HomeMy WebLinkAbout047-430-01947-434-19q3
3S59-89B,P,E,M
:GREGORY,Gary 4
4693 Gardenbrook Di,%�bt 1, Car -age
Estates,, Chico, -
(new single. family).
.47-43-'19- 1970-91B, P; E
FREDERICK, Chris
4693 Garden Brook Dr; Chicb
c'6nt: Care -Free 'Poo_ls
( swimming ,,.Pool)t. ,
64i-430-019-,., ew-3100
4693 dkRbfNi3ROOKDR.; CHICO
CONT:"-N"T-f§
UO EX' G'ASWAT"E'.R'HE�__ A-YER', q,,"'.v
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541^I
(Rev. 12/96) APPLICATION AND PERMIT (2,,-�5
ASSESSOR PARCEL NUMBER ,v`
ZONING
BUILDINGPERMIT
OWNERT
�O
H NE
SO. FT. OCC. BUILDING VALUATION
.OWNERS IYM AqRgS G
CONTRACTOjiS NAME _
TENE
N�4SJ�
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
IAT NO.
SUBDNIS ION ErPARCEL
MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFA Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00 3,
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Liilities ❑ Installation ❑ Other ❑
Describe Work: CRDMGR 69a
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G W
920.00
PERMIT FEE
$ r
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service zoOA 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 �6 Lic. No. H 3i1 c3 Q Z
G .
OWN WILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW %NG OCCUP.
OR (
3.5Qso
cDNS.ONSMULTcou�nEST
NONNEW-RES'..
@7.50
POWER APPARATUS
8 SINGLE OVILET CIR.
Ex. Occup. OUTLET OR FDCTURES
20 p 1.00
BAL @ .50
Ex. Occup. OFIx�EEDTSA AEs oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
9
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.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compen}atign insurance carrier and policy number are:
Carrier l�zzo
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEP_
$
Policy Number ?,W
(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'
pensation laws of Californ'a, and agree that if I should become subject to the
wo ars' compensation pro sions of section 3700 of the Labor Code, I shall
orth ith comply se r visions.
X Date j �j ?i
JSignat e f pplicant - ❑ Owner ontractor ❑ Agent
(An O A er t is required for excavations over 60" deep and demolition or construction
of struc res overr 3 stories inheight.
Mobile Home Installation Fee
$
Energy Inspection Fee $
O
,�q
-3�
/2 TOTAL FEE $
HAZ.
O FEES
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ova for which fees have been paid.
By Date — J ?'01-
PERMIT EXPIRES ON
(Date)
ReceiptNo. 3& 31p q67 3 S' °`'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Name IFREDERICK CHRISTOPHER &CAROLYN E
Addr1 14693 GARDENBROOK DR
Addr2 I CHICO CA 95926
Addr3
Addr4
Comments WAS 047 490 001 S U B MAP 112-24
Creating D oc#1 196619999999 Dake 09/22/1988
Current D oc# 1991 R 12868 Date 04/02}1991
Killing Doc# D ate
Asmk D esc LOT 1 CARRIAGE S uplCnt �0
Zoning IS R 1 D yell F1-- .
Acres/Sq Ft 12.54 -- N/C 047
Asmt # 047-490-019-000 Fee # 047-490-019-000
Status ACTIVE Status Dake 09/22/1988
Tax 000 INORMAL OWNERSHIP TRA 062-140
Situs 14693 GARDEN BROOK DR CHICO
Base D k 112/3112000
Timber Preserve
AgPres
E kal
N otes
Bonds
multi Situs
Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
T Split Pending
Land
S kruckure
Fixtures
G rowing
Total L&I
Fix. RF
MH PP
PPI
1221086
924,149
0
0
446,296
0
0
0
E xempkl 7,000
NetNetl 499,296
Ric#j
T!R Dt�
R!C Stat
PHS' I OWN I EXP I TAX I H R N I AT T I S I T I ,SPR. I HCL I
lip? Find
l
L �
IDENTIAL
-43-19 1970-91B,P,E j
FREDERICK, Chris
4693 Garden Brook Dr, Chico
cont: Care -Free Pools C
(swimming pool)
{
y .
1 ..
J
-
,t
i
i'
JOB F
Sign
J
,J OK
O=Not OK •-
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date _
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
S. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card,8-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (PlaperOK except #'s
ac ements
ils; mpaction-Structure Stability
P Structure; Steel -Connections -Thickness
4. .; Receptacles and Lighting, Distances-GFI
E�1 , Pool Lighting; 15 volts-GFI
E13—Enclosures; Conduit Entries -Terminals -Listed
EI .;'Bonding; Metal w/5' -Circulating Equip. -Heater
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ B s-Enclosures-Panelboards-Ins. to Main in Conduit
H h Department Approval
lumb.; Cir. Test -Water Supply Test
Card B-1 Dat,p
!" !lam/! Card B-1 ,(F/O;
Date -lq- / Card B-1 Date Card B-1
— e
v
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDERFLOORlPlansj O -K except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING jPermit),OK except #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
----------------------- --------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--------- ------ -----------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------------ - --------------------
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
---------------------- -------------------- ------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
- ------------------- ---------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
--------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------------------------
26.
------ ----- ---
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
--------------------------------------- --_------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
---------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
------------------------------------------------------- - -
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 .Yes ❑ No
-- ------ - --- -- ---------------- --------------------------------
30.
----------- ----------- - - --- - --
30. Service -Riser Conductors & Ground -Main Disconnect
------------ ------ ------ ----------------- -------------------------------
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
-------- ---------------------------------------- ------------------ -- ----- --- --
33. Smoke Defector
----------------------------------------------------------------------------------
Date Card B Date Card B-1
-
-----------------------------_----------------------------------------------- -
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) Ok except a's
34. -.A. -C.- Ducts. Insulation & Support
---------------------------------------------------------------- -
35. Vent Fan: Exhaust above insulation
----------------------------- ----------
36. Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-------------------------------------------------------- ---------
38 Attic Access & Platform if Furnance in Attic
------------- -------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------- ----------------------------------------------- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except fr's
39. Sils. Proper Material & Anchors
------
----- --------------------------------------------------------------- ------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------------------------------------------------- --
41. Bearing Walls over Girders & Floor Nailing
- - - - -- --------------------------------------------------------
42. Draft Stop in Walls (rat probf)
------ ---------- --- -----------------'----------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------- -----------------------------------------------------
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garaae Fire Protection Framina
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Storv. 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. -Insulation -Walls -Ceilings
------------
60. Infiltration -Walls -Windows
-Date-------------Card B-1--- Date Card B-1
------------ --
Date - Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------- - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
- - - -- -- --- - -- ---- ------------------
64. Bedroom Exiting
65. G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
-- ----- -----------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
- ----- -------------------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
---------------------------------- --
75. Plb.. Elec. & Mech._Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-- ----- --------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------- -
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
- - - - - - --------------------- - --------- - ------
80.
