HomeMy WebLinkAbout039-540-033i -
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39-54-33 92-857 BPEM
BLA Jim Lo 6
9434 'Dw, r Ct% D.ur.ham
p new sf `
39-54-33 92-1087
DALTON/BLACK
9434 Dwyer t, Durham
cont: low 1 Pierce
fire sp nklers/sf. "
039-540-03302-0401
MASUDA, SHIN & ROM
9434 DWYER CT., DURHAM
CONT: BLUE HAVEN POOLS
NEW POOL25
B07-1874 039-540-033
MISCELLANEOUS Gas Reconnect
EXTEND GAS LINE AND INSTALL G,
9434 DWYER CT
MASUDA, SHINICHI & VERONICA
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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
PROJECT INFORMATION
Site Address: 9434 DWYER CT
APN: 039-540-033
Owner:
MASUDA, SHINICHI & VERONI
Permit No: B07-1874
Issued Date: 8/31/2001 By GLB
Permit type: MISCELLANEOUS
9434 DWYER CT
Subtype: Gas Reconnect
Description: EXTEND GAS LINE AND INSTALL
DURHAM, CA 95938
(530) 897-0539
Expiration Date: 8/30/2008
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
HEAL DANIEL PLUMBING
HEAL DANIEL PLUMBING
Building Garage RemdVAddn
12206 MERIDIAN ROAD
12206 MERIDIAN ROAD
CHICO, CA 95973
CHICO, CA 95973
Other Porch/Patio Total
(530)345-2142
(530)345-2142
FEE INFORMATION
DBM Appliance Vent/Chimney (On $58.00
DBP Gas System (enter outlets) $58.00
Total Charged: $116.00 Fees Paid: $116.00
Balance Due: $0.00 Receipt No: B4481
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
HEAL DANIEL PLUMBING 393518 / C36 / 9/30/2008
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 Contractor's 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
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 for d effect,
X 8/31/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's 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
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
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑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;
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's 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
Carrier: State Fund policy Number. 238782-0r� Exp. Dater/1/2007
(This section nee not a completed if the permit is or one hundred dollars ($100)or less.)
Contractor's License Law.).
❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 8/31/2007
comp tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
pro Sion .
Owner's Signature Date
X 8/31/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State 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 issu ce of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or pancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
COUn to ter the above�ne ne��pprr��ple nspeclio oses. I hereby certify that I am the
Pr rtyo eroramauthor' to npest o er ehalf.
8/31/2007
Signature Date
WARNING: FAILURE TO 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
ATTORNEYS 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)
Name of Permittee [SIGN] Prifit Date
❑ Owner Contractor OR; E]Agent for Owner DAgent for Contractor
FILE COPY
Lenders Address City State Zip
2]
0
0
BUTTE COUNTY
o DEPARTMENT OF DEVELOPMENT SERVICES
° BUILDING PERMIT APPLICATION.
° OFFICE #: (530)5338-7541 FAX #: (530) 533-2140
0 A FEE WILL BE REQUIRED AT TPUE OF APPLICATION
0
Website: w. 1w.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
City
First Name
Mailing Address
le -1-341
13 J
City
State
State
Zip
Phone G+
o
o 3
Fax
E-mail
Lic. #
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Z' S77 3
Phone
2� y �.
Fax �t, . Z / 9 2
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT S/GNAT RE
X
Z_Lj
PERMIT
NO.
D7'19'
BIN #
PROJECT LOCATION
AP# - r7\
Property Address
City
WORKER'S COMPENSATION
Policy Number
Carrier
!f 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:
74
Sq FT- Living Garage Open Co
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ZoningT.
FloodZone
SRA
Yes
No
Occ.
Type Const.
NOTES
.0
RESIDENTIAL
'039-540-033 -_02-0401—�,
MASUDA, SHIN & RONI
9434 DWYER CT., DURHAM
CONT: BLUE HAVEN POOLS
NEW POOL
or_r- /3 c//Z Dim c eli
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
V,
JOB FINALED (Date) Y�
Signature — Ae; 9
CHECKED
BY
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RESIDENTIAL
'039-540-033 -_02-0401—�,
MASUDA, SHIN & RONI
9434 DWYER CT., DURHAM
CONT: BLUE HAVEN POOLS
NEW POOL
or_r- /3 c//Z Dim c eli
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
V,
JOB FINALED (Date) Y�
Signature — Ae; 9
CHECKED
BY
./= OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
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; -/ /" L'ft.
/
/'Nat. or/ /"L"ft./ /'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; 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 I (Plans) OK except #'s
Se cks-Easements
oils; 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
1401
Date Card B-1 Date Card B-1
Date - Z Card B-1 Date Card B-1
Y2
✓ = OK
0 = Not OK
- = Not Applicable
= Not React
RESIDENTIAL (Single & Duplex)
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
48.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
51.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
54.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
57.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8.
Piers -Fireplace Ftg.-Steel
60.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Insulation -Walls -Ceilings
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 Date Card B-1
12.
Electric Underground
Date
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Ext. Steps -Door & Sidelight Protection -Landings
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
15.
Access & Ventilation
Date
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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral C) Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
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
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls- Windows
91.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65. Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Receptacles at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79. 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
82.
Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
f tS
.......COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances 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,
r
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _� P R IT No.
(Rev. 12/96) APPLICATION AND PERMIT '
ASSESSOR PARCEL NUMBER
039-540-033
ZONING
SR -1
BUILDING PERMIT
OWNER
SHIN & RONI MASUDA
TELEPHONE
897-0539Cont
SQ. FT. OCC. BUILDING VALUATION
19 200
OWNERS MAILING ADDRESS
9434 DWYER Cr.,DURHAM, CA 95938
CONTRACTOR'S NAME
BLUE HAVEN POOLS
TELEPHONE
1899-8445
CONTRACTORS MAILING ADDRESS
275 FAIRCHILD ST. #100 A. I111100, CA 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 19.20 .00
ARCHITECT OR ENGINEER
LICENSE NO.
Flinq Fee $
20.00
Permit Fee $
207.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
9434 DWYER ICE DURHAM CA 95938
Energy Plan Checking Fee $
$
PERMIT FEE $
250.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF I�q Duplex ❑ Mobilehome ❑ Other pazA
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.0
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: POOL MASTERE517-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE $
35,00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
ereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business d Professions Code,
and my license is in full force and effect. Aa
icense Class CS �. Lic. No. V v�
OWNER -BUILDER DECLARATION
ere y affirm under penalty of perjury that I am exempt from the Contractors License
I, as owner of the property, or my employees with wages as their sole compensation,
r0oofor the following reason:
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.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service To
46.00
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADDNS. ( & ACC. BLDS.
SO
3.5¢FT,
NEW CONST. MULTI -OUTLET
=RESID.
@7.50
POWER APPARATUS
8 SINGLE OLIfLET CIR.
EX. Occup. OUTLET OR FIXTURES
.00
B4L @ L.so
Ex. Occu , ouTLEE°Ts RM.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
Pool electric
PERMIT FEE $
50.00
WORKERS' COMPENSATION DECLARATION
11-hreby affirm under penalty of perjury one of the following declarations:
m 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
j�erformance of the work for which this permit is issued.
ave 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' compoqseyon insyJance carrier and policy number are:
Carrier .gt'j e. D
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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 that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
de, Ishall
forthwith Com ly with a rovisions.
workers' compensation provisions of section 37004demolitio
Ote0�
SI ature of Applicant - ❑ Owner ❑ Contractor ❑ Ag
An OSHA permit is required for excavations over 60" deep anonstruction
of structures over 3 stories in height. �� �1
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 335.00
HAZ.
-
D FEES IMP
-
FLOOD
--
COF
--
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
1 Q�
By Dat d2
PERMIT EXPIRES ON
ate
rwReceiptNo.
HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT d DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 '
r, PERMIT APPLICATION DATA SHEET
�Y1
OWNER: czo�-� ASSESSOR PARCEL NUMBER
� n ../
Proposed Building Use: `P� C�'�- 511-599 Counter Technician: Cy�X V Date: 62 -C w�
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
[�1.. Plot 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.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. 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.
❑ 7. 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.
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 i'
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 .......................................
+-6.
. Statement of Intent for Non -heated and A/C Buildings ...............................
Sanitation and plot plan approval from the Environmental Health Department in . City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check:
❑ 20. Contact -Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. 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) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance.....................................................`..........
❑ 29. Existing violations and/or expired permits.........................................................
❑- 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
31. Other:
When issued Telephone77
— and hold for pickup.
I have been informed of the above items and requirements for obtaining a buildidg permit.
