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040-640-027
yl NOTES , ; RESIDENTIAL 040-640-027 634856 ,r PERMIT NO. _ _.MEGHDADI, ANDREW— 15 _ I �f n 15 SEGA DR, CHICO NEW SINGLE FAMILY -#97-43 c c I I _ SPECIAL CONDITIONS ! CHECKED { BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER j OFFI E COPY Address v` GAS Meter By r ,Date ELECT Meter -BByy DadaV�y JOB FINA D a e{) �tJCr'(. ��/✓ Signature a7--�t' `f! .� .-wn �_ _y_ FK�!Crr%'�*.a:1���L�Yi �..-�+ibbw.`�M'./1''y,y„nrv�T.+f r7r. 1: 3..,e�J+.Y•..,�'"�sf�-1. ti...�a .i 1 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. iRUA u d o3 OWNER PERMIT NO. A routine inspection indicates thafthe following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this oflice when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,- please contact this office immediately. /fir i t 3 ptz� Cf LAX rt OW ri►et C.fc 5 41�I 1G a Date- _ Inspector - 17 Y�: REVy410/92 yv — }"war-+.L�'�...--.r+,Lww�--i1.s-�-a�.,r•'y„�.�.�1-'S..y.�r.Fj'�'►--�-'✓sV„tti:.,..s,.+i.,i�v".+i.-�^'�`' •y .. .,,..._ .. J 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 I OWNER o3-/�s6, 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. Lj I'✓OV (” �9,6 11-S (41 5 Z " Date v f In.Speatof• ` -REV 10/92 Lly I l�2 Date v f In.Speatof• ` -REV 10/92 Lly I 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 R V - 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 complet d. If you have any questions pertaining to this matter, or need additional explanation, pleas ,potontact this office immediately. ✓t :'ten t/l / �e ,/� l 3✓ t� f`� e' / o . .. E. 1 Date ' Inspector REV 10/92 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 U - /YS,6 z OWNER PERMIT NO t 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. Date ► LL' h ` V Inspector REV 10192 A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive •- Oroville, California 95965 • Telephone (530) 538-754 3�G 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-640-027 ZONING .01R_1 BUILDING PERMIT OWNER 12 "EW624-5199 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADORES 3110 SHADY GROVE CT 3593 R 194,292.00 811 U 1 5 98.00 CONTRACTORS NAME TELEPHONE 157 C 2.041/00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 210 931.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1028.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 1071.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF J4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap1617.00 12 0 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 30.00 TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER -ik97-4 i Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI WF 920.00 PERMIT FEE $ 207.00 ELECTRICAL PERMIT I Fling Feel 20.00 a00V OR LESS Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in -hill force and effect. ^ �^ I �� L License Class Lic. No. f {/ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1� I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' m ensat ins ance carrier and policy number are: Carrier h Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( b,>cC. BLDS. SO 3.5¢FT: 53:23 NEW T. MULTI -OUTLET NON Qa 7 50 J POWER APPARATUS 8 SINGLE OUTLET CIR. �(, Occup. OUTLET OR FDRURES 20 QO ' BAL @ .50 Ex. Occup. DFIx�ELETs A� oEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 196.23 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 25.00 Hood 6.50 6.50 Ventilation 4 4.50 18.00 2 GAS HEATERS PERMIT FEE $ Policy Number t - (The above sections need nof be comple ed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [31 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X Date 1p Z3 C/3 _ Signature of Ap .i nt - caner ❑Contractor gent An OSHA permit is required fbf excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation F e is Energy Inspection Fee $ 46.00 occ CONST. TYPE OTAL FEE $ HAZ. D. F_ I F�D CDF pggCEFARCE].pD HD ISSU 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. ^^ ? By / Date ®t7 J PERMIT EXPIRES ON fe Receipt No. 382183/$103. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTPR GOLD NRO -APPLICANT M i�� i71�`mv. .� v �,..s � .-s..-.v —.. �,. ,. kx . s .,- -.-ti .... .-•--fin •.r—.... �--+'mry.+r..•.�...�.►..-r�a.wsY-+�r7 AIF'„'r`i`kp'��t"{nS•W"Wll.:.+f.��,• .. • . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET�� OWNER: J ASSESSOR PARCEL NUMBE C) lY nn Proposed Building Use: A" V Counter Technician 0%K::Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord, r to apply: 0" 1.. Plot plansL)r 4 sets, signedXy the preparer of the plans. of ❑ 2. 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, (da) Tie down or foundation plans, all in duplicate. 1 { ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation view' in triplicate. s (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. l Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and retained 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 a: Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ` es as'shown on the attached Schedule of Fees Due Sheet......................................� Statement of Intent for Non -heated and A/C Buildings .... . ................. . 1 16. Sanitation and plot plan approval from the Environmental Health Department in lam. 3-6'3 tK--XS ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... i ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: . X❑ 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ! /21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 1 ❑ 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) ..................... 