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HomeMy WebLinkAbout040-640-045COUNTY OF BUTTE - DEPARTMENT OF, DEVEiiOPMENT SERVICES - BUILDING DIVISION 7 County, CEntep Drive • Oroviil6, California 95965 • Telephone (530) 538-754?, .- ^PERMIT lye. (Rev. 12/96) APPLICATION AND�PERMIT � - T ASSESSOR PARCEL NUMBER RKMOMM 040-640-045 ZONING SR -1 BUILDING PERMIT OWNER MILLER, LAVUANCE & SHERRI TELEPHONE 342-5225 SO. FT. OCC. BUILDING VALUATION Cont, est, 32 000.00 .OWNERS MAILING ADDRESS 509 KIAPIS DR. CHICO CA. 95973 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 32 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 297.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1.00 BUILDINGADD ESSKRAFTS DR. CHICO 509 Energy Plan Checking Fee $ $ PERMIT FEE $ 340.50 LOT NO. 23 SUBDIVISIONS NAME IWIN PALMS SUB 155-36/38 10-1-02 PARCEL MAP .71LC PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI. POOL SPECIFY Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New Xl Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER 513-01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S F i 00D • X 0510C ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C 5-3 Lic. No. 7.2I A� � ' OWNER -BUILDER DECLARATION I 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comaor� insurance carrig� and policy number are: Carrier T re ral) l" Policy Number / 6l / D O - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' c en do provisions of section 3700 of the Labor Code, I shall fo wi those provisions. X Date 7 ®3 Sign ure o Applicant - ❑ Owner [3Contractor ❑ Agent HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00NEW CONST. OWELLNG OCCUP. SO OR ADONS. ( a ACC. OCC 3.5Q�; NOµHOESID. T.CIRCUITS MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE � .00 R FIXTURES Ex. OCCU OUTLET OR FD(TUREs BAL @ I. 0 Ex. Occup. ouTLEETTS REESSIp.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELEC. 30.00 PERMIT FEE $ 59.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 425.50 HAZ. o FEES IMP FLOOD X CDF PARCEL PD HD ISSUja // This permit is hereby issued under the applicable provisions of the tte Coun Code and/or Resolutions to do work in di' to fo which fees have been paid. By ate l•� 7 PERMIT EXPIRES ON g/14/# (Dote) Receipt No. 50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT II,��FK'+'4T' .rein` *.s....r�..p't,,.,.ti ����1'� l..'<.ay,h �-Sk-oy§=�,f�A.'�f1CR4+v`Y *�;KuY Y+'1/yh-�tp,�l r �t .�'1 �. � .. ,.�y.t• `„� ... COUNTY''OF BUl TE -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 c OWNER:. ( ASSESSOR PARCEL NUMBER Proposed Building Use:PQ�f Counter Technician:c"�L Date: Items required in o der to ap ly fora permit. All boxes MUST be checked OR marked NA in orher to apply. Plot plan , 3 or 4 sets, signed,�y the preparer of the plans. ❑ 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, (D)� ie down or foundation plans, all in duplicate. 1 ❑ 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 ..................................... o❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other 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 ....................................... A16Statement of Intent for Non -heated and A/C Buildings ............................................. . Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: a.� (B)Parking: . (C) Parcel Check: _(f _D ❑ 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 .................................... I ❑ 2S. 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:On ' When issued Telephone and hold for pickup. I have been informed o ems and requirements for obtaining a building permit. Applicant: Date: /7 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: f Plan Check Letter 7!'r phone, ❑ may(, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date: _Structural approved by: Date: k - Yellnw• Ruildinv nivicinn - - ------ __-- Hold final for: Final clearance O.K. for: NOTE: g- /, Environmen tT,Specialist P Date 8/96 E.H. USE ONLY Piot Plan Attached rbos Plan Ana od to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance j So9 0�o Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for : Other Z,* -14 Z2,e2d 2 424 Hold final for: Final clearance O.K. for: NOTE: g- /, Environmen tT,Specialist P Date 8/96 f A NTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES . BUILDrNG DIVISION 7 County Centbr Drive • Oroville, California 95965 • Telephone (530) 38-754 APPLICATI6NAND PERMIT k BUILDING PERMIT I� 3 :ND6:5 µHUNG ADDRESS RCMRm OR EMM7NEEA RCMn TOR EMDDi( UM WJUM ADDRESS ULDWGADDRESS —�� USEOFSTRUCTURE ,F n Duolex ❑ Mobilehome ❑- Other TYPE OF WORK New Addifion ❑ Remodel ❑ Liu -roes ❑ Insiallafon ❑ Other ❑ t Describe Work- SO. FT. Total Valuations is Firing Fee Permit Fee Plan Checking Fee NC S z0.o0_ $ �13. UJ Energy Pian Checking Fee I S S PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping systarnI - 5 outlets Building sewer Mobile Home I S I C31 W PERMIT FEE 11; ELECTRICAL PERMIT eoavOR Less Main Service ( Mb& OR LM Main SeN1CB 20" SO fccoA Firing Fee 20.00 --- 7:00 ---- — 23.00 15.00 1 5.D0 15.00 15.00 @2D.OD —Ali - - - g Fee 20.00 23.DD Nt7Y wise: OR ADONL Dw61PR OCGur. i Atx. BIDS. 3.5C, Ns . NON-R6i4 TdULTI-0UTLET 7.50 Occup. POWFR APPARISUS i SO V.LE OUTLET CIR OUTLET OR FICIAXIM 20 o0 au. ® .so . Ex. Occu v=TLErs sro oeR, L 5.D0 TernporaLry Service 23.00 Moble Home Facilities 20.DD I isc. wai 23.00 t U - PERMIT FEE MECHANICAL PERMIT Fifing Fee 2D.DD Heating Cooling u—A • I I 6.50 PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee S 0=C CONST. TYPE gppll W�-, 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. E ��V� By Date PERMIT EXPIRES ON ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530 538-7157 Ext. 2016 Permit Number Z G 2 % ea District -Rz APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly ted. 1. Applicant's ame• ' u l a. Company name: vxC - 2. Address: � o � ���Y ��vv�a✓ �-- Gc� � � 9 SCJ 7 3 3. Phone: 4. Assessors Parcel Number: n 5. Location of Work to be Done LZ, N , 6. Applicant's ' atu 7. Date: CONTRACTOR'S INFORMATION 8.Contractor's N"Ic— 6 144b A, © N bA..—, \ c `J 9. Address 10. Phone: S 3� 11. Fax:. 12. Contractor's Lice(G License Dlumbe . / v �_ 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Sign 14a. Date Signed: –z'/ O �- 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ " 17. Driveway (List Type): 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions �e h x n !o a i %�' e Undetground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. gAll work shall conform to accompanying: Detail IV Plans ❑ Special Conditions ❑ - 2l. Date Issued / C! ` 22. Expiration Date:, G 23 Surety. �s Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one4eek. Page 1 of 2 General Conditions – See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work Is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress ofthe work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to property maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. c The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as dose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, rights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII III III I IIII I II II III II IIII{IIII 202-0565 1 LI Recorded I REG FEE I& E Official Records I County Of I BUTTE I CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Barbara . 12:33PM 23 -Oct -2002 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: **THIS DOCUMENT IS BEING RECORDED TO CORRECT THE LEGAL DESCRIPTION FOR. DOCUMENT SERIAL NO. 2002-0045904, RECORDED SEPTEMBER 4, 2002, IN BUTTE COUNTY, CA.. Date 10/23/02 PROPERTY OWNERS: D. T 1 ' Dl.l State of California County of Butte On 10/23 2002 before me, J. T13NISON, NOTARY personally appeared ANDREW'.' _MEGHDADI personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand an fficial seal. SignaturC_-_ Seal: J. TUNISON C/� (�/7` 11/% /i/1 v z k 1234572 A.P. # r — `' • "� �! ` `r rn �` comm.NUTnRYpUBUC-CALIFORNIA O J / BUTTE COUNTY MY COMM. EXPIRES SEPT. 18, 2003 :•r✓�;+ r�--vim EXHIBIT "ONE" PARCEL I: Order No. 202500 - C Lots 1 thru 24, inclusive and Remainder Land, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88. PARCEL II: A Non -Exclusive Easement for ingress, egress, drainage, public utilities and public services over Lot 6, as shown on that certain Map entitled, "Chambers Subdivision #2", Phase I, filed in the Office of the County Recorder of Butte County, California, on August 4, 1999, in Book 147, of Maps, at Page(s) 86, 87 & 88. Assessor's Parcel No: 040-640-011-000 D EQUIPMENT IW.,WDM " � e o 1' r; �l�i a..J•Y NOTE: ALL STRucTUR� cI_ See the attached OVERHANGS SHALL BE aid ntlal gmtructi� -A SET BACK OF Lo FT. FROM THE SIDE AND .Zp Fr. FROM THE REAR PROPERTY I AND LL BE Requirements FT. FROM THE S AND ESU ENT pCOE� —pages BAR OF STRUCTUREGONG. DRIVE VOKA 2 FT. FJf►VE OVERFIA /\ MIN. 1200 i \ PROPOSED HOUSE GAL. \2801 PLAN- SEPTIG . • \� �- \ • M.N. FLP.- EL. - TANK O i\� 215.0' • �- PORCH )c �9 a \ C X41 • � \ % (N) WELL 252' TOTAL \ \ \ \ \ \ \ LINEAR FT. \ OF LEACH. \I wes4Ile .