-------------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
Openings
- - - - - - - -- -- -- --------------- -------------- ------
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-- . - - - ----------------------------------------
87. Glass Protection
---------
88.
------88. Corrections from Previous Inspections
- - - - - -- -- -- ---- ---------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
------ ----------------------------- ----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
--------------------------------------- ----- ---- --
Date Card B-1 Date Card B-1
------------------------------------------------- -------
Date Card B-1 Date Card B-1
------- ----------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P MIT.NO.
7�1—
ASSESSOR PARCEL NUMBER
47-43-019
ZONING
SR -1
BUILDING PERMI
OWNER
Chris Frederick
TELEPHONE
893-4531
SO. FT. OCC. BUILDING VALUATION
Pool Est. 16 000.00
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
Care Free Pools
TELEPHONE
342-4639
CONTRACTOR'S MAILING ADDRESS
#9 Alyssum Way, Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 16 000.00
Filing Fee
$ ;0.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 116.50
ARCHITECT OR LINER
LICENSE No.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$141.50
PLUMBING PERMIT
Filing Fee 10.00
4693 Garden Brook Dr., CHico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
1
SUBDIVISION NAME
Carriage Estates Sub.
PARCEL MAP
��_,0Z
Water piping
1 5•00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pool
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Sw mming Pool _
Master #SQl-88
Permit Fee
$ 15.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 3�Qci �6 Classification. (2—
❑ 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.61
OR ACDNS. ACC. BLOGS.
, /ZOsgft
NEW CONSTR ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
200500
9 ALO 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID IREA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
1 15.0 15.00
Permit Fee
$ 25.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent'to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. i agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again aid Countconsequence of the granting of this permit.
X 1 X
�-�/ Date /
Signature of Applicant — Owner ❑ Contractor [J Agent ❑
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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 181
HAz. cuA PARK SCHL FL EDF PAR PO
) HD
Issu
This permit is hereby issued unser
Bions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By-
y
PE T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Receipt No. 93143
-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
..-. .g,. i .. .., _ Y ..� 1.,. .. ;l _.�� „r. ,, _,.. --� •_ .. �. rs.a-•_iiy m..,..rp..:•�.,-.'!•- + .s '� ._ �.,.. , ,. _.. ,.. - .. c. a
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
° 7 COUNTY CENTER DRIVE - OROVI E CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
�^ _r��— y ,/ Permit No.
OWNER c _ N �% � I�12r_1 / e � ) A. P. o
Proposed Building Use � a L, Building Inspector Date -
0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
�. All items have been submitted. DATE RECEIVED APPROVED
2. Plot plans in duplicate/triplicate, signed by,preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13 -School District fees paid ..............
Sanitationapproval from G 6 / Health Department Z
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail o ow er. Mail to contractor.
elephone -_734 hold for pickup at office. Deliver w/inspector.
Other
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date.
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone—mail-_- by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
WIMIM
TO Buildinal epartment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#,
Plan Approved for: Sewage Disposal Water Supply
Fold final for:
Final clearance O.K. for:
Clearance four bedroom mobile home. Other
NOTE * * *
Water Supply
Water Supply
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. PERMIT NO.
7 County Center Drive - Oroville, Gallfornla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBR—
ZON
BUILDING PERMIT
OWNER/ `/ /
`
TiMO�'',�-3�
b_/ —7.�•
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADQJJ.9S2
4EL S
COAG R'S NAME�, / TELEPHONE
Y -?,q 2 //O
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee - $
;0.00
LENDER'S MAILING ADDRESS
Per -lit Foe $
16—
ARCHITF_CT OR �v ;ItJEtP.
LICENSE No•
Plan Checking Fee $
15;-, D
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADD ES$ / D
Z,-
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LO NO.
SUBDIVISION NA E
� �/ r �j
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE /
SF ❑ Duplex❑ Mobilehome❑ Other POD v
5PEC1 FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ] Installation ❑ Other ❑
Describe work: 4.. �
—cam
Permit Fee $ t'
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions -Code and my license is in full force and effect.
License No. Classification.
F-1 1. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad
OR ADDNS. ( ACC. BLDGS.
'/z2sgft
NEW CONSTR.ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
es ot
AL030
FIXED APPLN5. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
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.
MECHANICAL PERMIT
Filing Fee 10.00
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.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El Contractor ❑ Agent ❑
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
$
Energy Inspection Fee $
occ
CONST TYPE --�)
TOTAL FEE $ SCS
HAL.
I CUA PARK I SCHL
I FLD
I CDF
I PAR
F50
l HD.
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.q %
—Ln.NPnn.APPLICANT
47-43-19 3359-89B,P,E,M
P; GREGORY, Gary
C 4693 Gardenbrook Dr, lot 1, Carriage
P Estates, Chico
(new single family)
-
C
ASSESSOR PARCEL
LOCATION
ox
S
;b
/---card
t
(6-29-9Z)
is CA )YI'�.
Agk'c-
Temp. Power Pole
Called PG&E
� � Temp. Elec. Servic
{f Called PG&E
Temp. Gas Service
Called PG&E A
JOB FINALED (Date) q
Signature
i•
= uic,. • l
` 0 ; Not OK
I1q ;Applicable
' NSt Ready
,L
RESIDENTIAL (Single and Duplex)
' L
Date UNRFLOOR (Plans) OK except #'s
9ning-Setbacks;-Easements-Flood-Slope
Date
FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
X,Ffg', Main; Soils-Steel-Elec. Gr .-//,?� /" Ftg. Depth
' 46. Sing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3.14g., Garage; Soils -Steel -//Z /"•Ftg. Depth
W.,greplace Ties or Type A Flue -Fireplace Throat Clearance
4. F :. Porches & Decks; Soils -Steel-/ /"Ftg. Depth
. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
. St IIs, Main; Steel-Blockouts-Wrapped
.,B rm. Windows or Exiting>Doors-Sill Hgt. & Dimensions
t. St alts, Garage; Steel-Blockouts-Wrapped
. G rage Fire Protection Framing•, '
,C lab; Steel -Wrapped
Property Line Firewall & Openings
8. Pier Fireplace Ftg.-Steel
5k!Ext. Doors -One 3'-Check•Garage-3rd story, 2 exits
W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors b
5)ePlywood on Roof Overhang -Attic Ven�s-Ref,er�Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