0'26. Letter of Signature authorization.................................................................... 7. 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 Telephone — OCA ^ and hold for pickup. j r I have been informed of the above items and requirements for obtaining a building permit. r Applicant: Dat : lJ� 2G3 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required . , Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, , ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: °: a s. Structural approved by: Date_ Note transfer by: Date: 7 ' Yellow: Buildine Division E.H. USE ONLY Plot Nen Attached . Roos Nen Attached 03-1 $ R"2 to B.D. I fp: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Li Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other q clearance O.K-for:`; NOTE: i Environmen al ealth Spe,cia ist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE /�[,�/� OWNER A.P. # u WD -7 PROPOSED BUILDING USE !-A) y DATE RECEIPT # DATE REC. �1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. Additional Fees Due ................. $ Revised Plan Checking Fee ........../. �.1$ �"CHOOL DISTRICT FEES1)(j3',11(paid at District Office) (Available after Plan Check) SHERIFF FEES (paid at Building Division) C Residential ...................... x $360.00 = $� Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) c/ b Residential ................... x = $ Ig22. ll O # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE_- Z3 -G3 Pursuant to Government Code -Section 6602V, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) ' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive - Oroville, California 95965 - Telephone (53 ) 538-754 ERMIINC APPLICATION AND PERMIT V �� ^ /���.� BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION ;L MF7iS M#AM AD / T Q w , ra�rrw►�E ,I,rrPA=R'L NAME „JrRAGTORS WRD0 ADORPSB ,,,ajgVCL1ON LENDER Fire lace pMERS {AkRAM ADDREss Total valuation S ,cwcrEcr OR � UCE?aE NO. Firma Fee S 20.00_ Permit Fee S �c�arEtx OR ENOwEF3:5 NNhrNG ADDREss Plan Chackirta Fee S' jLMWQ AMR= �. _�- Energy Plan Checking Fee L . S LJIN sTNo. suaDNLscxs►uuE PARCEL MAP PERMIT FEE s . PLUMBING PERMIT Firing Fee 20.00 Each USEOFSTR CTURE s. 819 LSC ,F Duplex ❑ Nbbilshome ❑- Other car Solar or heat pump water heater 23.00 Water p g 15.00 $.0c) Each gas water heater or vent 15.00 50•O C) TYPE OF WORK 3ew�AddBorl ❑ Remodel ❑ ❑ Installation ❑ Other O %���=(.�.� Describe Work: � 6 Gas piping in,,stsmI - 5 outlets 15.00 IS^. C)O Budd'm sewer 15.00 /SDO Mobile Homs 5 G W @20.00 PERMIT FEE S 7 ELECTRICAL PERMIT Firing Fee 20.D0 Mahn Service pa OR LEss 23.OD Main Service 20" TO LDWA 46.00 NEW ceras: / pWBJ DA�DDOW. en Annw_c .,r a O,=Up• I OVTLEr OR FLCTVAB Ex. O=p. DrvnTs ni. 5A0 Temporary Service 23.D0 Mobile Home Facilities 20.00 hr=. wrino 23.D0 I PERMIT FEE 13; 1 c l (0-d13 Fee I 20.DD Hood ' I I r'.50 I J Vantlation Iso PERMIT FEt S Nbbde Home Installation Fee S Energy Inspection Fee S • 0 2 K TOT L FEE $ NAZ. D. FEES i P FLDQD COQ F.rA 7 1 -vc 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. By Date PERMIT EXPIRES ON Aft. 1lE1RUGT M ANDEG1UPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF&gjMJ FT. FROM 1 THE SIDE AND ,0$_��la.✓FT. FROM THE REAR PROPERTY LINES ANC �_ FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF 'STRUCTURES AND EOU1PMENT EKOEPf MA2Fr- EAVEOW19*01 . 5, WIDE LEACH ' LINE N/ 12" ROCK, TRENCH 56" MAX DEPTH. MIN. 1200 GAL. SEPTIC TANK 252' TOTAL LINEAR FT. OF LEACH ! . • `�' REPLACEMENT FIELD \ I I 9 20 ��5�' \ • i GUEST HOUSE 4.- mss I 1 BUTTE COUNTY BUILDING DIVISION APPROVED; 4u�i,� LOT 436x7 sc�. ft. BUILDING 4447 sc�. ft. COVERAGE 8.4% GREGORY A. PEITZ ARCHITECT I 383 Rio Utdo Ave. Chico, CA. 95926 (530) 894-5719 a PROPOSED HOUSE / 3o\ PIN. LR. ELN • 215.0' (N) HELL APPROVED Butte County . Environmental Health —fo 2lo--O r Signature `T jo_ c Ao[,e, cin li 51 TE PLAN I"=50' -O" SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. Environmental Health J U N 1 7 2003 Chico, CA N LOT 5 LOT TWIN PALMS SUBDIVISION for: 5 ANDREW MEGHDADI CHICO CALIFORNIA f 1 . I WIDE LEACH LINE V4/12". ROCK, TRENCH 56" MAX DEPTH. MIN. 1200 GAL. SEPTIC TANK i 252' TOTAL 1 LINEAR FT. OF LEACH ' . • ��' I � � REPLACEMENT FIELD 1\ (N) HELL PLANNING DIVISION- BUILDING PLAN APPROVAL Use: b Date: Parking: Landscaping:_` Other - Signature: GONG. DRIB/ S 9 �.,DO.%•. 6UE5T HOUSE I LOT 456,17 sc[. ft. BUILDING 4144-1 scL. ft. GOVERAOE I 8.4% GREGORY A. PEITZ ARCHITECT 383 Riu Lindo Ave. Chico, CA. 95926 (530) 894-5719` PORCH \ \ N o PROPOSED HOUSE 556'1 PLAN FIN. FLR. EL. = 215.0' 51 TE PLAN 1 "=50'-O" \G SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY L I NES, TYP. LOT 5 LOT TWIN PALMS SUBDIVISION for: 5 ANDREW MEGHDADI CHICO CALIFORNIA BUTTE COUNTY PARRS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) Property Owner `�r C✓CJL 1 Project Location/Address Subdivision i- - Lot Number(s) P Resident'al Development: (check one) _ ZNew Development Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: r * �At yt tk �k yt �It yr �Ir tk it �t yIr Yr Yr Yt tk tk Yt Yr ikyt yt yr Yr YIr Yc Yr Yr'k YC tk yt Yr tk * Mr yt tk ik * tk tk tk tM tt yr 7t �k it �k Y�r Yr Yr YIt ik �It �k Yt� yt 1k�It Ynk �nAr ik * *tktk *tk Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) Chlo CA 173 (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-1400 mmby payment for. dwelling units @ $1 , 189 for total payment of $ xcl C RD RepresentatiVe PAID BY CHECK NO:. .. REMARKS: BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) 1401 .