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047-430-055
047-430-055 PERMIT#97-1973 DEADMOND, G.W. . 54 Felicidad Ln., Chico New Single Family' F/rid9G 3/�5�98 047-430-055 PERMIT#98-1299 FISCHER, Sean & Shannon 54 Felicidad Ln., -Chico Cont: Holiday Pools ///,/AG*11/99 New Pri Swimming Pool r 54 117.1 4 3 r RESIDENTIAL —De -430-055 PERMIT#98-1299 PERMIT 100: FISCHER, Sean & Shannon _ 54 Felicidad Ln.,. Chico PERMIT EXF Cont: Holiday Pools _ New Pri Swimming Pool j OWNER CONTR. ASSESSOR PARCEL LOCATION eey CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK, 0 = Not OK NotRel�ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks - Easements 2. Footings; Soils-Size-DeplhSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-Connections-Splioe•Decal-Enclosures 5. Electricity; Location•Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / jVft. / /Nat. or/ /1-'9t./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frrmg.: Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Sine -Spacing -Marriage Line POOLS ns OK except #'s 3. Gas; MH Test -Demand -Valve -Connector tbacks•Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9,�t- ompaction-Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3 Structure; Steel -Connections -Thickness Dead Men -Linin 6. Water; MH Test -Regulator -Connector 4. Elec.; R . ptades and Lighting, Distance -GR ; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding: Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DeplhSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splioe•Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrmg.: Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS ns OK except #'s tbacks•Easements 9,�t- ompaction-Structure Stability 3 Structure; Steel -Connections -Thickness Dead Men -Linin 4. Elec.; R . ptades and Lighting, Distance -GR ; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding: Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. PI .; Cir. Test -Water Supply Test . Llght Niche `' iR Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Al ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #a FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 46. 2. Ftg., Main; Soils-Elec. Gmd. / t Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ r Ftg. Depth Cling. Joist-Rfti: Ties-Puriin-roff Brac.-Truss-Shting.-Rfng. 4. Ftg. Porches & Decks; SoilsSteel-/ / Ftg. Depth 48. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6a. Hold Downs and Special Anchors 50. 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Garage Fire Protection Framing 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 52. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 12. Electric Underground 54. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 15. Access & Ventilation 56. 16. Insulation 57. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Shear Walls; Nailing -Bolts 17. Water Htr.; Vent -Access -Combustion Air Baffle 60. Brace Interior / Exterior Wall Panels 18. Water Pipe; Test & Anchor -Nail Protection 61. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Infiltration -Walls -W indows 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft FINAL (Plans) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 63. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled Smoke Detector 26. Romex Nstalled Close to Edge of Studs & C.J. 65. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Bedroom Exiting 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 67. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect Elec. Trim & Subpanel, Breaker Sizes & Labels 32. Equip. Clearances Panels-Motors-Mech. Epuip. 69. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except We 73. 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 37. Condensate Drain & Overflow, Size & Grade 75. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors Guard rails & Deck Construction -Post Caps 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 81. 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Stucco Brown -Finish 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rfti: Ties-Puriin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdmt. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Wails -Ceilings 62. Infiltration -Walls -W indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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 DEVELOPMENT SERVICES - BUILDING DIVISION •7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERNIIT ASSESSOR PARCEL NUMBER 047-430-055 ZONING BUILDING PERMIT OWNER SEAN & SHANNON FISCHER TELEPHONE 894-7560 SO. FT. OCC. BUILDINd VALUATION CONT 29,000. .OWNERS MA UNG ADDRESS 54 FELICIDAD LN., CHICO CA 95973 CONTRACTOR'S NAME HOLIDAY POOLS TELEPHONE 894-1467 CONTRACTOR'S MAILING ADDRESS 1170 E LASSEN AVE. CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 284.