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039-180-045
39-18-X�j JAMES J. SMITH 180 -Rodgers Ave, Chico Permit ¢#2689-78E(inst. add'l ele ser) walnut huller Do �51 a E s 39-18-45 380-91B,P E,M ARNET, Gary ,q 10668 Lone Pine Ave, Chico-� (new sf) CONTR: Jerry Tucky"_ 39-18-45 92-674 BPE ARNET, Gary 10668 Lone Pine Ave., Chico cont: Care -Free Pools (new swimming pool) 0 39-18�j 158-90 A ARNET,. Gary r ;V 180 Rogers Ave, Chico i- _ -Ag Exemption Permit l ( storage --- E R SI E TIAL 9_ _45 92-674 BPE ARNET, Gary 10668 Lone Pine Ave, Chico cont: Care -Free Pools (new swimming pool) sh JOB FINALE Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 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 #'s ,/setbacks -Easements oils; Compaction -Structure Stability ,10'15ool Structure; Steel -Connections -Thickness Dead Men -Lining Elec.; Receptacles and Lighting, Distances-GFI lec.; Pool Lighting; 15 volts-GFI §i ec.;Enclosures; Conduit Entries -Terminals -Listed 7 lec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8,,-15rec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit TZ!a- Department Approval 10� mb.; Cir. Test -Water Supply Test Ai; a Z taC>1tit Nis ► Q - Date ?,Card B-1 Date Card B-1 Date /f__ :02 and B-1 Date Card B-1 of ov�,i94J 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 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 #'s ,/setbacks -Easements oils; Compaction -Structure Stability ,10'15ool Structure; Steel -Connections -Thickness Dead Men -Lining Elec.; Receptacles and Lighting, Distances-GFI lec.; Pool Lighting; 15 volts-GFI §i ec.;Enclosures; Conduit Entries -Terminals -Listed 7 lec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8,,-15rec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit TZ!a- Department Approval 10� mb.; Cir. Test -Water Supply Test Ai; a Z taC>1tit Nis ► Q - Date ?,Card B-1 Date Card B-1 Date /f__ :02 and B-1 Date Card B-1 of ov�,i94J J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /'• Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's -------- -16.-Water Htr.: Vent -Access -Combustion Air -Baffle ------------ ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18.---D.W.V.:--Test-Fittin s & Anchor -Nail Protection ---- -------------- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower, -Second Floor -Tub Access - ---------------------------- -------- ----------- 21. Gas Pipe: Size & Anchors ---------- --------------------- ------------------------------ Date Card B-1 Date Card B-1 ------------------------------------------ - --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- --------- ---------------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------- --------------------------------------------------------------- 24 Size Boxes & No. of Conductors -Stapled ------------ -------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------- 26. Equip. d Grounmade up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ! ga. Cu or Al •------------------------------------ ---------------------------------------------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ------------------------------- -------------- - 31-. -------- ---------------------------------------------------------------- 31. Equip_ Clearances Panel s- Motors- Mech. Equip. - 32. Clothes Closet Light -Shower Light -Spa Light ---------- - ------------------------------------------ 33. Smoke Detector ----------------------- ----- ----------------------------------------------- Date Card B-1 Date Card B-1 -------------- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's ' 34. A.C. Ducts Insulation & Support ----------- - -------------------------------------------------- 35. Vent Fan: Exhaust above insulation 36. Condensate Dram & Overflow: Size & Grade ------------------------- ------ .-.- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ------------------------------------ ------------------- -- ------------- DateCard -B-1 Date Card -B-1 ------------------------------------------------------------------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except u's 39. Sils. Proper Material & Anchors -- -- - ----------- ---------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --- ------------------------------------------------------------- I Draft Stop m Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ------------------------------ 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- -54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- --55.-Siding-Nailing Veneer ------------- 56.--- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ 58. Shear Walls: Nailing -Bolts ------- - 59. Insulation -Walls -Ceilings ----------- 60. Infiltration -Walls -Windows ------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- ----------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------------------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------- ----------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------ ----------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------- 70. --------- ------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -- ----- - - - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ----- ----------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------- -------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -7;.- Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------- --------------- 78.- Guard - Rails- & Deck -Co Caps ----------------------- --- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No ----------------------------------------- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing T ---------------------------------------- -- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings --------- ------------------------- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------ ----- --------- -------- ---------------------------------- 87. Glass Protection -------------- 88. Corrections from Previous Inspections ------ --------------- ------------------------------------------- 89. Gas Test -Meters Tagged; Gas-Electric ------------------------------------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------------------- ----- Date Card B-1 Date Card B-1 ---------------------------------- -------------------- Date Card B-1 Date Card B-1 -------- -- -------- -----_B- ----------------- ----- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � Jct ASSESSOR PARCEL NUMBER 039-180-045 ZONING - ,Z -O BUILDING PERMIT OWNER G TELEPHONE 95-5763 SO. FT. OCC. BUILDING VALVA ON Est. 17 000.00 OWNER'S AILING ADDRESS 10668 Lonen Rd.. Chico CONTRACTOR'S NAME carp -Free TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 8689 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$17.000.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $150.00 ARCHITECT OR ENGINEER RArhmAn LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $185.00 PLUMBING PERMIT Filing Fee 15.00 117166R Tone Pine Rd- Chi rn Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P�Ol SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New Swimming Pool _ Permit Fee $22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1000A1 CONTRACTORS LICENSE LAW I declar nder 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.38o8l(a Classification C -S-3 ❑ 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) ❑ 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 _37.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 3.64sq.ft. NEW CONSTR ULTI-OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CR. Ex. Occup(OUTLETS OR FIXTURES AO 76 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 9 Electric 1 15.00 15.00 Permit Fee $ 30.00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): �❑- The permit is for $100.00 (valuation) or less. U 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. El 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ 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 Countyot 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 against d County i (�consequence of the granting of this permit. o17 X J�"'� Date 3 -�� ! Signature of Applicant - Owner❑ Contractor 211"Agent ❑ An OSHA permit is required for excavations over 5't)" deep and demolition or construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $237.00 HAz I DFEESIMP FLO COF PARC PD H ISSU j This permit is hereby issued under the applicable provi sions of the utte ount Code and/or resolutions to do Work in e o r which fees have been paid. R R OF PUBLIC WORKS BY �- ate qYr- PERMIT EXPIRES Date Receipt No. 109954 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I�-.