� Date Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. 101061W1 0 008 8:50A,14 XXXTQTAL $1189.00 r� ti �y �.. +/R.i,. .r- T w, w i} "'S..v�- '+v4„ .. .��....�- r_�• - . ty BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 'C l CIO Building Department No. A.P. Number �! lY TU (;J� I Jurisdiction: City County IA- n /t r1 I I Property Owner Property Location/Address I Subdivision (�/� S Lot No. ................................................................................................................. : Residential DevelopmentEU Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); i...................._............................................................................................ . Commercial/Industrial . 74L.I.4-1- wilding Department Repre I-1 New Addition Sq. Footage (Including Exterior Roof Areas) &L,;,� o3 — Date %(moor clans reviewed oy bcnool uistnct versonneq District Identification No. � School District certifies that m /..J LJ _/))C , i (Applicant) (Street Address) n/ (Phone Number) 2 (City) has complied with the requirements of Resolution No. representing 35 1�FO square feet. School District Representative Paid by Check # Remarks: (State)U (Zip Code) 4 S / t/"` by payment of $ 49 A) AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: NVIR. HEALTH, CHICO f�1 RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: GGGl SEPTIC: P"_� WELL: AP# %i -(.PJ .-Cl�22_ ADDRESS/LOCATION: Gr Comments: GL/memos/releasehold C ee' LI 1� Builders Statement / Jobsite NaL1 RA InsulSafe 4 Fiber Glass B int Insulation Home A rens Q - 'L Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents o.' bag should not cover more than: (sq. ft.) Weight per sq. ft of installed insulation should not be less than: Obs.) Should not be less than: On.) 60 36.5 27 0.986 22 49 29.6 34 0.800 18/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 43/4 i THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above. you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE JC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company @2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT. INSULSAFE 4 ( BAGS USED BATTS/ROLLS (✓) CEILINGS ` WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above. you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE JC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company @2002 CertainTeed Corporation 11/02 GINEEREID 1Rl )JD SYSTEMS1 Cert''ficate o Confo e P Certificate 052736 THIS IS To . CERTIFY that the glued laiminated timber pro'.ducts -identified with a 've mark of Engineered W00cf systems (EWS) were ma ' i nufactured in accordance with the applicai;i'F standard' and associated specifications indicated belows ANSI standard A'130.1=1992, For Wood P�roducts; Structural Glued Laminated Timber NER-48 6 Glued Laminated T-imber Combinations And "GAP" Computer Program For Determining Design Stresses RITC 1-17-93 - Manufactunng - Standard Spec-ffications For -Sttuctural Glued Le'rninated Timber Of Softwood Species LOT I Ir bvl',y A - z M.S IT IS. HEREBY CERTIFIED that the APA.. EWS trademarked structural. glued lain inaled tifribe'Members were p=roduced in a manuialci U---rinc facility subject to regular i . - r audits in accordance with the E,7,gineered Woccf sysferns.(EWS) Quality Assii-rance Program.. Routine audits includ-e'insD'nc:',:o . n of the manufacturing. process and evaluation of the in-oplant QA program with adequate sampling to verify ,conformance to industry, standards for lumber grade and glueline bond quality_, "" 11 . y kAl A- 01 Ar by. Thomas G. WjIIi2MSC1i Executive Vice Presid(::)i 13 B tWBICO caromsuan ol' Ajg!A - T. 7 I I SOOM "Ah S71 etl P-0. "%E'E' 117()(3 'E' -"'f64ERED- WOOL) ASSOCIA7107 1A=n-_ v4A ge;6 I I DO Fa, N,,rb.,. 253) 56-& 7265 zn _ Job Truss Truss Type Qty Ply meghdadi 3567 3567 G4 FINK 6 1 810594699 2-0-0 CSI DEFL in (loc) ioptionall W •• u•••E7 a., ,w., of u, L.O. JJJLO- 34 4.201 an 1 s Oct I i 2002 Ivo F ell Industries, Inc. I hu Nov 06 09:59:57 2003 Page 1 GENERAL REPAIR NOTES 1. THIS REPAIR IS FOR MOVING RIGHT END BEARING 5.5" TO THE LEFT AS SHOWN. 2. INSERT A 2X4 MEMBER (DF NO.2 OR BETTER) AT LOCATION SHOWN IN SHADED SECTION. 3. ATTACH 1/2" CDX, STR. 1, PLYWOOD GUSSETS TO EACH FACE OF TRUSS WITH 10-D COMMON WIRE NAILS (0.148" DIA X 3" LCT) @ 6" O.C. 2 ROWS WITH MIN. AMOUNT OF NAILS PER FACE OF EACH MEMBER CIRCLED. (CLINCH NAILS) NOTE: 15132" THICK EXP. 1 32/16 SPAN RATED O.S.B. MAY BE SUBSTITUTED FOR PLYWOOD. 11-0-o 7-0.4 13-" 19-11-12 24-s-8 27.0-0 1-0-0 7-04 6-5-12 63-12 4.9.12 2-2-8 4x4 = Scale = 1:58.3 9-2-3 17-9-13 24-" 27 -o -o 8.2-3 B-7-11 6-11.11 2-2-8 mate Onsets (X,Y): [2:0-1-12,0-1-81 TOP CHORD 2 X 4 OF No.1-G TOP CHORD Sheathed or 4-9-5 oc purlins, except and verticals. BOT CHORD 2 X 4 DF No.1-G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 DF Std -G REACTIONS (lb/size) 2=1002/0-3-8, 7 =931 /0-3-8 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/dell PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.49 Vert(LL) -0.16 B-10 > 999 M1120 220/195 TCDL 15.0!, Lumber Increase 1.25 BC 0.75 Vert(TLI -0.30 8-10 > 986 BCLL 0.0 Rep Stress Incr YES WB 0.70 Horz(TL) 0.03 7 n/a BCDL 7.0 Code UBC97/ANS195 1st LC LL Min I/dell = 240 Weight: 113 Ib LUMBER BRACING TOP CHORD 2 X 4 OF No.1-G TOP CHORD Sheathed or 4-9-5 oc purlins, except and verticals. BOT CHORD 2 X 4 DF No.1-G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 