HomeMy WebLinkAbout079-160-006Tom Rogers Const. ,
3289 Foothill Blvd. ; lot ��6 "Foothil
Acres,_Oroville�
4 Permit ��2558-77B.,P,E,1� e single
family)
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03-2290
TERWILLIGER, BILL
3289 FOOTHILL, OROVILLE
Cont: BLUE HAVEN
POOL -MASTER #517-01
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7543 ^ �PERMIT O
(Rev. 12/96) APPLICATION ANDPERMIT
ASSESSOR PARCEL NUMBER ��
036-710-006
ZONING
BUILDING PERMIT
OWNER
Terwilliger,
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
.OWNERS MAIUNG ADDRESS
3289 Foothill Blvd Oroville
Cont est 22$000.00
CONTRACTOR'S NAME TELEPHONE
Blue Hapten POOls 8;9-8445
CONTRACTORS MAILING ADDRESS
275 Fairchild
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS -
Fireplace
Total Valuation $22,000.00
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee $ 234.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2-3-00
BUILDING ADDRESS
3289 Foothill Blvd Oroville CA 95966
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ 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
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: New Pool #517-01
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE S
'
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 20 0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Bu in sand Professions Code,
)
and my license is in full r. a and effect. _7 ,
License Class 3 Lic. No. / q q
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for thistri
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCC P. SO
OR ADDNS. ( & ACC. BLDS. 3.50Fr.
NEW CONST.MULTI.OUTLET
NON-RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES BAL @ 1.00
.50
Ex. Occup. DUTLEEDTS R.ID °Ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
Pool F.1
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' come tion i ura ce carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If th 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, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that it I should become subject to the
workers' compensation rovisions of section 3700 of the bor Code, I shall
forthwi comply w' rovisions.
/d
X Date `
Signature of Applicant = ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
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 $ 362. 0
HAZ.
D FEES IMP c HD
UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whic fees have een paid.
/
BB/� 3l�
By Date O L
PERMIT EXPIRES ON—
Date
Receipt No. c;2 -t,
WHITE-D.D.S.-B.D. CA AR -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT
i
v- z •-ro • - �M ; �a-'r� p`T • "r''� ri'�'�r" !�`'�1'i�'� �"'�'' �f T iT. � ,. r�-,w�•�-.u�--.,�•--� (��t ��+f"�c �`�►�'i�ti"i:�i''+ct"':f{.�
COUNTY OF BUTTE, DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, &A 95965 Phone (530)538-7541 Fax (530)538-2140
J•
PERMIT APPLICATION DATA SHEET r
OWNER: (�V �C%/t ASSESSOR PARCEL NUMBER yv 3 - Y D a�
Proposed Building Use: Poo Counter Technician: !"' Date: 31/3
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot+proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received. --
�•' Date Received By
❑ 8; Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9' Plot plaii'and business license approval from the City of Biggs ........................... :........
❑ 10:. Letter of;intent:for;non-residential buildings.........................................................
I I.,petath d Accessory Building Form filled out by the owner .....................................
El 12. hazardous Material Form ............ ...................................................................
13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
Fees as shown on the. attached Schedule of Fees Due Sheet ....................................
5.C tatement of Intent for Non -heated and A/C Buildings .................................... Sanitation and plot plan approval from the Environmental Health Department in
❑ '17. City of Chico Plumbing permit...........:............................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approvalTor (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Developmerit'about ❑ Improvements, ❑ Drainage ...............................
❑ 21:' Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22 !Pre -Inspection for required ................
❑ 23. •Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25.1 Owner-BuilderNerification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26a•Letter of Signature authorization...........:........................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance..............:................................................
❑ 29. Existing violations and/or expired permits...........'.............................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of th o e it n reqAuirements for obtaining a buildin permi
Applicant: Date: �/ 0
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the above data by" ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: :Date: Structural approved by: Date:
Note transfer by: -Date:
Yellow: Building Division
• i t ,
`-' "PERMIT NO. 2558-77B,P,E,M
4 PERMIT EXPIRES T
`OWNER __ Tom Rogers Const_
CONTR.
C , owner
LOCATION (A.P. 36-54-9 port,
3289 Foothill Blvd.,lot##,Foothill Acre Oroville
1t
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. - % Z`%"/
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
,,,e
(Signature)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall (% — --7
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
3 %%
Windows
3rd Floor
StemwalI
Siding
To out
7%
Slab
Roof Sheathin
Water PI in
Piers
Roofing P%
Sewer
Garage
Fdn. Vents
Fixtures
Footings '
Garage Vents
Water Htr.
StemwalI
Insulation 1,0 —2,—L.(
-44eaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
3 '7
Slab
Final
-Sanitation
Patio
FIREPLACE
Final
Footings
Footin
E
CTRIC
Masonry Walls
Throat
Rough
Reinf. Steel
Final — ' KF
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
B —2— —7
Framing
Test
Water Htr.
Stucco
Final -
Subpanels
Mesh
s MECHA CAL
' Grd. Fault Prot.
?_-712 -
Scratch
Heating 7
Service 4
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation ✓
Permanent
Door Closer
119 7-- 7
inal
Final
r r
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
o
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS �.
Manufacture d 41st Thickness/Type — / – R Value ell
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer%�'�Thickness 15;_ Thickness Bags Wt./Bag
Sq. Ft. Covered// �� R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation -inches
FOUNDATION WALLS
GENERAL
BY.