Applicant: q6VO Dat
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the abo e to by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: (Z- Date: Plans approved by: Date:
y: b2
Structural reviewed bDate: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
4 � 1
bIA
TO: Building Department *' ` �`� b -i
FROM: Environmental Health r2
SUBJECT: Sanitation Clearance
E.H. USE ONY
Plot Plan Attaehod
Floor Plan Attichad
Sant to B.D. I
0`27
�/l�� L& m—eL,' (M- 2/y — �
Owner ocation AP#
Plan Approved for: Sewage Disposal, Water Supply: Public Private Well
Clearance for dwelling. Other
I tVIU 151104 1V..
Final clearance O.K. for:
NOTE:
e,LI( 'el a
Environmental Health Specialist Date
8/96
7
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Swimming Pool Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make
any changes of alterations on same without written permission from the Building Division, County of
Butte.
All materials and workmanship shall be in accordance with recognized good practices and of a quality
prescribed for the specific use in the 1998 California Building Code (1997 U.B.C.), 1998 California
Plumbing Code (1997 U.P.C.), and the 1998 Californi a Electrical Code (1996 N.E.C.)
COMPLY WITH ITEMS INDICATED BELOW
❑ Your parcel lies within a designated 100 -year flood plain. All pool equipment must be located a
minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A
Post Flood Elevation Certificate will also be required.
❑ The following parcel. map requirements shall be met:
The pool and equipment shall be clear of all easements. A setback of --5--' from the side and,' from the rear
property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way.
® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a
California registered engineer or licensed architect.
Page 1 of 1 Owners Name: WOO u d c, -
Building Permit Number: Q.., — O V /
Plans Examiner: Russell Bloomfield
PLANNING DWISION -BUILDING PLAN APPROVAL
Jse: D K Date:
parking: Landscaping:
Other: IN
Signature:
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�t-UTTE COUNTY.
*:ING DEPAR'TMEN'
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Environmental Health
FEB 2 7 2002
Chico, California
e,
R SI ETIAL
9-54-33 �T51S =5TB-�Z-9-
` BLACK,Jim
• 9434 Dwyer Ct, Durham Lot 6
new sf
OFFICEUUAdACk
COPY.
Address 94+3L �.�•�-
GAS
Meter By r� crate
s
MEC
Address
. t
i
GAS S�
Date
Meter By _—
ELECTRIC ate
Meter By
JOB FINALED (Date)'
Signature A&—"
J=OK
O = Not OK
NApplic
ot
Readyable 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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date, _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements �z, - N
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test=Fall-Flex Connector.
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch .
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 u
V
W
a
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)*K except #'s
9
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-Ste;l
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs' -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks Easements 1� j,, ; ••
2. Soils; Compaction -Structure Stability of '
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable RESIDENTIAL
= Not Ready
Date UN ERFLOOR (Plans) OK except #'s
n i ng -Setbacks -Easements -Flood -Slope
. Ftg., Main; Soils-Elec. d.- " Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
i, -'<ab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date I&Card B-1 rr. Date Card B-1
Date-Zb-GtZCard B-1 j, . Date Card B-1
Date PLUMBING (Permit),OK except #'s
oe Water Htr.: Vent -Access -Combustion Air -Baffle
--------- ----------------------------
awl
-- —Water Pipe; Test & Anchor -Nail Protection -- -- --
_ Test -Fittings & Anchor -Nail Protection
-- — x1a,'s-hower Pan: Tosf'First Floor -Tub Access ---- --- -----
22Q_T-est Tub & Shower. Second Floor -Tub Access
q',Gas Pipe: Size _& Anchors
Date---�j2�Card B-1 �/ Date Card B -t
--.---------�T�------------
Date ,Jj Z) ..gZCard B-1 C -(j. Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
---------- r.Size
------------
. Receptacles Spacing -Lights & Switches at Doors
------------Boes&- o.ofConduc--------------------------
Boxes & No. of Conductors -Stapled
- - -- - -- -- ----------- ----
Romex Installed Close to Edge of Studs & C.J.
;�quip. Ground made up w/Mech. Fastners-Bond Gas & Water
------------------------------------------------------------------------- ----
2 Appliance Circuts in Kitchen _ & Conductor Size/GFI
ubfee Wire Size /� ga Cu or A�A.0 Wire Size ¢ ! ga
Cu o AI
------------------- ----- ------------ ---------------------------------- ------------
2rJ.RMTgC Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
- Insulated Neutral ❑ Yes ❑ No
V"Service-Riser Conductors & Ground -Main Disconnect
---------------------- ------------------ -----------------
quip. Clearances Panels-Motors-Mech. Equip.
------------- -- ----------------------------------------------------------------
Clothes Closet Light -Shower Light -Spa Light
------------- --- -----------------------------------------------------------------
Smoke Detector
Date
------------------------------------------------ Card -Date ------------ Card B-_ -------------
------ Z'°� ---- - ------------------ - - -
-- - -------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3 . A.C. Ducts Insulation & Support
3 Vent Fan: Exhaust above insulation
--- -- ---- ----- -------------------------------------------
-------------- ------------------ --------------------------------------------
3 V Condensate Drain & Overflow: Size & Grade
y3 Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------------- -------------------------------------------------------- - -
- 3d Attic Access & Platform if Furnance in Attic
-------------- ------------------------------------------------------------------
Date Card B-1 Date Card B_1
--- --�Zti_--------- C_G------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3 Sils. Proper Material & Anchors
----- ------- - - --------------------------
-- - ----------------------- --------
4 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
Bea
e,a -----------------------------r-------------------------------
gr. ring Walls over Girders & FlooNailing
4 Draft Stop in Walls (rat proof)
---------------------------------------------- ------ -----------------------
4,3�Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- ----------------- ---- ------------------
94' Headers & Beam -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
Hanger ost Cap nchors-Connectors
48"'C -Ing. Jost-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
4 Fireplace Ties o&ype Flue- fireplace Throat clearance
--------
4a-'Mtic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
g9!BSdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ _ �_ Garage Fire Protection Framing
Property Line Firewall & Openings
521rxt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
----------------------------------
9B-9teirs; Width -Headroom -Rise -Run -Landing -Fire Protection
-------------- --- — -
. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
" S" Sing -Nailing Veneer
_ Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access \ C O d Q
_.�1T Glazing Area -Glass Protection -Skylights -Plastic
5 ear Walls; Nailing -Bolts
oGqk.q j, Insulation -Walls -Ceilings
nfiltration-Walls-Windows
------------------
Date (qwL?,,gZ rd B-1 G -G- Date (; o",,CkZ,-Card B-1 GC,-
Date
GDate 6-1(0-q , Card B-1 U Q Date Card B-1
Date FINAL (Plans) OK except #'s
6�xt. Steps -Door & Sidelight Protection -Landings
�moke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
- -- 64 Bedroom Exiting
VF.I &Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel: Breaker Sizes & Labels
_ails
V fireplace or Stove: Clearances -Hearth
Outlets at Wood Panel: Int. & Ext.
Q I Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
- 'p-- \ - -- - - - -
K Elec Outlets & Receptacles at Kit. Counter ---_
IT
Fire arage Fire Door: Swing -Landing -Closer
WC. Duct in Garage -Damper -
-- ---------------------
Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. .
PIp,Garage: Above Floor -Meth. Protection
------\ T/glb. Elec. & Mech. Equip. Listed for Location
(�- 7'6 lec. Receptacles in Garage: (G.F.I.)-Romex Protection
'sulation-Foam-Looked in Attic ❑ Yes
and Rails & Deck Construction -Post Caps
----------------
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
- ---------
0 1 F Ilowing instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
lanlers ❑ Yes ❑ No —_
- -- ------- ---------------------------
�1. tucco: Brown -Finish -
` J2. A.C. Unit: Disconnect. Electrical, Plumbing
O-- -/------------------------ --
A\ uct. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
�c penings
-- ater Well: Disconnect, Electrical, Plumbing --
/Exterior Elec. Trim: G.F.I. Receptacle -Underground
16/./Ventilation Throughout House
Y//
,Glass Protection -10-r_` P"__
83. 0-----t -------- s from PreviousVEl
ti
.r!�, -i as T t -Meters Tagged:ctric
- -------------------
�r�Q-c'Z- --- ---- ------ - ---
IQ!rG0. ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date 1 z Card B-1 Date Card B-1 --
Date_ Card B_7 -- _- Date Card B-1 J
Date Card B-1 Date Card B-1 --71
Comments at Final:
Y Owner I�j1�`� A ,i
,Si��n�.� �. �i'1 rr�•, Permit N o.
ENERGY CERTIFICATION
bwy�e
11111W."011m,
DESCRIPTION OF INSULATION
ROOF
MATERIAL_
THICKNESS
EXTERIOR WALL
MATERIAL FIBERGL SS
THICKNESS
CEILING
A. P. NO.
BRAND NAME
THERMAL RES.
BRAND NAME ' CERTAINTEED
THERMAL RES.
