HomeMy WebLinkAbout039-410-072039-410-072 02-0592
Kushner
75 Old Chico WAY, Chico
Cont. Coastal view Const
NSF (mastered)
039-410.072 02-2757
HOWARD, TRACY & KAREN ' I
75 OLD CHICO WAY, CHICO
CONT: PERFECTION POOLSS-
POOL
B07-1376 039-410-072
MISCELLANEOUS Private Garage/Shop
ATT GARAGE(1380) W/ BREEZEWAY
75 OLD CHICO WAY
HOWARD, TRACY
ENVlKUNivirIN I L O^2--- `-----
DATE �
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
wmractUr
PROJECT INFORMATION
Square Footage:
Site Address:
75 OLD CHICO WAY
Owner:
Permit NO: B07-1376
APN:
039-410-072
HOWARD, TRACY
Other Porch/Patio Total
Permit type:
MISCELLANEOUS
75 OLD CHICO WAY
Issued Date: 09/24/2007 By KEJ
Subtype:
Private Garage/Shop
CHICO, CA 95928
DBEH Building Review Fee
Expiration Date: 09/23/2008
Description:
ATT GARAGE(1380) W/ BREEZEW.
(530) 893-4765
Occupancy: Zoning:
wmractUr
Applicant:
Square Footage:
HOWARD, TRACY
Building Garage Remdl/Addn
75 OLD CHICO WAY
1,380
CHICO, CA 95928
Other Porch/Patio Total
(530)893-4765
600 1,980
FEE INFORMATION
DBEH Building Review Fee
$75.70
DBF Garage -Wood Frame Plan Che
$303.55
DBMSC Garage/Shop/Strge Wood F
$455.32
DBSMIP Residential
$4.27
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 09/24/2007
Contractor's Signature
Date
WORKERS';, COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Total Charged: $838.84 Fees Paid:
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please
check one of the following:
E,Yf AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
J COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is for one hundred dollars ($100) or —less–F—
F-1
ess❑ I AM EXEMPT
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
LCJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and a ree that if I should become subject to the workers' X
compensation provisions of Sec' 700 o bor Code, I shall forthwith comply with those
X7,1_ 09/24/2007
Signature ` Date
WARNING: FAILLWgj 'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
B. & P.C. for this
09/24/2007
Date
I hereby certify that I have read this application and state that the above information is cored. I agree
to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of an sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Cou 4y to enter the a ve ntioned property for inspection purposes. I hereby certify that I am the
pr rty owner of atP thori d to act on the property owners behalf.
ElContractor OR. ElAgent for Owner Agent for Contractor
FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buftecounty.net/dds
www.bufte-generalplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007)
TO: All Single Family Residential Remodel and Modification Permit Applicants
FROM: Scott Rutherford
Manager, Building Division
RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006
California Health and Safety Code Section 115928
DATE: February 28, 2007
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8.
DECLARATION
The property located at
D S
(�) U1) G H ( co W
PsvI C it I (',6 C %Z6 ZYhas: (Check all that apply)
swimming pool
❑ a spa
❑ a wading /toddler pool
❑ does not have a swimming pool, spa, or wading/toddler pool
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final inspection approval without this certification.
I ac wledge tha ver and understand the requirements of AB 2977 and that the above is true and correct.
I C� - ail -o1 -
Signature Print Namet Date
Relationship to Project (please check one):
Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at
I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or
the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool
Signature
Print Name
Date
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
❑ Other:
If "Licensed Contractor' or "Agent for Licensed Contractor' is checked, please complete the following:
Company Name Contractors State License Number
K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
Updated: 9/24/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
c income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMEN . (YES R NO)
2. I(EqIAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
!►I1LVA l�
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: ATT GARAGE(1380) W/ BREEZEWAY(600)
Reference Number: B07-1376
Applicant Name: HOWARD, TRACY
Owner's Name: HOWARD, T Y AP 4
Signature of Property Owner: Date:
039-410-072
G-- Zy -o2
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR.
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-1376
Date:
06/25/2007
Location:
75 OLD CHICO WAY
By:
KCG
Parcel Number:
039-410-072
Sub Type:
Private Garage/Shop
Owner Name:
HOWARD, TRACY
Phone:
(530) 893-4765
Description:
ATT GARAGE(1380) W/ BREEZEWAY(600)
❑
❑
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
❑ ❑ T\hermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑ ❑ LOAPU ,1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
City of Chico,Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
❑ ❑ Chico Area Recreation Distric , 45, 5 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑ ❑ Durham Park & Recreation District, 4,47 Midway, Durham CA 95938 - (530) 345-1921
❑ ❑ Feather River Recreaction & Park District�Para
yers Street, Oroville CA 95966 - (530) 533-2011
❑ ❑ Paradise Parks & Recreation, 6626 Skywaye CA 95969 - (530) 872-6393
❑
❑
Biggs Unified School District, 300 B Street, Biggs CA 959 - (530) 868-1281
❑
❑
Chico Unified School District, 1163 East 7th Street, Chico CA 926 - (530) 891-3006
❑
❑
Durham Unified School District, 4920 Putney Drive, Durham CA 938 - (530) 895-4675
❑
❑
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846- 23
❑
❑
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 7 -6000
❑
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - 30) 532-3000
❑
❑
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-230 xt:105
❑
❑
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872- 00
OTHER
❑
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
❑
❑
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑
❑
Other:
❑
❑
Other:
❑
❑
Other:
Signature of Property Owner:
FILE
Date: 06/25/2007
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-1376
Job Address: 75 OLD CHICO WAY
Contractor:
Printed: 06/25/2007
1:34 pm
Fee Description
Account Number
Fee Amount
Paid Date
Pmt Amt
DBEH Building Review Fee
0021-540013-4614901-1010
$75.70
06/25/2007
$75.70
DBMSC Garage/Shop/Strge Wood F
0010-440001-4210500-1010
$455.32
06/25/2007
$455.32
DBF Garage -Wood Frame Plan Che
0010440001-4210500-1010.
$303.55
06/25/2007
$303.55
DBSMIP Residential
1001-0-280-1011298
$4.27
06/25/2007
$4.27
838.84
$838.84
Printed By: Kourtni Graham Balance Due: $0.00
At the time of permit application, I wa a above fees are required prior to issuance of the
permit. These fe may change djurinl the plan chec 'ng process.
