
'10 11
13
-3
11. Heating System
-2
Two +
3
3 2
SEorHSPF
2
Z6
Single -Family Detached and
(assumes ducts In.aUlle)
3.2
3.4
Unit Size (sQ
3.5
Sum of 14
-
'199 11200
1700
2200
-25 or -24 to -14 to 4 4o
+6 to 16 or
SE HSPF
less -15 -5 . +5
+15
more
0.72
6.60
0 0 0 0
0
0
0.75
6.88
3 -3 3 2
2
1
0.80
7.33
8 - 7 6 5
4
3
0.85
7.79
13 11 10 8
7
5
0.90
8.25
17 15 13 11
9
7
0.95
8.71
20 18 , 15 13
11
8
2
2.2
Effective SE or HSPF
8 5
4
(SE or HSPF x duct efficiency)
3
Effective -25 or -24 to -14 to 4 to
+6 ID 16 or
SE HSPF less -15 -5 +5
+15 more
0.30
2.75
-73 -64 -56 47
-38
-30
na
3.41
-45 -39 -34 -29
-24
-18
0.40
3.67
-34 -30 -26 -22
-18
-14
0.50
4.58
-10 -9 -8 -7
-5
-4
0.56
5.13
0 0 0 0
0
0
0.60
5.50
5 5 4 3
3
2
0.70
6.42
17 15 13 11
9
7
0.80
7.33
25 22 19 16
13
10
0.90
8.25
32 28 24 20
1 7
1 3
1.00
9.17
37 32 28 24
19
15
4
Zonal Control Adjustment
8 5
System
Type
3
5.3
POU
Resistance
10 9 7 6
4
3
Other
Muld-Famlly (Individual
6 5 4 . 3
2
2
12. Cooling Syst.!m
SEER
(&ssumei ducts
in aide)
Sim of 7-10
-25 or
.24 to --`14 to
-4 b
+6 to
16 or
SEER
less
15 1 -6
+5
+15
more
8.0
-14
-12 -10
-8
-6
.4
8.5
-9
-7 -6
-5.
-4
-3
8.9
-5
-4 -4,
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0.
10
9 7
6
4
3
12.0
15
13 11
9
12
7
9
5
6.
J3.0
20
17 14
85%
917%
95%
100% 105Y. 110Y. 115-l.'120% 125
01/4
Effe�dve SEER
0.2
0.4
0.6
(SEER
xduct eMclency)
1.3
1.5
1.7
Stm of 7-10
2.1
23
Effective-2Sor
-24to -1410
-410
+6 to
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
.25 -21
-17
-13
-9
6.0
-12
-11 ' -9
-7
-6
-4
6.6
-5
-4 -4
-3
. �2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0.
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
.14
9
13.0
33
29 24
20
15
10
1.6
Zonal Control Adjustment
2
2.2
10
8 7
6
4
3
3.5
No Cooling System Installed
3.9
4.1
-Stories
4.5
4.7
4.9
5.1
5.3
One
-5
-4 4
-3
-2
-2
Two +
3
3 2
2
2
Z6
Single -Family Detached and
Attached
3.2
3.4
Unit Size (sQ
3.5
Water
-
'199 11200
1700
2200
2700
Heater
Credit
or to
to
to
� or
Type
Type
less 1699
2199
2699
more
SG
None
0 i 0
0_
0
0
or
Solar
12
4.4
-5
4
HP
HWR
8 5
4
3
3
0.9
WSB
5 3
3
2
2
2.2
POU
8 5
4
3
3
Se
None
-37 -24
-18
-15
-12
4.7
Solar
-1 -1
-1
0
0
6 6.2
HWR
-18 -12
-9
-7
-6
1.9
WSB
-25 -16
-12
-10'
-8
3.1
POU
-1.0 _-12
-9
-7
-6
n
None
' 5 -3
.2
-2
-2
5.6
Solar
7 - 5
.4
3
2 -
1.5
POU
3 2-
1-
1
1
IE
None
-28 -19
-14
-11
-9
4
Solar
8 5
4
3
3
5.3
POU
-10 -6
-5
-4
-3
1.2
Muld-Famlly (Individual
units)
1.8
2
Z2
Unh Size (sQ
Z7
Water
3A
699 700
1200
1700
2200
Heater
Credit
or 10
to
to
or
Type
Type
less 1199
1699
2199
more
SG
None
0 . 0
0
0
0
or
Solar
14 7
5
4
3
HP
HWR
9 5
3
2
2
5.1
WSB
9 4
31
2
2
6.3 6.5
POU
9 5
3
2
2
SE
None
-45 -23
-15
11
-9
I
Solar
2 1
1
01,
-6
4.7
HWR
-23 -12
-8
-6
'-5
6
WSB
-25 -13
-8
-6
-5
1.9
FQU
-23 -12
-8
-6
-5
IG
None
-8 -4
.3
-2
-2
4.4
Solar
6 3
2
1
1
5.6
POU
1 __0
0
0
WY. "
IE
None
-30 -15
-10
-8
-0
-6
2.3
Solar
18 9
6
4
4
4.1
POU
-8 4
-3
-2
-2
Interior MasslCFA
T P.