�5 ' iding-Nailing Veneer
12. Electric; Underground r
56. StuccoMesh-Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Sup prt-Ins.
57. GI Area -Glass Protection -Skylight - la '
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples '/b4{j
hear Wall Nailin - olts '
15. Insulation
Ag. Insulation-Walls-Clgr -
60. Infiltration-Walls-Wndws
Card -B1 Date Card -131 Date
Card= ate /3-Q(}Card-B1 Date,--"Card-B1
mate G Card -B1 Date J
Card B1
Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access- sti Air- I
'Date
FIN A lans) OK except #'s -
W r Pipe Test & Anchors irPr n
xt. Steps -Door & Sidelight ProtettiomflandWgs
D.W.V.; es - ttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor-TuI6 Access
20. Test Tub & Shower; 2rtd Floor -Tub Access
Y21. Gas Pipe; Size & Anchors
Card -B1 C142 Date t /► card -131 Date
Card -131 ()e Date•$ -/(,46 Card -131'- Date
Date
i
ELECTRICAL (Permit) OK except #'s
Ixjure & Transformer Clearanc ns. Rrglastdn
ec. Receptacles'Spacing-Lights & Switches et ors
Boxes & No. of.Conductors-Stapled
omex Installed Close to Edge o & C.J.
ZEKEquip. Ground made To ech: Fasteners -Bo Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. '
28. Subfee5t Wire Size / '/ ga. Cu or aA.C. Wire Siz ' /g—a.
Cu or -
29. Range Circ././ ga. Cu or v Circ -Ll;/ ga. Cu or
Insulated Neu al Yes ����DD1IiiSS
30. Service -Riser Conductors & Ground -Main Disconnect
3 Equip. Clearances Panels-Motor's-Mech. Equip.
Clothes Closet Light -Shower Light- a ig
moke Detector r
Card-B1.(Sv- Date!1f 1V- Card -B1 Date
Card -131 Date -t- Card -131 Date
Date M HANICAL (Permit) OK except #'s
A.C. Ducts Insulation'& Support
Vent Fan; Exhaust above insulation
Condensate Drain & Overflow; Size & Grade
. F nace-Vent; Access-Comb..Air-Return Air Vent -115 outlet
Attic Access & Platform if Furnace in Attic .
Card -131 C,g••r Date o / o -Card -B1 Date
Card -B1 Date Card -B1 Date
Date FR ING (Plans) OK except #'s
. pills, Proper Material & Anchors
4jeWalls Studs -Nailing, Spacing &' Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; - irs-Chases-Tub
Header & Beam -Size& Bann .
(NOTE: An entry must be ma
2. Smoke Detector
3 urnace -Clearance-Comb: Air -Connector-
In Above Floor-Ducts-Mecti. Protection
e* om Exiting 1
F . & Bath ixturesu Ac: s-,'
? c Suli el; Bre Siz a
Rails ' I
N-FrFsplecig or Stove Clear 111/:_ a utlets at oo nt. 4. Ext.
4 7 ixt. & A ' nce; r -Cooki earance
/(j:.gd 7 le utlets Rece t e tt. C to
7 ar ire Door; Swi -Lan - Ie&
7 uct in Garage -Dam a
i/.Jfl• b tr. Htr •. Vents -Clear a -Com Air-Connector-P.R.V.-
In age; ove oor-mech. Prot
ec. & Mech. Eauio. Liate&for Locaiien- l
w -tie eceptacieS In Gara ut i-"- omex Protec.
I sulation-Foam ok n At s r,
7 and Deck Construction -Po aps
7 Vents & Crawl Hole Door -Dr ' e. & Wood -Earth i
Cie ce Looked under Yes .
ollowing instld.; Drive es ❑ No; Walks es ❑ No;
,rt,. Planters ❑ Y o III
81. Stuc n -Finish
' nit; Disconnect, Elect ' al, Plumbing
r ents Above Roof; PIbg.-Ap - it -Clearance to
1C Openings.
it 84. Watt"ell; Disconnect, ElecIdza4-Plumbing
85-f-xterlof-Elec. Trim; G. .. eceptacle-Underground'
ent' n throughout House -
8 Protection
8§e"Correction rom Previous Inpections
36_5_0 89. Gas -Meters Tagged; Gas -Electric • -f
d r & Sewer Connected -C/O to Grade -HD Approval ,
✓i , 9 necg<Compliance Certificate -Other Certificates
98.2'oofing Certificate
Card-Bip3ogpDate U,& Card -61d /Date f/ga
Card-B1/n-/-74Oate (j9 .: Card -81 Date
Card-B111/1/.q
hDatef/�_' j Card -81 Date
Comments at Final:
1
-a
de each time you visit iob sitel i
OK
0 = Not OK
= Not Readyable MOBILE HOMES
M
.
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -61 Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS
y 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
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.
Date_ 1 Y—qO Inspector L),
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico'— Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT
A routine inspection indicates that the following violations of County Ordinance
Date J U - I -9b Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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.
Date v �� ( Inspector
COUNTY OF BUTTE
/f DEPARTMENT OF PUBLIC WORKS a
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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.
9b
Date
Inspector
*ti COUNTY OF BUTTE
6 DEPARTMENT OF PUBLIC WORKS .
196 Memorial,;Way, Chico — Phone: 891-2751
7 County Center' Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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 cor tion of work is completed. If you have any question pertaining to this
7matte , or need additional explanation, please contact this office immediately.
matte
I I[) atj 4Q'+ IJ ) Cert --11
V� k_L1411-- -�- 9\a-�o -VIM-W.
0
Inspector 0 Date '� ` ( q6
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8914751 1 t
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
'CORRECTION NOTICE
3A -1i
OWNER ✓ / PERMIT NO.
Zins on indicates that the following violations of County Ordinance
e address and should be corrected. Please notify this office
work is completed. If you have any question pertaining to this
ditional explanation, please contact this office immediately.