�lacr ele-v ,Fo \\yi o J �� '`� fibe tiF9lres� a.d�uce,� �G • ; \ f,\ , i ��i�j� ti� � a� tG K:rcir. �.vfs SEPTIC TANK AND �LEACH LINES TO 151f , • WIDE LEACH 5' MIN. FROM BLDG LINE H/ 12" AND PROPERTY REPLACEMENT FIELD ROOK, TRENCH LINES, TVP. 56" MAX ?'7-:37 DEPTH. ' PLANNING DIVISION- BUILDING PLAN " Use: o I< Date. N Parking:-.------�— Landscaping:—•- other, rn Signature: '- 50g24 sq,. ft. SITE PLAN L BUILDING 5680 sq,. ft. i"=40'-0" COVERAGE I I.gRo LOT 23 LOT GREGORY A. P E I T Z TWIN PALMS SUBDIVISION ARCHITECT for: �� ANDREW MEGHDADI 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 CHICO CALIFORNIA 4 ow C2 41- • 5 PTIG •' \�`� TANK i O � • O- / PORCH i 252' TOTAL LINEAR FT. OF LEACH. 9 •• ` \ \ U YL \\ Y \00 REPLACEMENT FIELD LOT 50124 sq,. ft. BUILDING 5610 sq,. ft. COVERAGE 11.1 GREGORY -A. PEITZ ARCHITECT 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 r If /\ • \ PROPOSED HOUSE \ 2601 PLAN \ • FIN. FLP.. EL. \ A, 215.0' Environmental Health GONG. DRIVE MAR 1 0 2003 Chico, California LINE W/ 12" ROCK, TRENCH 56" MAX DEPTH. AND ro BF - 3LDC— AND O PRPERTY LINES, TYP- I TE FLAN III, 1"=40'-O" LO TWIN PALMfftyW-1 P� for:AA 0 V E. ANDREW M 'D CHICO CALIFORNIA T 3 SITE PLAN REVIEW APPLICATION Date: (> `� AN � Lj C) L) C) U) � Permit Number (if applicable) 3- 0 6'-)-) APPLICANT INFORMATION Parcel Size: 2�^ 74 L Owners Name: 2'q ) I A J,,1 t�) Q, Owners Address: 3 D S H ra V �J &-S2.0 Yk C-1 LV4) C o L.q Ci5 9 -7_3 Telephone No.: Situs Address: 06� R -H K� P l S b 2. Proposed Use: Residential Ig New 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 .Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved IN Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date7— 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: ❑ 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 ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: S R 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5 O C Side } Side Street Rear Q Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula Fire ❑ School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ---------------------------------------------------------------------=--------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By El Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: 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: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IM Subdivision Map/Parcel Man: T V41 N3 P4Z�I v V�!-> Map Date of Recording: )(>-C)I-U2 Lot: 2 J ❑ Use Permit/Minor Use Permit Permit Number: Book: I S Pager 14PZ36 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ® Comply with the following Conditions of Approval• /I 7-Tfi�1 CH 1&)�> ❑ 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, NFPA 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 Plan must be prepared by a registered civil engineer or other qualified professional and be 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 road maintenance, and stop sign maintenance. n Page 4 of 5 Fwv` si5 3'L'/3 8 10-1- 025 o �� A ITIONAL INFORMATION SHEET 10.00' P.S 1. BUILDING SETBACK LINES ARE AS SHOWN OF MAP j AND AS FOLLOWS: x LOT 6—,-//, f f 'RONT/REAR/SIDE YARD — 50' FROM CENTERLINES OF VTERIOR STREETS, SPEEDWAY, ENTLER AVENUES, AND THE 'OUTHERLY LINE OF THE OLD S.P.R.R RIGHT OF WAY. ZEAR — 10' FROM PROPERTY LINE (EXCEPT WHERE NOTED) ;IDE — 10' FROM PROPERTY LINE ?. LEACH FIELD FREE SETBACKS ARE '5' FROM THE EDGE OF I -HE STORM DRAIN TRENCH, 5' FROM THE EDGE OF THE 'ROPERTY LINE AND 100' FROM EXISTING AND PROPOSED WELLS. 3. BUILDING IDENTIFICATION AND/OR ADDRESS SHALL BE INSTALLED N CONFORMANCE WITH PUBLIC RESOURCES CODE 4290 AND SHALL BE POSTED AT THE BEGINNING OF BUILDING CONSTRUCTION AND MAINTAINED CONTINUOUSLY THEREAFTER. 4. THE SHERIFF'S FACILITIES IMPACT FEE SHALL BE PAID, PURSUANT TO THE PROVISIONS OF CHAPTER 3, ARTICLE II OF THE BUTTE COUNTY CODE, PRIOR TO THE ISSUANCE OF A BUILDING PERMIT, SAID AMOUNT SHALL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR BUILDING PERMIT. 5. THE LEACH FIELD AREA IS NOT TO EXTEND BEYOND THE ROADSIDE SETBACKS BUT MAY INTRUDE INTO THE 50' BUILDING 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 20, 2000, THE PROPERTY SHOWN HEREON LIES WITHIN ZONE X AND IS OUTSIDE OF THE 100 YEAR FLOOD PLAIN. 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 MRD 1WIIJ �A!_MS -'PDIVISION\dwu\FINAL MAP 5-20-02DWG__ 08/09/0' 080814 AM 0.3 LC 0 Lt' O / ' °Z �Z � 2 0 O° cp 0 NOTES RESIDENTIAL 040-640-045 ✓03-0677:.. ,PERMIT NO. _ ! • {{ MEGFIDADI, ANDREW / . fz F` �� 1 509 RHAPIS, CHICO NEW SINGLE FAMILY-#97-37 o,o� �. rc, L �— s C Gl< 0 SPECIAL CONDITIONS . SRA ~ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t' OFFICE COPY '. Address ! GAS Meter By Date ' f ELECTRIC J Meter By Dat i 1 JOB FINALED (Date) ' 77+ O Signature CHECKED BY 7 e 0 SPECIAL CONDITIONS . SRA ~ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t' OFFICE COPY '. Address ! GAS Meter By Date ' f ELECTRIC J Meter By Dat i 1 JOB FINALED (Date) ' 77+ O Signature CHECKED BY J=OK ' 0 = Not OK, Not . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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. 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 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 RESIDENTIAL (Single & Duplex) p . = Not Ready Date L O S , Ic •U. 44,,CAifiq dbist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 Date UND FLOOR (Plans) OK except #'s cess; Size & Romex Protection -Draft Stop -Ins. Baffles Zi gSbacks-Easements-Flood-Slope drnyWindows or Exiting Doors -Sill Ht. & Dimensions tg. ain; Soils-Elec. Grnd.-/ /" Ftg. Depth . arage Fire Protection Framing -RC Channel 3 g., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Ste walls,Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. S mwalls, Garage; Steel-Blockouts-Wrapped 57. 0.4 old Downs and Special Anchors p (L,<S W Y. Slab, Steel -Wrapped 5 8. iers-Fireplace Ft .-Steel . D.W.V.; Fall-Fitting-Tes Way C/O wer Test 10. UF, Gas Pipe; Size Anc and Gas Piping; Size Test 11. �dVater Pipe; Test -Anchors -Regulator -Service Test . Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 I Date Card B-1 Date ` Card B 1 Date Card B-1 Date PLUM G (Pirmitf OK except #'s a Htr.; Vent -Access -Combustion Air Baffle 1a Oi e; Test & Anchor -Nail Protection 1 .; Test Fittings & Anchor -Nail Protection 029 --Shower Pan; Test, First Floor -Tub Access 21. Te2t<ub & Shower, Second Floor -Tub Access 2 Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s 2 . ixture & Transformer Clearance -Ins. Protection 2 e eceptacles Spacing -Lights & Switches at Doors 26—Size s & No. of Conductors Stapled 2 Installed Close to Edge of Studs & C.J. 2 ui round made up w/Mech Fasteners -Bond Gas & Water 2 pliance Circuits in Kitchen ductor Size GFI 30. Subfeed Wire Size/ I/ a. Cu or(AI- .C. Wire Size/ o? /g r Al 31. Range Circle/ /g C -Oven Circ. / /ga Cu or Al Insulated Neutral s O No 32. Service -Riser Conductors & Ground Main Disconnect 33. E ' . Clearances Panels-Motors-Mech. Equip. _IgEKes Closet Light -Shower Light -Spa Light 3 moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHAPNCAL (Permit) OK except #'s 3 . .0 ucts Insulation & Support ' 7, ! , DT 4, • 3 . ent n, Exhaust above insulation 3 ondensate Drain & Overflow, Size & Grade 39 -Vent Access -Comb. Ait-Return Air Vent 115 Outlet ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI Permit) OK except #'s S Proper Materials & Anchors 4 . Wal tuds-Nailing Spacing & Braces -Plates -Sound 4 ea ' g W 11's over Girders & Floor Nailing 44. raft op in Walls (rat proof) 45. ire St 's, Furred Ceilings -Stairs -Chasers -Tubs 46. aders & Beams -Size & Bearing Date L O S , Ic •U. 44,,CAifiq dbist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 ireplac ies or Type A Flue -Fireplace Throat Clearance 5 cess; Size & Romex Protection -Draft Stop -Ins. Baffles drnyWindows or Exiting Doors -Sill Ht. & Dimensions 5 . arage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. iding-Nailing Veneer p (L,<S W Stuc esh-Drip Screed -Fd. Vents-Underflr. Access 5 ing ALpa-Glass Protection -Skylights -Plastic //-o -j(Z11 Ww'Srace Interior/Extq ji f all Panels %-3..u,, 62. Insulation-Walls-Ceilinas Date Card B-1/<—/ Date Card B-1 Date 7 — —L7 -7 Card B-1 Date Card B-1 Date FINAL (81ans) OK a)cept #'s & Sideliaht Protection- 6rHoke Detector fits. Furnace Vents -clearance -Comb, Air-Connector- ge; Above Floor-Ducts-Mech. Protection dro Exiting Bath Fixtures & Tub Access -Spa c rim & Subpanel, Breaker Sizes & Labels rr Rails Fi I e or Stove, Clearance -Hearth Outlets at Wood Panel, Int. & Ext. t. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 76. A . Duct in Garage -Damper tr. tr.; Vents -Clearance -Comb. Air Connector-P.R.V. a e; Above Floor-Mech. Protection ; Elec. & Mech. Equip. Listed for Location 418�XqoReceptacles in Garage (F.F.I.)-Romex Protection u on -Foam -Looked in Attic and Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor El Yes 83. Foll win Instld./Drive 0 Yes O No/Walks O Yes O No/Planters 0 Yes 0 No o Brown -Finish &-.