�vr:�� .'�. .ys„;,., .se-.-. ,: , :�'7l•jl��r �q••; �r,�n�ires.,.� >..r�,��.-,�"'�L'�"P'� 2'kc]iP�e°`'{gp,.."` _ .. COUNTY OF BUTTE - DEPARTME``NT:Of£ PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVAE, PALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER __� A. P o.'` Proposed Building Use *geo / Building Inspector Date &/7z, At time of permit application, I was advised the following data must be pubmitteo priof to permit processing and/or issuance: Q/V£ �J�pT %�q ZZ-{ �f%�/ All items have been submitted.�4/7�g.�7� DATE RECEIVED APPROVED 2. Plot plans in 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 .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. 4. School District, fees paid .............. Sanitation approval from �- Health Department 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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. Building Inspector request to (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When (youjsg'ue the permit, pro ess follows: Maelvwr}er. Mail to contractor. _`Telephone 63d hold for pickup at !office. Deliver w/inspector. Other Applicant Date -Y/ i Z, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pof to permit is5ua_nce: (Circle new item not checked above). 1. Index permit for above items No. K (' 2. Additional items required: Cont r, designer, owner, was advised of above required data by _phone---jnaiI—counter byA—Ldate Contractor, designer, owner, was advised of above required data by—phone—ma Plans checked by Sets of plans on hold in COPY—DPW Date Plans approved by File cabinet AP folder %�— counter by date Date FROK: Buildina Department Environmental Health SUBJECT: Sanitation Clearance -• c�s�ner __T Location AP# Plan. Approved for: Sewaqe Disposal Water SupplY Water Supply Hold final for: Final clearance O.K. for: Water SupplY Clearance for bedroom mobile home. Other NOTE _ Date S n1 arian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEP ONE SO. FT, OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS g 40kl�_- 0, N I - CONTRACTOR'S NAME � cl�Qiz -.24EFt toodCrs TELEPHO E 2 CO TRACTOR'S MAILING ADDRESS I CJ Rd7, y6eq «< CU c. 9S9-1-7 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEERLICENSE r��K�� NO. Plan Checking Fee $ D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /068 Long p iu� b67 Permit fee $ 6 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Q Each pas water heater or vent 7.00 USE OF STRUCTRE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Ne�7 qi 10 06L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$$ and Professions Code and my license Is In full force and effect. License ,JO. �80da� Classification E^ ❑ 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) ❑ 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 OCCUP.&) OR ADONS. 1 ACC. BLOGS. / 3.691 sq.ft. NEW cON57RMULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES RAO 7691 4691 FIXED APLNS Ex. Occup. OUTLETS (RE51D )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc bVirin g 15.00 Permit Fee $ ZVO — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ 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 Countyot 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 against said County in consequence of the granting of this permit. c� x Zzt-.p &¢JCC Date -/ ,2— signature of Applicant — Owner❑ Contractor ST"' Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ oO� ? 3% , HAz 1 DFEES I IMP I FLOOD CDF PARCEL PD HD ssUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ti w COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive yroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. '1 Signature of Permitee or Agent Receipt No. White-D.P.W. Date — 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 PUBLIC WORKS By Building permit expires Date Date BUILDING Owner �� r1 ;; ;' SQ. FT. OCC. BUILDING VALUATION Mailing Address f ✓ /��/ Telephone No. Contractor Mailing Address L /~ Fireplace Total Valuation Telephone No. Permit Fee • Building Address , f ,roor., S Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I I Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ` r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 �r I Main service 10 0 AMP VER oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OC cup- 'l+) 22 sq ft OR ADONS. ACC. BLDGS. 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: NEW CONSTR BRANCH TLET CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L ,2 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 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. F]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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. '1 Signature of Permitee or Agent Receipt No. White-D.P.W. Date — 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 PUBLIC WORKS By Building permit expires Date Date I COUNTY OF BUTTS P DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -4, OrovilIe, California 95965 9- �% G _, Telephone: 534-4541 APPLICATION AND PERMIT t� BUILDING Owner J SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. cy Contractor Mailing Address Telephone No. Building Address A. P. /�'' �a Zoning & Planning Wg es SaaiSatieFl Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration P P aft—plans a 'd I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E Single Family ❑ Duplex ❑ Mobil Home ❑ Others 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: Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ib L. ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / OR ADDNS. 1 DWELLING OCCUP. 5 ACC. BLDGS. NEW CONSTR. NN. (MULTI-OUTL T l BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE EX. OCCUD(OUTLETS OR FIXT11RES1 ib L. EX. OCCU P• FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 j a License No. Classification x I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. It'If that i th f f th k f h' $3.00 cer y In a per ormance o e wor or w Ich this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee It $ 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 County of Butte to enter upon the above-mentioned property for i pection purpq_ses. X Date X &tN e of Per i ee br Agent R z li 7�� WSI.9l��eDaor— ink-Insp o4/ A*1S7d-Applicant Land Development Fee $ TOTAL PERMIT FEE $ ZA 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. DIREC R OF PU LIC WORKS ByDat4 /5, g permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 i AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. L -A-(4-0 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. OWNER'S ADDRESS / qq v tn/V LOCATION OF BUILDING �© ck h�N C ��t2 f cc USE OF BUILDING 5; -n SIZE OF STRUCTURE X J I SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAMESTEEL CONCRETE OTHER (Specify) TYPE OF SIDING r //, ROOF COVERING cow/' FLOOR TYPE s44'/L2 ESTIMATED COST OF CONSTRUCTION $ �• O 00 . 0 o AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: oZJ� �J I If 3S 4� ¢t FRONT SIDES 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupa Date Ire — ? y� / D Signature of Owner � Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. I? y/2 2 FLOOD PARC P.D., RVNG ISSUES V// 11" Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant �il'.,,_, �v w7t'is �c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 96866 - TELEPHONE: 916/636-7641 . PERMIT APPLICATION DATA SHEET Permit No. OWNER /C^�G� A. P. No. 3?— /$O i Proposed Building Use .P Building Inspector Date 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 .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... —26. —27. When you issue the permit, process as follows: IY Tolcnhnnc _%('Z_JA (V7 —A k -JA fnr -if;-- Mail to contractor. 4 ^�Ijver, w/inspector. Date l6 ? Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. 