�R o,1 i �� � l i � Bio,,% n < S'HR.e-2_ �J/A / ��•�i�
0 1i✓SULA071Oi./� /e tehP6At-A- v✓•aLL "'rl1.t'so-/
4r>'_5/10' t..e )oPAre- 4r- VAAUP��s . /,o r/o
13,i/dltir Va rJClt. ryA� !a-/ V/�LL Ld�viy0� /�.✓
45- VC
d l� C
�
Foot-) D�� ri:e � j
1� D�l'1-�1 (pt,rop C���M�Sn ector
PI
P
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 j
747JElliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
/,4- 3 3T1-�
OWNER PERMIT NO.
A routine inspect on indicates that the following violations of County Ordinance
exist at theabove 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 nee dditional explanation, please contact this office immediately.
14
CA, i [i be
i! inspector �� Date
r►v -fes oA u,/ dn.l �i►�Z.
}
i.
a
i~.
i
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
_'- - •�� 196 Memorial Way, Chico —Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
"
CORRECTION NOTICE
,;2
OWNER— PERMIT NO.
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
-
matt r, or need additional explanation, please contact this office immediately.
r►v -fes oA u,/ dn.l �i►�Z.
}
i.
a
i~.
i
Inspector Date
------ — fereli t No.
E N F R C Y C E R T I F I C A T 1: O N
Lot 1 Garden Brook Drive, Chico._ CA.
LOCATION --_----
DESCRIPTION OF INSULATION
ROOF
Tltickttesa(i.ttcited)_
EXTERIOR WALT.
Material F1ber(.ljaj5_j)j_U5
thickness(incltes) 3 5/8"
CEILING
Batt or Blanket Type) jjarUja�ja-LaLla
Thickness( Inclees)
l.00se Fill Type—_Eilx WIy 1,5s _
Hisitumm Tlhlckneal( nchee) 12 3/4"--.
Area covered(ft:. )_ 1635
FLOOR, ELEVATED
Haterl.al ___
Th lckness (1 nc:he d)T__
FLOOR. SIAB
Haterial
Thickness (lnc hed)_`__—
Wldth(lnches) _
FOUNDATION WALL.
Tit lektlese(IRiche
e)—
A. P. No.
Brand Name _
'Thermal Reeletat►ce (R Value)
Brand Name__DkCnS-Cor[jjjjfj
Thennal Reeletance([t Value) R13
Brand Name___Qyef.1s-CUrn il0
Thermal Reelet:ance(R Value) R30
Brand Name Owens-Corning
Member of. Begs 25 Wt.. per beg 35 lb.
*hiirmal Reelstance(R Value) R30
Brand Name
Thermal Reelstance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name - -
Thermal Resistance(R Value)
f '
I hereby certify. that the above Lneula C'f4on was lisocalled In the above building
In conformance with t.lee St:81.e of CaIff.orila Energy Requlremente.
Loerke Insulatiu_n Cu. _ _ __ 499150
FIRM NAMF/01410-.I1 STATE CONTRAC'T'OR S LICENSE No.
��_ June 12, 1990
SIG TITRE OFIA1. ArIION API'I.ICA'1'Olt DATE
I hereby certify the above lnsulatlon and all requl.recl items as shown on the u
Bulldlttg Department approved plane end attaclunents have been l.netalled as
required by the State of. Californla Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the Stal:e of California. �
FIRM NAME/OWNER (Please j)rint) STATE CONTRACTOR'S LICENSE NO.
3IC IAL (;O RA '7'ORIOIJNER DATE
TIIIS CERTIFICA'T'E tws-r 11E ON FILE WITH T119. BUILDING DEPAR-awtfr PRIOR TO FINAL.
INSPECTION APPROVAL. Atli) A COPY SIIALL BE POSTED WITHIN THE BUILDING
.lunuary 19311
C
v
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
NO.
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538
APPLICATION AND PERMIT
ASSESSOR PARCEL N MBERZO
U,- 1 NING
BUILDING PERMIT
OWNER
>;
TELEPHONE
3 y 1- C o�
S0. FT. OCC. BUILDING
3'i t� 3 6
VALUATION
O_
OWNER MAILING ADORESS
Z7q _ 15� ,9v� CHIC,0 (1/15syz
3 1 03
1
CONTRACTOR'S NAME
V .N 0 %,v /,)
TELEPHONE
s"I
V
CONTRACTOR'S MAILING ADDRESS
Fireplace 2 D 0 O
CONSTRUCTION LENDER
T_ S I I �
07
UNKNOWN
Total Valuation $ ! o C7
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
10.0-13W2120, CH/60 C4
Permit Fee
$ _ CZ
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ A ,O
L/S;
Energy Plan Checking Fee
$ _ Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 7,q-00
PLUMBING PERMIT
Filing Fee 10.00
Ll y3
840o K
Each Trap
6 2.00 3Z ct-
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
Ci9 R - D2 ji'�S
PARCEL MAP
��
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE "
SF � Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 o'J
Building sewer
5.00
Mobile Home S G IN
10.00e
TYPE OF WORK
New [-*S< Addition Remodel[] Utilities❑ .Installation❑ Other❑
Describe work: R - 3 94O -A) - vs �o -
Permit Fee
$ �2n
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR L
00 AMP ORSLESS
10.00 /D 0-112
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER
and Professions Code and my license is in full force and effect.
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Seo. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWEL CST
OR ADDNS. ( ACC. G .J,J
, �2¢sgft %(22- 0
NEW CONSTR. ULTI.OUTLET
NON•RESID BRANCH .CIRCUITS)
2.50 ea
APPARATUS 6
,p Pv SINGLE OUTLET CIR. )
200 Z
OCCup(OUTLETS OR FIXTURES
20050¢
9 ALO 30
FIXE APPLNS.
Ex. OCCUp. OUTLETS (RESID IREA.)
2.00
Temporary service
10.00 /0,22 -
Mobile Home Facilities
15.00
Misc. Wiring
g
U 15.00
t
Permit Fee
$ 3g -
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.
ICl I shall not employ any person in any manner so as to become subject
i� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating 00 /id W
,c
Cooling 3 �(
Hood
3,00 0�
Ventilation.
perm it Fee
$ 3S�
Contractor
I certify that I have read this application and state that the above information
is correct. I agree,to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the CountyotC
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
%� Date �r<%- S Qc%
`
Signature of ppliconti= ner Contractor ❑ Agent ❑ s5 �� /_
��o:t iii
An OSH permit is•required for excavations over 5'0" deep and dere7/9"
ion of structures over 3 stories in height, / O —r (J`/
Receipt No %�33� ! - /
1.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30-o
.F�__
ST TYPE
TOTAL FEE $ 3
HAZ
CUA
PARK
scH
FLD
PD
D ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DI TOR P C
. y
PERMIT EXPIRES Date_..
the applicable provi-
resolutions to do
have been paid.