BATT OR BLANKET TYPi-FiberglasBRAND NAME CERTAINTEED
THICKNESS to 0 THERMAL RES. 36
LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED
THICKNESS THERMAL RES. 33
FLOOR,ELEVATED
- MATERIAL FIBERGLASS
THICKNESS
.-FLOOR, SLAB --
MATERIAL
THICKNESS
WIDTH
FOUNDATION WALL
MATERIAL 4
THICKNESS
BRAND NAME CERTAINTEED
THERMAL RES.
BRAND NAME
THERMAL RES.
BRAND NAME
THERMAL RES.
I HEREBY CERTIFY THAT THE AR, INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE Wi 3'E STATE OF' CALIF. ENERGY REQUIREMENTS.
HAWKINS INDUSTRIES INC. # 62218-4
FI 1 N OW �CONTR. LICENSE N0.
I her y cert y he above insulation/and all required items as shown
on ttie Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
.SIGNATURE OF GENERAL CONTRACTOR -OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
'final inspection approval -and a copy shall be posted within_t1febu11di;4
- :JANUARY- - 1984 Y
rp L '�' �,. r • ti. .`
_ np
7�Lpy.r`uR.• •• i " f.. Y , x?l..T'.. r K^Y "# -✓+o •�1 �y.. �.+ Y a��• 11W,
.+ _ N. -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-857
ASSESSOR PARCEL NUMBER
39-54-33
ZONING
qR 1 _
BUILDING PERMIT
OwJT�f BLACK
TELEPHONE
SQ. FT. OCC. BUILDING VAMAT
2773 R 141 42
OWNER'S MAILING ADDRESS
P.O. BOX 636 DURHAM
13, 08
CONTRACTOR'SNAME
SAME
TELEPHONE
b8U 8,840
CONTRACTOR'S MAILING ADDRESS
Fireplace rr rr
169 171
CONSTRUCTION LENDER
SAC SAVTNGS
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 828.50
ARCHITECT OR ENGINEER
BLACK
LICENSE NO.
393651
Plan Checking Fee
$ 414.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
C)434 DWYER CRT DITRIJAM
Permit fee
$ 1277.75
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00 79- no
Solar or heat pump water heater
20.00
OT NO.
L7
6
SUBDIVISION NAME
TURNERS 3RD
PARCEL MAP
118-58
Water piping
7.00
nn
Each qas water heater or vent
7.00 7-00
USE OF STRUCTURE
SF X❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New] Addition❑ Remodel❑ Utilities ❑ Installation❑ Other❑
Describe work: 5 BDRM
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50 15.50
Main service 20CATO 1000A,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in f 1 force and effect.SINGLE
n
License.Jo.°��`3 ��� Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ACG. BLDGS.
3.64sq.ft.
19,1 sn
NEW CONSTRESID, RANO UT LET
NO N•RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
L- 76
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$ 157.00
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
SPLIT
Cooling 3 TON
16.50
Hood
6.50 6.50
I Ventilation
2 4.50 9.00
permit Fee
$ 56,00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said County in consequence o he granting of this permit.
X �+�Date _3
❑-
Signature of Applicant - Owner Contractor Agent
An OSHA permit is required For excavati n over 5'0" dee and demolition or (tru t
ion of structures over 3 stories in height. �
Mobile Home Installation Fee S
Energy Inspection Fee $ 40.00
occ T PE
SAL �' 3 E 1 %'4/.,5
I HAz
FEES DIMP FLo
c ,
PARCE PD
HD Issu
This permit is hereby issued under the
sions of the Butte Count Code and/or
ozind* d 0 f r which fees
OF PUBLIC
By �-
T EXPIRES Date o
applicable provi
resolutions to do
have been paid.
WORKS
Date y
Receipt No.I (S
49A 9511P
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -IN P CTOR. GOLDENROD -APPLICANT
F PUBLIC WORKS PERMIT O.
COUNTY OF BUTTE - DEPARTMEN Telephone: 916.'538-75,11 �-
7 County Center Drive - Oroviiie, Calltornia 95 MIT
s
APPLICATION AND P BUILDING PERMIT
- 5 `-f -- �
11 LING A
MAILING AD
RUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR NGINEER
ARCHITECT OR ENGINEER'S MAILING ADORE
BUILDING
LOT NO. SUBDIVISION NAME
NO
NO.
�I
X- C i -z_
PARCEL MAP
11 P'S7
USE OF STRUCTURE
SFW Duplex[] Mobilehome❑ Other
SPECT FY
TYPE OF WORK
New Addition 1 Remodel❑ Utilities
❑ Installation ❑ Other ❑
Describe work:
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with- licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
P
or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses Ich may in any way accrue
against said County in consequence of the grand of this permit.
Date
Signature of Applicant — Owner Contract.Agent ❑
An OSHA permit is reouired For eeenvn,; .. -.
SO. FT. OCC. BUILDING VALUATION
2 77 /2 /4� /V 2-
7S-7,,-,
7.Slo 1 <?/! / 3 60 8'
ireplace 'err
$
-7
otal Valuation S
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
iling Fee
$
NEW CONST. f DWELLING OCCUP.6
OR AODNS. t ACC. SLOGS.
15.00
ermit Fee
$
a
Ian Checking Fee
$02
FIXED APPLNS. OR 1
EX. OCCUp. OUTLETS IRESID.) EA./
i
nergy Plan Checking Fee
1 15.00
Mobile Home Facilities
enal ty
$
'15.00
ermit fee
$
S S
Contractor
PLUMBING PERMIT
Filing Fee
15.00
ach Trap
5.001
(/t7
lar or heat pump water heater
20.00
6.50
ater piping
t;c
7.00
B d
Each qas water heater or vent
7.00
D O
as piping system 1 - 5 outlets
5.00
, Q
Building sewer
15.001
(Jrj
Mobile Home S G W
@ 15.00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.501
NEW CONST. f DWELLING OCCUP.6
OR AODNS. t ACC. SLOGS.
3.60 sa.ft.
NEW CONSTR. • ULTI.OUTLET
NON.RESIO EIRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup\OUTLETS OR FIXTURES
20 71
A 6
FIXED APPLNS. OR 1
EX. OCCUp. OUTLETS IRESID.) EA./
1 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
S S
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
t;c
Permit Fee
$D
Contractor
Mobile Home Installation Fee $
Energy Inspectionfee $ Cf'v D
0 :i y I CONST TY TOTAL FEES �5cl, 7Z
HAZ 10 FEES I IMP I FLO0009 CDF I FARM I PO ,H0 ISSL
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA, 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
l ,J Permit No.
OWNER A. P. o '5
Proposed Building Use Building Inspector Date aLj
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3 Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
Statement of Intent for Non -Heated and AC Buildings .......... .
8. Engineered truss details and layout in duplicate (required prior to plan check)
I W-
9. Mobilehome installation data including manufacturer's installation
instructions .
............
1 0. Fees of $ % �� ����.................
11. Chico Urban Area fees
paid .......................
................
12. Parkfed7 ..........................
bool �rict�fees paid .............. Z
Sanitation approval from P V Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
�� r—� 18Improvements may be required. Contact Land Development Section DPW
��
�1�s� Driveway permit (construction,approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. `
24. Recorded copy of Agricultural Acknowledgment Statement ......... �>3 Z
25. Letter of s' n ture thorization
s.d�1--
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date Bye
The following data must be submitted prior t per it is SUE (Circ new ' m cked above).
1. Index permit for above items No.
2. Additional items required:
M
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date q
Plans 4=11 by e Date�d_Plans approved by �� Date —2- (�/
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance '
owner location AP #
Driveway permit l�Odl.0 lile�P�P(�' has been issued "for the above property.
numb
sign re
date
TO Buildinc Department
FROM: Environmental; Health
SUBJECT: Sanitation Clearance
9V:w
OwnerLvcatio
Plan Approved for:
Sewage Disposal Water Supply
Hold final for: w. Water Supply
Final clearance O.K..for: Water Supply
Clearance for Ii -bedroom ome. Other
N
NOTE
-aA
Date
Sanijhan
�4�.:eirG1Y°w'v�?�tK !"".?!c+"'TA[a'R�1RlT�iirv"'^3�y„'•�y`"•y���'"�'e^qt7'c'Awr^'-�""'�`.�'�.l�tT$�„`.�'`"'_""v`:...-..w•+M•ir•d--•�.•.,�.^".+s.�..Jw•,...;•{w!cr
BUTTE COUNTY SCHOOLS DEVELOPMENT TEE CERTIFICATION FORM
'._.(;One Form per Building)
A.P. Number °��11�_,L(-'; Building Department No.