DF Std -G REACTIONS (lb/size) 2=1002/0-3-8, 7 =931 /0-3-8 FORCES (Ib) - First Load Case Only a, TOP CHORD 1-2=13, 2-3=-1432, 3-4=-1210, 4-5=-1035, 5-6=0, 6-7=-142 ,V /er1 1� CHORD 2-10=1273, 9-10=814, 8-9=814, 7-8=969 COUNTY WE WEBS 3-10=-354, 4-10=500, 4-8=208, 5-8=-80, 5-7=-1220 NOTES r [)NIS G 11 This truss has been checked for unbalanced loading conditions. BUILDINBUTTE ^\��(1 21 This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other five loads {�•l�+fO ` R-9► �A �P' UBC -97. per Table tin reduction 31 A plate rating reduction of 20% has been applied for the green Lumber members. / 4) This truss has been designed with ANSI/TPI 1-1995 criteria. LOAD CASEISI Standard November 7,2003 Warning - verify design parannoters and READ NOTES ON THIS AND INCLUDED MITEN REFERENCE PAGE Mil -7473 BEFORE USE Design valid for use ony with hbTek connectors. This design is based only upon parameters shown, and is for an Individual Wilding component to be Installed and loaded vertically. Applicability of design paramentan and proper incorporation of component Is responsibility of Wilding designer- not mss i designer. Bracing shown Is for lateral support of Individual web members only. Additional temporary bracing to Insure stability during construction Is the i responsibillity of the erector. Additional permanent bracing of the overall structure Is the responsibility of the building designer. For general guidance regarding tabriwtion, quagty control, storage, delivery, erection and bracing, consult OST -88 Quality Standard, DSB-e9 Bracing Specification, and HIB -81 I .it2 4WH . •� A� Handling installcFg and Bracing Recommendation available from Truss Plate Insulate, 583 D'Onotio Drive, Madison. WI 53719 Job Truss Truss Type Qty Ply meghdadi 3567 3567 G5 FINK 2 1 810594700 Lumber Increase 1.25 BC 0.73 BCLL 0.0 Rep Stress Incr GENERAL REPAIR NOTES I. THIS REPAIR IS FOR MOVING RIGHT END BEARING 4.5" TO THE LEFT AS SHOWN. 2. INSERT A 2X4 MEMBER (OF NO.2 OR BETTER) AT LOCATION SHOWN IN SHADED SECTION. 3. ATTACH 112" CDX, STR. 1, PLYWOOD GUSSETS TO EACH FACE OF TRUSS - WITH 10-D COMMON WIRE NAILS (0.148" DIA X 3" LGT) @ 6" O.C. 2 ROWS WITH MIN. AMOUNT OF NAILS PER FACE OF EACH MEMBER CIRCLED. (CLINCH NAILS) NOTE: 15132" THICK EXP. 1 32/16 SPAN RATED O.S.B. MAY BE SUBSTITUTED FOR PLYWOOD. -1-0-0 7-0.4 13$0 19-11-12 23.5-8 27-0-0 1-0-0- 7-0.4 6S-12 6-&12 3.572 3S8 , 44 = Scale = 1:58.3 4 e -[-j 17 17 23-" 27-0-0 9-2-3 &7-tt 5.7-tt un LOADING (psf) SPACING 2-0-0 CSI TCLL 16.0 Plates Increase 1.25 TC 0.49 TCDL 15.0 Lumber Increase 1.25 BC 0.73 BCLL 0.0 Rep Stress Incr YES WB 0.39 BCDL 7.0 Code UBC97/ANS195 LUMBER in floc) TOP CHORD 2 X 4 OF No.1-G BOT CHORD 2 X 4 OF No.l-G WEBS 2 X 4 OF Std -G REACTIONS (lb/size) 2=951/0.3-8, 7=880/0-3-8 FORCES (lb) - First Load Case Only TOP CHORD 1-2=13, 2-3=-1322, 3-4=-1100, 4-5=-819,5-6=-O, 6-7=-101 BOT CHORD 2-10=1175, 9-10=714, B-9=714, 7-8=687 WEBS 3-10='-355, 4-10=501, 4-8=33, 5-8=84, 5-7=-1011 DEFL in floc) VertILL) -0.15 B-10 Vert(TL) -0.28 B-10 Horz(TL) 0.03 7 1st LC LL Min I/deft = 240 BRACING I/dell PLATES >999 M1120 > 983 n/a Weight: 109 Ib TOP CHORD Sheathed or 4-11-13 oc purlins, except and verticals. BOT CHORD Rigid ceiling d'nectty applied or 10-0-0 oc bracing. GRIP 220/195 NOTES����� U 1 1) This truss has been checked for unbalanced loading conditions. D V' ^' O O 2) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other rive loads [3U L� I G V` 'v per Table No. 16-B,'UBC-97. 31 A plate rating reduction of 20% has been applied for the green lumber members. 4) This truss has been designed with ANSI/TPI 1-1995 criteria. APPR ®`!• ED LOAD CASE(S) Standard 7 E ;Jr C 97 BU * EAR 060)/0 November 7,2003 V Warning -Verily daatgn paramatara and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE M1L7473 BEFORE USE Design va8d for use only with Wait connectors. This design Is based only upon parameters shown, and Is for an IndMdual building Component to be i Installed and loaded vertically. Applicability of design paramenters and proper Incorporation of building component Is responsibility of designer- not truss j designer. Bracing shown Is for lateral support of Individual web members oily. Additional temporary bracing to Insure stablydy during Construction Is the msponsib9fity of the erector. Additional pennanerd bracing of the overall structure is the responsibility of the building designer. For general gddance i V regarding fabrication, pualty, conedW , storage, deery, erecilon and bracing. consult OST -88 Quality Standard, DS"I) Bracing Spedfication, and NI&91 �' 3 Handling Installing and Bracing Reoonmandation available from Truss Plate Institute, 5113 D'OnoMo Drive, Madison, WI 53719 A • SITE PLAN REVIEW APPLICATION Date: 12-%l%= �� AP# 6 SAD — 0S/0 Q P- —Z — Permit Number (if applicable) B !