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 54 FELICIDAD LN. CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 327.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI SWIMMING POOL SPECIFY Each Trap J 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PT AN 9504-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 A OR IPSS 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 licenseiS full force and effect. License Class 9"- `� Lic. No. ��3�)�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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' co m ansation insur nce wrier and policy number are: Carrier Policy Number _ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr visions. - X _ - Date %' Signa re of Applicant - Owe Contractor ❑ AV �dt/ A SHA permit is re I d for a vations over 5'0"dee nd on or construction structures over s les in I. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLDS. 3.50FT. T. NOWRESID. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 100 EX. OCCU . OUTLET OR FIXTURES BAS @ .50 ED A Ex. Occup. OFIXUT R. " OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL FT.FCTRTC, I 0_001 in -nn PERMIT FEE $ 90-00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 377.50 1/AZ. -e 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. Q By D to / PERMIT EXPIRES ON ate Receipt No. 7112 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �Co_&Tf OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PrR"IT APPLICATION DATA SHEET OWNER: S'1�=�Q/r/ '` -k-V., na/6:KAA�+c ASSESSORPARCEL ER: Proposed Building Use: Building Inspector: Date: G% At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: " Date Received By ❑ 1. All iiems have been submitted ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 03. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 134. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ----------------------------------------------------------------------------------------- 0.9: -Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ I" ------ ------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. food elevation certificate. --------------------------------------------- ❑ IeSanitation and plot plan approval ef6_,'_'eQ Health Department. V❑ 15. City of Chico plumbing permit. --------------------------------------- �� ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval'for (A) Use: (B) Parking: _ O 18. Contact Land Development about ❑ Improvements, ❑ Drainage; ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on I 021. Contractor's license information. (Number, Name Style, Classification).-------- 022..Workers' Compensation carrier and policy number. ------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------- 024. Letter of signature authorization. ---------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ---------------------- 026. Letter of intent on building use. ------------------------------------------------------- 027. Manufactured Home utility clearance. ----------------------------------------------- 028. Existing violations and/or expired permits. ------------------------------------------ 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor ❑ Telephone and hold for pickup at F___ Ap pliCm Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other.*., (Date) �LLrr' 1. Index permit application for the' above items numbered: ` ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ' ron counter, by D te: Plans reviewed by: Date: Plans approved by: _ �1 Date: —� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfei by: Date: Yellow Copy - Department of Development Services, Building Division. "NT TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. Plot Plan Attacheded ' Floor Plan A ched — Sent to B.Z� 7 Owner Location AP# Plan Approved for: Sewage Disp,Water Supply: Public Private Well Clearance for dwelling. Other 1 Hold final for: Final clearance O.K. for: NOTE: ErAifronmental Health pecialist Date AM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT qK /T ASSESSOR PARCEL NUMB ^ ^ .� ZONING BUILDING PERMIT OWNER TELEVHON SO. FT. OCC. BUILDING VALLI ON OWNERS MAILING ADDRESS + CONTRACTOR'S NAME TELEPHONE r CONTRACTOR ADDRESS U� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 54 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 'L' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New kAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ' QV L — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (9]20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0 Main Service zo.