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 items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�_2 ZONING BUILDING PERMIT OWNER '✓ N �� TELEPHONE 8q _ 07V/3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS % /-0 k CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 p o /� -.c- Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 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 Cade and my license Is In full force and effect. License No. Classification ❑ 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) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.e New OONSrRA , �z2sgft ULTC.BI-OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR, Ex. Occup( TLETS OR FIXTURES 20Psot eALC 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 subjectpermit 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 FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Fee $ 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 County of 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 against said County in consequence of the granting of this permit. - X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ HAZ CUA I PARK SGML FLo I PAR PD Ho ISSUE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pro vi - resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT izoDGE.as. j X) No AFPtot/igt\ A -44S or, worZkirr2S t S t t- r, -__.--L OFFICE COPY ° Address GAS ( Dated Meter BY -- OFFICE COPY Address /b 6 6 g", 7ELECTRIC "' DateJOB FINA Signature _ y`q ea1 l E #a rdS i`,j g -t- s�P� t � i s t C'.j'�Ae ' 39-18-45 380-91B,P,E,M ARNET, Gary 10668 Lone Pine Ave, Chico (new sf) CONTR : Jerry Tucker - ,3 - 9- 9-? izoDGE.as. j X) No AFPtot/igt\ A -44S or, worZkirr2S t S t t- r, -__.--L OFFICE COPY ° Address GAS ( Dated Meter BY -- OFFICE COPY Address /b 6 6 g", 7ELECTRIC "' DateJOB FINA Signature _ J=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"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 #'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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'S 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 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 #'s 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-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J= -OK O = Not OK i = Not Applicable Not Ready RESIDENTIAL (Single ' = Date ' UNDE FLOOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-4 ' Ftg. Depth Ftg_ Garage; Soils-Steel-Elec. G/d.-4?P' Ftg. Depth �4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Block outs -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. tlpfd Downs and Special Anchors Slab; Steel -Wrapped 8. P' rs-Fireplace Ftg.-Steel Npl"D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date '�_;?,sof Card B-1 �[� Date Card B-1 Date Card B-1 GG Date Card B-1 Date PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle ti!Water Pipe; Test & Anchor -Nail Protection 12"D.V.; Test-Fittin Anchor -Nail Protection 1V,efhower Pan; T , First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 2T. Gas Pipe; Size & Anchors ✓c' ?I, PiT G-PPAAGg_ T2A � Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors /Size Boxes & No. of Conductors -Stapled !Romex Installed Close to Edge of Studs & C.J. We"Equip. Gro od1nade up w/Meeh. Fastners-Bond Gds '& W er rjy 2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /�/ ga. Cu or(91 A.C. Wire Size 4(r / ga. Cu or(PI Range Circ. 161 ga. Cu or Oven Circ. /6/ ga. Cu or:zj) Insulated Neutral A Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect ly✓Equip. Clearances Panels-Motors-Mech. Equip. 32�Clothes Closet Light -Shower Light -Spa Light 3,3 -'-Smoke Detector Date Card B-1 GG Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 1y/A-C. Ducts Insulation & Support V t Fan; Exhaust above insulation se'condensate Drain & Overflow; Size & Grade 3 Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date 5-41-Gt( Card B-1 �sC Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3PTSils, Proper Material & Anchors alts Studs -Nailing, Spacing & in Plates -Sound 4< Bearing Walls over Girders & Floor Nailing 42" Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub ea -Size & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. ties roo Bra russ- hthng.-Rfng. Oe Fireplace Ties or Type A Flue -Fireplace Throat clearance !'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 42"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions W --Garage Fire Protection Framing 541.—Property Line Firewall & Openings 52r.'Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 63_&teirs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 plyw od on Roof Overhang -Attic Vents -Rafter Outriggers 62:iding-Nailing Veneer 5&-SMcco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts n uIq*6n-W -Cei li2a 6 . nIiItr;eon-W s -Win dows Date 1C�.CZ( Card B-1 C,CT Date Card B-1 Date-��/$_471Card B-1r¢r,� Date Card B-1 Date FINAL,(Plans) OK except #'s 6 . . Steps -Door & Sidelight Protection -Landings Srqoke Detector urn ce; Vents -Clearance -Comb. Air-Connector- arage; Above Floor -Ducts -Meth. Protection 64"Bto'corn Exiting G.EI' Bath Fixtures & Tub Access -Spa EI . Trim & Su_ bpanel; Breaker Sizes & Labels s'&"Rails Fireplace or Stove; Clearances -Hearth _62_Eleo--Outlets at Wood Panel; Int. & Ext. 70 it ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7- lec. Outlets & Receptacles at Kit. Counter 7:2--G''3rage Fire Door; Swing -Landing -Closer .13.-A-e-lTuCt in Garage -Damper 7 Wt Htr.;, Vents -Clearance -Comb. Air-Connector-P.R.V. Ga ge; Above Floor -Meth. Protection I ., Elec. & Mech. Equip. Listed for Location let. Receptacles in Garage; (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic es r . uar Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ... Yes ❑ No; Walks Yes ❑ No; r Planters ❑ Yes � 3• K6 81. Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing 3 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84,1VAter Well; Disconnect, Electrical, Plumbing 8 . Ex rior Elec. Trim; G.F.I. Receptacle -Underground .ontilation Throughout House 8 Glass Protection . Co rections from Previous Inspe ion GAs Te -Meters Tagged; Gistleefric ter & Sewer Connected -C/O to Grade -HD Approval TV—)Energy Compliance Certificate -Other Certificates Date -r\.N Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Com encs at Final: (NOTE: An entry must be made each time you visit job site) 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 rA 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 whencorrection of work is completed. If you have any question pertaining to this T mattgi, or need additional explanation, please contact this office immediately. r ( e&- / Q� Pl lia O _ ►�. _ ..__.. �- A -/ -.40e .n s;Aoo A .� irc-Vk i N S1A6W, Qt -5 ()j?4.- U Inspector j .- 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 /-/rn�,o OWN 511 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 correction of work is completed. If you have any question pertaining to this muter, or need additional explanation, please contact this office immediately. I I_ r V � Inspector ............ 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 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 correc on of work is completed. If you have any question pertaining to this matter, o need additional explanation, please contact this office immediately. GNS l�lPtn1� Date -5- 2 6 - S ) Inspector /:1 ;1.l..lo-nA A" a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �!'!ir� 196 Memorial Way, Chico —, Phone: 891-2751 '7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE p OWNER 9— 2, P RMITITfNO. 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 mat/ter, or need additional explanation, please contact this office immediately. yY,- R 3s 4?," e! C, X r Potzea , Inspector .- r -LTi*'. 3 +e.-.�'o*�:t .rs"=" 'L :,r.,. r- - ".`T,"a'•' ''l- "` _� �P"", — —AFAV 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 Cr 3 $c)—q( 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �l��coo '�I✓Ttznss 6 vita, seA&� ar- l8'G" T t.l Date 5 I" it Inspector ..�.�ia,.,.