�_ `o APPLICANT INFORMATION Parcel Size: i Owners Name: Owners Address: Telephone No.: Situs Address: L 7 rj� Proposed Use: Vntial Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition W Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel /Well DO NOT WRITE BELOW THIS LINE m� DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved • By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: 6 — 8— 9 Pj ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Minor Variance El Administrative Permit ❑ Variance ------------------------------------- --------------------_-__--_____-_---_ ❑ Detached Building Use Form ❑ Encroachment Permit[I Agricultural Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_ Q� — Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �-- D � Side Side Street Rear 1 Height J Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 ;; • I Applicable Developme (t Fees: . Standard Fees I Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads is Sheriff ❑ Drainage { s ❑ NCSP/CSA 87 I ❑ Chico Urban Area — Road ❑ Thermalito Impact { ❑ Other Subdivision Map Special Fees ❑ Water Tender ' ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district ti verify actual fee if pre -application review. A final determination will be m the building permit. made at the time of Parcel Created By E] Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: I Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No [❑ Yes Comments: i ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel I ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger i ❑ Obtain a Lot Line Adjustment El Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision-9p/Parcel Map: I N f Aj ,,V—,S 5,j Z Map Date of Recording: Lot: -17 ❑ Use Permit/Minor Use Permit Permit Number: Book: � JS 5 Page: 3 B • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions iff Comply with the following Conditions of Approval: A-1`1 j:A C—A JR Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, Nl~PA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control P must be prepared by a registered civil engineer or other qualified professional and submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa • Page 4 of 5 +. c r?,AiAc A ITIONAL INFORMATION SHEET y i ',-6 J' P.S. ' 1. BUILDING SETBACK LINES ARE AS SHOWN OF MAP , AND AS FOLLOWS:. LOT 6 FRONT/REAR/SIDE YARD - 50' FROM CENTERLINES OF � INTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE . SOUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. REAR - 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) 0.3 SIDE - 10' FROM PROPERTY LINE F. 2. LEACH FIELD FREE SETBACKS ARE 5' FROM THE EDGE OF THE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE PROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. lV � 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED IN CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL l BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. <° THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE 2a / COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE `PGO OF APPLICATION FOR BUILDING PERMIT. 's 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE °2 / ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING F SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY PER BUTTE COUNTY PUBLIC WORKS 6. PER FLOOD INSURANCE RATE MAP NUMBER 06007C 0510 D. REVISED APRIL 209 2000, THE PROPERTY SHOWN HEREON LIES WITHIN �y ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. co° 0 7. LOWEST FLOOR ELEVATIONS SHALL BE A MINIMUM OF 12" ABOVE THE HIGHEST ADJACENT GRADE. 8. WELLS ARE TO BE LOCATED OUTSIDE THE ROADSIDE BUILDING SETBACKS PER BUTTE . COUNTY CODE SECTION 10-8, WHICH DOES NOT INCLUDE THE 50' BUILDING SETBACK ALONG THE S.P.R.R. RIGHT-OF-WAY. , P.2\MPD 1WIIJ -, MS -'P0IVISI0N\dwy\FINAL MAP 5-2n-02DWG 08:09/0' 08:08•?4 AM PDT Seht 0 Ll 0 Ey: BUTTE CO ENVIRONMENT -11— 11, 530 895 6512; Jun -16-03 B:10AM; Page E�- °'R ig , EMEAI F-1EAL 1 H BUTTE COUNTY I JUN 17 2003 ...... AGRICULTURAL BUFFER CHICO, CA IFOR �I a : . UNUSUAL CIRCUMSTANCES REQUEST 4 U ...:.::::.. Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies, The Agricultural Commissioner may Identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being divided or subdivided. I - . Applicant must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA 630 338-7601 /112 � � � Name: a yi Y4w [ r�I 4d, Phone: fv Z� -SI Fi�J Assessor's Parcel Number. * 0(�b - 11-/0 - 07-2 Reason you believe you qualify for the unusual circumstances exception: �1 Ji L Gu /-4 i '00,OS / >14 v� rP� S Q Applicant's signature pate UNUSUAL CIR UMSTANCE DEFINMON: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. i SITEPLA REQUIREMENT: submit 4 copies with this farm --�-.. Refer to the Site Plan Submittal handout for specific requirements For Agricultural Commissloner off ce'iise only: ito.be completed after submittal) Di GRETldNARY eER_. HITS (Planning) MINISTERIAL PERMITSiBuildina1 -a- Exception Recommended. ❑ Exception Granted with. the D Exception NOT Ret ornmended following conditions: Reason/Conditions/Specific'setbacks from adjacent agricultural operations: No nc-,. RVW-,S� I�stJ�S D Agricultural Department partment Signature: tV �"L. J` ,�a � pate f YMc 4120/03 212 J=OK 0 = Not OK _ = NotReaoApplicable 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. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8.. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'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. Frmq.; 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15.Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not = NotAApplicable p . = Not Ready RESIDENTIAL Date UN RFLOOR (Plans) OK except #'s Zoning-Setbac ks- Easements- Flood -Slope Date 2 --Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3.� Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4eTtg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth C. cts Insulation & Support 5. Stemwalls, Main; Steel-Blockouts-Wrapped 3 1. 6. %emwalls, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors (Q� .0 Slab, Steel -Wrapped I ,8. Pis -Fireplace Ftg.-Steel �05df' VD.