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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed conUactors to construct the project.. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 Mein Service aooA To LOOOA 46.00 NEW CONST. DWELLNG OCCUP. OR ADONS. ( a ACC. OCC. SO 3.5¢Fr; =R61.. ' MULTI -OUTLET 9[77.50 PowER APVARArus 8 SINGLE OUn.Ei CIR Ex. Occup. OUTLET OR FSRURES BALL @ +:w Ex. Occup. OimFT3R� .G� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. _Wiring 23.00 da e— �-T PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ _ Date _ 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 $ occ CONST. TYPE �� TOTAL FEE $ 3`7 I HAZ. 1 D. FEES IMP I FLOOD COF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY -7F BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO: .a A routine inspection indicates that the following violations of butte county Ordinances exist at the • _ above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f (pro lu I.. Vf. •�-" R. V 'T s r Date' _ / Inspector REV 10/92 's RESIDENTIAL 047-430-055 PERMIT#97-1973 DEADMOND G.W. r 54 Felicidad Ln., Chico PERMIT N( New Single Family %% k PERMIT EXPIRES r " OWNER CONTR. 1 ASSESSOR PARCEL I, I' LOCATION OFFICE- COPY - Address o_ .. i GAS ! Meter By Dates ELECTRI r ► Meter By Date j q9 moi. Y f' s {*F Temp. Power Pole 3 r_ Called PG&E , Temp. Elec. Service Called PG&E Temp. Gas Service � J Called PG&E JOB FINALED (Date) 5 Signature 0 V=OK > O = Not OKNot •=Not Realdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except f's 9. Siding; Nailing-VeneerStuxo-Mesh 1. Zoning Requirements - Setbacks - Easements 10. Roof; Shthg-Roofing 2. Soils; Special MH Support Sketch , 11. Ext.; Steps -Doors -Lendings 3. Sewer LocatiorfTesWall-CIO-Concrete 12. Braced Wall Panels 4. Water Location -Test -Easement Needed (Sketch) S. Electricity; Loca*xfClearances-Dmd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Locadoo-Test-Wrap; / /L1t / /Nat or/ tt'tL/ /LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect POOLS (Plans) OK except #'s 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. Elec.; Enclosures; Conduit Entries-L-rninals-Usted 1. Zoning Requirements- Setbacks Easements 7. Elec.; Bonding; Metal w/6 -Circulating Equip.+ieater 2. Footings; Size -Spacing -Marriage Line 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboards4ns. to Main in Conduit 3. Gas; MH Test-0emarKWahe-Connectkx 9. Health Department Approval 4. Eleclridty; MH Test -Crossovers -Breakers -Clearances 10. Plumb.; Cir. Test -Water Supply Test 5. Drain; MH Test•Fall-Flex Connector 11. Light Nlche 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs-Type4nstallabon Cert Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSiae-Dep"pacirg-ConnectorsSted 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Beams Rttrs.-DonnectDm Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnecdonsSplk*-DecaFEndosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-Anchom-Studs-Rttrs-Trusses 9. Siding; Nailing-VeneerStuxo-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Stricture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance -GR 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-L-rninals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip.+ieater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Nlche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 O = Not o OK RESIDENTIAL - = Not Applicable = Not Ready Date DERFLOOR (Plans) OK except #'s " V'Zoning-Setbacks-Easments-FiTo-dSlope s Main; Soils-Elec. Gmd. / /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth FPorches Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-BlockoutsAfrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. tPTIDawns and Special Anchors �� Slab, Steel -Wrapped 8. Pierss-F� Ftg.-Steel soolTW.V; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders. -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation DateCard B-1 (J.K Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air Baffle at 'pe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors 25 oxes & No. of Conductors Stapled installed Close to Edge of Studs & C.J. v� ip. Ground made up w/Mech Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size GFI Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size /! / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / 6 / ga Cu or AI Ins aced Neutral 0 Yes a No . Se 'ce-Riser Conductors & Ground -Main Disconect qui Clearances Panels-Motors-Mech. Epuip. I s Closet Light -Shower UghtSpa Light 434'Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _-MECHANICAL (Permit) OK except #'s 36!V.,gFan, Exhaust above insulation or)densate Drain & Overflow, Size & Grade Ir 3$/Furpance-Vent Access -Comb. Air -Return Air Vent 115 outlet Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s S'ts Proper Materials & Anchors ll V Its Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing . D aft Stop in Walls (rat proof) 44-'FiT.Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. eaders & Beams -Size & Bearing (Single & Duplex) Date/FRAMING (Continued) ;. Viers -Post Caps -Anchors -Connectors 4?—Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 78. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49�ttic Access; Size & Ramex Protection -Draft Stop -Ins. Baffles drn. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing S��erty Line Firewall & Openings Doors -One 3 -Check Garage 3rd Story, 2 Exits !�Pfyyw�c od on Roof Overhang -Attic Vents -Rafter Outriggers Sfie-Siding,lailing Veneer Wefilcco Mesh -Drip Screed -Fd. Vents-Underflr. Access g Area -Glass Protection-Skylil Walls; Nailing -Bolts Interior / Exterior Wall Panels 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 637'Fxt Steps -Door & Sidelight Protection -Landings woke Detector mace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection J-436droom Exiting fit.Fl. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels .SG�s 0. Fireplace or Stove, Clearance -Hearth 7 . lec. Outlets at Wood Panel, Int. & Ext. it Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Ell9e Outlets & Recepticales at Kit. Counter age Fire Door; Swing -Landing -Closure uct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. _ In Garage; Above Floor -Meth. Protection ,V!P(g-. Elec. & Mach. Equip. Listed for Location 49- Elec. Rece tacles in Garage G.F.I. -Romex Protection I lation-Foam-Looked in Attic Guard rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 8 .�Ilowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Stucco Brown -Finish 9 t . nit Disconnect, Electrical -Plumbing Ve Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings AW'WajeLWell, Disconnect, Electrical, Plumbing tenor Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throught House ass Protection actions from Previous Inspections K. �C. as Test -Meters Tagged, Gas -Electric Atr Water & Sewer Connected -C/O to Grade -HD Approval 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 DEVELOPMENT SERVICES -BUILDING DIVISION / 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. (Rev. 12'/96) APPLICATION ARID PERMIT 17- /��� ASSESSOR PARCEL NUMBER 047-43-0-055 ZONING SR -1 BUILDING PERMIT a OWNER G.W. DEADMOND WLEPHONE SO. FT. OCC. BUILDING VALUATION R 138,564 OWNER'S MAILING ADDRESS 4065 HIDDEN VALLEY 25 8 U 13,824 CONTRACTOR'S NAME TELEPHONE ' 345-9917 V 336 COVi� 4,368 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1,500 Total Valuation $ 158,256 ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 846.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 549,90 BUILDING ADDRESS EFLICTI)AD LANE, CHIC0 Energy Plan Checking Fee $54 46.00' $ PERMIT FEE $ 1.4 61. 0 LOT N0.4 SUBDIVISION'S ION'S NAME VASTIN MANOR PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 g USEOFSTRUCTURE SF ❑XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 14 7.0098.00 Solar or heat -pump water heater 23.00 Water piping 15.0015,00 Each gas water heater or vent 15.00 TYPE OF WORK New 6XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1,5 00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo' oil, mss 23.00 2J. UU 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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. ❑ 1, 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. DWELLING OCS. OR ADDNS. ( a A.0.BLD S. s 3.5¢ rNO RESID? ANCI O�T�ET @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 BAL p I.50 EX. OCCU .pUxxEEDTSPRM-.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 Fling Fee 20.00 Heating Cooling5. Hood 6.50 .50 Ventilation 13.50 PERMIT FEt $ 70.00 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' nsation provisions of section 3700 of the Labor Code, I shall forthwith c ly with those p visions. X !/v Date ���' _ Sign tura of Applicant - Owner ❑ Contractor 13Agent 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 23.00 Occ $ g CONST.�FE ' • �PFL HA2 p L 5S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date ReceiptNo. 