Signature: Date: 06/25/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
O
0
0
O
0
�fC
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution. Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number:
B07-1376
Date:
06/25/2007
Location:
75 OLD CHICO WAY
By:
KCG
Parcel Number:
039-410-072
Sub Type:
Private Garage/Shop
Owner Name:
HOWARD, TRACY
Phone:
(530) 893-4765
Description:
ATT GARAGE(1380) W/ BREEZEWAY(600)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 06/25/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. YES R NO)
2. (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS
PHONE
CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: ATT GARAGE(1380) W/ BREEZEWAY(600)
Reference Number: B07-1376
Applicant Name: HOWARD, TRACY
Owner's Name: HOWARD,
Signature of Property Owner:
AP # : 039-410-072
Date: �� ��
.Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at hqp://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-1376 Date: 06/25/2007
Location: 75 OLD CHICO WAY
Parcel Number: 039-410-072
Owner Name: HOWARD, TRACY Phone: (530) 893-4765
Description: ATT GARAGE(1380) W/ BREEZEWAY(600),_---___
Signature of Property Owner:
FILE
Date: 06/25/2007
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530)5_38-754I FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name^
Name
FigUame
Mailing Address • i L\z� L 1 co v-4,Rx
City CAI C.D
State C A
Zip 5 ,
Phone r �
Fax
E-mail W —1q Lb m,
ARCHITECT/ENGINEER
CONTRACTOR
Name
Address
Address
City C A (60
City
StaeA
State
Zip
Phone
Fax
Fax
E-mail
License Number
Lic. #
Class
ARCHITECT/ENGINEER
Name &C
1
Address
City C A (60
City C
StaeA
r
ZipgTq
Phone � � � /
Phone
Fax
E-mailState
E-mail
License Number
APPLICANT SI_CzNATURE
X
PROJECT LOCATION
AP# Dig -
Property Address
City C6
PERMIT
NO.
BIN
TI
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
R>Ebt 9- 19M D
Sq FT- Living arage bOpen Cov
6300
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
fr fz,(f--)
Address
OLDe d( G o Get A l
City C
14 ) 06
StateCR
Zi s �t L
Phone
3—
Fax
E-mail
APPLICANT SI_CzNATURE
X
PROJECT LOCATION
AP# Dig -
Property Address
City C6
PERMIT
NO.
BIN
TI
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
R>Ebt 9- 19M D
Sq FT- Living arage bOpen Cov
6300
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
Occ.
Type Const.
'^FY
NOTES
'. RESIDENTIAL
PERMIT N0. ! ®d�-757
' 75' .6 Ckeo err
Dh.
A.
�r-
t
f
rc
4
{
11 SPECIAL CONDITIONS 1
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
riNALED'
( JOB FINALED (a )
1
Signatur
J=OK
0 = Not OK
. = Not Readya6le MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ /'Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv 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
Date
6. Water; MH Test -Regulator -Connector
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
8.
Gas and Electricity Tagged
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
9.
Tie Downs -Type -Installation Cert.
Carports; Windows -Doors
7.
10.
Exits; Insp.-Sketch
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
11.
Cert. of Occupancy
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Date
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit:
Card B-1 Date -
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
. Light Niche
1.
Zoning Requirements-Setbacks=Easements
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Blocking
Card B-1 Date Card B-1
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer'Connected .
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s With Office
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POO "dans) OK except #'s
cks-Easements
ils; Compaction -Structure Stability
.
i
pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5..Elec.;
Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit:
9.
Health Department Approval =-
10.
lumb.; Cir. Test -Water S pply Test
f
f h� ,y
. Light Niche
12.
Enclosure; Fen ing-Alarms
Date ' -!
Card B-1 Date Card B-1
Date -
Card B-1 Date Card B-1
516--
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-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/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test-Anchors-Regi�Iator-Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes O No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco,Mesh-Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83. Following Instld./Drive Cl Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE -DEPARTMENT OF'DEVEL'OPMENT SERVICES -BUILDING DIVISION
7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 P
(Rev. 12/96) APPLICATION AND PERMIT ®Z"Z G
ASSESSOR PARCEL NUMBER
039-410-072
ZONING
BUILDING PERMIT
OWNER "E
QY & KAREN 893 4765
OWNERS "UNG 4DDAESS
CONTRA O 'S 1 $ GA 95927 TELEPHONE
COM SS
SQ. FT. OCC. BUILDING VALUATION
cont, 22,000
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENG NEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 225.00
ARCHITECT OR ENaNEERS MAILING ADDRESS
BUILDING ADDRESS:
Plan Checking Fee
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 2C8,
OQ
IAT NO. SUBDIVISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duple>K ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.0015-00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Wcrk: POOL - MASTER #500-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoos oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full 2force and effect.
License Class e- �✓ Lic. No. � 4
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as ow ier of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirn under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
perfornance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 o=the Labor Code, for the performance of work for which this permit is issued.
My workers' comp-onsation insurance carrier and policy number are:
Carrier -.)1,41_4T )<P9 ,0
Policy Number x272 17-f `
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
Com sation laws of California, and agree that if I should become subject to the
wor rs' compe0satign provisions of section 3700 of the Labor Code, I shall
wiy{those provisions.
fo i- c77�
b
X - DateO L
S iclinature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA per -nit is required for excavations over 60" deep and demolition or construction
of structures Dver 3 stories in height.
Main Service TO lOooA
46.00
NEW CONST. DW",OCCUP. SO
OR ADDNS. a ACC. S.3.5¢FT:
NEW ONS MULTI -OUTLET @7,50
PICUITS
ER APPARATUS
E.
8 SINOLE OUTLET CIS.
POW
EX. OCCU . OUTLET OR FD(TURES
BAL @ .50
Ex. Occup. O= Ro .DE 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $ 50.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP FLOOD I COF PARCEL PD
Iss
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above r whic fees have
By
PERMIT EXPIRES ON
1
applicable provisions
to do work
been paid.
Date
21, #,,�
ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-11IMPECTOFF GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION .DATA SHEET �
OWNER: ASSESSOR PARCEL NUMBER �(/ v Wo - v
T2_1_
Proposed Building Use: / Counter Technician , Ul Date:
Items required in order to apply for a''permit. All' boxes MUST be checked`O marked NA in order to a ply.'
Plot plans, 3 or 4 sets, signedty the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
i'`4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Ene:-gy compliance design and supporting documentation in duplicate.
'6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of thesemust be stamped and wet -signed by the enjzineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be ),
indexed and returned to the plan review line-up when required items are received. J;
Date Received By
❑ 8. *Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plct plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. r Hazardous Material Form...............................................................................
❑ 13.' Osier
1w.
Remaining items needed to, issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached'Schedule of Fees Due Sheet ......................................
W1,5State ent of Intent for Non -heated and A/C Buildings..............................YState6. tion and plot plan approval from the Environmental Health Department i (J
7.1V City of Chico Plumbing permit......................................................................... ,
;`❑ 1 a_ mia Department of Forestry plan approval ❑ paid. Sent by:
❑ 19.xPhnrting approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _L
❑ 21.1,Encroachiri'ent Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
O 22.wPae-Inspection for required ................
D 23kontractor's license in -formation. (Number, Name Style, Classification) ......................
t
O 24. , Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. ' Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ................
❑ 26.7Letter of Signature authorization..?::...............................................................
❑ 27.4RcordM copy of Agricultural Acknowledgment Statement .......................:............
❑ 28.1 anufactur`ed home utility clearance...............................................................
❑ 29.1Existing violations and/or expired permits.........................................................
❑ 30. t ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. ,Other:'
When issued Telephone 1'1 5 - G 7 and hold for pickup.
5
I have been in.fogmed of the ali ve items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone,, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou Date:
Plans reviewed by: Date: Plans approved by: Date: /MM -
Ir -Structural reviewed by: Date: Structural approved by: Date` '
Note transfer by: Date:
Yellow: Building Division
�f �• ' ,�, ! - E.H. USE ONLY
Piot Plan Attec6d
�i
Roar Plan Atu mhad
Sent to B.D.
T0: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
22M 6�� 2a.