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Access & Platform if Furnace in Attic 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Card B-1 Date Card B-1 13. Plenums & Ducts; Clearance -Material -Support -Ins. FRAMIN (Permit) OK except #'s 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 41 4 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 #'s 1 Water Htr.; Vent -Access -Combustion Air Baffle 8. Wer Pipe; Test & Anchor -Nail Protection . .V.; Test Fittings & Anchor -Nail Protection 7I V.7 Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 2e Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date t. -, Card B-1 Date Card B-1 Date t Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 14. xture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. fgl5ip. Ground made up w/Mech Fasteners -Bond Gas & Water e 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated.Neu al 0 Yes 0 No 32. S ice -Riser Conductors & Ground Main Disconnect •3 i . Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light 3 . Smoke Detector (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA AL (Permit) OK except #'s 6 C. cts Insulation & Support 3 1. Vent Fn, Exhaust above insulation 38. nd nsate Drain & Overflow, Size & Grade I E!r-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4&Pdir Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Permit) OK except #'s 41 4 s per Materials & Anchors Studs -Nailing Spacing & Braces -Plates -Sound 4fi,44earing Walls over Girders & Floor Nailing 6. Dr ft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) r . Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. it pl a Ties or Type A Flue -Fireplace Throat Clearance tti Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Wi ws or Exiting Doors -Sill Ht. & Dimensions 2rage Fire Protection Framing -RC Channel 3. Prooertv Line Firewall & ODeninas �}yEfct. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55._.Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer awk-wucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 9. GI g Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts 61. race Interior/Exterior Wall Panels Insulation -Walls -Ceilings , 63. Infiltration -Walls Windo " Date o Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date FINA s OK except #'s Steps -Door & Sidelight Protection -Landings oke Detector Furnace Vents -clearance -Comb, Air -Connector - pr Garage; Above Floor-Ducts-Mech. Protection 6ii V..l. & Bath Fixtures & Tub Access -Spa 690"Elec. Trim & Subpanel, Breaker Sizes & Labels airs & Rails F place or Stove, Clearance -Hearth c. Outlets at Wood Panel, Int. & Ext. ICY. Fit. & Appliance; Ground -Air -Gap -Cooking Clearance 14*5016c. Outlets & Receptacles at Kit. Counter 1Y. Garage Fire Door; Swing -Landing -Closure Duct in Garage -Damper Pr Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i ra e; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location EJ�s. Receptacles in Garage (F.F.I.)-Romex Protection 69 -Foam -Looked in Attic -64- Guard Rails & Deck Construction -Post Caps -? Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ fiance Looked under Floor O Yes EpOcOng Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Stucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing V Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings W r Well, Disconnect, Electrical, Plumbing !tjxterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House 91" Cpffections from Previous Inspections . G Test -Meters Tagged, Gas -Electric . Wat Sewer Connected -C/O to Grade -HDA roval asrgy Compliance Certificate -Other Certificates Address Posted -96-Fire Sprinkler Date Card B-1 L C -(Iii, -Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040527 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/22/2004 APN: 040-640-027-000 the Business and Professions Code, and my license is in full force and effect. License Class : C- License Number: O Site Address: 15 SEGA DR CHI Date: Contractor. Map Index: Description: POOL MASTER PLAN (# 01-502) OWNER -BUILDER DECLARATION' 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MBD INC permit to construct, alter. Improve, demolish, -or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a 3110 SHADY GROVE CT signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MBD INC PP Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: CARE -FREE POOLS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 9 ALYSSUM WAY ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 (530) 342-4639 Date: Owner: License #: 380826 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is Issued. 0--l-have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carder and policy number are: Carder ��L�CS� Total Square Ft: 0 S. F. Policy Q Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ee e � p+4: - �3 Ct s 01 C( Date: �1 Arnc.(JI (,$eeI.je . A -1(ael 4-2 - Applicant: 1� „1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. + CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County C de and/ r Resolutions to do work dicat a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ,� O� By. Date: Name: ' D _ / 5 PERMIT EXPIRES ON: Address: Dat ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. tY Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize rep ntalives of Butte County to enter upon the above mentioned property for Inspection purges Print Nat �� [" t Signature: X me: 0/ 92 7/d:f/ Date: T T 13 Owner I Ll -contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY OF DEVELOPMENT SERVICES JG PERMIT APPLICATION (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 ATE: � ^ � V APN: . � � � ®� ZONING: �• Ai � f U- NEAREST CROSS STR : AJ`4 TRACTILOT#-. 