-A. C-o it Disconnect, Electrical -Plumbing s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings WV ell, Disconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground Ve ati hrouahout House MoCo3r#ctions from Previous Inspections 9 as s ` eters Tagged, Gas -Electric 9 ewer Connected -C/O to Grade -HD Approval 94. gy Compliance Certificate -Other Certificates 9 Address Posted 6. Fire Sprinkler Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Comments inal: ASA c r1I�7 Certificate of Conformance. Certificate 0 5 2 7 3.6 THIS IS Tp CERTIFY that the glued laminated timber products identified with a collo;.-, ; � yD - 6 YD - D `iS INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: DATE: ENVIR. HEALTH, CHICO RELEASE EPW. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: f WELL: c AP#: �� - C� �:&6 DRESS/LOCATION:. v Comments: GL/memos/releasehold ��.�IT1 J 1 . , a; BATTS AND BLANKETS THERMAL PERFORMANCE (ATTIC APPLICATION) When installed in accordance with the man- The stated thermal resistance (R -value) is provided by installing in accordance with the manufacturer's instructions, ufacturer's recommendations, Knauf batts the required number of bags per 1,000 sq. ft. of net area, at not less than the labeled minimum thickness. Failure to and blankets will provide the full R -value. install both the required number of bags and at least the minimum thickness will result in lower insulation R -value. Bag Weight -Nominal 28 tbs., Minimum 27 lbs. "R-18 in a 5.5" cavity. Conforms to ASTM C 665 and Federal Specification HH -1.521 F. EQUIPMENT REQUIRED FRAMING ADJUSTMENT To achieve labeled R -valve, this product must be applied with, a pneumatic blow- To compensate for framing members, the number of bags per 1,000 sq. ft. of . ing machine and a corrugcted hose with a minimum .25" internal corrugation; a area to be insulated should be as shown below. To obtain an resistance (R -value) of: R-60 BAGS PE4 MAXIMUM MINIMUM Trk-r_v I Contents fthisbag The 04mirmrrrinsulation more than: should 37.8 26.5 SF WEIGHT weight per sq. ft. not be less than: 1.058 lbs. MINIMUM Installed insulation lessthan: 23.50" R-50 31.0 32.2 SF .869 lbs. 20.00" R-44 26.9 37.2 SF .753 lbs. 17.75" R-38 22.9 43.6 SF .642 lbs. 15.50" R-30 17.9 55.9 SF .501 lbs. 12.50" R-26 : 15.5 64.6 SF 433 lbs. 11.00" R-22 12.7 78.4 SF .357 lbs. 9.25" R-19 10.9 92.0 SF. .304 lbs. 8.00" R-13 7.6 131.6 SF .213 lbs. 5.75" R-11 6.2 161.3 5F .174 lbs. 4.75" This product conforms to the performance requirements of ASTM C 764, Type I, and cancelled Federal Specification HH -1.10308, Type I, Class B. R -values are determined in accordance with C 687 and C 518. '"R" means resistance to heat flow. The higher [he R•value, the greater the insulating power. Ask your seller for the fact sheet on R -values: minimum length of 150 ft. and a diameter of at least 3:' Coils in the hose should not be less than 36" in diameter. Acceptable material feed rate is 5-35 lbs./minute. Recommended feed rate is 15-25 lbs:/minute. BUIL•DER'•S INSULATIO:N STATEMENT Batts and/or blankets have been installed in conformance with the above recom- mendations to provide a thermal resistance of... R -Value Attic Area R- Thickness at /S' Inches Sloped Ceilings R. 3&) at Z Inches Walls R- at 3; Inches 13 - Floors (over an unheated crawl space) R- at Inches Crawl Space Perimeter R- at Inches Date Installed' 36.8 Blown insulation has been installed in conformance with the above recommendations to provide an R -value of: R- using bags of this insulation to cover 2 Lf CIL) square feet of area at a"minimum thickness of �s, inches. Insulation Contractor (signature) t 2 x 6 CALO ol• n t �r' 30.4 Company 1 Date Home Builder (signatu A 2. "J�n Company Date BW -AC -08 5/02 R-60 DIMENSIONS24" JOIST 2 x 4 BAGS/MSF 37.2 BAGS/MSF O.C. FRAMING 37.3 2 x 6 36.8 - 37.1 2x8 36.5 36.8 2 x 4 30.5 30.6 R-50 2 x 6 30.2 30.4 2 x 8 29.8 30.2 2 x 4 26.3 26.5 R-44 2 x 6 _ 26.0 26.3 2x8 25.7 26.0 2 x 4 22.4 22.5 R-38. 2 x 6 22.1 22.3 2 x 8 21.8 22.1 2 x 4 17.4 17.5 R-30 2 x 6 17.1 17.3 2 x 8 16.8 17.1 R-26 2 x 4 15.0 15.1 2 x 6 14.7 14.9 2 x 8 14.4 14.7 R-22 2 x 4 12.3 12.4 2 x 6 12.0 12.2 2 x 8 11.7 12.0 2 x 4 10.4 10.5 R-19 2 x 6 10.1 10.3 2 x 8 9.8 10.1 R-13 2 x 4 7.1 7.3 2 x 6 6.8 7.1 2 x 8 6.6 6.9 R-11 2 x 4 5.7 5.9 2x6 5.5 5.7 2 x 8 5.2 5.5 CLOSED -CAVITY APPLICATION P4'`3`s (EXTERIOR SIDEWALL OR FLOORED ATTICS) Contact Knauf Fiber Glass for more information. Knauf Fiber Glass, One Knauf Drive, Shelbyville, IN 46176 (800) 825.4434 Printed in U.S.A. i COUNTY OF BUTTE ` BUILDING DIVISION t� ` DEPARTMENT OF DEVELOPMENT SERVICES i 411 Main Street • Chico, CA • (530) 891-2751 ' 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE C2�i��o� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the e above address and should be corrected. Please notice this office when correction of work is completed.Nf you have any questions pertaining to this matter, or need additional explanation, � please ntact this office immediately. 