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043-390-010
0 43-39-10 Dan Cargile 811 Carrgrove Ct.,lot 10, Big Chico Creek Est., Chico contr: Jerry Price, Chico Permit #1077 ;81B,P ,M.(n® single family) 43-39-10 !—` c ontr: Sunshine Pools, Chico Permit #2031-81p,P,E(new pri.swim poop —�—��_-.d_/ 043-390-010'. PERMIT#95-304'4 :ADAMS;. Ronald &Sandra; 811 Carrgrove Ct,.';. Chico Cont, Johh -Edwards. Home"''s Water.:Heater/SF . 116 C E J.\ ��a \ � d.: .�<z � v: �:�.\ �y2. . z: y � \� 3 \» /.�/\°. \' � � \ �»°� ��\ .��\ \�� \\ � b� \ «. �� % 2 � f. � -� ± ?��� � 2^' y y: R \<� \�� /\ $� \ � �� « � � . �\ /. \ � 2\«� {.\ . {. . .. . ,. .. � , � ��\ ©<� 2 � \\\�ƒ \ ...: T9.; � s .. r�ar'^f1 :a s -r .,�.:. n. ^� J �. ,,.....�-.-,. '•IYG.^fY�'P , •p- «arty 'f -^; �tl 043-390-010 ". PERMIT#95-3044 .ADAMS,' Ronald & Sandra 'x.811 Carrgrov6,Ct. ;,._Chico Cont; John- Edwards Home's F. Water Heater/SF r ' 4Iz 14 , �#4 ' :� � � ;�i,��r.;,�..r;..�. .F�.� ,�:aF'`."''7'- �'+: Y ..sr'+ -r-.... ..r.^ r ••.-.-.-..s,.r.,.-t:..;,.F f7.-- \ � 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / O _ D 49(4 ZONIN?5 BUILDINGr ERMIT OWNER rJ� •,.�7 Tam"E SQ. FT. OCC. BUILDING VALUATION OWNER'S MgIUNO/AgDRESS: ,/+'/` � J�-t/ V 4- CONTRACTOR'S NAME d t- w A ti J -n,z ' TELEPHONE -z yeg CONTRACTOR) Mj. IRES _ 1 Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS HARING ADDRESS Penalty $ BUILDING ADDRESS -, PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 dt) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r y� n Describe Work: 1/'"TG-,5. Mobile Home I S I G W @20.00 PERMITFEE $�� Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 BusiRMons Code, and my license is in -f II force and effect. License Class Lic. No. C9 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 astheir 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 NEW CONST. DWELLING OCCUP. SO. OR ACDNS. ( 8 ACC. ) 3.5{t FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOfTURES ) 20 @ 1.00 BAL so Ex. Occup. ( OUTLETS (RESID.°EA.) 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($tOO),or less.) \ I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. eoo" X/7�f.► te �.f' /i Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ Energy Inspection Fee is Occ CONST. TYPE FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B! "' �4-E� Date � v PERMIT EXPIRES ON / 3 (Date) ' Receipt No. 70- ( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL N�; �.D CJ ` ZONIPES BUILDIN ERMIT OWNER �� h' n TINE SO, Fr, OCC. BUILDING VALUATION OWNERS/7DRE�� , CONTRACTO�RR''S- NAME Rtt_ CT LEPHONE Z CONTRACTOR) Mai DRES , / 1 S %Z L Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 ,rdt) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: '��-- �-" Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Busin ss n Proles ions Code, and m license is II force and effect. y f License Class Lic. No. ,� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, asownerof theproperty, or my employeeswith 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BUDS. ) SO. 3.5¢ FT. CNS. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. OUTLETS P(RESD.DEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions. 12A ate I Signature of Applicant -' ❑ Owner ❑ Contr ctor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or onstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE •r TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I COF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for hich fees have PERMITEXPIRESON f I applicable provisions Resolutions to do work been paid. Date 3 �3 (Date) Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E] PERMIT NO. 1077=81B,P,E,M PERMIT EXPIRES OWNER Dan Cargile Jerry Price, Chico CONTR. 43-39-10 ASSESSOR PARCEL 811 CArtgrove Ct., lot 10, LOCATION Big Chico Creek Est., Chico Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ CalledP &E JOB LLED (Date)4 Signatur ERSET CbM PANY LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT2JZ� 2c�` ' CT G� cyI C �i-1 (-. �f S S 2 � (location) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge Allh- Fdn. Walls UIA— Floors Walls Ceiling/Roof 3t? Ducts Circulating Pipes APPROVED HEATER__�� APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV IC S CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS OERTIF ATE AS SUBMMI�TTED. Insulation Applicator Named%L� CeC> Signature of ( ease pr' t) Insulation Applicator State Contractors License No. 36Z�_J�1� General Contractor/Ownr Name A4' 2Q2`; l� ?r2 ..