155-3 38 SITE ADDRESS- -yw� I fvnL-v-S Soak tJF t0—I_02, RY, ZIP: �89Ac, 04F Co c OWNER NAME: 0 PHONE. t--- .�w C_ < < STREET ADDRESS: FAX: CRY, ZIP: E-MAIL PPLICANT NAME: PHONE Ckee ADDRESS: FAX: CITY, ZIP: E-MAIL CONTRACTOR NAME: PHONE: 3f�-2�3 STREET ADDRESS: y /fc Uj FAX: CITY, ZIP: (� C �� E-MAIL LICENSE NUMBER ` �� RI LICENSE TYPt _ - 5-3 ARCHITECT/ENGINEER NAME: PHONE !�e vLt 3 STREET ADDRESS: FAX CRY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: Rje C, ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) FLOIZ-b 11 X 0510 (�' EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: 3q Amount Received: T . '. 4 'r I ,I' f . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION `' n 7 County Centel Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �✓ l ( n�ERMIT APPLICATION DATA SHEET OWNER'' I ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to pply fora permit. All boxes MUST be checked OR marked NA in orde o pply. UP 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, sighed 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. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. I ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license`approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable, ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.....................:...................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit.l....................................................................... 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ' 24. Planning approval (A) Use: 0,K(B)Parking: (C) Parcel Check: 2 ❑ 25. Contact Land Development about _ Improvements, _ Drainage........ 0 26. NPDES Form ...................... I ............................................................ .......... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_jGiven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction..................I....................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: 4 ❑ 39. Other: I ' When issued Telephone and hold for pickup. I have been informed of the above items land requirements for obtaining a building permit. Applicant: Date: CP Q O 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required ontractor, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: �% r0� Contractor, designer, owner s„vya � ised of the ab ve to by phone, ❑ mail, ❑ count e , Y Date: a Plans reviewed by: y L Date: Plans approved by: -Date Structural reviewed by: Date: ! Structural approved by: Date: Note transfer by: Date: Yellow: Building Division I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance f Owner location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for dwelling.; Other E.H. USE ONLY Piot Plea Attochadd Floor Plan Attattud —Went to B.D. I ,;z,-il -o ef Private Well Hold final for: Final clearance O.K. for: NOTE: f I Ale Environmental Health Specialist Date 8/96 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. f—` Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO._ ZONING 113 OWNER PH,9NE NO. 1 r - SG OWNER'S ADDRESS , �s PA. C. lrS� LOCATION OF BUILDING - USE OF BUILDING OrMT/U�L — G14q re f Ale, A.(00 SIZE OF STRUCTURE FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROO C VERING FLO R TYPE e e ESTIMATED COST OF CONSTRUCTION $ CIO AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: h�0 �n �J GC/ FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is , will contapit the B ivision and obtain any necessary permits, inspections, and approvals to comply wi a requir is i ect time and before occupanc . Date 7-- — Signature of Owner Permit Fee - $60.00 Receipt No. � o,,,wm 4 CK -A �� The above described AG Buildinq is Manager Builong By White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant from aiding permit. Date ISSUE WELL CES N O I� N090202 . 142-.39 SEGA AVE_ -, Q J p 0 BENCH LOUNGE AREA WATER BALLS 4' JUMP ROCK � DECK ROCK- SALT- '(D OCK-- ` SA LT ' s � CD r 4ap' (D LIGHT — q 0 SWIMOUT , 1,k r STE P S PLANTER BENCHES STEPS 1 PATIjO (E) OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION. R £SI DENCE NOTE SCALE 1/8" = 110' PLASTER -V-GREY'-1,- OWNER: V-GREY� OWNER: POOL AREA TO BE FENCED, PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF POSSIBLE: PE8 3 LE •TEC CLOSING AND SELF LATCHING. BY OWNER OWNER', WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 7 DAYS. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL MARK PLASTER. �-AoAtuu C(cm _tf- QI-So �-- el[w C" �D �,i CA br�, �_LEC 11 RICAL. MECHANli/ALs F MD P1_U 1.�,. Ni,'*,"°^+ 0ONS7RUC 1 l N ( N3T ',"LAN t"KF CKED 1 S1-ALLCC f,WLY WITH Cl.:i"RENT EDi`f"ION SALES OFFICE BSE DQW UILDING DEI' ARTIMF. P R O V E PERMIT OFFICE PHONE N0. MGR. JOB N0. SALESMAN- MAP ALESMAN-MAP BOOK NO. DATE LEGAL DESCRIPTION AP 040-640-027 OWN.BI LOT NO: TRACT NO. BOOK PAGE-BLOCK- MAILING AGEBLOCKMAILING ADDRESS 00 1 �� /I-ct PLANNING DIVISION - BUILDING PLAN APPROVAL Use: © r_ Date: Parking: Landscaping: Other. Signature: GENERAL SPECIFICATIONS SIZE25 x 40 AREA 76 Q DEPTH 3'6" TO 7'6 SHAPE CUSTOM PERIMETER I 10 TEMPLATE NO.