629.90/224073//224671/1312.70 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,A (Rev.1 -�/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754, ``� PERMITI RMT NO. APPLICATION AND PERMIT 6 ASSESSOR PARCEL NUMBER t! 017 -�30 -OSS � ZONING�4 BUILDING PERMIT . OWNER P '1 ✓' TELEPHONE SO. FT. O C. BUILDING VALUATI N 5 / OWNER'S MAIUNQI0 10 0 5- ,t� /,ALL-� (/6* CONTRACTOR_''_S.l(NAME TELEPHONE 17 - /+ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace YL LENDER'S MAILING ADDRESS Total Valuation $ f ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.06- 0.06ARCHITECT Permit Fee $ ARCHITECTOR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I^ , Energy Plan Checking Fee $ � ` r— $ PERMIT FEE S e O IAT NO.SUBDN Y IONS NAME ,ti PARCEL MAP PLUMBING PERMIT Fling ee 20.00 Each Trap ( 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 /S Each gas water heater or vent 15.00 / TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /a Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 '@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2200A 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑. I, as owner of the property, or my employees with wages as their sole compensation, / will do the work, and the structure is not intended or offered for sale. �1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for -this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. SO 3.5¢x: = RESIU ' MULTI.OLmET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FI TUAEs 00 SAL 4 .50 Ex. Occup.OFIxEDTs .OR EA5.00 Temporary Service 23.00 , Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S 71701 MECHANICAL RMNIT Fling Fee 1'0.00 Heating / S Cooling Hood 6.50¢ Ventilation Sa 6 PERMIT FEt S 8 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co I with thosepr visions. G Dateze �! Z__ Signature of Applicant - O Owner O Contractor O Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height Mobile Home Installation. Fee $ Energy Inspection Fee $ Dcc — CONST. TYPE TO AL FEE HAZ. D. FEES P FLOOD I CD PO I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. [ d,20 PR GOLDENROD -APPLICANT WHITE-D.D.S.-B. D. CANARY -A SSOR PINK-INSFEF nd :y�'..�_..r`kb,�"tL^"�T3"'�..,.A.,.,�t`."*.rY(r,{,na;, ii�'1, iYyj`... r�,` ',ri--r..Fr*.mrrf�^"Y ; /'� 1�'r,�•�'.":�.'�,ri-�"'it :.iti1tF •Y�I(t'1i� .J'.�+'►.•'14c �`j" �a-�' ri-�i'^-'�.�r..+��f^ Y.yw6��ir.,�1r""�:'�!`a.�'`i�'}:1 i 4 R COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARCEL NUMBER: 04::2 — U l Proposed Building Use: Building Inspector: Date: At time of permit applicationef was advised the following data must be submitted prior to permit processmg and/or i suance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete pla� 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with Wet. signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- ❑ 8. Hazardous Material Form. ❑ 9. ufactured Home data and installation instructions including Tie Down Specifications .------------------ s of $ 131,2-76 ------ Impact fees as shown on the attached schedule. ------- ----------------- ----- - ------------------------ �12"California Department of Forestry plan approvaK(eed'.- _/- -------------------- ❑ 13. Flood elevation�certifiiccte.--------------------------------------------------------------------------------- �anitation andap t plan approval Health Department. ------------------------------------------- ❑ 15.: City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------- ❑ 1 . Planning approval for (A) Use: (B) Parking: -- �. Contact Land Development about OdImprovements, ❑ Drainage, Legal Parcel. t&1 Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑2 tter of signature authorization. -------------------------------- rded copy of Agricultural Acknowledgment Statement. - 026. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: �W��he�n you issue the permit, ocess as follows ❑ Mail to owner, ❑Mai to (2 elephone S- and hold for pickup at ------------------------------- When ---=-------------------------- Applicant: l,, , Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutic Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 1'. Index permit application for the above items numbered: 2. Additional items required: (Date) AW1L Lt,,r /p Deliver with inspector. ❑ Plan Check List Contractor; designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin id ion counter, by Datf. Plans reviewed by: Date: Plans approved by: Date: 7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance S.H. USE ONLY Plot PI= Attached V Floor Phm ScAttache otto B.D. i Owner Location Plan Approved for: Sewage Disposal Water Supply: Public _ Clearance for bedroom sebife home. Other APS Private Well Hold final for: Final clearance O.K. for: NOTE: �Is-�� Env' onmental Health Specialist Date ' E:d 8/92, r ....++:;,*.,rs-.n i'4._r+-.'.:nrn�_....'••+.`,•.W`Y-•-r..�.r�!--•.a'W`�c•,;t.rc.J""'.rv.:..,:.....r—.i-rti,..'r�r.`.w.....,..rf...�'.a-..ti-+'+.r •.r-ra: ,..,.i. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVER; OROVILLE CA 95965 TELEPHONE (916) 538-7541' SCHEDULE OF FEES DUE OWNER E �M a /'U PROPOSED BUILDING USE Cj �1. BUILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... $ --Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ V/2. SCHOOL DISTRICT FEES (paid at District Office) Gl 3. SHERIFF FEES (paid at Building Division) Residential ......... _J_ x $360.00.= $ �jrnQ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. �4. URBAN AREA FEES aid. � Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) A.. P. #©</7--q3j--�053 DATE ' 1 REC # DATE REC / r 6. THERMALITO DRAINAGE DISTRICT FEES t $425.00 (paid at Building Division) . SRA FIRE INSPECTION AND PLAN CHECK0�7. 89.00 (paid at Building Division) �J 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER .//� - / - C? 7� At time of permit application, I was advised the"above fees are required to be paid prior to issuance of the. building permit. These fees may be changed during the plan checking process. y APPLICANT DATE Original -Owner Copy -Building Div. c'7 (Rev. 12/96)' BUTTE COUNTY PARKS DEVELOPHE1T FEB CERTIFICATION.FORK CHICO AREA REL"PEATION AND PARK DISTRICT Assessor -Parcel Number (s) % - 4� Aja Property Owner Gr (.V �� ea.c�nM-o�.�' Project Location/Address 407 Subdivision Lot Number (s) Residential Development:- (check one`) xNew Development _Alteration/Addition _Mobilehome(s) _Non -Residential "U to Residential Total Number of Dwelling 4ts Comment: r Building,Department epresentative ° Date t Chico Area Recreation and Park District(CARD) certifies that L Applicant Name 54:5 "`x`1'!7 Phone Number) I(v6 <-,- mw -'/6 ., V' Ll�y (Street Address)., �u 7/e// (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ /'7 CARD Represenotive Date PAID BY CHECK NO. REMARKS: . BANK NO. �� •• 8Q 74(Z 3 J_ PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow--Butte,Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) 10./01 /9? 10:28AN 00100881'10 8P 8 CHECK; q.00 I BUTTE COUNTY SCHOOLS IMPACT FEE' -,CERTIFICATION FORM (One form per'Building) :i School District . Building Department No. A.P. Number 007—lu.36 "40SJJ ru isdiction: City EiEr County Property Owner Property Location/Address E F 04,0 v Subdivision ��(/ ej 7+� 11l AW d K Lot No. Residential Development E Sq. Footage No of Living' . Mobile Home Addition (Group R) Units , Installation Commercial/Industrial Sq. Footage New } Addition (Including Exterior Roofed Areas)- % Building Department Representative Date Irioor runs reviewea Dy scnooi uistnct versonneq District Identification No. 0'/,67, School District certifies that (Applicant) 1,V6 le • (Street Address) t (Phone Number) (City) (State) (Zip Code) Ilk - has complied with the requirements of Resolution No..,, by payment of $ o7� representing School bistr square feet. r. F12T926 $ IFULL MITIGATION $ ` x O i 9 Date r Paid by Check # �� � Remarks:_--- Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. J, If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 27-036814'. 0 CT 011997 NOT COMPARED WI7N nRII.�IN�t.. Dp(;l.1AAENT AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Datd:Doi, lai PROPERTY OWNERS: State of*Cal' i ) County of '� ) OJ t/ before me, icy personally appeared 0LAJ k -M' _ ,VYI()( 0 aersonally known to we (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instniment, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 1 "d 31S N ARB A I OTT Q'CO4VIP!1. 61092380 @r V41Si afore . A LJ KOTARYPUSUO-CALIFORNIA - 1;° Seal: a COUNTY OFVltTE O y My Cc1R M Efts -lAwch 24, 2030 -1 i A.P.# OY7- e -/3o May 1995 2.19 ORDER NO. BU -161113 TB DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JUSTIN MANOR SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 14, 1996, IN BOOK 138 OF MAPS, AT PAGE(S) 91, 92 AND 93. PARCEL II: A 30.00 FOOT WIDE NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE SOUTHWESTERLY 30.00 FEET OF PARCELS 1, 3 AND 4; AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 27, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 15. PARCEL III: A NON-EXCLUSIVE EASEMENT. FOR ROAD AND PUBLIC UTILITY PURPOSES, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEING A PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 89 OF MAPS, AT PAGE(S) 15, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE WESTERLY CORNER OF SAID PARCEL 1, SAID POINT BEING ON THE SOUTHERLY RIGHT OF WAY LINE OF KEEFER ROAD; THENCE ALONG THE WESTERLY•LINE OF SAID PARCEL 1, SOUTH 37 DEG. 42' 36" EAST A DISTANCE OF 10.57 FEET; THENCE LEAVING SAID WESTERLY LINE OF PARCEL 1 NORTH 71 DEG. 13' 26" EAST A DISTANCE OF 31.72 FEET TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING NORTH 71 DEG. 13' 26" EAST A DISTANCE OF 56.01 FEET TO THE BEGINNING OF A 40.00 FOOT RADIUS CURVE. (THRU WHICH POINT A RADIAL LINE BEARS NORTH 18 DEG. 46' 34" WEST); THENCE ALONG THE ARC OF SAID CURVE THRU A CENTRAL ANGLE OF 108 DEG. 561 02" A DISTANCE OF 76.05 FEET; THENCE NORTH 37 DEG. 42' 36" WEST A DISTANCE OF 56.01 FEET TO THE TRUE POINT OF BEGINNING. CONTINUED ORDER NO. BU -161113 TB DESCRIPTION - CONTINUED PARCEL IV: AN EASEMENT FOR BICYCLE AND PEDESTRIAN PATH WAYS, STORM DRAINAGE FACILITIES AND APPURTENANT PUBLIC USE, OVER THE FOLLOWING DESCRIBED PROPERTY: THE NORTHERLY 10 FEET OF LOT 27, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE ESTATES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 22, 1988, IN BOOK 112 OF MAPS, AT PAGE(S) 24, 25, 26 AND 27. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JUSTIN MANOR SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 14, 1996, IN BOOK 138 OF MAPS, AT PAGE(S) 91, 92 AND 93. PARCEL VI: A 35 FOOT PEDESTRIAN, BIKE PATH, STORM DRAIN AND ACCESS EASEMENT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JUSTIN MANOR SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 14, 1996, IN BOOK 138 OF MAPS, AT PAGE(S) 91, 92 AND 93. PARCEL VII: A 46 FOOT WIDE STORM DRAIN EASEMENT OVER LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JUSTIN MANOR SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 14, 1996, IN BOOK 138 OF MAPS, AT PAGE(S) 91, 92 AND 93. V LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE saiding Permit No. "( `7` l Q- NAMERS C 7y A.P. NUMBER: fJ1�1� 1 �1 C PFUNT LAST NAME FIRST COUNTY ZONING DESIGNATION: <� YZ I FLOOD ZONE: It FLOOD MAP: / 7� APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP r/ DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT BOOK S3 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES ,/ NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building, setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. Ieachfield setback from all existing wells. 5. Maintain a ft. Ieachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _. 8. .Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. '' 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ ` 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Peyment to be amm* to the Plfammng Division. 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. — 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. �9. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22 23. 24. 25 26 Ala111(18 Y) 3 X1000 t66t 5 t d3S C13AI333H LD 7/96 CAWP51 WORMS.K\BLDGPERM.CLR �l04S N��c�aN tl'A61� �./ 84 Ale �/�0Glti 17 q 1-7 JU,-t,',, ^0-1114- S� . ti0-t y Q Q \ W p ieC . • w i �. �• 1 .. 'f 1�� to k �, �• Tn V--'% TNZRCV INSTALLATION CERTIFICATE Building Gone: &I C,LJ Building Permit # 95 11I"75 Building Location :5 cj DESCRIUMON OF INSULA. ION ROOF Mate =al Brand Name Thickness(:L=hes) Thermal Resistance (R Value) IOR WALL Material Thickness (=ches) z �CEILM Batt or Blanket Type Thickness (inches.) Loose Fill Type Minimum Thicknesia(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) Brand Nage dlc.�tis w Thermal Reststance(R Value)__ Brand Name C---1 t/k-% . Thermal Resistance(R Valud)' 3= Brand Name . Number of Bags Wt. per bag Ib. Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value)___ I hereby cert--f-y that the above insula tion was installed in the above building, - -is consistent with. approved building department -plans --and attachments and• con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRK NAN/OW1ER STATE CONZRACTOR'S LICENSE NO. SIGNATURE OF AT i-ATTON APPLICATOR -- I hereby certify the required features, devices_, and equipment, as shown on the approve( Building Department plans and attachments have been installed and .conform to the appli- ance standards and Chapter 2-53 of the State of California Energy .equirements. <� w Az 0-i BUILDING CONTRACTOR/OWNER (Please Print) ( FIRM NAS SIGNATURE OF BUILDING C TRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. -��� DATE HVAC FIRS! NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 'All r SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MIST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. . SEP777MRER 1988 r�� HOLIDRY POOLS 628 SAi 1170 E. LASSEN AVE. CHICO, CA 343-8245 CC BUYER'S RESPONSIBILITY 1. Accurately identify property lines and easements. 2. Establish elevation of pod the day of dig. 3. To suPely water service with sufficient pressure and volume for construction andpool operation. 4. Wet down gunite and decks twice daily for seven days. 5. Fences to most local codes, gates to be self dosing and self latching. 6. Do not tum on pod equipment or pod light when pool is empty. 