7.."C-4.21
1 TYPe I PASS
(UIXC b 4.2. Le: exposed
slab)
tcarpeted slab)
0%
5%
10%
15%
20%
2S%
30%
36%
40%
45Y.
50%
56%
60%
6�t
70%
75%
W%
85%
917%
95%
100% 105Y. 110Y. 115-l.'120% 125
01/4
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5 5.3
110Y.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
2.3
Z5
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
-4.8
5
5.2 5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
Z2
2.4
2.7
19
3.1
3.3
&S
3.7
3.9
4.1
4.3
4.5
4.0
5
5.2
5.4 56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.0
2
2.2
U
Z6
Z8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6 5.8
40Y.
0.7
0.9
1A
1.3
1.5
1.7
1.9
2.2
2 4
Z6
2.8
3
3.2
3.4
3.6
3.5
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7 5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
ZI
Z3
2-5
Z7
3
3.2
3.4
3.6
&S
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9 6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
14
2.6
Z111
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6 6.2
60%
1
1.2
1.4
1.7
1.9
ZI
2.3
2.5
2.7
Z9
3.1
3.3
3.5
3.0
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1 63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.0
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1 6.4
70%
1.2
1.4
1.6
1.8
2
Z2
15
Z7
2.9
3A
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2 64
75%
1.3
11.5
1.7
1.9
ZI
2.3
2 5
2.7
3
3.2
&4
3.6
3.8
4
4.2
4.4
4.6
4.8'
5.1
5.3
S.S
5.7
5.9
6.1
6.3 6.5
80%
1- 4
1.6
1.8
2
2.2
2.4
2.6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
61 66
851/.
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
63
65 67
WY. "
1:5
1.7
2
2.2
2.4
Z6
2.3
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.11
53
5.5
5.7
5.9
6.2
6.4
66 6 8
95%
1.6
1.8
2
2 2
2.5
17
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7 6.9
100%
1.7
1.9
2.1
2.3
Z5
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
53
5.7
5.9
6.1
6.3
6.5
6.7 7
105%-
1
2
2.2
2.4
2.6
ZO
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68 7
1101/.
.8
1.9
ZI
2.3
2.5
Z7
Z9
.3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9 7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
6.1
5.3
5.5
5.7
5.9
6.2
6.4
'61
6.8
7 7.2
120%
2
2.3
Z5
2.7
Z9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.0
5
5.2
5.4
5.6
5 8
6
6.2
6.5
6.7
6.9
7.1 7.3
125%
2.1
2.3
25
2.8
3
3.2
3.4
3.6
3.0
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2 .7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
-Z-?-A 0 or
1. Ceiling Insulation
W-valle [381 U-valuc (0.0301
2. Wall Insulation R ( I or
R -value I I I I U -value [0.0981
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal 6ntro'l? Y N
12. Cooling Systeifi
Zonal Control? Y N
13. Water Heating
or
R -value 119) U -value [0.0371
or
R -value [01 F2 factor 10.771
tl.-- �J__ 4
Th -6 I - jq. 3 ,
TypeTdo-ublel U-valuc [0.651 % ToW Glass ( 161
% Glass SC Eff. % Glass
X -77 0
X
X
X 4A ov
X
% Glass Sc Eff. % Glass
X
X
X
X
X
TYPE.1 KASS AREA %
COND. FLOOR AREA
Interior Mass/CF�.