7 Date 7-4,p / Inspector REV 10192 ^? - 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 �C 6 N 12190 03- (2G7,7 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. " l I'�a ✓i�l� : C1011AI T ,moi 14'W 7L1�' i ,E COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 040- - 6 ZONI G BUILDING PERMIT OWNER ANDR TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS _­ 3110 SHADY GROVE CT- CHICO, CA 95973 2797 IR 151,038 299 My N�TRR7ACTOR'S NAME CONTRACTORS 0W TELEPHONE 19 97f; CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace "All Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 881-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9-3-00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME TWN PAT MS PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 171 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 15 oo Each as water heater or vent 15.00 TYPE OF WORK New XK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MAST R 497-37 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 00 Mobile Home S G W 920.00 ° PERMIT FEE $ 19 ELECTRICAL PERMIT -00 Fling Feel 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ISI 11 force and effect. j S 1 /) License Class Lic. No. J 1 lJ OWNER -BUILDER DECLARATION I 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. C?- 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUR OR ADD S. a ACC. BLDS. SG 3.50H. 191-77 NOµq SID. T. MULTI.OUTLET @7.50 Po APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL O , 0 Ex. Occup. DUTLEETS Aa of 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 h, y affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' cginpensation, as provided for by section 3700 of the Labor Code, for the00 erformance of the work for which this permit is issued. 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' �pinp�nsetionjOsurange carrier and policy number are: Carrier �j {� -stn V�pl 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f 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 3—IO -G3 Signature of Appli nt - ❑ O • ❑ Contractor gent An OSHA permit is required fore avations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 00 30° Cooling I Hood 6.50 Ventilation 0 IS 00 PERMIT FEt $104 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 PE T $ 8 ° 2�OT L FEE $ HAZ D F IMP FL _ PARC PD HD This permit is hereby issued under of the Butte County Code and/or indicated abov or wh• h fees have By 5 PERMIT PIRES ON the applicable provisions Resolutions to do work been paid. /%� `aatm^ v� `614 Date Receipt No. O23 vo %- 3�•� WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINK -INSPECTOR 0LDENROD-APPLICANT COUNTY OF BU i TE - DEPARTMENT OF DEVELOPMENT SERVICES - BUi�IDiHG DI ISIOH 7 County Center Dave • Oroville, Cardornia 95965 • Telephone (5 0) 536-15 i . - P I.A1T 40. APPLICATION AND PERMIT J =MUM BUILDINC PERM T -F al Fr. o 5UiLDING VALUATION 3 "01311;1 O,d - `1 S9 a °t -5 q- =&,R%=WM N -/ TfLmIAN_ 1 V n O=NrR= flH9 C J `rl64Cm AN 1♦ it1�t � Nx0.G4"' I{DDA� O OA E� CWiLa Each LMF-OFSTRU=RE ; Duplex D Mobitebome O . Mer ss� yalua8on i; ICD�1. HBe T Fee s r Pian Chug Fes S PERtdrr FE-= $ TYPE OF WORK G= fro Add�m 0 Rw=dd 0 tfifts 0 hdWL96m /0 01her 0 9uMm Dessztbe Waft G_ .per *?-AIT FEE P. Alb sFtA OTM.• AMMW RcMIEd alum PUT zwo CO wdw heir or vent I mmtam 1 - 5 a¢196ts MMT Setvize ( a m% 70 so" 96T., OREL=(D=WP. . 20.00 20.DO 7.00 23.05 15.OD 15.DD 15AQ 15.DO C--20.00 2Q.D0 . [.a -00=p. Duna ox � e i � Es;. OZ=nLrx� "PP1"a' aw &Do Tmnpwmy Sere= MOD MobBe Horne Facmas MOD Mrs~ Wain 29.00 D. DO also pn- Nn FF. E It I0 T • i --ll U. Nbble Home India l- n Fee = Feb s ox� TO FEE $ �Nf•LJrI F7 0 CDfm I !� GSIa This perm8 is hereby Essued under the appS=ble provsbrrs of lhe Hud& County Cade andlar Re=hftru b do work bd'cat°d above for whizh fees have been paid. sly . Date .n_e n�udar-ass�ssoa PutK-a�,PaCiOR 60 a-=NRp0.l�PPLtCANT PE�MTT ARES ON �� tiirFM'- -ate �(+a=^lQ7'bT ,' � l/ ',�_dr•�' � 'Ir� T.nw •y�i�.++yS:wr•i..a1. +Y+ i+*a+ 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: Q ASSESSO EL NUMBER. 