►. _ Owner�� r��� Permit No. 390V 1 L ENERGY CERTIFICATION Lon 2 , Pn Q, FI �o .,P 2 S LOCATION A.P. NO. �j DESCRIPTION OF INSULATION 3q- Ig J IJ ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FIBFtRGLASS THICKNESS i,' y " BRAND NAME ERTAINTEED THERMAL RES. —1 CEILING BATT OR BLANKET TYPE BRAND NAME E R T A I N T E E D THICKNESS i Z'I�' THERMAL RES - S LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS. l S " THERMAL RES. - S FLOOR,ELEVATED MATERIAL. FIBERGLASS THICKNESS FLOOR, SLAB MATERIAL THICKNESS WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME CERTAINTEED THERMAL RES. BRAND NAME THERMAL RES. BRAND NAME_ THERMAL RES. I.HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE.. BUILDING IN CONFORMANCE -WITH -THE STATE OF CALIF.'ENERGY.REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAME Owe STATE CONTR. LICENSE NO. I hereby certify the above insulation and all required items as shown on the Build.ing Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or. are specifically approved by the State of Calif. �2 __ C, )ze/Z- ----- 3� `=��'�------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CON.TRACTOR'S LICENSE NO. �1 V, fE 0 F' GENERAL CONTRACTOR/OWNER ATE This certificate must be on file with the BUILDING.DEPARTMENT prior to final inspection approval and a copy shall be posted.within the building. JANUARY 1984 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.. ASSESSOR PARCEL NUMBER ' 39-180-045 ZONI G 0�6 BUILDING PERMIT JI OWNER TE PHONE SO. FT. OCC. BUILDING VALUATION 3,894 R 155,760.00 OWNER'S MAIL NG ADDRESS a ge Lane, Chico 95926 832 M 11,648.00 CONTRACTOR'S NAME TELEPHONE 1,632 C 1,632.00 C0NTRAC OR'S MAILING ADDRESS Fireplace 1A 2.000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 171,040,00 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 613.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ G CQ V Energy Plan Checking Fee $ 15 00 CT ARCHITEO ENGINEER'S MAILING ADDRESS '116 (kient, Chirn 95998 Penalty $ BUILDING ADDRESS* Permit fee $ 44. 0 PLUMBING PERMIT Filing Fee 10.00 6�8 4One �`� y Each Trap 8 2.00 36.00 Solar or heat pump water heater 20.00 LOT NO. ®.f`79 SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 2 5.00 10.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 5.00 5.00 SF D Duplex[] Mobilehome❑ Other Mobile Home S I G I W 10.00e SPECIFY TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $71.00 Describe work: 4 BEdroom Contractor ELECTRICAL PER_a IT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 10.00 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. 31,11-1 / Classification -�Ex. ❑ 1, as the owner, or my employees with wages as their sole compen- Main service EA. ADD'L too AMP NEW CONST. ( DWELLING OCCUP.tr\ OR ACDNS. ACC. BLDGS. NEW CONST R. MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUT LETS OR FIXTURES Occup. FIXED ASPLNS IRESID IREA.) 2.50 2.50 X 2'/20sgft 118.50 2.50 ea BAL@AL�3030 2.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. Wiring g 10.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 1 10.00 ❑ The permit is for $100.00 (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. Heating Split Dual Cooling 9 3Ton 21 1 15.00 2 11.0d 22.00 ❑ 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. Hood Ventilation Perrnit Fee Contractor 1 3•oo 3.00 2 6.00 $56.00 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 Countyot 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 against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee O CONST TYPE N TOTAL F E HAz CUA PARK SCHL F� � $ $30.00 , 2.50 1,&�qPD HD_ E V �s X aAa: Date / -0 Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ Thi permit is hereby issued under the applicable provi- --.-ns of the Butte County Code and/or resolutions to do work indicated ab ve for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and dem oli ' nstryye ion of structures over 3 stories in height.f D OR BLIC WORKS Receipt No. 833 0 - ® By ate WNIT!•D. P. W., YELLa W•A53l5 OR -IN DEN ROD-APPLI ANT PERMIT EXPIRE Date Z_. �7PfAiFdl�.i! ,y=.'.'�yQ'�" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /�- y ' I lam-/" C — %�- A. No., Proposed Building Use Building Inspecto ; Date 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 .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions Fees of $ �. /� U ........................ :0�. Chico Urban Area fees paid ....................................... 1 Park fees paid ................................................. e� (S Z:2 School District fees paid .............. 14. Sanitation approval from 4�f C.- Health Department - . 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: ...... 18. mprovements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 2" r 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2�wner-Builder Verification (Given to owner 0, Mail to owner o) ..... . Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. ` 27. WhLj en y ul ssue the ermit, process as follows: Mail to ow er. Mail to contractor. Telephone '` and hold for pickup atC-77 ,-offfice. ( % Deliver w/inspector. Other L/t1� Cr�"(� Applicant �..�...� Date Z Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior t pX Itc ( it a new i m not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—naiI—counter by .date Contractor, designer, owner, was advised of above required data by_phone= a' 11—courJter by date Plans checked by `Z Sets of plans on hold in Copy—DPW Plans approved by Ile cabinet v� _f9Ider,td Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance M /, 1? 4", - /,),, Ale, 3 Ig owner location AP # Driveway permit q6 Q / �� —� has si ature been issued for the above property. date 01, TO Buildina,,.Department FROM: Environmental Health SUBJECT: Sanitation Clearance rw 4tlp� - r% Z- � I(i -) it - C) Owner Location AP# Plan -Approved for: Hold final for: Sewage Disposal kli__ Final clearance O.K. for: Clearance for 4— bedroom mob44-s home. other NO -3 * * * Water Supply __ Water Supply V___ Water supply sanitarian Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 12/90 Bldg. Permit # ,��Q` 91 OWNER �(,�, /� A. P. # 3?- ( Plan Checker_..,. , GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. --Existing violations on property. *Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). —Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. . required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). ;:�S'/ (Chapter 34 & Sec. 5207). kylights Human impact glass (Sec. 5406). 2equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). !' Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment Locations of water heater, eating and cooling equipment, other electrical gas equipment. j.p. Garage firewall, door size, and closer (Sec. 503(d)(3)). 3`0" exterior exit door (sec. 3304 (f). •lL2'f Fireplace and wood stove location, alcoves, and clearance. R.umbing oke detectors (Sec. 12105.'2 fixtures, water closet clearances and -"shower size. STRUCTURAL DETAILS e-1"andard bracing or engineered design (Table 25V) usual shape, size, or split level house requiring lateral design. undation plan complete enough to construct building. oor 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 talcs if necessary.. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. . Adobe soils - special foundation design. --*—.-Retaining walls requiring design. -4-+.--Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). rdrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). n04- th 14&7.0 -rd Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. . Energy design. Flashing at all exterior openings. CDF responsible area requirements. `f BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 2 (One Form per Building) A.P. Number J��-'0V<0"Building Department No. School District C t/5:. Z) City D County � Jurisdiction 9 Property Owner 6 Project Location/Address et2r_: FC eS Cly"' 0 Subdivision / Lot Number Residential Development: a � Sq. Footage :5ff4/ # of Living MHI Addition (Group R) Units Commercial/Industrial: a New Building/Deplartment Representative aSq. Footage Addition (Including Exterior Roofed Areas) s� / 3 q/ ' Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 9 o a g o% School Applicant Name) (Street ss) District certifies Phone Nu: that / /1 r) r /', / (. U 01/'t - 7 ') /? c. (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing 3r' square feet. aS S School District Representative Date PAID BY CHECK NO. BANK NO //- 3 J PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) A1.1 Lhat real property si.Luar.e in Lhe County of .Butte, StaLe of Ca1:i.for:nia, cic•:;cri.hecl FIs follows: UaLe: PROPER OWNERS: Slate of (10t— ) On this the day of FeUJVt t6AV �) 190 1 , hei ore : min, SS. the undersigned NoL:.iry Puhlic, personally Ippea.red CounLy of 4C, ) W-Versonal-ly known to me. ElProved Lo me on Lhe 1);isis of saLisfacLory to be the person(s) whose name(s) _ ! *Mrrr�.