Owner Location AP#
Plan Approved for: Sewage Disposal c--- Water Supply: Public ' Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
M.
r-% v I -/.
G 01,E A,0.0/ 7-10AI To
-07,?-000
Environmental Health
Environmental Health
0 C T 0 2 2002 MAR 1 4 2002
Chico), CA Chico, CA
10615
A& 6.rJ4
lei N \ ONES
I
COASrA4 VIEW
/40 4640)( .64$
7
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V
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nvyl/ A 17) r
. ... ..... ..........
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R
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A0o17-10A1 ro-
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01
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ZSR
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Environmental Health
Environmental Health
OCT 0 2 2002
MAR 1 4 2002
Chico, CA --
Chico, CA
CO X
ZQ�
{ t
47
WL
T
6� S40rl� AMC#
46
E I/ AN 1 Ik'^VES
w 16Y
1i 9
COV 7A- i4-e_Mtf ;
COASTAL VIEW
)00 4040X 64$
G#tGO a q59; 7
844-048
A«W 74aa86
T APPROVED
Butte County
._. ............... Environmental H,
C�Dce�
NOTES RESIDENTIAL
039-410=072 02-0592
PERMIT NO. Kushner
75.Old ;Chico Way Chico . L
Cont. Coastal View Const..
NSF r
b
OFFICE COPY
� Address
5 0IM26
GAS,
Meter By Date 7
ELECTRIC
Meter By Date
w
SPECIAL CONDITIONS ° -. • p
'Er 'CHECKED,
BY
y
'
SRA :
FLOOD CERTIFICATE REQ.I
FIRE SPRINKLERS REQ.
't SPECIAL INSPECTION ITEMS
VERIFY
PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
(1ZLED
JOB FINALEC
Signature
V = OK
0 = Not OK
=Not Applicable
' = Not Ready
MOBLE HOMES
Date '
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
ti
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert. -
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
10.
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
e
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
ti
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI `
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
1
-
e
ti
ti
V= OK
0 = Not OK
- = Not Applicable
• =Not Ready
RESIDENTIAL (;
Date
Un erfloor (Plans) OK except #'s
on' -Setbacks-Easements-Flood-Slope
Date
t9., in; Soils-Elec. Grnd.-/ i,/" Ftg. Depth
Date
g., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stem Ils, Garage; Steel-Blockouts-Wrapped
of owns and Special Anchors
ab, Steel -Wrapped
8.
Piers-_Eplace Fig. -Steel
V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16. Insulation
Date L/ /a 1) / pC Card B - 1_4C/ //> Date Card B-1
Date Card B-1
t) OK except #'s
1l at Htr.; Vent -Access -Combustion Air Baffle
18. ater Pipe; Test & Anchor -Nail Protection
1!. D.W.V.; Test Fittings & Anchor -Nail Protection
-A 20. Shower Pan; Test, First Floor -Tub Access
-e1'. Xst Tub & Shower, Second Floor -Tub Access
2 . Gas Pipe; Sixe & Anchors
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ZECTRICAL (Permit) OK except #'s
F' ure & Transformer Clearance -Ins. Protection
2 EI . Receptacles Spacing -Lights & Switches at Doors _
Size Boxes & No. of Conductors Stapled
6 Pmex Installed Close to Edge of Studs & C.J.
'201,546ip. Ground made up w/Mech Fasteners -Bond Gas & Water
. 2 ppliance Circuits in Kitchen & Conductor Size PFI
/ ga. Cu or AI-A.C. Wire Size - C r AI
30 -"Range Circle f / ga Cu or AI -Oven Circ. -1 Cu r At
LWUlted Neutral p Yes ❑ No
y�ee-Riser Conductors & Ground Main Disconnect
uip. Clearances Panels-Motors-Mech. Equip.
be thes Closet Light -Shower Light -Spa Light
Smoke Detector
Dat Card B-1 )Date Card B-1
Date Card B-1 Date Card B-1
Date HANICAL (Permit) OK except #'s
64. Ducts Insulation & Support
V an, Exhaust above insulation
3 densate Drain & Overflow, Size & Grade
F ace -Vent Access -Comb. Air -Return Air Vent 115 outlet
3 . Attic Access & Platform if Furnace in Attic
Date Card B-1 • Date Card B-1
Date Card B-1 Date Card B-1
Date RAMING (Permit) OK except #'s
�" Proper Materials & Anchors
4YW ds -Nailing Spacing & Braces -Plates -Sound
B ing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Q*6_04fstops, Furred Ceilings -Stairs -Chasers -Tubs
4? -"Headers & Beams -Size & Bearing
'ingle & Duple )
Date Zr FRAMING (Continued)
n ers-Post Caps -Anchors -Connectors
Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng.
lace Ties or Type A Flue -Fireplace Throat Clearance
t' Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drVANindows or Exiting Doors -Sill Ht. & Dimensions
r e Fire Protection Framing
perty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54"'Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
'*elplyw000 on Roof Overhang -Attic Vents -Rafter Outriggers
,W -Nailing Veneer
tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Aazing Area -Glass t!2!' n-Sk i hts-Plastic
tI Shear Walls; Nailing -B is
60. BLjee Interior/Exterior Wall Panels
L L Insulation -Walls -Ceilings `
62. Infiltration -Walls -Windows
C '
Date,(_:?.Card B-1 6,.J bate Card B-1
Date Card B-1 Date Card B-1
Date FIN L (Plans) OK except #'s
Ext eps-Door & Sidelight Protection -Landings
e Detector
Furnace Vents -clearance -Comb, Air -Connector -
In trage; Above Floor-Ducts-Mech. Protection
room Exiting
G.,Fk-f1Bath Fixtures & Tub Access -Spa
QW'flec. Trim,& Subpanel, Breaker Sizes & Labels
69. Stam Rails
FO
replace,,er Stove, Clearance -Hearth
71. Elef,4ut�ets at Wood Panel, Int. & Ext.
Q2/Rit. ' t. & Appliance; Ground -Air Gap -Cooking Clearance
7 lec tlets & Receptacles at Kit. Counter
arw4'Fire Door; Swing -Landing -Closure
7.6.-Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
inge; Above Floor-Mech. Protection
Ib ec. & Mech. Equip. Listed for Location
c. Receptacles in Garage (F.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic
80. Guard Rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
t 2--fZillowing Insild./Drive J Yes UN&V61ks' es J No/Planters a'frs_:) No
Stuc Brown -Finish
C.
UpW Up'Disconnect, Electrical -Plumbing
nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water I, Disconnect, Electrical, Plumbing
C7. erior,�lec. Trim, G.F.I. Receptacle -Underground
B8.i ' hroughout House
1 / 96.-'T'7orrections frq/fi Previous Inspections /
1114- v 91. Gas1Asl=Mefbrs Tagged. Gas -Electric / —
Vr-WatjeP9'Sewer Connected -C/O to Grade -HD Approval
neEg,y<6mpliance Certificate -Other Certificates
94 --Address Post
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Dat
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541.
Al
1
CORRECTION NOTICE
-4
OWNER"PERMIT NO.