(please print) Signature of General Contractor/Owner Date AL State Contractor License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG •_-6. Carports; Windows—Doors 7. Utility Clearance 7% Elec. Card -BI Date card -131 Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1, Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL -(Single and Duplex) , Date UNDE OOR (Plans OK except #'s Date FRAmip (Continued) nin requirement - etbacks-Easements 4 rope Line Firewall & Openings Mk; ; S-Elesf=E c d.- / /" Ftg. Depth (i . Doors -One 3' -Check Garage -3rd story, 2 exits Garage; S q' -S - / Z/" Ftg. Depth 5 idth-Headroom-Rise-Run-Landing-Fire Protection 1 t Porches & Decks; Soils -Steel- / 'L/" Ftg. Depth On Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-S 51t -Siding -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrapped Slab h -Drip Screed-Fdn. Vents-Underflr. Access /! pla Ftg.- eel ff azing Area -Glass Protection -Skylights -Plastic Wills; Nailing -Bolts T D.W.V.: F -Fit ' s w O ew 9v -G 9 Pipei6_ize-Anchors 10. ater Pipe; Test -Anchors -Regulator -Service Test i/ ectric; Underground 94�_s: Ducts; Cle rant (-Material Support -Ins. 4a GiFdew Sills -Anchor Bolts -Joists -Vents -Cripples Card- Date Card -BI Date 'kqJ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card- Date Card -BI Date S' _ Date FIN lans) OK except N's Card-BIDate Y4W Card -BI _ Dat Date PLUM ING (Permit) OK except q's t. Steps -Door & Sidelight Protection -Landings gillo,Sn� a Detector - ter Ht.; Vent -Access -Combustion Airurnace; Vents -Clearance -Comb. Air -Connector- I arage; Above Floor-Ducts-Mech. Protection 1 ter Pipe; Test & Agchors-Naij Protectiopl & An s -Nail tection 5Vgpdrbom Exiting 1 hower Pan; Test, First Floor -Tub ss 6 . G. .. & Bath Fixtures & Tub Access b & Shower, 2nd Floor -Tub Access 6 19lec. Trim & Subpanel; Breaker Sizes -Labels _ 1 Gas Pipe; Size & Anchors IIS or S ; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI DateI�Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 6Q/Garage Fire Door; Swing -Landing -Closer V b8 �A,�Bact-tfl'Garage-Damper 2 ixture & Transformer Clearance -Ins. Protection be'tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.Y.- In rage; Above Floor-Mech. Protection tZ Elec. Receptacles Spacing -Lights &Switches at Doors 7 „ Elec. &Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled Ele eceptacles in Garage; (G.F.I.)-Rom Protec. o Installed Close to Ed of -S C. IPAuip. Ground made up w ech. en and G ate n tion -Foam -Looked in Attic es ua�Rails &Deck Construction-Pos 2 ALQapf ppliance Circuits in Kitchen & Conductor Size _ Su f OPTPE SriL / / ga. Cu or AI-A.C. Wire Size / ga. Cu or AI 7 dn. Vents & Crawl Hole - rainage & Wood -Earth Clearance Lo d under Floor _ 2 ange Circ. / 6j/ ga. Cu o Al Ov ga. Cu or AI, In aced Neutra ❑Yes ollowing instl Drive es ❑ No; Walks es ❑ No; Planters es 1J_ No n -Finish tt _ Ser a -Riser tors & Gr -Main Ckfonnect 2 ip. Clearanc ;Panels-Motors-Mech. Equip. 7 nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Cl'beft Light -S g ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 9@- "M-e1T; Disconnect, Electrical, Plumbing E r Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date ( Card -BI Date 8 e tion throughout House Card B -I DateS-�O�C� Card -BI Date las otection Date ME NICAL (Permit) OK except q's orr ' ions from Previous Inspec ' s 8 . Test -Meters Tagged; G le c. 3 . A Ducts; Insulation & Support at & Sewer Connected -C/O to Grade -HD Approval 3 Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 3 C densate Drain & Overflow; Size & Grade 34e' -Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet cess & Platform if Furnace in Attic Card -B Date Card -BI Date Card -BI -_Date•./L� Card -BI Date Card -BI Date Card -BI Date 7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR NG(Plans) OK except q's 9,ompents at Final: . S' s; Proper Material & Anchors le lee 3 Is; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 3 e ing Walls over Girders & Floor Nailing 3j� Stop in Walls (rat proof) _ i_wS tops; Furred Ceilings -Stairs -Chases -Tub 4 der & Beam -Size & Bearing Caps -Anchors -Connectors �,.rs-Post �/Joist-ftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.ace Ties or Type AFlue-Fireplace Throat _ 4 At 'c Access; Size & Romex Protection -Draft Stop -Ins. Baffles m. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT`NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 7 Y/ T APPLICATION AN6 PERMIT / / �l ASSESS04 PARCEL NUMB U ZON N� BUILDING PER owN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRE 0 CO ACTOR'S NA -rril,A 71 ITELEPHONE W -3-q,5-46 CONTRACTOR'S MAIL( ADDRESS CFireplace CONSTRUCTION LEND AJ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ I f7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS `� " PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 24,C0 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP �f I a, C6 C Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system TP--OO TYPE OF WORK New Addition El Remodel❑ Lit ilities❑ Installation❑ Other El Describe work: Permit Fee $ 1W, CO Contractor ELECTRICAL PERMIT Filing Fee 10.00 11V OR Main service 100 AMP ORSLESS 5.00 S'bp Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLI - U� N1 OR ADDNS. \ ACC. BL / 20 Sq ft !21 CONTRACTORS LICENSE LAWNEW I declare under penaltyperjury of p y (Check One): 0�am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C9dg�nd my license is in f force and effect. License No. / Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the -owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code • for this reason CONSTR T E NON.BRANCH CIRC ITs 2.50 ea NEW CONSTR /POWER APPARATUS tr) NON.RESID. (ANGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B L@+a BAL@1 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate- of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating V 7, ,i10" b Cooling %, IM Hood 3.00 Ventilation Permit Fee $ ,© Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I a o agree to sav ,indemnify and keep harmless the County of'Butte against all 'abilities, jud m nts, costs, and expenses which may in any way accrue again t id C un i coM;s quence of the granting of this per 't. te X Signature Appli or— Owner ❑ Contractor Agenr An OSHA P it i required for excavations over 5'0" -deep and demolition or construct- struct s ov 3 stories in height.ipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OC CU P. GROUP �JLISS11TYPE of CONST. PARCE Pb ' ' 3 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE44, EXPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-D.P.W., Lr �-�� �� Lion,Coff No. c� U�, 1 � YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT`OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF ,ORNI.A 95965 - TELEtPHHOONE 916/534-4541 wr PERMIT APPLICATION DATA SHEET OWNER Permit No. A. P. No. 41.3 '.3 fir– / a Proposed Building Use U Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (`explain) Q - Building Inspector Date 44 —i—,6\ 0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . ' . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ nn . . . . . . . . 9. Letter of signature authoriz .i . . . . . . . . . . . Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17.. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mai II t, owner. _ Telephone�.���/s��i and hold for pickup at f ' Joffice. Other Mail to contractor. _Deliver w/inspector..: I >>f� Applicant . 4 Date "'i� t 0 1 Copy of plans sent Health Dept., Fire Dept., Other, Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: T (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved byz* SAI Date Other: 10, Copy—DPW IAA-- ® &A- Other Mt To: Building Department '. From:, Environmental Health Subject: Sanitation Clearance Owner Location Jam' Plans approved. for., Sewage Disposal dater Supply � Hold final for: Final, Clearance O oK a for: Water Supply dater Supply Clearance for �4,-'- bedroom mo - nome Other Clearance for addition of -_-- Notes Sanitarian Uate RESIDENTIAL PLAN CHECKING GUIDE 167 77 —� (S.F., DUPLEX, & MISC. ONLY)6 Bldg. Permit # OWNER A.P. # A. GENERAL r zoning requirements (sideyards and parking). - Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Somplete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN omplete to scale plan with dimensions. ___._Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). all 4 llowable glazing for energy requirements (20% max. per.State law). `Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ,9! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. rage firewall, door size, and closer (Sec. 503(d)(4)). �lrl/ 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. .33' Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ,1! Foundation plan complete enough to construct building. ^. Floor construction details complete enough to construct building. ,3! Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). �rQardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. � arage door or porch header sizes. Adequate bracing. building. (State law). Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. , Two (2) exits on three-story dwellings (Sec. 3302). Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E— "I Temp. Gas Service, CalledPG&E FINALED (Date) Y'2031 PERMIT NO. -81B P E > > •//t�'� PERMIT EXPIRES OWNER Dan Cargile CONTR. Sunshine Pools, Chico ASSESSOR PARCEL 43-39-10 LOCATION 811 Carrgrove Ct., Chico Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E— "I Temp. Gas Service, CalledPG&E FINALED (Date) OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easemerits 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing=Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.-Connec.—Shthg.-Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns=Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date' MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Dater _ Date Card -BI Date _ POOLY-051ans) OK except #'s 1, Zoning Requirements—Setbacks—Easements S915acks—Easements 1 2. Footings; Size—Spacing—Marriage Line S W-, Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances Po Structure; Steel—Connections—Thickness—Dead Men—Lining 1---' Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector le , Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7, Water and Sewer Connected—C/0 to Grade—HD Approval I .; Enclosures; Conduit Entries—Terminals—Listed Vwleg,, Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged lec.; Grounding; Equip,w/5'—Circulating Equip.—Pool Lghig. B es—Enclosures—Panel boards—Ins. to Main in Conduit a th Department Approval 1 lumb; Cir. Test—Water Supply Test 9, Exits; Insp.—Sketch 10, Cert. of Occupancy Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI �� Datey�/ .$7 Card -BI Date J = OK 0 = b,,iot OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans 'OK exce J#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI 'Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer . _ 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection . 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes [:)No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31, A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI -__Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthnq.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46._Bdrm. 47. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youl4isit jobsite) • County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Par^dise — 877-3435 CORRECTION NOTICE Building or Property Address ; A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 'when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ........................ i ... !.71!.../�........ �`...f..f..L.�.%'...................................................... ...; ,1�.....-...o...... ........... . . ............ ..... ..................................... ........ .... `Date....Insp ecto-..