School District City City County Jurisdiction
Property Owner�`,.�
Project Location/Address.
r'
Subdivision �� �,�,,�� c`�Q Lot Number
Residential Development: '
p
F]Sq. Footage
# of Living MHI Addition (Group R)
Units i• l
F-1
Commercial/Industrial: Sq. Footage
New Addition`(Including Exterior
Roofed Areas)
i
B ilding D-"artment Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No.
L�94 .1.11 School District certifies
(Applicant Name) (Phone Number
has complied with
LJ
c�
ss)
that
(State) (Zip Code)
the requirements of Resolution No.
F- Jr
by the payment of $ representing 4P7%3 square feet.' -
School Distric
esentative
PAID BY CHECK NOREMARKS:
BANK NO
y_ d-- s, -;L
Date
PAID BY CASH
white -applicant, yellow -building department,,pink-school district
SCHOOL.FEE (8/88)
.4
I
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
t
c. 3306).
rdrail details (Sec. 1711 & 3306(j).
ck or stone veneer (Chapter 30).
erior plaster - weep screeds (Sec. 4706).
per roof pitch for roof convering (Chapter 32).
f covering type - (fire hazard).
m insulation - protection.
halls and stairways.
ing area over garage - complete 1 -hour separation required on garage side
luding supporting walls and posts, etc.exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
ic access and ventilation (Sec. 3205).
erfloor access and ventilation (Sec. 2516).
bustion air for fuel burning appliances - L.P.G. requirements.
-t4-.-Noise requirements on duplexes.
- �ergy design.
rLf�!Flashing at all exterior openings.
-7—eDF responsible area requirements.
l
1
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY) �y
Bldg. Permit #
A.P34-
OWNER lJ o -
. #
Plan Checker_
GENERAL
/Zoning requirements: (sideyards and number of permitted living units).
L2. Valuation.
L3 --'-Plans signed by designer.
4___�Proper description of work on application.
-�' Existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions.on creation.map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb-
. Building or utilities across lot lines (Record form).
PT.nnA PT dM
Zomplete to scale plan with dimensions.
required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
Zenance of mechanical equipment
Locations of water heater, eating and cooling equipment other
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 M.
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
210-8).
for main -
electrical
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
usual shape, size, or split level house requiring lateral design.
restory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
loor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
r ties or bearing ridge beam.
arage door or porch header sizes.
to eights.
Adobe soils- special foundation design.
etaining walls requiring design.
pecial Inspection required.
building
PMUESTED BY' M V 7 C— 9 2 M- 13699
31 Returnto DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code A,
requires this acknowledgement be „recorded
prior to issuance of a building permit. 1
All that rea.1 property situate :i.n the County of Butte, State of California, described as
f ol.l.ows :
SEE ATTACHED DESCRIPTION.......
Date: 3/26/92
PRO RTY OWNERS:
James R. Blac
State of Califordia On this the 26th day of March 19_x, I,c'.for(, me,
) SS. the undersigned Notary Public, personally appeared
County of Butte )
JAMES R. BLACK
® Personally known to me. F] Proved to me on the b�isis
OFFICIAL SEAL of satisfactory ev:ideii(.:c�.
to be the person(') whose name( IS
MARY R. fASEBEER __..
® subscribed to the within instrument and acknowledged that HE
NOTARY PUBLIC -CALIFORNIA .
BUTTE COUNTY executed the same :for the purposes therein contained.'I'N WfTNhSS
C <Wnsk My Comm. Explres .Lan. 29,1993 WHEREOF, I hereunto set airy hand and official seal..
Present A.P. No. �33 2 o ary ub].ic
MARY R. CASEBEER
J •
92-013699 1 Rec Fee
8.00
1'he
pr. open v described herein is adjacent
I Check
8.00
to
land or included within an area zoned
Recorded
Cor
agr.i.cu tt..ural. purposes, and residents
Official Records
of
this property may he subject to incon-
County of 1
ven.i.ences
or d i.scomfort arising from the
Butte
use
of agr:icult:ural chemicals, :including,
Candace J. Grubbs
but
not limited to herbicides, pesticides,.
and
fert.:i l.izers; and from the pursuit
Recorder
B:OOam 31 -Mar -92 I MVTC
CD 2
of
agri.c:u.lt.ural. . ope.rations including,.
but
not: l im:i l:cd to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agri.c.u.1-
tur.al zones which have as a priority use for
productive agricultural purposes, land
r.es.i.deuls
within
said zones and on adjacent property
should be prepared to accept such i ncOil vc'u-i,ence
or
discomfort from normal, necessary farm operations.
All that rea.1 property situate :i.n the County of Butte, State of California, described as
f ol.l.ows :
SEE ATTACHED DESCRIPTION.......
Date: 3/26/92
PRO RTY OWNERS:
James R. Blac
State of Califordia On this the 26th day of March 19_x, I,c'.for(, me,
) SS. the undersigned Notary Public, personally appeared
County of Butte )
JAMES R. BLACK
® Personally known to me. F] Proved to me on the b�isis
OFFICIAL SEAL of satisfactory ev:ideii(.:c�.
to be the person(') whose name( IS
MARY R. fASEBEER __..
® subscribed to the within instrument and acknowledged that HE
NOTARY PUBLIC -CALIFORNIA .
BUTTE COUNTY executed the same :for the purposes therein contained.'I'N WfTNhSS
C <Wnsk My Comm. Explres .Lan. 29,1993 WHEREOF, I hereunto set airy hand and official seal..
Present A.P. No. �33 2 o ary ub].ic
MARY R. CASEBEER
92-13699
ORDER NO. BU -125652 MC
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I•
LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TURNER'S 3RD
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25,
1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES OVER DWYER COURT, AS SHOWN ON THE ABOVE MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED JULY
25, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-31406, AND
AMENDMENT THEREOF RECORDED SEPTEMBER 16, 1991, UNDER BUTTE COUNTY
RECORDER'S SERIAL NO. 91-38182.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER DWYER COURT, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"TURNER'S 3RD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
JULY 25, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
END Of DOCUMENT _
COUP
UEQT of pOF U@ IC W c-
APp 06 1992
EN
39-54-33 - 92-1087B
DALTON/BLACK
9434 Dwyer Ct, Durham
cont: lowell Pierce
fire sprinklers/sf
JOB FINALE
Signature
V=OK
O=Not OK
=Applic
Noy
Readable 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
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
_ Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
_
10. Cert. of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
_
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except If'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/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
- - ------ ---- - -----------------
19. Shower Pan; Test. First Floor -Tub Access
---------- - ------------------------
20. Test Tub & Shower, Second Floor -Tub Access
----- -----------------
-- 21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except H's
22. Fixture & Transformer Clearance -Ins. Protection
------ --
23. Elec. Receptacles Spacing -Lights & Switches at Doors
-------- -----------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
--------------------------------------------------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
------------- -------------------------------------- -------------------------- -----
29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
- - - Insulated Neutral ❑ Yes ❑ No
----------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------------------------------
------- 31. Equip_ Clearances Panel s-Motors_Mech_ Equip_
32. Clothes Closet Light -Shower Light -Spa Light
-------------
--
------ -------------------------------------
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except fr's
34. A.C. Ducts Insulation & Support
------------ ------------------------------------------------------------------
_ 35. Vent Fan: Exhaust above insulation
------------------------------------ ----- -- -------- ---
36. Condensate Drain & Overflow: Size & Grade
-------------------------------------
37.
-----------------------------37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------------- ----------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic -
--- ------- -------------------------- ----------------------------------------------
Date Card B-1 Date Card B-1
---------------------------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except k's
39. Sils. Proper Material & Anchors
-----------------------------------------------------------------------
----------------------
40. Walls Studs -Nailing. -- Spacing -& Bracing -Plates -Sound
- ---------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
-----------------------------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
-------------
43. - Fire -Stops: Furred Ceilings -Stairs -Chases -Tub
------ ---- ---------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Elate FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-----------_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
--------------
60. Infiltration -Walls -Windows
-----------------
-------------------------- --
Date Card B-1 Date Card B-1
--- --- ---------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except N's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
--------- --------------------
64. Bedroom Exiting
65. G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
--------- - ----------------
67. Stairs -&-Rails-
68.
Rails68. Fireplace or Stove Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
--- ---- --- - -- - -- ------------------- - -
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
---------------------------------- --
73. A.C. Duct in -Garage- Damper
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
----------------------------------
75. Plb.. Elec. & Mech._Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
----------------. -----------------------
7 Insulation -Foam -Looked in Attic ❑ Yes
---------------------------------------- -
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
----------------------- --
81. Stucco; Brown -Finish
------------- ------------------------------ -----
82. A.C. Unit_ Disconnect. Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84..- Water Well; Disconnect, Electrical, Plumbing
---------------------------------- -
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
----------------------------------
87.