A routine inspection inicates that the following violations of butte county Ordinances exist at the- .n.
above address and ould be corrected. Please notice this office when correction of .work is
completed. If you ave any to this additional
�-
questions pertaining matter, or need explanation,
Please contact s office immediately.
r � /I Cv6 {N�uS�'
(d
Fitt' 10/92
COUNTY OF BUTTE
BU-1�'L'DING$DIVISION----------.-
"'DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street e Chico, CA - (530) 891-2751
7 County Center- Drive - Ciroville, CA - (5bd)T8-z754-1
II CORRECTION NOTICE
yl K
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Oainances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additi6nal explanation,
please contact this office immediately. i r
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
-)- ng"-,i,;I
OW/0 j) 5/,/ /\I rj� v 6- PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact: this office immediately.
0A�-
Date p4 1A � Inspector
REV 10/92/
c
.a..,° °•,,.,° °.°'°'COUNTYOFBUTTE
' BUILDING DIVISION
'DEPARTMENT OF DEVELOPMENT'SERVICES
411 Main Street -9 Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
R j PERMIT NO.
A routine inspec 'on indicates that the following violations of butte county Ordinances exist at the
above addres and should be corrected: -.Please notice this office when correction of work is
completed.41 you have any questions pertaining to this matter, or need additional explanation,
please c tact this office immediately.
g * of L47 x
COUNTY OF BUTTE ... ....... .... . . .I
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
oz0SZ
O ER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above addressand should be corrected. Please notice this office when correction of work is
completed. If u have any questions pertaining to this matter, or need additional explanation,
please cont this office immediately.
-nLr ysr
1 d N w0or� was►
a 111 6`
/oVf �O-Ov: c f!1 I--
Ij
0
I N V /U O:-4 61
/ J6 :'L "p-0, Y
a
4
f
Date r 0 ` Inspector
REV 10/92
COUNTY OF'BUTTE
BUILDING DIVISION
" DEPARTMENT OF DEVELOPMENT SERVICES
411 'Main'Street • Chico, CA • (530) 891-2751
7 County -:Centers Drive • Oroville, CA • (530) 538-7541-
CORRECTION NOTICE
r. �
WNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist of the
above address and should be corrected. Please notice this office when correction of work is
completed. If -iou have any questions pertaining to this matter, or need additional explanation,
please contac0 this office immediately.
TO:
FROM:
DATE:
INTER -DEPARTMENTAL MEMORANDUM
VILLE
VVIR. HEALTH, CHICO
RELEASE EN -G. HEALTH HOLD ON BUILDING FINAL FOR:
i
OWNER NAME: SEPTIC: ✓ WELL:
AP#:�(�Q` MDRESS/LOCATION:dz
Comments:
GUmemos/releasehold
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County •Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) ` . APPLICATION AND PERMIT 02-0592
ASSESSOR PARCEL NUMBER
039-'F10-072
ZONING
A-20
BUILDING PERMIT
OWNER
Kushner Daryl & Sheri
TELEPHONE
898-1829
SO. Fr, OCC. BUILDING VALUATION
2173 54.00 117 342.00
.OWNER'$, jyWII{�CoXUury Ct, Chico CA 95973
469 18.00 8442.00
CONTRACTORSNAME
Coastal View Construction
TELEPHONE
894-0478
423 13.00 5499.00
CONTRACTORS MAILING ADDRESS
PO Box 568 Chico CA 95927
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNGIADDRESS
Total Valuation $ 131 233.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $751.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $488.48
BUILDING ADDRESS
75 Old Chico Way, Chico CA
Energy Plan Checking Fee $ 46.00
Master $
PERMIT FEE $1305.98
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
USEOFSTRUCTURE
SF ]'1 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 121 7.06-84. 00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
.
Each gas water heater or vent 15.0015.00
TYPE OF WORK
New )IP Add'tion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Wark: new SF
mas terms 7 50
Gas piping stem 1 - 5 outlets 15.00 15.00
Building sewer 15.00 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE s 164.00
ELECTRICAL PERMIT Fling Fee
20.00
Main Service A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my licensa is in fu rce and effect. �j'/
License Class Lic. No. z?2 g �/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the folowing reason:
❑ I, as owr.er of the property, or my employees with wages as their sole compensation,
will do Ihe work, and the structure is not intended or offered for sale.
❑ I, as ower of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.104
, 00
NEW CONST. DWELLING UP. SO
OR ADDNS. a ACC.BLnS. 3.5Q�
05,
Noµa°ESID. MULTI. CIRCUITS OUTLET @7,50
aps NOELS OPi� CIR.
20@'•00
Ex. Occup. OUTLET OR FIXTURES BA L @ .50
Ex. Occup. ouT>FTSJRR=D°RFa 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $ 142.05
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee
20.00
Heating3 112 ton 1 25.00 25.00
Cooling
Hood * 6.50
Ventilation 4 50
ELS fireplace 1 15.00 5.00
PERMIT FEt $ 96.00
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify t.Tat in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compenaation laws o - lifornia, and agree that if I should become subject to the
workers' compenpaph provisions of section 3700 of the Labor Code, I shall
fo ith comp witl'i tho r, vis' n
X ate � 2-
Signature of ❑ ne actor ❑ Agent
An OSHA rm t is requird for excava Ions over 5b" deep and demolition or constructiont
ures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46-00
occ
R3
CONST. TYPE
VN TOT L FEE $ 17 cJ. 03
�.
D FEES IM
cop
�..
a EL
HD ISS
This permit is hereby issued under the applicable provisions
of the Itte County Code and/or Resolutions to do
inWedohich fees have been paid.
BDate
PERMIT EXPIRES ON 2,
De
work
46 55
No.
.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER
r COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
44�
EDULE OF FEES DUE
he,/
PROPOSED.BUILDING USE
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
/13i -55
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
/ --Revised Plan Checking Fee .................................. $
—/2.;, SCHOOL DISTRICT FEES
(paid at District Office)
SHERIFF FEES (paid at Building Division)
Residential ....................................
Units
Commercial (sq. ft.) ......................
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x
# Units
x $360.00 =$ 3&0 1 0 U
x $0.03 = $
Amt.
Commercial (Sq. ft.) ............. x = $
Vf Sq. ft. Amt.
_ RECREATION DISTRICT FEES co CA V_�
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
A1,. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
S. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
A.P. #
o731'
DATE
RECEIPT # DATE REC.
5573-3D5 --q- q-2V� e6,
y-2�-offJ-rl .
-
3 5 3305
-tT $ zip^ (-e-
10. OTHER
At time cf permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking pros.
A
APVT T('SNIT / l%{✓ n A 7.// .//�/ r)ATF\t
Pursuant to Government Code Se on 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - 3uilding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
GgUAITY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
h,7*6ounty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
n e V PERMIT APPLICATION DATA SHEET
OWNER: C= ASSESSOR PARCEL NUMBER of J *LP O
Proposed Building Use: A�`w�� V� Counter Technician: 1 Date:
Ite required in order' to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
NPlot plans, 3 or 4 sets, signed by the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
Energy compliance design and supporting documentation in duplicate.
6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
/foundation plans, all in duplicate. I
0h. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. ;
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received), t
1 Date Received By =+
8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ;
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
R aining items needed to issue the permit. (May re additional plan review upon receipt of the following items.)