�e.......r ...... Do Not Remove This Tog ( 400-4) .COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Eniott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date_ COUNTY OF BUTTE - DEPIARTMENT OF PUBLIC WORKSPERMIT NO.. 7 County Center Drive - Orovilie, California 9555 f� elephone 916/534-4541 APPOCANON AND PERMIT' I ASSESSO PARCEL NUMBER 3� 0 ZO ING BUILDING PERMIT OWNS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 00 OWNER'S MAILING ADDREr COTRAC TO �TOSHAMETELEPHONE i 0S DrC /C CONTRACT R•S AILIN ADDRESS �2-d, Fireplace CONSTRUCTION LENDER AIDAIZ- UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ QC7 ARCH( CT OR ENG( R L NSE NO. Plan Checking Fee ,$ Penalty $ AR HI ECT OR EN INEER'S MAILING ADDRESS '- Cp Permit fee $91/6,196 BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 � L � ' Each Trap 2.00 Repair drainage or vent piping 5.00 C -//GCS Water piping 6 LOT NO. SUBDIVISION NAME A? 6� Uri PARCEL MAP Each qas water heater or-ventt& , 5,00 Gas piping system 1 - 5 outlets _5700 USE OF STRUCTU)9E SF ❑ Duplex❑ Mobilehome❑ Other `, f' �.00112Lawn SPECIFY Building sewer sprinkler system 5.00 TYPE OF WORK N,ewET <Adtion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ �Qv Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP,pI) OR ADDNS. l ACC. BLDGS- 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business 5f and Professions Code and m license is in full force and effect. 3 57 Z 9 y License No. Classification � � S 3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR C1 E OUTL2.50 ea NON-RESID BRANCH CIRC T TS NEWCONSTR ((POWER APPARATUS S) NON - RES ID, SINGLE OUTLET CIR, 50@25a Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APLNS. Ex. Occup.(OUTLETS (RESID )R EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring % 7.50 —p Permit Fee $ a Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify'that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County in con se ence of the granting of this permit. {�/� / r1 X ' " ' v`'Q'� Date "' —7 �� r Signature of Applicant — Owner ❑ Contractor 1AAgent ❑ An OSHA permit is required for excavations over'5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ J occuP. GROUP I TYPE OF CONST. I JPARCELJ_ PD ./ NDSSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. j\D 7�� WHITE-D.O.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT +OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -: OROVILLE, CALIFORNK 95'os -. TELEPHONE: 916/534-4541 '.'PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use ' /_/Zr /'"D.7 / Permit Fee Based Upon: -"complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �9: Letter of signature authorization. • Sanitation approval from 611V.%,- / Health Dept. . . 6�—-:3 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Other When you issue the permit, process as follows: Mail to owner.y Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other t / / Applicant / �Date —V Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance.- (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date V Other: Copy -DPW O ct cQ �1 O G C ct py 0 m � o' ct ct OW � , 'W cwD • tao p W �A r O N 0 y M H ti h K a ct 0 O d K w 0 .. O 0 r P. s e o a �J ccr a� ti H O G C ct py 0 m � o' ct ct , 'W td 1-C ed W �A r O O G C ct py 0 m � GENERAL SPECIFICATIONS SIZE/? x AREDEPTH 3 TO_S- SHAPE elaAle V PERIMETER 61 TEMPI -ATE NO. CUSTOM TILE SIZE (P x TILECOLOR CA1010-6 COPING 1-45 COPING COLOR POOL CAPACITY GALS. PUMP CAPACITY G.P.M. MOTOR H.P. •H.P. FILTER SQ. FT. FILTER RATE Lo D G.P.M. TURNOVER HRS. VACUUM LINE & SKIMMER RETURN LINE MAIN DRAIN //z. SKIMMER—MODEL BACKWASH TO cy -2—'6'OFIV," FILL LINE jl. ANTI -SYPHON VALVE HEATER `77to-J4P- 6 SIZE 2Z `-7 '6 BTU GASLINE BY: VENTED BY: LIGHT CLOCK ELECTRIC BY: UQLLjE+l ELECTRICAL BONDING BY: POOL CLEANER CHLORINATOR "C, BOARD --SIZE hi BOARD SUPPORTS- LADDER—Model SA Water SLIDE--# Color-- GAL Hookup ROPE RINGS W/ ROPE & FLOATS ITILE GRADING DIRT WALK STUB PLUMB Er YES0 140 ITRACTOR SIZ & COPING y'° 0 ASAP 13. OTN DECK BY: TREES, ETC.' 4Z CONCRETE REMOVAL BY: RAISED BOND BEAM: --YES 0 NO Er' HEIGHTWIDTH SALES OFFICE SCALE 118" DATE SWIMMING POOL. onsw%\3 'k*\ces PHONE NO. MGR. )54A1 le- NN0TVmG00A ?TO-t%f'e 'xv% NAME °edcoats NO. OWN. BY ec�glSC.000le Spec L\ SALESMAN JOB �;7'0 V tE C7 ADDRESS A �or 000 6b P . lr 11 ' - MAP BOOK NO. acin esr- � "O�ns OWNER: TO DETERMINE APPROXIMATE EL . EVATION LEGAL DESCRIPTION CKID. By 4-) 16-1-41 ll� 01 OTTO. OF POOL ON DAY OF EXCAVATION. CROSS STREETS L nWNFP- RES. PHONE aIle ounue