WORKS
O
Date
//
WHITE-D.P.W., YELLOW -ASS[ ;017
� TOR, GOLDENROD -APPLICANT
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
.ate. �G j3 a�11 /5W� - . Z12 -11 -3 -If
owne location AP #
Driveway permit I 3 SrC has been issued for the above property.
/- &
si ature date
TO Buildina Deportment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Other Location AP#
Plan Approved for: Sewaae Disposal ��'. Water Supply
Hold final for: Water Supply.
Final clearance O.K..for.: Water Supply
Clearance for _14�7 bedroom mobdgpe home. Other
NOTE**
San ari n Date
t. '1 r' x��,��H}`�/�I� � T`^n►r`Y��"�'...�Y�v¢ti��?��� r "mit-Y'I+'^`�'.►•t),Ra�+..nYFi,.lt._..r--.-''*•� _..fl.,,
0
COUNTY OF BUTTE - DE'PARTMEN�TF PUBLIC WORKS - BUILDIN'� DIVISlQN !/
7 COUNTY CENTER DRIVE - ORt�?_UE',y�TIFORNIA 95965 - TELEPHONE: 916/53 -7541 J `I
PERMIT APPLICATION DATA SHEET
�^ Y Permit No.
y
OWNER Vnr.4od2 k "� A. P. No.
Proposed Building Use Seg 11RR _ .3Aa yam_ Building Inspector CS /y Date ZO S ili��7
At time, of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED :� APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
;+ 7. Statement of Intent for Non -Heated and AC uildings ..............
8. Engineered truss details and layout in duplicate ( quired prior to plan check)
9. Mobilehome installation data includin facturer's installation
instructions . �.
AFeesof$ — '•4•••••� ......
. Chico Urban Area fees paid .......................................
*Sanitation
ark fees paid....................................................paid ............. . approval from G;c� c-•� Health Department s-
ity of Chico plumbing permit .....................................
16. Plot plan and business license. approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
Improvements may be required. Contact Land Development Section ,DPW
riveway permit (construction approval required prior to occupancy)
2 .,Pre -Inspection for required Pre-Inspec. request to
Building Inspector . (Date)
ontractor's license information (No., Name Style, Classifications ...
ertificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). .
2�4. Recorded copy of Agricultural Acknowledgment Statement .....:...
Lett90 signatuPC ,h/v o
authorization C ...........:........ .
Cts % — /0 •�39
27.
T-3
hen you issue the permit, process as follows: Mail to owner. Mail'to contractor.
_ Telephone 3�- Mandold for pickup at 6.0 office. Deliver w/inspector.
Other
pplicantj Date
Copy of plans sent Health Dept., Fire Dept., z Other - Date
r
The following data must be submitted priprAo pgrmit (.ssyart!j�. (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, design , owner was advised of above required data by �one�nail_counter b `� datel
Contractor, design as advised of above required data byJone—mal l—counter b date 'w`
f Plans checked by Date 11!& - (V PIans approved by> Date
F Sets of plans on hold in' c!File cabinet AP folder.
Copy—DPW ? . V
/0��1�r''I .
3:IM�
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one'FoXm' & Building)
A.P. Number, 94--Z/16-� Building Department No. CHI cv
f
Scho,61 ;D'istrict Cy/GO City Q County5aJaarasd' l- fif. .
Aropgrty Owner qAA CiRZGOR Ly,
I
Project Location/Address 16 VP Gomar,✓ , oat
i
Sub(j�kvpsion C/O/gQAg�X ,�,yli/roE, Lot Number
Residential Development: // ��1 Sq . Footage 3 T 0 7
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
aSq. Footage
New Addition (Including Exterior
Roofed Areas)
nt Representative
/d S 13
ate
*******************************************************************
District Id No. 7 , I
'r C h ►Ca V h f �chool Distri rt cert}' f ies at
Xy y �C Ccz✓ that
I
� c: �w
C9 o r -7Y,2
(Appli nt Nam (Phone Number
14v e Scl .A C _
(Street Address)
k Co C14
(City) (State) (Zip Code)
has4complied with the requirements of Resolution No. .3fg-c
b�k the payme t of $ / p2 representing 3k 7 square feet.
School District esentative Da e
-TilC .
PAID BY CHECK NO. �� REMARKS:*
BANK NO
I(
iso y 0',K a,
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
OWNER'S NAME:
PERMIT #: 33 5 � — a % A. P. #: RECEIVED
When approved, process as follows: DATE
Mail to owner TIME
(Address)
Mail to contractor
(Name and Address) .
Call and hold for pickup at office.
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID.
$15.00 $30.00 y Additional Fees Not Required
` Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 89-3.989 1
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1. of. the Butte County" Code
requires Lh:is acknowledgement 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 incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
b"ut not limited to herbicides, pesticides,
and- fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
89,-039891 `'Rec Feer s-5.0.0
Total?:5.00.'
Recorded '"_•' �` r'
Official ,Records
County. `of t
Butte' �`Cs - y0NWEALTH TITLE SCO'
Candace. `J . • G'ru6bY
..- �.^.
8:00am 16-06t=89'
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l ished ;r,;r:ic•ul—
Lura1 zones which have as a priority use for productive agricultural. purposes, ond i-esicic'ni
within said zones and on adjacent property should be prepared to accept such i nc clnvrn i c'nc e
or disconf:or.m from normal, necessary farm operations.
All. that real property situate in the County of Butte, State of. Cal.i.for.nJa, described lis
follows:
Lot 1, as shown on that certain Map entitled,•."CARRIAGE ESTATES
SUBDIVISION", filed in the Office. of the'-Recorder•of the County of
Butte, State of California on September. 22,`- 2988 in Book 112 of
Maps at Pages 24, 25, 26 and 27.
Date: �b /2 ` �% PROPERTY OWNERS:
State of. QfOq ) 0 this the day of _Oc.f Oil �J2 ' 19 S: before mcg.,
-/�'_ SS -._-the undersigned Notary Public, personally appeared
County of 13u7-'r`F )
personally known to me. Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged Char.
,executed the same for the purposes therein contained. I. N W [TNS
WHEREOF, I hereunto set my.hand and official seal..
Present A.P.