TYPE 2 MASS AREA %
COND. FLOOR AREA
Exterior Wall Mass
X
SE orHSPF Duct Efficiency 10.781 EfT. SE or
10.72/6.61 HSPF (0.56/5.151
9r. f- X 7. -
SEERI Duct Efficiency [0.74) Effective S.Eg-[7.031
Type ISGI Credit [none]
Point Scores
0
Sum 1-6
Sum 7. TO
_t -3-
f I-
0
Point Total.,
Certificate of Compliance:
Residential
Climate Zone
Project Title
East
Project Address
East
Build' P
I -e— ?
SouLh
Rd
Checked By/ Date
Oak
West
Documentation Author
Telephone
Enforcement Agency Use Only
BUILDING DATA
.......
North
GlassArea % Glass
ditioned Floor Area Idol)
Number of Stories
East
192�
law�5wsed Floor
*-..�Single
Number of Units
South
West
if t
Family Detached (SFD)
Addition.Alone
Single Family Attached (SFA)
Existing Building
Skylight 0 0
TOW /91/
Multi-Farnily(MF)
Existing -Plus -Addition
B UELDING SHELL INSULA716N-'.
Component Insulation Locaflon/Comments
TvDe R -Value (aide. to Raraze, tmical. etc.)
Wall ..............
WaU ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge .....
GLAZING
Glazing
Orientation
Shading Devices
Area (31assType Interior Exterior Overhang Framing Type
North
North
East
East
SouLh
Sou Lh
West
West
Skylig4t
.......
THERMAL
MASS
Type/Covering
(slab/exposed.
tile, etc
U14
if t
n,
Area Thickness
Af
0
HVAC S YSTEMS Minimum Duct
Type (fumace. air Eff iciency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
N
Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas. etc.) Capacity (or approved equal) Aso;Oe'ature(sl
V-1,
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
I
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrist residential builtlings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (*) may be superseded by mort stringent compliance roquutments listed
on the Certificate of Compliance. Wben this Checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mar0wory measures
whether they me shown elsewhere in the documents or on this Checklist only.
DESCRIPTION
Building Envelope Measures
• §2-5352(a): Minimurn cciling insulation R-19 weighted average.
§2.5352(bY Loose rill imladonmanufactuntr . s labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R- I I weighted average (does not apply to
exterior mam walls). '
§2-5352(k): Slab edge insulation - water absorption rate no greater than 0-3%. wAter vapor
transmission rate no Ipreater than 2.0 perm/inch.
§2-5311: Insulation speci fied or installed meets Cad ifornia Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: InfiltraLiont/Ext'iltration Controls
a. Doors and windows between condiLoncd and unconditioned spa= designed to limit air
leakage -
b. Doors and windows certifiedl.
c. Doors and windows weatherstripped; all joints and penetrations caulked antl salert
j2 -5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built ftreplaces have:
a. Tight fatting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sWng: attach calculations.
§2-5352(h)and2-5315: Setback thermostaton all applicable heating systertm.
§2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: RVAC equipment. water heatcrs. showerheads and faucets certified by the CEC.
§2-5352(i): Water hcatcr insulation blanket (R-12or greater) or combined interior/exterior
insulation (R-16 or greater): first 5 feet of pipes closest to Lank insulated (R-3 or greater).
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
C* Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool co Cr.
4. Time cM.
5. Directional water inict.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitcheris and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. refriguator- freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
DESIGNER I ENFORCEMENT
This certificne of compliance lists tlr, building features and pedonnanice specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Mptcr2, Subchapter4, Article I of the California Administrative code. T"his
certificate has been signed by the individual with overan design responsibil.ity and the building owner. who shall
retain a copy of it and trw=it the certificate to any subsequent purchaser of the building.