4,?;�3 Proposed Building Use: �ounter Technician: IU Date: Items required in order to apply for a permit. All boxes MUST be checked OR m ked NA in order to apply. L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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, (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. findexed and returned to the plan review line-up when required items are received. Date Received Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings............:.............:............................... Detached Accessory Building Form filled out by the owner ...................................... HazardousMaterial Form........................:.".................................................... Other The permit will be a Remaining,items needed to issue the permit. (May require additional plan review upon receipt of the following items.) W5- Feesas shown on the attached Schedule of Fees Due Sheet ....................................... }S'tatement 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 ............................... —1&4. 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 (q.Given to owner, ❑ Mailed to owner) ..................... g 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 and hold for pickup. I have been informed of the above items and2�equ f ents for obtaining a building permit. Cf 3_ Applicant: Date: -0 1. 1. Index permit application for the above ite s numbered: �/ Plan Check Letter 2. Additional items required ontract , designer, owner, was advised the -above data by p f'�'�l'U , counter, by Date: ,2r Pontractor, designer, owner, was advised of the ab ve d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: " . Date: D Plans approved by: Date: 3 Ll a3 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 03-0(,7'7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U"E ONLY Piot Plan Attachod Floor ManA c9a sant to ®. ner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well � Clearance for Awelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 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. # CDS • 6 j PROPOSED BUILDING USE N 7Sf � a- `:tT -byl DAA , RECEIPT ,# DATE REC. _X9 1. BUILDING PERMIT FEES Balance Due ....................... $ % -9-I LV Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$$ 2. SCHOOL DISTRICT FEES J (paid at District Office) (Available after Plan Check) (J" 3. SHERIFF FEES (paid at Building Division) od `7Sq�1--CS Residential ...................... 2 x 60.0 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Divis' n Residential ................... --�- x =$ # Uruts Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 45. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEE $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 3' /O -G 7 -.. Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant - 3rd Copy - Owner (Rev. 6/00) BUTTS COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION SAM PARR DISTRICT Assessor Parcel Number(s) Property Owner M Project Location/Address CL c Subdivision- li � fin�%1� Lot Number (s ) Residential Development:.(check one) New bevelopment Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: 0 Building bepal ent Representative Date Chico Area Recreation and Park District(CARD) certifies that. Applicant Name N 67ove Cf - {Dy1-.3L { Phone Number) (Street Addressl) CtiIcu i'� �S5 7 (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for / dwelling units @ $1,189 for total payment of $ /I &.. CARD Representat' PAID BY CHECK NO,�=CC� REMARKS: BANK N0. PAID BY CASH RECEIPT N0. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) � 11,-71e Date Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building -Dept. n4 '4"„n, 12=11ph 7VA! 1199.0n School District t 'A.P. Number Property Owner BUTTE.COUNT"CHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) , Property Location/Address i Subdivision j r w Residential Development N+ofiving Units i f Commercial/Industrial _ New Building Building Department No. Jud§diction: City County Mobile Home Installation Addition Lot No. , r ..........................................................................................................!. Q Sq. Footage 1 Addition/ 'Supplemental to (Group R) Conversion Permit 9 *(No foundation inspection); ................................................................................................................... (Floor Plans reviewed by School District Sq. Footage (Including Exterior Roofed Areas) Date f f , Di j District Identificationa)No. /�� \ '^ School District certifies that �••• / ' I I� �Y l , (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing � ! 5 7 square feet. School District Representative Paid -by Check# (State) (Zip Code) U Z by payment of $ AB 2926 $ FULL MITIGATION $ Date i" Remarks: S 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 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (E�R'�i11 �. (Rev.12/96) APPLICATION AND PERMIT O� �U` ASSESSOR PARCEL NUMBER 040-640-045 ZONING BUILDING PERMIT OWNER �py�� }� Al\Ui\l'.