OFFICIAL SEAL
KATHRYN A. L
OTARY PUBLIC -CALIF
BUTTE COUNT
.EXP. OCT 13,
NotOy Publ i c _
END OF DOCUMENT
x'10"
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OWNER'S NAME: 6_7ag�7t ��C4CG4
PERMIT #: _D — A.P.
When approved, process as follows:
Mail to owner
(Address)
Mail to contractor
Call
(Name and Address)
and hold for pickup at office.
Deliver with next inspection.
RECEIVED
DATE
TIME %
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
5/89
RESIDENTIAL.PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT -D)
-<_- Exterior plaster - weep screeds (Sec. 4706).
�3 . Proper roof pitch for roof covering (Chapter 32).
,6! Roof covering type - (fire hazard).
,Y Rafter ties or bearing ridge beam.
!Garage door or porch header -sizes.
Adequate
eader sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
,YI' Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
;4'1" -Attic access and ventilation (Sec. 3205).
��Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances.
Oise requirements on duplexes.
X1'6. Adobe soils - special foundation design.
,4 -7 -.-Retaining walls requiring design.
X11:- Unusual shape, size, or split level house requiring lateral design.
�4-9--Flashing at all exterior openings.
2,M i �� ►'h5 O N bkAA
A/C.
COWAnE�.�T/�*VT
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F. DUPLEX & MISC. ONLY)
/ Bldg. Permit # 33� - V
OWNER (/S' R 4 K�ORA.P. # 1`F
GENERAL
A -.---Zoning requirements: (sideyards and number of permitted living units).
,-2' Valuation.
,-3—.—Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
Items on data sheet.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards,.easements, etc.
.✓3� Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Ja! Special conditions on creation map or compliance document.
x FAU & FAS road setback.
FLOOR PLAN
!1! Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
4-- Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
—8 Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
r9' Locations of water heater, heating and cooling equipment, other. electrical or
gas equipment, and plumbing fixtures.
-T'O-. Garage firewall, door size, and closer (Sec. 503(d)(3)).
11. 1 - 3'0" exterior exit door (Sec. 3304(e)).
12. Fireplace and wood stove location, alcoves, and clearance.
13. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
4
Foundation plan complete enough to construct building.
;--.'-Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MI CELLANEOUS ITEMS TO LOOK OUT FOR
1 -.'--Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
,Y Guardrail details (Sec. 1711 & 3306(j)).
3' Brick or stone veneer (Chapter 30).
M17 Wa
� 40
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=--_----- –=X14-�! � ►! =-�"---_ _-_
Certificate of Compliance: Residential Climate Zone 11
Project Tide rQ p,� �/ fie 33S9.,
Ab75 �ARs)� NAC)0 blik . B ildin3gPermit#
Project Address - D "�,/- If:)..
A C hedged By / Date
Documentation Author Telephone Fnfomanent Agency Use Only
BUILDING DATA
ftioned Floor Area 3 % Number of Stories
sed Floor Number of -Units
ingle Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
(J Multi -Family (MF) [ ] Existing -Plus -Addition
Total
BUILDING SHELL INSULATION
Glass Area
% Glass
Insulation
North
A aeo.
R -Value
(atilc, .to garage, etc.)
East
90
2.9
WALLS .
South
-19
( )
- Skylight.......
Duct Output Manufacturer / Model #
West
-Type/Covering
► (o
c
Skylight
�_—
'rt:c
5 • J14,111
Total
BUILDING SHELL INSULATION
(✓s •5
Component
Insulation
Locatilon/Comments
Type
R -Value
(atilc, .to garage, etc.)
Wall ..............
( )
�Xr.
WALLS .
Wall ..............
-19
( )
- Skylight.......
Duct Output Manufacturer / Model #
Roof .............
-Type/Covering
(attic, etc.)
c
Roof .............
U -PA v;tjgL
'rt:c
5 • J14,111
Floor .............
—A
l is
�
Floor .............
Slab Edge .....
GLAZING
Shading Devices
Glazing . -
Area -..Glass
Type
Interior Exterior
Orientation --.
(sn
(single, double)
(roller blind etc.) (shaTmdescrem etc.)
North
(✓s •5
Easth
(✓j "1Q_
East
( )
South
(✓Y 77•
Sou th
( )
West
( VI
West
-19
( )
- Skylight.......
Duct Output Manufacturer / Model #
• - THERMAL MASS
-Type/Covering
(attic, etc.)
(slab/exos0.ed, tile, etc.)_
': l
U -PA v;tjgL
Overhang Framing Type
Area Thickness
g� 4„t
Maximum Furnace Heating Output: Btuh
HOT'WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used Items marked with an asterisk (•) may be superseded by mote stringent compliance tequtrements listed
on the Cenificate of Compliance. When this checklist is incorporated into the permit documents, the features rated shall
be considered by all parties as binding minimum component performance speeific4uons (or the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - watu absorption rate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 pertn/nnch.
12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and forth.
§2.5352((): Vapor barriers mandatory in Climate Z m 14 and 16 only.
§2.5317: Inf ltration/Exfrltration Controls
a. Doors and windows between conditioned and unconditioned spacer designed to limit air
leakage.
b. Doors and windows certified.
C. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
§2-5352(c): Special infiltration barrier installed to comply with 12-5351 mew CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have
a. Tight rotting, closeable metal or glass door
b. Outside air intake with damper and control
e. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
§2.5352(h) and 2-5315: Setback thermoset: on all applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
12-5314(c): Gas -fund space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
12-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior —
insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
- - 4• Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermiucnt ignition devices.
0.5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified
by the CEC. Indicate make and model number.
j COMPLIANCE STATEMENT
This certificate of compliance lists ttr. building featm>ss and performance specifications needed to comply with
Mile 24. Chapter2-53 and Title 20, ihaptir.-2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual widt overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to my subsequent purcliaser of the building.
Designer Building Owner
Name: Name:
TukJFlrm lldc' rm
{ Address: Address:
Telephone: Telephone:'
Lic. N:
(signature) (date) (signature) (date)
Documentation Author Enforcement Agency
Namc: Name:
7 ide um: Agency:
Address: Telephone
Duct
HVAC SYSTEMS
Minimum
Type (furnace, air
Efficiency
Location
Duct Output Manufacturer / Model #
conditioner, heat pump)
(SE, SEER,HSPF)
(attic, etc.)