-------- -----------87. Glass Protection
--- - - ------------------------
88. Corrections from Previous Inspections
------------------------------ ------------ --- ------
89. Gas Test -Meters Tagged; Gas -Electric
-----------------------------------------------
____ _ 90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1
Date Card B-1
----------------------------
Date Card B-1
Comments at Final:
Date _ _ Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlller California 95965 - Telephone: 916!538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER """'" BUILDING PERMIT /
39-54-33
OWNER TELEPHONE $Q, FT. OCC. BUILDING VALVA ION
DALTON MdG� 977 4.436
OWNERS MF 1— --F-
9434
..+nF.9434 DWYER CT
CONTRACTOR'S NAME
LOWELL PIERCE
CONTRACTOR'S MAILING ADDRESS
1331 W 8th AVE CHICO
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
earl-IITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILIN
BUILDING ADDR
LOTkNISUBDIVISION NAME
s
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other SPECT
T
�5-113
UNKNOWN
ARCEL MAP
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: FTRF 8P_RTNKT ERq -
-7
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
el am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi s Code and my license is in ful�42"C) Jnd effect.
License No. Classification //
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
�
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against
laid County in copse ence of the granting of this permit.
�c
Y�,�i�.�✓oi Date
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required f r excavations over 5' nd demolition or construct-
ion of structures over 3 stori in height.
Receipt No. 109891
... .. _. ...... .- ......., o..... _.avrrrnv r_n, n 1—n -APPLICANT
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I IS JW
$ 60.
$ 30.
$
$ 105.
Fi I ing Fee
20.00
7.00
7.00
5.00
15.00
15.00
15.00
15.00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service
600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOAI
37.50
NEW CONST. /
OR ADONS. l
DWELLING OCCUP.N)
ACC. BLOGS. II
3.64 sq.ft.
NEW CONSTR.
^UL,I . .L LET -1
I 5.0o,
Ex. OCCUp(OUTLETS OR FIXTURES FIA7 `
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.1 EA. I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC CONST TYPE TOTAL FE�$Ioq. a—
HAZ D FEES IMP FLOOD EL HD I U
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated b y e for which fees have been paid.
D RPUB C WORKS2
By Date to
PE IT EXPI ES Date
COUNTY OF BUTTE - DEPARTMENT -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
OWNER
Proposed Building Use
TION DATA SHEET
Building Inspector
Permit No.
it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements) /
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
. Letter of signature authorization
�(, Cod fi6E" .�. ii'�-.ri�
?25
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appli
Date _._��/��
Copy-ofH..az-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date . By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
tract r, designer, owner, was advised of above required data by phone_lnail—counter byygLL.date Z Z
actor, designer, owner, was advised of above required data by—phone—by date
Plans checked by Date Plans approved bymall_counte Date Z
. ,
Sets
Copy—DPW
cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916;538-7541
. APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR_P�_A �NUt.�BE�FjV J
•/A'/�-t
•J!
ZONING
BUILDING PERMIT
OWNER / /O'ISL/
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
KL
OWNEM A�/j1yNTADOft'�S _
CONTRA TO ' N E///L•/C�// r
CONTRACTOR'S M ILINGS?�R EBS
% `A�J
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ , Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ rO
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI A D ESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
���
ZZ, 57Each
Trap
1 5.00
Solar or heat pump water heater
20.00
LOT O.
4/J/
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
—
Gas piping system 1 - 5 outlets
.00
LS
Building sewer
E 5.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
NeuAddition❑ R�eJmod I❑ U iolities❑ Installation[] Other
Describe work:��` ����N�CL��S
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000Ai
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full f rce a d effect.
License .Jo. Z93'94/7 Classification _^�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad)
OR ADONS. ACC. BLDGS. /
3.60sq.ft.
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRCU ITS
@ 5.00
/POWER APPARATUS &)
\SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20176
IIAL 49
Ex. Occup. ou LETS P(RESID IED ALNS REA.)
j 3.00
Temporary service
15.00
Mobile Home Facilities
15 .00
Misc. Wiring
g
"15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesub_ ject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be—deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Vd County in consequ a of the gcanting of this permit.
X �� D to
Signature pp ❑ Contractor Agent ❑
si nature aF A licant — Owner
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES
HAz
1 0FEES I
IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
D9anntT rYDtaGc ne*e
applicable provi-
resolutions to do
have been paid.
WORKS {
Date
_ /�—
Receipt No. f-ir ���L 9, C-7 _ _ _
�4, 1
92_10878
39-54-33
DALTON/BLAC Ct, Durham
9434 Dwyer Pierce
cont; lowel1 ers/sf
sprikln
fere
card under
BLACK,
also se Jim
06-6Z-42 TUE IS:4S
REQLIIFTFI) FLOW
NMIUM RESIOUAL. rrCSSURE)
ARF.
A
FT 0.-")E C;P17ft'1KLF.P mul .1 WLE q F,ti ;-NKt..ER5
1,1 14
18 1 S 4) 1 1 ?)
I
'
arcupAon- 1)?i NiPA 13 ilitfi, nor,- af11) Jvq(j-(iirniIv fiwfllingi
Mid mobile homes rel NN 13 D.
TARIJ-- A
11YI)HAULIC I)ESIGN (.:RIIf-FIIA PCITI
4.2 K-r-ACTOH MODEI. P991 SNIINKLE-11S
.19
11(U vi (tufli i
total
A
n t e I-
13
7-
C
W a t e. r ill e t P r
Elevation
// , .1 ( () - Is 314
C' tY ms -In To 1st Sprinkler
pipe J% rt
vFL.Iven f t I/
I b rt
t e ILA -e— f t
t al t
L/cJ
F
Cr— t. r o I
3
3 elbows/'' (/f) 2 C.j—
tae
COUNTY OF BUTTE
PUBLICPUBLIC VYOo
tal
DEPT- OF
JIRA O'Z 1992
.19
'000
Pierce Construction
License #283917
1331 W. 8th Avenue LOWELL PIERCE
Chico, CA 95926
(916) 895-1113
et, d -C -X0--4'
7
8UTTE.Couroy
BUILDING D4PARTAAEjyT
APPROVEO
6W-TlY THE R19 VIS laA,)
7 -2
�e
... ... ...... ...
7,e�oln---Wa AC-7--?Oln e Te
ZA'
S 5?-
At 06-
ti -f- `
�0
A.
B.
C.
D.
E.
MAXIMI)r•.1
MINIMUM REQIIIREU FLOW
COVE 11AL;I_
(MINIMUM RESIDUAL
PRESSURE)
EA
F TRx F1 I.
UNE SPRINKLER MULTIPLE SPRINKLERS
FLOWING,GPM
FLOWING, GPM*
14 x I�—
— I6_—
13 (9.6)
16 x 16
22 (27.4)
16
nor., to tlilfr,renl Itycfraulic L)rsign (;rilrtla fur wet (ripe fill. sprinkler systems In the
rrsidential portions of any ucrupancy per NFPA'13 aud, one. and iwo-famlly dwellings
and mobilt homes per NFPA 131.
Water pressur7,
Pipe size /
Water Meter
Elevation
TABLE A
HYDRAULIC DESIGN CI11TEnlA FOI1
4.2 K -FACTOR MODEL P991 SPIRINKLERS
Individual loss Net total
.42azZ.L—'/
(0.11311)
City main to 1st sprinkler
pipe L1�, f t
valves ft —'h
elbows ft
tee 2 -
Tota I
Total .� ft(
,3!
F- Control valve to farthest sprinkler
.0 _
pipe: %ZS ' (.01)
Yq rr pipe! /s -*-75
7 elbows /2 ' (. p-7) ,✓�
c? tee 22 t (�o.7) t S y
Total J.t-11 if
3A Vel
N
Cdlell laLivii Na it PG Nl,m (.l.l..►i� 1';ll) from ;;hr.Lnlc.Lers U & C
vILluIll -L lief tul;al
A. Witter pressure
17. Pl
ipe size /f/y
C. Water tie t.er
ll. L1evaL• 1
,mac U . ►l 3 I,)
�• City inaill to lot ei,rinlcler
`�---t-- pipe /ZV F t
valves L
elbows L ft
l Lee Z I'L
Total fL(.07)
�. Control valve to farthest s1,1-iukler
pipe: Ad. �yC)
elbows
tee Z-
3
• Total
l 1
�,. ti09
MMMENME
,.
RESIDENTIAL FIRE SPRINKLER, FLUSH PENDENT
MODEL F991 AQUARIUSTm 4.2 K -FACTOR
GENERAL DESCRIPTION
The 4.2 K -factor Model F991 Aqua-
rius Pendent Residential Fire Sprink-
lers (Rei. Figure A) are automatic
sprinklers of the fusible solder type.