7. To provide grading and drainage away from pool site unless provided for by contrail 8. Comply with local safety codes. G \J DESIGNER: 4 Page 1 of _ / R Lead # IDate NCS. All o�� a1z `� M &I workm ea tie rr-1 �`�'nr,, rD eo,� Zoo 1��L codI �a 3 Ii iC�t+ tj d t�,acf - ae r tba .11i `` orftl , l,` �b -ecwo(I �s �1d .gl' ,0, °° etl fie. maw"' e1 & -plariz Y�kFa -fk? fly jtt,, atall 9 011, in tt� �1j ��P�<zc �R t �� "ZZ ��tJr big the cr� 84,4 to .1e qnuA t pvltout 4ttn _----- _.. _..__ - NORTH OWNER APPROVAL 0 The pool location, dimensions, equipment pad, light(s), light switch(es), locations shown herein have been discussed with me and I approve them for construction. Everything discussed is shown and there are no verbel sgreemsnts. Itis understood that any additions or changes will necessitate a change order, and may Involve an extra charge. I understand that Aquarius pools is not responsible for damage to concrete, sprinklers, lawns, and other obstacles in access. I understand that Aquarius pools is not responsible for drainage beyond the pod site. Date Buyer's Signature SWEEP DECO SPA 3 WAY CUP in= m VW ARROW E�REFpN SKMAYER LIGHT SWRCH T FIITTINO DRAIN JET ® VALVE ANCHOR TILE POOL PROFILE N.T.S. LOT IF] �Zo6 Ste Master Plan Of file for -I MAP�� TRACK CROSS STREET Water Surface Area5g5Perimeter01; Water Surface Area Sq.Ft. Length Widto AQ Perimeter Lin. Ft, '- Pool Depth: hallo -3 / Deeper Floor Depth Pool Capadty' Gals. Spa Bench Depth Pool Turnover Timef Buyer to identify property lines, easements, and notify Aquarius of the same. Buyer to provide Access Permipsion. Remove on site day of Excav on: Trees, stumps, shrubs .- Other Debris Concrete Sq. Ft. Dirt haul - Concrete Grading Time for Preparation of pool site Additional Grading _ Access Width . -^ Tractor Size Rock or water anticipated�� Deep End Ramp Yes 'zC No Raised Beamer �/' Length _ Height Notched Beam L"b/ Length Width Steel Reinforcing per engineered plans: Standard;?<Light Adobe Heavy Adobe Surcharge All Non -corrosive Pool Plumbing;;e Skimmer: Number Type 4�e-!!51' Main -drain: Type Pipe Size Length Hydro Relief Tube: Suction Line: Size -2- Length Return Line: Size_ 1--7 Length Plumb for Pool Cleaner: Size /a .S� Length _ Pool Fill Line with Anti -Siphon Valve: Size �— Length _ Water Line for Slide: _ Water Line for Waterfall: Size Length Valves Gas Piping from Meter to Heater. Size Length Reroutes: Gas Line _Yes N Water Yes No Sprinkler Line ReroutE!14 No Yard Drainage _ Solar Heating: Panels: Pipe Run Racks Yes— No-Stubs Only At Pool _ Main -Drain Suction Line: Size: Length Return Line: Size: _ _ Length _ Therapy Jets: Number Jet Depths Air Line: Size Length Booster Pump -Suction and Return: Size'— ` Len th_ Control Valves: Automatic Manual Type: Electrical Including Equipment Hookup, One G.F.I. Duplex per Code, and all Bonding Control Panel: Type Run to Pad Pool Light and Switch: Number / Wattscation Spa Light and Switch: Number Watts Location Deck Boxes for Lights: Location Electric panel change zt."'o Reroute Electric panel load calculation required: Yes No Remote Equip. Controls�C:r�,' Super switch / "„ Gunite engineered to plans Water line tile: 6" row-Color/Type r (1) (2) Tile grout: Color rJit'" 1/4 inch round color Tile trim on steps: Color /T pe - 4�_ Length Coping: Type Color ID number Rock<---"�& ,2:On Beam: —Notched Waterfa I: ' i ' Beam Falls_` Bride: Type Bride Grout Raises: Tile Faced ,! Stone Faced Pool decking installed per plan (Slope as required for drainage): Finish: Aj `-r"� .'.�.__ Color Color in Mix: _ Cantilever: Type Length Expansion Joints: Color/Type - Poly Void and Mastic Color Length Deck -O -Drain: *- Color Steps: Ft. �Type _! Footings: Concrete Pad for Pool Equipment: Size Diving board supports installed: GrAb rail anchors installed Pool Fitter Type _Size �4 Pump Type , /� Size/ Spa Filter Type Size Pump Type Sizes >— Automatic Cleaner _ Booster Pumps: Number Size_ _= Heater: Type Y BTU Stack Stac less Natural Gas _ Propane Chlorinator: Pool Cover: Type>�' ' Spa Cover: Type Pool Start-up included es No Pool Balance_Ye No Service Month Maintenance Equipment Included: Brush, Pole, Net, Test kit, Leaf net y Diving board: Model' Length Stand Color Slide: Size" Color Grab t Hand Rails Fence Removal by: Fence Replaced by Y Additional Child Safety Devices by• ` Alarm (Supply and Install) at door Per Cod—e:'' Pool Interior Finish: "�� Color Main Drain: Type Color Rope Anchors: Number .r ..- Color -b OWNER'"AME: tea- ADDRESS ' F� _ CITY %� '` ? STATE:ZIP:. t ` HOME PHONE: � dF - "� OFFICE PHONE: ttf THOMAS BROS. MAPS PAGE REF. 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