R -Value (Btuh) (or approved equal)
R E
,72
'rt:c
5 • J14,111
L
—A
l is
�
Maximum Furnace Heating Output: Btuh
HOT'WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used Items marked with an asterisk (•) may be superseded by mote stringent compliance tequtrements listed
on the Cenificate of Compliance. When this checklist is incorporated into the permit documents, the features rated shall
be considered by all parties as binding minimum component performance speeific4uons (or the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - watu absorption rate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 pertn/nnch.
12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and forth.
§2.5352((): Vapor barriers mandatory in Climate Z m 14 and 16 only.
§2.5317: Inf ltration/Exfrltration Controls
a. Doors and windows between conditioned and unconditioned spacer designed to limit air
leakage.
b. Doors and windows certified.
C. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
§2-5352(c): Special infiltration barrier installed to comply with 12-5351 mew CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have
a. Tight rotting, closeable metal or glass door
b. Outside air intake with damper and control
e. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
§2.5352(h) and 2-5315: Setback thermoset: on all applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
12-5314(c): Gas -fund space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
12-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior —
insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
- - 4• Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermiucnt ignition devices.
0.5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified
by the CEC. Indicate make and model number.
j COMPLIANCE STATEMENT
This certificate of compliance lists ttr. building featm>ss and performance specifications needed to comply with
Mile 24. Chapter2-53 and Title 20, ihaptir.-2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual widt overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to my subsequent purcliaser of the building.
Designer Building Owner
Name: Name:
TukJFlrm lldc' rm
{ Address: Address:
Telephone: Telephone:'
Lic. N:
(signature) (date) (signature) (date)
Documentation Author Enforcement Agency
Namc: Name:
7 ide um: Agency:
Address: Telephone
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
-46
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
R-30
-2
-1
.1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6.
0.06
-11
-5
.4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
-46
Number of stories
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-6
-3
-2
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11,-
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
U -value
0.60
Insulation in Floor
-70
-46
Number of stories
-120
R -value
One Two
Three
R-0
-17 -8
-5
R-11
3 .2
-1
R-19
0 0
0
R-30
3 1
1
U -value
0.60
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace.
-4
3-1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4.
-4
3
R-11
.2
-2
-2
R-19
-1
.2
.2
A. Slab Edge Insulation
4
40
-.
Number of Stories
-26
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
3-1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Infiltration (Air Leakage)
-- Specification Points
Standard 0
6. Glass Heat loss
Total
-14
-48
-69
-64
U -value
%Glass
Percent
East
South
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
' -39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
.2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
4
6
9
12
15
19
11
3
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Percent class
(percent glass x SC)
Effective
-14
-48
-69
-64
na
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
it
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
-1
-1
2
0
-1
-2
-4
-2
0
na = not allowed
1B. Shading (Shade Closed)
Effective Pereestt Glass
(percent glass x SC)
%Gctive
lass Norlh Etat South West Sky%ht
18
-14
-48
-69
-64
na
16
-12
-42
-59.
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
.2
-9
-11
-10
-30
4
.1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
.1
1
1
1
-4
0
2
3
4
3
0
na . not allowed
4
6
8
8
9. Interior Thermal Mass
Interior-
Singie-
Slab Floor
Raised Floor
Mass
Family
Stories
Mu16
Mass
Stories
Attached
ICFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
.2
-1
.1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
.2
0
1
1
0.5
-6
-3
.1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
.1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Singie-
Single -
Sum of 1.6
Wall
Family
Family
Mu16
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11
1.80
10
12
12
2.00
10
11
13
11. Heating System
SE or HSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling System
Ceiling Insulation
2.
Sum of 1.6
<_.
Water
SEER
1199
-25 or -24 to
-14 to -4 to
+6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
10.5
7
Effective SE or HSPF
4
3
(SE or HSPF x duct
efitciency)
10
9 7
Effective -25 or. -24 to -14 to
-4 to
+6 to 16 or
SE
HSPF
less
-15
-5
+5
+15 more
20
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-0
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling System
Ceiling Insulation
2.
Unit Size (sQ
<_.
Water
SEER
1199
12M
1700
22W
2700
(assume; ducts
In attic)
or •
b
to
Stm of 7-10
or
Type
Type
less
-25 or .24 to -14 to
-4 b
+6 to
16 or
SEER
less
.15 3
+5
+15
more„
1
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
•-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-12
-9
Effective SEER
-6
IG
None
(SEER x dud efficiexecy)
-3
.2
-2
Sim of 7-10
1
Solar
7
Effective -25 or -24 to -1410
-4to
+6b
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
-6
-4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
Interior Mass/CFA
t TYPE 2 PSS
Ceiling Insulation
2.
Unit Size (sQ
3.
Water
4.
1199
12M
1700
22W
2700
Heater
Credit
or •
b
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
201.
POU
8
5_.
4 _
_ 3
3
SE
None
-37
-24
-18
-15
-12
90%
Solar
-1
-1
-1
0
0
0.6
HWR
-18
-12
-9
-7
-6
2.1
WSB
.25
-16
-12
-10
-8
3.6
POU
-Is
-12
-9
-7
-6
IG
None
-5
-3
.2
-2
-2
1
Solar
7
5
4
3
2
25
POU
3-
2
1
1
1
IE
None
-28
-19
-14
-11
-9
5.4
Solar
8
5
4
3
3
1.4
POU
-10
-6
-5
-4
-3
29
Multi -Family (Individual
units)
3.5
3.7
3.9
4.1
Unit Size (so
4.5
Water
5
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1698
2199
more
SG
None
0
0
. 0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
28
WSB
9
4
3
2
2
4
POU
9
5
3
2
2
SE
None
-45
-23
-15
11
-9
1.5
Solar
2
1
1
0
0
3
HWR
-23
-12
-8
3
-5
4.4
WSB
-25
-13
-8
-6
-5
5.9
PQU
_23
-12
-8
-6
-5
IG
None
-8
-4
-3
- -2
) -2
82
Solar
6
3
2
1
1
4.7
POU
1_
0
0
0
0
IE
None
30
-15
-10
-8
-6
21
Solar
18
9
6
4
4
3.5
POU
-8
-4
-3
-2
.2
Interior Mass/CFA
t TYPE 2 PSS
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
Shading (Shade Open)
A- Or
a. North
R -value [0]
b. East
c.,...a,._a
c. South
COND. FLOOR AREA
TYPE 2 MASS AREA =,0
d. West
1D
e. Skylight
8:
Shading (Shade Closed)
(-p,t.d I.bl
Ic•cyet.d .1•bl
t TYPE
I
MASS
WInC & 4.2,
is: exposed slab)
�-
'
0%
S%
101.