�iY 0 1 TELEPHONE A /x_QQ SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS -. 3110 SHADY GROWT 1 _38, q5 308,15. CONTRACTOR'S NAME 0 TELEPHONE ti 1 1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 110 LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ }; ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ i .13,00 BUILDING ADDRESS T Energy Plan Checking Fee $ $ PERMIT FEE $ 24.00 LOT NO. 231 SUBDIVISIONS NAME WTN PAJAR PARCEL MAP �� S1uf � SS,4 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 9 USEOFSTRUCTURE SF .L]X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 R. Each gas water heater or vent 15.00 S (1fl TYPE OF WORK New A's Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: MA.S'I'FR97..Q7 Gas piping system 1 - 5 outlets 15.00 K Building sewer 15.00 f1P► Mobile Home S G W @20.00 PERMIT FEE $ 1 ,00 ELECTRICAL PERMIT Fling Fee 20.00 (100V OR Main Service .0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 i dull force and effect. 1 -^> f) License Class Lic. No. WWW ! ! RJ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑r 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 r Main Service 200A TO 1000A 46.00 NEW CONST.DWE ff OCCUP. sO OR ADDNS. ( a ACC. S.3.5Q�; NOµREOSIUT' MUL 11 XRLET @7,50 POWGERLE APUTLETPARATUS a SIN OCIR.20g 1.00 Ex. Occup. OUTLET OR FIXTURES BAL o .50 Ex. Occup. .FlkE s Aa oR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1 7 WORKERS' COMPENSATION DECLARATION 1 hekby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate lof consent to�self-insure for workers' 01 cyympensation, as provided for by section 3700 of the Labor Code, for the pIerformance of the work for which this permit is issued. tp 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' aolnppnsation nsurange carrier and policy number are: Carrier � -." MECHANICAL PERMIT Fling Fee 20.00 Heating 9 1 Cooling Hood 6.50 rA Ventilation 4 4 .18.00 PERMIT FEE $ 1�11L Policy Number � F Ce5 (,0' A (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ �� Date 3' /0 G Signature of Applicant - ❑ O er- ❑ Contractor O'Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ I Energy Inspection Fee $ 46.00 ^j �rsT. TOTAL FEE $ 1.438.27 ,�, , D P Es IM O COP ,� PARCsFL PD Ho 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. By A Date '7 r / PERMIT EXPIRES ON 41/J Date ReceiptNo. ��/0-133�%� ���.S.6J�.s � � P 14"35S."'Sr WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT POOL SPA SPECIFICATIONS SPECIFICATIONS \ SeP+i' Sys+e n, ` a s per O uff a Co. . � Sire IG�'X 4 o' Atea600 Sq. 40 Neatfh Dept. - TYp� . Depth �5' to 6 ' Per 1 !o ' Size Dip. Depth \ �u'E'ure [.each field . Shape C Total Gallons -; Pool opacity Gals, Spo Jets filter $ta • R itE 450 D. E. Heater _ Q. r% 78""6 27 APPROVED Butte County Environmental Health Date Signature 19z. 16 P. Le Purrip. Whisper;'1ow 2- H.P. . Mdlr1 hmAn Uno Two z" : Sklrnrner-tine z .RoWm tines -Fo� e 2 " Arta Cleaner the I VA Sk nnrmer Model Us 8001twash tine N /A Autofill Pool Miser 314" AnE Siphon Volvo 31,t Turn Over Rate 4- h r s Homer None Size No- R.'EU. Gat tine tight SW Walt UL. Approved EIGmC is By E. P Elec. Bonding By L P. 220 Panel with -Clocks Auto Pool Clean` Lefro tone -Seat Per Pla r Dock Rock Sq. R. Per Flan Coping Norge Color Na+. L,ava, Ra c k PICSter T h o e NOTES Rocky Ecu 1 fed Plan Pump motor: Pump Make Cos Une by Spat Plumbing EleCttjCa! bar Wang By E. a Light UL. Ap Skimmer U-3 Merin D iain `SOLAR+CENERAL. SPECIFICATIONS. Sq*.#• Pool Sq it. Panel Panel Type Pana# Size Nurnberot Ponels- Saiar�Bk�nket: OWNER To determine: Approx• elevation of pool on day of excavation. Pool area to be fenced. By owner per county or city orinonce, gates to be self. closing and W latching. Do not turn on pool got, when pool is empty. Owner. to wet down guntto shell at Feast Z Ernes daily for 7 gFILS, PERMIT OFFICE uff-e eo. .Phone . w 5 7C0 LLj .. s,- ... .,,. FLOOR PLAN - � y .` c y f , ' <° r , j FLOOR PLAN c y f , ' <° r , h haX P � t INSTALLED OVER RG -1 GHAN. =f s X :. 5 d P_ 5 d p - Q t f AT I6" O.G. i g . �f •. �, 50 fRV. N ZI Nd - fi f x N o o 3°5 5H W/ I� 5HEA. SIDE 4 5916ARCHi fry" •I ABOVE MULLED i 11 I _o 0 I6 &0 CAR. DR. PP9P OAR. DR. t `r 1 11 -6 1 .1 I I -O 1 11 6 j� a� 3 I/8 x. 13 I/2 24F.V4 O.L.B.61-611 state - 651 `�+�� Environmental'IHe'alth :y 5 } jA-5- 22 =611 .22 31 (� M R � 0 2003 :#' t. i California _ i..lV1NC 'A A' , _ , ,f ;. . GA GE ( y FLOOR PLAN c y f , ' <° r , h haX P � t 4 =f s X c y f , ' <° r