They are low profile, flush sprinklers
which are intended to be used in
*wet pipe residential fire sprinkler
systems for one- and two-family
dwellings and mobile homes. per
NFPA 13D, and
*wet pipe fire sprinkler systems for
the residential portions of any
occupancy per NFPA 1:3.
Small in size and attractive in appear-
ance, the F991 Aquarius Sprinklers
blend in with their surroundings. The
F991 Sprinklers produce a hemispher-
ical water discharge pattern below the
deflector.
Both a Push -on Escutcheon Plate as
illustrated in Figure A and a Clamp -on
Escutcheon Plate as described in Tech-
nical Data Sheet TD810 are available
for use with the Aquarius Sprinkler
Unit. The Push -on Escutcheon Plate
is intended for use with steel pipe or
copper tubing and the Clainp-on
Escutcheon Plate was designed for use
with plastic piping.
The F991 Sprinklers have been de-
signed to operate with a particular
fusible element temperature rating
and heat sensitivity characteristic,
as well as to discharge water in a
specific pattern and quantity per
square foot relationship. The com-
bination of the performance charac-
teristics which are associated with
the F991 Sprinklers have been proven
to help in the control of residential
type fires and, therefore, to improve
the chance for occupants to escape
or be evacuated.
Fire sprinkler systems are not a sub-
stitute for intelligent fire safety
awareness or construction materials
and practices required by building
codes.
APPROVALS AND STANDARDS
The Model F991 Aquarius Pendent
Printed in U.S.A. 9-87
?/Is"( I I.I mm)
MAKE -IN �
I
L
FACE OF I/2 rrn
SPRINKLER
FITTING
3
A
E (DIA.)
F (DIA.)
5
0 X14
Dim: Inches MM
A—
2-1/4
57.2
B—
2-1/2
63.5
C—Min.
5/8
15.9
C—Nom.
3/4
19.1
C—Max.
7/8
22.2
D—Nom.
1.1/16
27.0
E—
2
50.8
F—
1.1/2
38.1
TWO WRENCH
LUGS (SHOWN
90. OUT OF
POSITION I
MODEL NO.,
TEMPERATURE
RATING, 0
YEAR OF
MANUFACTURE
NOTES: Is B (01 A.) —
1. The Sprinkler Unit consists of Components 2 thru 14.
2. The Fusible Element Assembly consists of Components 6 thru 14.
1 -Push -on Components:
E
scutcheon
Plate
10 -Loading Screw
2 -Dust Cap
6 -Retaining
8 -Inner Loading
11 -Solder Element
3 -Arms
Ring
Plate
12 -Disc Spring
4.8ody
7 -Heat
9 -Outer Loading
13 -Insulating
Washer
5-Gasketed
Collectors
Plate
14 -Tamper
Button-
Resistant
Deflector
FIGURE A
Plug
MODEL F991 AQUARIUS PENDENT RESIDENTIAL
FIRE SPRINKLER
Residential Fire Sprinklers are listed
by Underwriters Laboratories Inc. and
Underwriters' Laboratories of Canada.
The listings only apply to the service
conditions and installation/usage cri-
teria indicated in the Technical Data
section.
The Model F991 Aquarius Pendent
Residential Fire Sprinklers are ap-
proved by the New York City Board
of Standards and Appeals under Cal-
endar Number 334-79—SA.
Any questions concerning an interpre-
TD586
Al
t
j NIBCO
I
C- class 125 bronze check
Horizontal Swing '- Regrinding Type Y Pattern •Renewable Discs
125 PSI Steam to 406°F or 20TC
I 200 PSI Non -Shock Cold Water, Oil, or Gas
V.*
�_,
Conforms to Federal Specification: WW -V-51 Class A, Type IV & MSS SP -80
MATERIAL LIST
PART SPECIFICATION
T -413-B F.S.P.S. to F.S.P.S.
T413 -Y F.S.P.S. to F.S.P.S.
S -413-W Copper to Copper
NIBCO check valves may be installed in
both honzonra/ and vertical lines with
upward flow or in any intermediate posi-
tion They will operate satisfactorily in a
declining plane (no more than 15').
WARNING - Do Not Use For Recio-
rocanng Air Compres-
sor Service.
1. Bonnet
Bronze ASTM B-62
2. Body
Bronze ASTM B-62
3. Hinge Pin
Bronze ASTM B-140 Alloy C31400 or
B-134 Alloy C23000
4. Disc Hanger
Bronze ASTM B-62
5. Hanger Nut
Bronze ASTM B-97 Alloy C65500 -
6. Disc Holder
Bronze ASTM B-62
7. Seat Disc
Water, Oil or Gas (Buna-N) (W)
Steam (TFE) (Y) Bronze ASTM
B-62 (B) Screw Driver Slot for Regrind
8. Seat Disc Nut
Bronze ASTM B-16 or B-62, or B-97
Alloy C65500
9. Hinge Pin Plug
(Not Shown)
Bronze ASTM B-140 Alloy C32000
10. Seal Disc Washer ASTM B-124 Alloy C65500
'Sizes 3.'• 1'. IW. and 14,- only.
NDIMENSIONS - WEIGHTS - QUANTITIES
Nominal
Dimensions Approx. NetYrl Master
Canon
Size A
S C T-413 E-413 Duanlity
'/. 2'/.
1';. 1'/. .5 .5 50
'/. 2'/a
1'/. 1'!,. .5 .5 50
'/, 2'/,.
1 "/,. 1'12 .6 .5 50
'/• 211/,.
11/. 1'/. 1.0 .8 50
1 3'/,.
21r,. 2'/, 1.5 1.2 30
4'1,.
211/,. 21:. 2.2 1.8 20
1'h 41/,
211/,. 31/. 2.9 2.5 10 `
2 51/:
3",,s 3'/. 5.0 4.2 10
21/, 8
5'/,. 51;,. 12.0 10.5 5
3 91/.
61/. 6'/. 18.2 15.5 4
ORDERING. 7-413 and f-413 normaul tu•ros�Po -in Bonze DISC (7-413.6, or (S-413-81.
Bc!h avmlaort wnn TFE Eleam Disc (1.413-Y)• (S-413.1), pc W.O.G. Dist
(1413-W). (5413-W)
NIBCO INC., ELKHART, INDIANA
T-413
threaded
?, Le
Iy �L R
S-413
solder
33
WATERf=LOW DETECTOR - 11 11/4, or 11/2 INCH
MODEL VS -SP "
COVER TAMPER
SWITCH
(OPTIONAL)
SPOT SWITCH
RESET SPRING
1/2" CONDUIT HOLE
MOUNTING HOLE
7mm)
KEY WRENCH
CLASS 125 OR 250
CAST BRONZE
THREADED TEE PER
ANSI STANDARD B16.15*-
*
16.15-
* NOTE
TEE IS SEPARATELY ORDERED
PER FOLLOWING TABLE:
Pipe
NPT
Size
Tee Size
1"
111x I"x 1"
11j4
11/4ux 11/4" x I"
11j2
11/2% 11/2" x l '
WATER
FLOW
21/4"
70— (57.2 mm)
-ACTUA
TOR
LEVE
COVE
COVE51/4"
SCRE(133.4 mm)
BODY
•WASH
VANE
I" NP
IF
CREWS a
II/4CKWASHERS
or 11/2
VANE
(EACH DETECTOR IS SHIPPEC
WITH VANES FOR 1",11/4",
and II/2" SIZE PIPE. UNITS
ARE SHIPPED WITH THE
I" SIZE VANE INSTALLED AND
OTHER SIZES ARE FIELD
INSTALLED, AS APPLICABLE.)
FIGURE A
MODEL VS -SP WATERFLOW DETECTOR
GENERAL DESCRIPTION electrical alarms in residential and. APPROVALS AND STANDARDS
The Model VS -SP Waterflow Detector other small automatic sprinkler sys- The Model VS -SP Waterflow Detector
(Ref. Figure A) is designed for use tems where alarm valves are not in- is listed by Underwriters Laboratories
with small wet pipe automatic sprink- stalled. It is also commonly used Inc.
ler systems. It has a vane -type sensor where sectional waterflow signals are
to actuate a single pole double throw required. The Model VS -SP Waterflow Detector
snap -action Switch when water flows is approved by the New York City
at a sustained rate of 10 GPM or more. The Switch may be wired for either Board of Standards and Appeals under
The flow may be caused by the dis- normally open or normally closed Calendar Number 1033-83—SA.
charge from a sprinkler, opening of an operation. A retard device for delay -
Inspector's Test Connection, or by ing actuation of the Switch is not pro -
other factors such as accidental mech- vided with the VS -SP since prompt The listing and approval are under the
aniral rlamanp rpcidtinn in nintiirp of a nnma of Pnttor P.,rtrir Cinnni r'nm-
13D-10
INSTALLATION OF SPRINKLER SYSTEMS IN ONE- AND TWO-FAMILY DWELLINGS AND MOBILE HOMES
Based on Crane Technical Paper No. 410.