I ��� 1
4. Fees as shown on the attached Schedu#6 Fees Due Sheet .......................................
g��I
r Statement of Intent for Nf�jon-heatA and A/C Buildings ................................. .
6. Sanitation and plot planapproval from the Environmental Health Department in 1 C 0'L7. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: M
20. Contact Land Development about -9Improvements, ❑ Drainage ............................... 1100,101,
1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner,••❑ Mailed to owner) .....................
❑ Letter of Signature authorization...................................................................
7. Recorded copy of Agricultural Acknowledgment Statement ....................................
28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.......................:`............................... -
_W❑ 30. C Grant Deed, ❑ M.H. Title/Stateme9t of Facts, ❑Aetterk n),,L gal Ownej, Q Check to H.C.D. $
h� 3 n Other:_
u hen issued T
I have been informed ortheyabove
Applicant:
hold for pickup.
for obtaining a building permit.
Date:
02
1. Index permit application for t(ie above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun r, by Date:
Plans reviewed by: Date: Plans approved by- Date:
Structural reviewed Date: Structural approved by: Date:
Note transfer by: Date:OZ
Yellow: Building Division
E.H. USE ONLY
_LL02 Pian datachod
�tooa
R a a A d
Santo ®.O. /Ortm
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
a
ARk , -0-1-A 01h M 61z -z -a 6?1
Owner Locati AP#
Plan Approved for: Sewage Disposal Water Supply: Public' V*' Private Well
Clearance for dwelling. Other
Id final for: /
Fina c earance O.K. for:
NOTE:
/
En ironmental Health Specialist Date
8/96
Residential Development
Commercial/Industrial
..................................................................................................................: %
Sq. Footage Ci I
No of Living Mobile Home Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection):
Building Department Representative
0
New Addition
(Floor Plans reviewed by School District Personnel
District Identification No.
0-16&S 0 School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
L �-.
Date
l
(Applicant)
?K -69i ,e
(Street Address)' (Phone Number)
(City) (State) (Zip Code)
has complied, with the requirements of Resolution No. by payment of $ /Z
representing / square feet. AB 2926 $
FULL MITIGATION $
a
School District Representative Date
Paid by Check #I / /
Remarks:
Notice: You may .protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If; subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant►, Yellow (building department), Pink (school district) feeform.xls 00/98)dmm
'` R '�'r•P:jrr�`.''4k'. ;�y{„�i�itf::t��n�sj''�' F
i ....
'\X,
BUTTS COUNTY PARRS DEVELOPMENT FER.CERTIFICATION FORM
1-.[ CHICO AREA RECREATION AND PARK DISTRICT
'�A
eP, ''arcer,l t
Number (s) 'tt�
� Property Owner f '
Rro t Location/Address . / v' C4
;e
7
..
x 'S'ubdivision " Lot" Number(s)
Residential Development: (check one)
New Development Alteration/Addition Mobiiehome(§.). _Non -Residential
to Residential
Total Number of Dwelling Units'+"
Comment:
Biii�g Department Representative' 6ate
. x��***���*rr�r�r�r�r�r�r�r�r�r,r�,�rr�r�r�,��rwr�r�r,��cvr,rvr*�r�r�rrr�r�rwx•,���r�r�r�r��r,��r�r�r,��r�r�r�r�rvr�r�r�r�c�r�rrr*�r
Chico Area Recreation and Park District(CARD) certifies that
(Applicant Name) (Phone Number)
(-Street Address)
//fin � // //. ' /. •� /�. �/'�'/n� 4
(City). (state) .(Zip Code) '
has complied,with therequirementsof Butte Co. Resolution No. 90-140 .by
payment for. Awelling*units @ $1 189 for total payment of
CARD Representative Date
PAID BY CHECK NO. REMARKS:
BANK NO'. qn�' D Oa/ I
PAID BY CASH.
•RECEIPT NO.
04/24./02 07636 8:10M 41X�TOTAL
Distribution: White --Applicant Yellow= -Butte Co. Building Dept..
Pink --CARD Goldenrod --City of Chico Building Dept.
park.fec (form revised 11/90)
U4/Z4/ZUUZ WET) U9:29 FAX
� wr
' s
RECORDING REQUF_%TF.D BY
MID VALLEY TITLE AND ESCROW CO.
AND WHEN RECORDED MAIL TO:
Darryl Kushner
Cheryl Kushner
a itoK belt CO
c N&A L*' tom► 55-973
A.P.N.: Apn 039410-072 Order No.:.197014KO
10002/005
iso rr� is r urs ru ru o r rii Thr r�
2��d-0tm2®62 1
Recorded
Off icial Records
County TE Of
OIIIIDACE J. 6FslIBBS
Recorder
ROSEMARY DICKSaM
Assistant
09:09AM 23 -Apr -2m
I rTAX FEE 16.04
9 8080
1
I
I
I
I Myles
I Page 1 of 4
Abovi This Line for Recorder's Use Only,
GRANT' DEED
Escrow No.: 197014K0
THE UNDERSIGNED GRANTOR(s) DECLARE(O THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 9
(X j computed on full value le property conveyed, or
[L J] c0. puted on frill value Less value of liens or eacumbtances remaining at time of sale,
Xunincorporated area, ( ] City of Chico , and
FOR A VALUABLE CONSIDERATION, Receipi of which is hereby acknowledged,
Douglas S. Starr and Wanda E. Starr, Husband and Wife as Joint Tenants
hereby GRANTS) to
Dan -A Kushner and Cheryl,^ Kushner, Husband and Wife &.S S p j v-,¢ T.R,V'Q,A� S
the following described property in the L01 lilt 4"ounty of Butte'State of California"
See legal description attached hereto and made a part hereof.
4Dougl 'Starr
Document Date: _ARdLjLjm
STATEOF CALI I )SS
COUNTY OF )
On L/— ► 'Z before me
se
Wanda E. Starr
M06
mrsonally known to me (or pruvid ro me on ibe basis of satisfactory evidence) to he Ute person(s) whose name(rj is/arc subscribed to the within
instrumem and acknowledged, m me That he/she/they executed the same in his/her/their authorised capacity(its) and due by his/Wiheir signatures) on
the insaumerit The person(s) or the entity trpun brhatf or *hich ttce personts) acted, executed the instrurnem.
WITNESS my hantl and onicial sea
Signatu�
' This area for official rtomrial seal.
OFFIC[A . SEAT.
Z KRISTIN ABBOTT
Ul Nt7TAR8UPmcou�UtbT1AZ
1246679 a
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
04/24/2002 WED 09:29 FAX �,, 0003/005
e
Description
The: land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCELI:
BEING LOTS 4,5 AND 6 AND A PORTION OF POLK STREET, AS SHOWN -ON THAT CERTAIN
MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. V, WHICH MAP WAS ,RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
APRIL 11, 1907, IN BOOK 6 OF MAPS, AT. PAGE(S) 45, AND MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID GLENDALE ADDITION TO CHICO NO.
l; 'THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1,
SOUTH A DISTANCE OF 176.00 FEET; THENCE EAST A DISTANCE OF 443.00 FEET TO THE
TRUE POINT OF BEGINNING; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE EAST
A DISTANCE OF 198.00 FEET; THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE WEST
A DISTANCE 01' 198 FEET TO THE TRUE POINT OI: BEGINNING.
ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LYING NORTHERLY OF AND
ADJACENT TO THE NORTH LINE OF SAID LOTS 4, 5 AND 6, AS ABANDONED IN DOCUMENT
RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-09679.
RESERVING THEREFROM AN EASEMENT FOR ROAD AND UTILITY PURPOSES, THE
SOUTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP AS POLK
STREET (ABANDONED).
THIS- DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS
RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116,
BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY
REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET
FORTH HEREIN AT LENGTH AND GRANTECS 13Y ACCEPTANCE OF THIS DEED APPROVE.
ADOPT, RATIFY AND AGREE TO THE TisRMS Or SAID DECLARATION.
SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RE -CORDED JUNE 24, 1998,
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 99-26116.
PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE
RECORDED SEPTEMBER 22, 1997, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 97-
35357.
APN 039410-072-000
CONTINUED
04/24/2:002 WED 09:90 FAX 0 004/005
DESCRIPTION - CONFINUED
PARCEL 11:
AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED, "GLENDALE
ADDITION TO CHICO NO. 1 ", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL H. 1907, IN
BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG THE WESTERLY LINE OF SAID
GLENDALE ADDITION TO CHICO NO. 1 NORTH, A DISTANCE OF 206.00 FEET; THENCE EAST,
A DISTANCE OF 338.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET TO THE
NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. I; THENCE ALONG THE
NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF
38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1;
THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO N0. 1
SOUTH 40° 00' 58" EAST, A DISTANCE OF 32.97 FEET; THENCE SOUTH A DISTANCE OF
326.75 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1;
THENCE ALONG THE SOUTHERLY LONE OF SAID GLENDALE ADDITION TO CIUCO NO. 1
WEST, A DISTANCE OF 60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE
WEST A DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO THE
SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE
SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. i WEST, A DISTANCE OF
47.00 FEET TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I.
DESCRIBED HEREIN.
AR EUL
A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD AND
PUBLIC UTILITY PURPOSES. WITH THE RIGHT OF CONSTRUCTION, REPAIR AND
MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER THE
'SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7. AS SHOWN ON
THAT CERTAIN MAP IrNTITLED, "MAI' OF STANLEY PARK", WHICH MAI' WAS RECORDED
1N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON MAY 7. 1906, IN BOOK 6 OF MAPS, AT PAGE(S) 105.
PARCEL LV-
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES
,DVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND:
CONTINUED
04/24/2002 WED 09:30 FAX (1005/005
PARCEL 1V: CONTINUED
ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST FROM THE
MOST NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT 10, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING SUBDIVISIONS OF THE MCINTOSH
TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, I900,
1N BOOK 2 OF MAPS, AT PAGE(S) 164.
EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "GLENDALE ADDITION TO CHICO NO. I", WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL.
11, 1007, IN BOOK 6 OF MAPS, AT PAGE(S) 45.
0
F-a_-00P.DNG REQUESTEf? -lfiiIffff!ifil!fiflli!!!I!fIflift{
-BYWIDNALLEY TITLE
ANDWH RECORDED TO: 40—` !?!J S 6
BUTTE COUNTY BUILDING DMSION Recorded I REC FEE 19.00
7COUNTY CENTER DRIVE Official Records I CONFORM .00
OROVILLE, CA 95%5 Count yy Of
BUTTE I
CANDACE J. GRUBBS I
Recorder
ROSEMARY DICKSON I
Assistant I Kathy
09:00AM 22 -liar -2002 1 Page 1 of S
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte CountyCode required this acknowlWgment to be recorded prigr to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, prunmg, and harvesting which occasionally generate dust, Make, noise, and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
031-41b -N2
V?l -410 - oq-b
Date_ 1 'Z b D`Z PROPER
State of California
County of O�A
On 3 — Z -C7 before me,
personally appeared 'Its �-, S, S4 --a ��' Dersonaliy
known to me (or proved to me on t�satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
Signature Seal:
OFFICIAL SEAL
Z KRISTIN ABBOTT
NOTARYPUBLIC- CALIFORNIA.
A.P. # n3 BUTTE COUNTY Z
,l 126667
J'.
DESCRIPTION
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I:
BEING LOTS 4, 5 AND 6 AND A PORTION OF POLK STREET, AS SHOWN ON
THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO N0. 111,
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY.
OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF
MAPS, AT PAGE(S) 45, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID GLENDALE ADDITION TO
CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE
ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE
EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING;
THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF
198.00 FEET; THENCE SOUTH A DISTANCE OF 160. 00, FEET; THENCE WEST A
DISTANCE OF 198 FEET TO THE TRUE POINT OF BEGINNING.
ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LYING NORTHERLY OF AND
ADJACENT TO THE NORTH LINE OF SAID LOTS 4, 5 AND 6, AS ABANDONED IN
DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S
SERIAL NO. 2000-09679.
RESERVING THEREFROM AN EASEMENT FOR ROAD AND UTILITY PURPOSES., THE
SOUTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP
AS POLK STREET (ABANDONED).
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF
RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S
SERIAL NO. 98-26116, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE
INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND
EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY
ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE
TERMS OF SAID DECLARATION.
SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE
24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116.
APN 039-410-072-000
PARCEL II•
AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED,
"GLENDALE ADDITION TO CHICO NO. 111, WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
CONTINUED
PARCEL II: CONTINUED
ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG
THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 NORTH,
A DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE OF 838.00 FEET;
THENCE NORTH A DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF
SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY
LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF
38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO
NO. 1; THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE ADDITION TO
CHICO NO. 1 SOUTH 400 00' 58 -R -EAST, A DISTANCE OF 32:97 FEET;
THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF
SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY
LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF
60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A
DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO
THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE
ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1
WEST, A DISTANCE OF 47.00 FEET TO THE POINT -OF BEGINNING.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III:
A NON-EXCLUSIVE EASEMENT TO BE -USED IN COMMON WITH OTHERS FOR ROAD
AND PUBLIC UTILITY PURPOSES, WITH THE RIGHT OF CONSTRUCTION, REPAIR
AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER
THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7,
AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT
PAGE (S ) 105.
PARCEL IV•
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY
PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND:
ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST
FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT
10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING
SUBDIVISIONS OF THE McINTOSH TRACT, BUTTE COUNTY, CALIFORNIA",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1900, IN BOOK 2 OF
MAPS, AT PAGES) 164.
EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON APRIL. 11, 1907, IN BOOK 6 OF MAPS, AT
PAGE(S) 45.
DESCRIPTION
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I:
BEING LOTS 16, 17 AND -18 AND A PORTION OF. POLK STREET, AS SHOWN ON
THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO' CHICO NO. 1',
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
.OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF
MAPS, AT PAGE(S) 45; AND MORE PARTICULARLY DESCRIBED=AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID GLENDALE ADDITION TO
CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE
ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE
EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING;
THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF
198..00 FEET; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE WEST A
DISTANCE OF 198,.00 FEET TO THE TRUE POINT OF BEGINNING.
ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LYING SOUTHERLY OF AND
ADJACENT TO THE SOUTH LINE OF LOTS 16, 17 AND 18, AS ABANDONED IN
DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S
SERIAL NO. 2000-09679.
RESERVING THEREFROM AN EASEMENT FOR ROAD -AND UTILITY....PURPOSES, THE.
NORTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP
AS POLK STREET (ABANDONED).
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF
RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S
SERIAL NO. 98--26116, BUTTE COUNTY, CALIFORNIA; ALL OF' WHICH ARE
INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND
EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY
ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE
TERMS OF SAID DECLARATION.
SUBJECT. TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE
24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116.
APN 039-410-076-000
PARCEL II:
AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED,
"GLENDALE ADDITION TO CHICO NO. 111, WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
CONTINUED
PARCEL II: CONTINUED
ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG
THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 NORTH,
A.DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE OF 838.00 FEET;
THENCE NORTH A DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF
SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY
LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF
38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO
NO. 1; THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE ADDITION TO
CHICO NO. 1 SOUTH 40° 00' - 58" EAST, -A- DISTANCE , OF 32.97 --FEET;
THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF
SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY
LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1, WEST, A DISTANCE OF
60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A
DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO
THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE
ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1
WEST, A DISTANCE OF 47.00 FEET TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III:
A NON-EXCLUSIVE EASEMENT .TO..BE USED IN.'...COMMON WITH..OTHERS FOR ROAD
AND PUBLIC UTILITY PURPOSES, WITH THE RIGHT OF CONSTRUCTION, REPAIR
AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER
THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7,
AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON MAY 7,•1906, IN BOOK 6 OF MAPS, AT
PAGE(S) 105.
PARCEL IV:
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY
PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND:
ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST
FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT
10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING
SUBDIVISIONS OF THE MCINTOSH TRACT, BUTTE COUNTY, CALIFORNIA",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1900, IN BOOK 2 OF
MAPS, AT PAGE (S ) 164. ,
EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT
PAGE (S) 45.
CL."Axx
I I APPROVED
DITIONALLY APPROVED
_'�'► 1L{J:�►:•.'�� ten•-•n��•1g,�.--
------
�- PERMIT CLEARANCE ^ 9 20
Date:
Genera/Information 2 ,
PA -17'
APx: D 3
Owners Name: /" . --17' AL A) FP 6) Parcel Acreage: >t-73 A e_
Owners Address:r' 1 / / /
Budding Site Address: V L J (' ,�r�,) l�C J L�� TS (1�
t
,8 er .rnformabon -
Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial ❑ Mobile Home A(SFD ❑ Residential Accessory
❑ 2nd Dwelling ❑ Multl-Family >2 units per parcel Ctic ❑ Well ❑ Other
Zone District: A — `Z Date of Zoning Ordinance:
General Plan: Development Agreement:
Use Permit: ' Variance:
Parcel Is In: Land Conservation Agreement ® No ❑ Yes, check use Minimum Acreage:
Nitrate Action Plan
No
❑ Yes
Violation Area
No
❑ Yes
Specific Plan
No
❑ Yes ❑ Chico
Enterprise Zone
No
❑ Yes, check use
g No
❑ Yes
Floodplain
Zone:
No
❑ Yes
Watershed Protection Zone
Proposed Use Complies With: General Plan
Zoning
❑ D2N ❑ Cohasset
,�(1osos�
Panel Number:
Proposed Use Reduires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
Commercial/Industrial/Multi-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown
Landscaping: ❑ landscaping Requirements are OK as Shown
Road and Drainage Improvements Required: ❑ No ❑ Yes
❑ Other
❑ Other
❑ Accessory Building Use
Zoninq Code
Street & Hi hw
Fire Prevention
Subdivision Ma
Front
Side
Side street
Rear
n
Heufht
Environmental Health Issues:
Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes
well Permit Review: Designated Well Site ❑ No ❑ Yes
Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes
Parcel Created by:
❑ Deeds Date of Creation: Legal Access Provided:
Deed Reference: Legal Access Required:
Parcel Frontage on Publidy Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: []No ❑ Yes
Comments:
�L�1J [) A A- l7 1 1- 10 IJ V�') 0- I
❑ No ❑ Yes
❑ No ❑ Yes
K Map Date of Recording: ff f_ 1 7 i
Lot: 4 ,� . l0 Block: Book 1r'J Pa'ge•
Conditions That Must be Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application).
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments:
GREGORY A. PEITZ
. ARCHITECT
1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719
PROJECT:
I have reviewed the truss submittal for the above project and all loading
design criteria have been met.
GregoryA. Peitz
Architect .
Coastal View Construction
Commercial & Residential Construction
Real Estate Development
3/15/2002 t r
Butte County
Building Dep Ttment
Re: Application for building permit on AP 039-410-072-000
This house plan is the exact same plan for the new construction at 2962 Chico River Rd
Permit # 01.1283; which was completed in October 2001. _
The only change that has been made is the updating of the energy calculations to reflect new
Energy requirements.
Since r ly,
r
PC Box 568 Phone: 530-894-0478
Chico, CA. 95927 Fax: 530-894-0478
Lia # 792286 Cell: 530-570-4001
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CLIMATE ' ' • @ FIBER GLAss BLOWING WOOL
.N/)
Your home has been professionally insulated to provide
Vie?a guaranteed thermal
HowowNER's NAME%OAA .
I, `ADDRESS C Cu.1�
d
07y STATE 71P
RECORD OF INSTALLATION
BLOWING WOOL
NEW CONSTRUCTION IF RETROFIT:
❑ RETROFIT DEPTH OF PREVIOUS
INSULATION -
NUMBER OF BAGS USED
AREAINSULATED� ESTIMATED R -VALUE OF
SQ. FT. PREVIOUS INSULATION
' yl
THICKNESS OF INSULATION `TYPE(S) OF PREVIOUS
INCHES INSULATION IN ATTIC
R -VALUE OF INSULATION
Ih
CLIMATE PRO- RAG WEIGHT = 25 LR` NOMINAL -
R -VALUE
BATTS AND ROLLS
BAGS PER
1000 SQ. Fr.
-MAXIMUM
NET COVERAGE
R -VALUE
F
To obtain an
AREA INSULATED
The number of bags
`THICKNESS
`
�J�
1 insulation
INCHES CEILINGS J
per 1000 sq. ft. of
IN.
SQ. FT.
resistance
5
IN.
SQ. FT.
WALLS I
3
-7
IN. -1 `
FT.
more than:
not be less than:
11
SQ.
7.0
142 sq.. ft.
IN.
SQ. FT.
FLooRs
12.5
IN.
SQ. FT.
22
10 in.
IN.
SQ. FT.
CLIMATE PRO- RAG WEIGHT = 25 LR` NOMINAL -
R -VALUE
' MINIMUM
THICKNESS
BAGS PER
1000 SQ. Fr.
-MAXIMUM
NET COVERAGE
MINIMUM WEIGHT
PER
F
To obtain an
Installed
The number of bags
Contents of
The weight per
1 insulation
insulation
per 1000 sq. ft. of
this bag should
sq. ft. of installed
resistance
should not'
net area should not
not cover
insulation should
(R) of:
be, less than:
be less than: '
more than:
not be less than:
11
5X in.