�urr ibscr:ibed to the within instrument and acknowledged Lh�I l KATHRYN WILLIAMS c�ecuted the same for the purposes therein coritai.ncrd. IN WITNI;�;S NOTARY PUBLIC — CAL IFOnNIA MIEREOI' I hereunto set my hand and official. seal.. ' ',o..✓ PRI-NCIPAL OFFICE IN BUTTE COUNTY ' My Commisslon Wr" Sep. 20, 1993 696990 ........... . ' PresenL A.P. No, lazy Puhlic -- 2 ~Zelurn Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 16. 8�). of the Butte. County Code ' t' rec Lrires,,t h�.y, acknowledgement be recorded . . prior to issila ace of a building permit. The pr.ope.rLy descr•i.hcd• herein is <ad,jacent 91-008029 R e c Fee 7.00 Lo Land or i nclucit it ' w.i thin .qn area zoned I -or. Recorded Cash 7.00 , ' a )-A.cu-I i%9t-414 �u:r r h ,wI -I •p�s�s, and residents Official Records I c,f Ll)-i.s j�ruju, rl y m,Iy be subjec•.L Lo incon'-. .County of ' ven.iences or discomforL arisi.ng from Lhe Butte ; u!::e of agr.i CU1 Lural chemicals, inc.Lud.ing,, Candace J. Grubbs I IML noL 1-imi.Led Lu herbicides, pesticides, rind ferLJ1izers; arld from the pursuit Recorder ; of, agri.cuItural. oper aLions inc.l.udi.ng,. 1:33pm 1 -Mar -91 ; XX 2 but not. I:iIIIJI-ed Lo culLivat:i.on, plowing, :-spraying, pruning,, and harvesL.ing which occasiona-IJy gener.aLe dust, smoke, noise, and odor. Butte County has esL.rrbl-ished.aaygricul- Luraa zones wlci.ch have as a priority use for produc' Live agricultural. purposes, turd resident:: within sa i d zones and on ad jacenL property should be prepared to accept suc h i nronvVn i encs or discomfor•L from normal, necessary .farm operation:. A1.1 Lhat real property si.Luar.e in Lhe County of .Butte, StaLe of Ca1:i.for:nia, cic•:;cri.hecl FIs follows: UaLe: PROPER OWNERS: Slate of (10t— ) On this the day of FeUJVt t6AV �) 190 1 , hei ore : min, SS. the undersigned NoL:.iry Puhlic, personally Ippea.red CounLy of 4C, ) W-Versonal-ly known to me. ElProved Lo me on Lhe 1);isis of saLisfacLory to be the person(s) whose name(s) _ ! *Mrrr�.�urr ibscr:ibed to the within instrument and acknowledged Lh�I l KATHRYN WILLIAMS c�ecuted the same for the purposes therein coritai.ncrd. IN WITNI;�;S NOTARY PUBLIC — CAL IFOnNIA MIEREOI' I hereunto set my hand and official. seal.. ' ',o..✓ PRI-NCIPAL OFFICE IN BUTTE COUNTY ' My Commisslon Wr" Sep. 20, 1993 696990 ........... . ' PresenL A.P. No, lazy Puhlic -- 2 !,.. ' f POLICY NO. BU -109593 DAP ALTA OWNERS POLICY (REGIO?JAL EXCEPTIONS) 1987 EXHIBIT "An ALL,THAT CERTAIN LAND SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 79, ,AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JOHN CROUCH SUBDIVISION, PART OF THE FARWELL RANCHO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF..CALIFORNIA, ON DECEMBER 7, 19081 IN BOOK 6 OF MAPS, AT PAGES) 81. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PROPERTY: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 791 SAID POINT ALSO BEING ON THE NORTHERLY LINE OF RODGERS AVENUE; THENCE SOUTH 16 DEG. 41' WEST, 339.67 FEET ALONG THE EAST LINE OF SAID LOT 79; THENCE SOUTH 89 DEG. 14' 30" WEST, 142.91 FEET; THENCE NORTH 7 DEG. 17' WEST, 237.20 FEET TO A POINT ON THE NORTH LINE OF SAID LOT 79 AND THE NORTHERLY LINE OF RODGERS AVENUE; THENCE NORTH 71 DEG. 13'.EAST, 285.65 FEET ALONG THE NORTH LINE OF SAID LOT 79 AND THE NORTHERLY LINEOF RODGERS AVENUE TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THE.FOLLOWING DESCRIBED PROPERTY: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 79, SAID POINT ALSO BEING ON THE NORTH LINE OF RODGERS AVENUE; THENCE ALONG THE EAST LINE OF SAID LOT 79, SOUTH 16 DEG. 41' 00" WEST, A DISTANCE OF 339.67 FEET TO THE SOUTHEAST CORNER OF PARCEL 1 OWNED BY DAVID J. DALTON AS RECORDED UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-00055 AND THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG THE EAST LINE OF SAID LOT 79,-. SOUTH 16 DEG. 41' 00" WEST, A DISTANCE OF 133.63 FEET; THENCE LEAVING THE EAST LINE OF SAID LOT 79, NORTH 85 DEG. 46' 27" WEST, A DISTANCE.OF 227.72 FEET; THENCE NORTH 00 DEG. 001 05" WEST, A DISTANCE OF 249.78 FEET TO A POINT ON THE SOUTH LINE OF RODGERS AVENUE; THENCE ALONG THE SOUTH LINE OF RODGERS AVENUE, NORTH 71 DEG. 13' 04" EAST, A DISTANCE OF 105.94 FEET TO THE WESTERLY LINE OF SAID DALTON PARCEL; THENCE LEAVING THE SOUTH LINE 'OF RODGERS AVENUE ALONG SAID DALTON PARCEL, SOUTH 07 DEG. 16' 22" EAST, A DISTANCE OF 175.97 FEET; THENCE NORTH 89 DEG. 14' 30" EAST, A DISTANCE OF 142.91 FEET TO THE TRUE POINT OF BEGINNING. PAGE 4 /7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT ASS SSOR PAR .EL NUMBE�i ZONING v/J BUILDING PERMIT °�IAe rN i j PH j '7T /.t t� S0. FT. OCC. BUILDING VALUATION OWNE6R'S AILING ADO ESI. }}.. b CONTR AC T O^R'''S 'NAME TELEPHONE Jeers F, C, ��(L S l t CONTRACTOR'S MAILING ADDRESS c 10 iqs Q�. �11C� �1 J�Z.•�n Fireplace t Z D Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ N0�_E �� LENDER'S MAILING ADDRESS g Fee Filin F $ 10.00 �— Permit Fee $ 0 Ag.CHITECT OR ENGINEER LICENSE NO. * Ar--L. Plan Checking Fee $ ' -i 343 G 2 S ARCHI ECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee 9Y g e J 31 Ofd E►v% :',� /� SgZ ' PenaltY $ BUILDING ADDRESS Permit fee $ p /� LoA ` �1► ✓� 0 a�r P2S Vd V E PLUMBING PERMIT Filing Fee 10.00 . Each TrapfA 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARD EL MAP Water pipingain 5,00 D Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF El Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW 1 10.00e TYPE OF WORK 4 1 New 2T- Addition ❑emodel Ut ities�❑ Installation ❑ Other ❑ Permit Fee $ Describe work: �Zf r/fir Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP OV OR ORSLESS 10.00 au Main service EA. ADO -L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.h OR ADONS. ( , iosgft I declare under penalty of perjury (check One): ACC. BLDGS. 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea and Professions C/od/e1 and my license is in full for a and effect. POWER APPARATUS e (SINGLE OUTLET CIR. License No. 4&12 (Z Classification Ex. Occup(OUTLETS OR FIXTURES 1.20A @ 50t L@30 ❑ I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS (RESOD )REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Cade for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating g I have placed on file with the County of Butte Building Department b L a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. y Cooling I /�O rO ❑ I shall not employ any person in any manner so as to become subject Hood 3,00 O to the W. C. laws of California. Ventilation9 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 erm pit Fee $677) provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE � I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue AZ CUA PAR Po HD ISSUE against said County in consequence of the granting of this permi . 1!!!J!SC!HTLFLD X �jLj�,��T,�,Q� I� q Th;s permit is hereby issued under the appiicabie provi- - Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor, Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. BY Date -PITC-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541/0 _ /o/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ _ ZONING BUILDING PERMIT OWNER TELEPHONE 343-1685 SQ. FT. OCC. BUILDING VALUATION -1 894 R 195.760.00 OWNER'S MAIL NG AOORESS ARP CONTRAC TOR'S NAME TELEPHONE _ 1979 .00 CONTRAC R'S MAILING ADDRESS Fireplace A 2,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $171,040 00 Filing Fee S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 613.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 306.50 Energy Pian Checking Fee $ 15.00 CT O ENGI ARCHITENEER'S MAILING ADDRESS 1`16 nripnt-, Chirn Q9998 Penalty $ BUILDING ADDRESS Permit fee $944.50 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap $ 2.00 36.00 /Q 668 Lone- %�r', e- 4ve, Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION s �f 79 NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 2 5.00 1 10.00 USE OF STRUCTURE SF[] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 5.00 5.00 Building sewer j 5.00 5.00 Mobile Home S I G I W 10.00 Be TYPE OF WORK ew Q Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 4 BEdroom Permit Fee $71.