For SI Units: 1 ft = 0.3048 m
Table 44.3 (d)
Pressure Losses in Water Meters
Pressure Loss (psi)
Meter Flow (gpm)
(Inches) 18 23 26 31 39 52
5/8 9 14 18 26 '
3/4 4 8 9 13 • '
1 2 3 3 4 6 10
1.1/2 •• 1 2 2 4 7
2 .. .. •• 1 2 3
NOTE: Lower pressure losses may be used when supporting
data is provided by the meter manufacturer.
• Above maximum rated flow of commonly available meters.
•• Less than 1 psi.
For SI Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm
4-4.4 To size piping for systems with an elevated tank,
pump or pump -tank combination, determine the
pressure at the water supply outlet and proceed through
steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3.
Al
4-5 Piping Configurations. Piping configurations
may be looped, gridded, straight run, or combinations
thereof.
4-6 Location of Sprinklers. Sprinklers shall be in-
stalled in all areas.
Exception No. 1: Sprinklers may be omitted from
bathrooms not exceeding SS sq fl (5.1 m2) with noncom-
bustible plumbing fixtures.
Exception No. 2: Sprinklers may be omitted from small
closets where the least dimension does not exceed 3 ft (0.9
m) and the area does not exceed 24 sq ft (2.2 m2) and the
walls and ceiling are surfaced with noncombustible
materials.
Exception No. 3: Sprinklers may be omitted from open
attached porches, garages, carports and similar struc-
tures.
Exception No. 4: Sprinklers may be omitted from attics
and crawl spaces which are not used or intended for living
purposes or storage.
Table 44.3 (b)
Pressure Losses (psi/ft) Copper Tubing - Types K, L & M. C = 150
Valves
Fitting/Valve
Flow Rate - GPM
Flow
Flow
,
Globe.
Tubing
Site in.
Type
10
12
14
16
18 20
25
s0
35
40
45
50
SA
M
0.08
0.12
0.16
0.20.
0.25 0.30
0.46
0.64
0.85
-
-
-
1
L
0.10
0.14
0.18
0.23
0.29 0.35
0.53
0.75
1.00
-
-
28
15
K
0.13
0.18
0.24
0.30
0.38 0.46
0.69
0.97
1:28
-
-
-
1 yf
M
0.02
0.03
0.04
0.06
0.07 0.08
0.13
0.18
0.24
0.30
0.38
0.46
3
L
0.03
0.04
0.05
0.06
0.08 0.10
0.15
0.20
0.27
0.35
0.43
0.53
K
0.03
0.04
0.06
0.07
0.09 0.11
0.17
0.24
0.31
0.40
0.50
0.61
1 y4
M
0.01
0.01
0.02
0.02
0.03 0.03
0.05
0.07
0.09
0.11
0.14
0.17
L
0.01
0.01
0.02
0.02
0.03 0.03
0.05
0.07
0.10
0.12
0.16
0.19
K
0.01
0.01
0.02
0.0E
0.03 0.04
0.06
0.08
0.11
0.13
0.17
0.20
14
M
-
0.01
0.01
0.01
0.01 0.01
0.0E
0.03
0.04
0.05
0.06
0.08
L
-
0.01
0.01
0.01
0.01 0.01
0.02
0.03
0.04
0.05
0.07
0.08
K.
-
0:01
0.01
0.01
0.01 0.02
0.02
0.03
0.05*
0.06
0.07
0.09
2
M
-
-
_
_
_ -
0.01
0.01
0.01
0.01
0.0E
0.02
L
_
_
_
_
_ .-
0.01
0.01
0.01
0.01
0.02
0.02
K
_
_
_
_
_ _
0.01
0.01
0.01
0.01
0.02
0.02
For SI Units: 1 gal. = 3.785 L: 1 psi = 0.0689
bar; 1 ft
- 0.3048 m.
Table 4-4.3 (c)
Equivalent Length of Pipe in Feet for Steel and Copper Fittings and Valves
Based on Crane Technical Paper No. 410.
For SI Units: 1 ft = 0.3048 m
Table 44.3 (d)
Pressure Losses in Water Meters
Pressure Loss (psi)
Meter Flow (gpm)
(Inches) 18 23 26 31 39 52
5/8 9 14 18 26 '
3/4 4 8 9 13 • '
1 2 3 3 4 6 10
1.1/2 •• 1 2 2 4 7
2 .. .. •• 1 2 3
NOTE: Lower pressure losses may be used when supporting
data is provided by the meter manufacturer.
• Above maximum rated flow of commonly available meters.
•• Less than 1 psi.
For SI Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm
4-4.4 To size piping for systems with an elevated tank,
pump or pump -tank combination, determine the
pressure at the water supply outlet and proceed through
steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3.
Al
4-5 Piping Configurations. Piping configurations
may be looped, gridded, straight run, or combinations
thereof.
4-6 Location of Sprinklers. Sprinklers shall be in-
stalled in all areas.
Exception No. 1: Sprinklers may be omitted from
bathrooms not exceeding SS sq fl (5.1 m2) with noncom-
bustible plumbing fixtures.
Exception No. 2: Sprinklers may be omitted from small
closets where the least dimension does not exceed 3 ft (0.9
m) and the area does not exceed 24 sq ft (2.2 m2) and the
walls and ceiling are surfaced with noncombustible
materials.
Exception No. 3: Sprinklers may be omitted from open
attached porches, garages, carports and similar struc-
tures.
Exception No. 4: Sprinklers may be omitted from attics
and crawl spaces which are not used or intended for living
purposes or storage.
Tees
Valves
Fitting/Valve
Elbows
Flow
Flow
Globe.
Diameter
45 90 Long
Thru
Thru
"Y"
In.
Degrees Degrees Radius
Branch
Run
Gate
Angle
Globe
Pattern
Cock
Check
Y4
1 2 1
4
1
1
10
21
11
3
3
1
1 3 2
5
2
1
12
28
15
4
4
11/4
2 3 2
6
2
2
15
35
18
5
5
1 yf
2 4 3
8
3
2
' 18
43
22
6
6
2
3 5 3
10
3
2
24
57
28
7
8
Based on Crane Technical Paper No. 410.
For SI Units: 1 ft = 0.3048 m
Table 44.3 (d)
Pressure Losses in Water Meters
Pressure Loss (psi)
Meter Flow (gpm)
(Inches) 18 23 26 31 39 52
5/8 9 14 18 26 '
3/4 4 8 9 13 • '
1 2 3 3 4 6 10
1.1/2 •• 1 2 2 4 7
2 .. .. •• 1 2 3
NOTE: Lower pressure losses may be used when supporting
data is provided by the meter manufacturer.
• Above maximum rated flow of commonly available meters.
•• Less than 1 psi.
For SI Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm
4-4.4 To size piping for systems with an elevated tank,
pump or pump -tank combination, determine the
pressure at the water supply outlet and proceed through
steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3.
Al
4-5 Piping Configurations. Piping configurations
may be looped, gridded, straight run, or combinations
thereof.
4-6 Location of Sprinklers. Sprinklers shall be in-
stalled in all areas.
Exception No. 1: Sprinklers may be omitted from
bathrooms not exceeding SS sq fl (5.1 m2) with noncom-
bustible plumbing fixtures.
Exception No. 2: Sprinklers may be omitted from small
closets where the least dimension does not exceed 3 ft (0.9
m) and the area does not exceed 24 sq ft (2.2 m2) and the
walls and ceiling are surfaced with noncombustible
materials.
Exception No. 3: Sprinklers may be omitted from open
attached porches, garages, carports and similar struc-
tures.
Exception No. 4: Sprinklers may be omitted from attics
and crawl spaces which are not used or intended for living
purposes or storage.
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,J�iw Kl i' .
Docurnentatton Author
G'f- w!`t�t ..,�.
Tem -phone
Building Penn►t 0on
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DfSC7t rnOt" I DESIOWEX I ENFMCEMENr
BUILDING DATA
tioned Floor Area � Z
FloorNumber
eingle Family Detached (SFD)
Number of Stories /
of Units
[ ] Addition Alone
Glass Arca °: G ... _
NOrttt ,,
Not
South
west �[Z� �,/. �.
aumint Enaerope Meaurra
• 17.5352(a): mmwnumColurg msuiantow A.19 r.oghted a.ersge.
;2.5352ror Loose Gil insuuuoa mansacttme•'s tawlisl R -Value
• 12•5357(cr Mtntmda -au inatiaaan ,a t-mcd vvis R-1 I vagaled a.� (docs ant appy to
UL
"Imor 352(n"a�dg;2-5]52(tY Slab mete ituWatwn _ ran= atmragn nae no tntita Hutt OST. -arra taper
,ra,aamtsatat one rt0 grata Man Z.0 pemvitctt
[ ] Single Family Attached (SFA)
(] Multi -Family (NM
[ ] Existing Budding
[ ] Existing -Pius -Addition
Skylight !3 '2� /.