-----`� CUSTOM ------- TILE SIZE 6 " x 6 " TILE COLOR 0 T G COPING N COPING COLOR N 0 POOL CAPACITY 31,000 GALS. PUMP CAPACITY 1 1 o G.P.M. MOTOR H.P. I I f 2 H.P. FILTER 48 SO. FT. FILTER RATE 1 10 G.P.M. TURNOVER 5 114 HRS, VACUUM LINE & SKIMMER 2 RETURN LINE 2 MAIN DRAIN 112 " SKIMMER – MODEL 2 U —3 BACKWASH TO D L S LINE 4 ' OF %" FILL LINE ANTI -SYPHON VALVE AUTO FILL HEATER N 0 SIZE N O BTU GASLINE BY: No VENTED BY: LIGHT 5 0 0 (W CLOCK O (V) ELECTRIC BY: C F. P ELECTRICAL BONDING BY: C. F . P POOL CLEANER P p 0 L VA C CHLORINATOR N 0 BOARD -SIZE NO COLOR NO BOARD SUPPORTS- NO LADDER -Model NO SLIDE-tt N 0 colo. STUB PLUMB ❑ YES D1�-O TILE & COPING fi]/ASAP ❑ OTN DECK BY: C F P TREES, ETC. N V CONCRETE REMOVAL BY: N O RAISED BOND BEAM:/ YES ❑ NO �/ HEIGHT WIDTH SWIMMING POOL NAME Mi CHA EL A ND TINA BLACK ADDRESS IS S EGA A V E CHICO CA CROSS STREETS K•o. By RES. PHONE BUS. PHONE PRINTS CARE -FREE POOLS SS _ #9 Alyssum Way Chico, California 95928 C _ Bill Bell Contr. Lic. #380826 Phone 342-4639 y fi N090202 WELL E) N 0 ro I A9 -2,9 SIVA ENVIRONMENTAL HEALg H, FEB 19 2004 CHICO, CALIFORNIA APPROVED Buttp County Envi eal alth ate r' Sign re 0 J J� LOUNGE AREA v L.. /.a - I I— t% "Y._ V R L I h OWNER: POOL AREA TO BE FENCED, PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF POSSIBLE PEeS LE •TEC CLOSING AND SELF LATCHING. BY OWNER OWNERi WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 7 DAYS. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL MARK PLASTER. JO B NO. MAP BOOK NO. LEGAL DESCRIPTION AP © 40-640-027 LOT NO: TRACT NO. BOOK -PAGE -BLOCK MAILING ADDRESS RONNIENTAL HEALTH FEB 19 20'04 HICO, CALIFORNIA GENERAL SPECIFICATIONS SIZE25 x 40 AREA 76 0 0DEPTH 3�To 7'6' SHAPE CUSTOM PERIMETER 110 TEMPLATE NO. �---� ._ CUSTOM ----- TILE SIZE 6 " x 6 " TILE COLOR 0 T S COPI NG N COPING COLOR N 0 POOL CAPACITY 31,000 GALS. PUMP CAPACITY 1 1 0 G.P.M. MOTOR H.P. I 2 H.P. FILTER 48 SO. FT. FILTER RATE 1 1 O G.P.M. TURNOVER 5 14 HRS. VACUUM LINE & SKIMMER 2 RETURN LINE 2 MAIN DRAIN 112 SKIMMER - MODEL 2 U 3 BACKWASH TO D L S LINE - INE - 40 40 ' OF Yz" FILL LINE ANTI -SYPHON VALVE AUTO FILL HEATER ILI O SIZE m 0 BTU GASLINE BY: NO VENTED BY: No LIGHT S 0 0 (w) CLOCK 0 C U _ ELECTRIC BY: C F. P , ELECTRICAL BONDING BY: C. F. P POOL CLEANER P .0 L VA C CHLORINATOR N 0 BOARD -SIZE N 0 COLOR NO BOARD SUPPORTS- NO LADDER -Model NO SLIDE-# N 0 Color ---------------, ._.---- STUB PLUMB ❑ YES moo/ TILE & COPING rvSAP ❑ OTN DECK BY: C F P TREES, ETC. N G CONCRETE REMOVAL BY: �I Q PERMIT OFFICE RAISED BOND BEAM: VES ❑ NO HEIGHT WIDTH MGR. SALESMAN DATE CK is - ay SWIMMING POOL NAME M1 CNA EL AND TINA }SLACK ADDRESS 15 S EGA A V E CHICO CA CROSS STREETS RES. PHONE BUS. PHONE S CARE -FREE POOLS #9 Alyssum Way Chico, California 95928 Bill Bell Contr. Lic. #380826 Phone 342-4639 Building Permit Number: 0 q Owner Name: I ` ` T3 D Residential Construction 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 or 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 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,- HY.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 6q- QS, 7 Owner Name: H OD mi Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. `1i The following parcel map requirements shall be met: All structures and a uipment including overhangs shall be clear of all easements. A setback ofd eet from the side and�d'" %e from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. 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. LAND OF NATURAL WEALTH AND BEAUTY pF''-:S?,;; :,; !`__e"_'T• \L.—�ti BUILDING DIVISION gig,-.�,;;:=,:�w.:-•:::� DEPARTMENT OF DEVELOPMENT SERVICES '• ' 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95985-3397 TELEPHONE: (530) M-7541 October 6, 1999 FAX: (S30) 538-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how to enforce it. We have revised our letter to describe how enforcement will occur in Butte County, and are again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: 1. In our review of legislative- considerations, we discovered that when accommodation was provided to allow exit alarms on doors providing direct access to the pool, it was assumed that a conforming perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing - as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-1/4 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. 3. All access gates through the enclosure shall open away from the swimming pool, and be self- closing with a self -latching device placed no lower than 60 inches above the ground. This includes large gates for vehicle access. Should you have further questions concerning this matter, please contact this office at the address or phone number listed above. Sincerely, is ael C. ieira, C.B.O- M ager, Building Inspection CALIFOkNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWUV0E NG POOL SAFETY ACT 115 92 1. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains Rater over 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTIvt), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building . . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall be equipped with a self-closing, self - latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the budding official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Craps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside surface free of protrusions, cavities, or other physical characteristics that would serve. as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools. b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials -Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exclusvely to local jurisdictions, as provided for in subdivision (e) of Section 114922 and subdivision (c) of Section 115924.