Designer
Name:
rWc/Fu=
Address:
Tek-phorox-
Lic. 0:
(signature) (date)
Documentation Author
Name: 2
'ritic/Furn:
Addn=:
Building Owner
Name:
TitkFum-
Tclephone:
X/
(sighature) (date)
Enforcement Agency
Name:
Ag—r-
fl,
POOLS BY JAY
Pools and Spas
Construction - Service - Supplies
Con. Lic. #738866
530-846-4439 - P0. Box 1137
Jay Chesson Gridley, CA 95948
POOL SPECIFICATIONS
SIZE PERIMETER ��AREA,5/:&q. ft.
DEPTH TO 'L VOLUME GALS.
CONST[RU_CTION SPtCIFI �ONSv
RAMFCzHA'L /PEEP §W�MOUT X
L SEAT,�t
OVESEAT x = WALKOUT x
EXCAVATION (COP,IN TILEV
- U
FENCE: DOWN BY NEW! P BY 41A�r"
HOURSOFGRADING _—LOADSTODUMP
STUMPS LEAVE/HAUL CONCRETE: REMOVE � sq.ft
STEEUGUNITEMLEIPLASTER (VORTEQHM0�
RAISED BOND BEAM FT. x height
RAISED BOND BEAM Fr. x height
DECKTIES TILE
COLOR OF PLASTER A164- 67 -It
ky, 4 �7 _'Y 94 CAP FOR BOND BEA
CAP FOR RAISED BOND BEAM
SPA �= x ------LENGTH OF DAM
CAP FOR DAM . SPILLWAY
PLUMBING SPECIFICATIONS
POOL: NO. OF RETURNS -3 MAIN DRAIN SIZE
SIZE OF SUCTION L:NE EROM.SKIMME
SLIDE � I FILL LNEWFOUNTAIN LINE ft.
SOLAR HEAT "T"s__— POOL CLEANER -_
REVERSE FLOW PLMd. �'Dft BRD. —PRONG JIG
SPA MAIN DRAIN SIZE -_-L____N_0. OF JETS
LIGHT ----RETURN ---VALVETYPE
UTILITIES _;��
ELECTRIC BY A
GAS BY
UNTY
mi -m- CO DECKING (CALNTILEVER'z_�6
JILDING DNISV4 MSLQ. FT. TYPE FINISH _&
FOOTINGS x ----x MASTIC
rAPROVEI) DIVIDERS:TYPE Ok!g�� DRAINS & Ll
P RISERS ----ft.
POOL EQUIPMENT
-FILTER: TYPE SIZE'
PUMP: TYPE SIZE _HP
OOOBTU
BUILDER NOT RESPONSIBLE FOR CONCRETE, SHRUB- BLOWER:TYPE SIZE AMPS
BERY AND / OR UNDERGROUND OBSTRUCTIONS IN
ACCESS POOL CLEANER TYFE
SEPARATIONTANK -
THE UNDERSIGNED APPROVES THIS WORKING PLAN
AND SCKNOWLEDGES RECEIPT OF A COPY:
z4t _r
we r,:e,0
BY
A
�*- ;-111-1;�-Z Z7, -�'SZEISMAN
HOME BUSINESS -
DRAWN BYQ---�;- —<Z- CHECKED'B<�<�--
POOL ACCESSORIES
LIGHTS: POOL __t__ SPA LENSE KIT
BOARD � BOARD STANDARDS
SLIDE ----7—STRTJLC/RC COLOR
GRAB RAILS/STEPS -----LADDER _s:_�__NDRAIL
------VACUUM HEAD AND FE 0 OSE
MAINTENANCE KIT AND POLE
W —
MAP BOOK PAGE:. 0 -160 - //& ,
TRACT NUMBER:` LOT NUMBER:
The Sdale is lit: 40'
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The Sdale is lit: 40'
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