Total '19.2-5 / e�. —
;2.5311: IauWauoespactrte�ariwallcdmeetaCalJontisEatcp �reates9aa(l�Q4tdlry
sar4arcts. rocac type sad fora.
12.5352M Vavor burrs matnaawry in CUM= Iona la and 16 cWT.
B uI1, D I1N G SHELL INSLMA.170N
Component Insulation L ocarionlC :urn=
TAWS=
Addm=
12.5317: lnriitnuontExAltracon conaots
a. Doom AM "n°°" oowma c:ormuuoned sed ureortditionea =a= desipcd to Batu air
Itassga
b. Doors and artrnomn eaursed.
r- Doors am �„raa.� -ca=ws r,p,et,n; WI „d pen"a+idns caua d and aCLW&
Tyre R -Value (Ztdr- a
gmtge, trJi=' etc.)
12.5352(ct SpeealiardoauonmmerLotallteatammpiy.w;2-s3stareta(=eaualky
Wall ..........»..
(sirnaam)
(date) (sitnantae) (date)
;2: Installation or Firealaces
Wall ..............
Roof ....»..»...
Roof
Nara=
Nam=
1. Masonry anis laaory-bull ruvalacea haae
a. Tngnt rttatnt, uoseb .teal or pass mor
a att:tae ate unaLc r,m damp= and etaaaah
C Flue *zona= art* eonaw
2.No"'"a"' raeta+m,gsuvtbaalb-ad.
Floor........—HVAC
Addm=-
7.!A .....-
sad Ptumaiot s,¢eas Measure
Fioo r..........».
12-5352(1) and 2-53QJ spas eordi6ating Itioa+eat mag: such oiads¢ottt.
Slab Edge.._.
GLAZ . G
Shading Devic=
12.5352(h) and 2.5311: Susses Mcntna = u► a8 aoptiable hotint syszm&
•-;2-5316(a). Duets eonssrt,aea.;nrmlled std iruulawd per Clupta !d 1976 UMC
12-5316(b): j&, -,n, ysaasnavadamp=coaaais. i
Gia: ing Area Glass Type Ineenior E=edor Overhan Fraurin
g $Type
Orie-'station (sr) (Single. double) (roller blind ere.) (shade=reeett, eye.) (ye Vrio) (meal/arood)
Noru►i \ )
East ( )
East ( )
Sou h ()
��� �
West ( ) -•+---
West ( ) : /
Skylight.......
THERMAL MASSS
Type/Coveting Area Tlvclmes3
;2.531a(ek AC coed m=xoa= �tca=%.Anthas eadtattd taunt cc douses
;2-531=: HVAC caoprncea, rata ttest� sdaemads and tautas eertirted h the CSC �
;2.535209 water hots ituulauon Manta (R -l2 a pasta) a caseins intaia tu=tor
:nswauon (R-16 a polar run 5 fm d piers surras w attic itWtlated !R-3 or poral.
r i2.5312(Eurptnon rr Pipe irtsnttanon an steam and steam condensm rc urn tit rmreulaing
"nt-
i ;2-531R(dr S-imaras Pod Honing
1. sy stem nor= _
a6 o+vorf switch as trans.
Is. Wewcraroof insa=wn pian on haler.
c Plumom to al:or for sour.
z 75 parent tnermat Nraaaney.
3. Pool co.=.
a. Tune docs.
5. Du=ursnai rata itnkt.
Uthunt and Apphaace Measures
i12-5352(0:Lignmt - U hrnaasiratt ar Vcza (or gtnes lit" in kuCh as and Latlroamf,
;2.531a(c): ens ruw apptianus ec,aopm ariM intamimu iptitioa deaneeL
12.5314(at RdriStmtos.rdfigcomr-(rcc=m!noscrsandAuorc=cuWnpballastcotiGad
(slab/ezxsed. tile, eta) (sf)
Orches) Loc3cion/DescriatlonWtchen. bath. etc.)
btu%cC`C-Ings— mate anamrsodmww=-
WA
HVAC SYSTEMS . M'taimu m
Type (curnace. air Efficiency
conditioner. heat Dumfl) (SE. SEER.HSPF)
a
�- A)VO e.
Duct
Location Dua Output Manufacturer / Model #
(attic ere.) R -Value (Bmh) (or aooroved equal)
Jr. -7 �rltt
Maximum Furnace Heating Oucpuc Btuh
HOT WATER SYSTEMS:� `''
r"
Tank Manufacturer/Model #
Svste.n T oe (storaee eas. etc.) Caoacity (or aoornved enual) 4e9AAal Fencurnk.)l )
ae
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
COWLIANCE STATEMENT
This t'uf't= of cotapfiantae lists
"Title
tin building f=tu= sad p=formance spedfiariom needed to comply with
24. Chapter 2-53 and Title 20. C =nw 2. sp=a. Article 1 of the Califomia Administrative code. ibis
ref tate has been signed by the indiviauai widi overall design =ponsibility and the building owner. who shall
te:ain a copy of it and transmit rho
0=ifcate to say subsequent pardjaser of the build'tag•
Designer
Building Owner
Nano
Ntunc •
TILICYSSUC-
Addm=
TAWS=
Addm=
Telephone
Tckphtone „
Uc..:
(sirnaam)
(date) (sitnantae) (date)
Docunwmtution Author
Enforcement Agency
Nara=
Nam=
Todc,Fum
Aee+er.
Addm=-
7.!A .....-
T
,r ter.
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s.: ,
V v
i , 5 � �
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' 11 )�
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,�n — ✓
V
�..'BUYER'S f
Poo area'to be fenc
,safes to be self
clot
'Wet down GUNITE r
Ar.:,
0ONSIBi�ITY
I per (ocafcode.' '
ig and self -latching.-
ce daily for seven days.'
Fxt�3
Lihe-5
S� tr
ina k
3 -7 BLUE HNUEN PODLI,
Since t 954
L� BLUE HAVEN OFFICE: C k I C�
3 3
f '171
38
Equip
5 Lo , -W *",, 41 pe o t
f'G�w�sG-wt civ fS \ �
.e52- Deo/
BUTTE COUNTeW
JILDING DEPARTME1 vironmental Health
APPROVED
FEB 7 ZQ02
Chico, Califomia
Pk. -j \de�ncQ. � —& I
GENERAL POOL SPECIFICATIONS: fTemo.#
A I T •
PERIMETER: �C Z AREA: ASO
MAXIMUM LENTH: $
POOL CAPACITY:
POOL DEPTHS:
TURNOVER RATE: Hrs.
EXCAVATION
DECKING
cce Front ear
Type k o0
Bob Cat Shuttle biA
Color L t t,e D o (A
Remove Dirt h% U
Risers #% 10 �-
Remove Stump(s) 41 a
Footings (4
Remove Fence W()
Mastic KJ U
Replace Fence NO
Drains 20
Remove Concrete AL) S.F.
_Q ,T�4!_ g
Sawcut Concrete i -j 4 Ft.
5ktr+*e�
EQUIPMENT
55
STEEL
Filter Tyne Size
Pump HP 2 So t 1 Sp
Expansive Soil Steel Pattern BFI
Smart Box Yes IQ
PLUMBING
Smart Pure Yes N6
Filter Run Ftg: 25
Smart Li ht Yes Na
_ br,r*, �--
Return Lines C
P -Trap ash Line
_
500 W Liqht Yes A o
_
Gas Line Ftg
`�
Smart Vac II Y§ No
Heater BTU o ' Nat Pro
Drill Drive
Div. Board n
ELECTRICAL
Slide ;
Run By 11,0 Ftg
Water Feature
GUNITE
Love Seat
PLASTER
Swim Out,
Color
Ext. 2nd Step -
R.B.B. in. X Ft.
SPA Np rV�
R.B.B. in. X Ft.
Size In Out
Plumbing Run
COPING
Dam Wall Length
Type ( SK ^ 0,1)--A Cv—
Number of Jets
TILE
Blower Hp Yes_ No
Type 5 1-0
Remote Model #
Spa Dam &A
Spa Side Switch Yes No
Accent Tyle _ish
Smart Light Yes No
100 Watt Light Yes No
BUYER
Initials
• Approve above specification
5•q
• Approve equipment location
-54
• Understand that decking shown is for
illustration purposes only and
understand that they are to receive
00 square feet of de
Signature
Date
Prepaired Especially For:
I
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Street �E Z P f
C =-
City 0r111"0rrl
Zip qs�
s3v
S -3o
Home Phone
Work PhoneQ
Designer <C- t { j ; Job
No.
Mapsco No.
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