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 600VAMR ORSLESS 10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 3L%. 4l L Classification _/�- I ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWC ONST. ( DWELLING OCCUP.1c\ OR ADONS. ACC. BLDGS. / X 2'/z¢sgft jj$, 50 NEW CONSTR.MULTI-OUTLET2.50 NON•RESID BRANCH CIRC ITS ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES eALO 30¢ eAL@30 FIXED Ex. Occup. OUTLETS ( R RESIO.)EAJ 2.00 Temporary service 10.00 Home Facilities Mobile Hot- 15.00 Misc. 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. FI have placed on file with the County of Butte Building Department Jd 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. MECHANICAL PERMIT Filing Fee 10.00 Heating 2 15.00 Split- T)ilql oolin Cg 3Ton 2 11.0C 22.00 Hood j 3.00 3,00 Ventilation 2 6,00 Permit Fee $56.00 Contractor I certify that I have read this application and state that the above information s correct. I agree to comply to all County Ordinances and State Laws relating o building construction, and hereby authorize representatives of the County or 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 against said County in consequence of the granting of this permit. -�-;� --��� 3 _�J %�� Date , ' / ! Signature of Applicant - Owner [I Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov.r 3 stories in heiaht. 1. Mobile Home Installation Fee $ Energy Inspection Fee $ 0.00 occ CONST TYPE AL E TOTAL $ 1, 2.50 FEE HAZ CUA PARK I PD HD ISSUE Th's permit is hereby issued under the appiicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS _,:;�n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section L6-8; 1, of the Butte County Code require s„<hais acknowledgement be recorded prior to Issuance of a building permit. I 9J --080.29 7.00 7.00 XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has establ-ished <agricu.l- Lur.al zones which have as a priority use for productive agricultural. purposes, Auld r.esi.dew s within said zones and on adjacent property should be prepared to accept such i nconven'i.eI1CC or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cali.for.nia, (le:,c'ri-bed as follows: Date: PROPERW OWNERS: V V�� State of lea- ) On this the 0,,�r4day of 1P:ZbVL4(1v 19 be lure me, SS. the undersigned Notary Public, personallyLfppeared County of 4F)u4(!!., ) 03 0 ersonal]y known to me. n Proved to me on the has is of satisfactory ev:i_c eii(. e. Lo be the person(s) whose name(s) tw.&*a 8289069@.oe.*.NN ..Ny --_ _- E �rbscribed to the within instrument and acknowledged that _ KATHRYN WILLIAMS ekecuted the same for the purposes therein contained . TN Wl'1'NESS ' NOTARY PUBLIC — CALIFORNIA 4iEREOF, I hereunto set my hand and official seal. • PRMICIPAL'OFFICE IN ' • "°°"� BUTTE COUNTY i 3 AMY Commissldn E OMW lop. 20, 1993 % 7..q..............q.......,. ,. " r •er Pr.esenL A.P. No. -/ �S tary Pub].-ic 91-008029 I Rec Fee The propertiv described herein is adjacent ' I Cash to land or 0clu�ted '� w.i.thin .qn area zoned Recorded I LigriCLIA. u�and residents Official of till jiruperLy mr.ly be suhject to incon-C of Iounty ven.i.ences or d i.scomfort arising from the Butte' use of agr:i cult..ura.1 chemicals, including, Candace J. Grubbs I but not ].imit_ed to herbicides, pesti-tides, Recorder 1 and ferL:i l.i'rers; and from the pursuit 1 :33pm 1 -Mar -91 I of agL' i.cu.1 Lura 1. ope:raLion s including,but not. lim:iLcd to cultivation, plowing, spraying, pruning, and harvesting which 7.00 7.00 XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has establ-ished <agricu.l- Lur.al zones which have as a priority use for productive agricultural. purposes, Auld r.esi.dew s within said zones and on adjacent property should be prepared to accept such i nconven'i.eI1CC or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cali.for.nia, (le:,c'ri-bed as follows: Date: PROPERW OWNERS: V V�� State of lea- ) On this the 0,,�r4day of 1P:ZbVL4(1v 19 be lure me, SS. the undersigned Notary Public, personallyLfppeared County of 4F)u4(!!., ) 03 0 ersonal]y known to me. n Proved to me on the has is of satisfactory ev:i_c eii(. e. Lo be the person(s) whose name(s) tw.&*a 8289069@.oe.*.NN ..Ny --_ _- E �rbscribed to the within instrument and acknowledged that _ KATHRYN WILLIAMS ekecuted the same for the purposes therein contained . TN Wl'1'NESS ' NOTARY PUBLIC — CALIFORNIA 4iEREOF, I hereunto set my hand and official seal. • PRMICIPAL'OFFICE IN ' • "°°"� BUTTE COUNTY i 3 AMY Commissldn E OMW lop. 20, 1993 % 7..q..............q.......,. ,. " r •er Pr.esenL A.P. No. -/ �S tary Pub].-ic r ` POLICY 110. BU -109593 DAP ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) 1987 EXHIBIT "A" ALL THAT CERTAIN LAND SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 79, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JOHN CROUCH SUBDIVISION, PART OF THE FARWELL RANCHO, BUTTE COUNTY, - CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1908, IN BOOK 6 OF MAPS, AT PAGE(S) 81. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PROPERTY: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 79, SAID POINT ALSO BEING ON THE NORTHERLY LINE OF RODGERS AVENUE; THENCE SOUTH 16 DEG. 41' WEST, 339.67 FEET ALONG THE EAST LINE OF SAID LOT 79; THENCE SOUTH 89 DEG. 14' 30" WEST, 142.91 FEET; THENCE NORTH 7 DEG. 17' WEST, 237.20 FEET TO A POINT ON THE NORTH LINE OF ' SAID LOT 79 AND THE NORTHERLY LINE OF RODGERS AVENUE; THENCE NORTH. 71 DEG. 13' EAST, 285.65 FEET ALONG THE NORTH LINE OF SAID LOT 79 AND THE NORTHERLY LINE OF RODGERS AVENUE TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PROPERTY: COMMENCING AT THE NORTHEAST CORNER OF SAID LOT 79, SAID POINT ALSO BEING ON THE NORTH LINE OF RODGERS AVENUE; THENCE ALONG THE EAST LINE OF SAID LOT 79, -SOUTH 16 DEG. 41' 00" WEST, A DISTANCE OF 339.-67 FEET TO THE SOUTHEAST CORNER OF PARCEL 1 OWNED BY DAVID J. DALTON AS RECORDED UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-00055 AND THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG THE EAST LINE OF SAID LOT 79, SOUTH 16 DEG. 41' 00" WEST, A DISTANCE OF 133.63 FEET; THENCE LEAVING THE EAST LINE OF SAID LOT 79, NORTH 85 DEG. 46' 27" WEST, A DISTANCE -OF 227.72 FEET; THENCE NORTH 00 DEG. 00' 05" WEST, A DISTANCE OF 249.78 FEET TO A POINT ON THE SOUTH LINE OF RODGERS AVENUE; THENCE ALONG THE SOUTH,LINE OF RODGERS AVENUE, NORTH 71 DEG. 13' 04" EAST, A DISTANCE. OF 105.94 FEET TO THE WESTERLY LINE OF SAID DALTON PARCEL; THENCE LEAVING THE SOUTH LINE OF RODGERS AVENUE ALONG SAID DALTON PARCEL, SOUTH 07 DEG. 16' 22" EAST, A DISTANCE OF 175.97 FEET; THENCE NORTH 89 DEG. 14' 30" EAST, A DISTANCE OF 142.91 FEET TO THE TRUE POINT OF BEGINNING. PAGE 4 [ONO OF DOCUMENT .°-^'^` � � .�.- CO ..� . o ^ . . � . Certificate of Compliance: Residential Climate Zone 11 Project Tltle 1 ri) 1 0 1 Building Permit 0 . 4, S . ... - c2:r. melted By/ Date Enfonxment ARency Use Only BUILDING DATA Glass Area % Glass North ,�41 q. w'bCo oned Floor Area �y Number of Stories East_ — ised Floor Number of Units if South [ Single Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight n [ ] Multi -Family (NM (] Existing -Plus -Addition Total BUILDING SHELL INSULATION' Component Insulation LocatiiorV'Commerxts Type R -Value (attic, to gawk t Mi_=3, etc.) Wall .............. Wall ............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation S (sin double) Q.11er blind, etc.) (ahtadescreen, etc.) es/no) (metaltwood) No rr-h ( ) ><----�— L North ( ) East ( ) East South SOULh ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEER,HSPF) (attic etc.) R -Value (Btuh) (or approved equal) j� 'c .7 r� Maximum Furnace Heating Output: / 5/-� Btuh I HOT WATER SYSTEMS Tank Manufacturer/Model # System T (storage gas. etc.) Capacity.ora roved a ual __-_v__. _-.:--,S s- S� 6ONJ %0 SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE Lowrisc residential buildings subject to the Standards must contain these measures regardless of the compliarwe approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements (used on the Cenifieatc of Compliance. When this checklist is incorporated into the permit document; the features noted shall' be considered by all parties as binding minimum component performance specifications for the ......... ...... whether they amAhown elsewhere in the documents or on this checklist only-. . ,: ---- mandatory measures7. . _.. __.. _........ .... . . _ •. _........,.:_. -. •_r • .: DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Memures ' 42.5352(a): Minimum ceiling insulation R-19 weighted average. 42.5352(br Loose fill insulation marutfacturet's labeled R -Value. 42-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k)r Slab edge insulation - water absorption rate no greater than 03%. weer vapor transmission nm no greater than 2.0 ptrm/i nch. §2-5311: Ituulation specified or insWicd meets California Energy Commission (CECT quality standards. Indicate type" forth. 42.5352(f)c Vapor barriers mandatory in Climate Zones 14 and 16 only. 42.5317: lnfiltration/Esfilt ation Controls a. Doors and windows between conditioned and unconditioned spaces designed to Limit air leakage. b. Doors aid wi ndows cervi fled. e Doors and windows ,vcatherstripped; all joints and penetrations caulked and sealed ;2.5352(e): Special infiltration barrier installed tocomply with 42-5351 rnoenCECquality standards. 42.5352(d): Installation of Fut:places 1. Masonry and factory -built fireplaces have; L Tight fitting• closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous homing ger pi lou Allowed. HVACand Plumbing System Measures 42-5352(8) anti 2-5303: Space conditioning equipment sizing: attach calculations. 42-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. ' g2 -5316(a): Duce constructed• installed and iruulated pct Chapter 10. 1976 UMC. 42.5316(br Exhaust systems have damper controls. _ 62.5314(c): Gas-fired space heating equipment has intermittent ignition devices. ¢2.5314: HVAC equipment, water heaters• showerheads and faucets wtified by Use CEC. §2.5352(1): Water heats insulation blanket (R•12 or gnats) or combined interiorkzterior ' insulation (R- 16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). 42.5312(Exception p: Pipe insulation on steam and scram condensate return & recirculating 1 piping, 42.5318(dy Swimming Pool Heating 1. System har. a. Ondoff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for sola. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet Lighting and Appliance Measures 42.53520): Lighting - 25 lumens/wall or greater for general lighting in kitchens and bat)uoons. 12.5314(e): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators• refrigerator -freezers• freezers and fluorescent Lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply With Mtle 24, Chapter 2-53 and TStle 20. Qmptc r2. Subchapter 4, Article 1 of the California Administrative code- This Certificate has born signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purcl aser of the building. Designer Building Owner N" Name rWc/Firm: Titk/Firm Address:: Telephone. Telephone tx. - - (sibnatu7e7 (date) (signature) -- y' (dart) Documentation Author Enforcement Agency r Name: Name: TitJclFimL Agcy. Telephone. �. tintiltrauon (Air Leakage) Number of stories 9 " R -value One Two Three R-0 -103 49 32 R-19 -8 -4 .2 R30 -2 .1 -1 R-38 0 0 0 U -value Percent Three .._. .__._ ..0.50 .._.. .176: •...... ._ -84 :54- - 0.30 -102 -49 32 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 2. Wall Insulation 12 29 -58 Single- Single. .12 .3 5 1 Family Family Multi - R -value Detached Attached Famill R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value .7 0 7 -i1 0.80 -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 1 6 11 -1 Insulation in Floor 18 .26 3 Number of stories 5 R -value One Two Three R-0 •17 -8 -5 R-11 3 .2 .1 R-19 0 0 0 R-30 3 1 1 U -value 14 -14 3 0.60. -144 .70 46 0.50 •120 -58 38 0.40 -95 -46 30 ' 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -8 19 0.08 -11 -6 11 14 17 0.06 -6 -3 -2 0.04 ..1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 8 Number of stories 11 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 11 11 R-11 .2 _2 2 R-19 -1 -2 -2 4. Slab Edge Insulation na 8 Number of Stories 2 • R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor - 11_ 3 0.90 -4 .3 .1 0.80 -1 .1 0 0.70-._ �0 _ _2 __ . .._2 _ _ 1 60�-6 4 3..• 0.50 9 6 3 0.40 12 8 4 �. tintiltrauon (Air Leakage) 8.0 9 Specification Points 5 interior Standard 0 Raised Floor .6. Glass Heat Loss Single- Interior Mass/CFA Total'-•- - ............... One .......... ..... U -value ..... -... Percent Three .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 ,40 -8 8 less 50 -121 -53 .39 .24 -10 . 4 40 -90 37 .26 .14 3 0.3 8 35 -75 -29 •19 -9 1 1 10 30 -61 -21 -13 .4 4 16 or 12 29 -58 -20 .12 .3 5 1 12 28 .55 .18 •10 .2 5 +15 13 27 -52 -17 .9 .2 6 Zonal Control Adjustment 13 26 -49 -15 -8 .1 7 -14 14 25 -46 -14 .7 0 7 -i1 14 24 -43 .12 .5 1 8 - 8S 14 23 -40 .11 -4 2 8 3 15 22 37 .9 3 3 9 5 15 21 34 .7 -2 4 10 1.5 15 20 31 -6 0 5 10 5 5 16 19 -29 .4 1 6 11 -1 16 18 .26 3 2 7 12 5 16 17 -23 -1 3 8 12 0 17 16 -20 0 4 9 13 5 17 15 -17 1 6 10 14 4 3 3 2 17 14 -14 3 7 10 14 4 18 13 -12 4 8 11 15 10.5 18 12 -9 6 9 12 15 2 19 11 -6 7 10 13 16 10 19 10 3 9 11 14 17 4.0 19 9 -1 10 13 15 17 10 20 8_ 2 12 14 16 18 5 20 7.,Shading (Shade Open) 8 ---Efreetive Percent Class 11 13.0 20 17 14 12 (percent glass x SC) 6 5.0 5.5 Effective ` 7 8 9 9 11 11 12 12 %Glass North East South :West Skylight 18 5 1 4 1 na 8 16 4 2 5 1 na t.3 14 4 2 5 1 na 9 9 10 12 3 3 5 2 na - 11_ 3 3 5 2 na 7 10 - .2 3 5. 2 1 14 14 9 ..--:_.2 3..• 5 2 2 8.5 8 2 3 5 2 2 14 7 1 3 4 2 2 -9 6 1 3..;..4 2 3 1.9 5 1 2 :. .4;: 2 .. 3 -6 4 0 2•" 3 i 3 4 3 0 1 2 1 3 -5 .4 -4 3.. 2 0 0 1 0 3 5 9 1 -1 -1 .1 -1 2 70 0 .1 .2 -4 -2 0 2.6 1a = not allowed 3 32 3.5 3.7 lB. Shading (Shade Closed) 4.1 4.3 FJreetive Peremt Class 4.9 5.1 (Per'c'ent glass x SC) 5.6 5,7 5.8 Effective 6.1 65% 1.1 1.3 %Class Nora Eat south West SWot 18 -14 48 -69 -64 na 29 3 16 -12 -42 -59 -55 na 4 14 -10 .35 .50 -46 na 5 12 -8 .29 -40 .37 na 6 6.1 11 -7 .26 -36 -33 na 1.6 1.7 10 -6 -23 31 -29-74 25 27 9 -5 -20 -27 -25 -65 3.7 8 •5 .17 .23 -21.. -56 4.7 4.8 7 -4 -14 -19 -18 _ -47 5.7 5.9 6.1 64 5 •2 -9 -11 -10 .30 1.9 4 .1 -6 -8 -7 .23 3 3 0 -4 -5 -4 -16 4 2 1 -1 .2 -1 -9 5.1 1 1 1 1 1 -4 6 0 2 3 4 3 0 1.6 1.7 na - riot allowed 2 2.1 22 2.3 2.4 25 26 2.7 Y. interior Thermal Mass 8.0 9 12. Cooling Syst.!m 6 5 interior 0 3 Slab Floor Raised Floor Exterior Single- Interior Mass/CFA Mass 1CFA One Stories Two Three One Stories Two Three 5 7 SEER (assumet ducts In attic) 0.0 0.1 -8 8 -5 S -4 3 .2 1 -1 0 -1 0 23 29 Sim of 7-10 15 12 0.3 -7 -4 -2 0 1 1 0 -25 or -24 to A4 b -4 b +6 to 16 or 0.5 -6 3 -1 1 1 25- SEER less .15 ; -5 +5 +15 more 2 4 1 3 Zonal Control Adjustment 2_ 8.0 -14 0.60 0.80 1.1 -4 -i1 3 4 4 - 8S -9 -7 -6 -5 -4 3 1.3 3 0 2 3 4 5 8.9 -5 .4 -4 -3 -2 -2 1.5 -3 1 2 4 5 5 5 9.0 -4 3 -3 -2 -2 -1 20 -1 2 4 5 75% 7 9S 0 0 0 0 0 0 25 0 3 5 7 7 8 10.0 4 3 3 2 2 1 3.0 1 4 6 8 8 9 10.5 . 7 6 5 4 3 2 3.5 2 5 7 9 9 10 11.0 10 9 7 6 4 3 4.0 3 6 8 9 9 10 10 120 15 13 11 9 7 5 4.5 3 7 8 11 11 13.0 20 17 14 12 9 6 5.0 5.5 4 5 7 8 9 9 11 11 12 12 12- 12 22 E1Teedlve SEER 26 - 6.0 5 8 10 12 13 13 t.3 (SEER xdud etnclency) !.8 6.5 7.0 7.5 6 6 6 9 9 10 10 11 12 13 13 13 13 i4 Effective St,n of 7-10 -25 or -24 to -14 to -4b +6 b 16 or 8.0 7 10 11 11 13 13 14 14 14 14 SEER less •15 -5 +5 +15 more 8.5 7 10 12 13 14 15 5.0 -30 -25 -21 -17 -13 -9 1.9 21 23 6.0 -12 -11. -9 -7 -6 4 3.4 3.6 3.6 4 42 4.4 4.6 6.6 -5 .4 -4 3.. -2 -2 5.5 5 7 5 9 55% 6o% 0.9 1 i.1 1.2 1.4 1.4 70 0 0 0 0 2 21 2.2 23 10. Exterior Wall Thermal Mass 8.0 9 8 6 5 0 4 0 3 V&� AAA ll1Y111111Gia,' • <.111114LU ZiUllt. 11 Exterior Single- Interior Mass/CFA s. 10.. 0 16 22 14 19 12 16 s 13 7 10 5 7 � me r ■,ss t� Family Family Attained wit Family 11.0 13.0 26 23 29 19 24 15 12 8 Measures Point Scores 0.00 0 0 0 3333 . . rt.,•v,wc•..1, 15 o 1. Ceiling Insulation or O 0.20 0.40 3 5 �- 2 4 1 3 Zonal Control Adjustment R -value 1381 U -value [0.030] 0.60 0.80 8. 10 6... 8 4 5 10 (Carpeted .k.b, 2. Wall Insulation'/ or Y 1 Tyre 1 10ASs (vUK & 4.2. la: exposed slab) 8 7 6 4 3 R-vol [111 U -value [0.098) 0% 5% 10% 1S% 20% 2S% 30% 35% 40% 45Y. 50% 55% 60% iSx 70% 75% 80% 85% 90% 95% 100Y. 105% 11o% 115% 120% 12S• 0% 10Y. 0 0..2 0.2 0.4 0.4 0.6 0.6 Q8._. 0.8 1.-_ 1.1 1.2._ 1.3 L! 1.5 1.6 1.7 1.9 21 23 2S 2.7 2.9 *3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4,8 S 53 . _.._x..,-,0.3 _-'_-20%-- •. 