7.0
142 sq.. ft.
0.176 lbs.
19
8% in.
12.5
79.9 sq. ft.
0.313 ]bs.
22
10 in.
14.6
68.4 sq. ft.
0.365 Ibs.
;{ 26
11% in.
17.2
58.0 sq. ft.
0.431 lbs.
30
13 in.
20.0
50.0 sq. ft.
0.5001bs.
38
16/< in.
26.3
38.0 sq. ft..
0.659 lbs.
j 44
18% in,
r 30.5 •
32.8 sq. ft.
0.7631bs.
50
20% in.
35.5
28.2 sq. ft.
0.8861bs.
60
23"/< in.
43.0.
23.2'sq. ft.
_ 1.076 lbs.
INSULAONCONTRAcrOR SIGNATURE
QQA/V,-RAJjAA� DATE -3—
COMPANY _3 S01 ��'�s1 l JA 1 11 PHONE u ► t _J�
HOME BUILDER SIGNATURE DATE
COMPANY -ADDRESS PHONE
johnsManville BIC -194 7/97
0
Johns Manville Corporation, P.O. Box 5108, Denver, CO 80217-51.08, Internet: http://wv4w.im.com. For more information call 1-800-654-3103.
s
THIS IS FIBER GLASS FTC FACT SHEET
BLOWING WOOL INSULATION
G
CLIMATE PROTM BLOWING WOOL INSULATION
Bag Weight 25 lbs. Nominal (Minimum Net Weight of Insulation in this Package is 23 lbs.)
R -VALUE
MINIMUM
THICKNESS
BAGS PER
1000 SO. FT.
MAXIMUM
NET COVERAGE
MINIMUM WEIGHT
PER SO. FT.
To obtain an
Installed .
The number of bags
Contents of
The weight per
insulation
insulation
per 1000 sq. ft. of
this bag should
sq. ft. of installed
resistance
should not
net area should not
not cover
insulation should
(R) of:
be less than:
be less than:
more than:
not be less than:
11
5% in.
7.0
142 sq. ft.
0.176 lbs.
19
8% in.
12.5
79.9 sq. ft.
0.313 lbs.
22
10 in.
14.6
68.4 sq. ft.
0.365 lbs.
26
11% in.
17.2
58.0 sq. ft.
0.431 lbs.
30
13 in.
20.0 ?
50.0 sq. ft.
0.500 lbs.
38
16/< in.
26.3
38.0 sq. ft.
0.659 lbs.
44
18% in.
30.5 '�
32.8 sq. ft.
0.763 lbs.
50
20X in.
35.5
28.2 sq. ft.
0.886 lbs.
60
23% in.
43.0
23:2 sq. ft.
1.076 lbs.
i
Read This Before You Buy
I
What You Should Know About R -Values.
The chart shows the R value of this insulation. "R" means resistance to heat flow. The
higher the R value, the greater the insulation power. Compare insulation R values
before you buy.
There are other factors to consider. The amount of insulation you need depends
mainly on the climate you live in. Also, your fuel savings from insulation will depend
upon the climate, the type and size of your house, the amount of insulation already in
your house, and your fuel use patterns and family size. If you buy too much insulation,
it will cost you more than what you'll save on fuel.
To get the marked R value, it is essential that this insulation be installed properly with
pneumatic equipment.
Johns Manville
" Johns Manville Corporation
Insulation Group
P.O. Box 5108
Denver, CO 80217-5108
BIC -194 7/97 Internet: http://www.jm.com
0 1997 Johns Mamille Corporation
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PLANNING DIVISION- BUILDING PLAN APPROVAL
Use: 0 1 Q
Date: y— 5' O 2
Parking:-
Landscaping:
Other -
Signature:
•
NA
0
V
e
._.._..._------- ------- A-- _
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ELLIS A&E SUPPLIES #4006c
300
z
04140w
-t
POOL GENERAL
SPECIFICATIONS
SIZE 17 X AREA -1540 DEPTH JTO _
DIMENSION:
SHAPE /7s De4 1,-IAI
COLOR TOTAL'GALLONS
LINER C l L • 70' C;
HEATER:
POOL CAPACITY /& 0,0c> GALS.
AIR BLOWER:
PUMP,�',�4
PLUMBING FOR SPA:
MOTOR H.P. % H. P.
ELECTRICAL: CLOCK:
FILTER D. ft, N SO. FT.
EXCAVATION:
VACUUM LINE & SKIMMER
DECKING W
RETURN LINE „� �f)C f AE. "
MISCELLANEOUS:
MAIN DRAIN
SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SCI. FT. PANEL
SKIMMER MODEL L • ,'� ��
PANEL TYPE PANEL SIZE
BACKWASH LINE
NUMBER PANELS PL.IIMB RUN
_;�Q_' OF %" FILL LINE
AUTOMATIC MANUAL
ANTI SIPHON VALVE
THERMOMETERS BOOSTER PUMP
HEATER SIZE BTU
SINGLE ❑ DOUBLE Q; ELECTRIC BY:
GASLINE BY: VENTED BY:
JOB NO.
MAP BOOK NO.
LEGAL DESCRIPTION
LIGHT
CLOCK a S
ELECTRIC BY: e6,0w
ELECTRICAL BONDING BY:AC " 1
POOL CLEANER
PERMIT OFFICE
CHLORINATOR
MGR.
BOARD - SIZE 46
SALESMAN
BOARD SUPPORTS
LADDER -MODEL Q+
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
Water
SLIDE # Color _ Hookup
POOL OR SPA
NAMEIVCV1,/0" &WW
GRADING
ADDRESS
STUB PLUMB RYES ❑ NO
toll e
DECK BY: '4311/146 6 Sb 6 56
p'
NOTES
SCALE 1I8" s 1'0"
CROSS STREETS
Ce - -15
RES. PHONE`' "¢7
4AI.4L + 4fjCZ, a t -y.
BUS. PHONE '
DWN BY. DATE
WD BY. DATE
NOT TO SCALE
DEEP -"—
END SHALLOW
END
UNLESS OTHERWISE SPECIFIED:
POOL IS _ SHALLOW TO — DEEP
I HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE POOL AND
EQUIPMENT LOCATION
CUSTOMER'S SIGNATURE DATE
SPA GENERAL
SPECIFICATIONS
SPA TYPE: MDL M
DIMENSION:
DEPTH:
COLOR TOTAL'GALLONS
SPA JETS TILE
HEATER:
PUMP & MOTOR:
AIR BLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING W
MISCELLANEOUS:
SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SCI. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PL.IIMB RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE ❑ DOUBLE Q; ELECTRIC BY:
JOB NO.
MAP BOOK NO.
LEGAL DESCRIPTION
LOT NO.
TRACT NO.
BOOK PAGE ° BLOGK j
ESCROW CLOSE
TENTATIVE DIG DATE
PERMIT OFFICE
MGR.
SALESMAN
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
POOL OR SPA
NAMEIVCV1,/0" &WW
ADDRESS
toll e
p'
CROSS STREETS
RES. PHONE`' "¢7
BUS. PHONE '
.k .
897 EAST 20THSTREET
PERFECTION CHICO, CA 95928
. i .
IM (916) 895-0437
License #566654