15%
201.
2S%
30%
35%
40%
45Y..50%
55%
60%
69f.
70%
75%
80%
85%
90%
95%
100% 105% 110y. 115% 120% 125-
0y.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
101.
0.2
0.4
.0.6
0.8
1
1.2
1.4
1.6
1.9
21
2.3
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24 '
28
2.8
3
3.2
3.4'
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
3.2
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.8
1.8
2
2.2
24
2.6
2.8
3
82
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8 '
5
5.2
5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
36
3.8
4
4.3
• 4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
23
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.8
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
801.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.1
3.9
4.1
4.3
4.S
4.7
4.9
5.1
54
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
56
5.9
6.1
63
65
67
901.
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.5
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.8
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.83
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.6
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.1
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
59
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
Shading (Shade Open)
A- Or
a. North
R -value [0]
b. East
c.,...a,._a
c. South
COND. FLOOR AREA
TYPE 2 MASS AREA =,0
d. West
1D
e. Skylight
8:
Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
SC
x
K-16 or
24 X
R -value [38]
U -value [0.030]
Z - ti�_ or
X _
R -value (I I]
U -value [0.098]
or
+2.
R-value[19)
U -value [0.037]
A- Or
�.'�K/
R -value [0]
F2 factor [0.77]
c.,...a,._a
Interior,Miss/CFA
1> 13.s
Type [double] U -value [0.65] % Total Glass [ 161
Point Scores
0
�• 2r
s
% Glass
4.9
SC
x
Eff. % Glass
S, -7-7
24 X
X
I
•.t
X _
�O
•IG
X I =
+2.
•2
X
I
0-
�.'�K/
% s SC Eff. % Glass '
0
3 +
Sum 13
.4 X
iso(0 = 32S
0
24 X
N = F?-) )
I
[0.7__-��
HSPF (�0.y56/.5.151.
.ta X
_ _ �39
+2.
.2 X
41,5
0-
�.'�K/
TYPE 1 MASS AREA �$
+'
Interior,Miss/CFA
COND. FLOOR AREA
TYPE 2 MASS AREA =,0
1D
rein r- rev nv>: n S�
Exterior Wall Mass
."72-
x :'3 =
. @-o
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.7__-��
HSPF (�0.y56/.5.151.
X •$� -
7ec/p
- SEER {9.5)
Duct Efficiency [0.74]
Effective SEER [7.03] -
�3
Sum 7-10
3
-{-Z
IYPe
[SG] Credit [none] + 7
• Point Total:
0
Q
i
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
DIVE[NG BOARD
8_C(,
SCA LE I
This $at Of plans and specifications MUST
kept on the job at all times and it is unlawful to
rhake any changes or alterations on same witt�ot "
written permission from the Department at FAbk,
Works, County 6f Butte.
OWNER:
TO DETERMINE APPROXIMATE ELEVATION
OF POOL ON DAY OF EXCAVATION.
NOTE
PLASTER XWHITE X
OWNER:
POOL AREA TO BE FENCED, PER COUNTY P R O P E R TY I S A P P R O X
OR CITY ORDINANCE. GATES TO BE SELF 1172, ACRES
CLOSING AND SELF LATCHING.
BY OWNER
OWNER0
WET DOWN CONCRETE SHELL AT LEAST
TWICE DAILY FOR 7 DAYS.
DO NOT TURN ON POOL LIGHT WHEN POOL
IS EMPTY.
DO NOT USE RUBBER HOSE WHEN FILLING
POOL AS IT WILL MARK PLASTER.
7
b
GENERAL SPECIFICATIONS
SIZE 24x45 AREA 108OffDEPTH 3`& TO&
SHAPE RECTANGLE PERIMETER 140
TEMPLATE NO. CUSTOM
TILE SIZE 6--x 6"TILE COLOR OWNER TO SELECT
COPING N 0
COPING COLOR N O
POOL CAPACITY 44 500 GALS.
PUMP CAPACITY 110 G.P.M.
MOTOR H.P. 2 H.P.
A setback of S ft. from the FILTER 48 90. FT.
property linea and a setback FILTER 110 f3.M'.Ia
of 50 ftfrom the road
centerline shall be clear of TURNOVER 7
structures or equipment except VACUUM LINT: SKIMMER 12
for a 2 ft. eave overhang. RETURN LINE 112 a
MAIN DRAIN 1 1/2
Itf '?�04/ � SKIMMER-MOOtL T WO U-3
BACKWASH TO D ( S LINE (�
OF Y2" FILL LINE AUTO FI LL
ANTI -SYPHON VALVE
HEATER N O SIZE N O RTU
.,...;�„_ GASLINE SY:.,, VENTtO Ry: N O
LIGHT ONE 500 (W)
CLOCK TWO 220 V )
ELECTRIC BY: C F POOLS
a
ELECTRICAL BONDING /Y: C F POOLS
POOL CLEANER POOL VAC
CHLORINATOR NO
BOARD -SIZE 8'-0" COLOR W H I TE
BOARD SUPPORTS- S R S Ti le: N O
See Master plau on We ios N O
bu=ng LADDER -Model N 0 Tile:
(� SA A I Water
SLIDE-#-1�•/ Glar GA,�_ Hookup
ROPE RINGS N O W/ROPE & FLOATS NO
GRADING N 0 DIRT WALK N 0
STUB PLUMB YES❑ -NO TRACTOR SIZE
TILE & COPING 0"ASAP ❑ OTN
DECK BY: OTHERS
/ TREES, ETC. N 0
PERMIT OFFICE CONCRETE REMOVAL BY: N 0
SALES OFFICE RAISED BOND BEAM
YES ❑ NO HEIGHT WIDTH
PHONE NO. MGR.
JOB NO. SALESMAN ,
MAP BOOK N0.
LEGAL DESCRIPTION
A P 47- 43 - 019
LOT NO:
TkACT NO.
KOOK MAGE %LOCK
MAILING ADDRESS
ATE
NAME
WN. a ADORE
R I N T S
9-
C -
SWIMMING POOL
CHRI S FREDERICK
4693 GARDEN13ROOK DR
CHICO CA
CROSS STREETS
RES. PHONE 893-4531 Pius. ��tNi
CARP. -FREE 060"' L8
#9 Aiyssu n way
Chico, Carfornia 95928
Bill Bell
Contr. Lic. #380826
Ohorie 342-4W§ 1 v
N27734
A► $015-2 REV. 8-71 (2M)
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