0.8' `'0.8'" 1' 1.2 1.4 fs _ 1.8 _,_1.4__.21..._.23.. 2 22 24 25....27..-2.9_.3.1_..3,3.•- 21 29 , .... 8 ' 30% 0.1 0.9 1.1 1.4 1.6 1.8 2 22 21 26 28 3 3.1 3.2 3.3 3.5 SS 3.7 3.7 3.9 3.9 4.1 t.3 1.5 !.8 5 S.2 S.t 5 6 10% 50% 0.7 QI 0.9 0.9 1.1 1.1 1.3 1.3 1S 1.5 1.7 1.7 1.9 22 2! 26 2.8 3 3.2 3.4 3.6 3.8 4 4.1 4.3 4.3 4.5 4.5 4.7 4.7 4.9 4.9 5.1 5.1 5.3 5 6 S 8 1.9 21 23 2S 27 3 32 3.4 3.6 3.6 4 42 4.4 4.6 4.8 5.1 5.3 5.3 5.5 5.5 5 7 5 9 55% 6o% 0.9 1 i.1 1.2 1.4 1.4 1.6 1.7 1.8 1.9 2 21 2.2 23 24 2.5 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 S.? 5.6 5,7 5.8 5.9 6.1 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.7 28 29 3 3.1 3.2 3.3 3.4 3.5 36 3.8 3.8 4 4.2 4.4 4.6 4.8 - 5 5.2 5.4 5.6 5.9 6 6.1 62 63 70% 75% 1.2 1.3 1.4 15 1.6 1.7 1.8 2 22 25 27 29 31 3.3 3.5 3.7 3.9 4 4.1 4.3 4.3 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 5.3 5.4 55 5.7 5.9 6.1 64 1.9 21 23 2-S 27 3 3.2 U 3.6 3.8 4 4.2 4.4 4.5 4.8 5.1 5.3 5.5 5.6 5.7 S 8 5.9 6 62 64 BOY. 85% 1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 22 2.3 2.4 25 26 2.7 2.8 2.9 3 3.1 3.3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 54 5.6 5.8 6 6.1 62 6.3 6S 95% 3.5 3.8 4 4.2 4.4 4.6 4.8 S S2 51 5.6 S9 6.1 63 6/ 65 66 67 10OY. 1-6 1.7 1.8 1.9 2 21 22 2.3 2.5 2.5 27 29 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 9 S.2 S t S.6 S.8 6 9 64 66 6 0 28 3 3.2 3.4 3.8 3.8 4 42 4.4 4.6 1,9 5.1 5.3 SS 5.7 5.9 6.1 6.2 6.3 6.4 6.5 6 I 6.7 6 9 7 105% .110*/. 1.8 1.9 2 2.1 2.2 2.3 2.4 2.5 2.6 27 28 29 3 3.1 3.3 3.3 3.S 3.8 3.7 3.8 3.9 4 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.1 66 68 7 115Y. 2 2.2 2./ 2.8 2.8 3 3.2 3.1 9.6 3.8 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 5.4 S.7 5.9 6.1 6.3 6.5 6.1 6 9 1.1 120% 125% 2 21 2.3 23 2.5 25 2.7 2.8 29 3 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.3 5.4 5.5 5.6 S.7 S 8 5.9 6 6.2 6.2 6.4 6.5 6.6 6.8 7 7 2 3.2 3.4 3.6 3.8 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 6.7 6.9 7 7.1 7.2 7.3 7.4 Pninf Cvefarr� Q,,.....,.,,.... nts�-�- 'r_-- 4� 10. Exterior Wall Thermal Mass 8.0 9 8 6 5 0 4 0 3 V&� AAA ll1Y111111Gia,' • <.111114LU ZiUllt. 11 Exterior Single- Single- s. 10.. 0 16 22 14 19 12 16 s 13 7 10 5 7 SCORE CARD t� Family Family Attained wit Family 11.0 13.0 26 23 29 19 24 15 12 8 Measures Point Scores 0.00 0 0 0 3333 . 20 15 o 1. Ceiling Insulation or O 0.20 0.40 3 5 �- 2 4 1 3 Zonal Control Adjustment R -value 1381 U -value [0.030] 0.60 0.80 8. 10 6... 8 4 5 10 2. Wall Insulation'/ or Y 1.00 13 10 '" 7 8 7 6 4 3 R-vol [111 U -value [0.098) 1.20 1.40 13 12 12 13 8 9 No Cooling System Installed 3. Raised Floor Insulation Or 1.60 10 13 11 . Stories R•value [ 191 U -value [0.037) 1.80 200 10 10 12 11 12 13 ! One 5 a 4 3 2 -2 4• Slab Edge Insulation Or Two + 3 3 2 2 2 1 _... R -valva to] F2 factor [0.771 S. Infiltration Standard 0 11. Heating System - Single -Family Detached and Attached 6. Glass Beat Loss L- % �Z- SE or ASPF � Unit Size r (assumes ducts In attic) Water 1139 •1 (sQ Type [double) U•value [0.651 % Total Glass [ 1611 00 Sum 1-6 Sum of i-6 Heater Credit or .1 10 to 700 2 2 t2700o or 7. Shading (Shade Open) Type Type loss ;1699 2199 26x9 more SC Eff. % Glass 25 or -24 to -14 b to +6 to 16 tx %Glass SE HSPF less -15 5 +5 +15 more SG S r ne 0 g 06 5 4 a. North .2. x �� _ 2 _��'/ 0.72 6.80 0 0 0 0 0 1 HP HWR 8 5 4 3 3 b. East ---5� X 0.75 6.88 3 3 3 2 2 1 WSB 5 3 3 2 2 " 0.80 7.33 8 7 6 5 4 3 POU 8 5 4_ 3 3 C• South • t! X _ 7 0.85 7.79 13 11 10 8 7 5 SE None -37 -24 -18 15 •12 d• West x 0.90 8.25 17 15 13 11 9 7 3 . ! 0.95 8.71 20 18 13 11 8 Solar .1 HWR .18 .112 -9 7 -0 6 e• Skylight p x _ EtTePF duct HSPF WSB -25 -i6 .12 -10' _8 (SE or HSPF x ductctefiidency) POU -18 _ -12 -9 -7 .6 8. Shading (Shade Closed) Effective -25 or -24 to .14 b .4 to +610 16 or SE HSPF less -15 .5 +5 +15 more rG None -5 .3 .2 -2 .2 %Glass Solar 7 . 5 4 3 2 SC Eff. % Glass 0.30 275 -73 s4 -56 .47 38 3o POU 3 - _ 2 1 1 1 a. North 'r x /,, /e _ na 3.41 -45 .39 -34 -29 .24 .18 IE None -28 19 -14 .11 .9 b. East 0.40 3.67 .34 -30 .26 .22 .18 -14 Solar 8 5 4 3 3 X - 0.50 4.58 -10 9 .8 .7 .5 .4 POU -10 ' .6 -5 -4 .3 C. South pZ, 0.56 5.13 0 0 0 0 0 0 x = 0.60 5.50 5 5 4 3 3 2 MuIU-Famity (Individual units) d. West x _ 0.70 6.42 17 15 13 11 9 7 Water Unh Size (sQ 2200 e. Skylight x 0.80 7.33 25 22 19 16 13 10 699 700 1200 1700 0.90 8.25 32 28 24 20 17 13 Heater Credal or b to b or 1.00 9.17 37 32 28 24 19 15 T7Pe Typo less 1199 1699 2199 more 9. Interior Thermal Mass TYPE 1 MASS AREA SG None 0 0 0 0 0COND. FLOOR AREA �= Zonal Control Adjustment or Solar 14 7 5 4 3 �� InteriorNss/CFA HP HWR 9 5 3 2 2``i 10!Ekterior-Wall Mass TYPE 2 MASS AREA System T WSB 9 4 3 2 2 �� t ND. PL -TOR AREA = $ Type POU 9 5 3 2 2 Y 1 e n ° ' • .� _ Ertterior Wall Mass Resistance 10 9 7 6 4 3 SE None .45 .23 .15 .11 11. Heating System' r ' , %a Other 6 5 4 3 2 2 Solar 2 1 1 g s. r _J X e �_ _ _ HWR _23_,- -12 -8.____ 0 0 t" " ti �n�.Control?,(#Y: / N SE or HSPF . - _ _.Duct Efficiency [0.78j _Effective SE.or� .6.--. 5 {, yy , .11" (06.6) HSPF [0.5615.15] '- WSB---25 -t3 -8 -6 PQU _-23 _12__._8_ -6 -8 12. Cooling System _ .9 x , �� _ 7Aq IG None 8 3 3 1 1 Zona) �CoatrOl? ,Y / N SEER [ S] Duct Efficiency Solar 6 3 2 1 1 (* ) [0.74] Effective SEER (7.03) E Nome .3o -1s -10 .8 .6 13. Water Heating Solar 18 9 6 4 4 Type [SG) Credo- [none] POU -8 -4 .3 -2 .2 i N27734 POOL Ea e � � � & \�derltr.► nahip gull Be in m071 :—;�I11,4ateria.c ,- � e�titn Recognized Good Practices and rcr6,77%nc.. c ,or the Specified Use in the � : rl� Ai4V — - ,crit; d & iVlechanicai Codas an „i Q' C •, r Pls,►'nbing lirg,rm BUildi,,g, t;,je Idationai ;=iectrical Code. RESIDENCE Location of strudiAt � %quipmont sPr6ll 1b6I a WWII 4 Om of 40 seme : }§, CONCRETE VACUUM LINE & SKIMMER Z X I I 2 WALK R.So KOOL D E CK ��/�S RETURN LINE I I Z MAIN DRAIN It 2 FINISH SKIMMER - MODEL TWO U 3 BACKWASH TO DIS LINE SKIMMER ,� _ .r`�.`..r„ �I11- &.%0.. 1%001%1 111111101110 3 0 ' OF Yi" FILL LINE SIZE 24 x40 AREA720 ❑DEPTH 36 TO G_ `O SHAPE C U STO M PERIMETER 120 ANTI -SYPHON VALVE AUTO E I L L 1�- COVERED PATIO ( TEMPLATE NO. CUSTOM SKIM M ER N 4os0 TILE SIZE 6 " x 6"` TILE COLOR OWNER TO -SELECT GASLINE BY: N O VENTED BY: N :_ COPINCkPOS S I B LY BRICK _X 2 Ol -PPR 0 0 TO /L COPING COLOR O W N E R TO SELECT ! LIGHT 0 N E 500 W) POOL CAPACITY 2.7.0 O O GALS. STEPS S E AT PUMP CAPACITY 110 G.P.M. A setback of 0 ft. from the LIGHT proper t�r lip aAd a ecY'I wk MOTOR H.P. 2 H.P. of SO ft. teom tb.e read FILTER 48 SO. FT. 5 0 (W) centerline shall be clear of f 0 I� struotures or equipment except FILTER RATE I 10 G.P.M. ELECTRIC BY: C F POOLS for a 2 ft. eave Overhang. TURNOVER q I 2 HRS. I ELECTRICAL BONDING BY: C F POOLS 1 I I Bill Bell 3 0 ' OF Yi" FILL LINE ANTI -SYPHON VALVE AUTO E I L L COVERED PATIO ( HEATER NO SIZE N 0 BTU GASLINE BY: N O VENTED BY: N LIGHT 0 N E 500 W) CLOCK TWO 2-20 V) ELECTRIC BY: C F POOLS ELECTRICAL BONDING BY: C F POOLS Bele Mater Plan on Sle for plans. POOL CLEANER POOL VA C CHLORINATOR N 0 BOARD-SIZE N O COLOR N 0 BOARD SUPPORTS- N O Tile: N 0 _ _ rR ES -71 D E N C E LADDER -Model N 0 Tile: N 0 (� SA /� Water SLIDE-# 0 Color N v GA,_(�L1_ Hookup ROPE RINGS N O W/ROPE & FLOATS N 0 7G/ GRADING N 0 DIRT WALK BUTTE COUNTY STUB PLUMB ❑ YESM4NO TRACTOR SIZE y BUILDING DEPARTMENT TILE & COPING M -"ASAP ❑ OTN DECK BY: C F POOLS A P P R V VE ® TREES. ETC. N 0 OWNER: "�.�-7 Z PERMIT OF CONCRETE REMOVAL BY: N 0 TO DETERMINE APPROXIMATE ELEVATIONSCALE 1/8" = 1'0• SALES OFFICE RAISED BOND BEAM YES ❑ NO q/ HEIGHT WIDTH OF POOL ON DAY OF EXCAVATION. �, PLAS1 ER -WHITE - PHONE NO. MGR. a E D *.10 B NO. SALESMAN 1\ POOL AREA TO BE FENCED, PER COUNTY MAP BOOK NO. .. DATE .. ...... .. SWIMMING PQ®L OR CITY ORDINANCE. GATES TO BE SELF GARY AND NANCY AR N E T CLOSING AND SELF LATCHING. LEGAL DESCRIPTION NAME B Y OWNER '''}j /v�� (r }/��( 39-180-045 A P 3/� 1 8 0— /��I F 0 45 DWN. BY ADDRESS 10668 LO N OWNER: CHIC O CA WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 7 DAYS. LOT NO: , CROSS STREETS DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. TRACT N0. `K•D. BY 89S-8 63 RES. PHONE BUS. PHON DO NOT USE RUBBER HOSE WHEN FILLING BOOK PAGE POOL AS IT WILL MARK PLASTER. .BLOCK PRINTS CARE—FREE POOLS MAILING ADDRESS S_ #9 Alyssum Way C _ Chico, California 95928 1 I I Bill Bell