R Value
No. 33 0 6 63
INSULATION CON ACTO; : HAWKIMS INSULATION CO. LICENSE No. 215-925
BY X TITLE °�'� �-- _DATE 17
COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: X34-4541 7 7
APPLICATION AND PERMIT
i tea, clic �+ a vi uic vUUniy VI ouuc W C[ILVI UIJUII tilt:
above-mentioned property for inspection purposes.
x _ Data
�( ignature of Permitee or nt
Receipt No. zaz
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
yDIRECTOR OF �BLIC WORKS
BY Q;1 Q-- •-7 —7 i
Bung permit expires Date •L' '-7 "7
BUILDING
Owner �� �� .S!
SQ. FT. OCC. BUILDING VALUATION -
71 D ZS -O r 00
Mailing Address ia/t 4� �
o v
Tel�one
Fireplace d v
Contractor
Total Valuation O v
Mailing Address
Permit Fee E6QO
Plan Checking Fee &/or Penalty
•
Telephone No.
Permit Fee $ O
d�
Building Address �/PERMIT
PLUMBING No. @ FEE
FILING FEE $3.00OU
Each Trap 1.50 O()
)/
Repair drainage or vent piping 1.50
Water piping 1.50
UnTng ,V_Qri>>!cation OnIv
Each gas water heater or vent 1.50
+��
A. P.
ZL
Gas piping system 1 - 5 outlets 1.50 O
Each additional outlet .30
es
n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 p
EQA
Parking'
-Parcel
Declaration
Parcel Ma P
60' R/W
Im rovem is
P
Lawn sprinkler system 2.00
yy��/Plans
Bfdg' l&CRe 0
a Approval
Plon pproval
Permit Fee $ QO
$ L
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 p
Main service i$°o AMP OROR SLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVR Main service 1100EAMP OR LESS 25.00
Main service EA. ADD -L too AMP 1.00
NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGO. &) 2,tsgft Q
NEW CONSTS MULTI.O ET
NON.RESID, (BRANCH CIRCUITS)2.50ea
NEW CONS'TR. (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style Of: �C �
� v
Ex. Occup(OUTLETS OR FIXTURES)50 @25R
BAL@1
Ex. Occu FIXED APPLNSTS (RES. OR
P• OUTLETS (RESIDJ EA) 2.00
Temporary service 100..0000
Mobile Home Facilities 15.00
License No. � Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 3 �L
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a•certificate of
Workmen's Compensation Insurance.
I certify, that in the performance of the work for which this
I permit is issued..) shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL—No.1 MECHANICAL—No.@ I FEEPERMIT
FILING FEE $3.00 %,,o 0
Heating Z
Cooling
Ventilation
Hood 2.00 Zt 4
Permit Fee $
$ �
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
TOTAL PERMIT FEE
$ / L
i tea, clic �+ a vi uic vUUniy VI ouuc W C[ILVI UIJUII tilt:
above-mentioned property for inspection purposes.
x _ Data
�( ignature of Permitee or nt
Receipt No. zaz
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
yDIRECTOR OF �BLIC WORKS
BY Q;1 Q-- •-7 —7 i
Bung permit expires Date •L' '-7 "7
�t- /_
5,�
STM This s i of Ian
NOT :=All Materials Workmanshi Shall 'Be in p MI IST �e
,, p "',kept on the job at all times. and it is unlawful to '`)1';'
Accordance; with Recognized' Good .Practices and �; al;e �ny changes or alterations on some without
of a quality pr�es'Eribed for the Spedified use in the written permission from the Department of Public r
Uniform Building, Plumbing 9 Mechanical Codes -and Works, County of Outte.
the National Electrical Code.
61.
o'�ip� yoA� ` r 4:7
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006► �P .. �,,,,,fi :,.,�, < <•; 4 �,, '-� ��;.' ,� .. �..� •.< •
Off,
r' /.d �• O �.
I ' . °or bu►ld�n. 9'
plan OT, - r
See Master
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1 _, 2 1: 6 � h.� s �. ," IC;� .+.=-. .gay, •'n� ,. }� t i� , �t .
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BUTT, QOUN
BUILDING DIVISION
APPROVED,
CO Fefx z
3 � o
BLUE HNNEN PGDLI,
Smog 1854
BLUE HAVEN OFFICE:
Exk4ln5
Cl
o . JLM
kst L.(
GENERAL POOL SPECIFICATIONS: (Temp.#
2Q SU
MAXIMUM WIDTH �'IQ PERIMETERR 1 AR
MAXIMI IM 1 FNr,TN• '2U'. Dr1r)1 (]APAr`ITV-
EXCAVATION
c Front e r
o Cat Shu
t���
Remove Dirt
Remove Stump(s) &°
Remove Fence l-0
Replace Fence
Remove Concrete S.F.
Sawcut Concrete Ft.
�c
STEEL
Expansive Soil Steel Pattern
PLUMBING
Filter Run Ftg: i2
Return Lines 3
P -Trap _ B/Wash LinehML-
GasLine 12n Ftg
Drill Drive PO
ELECTRICAL ^
Run By 3 o Ftg
GUNITE // 1
Love Seat l .J
Swim Out is
Ext. 2nd Step
R. B. B. in. X Ft.
R.B.B.t> in. X Ft.
COPING
Type
TILE
Type t
Spa Dam
Accent Tyle !!T)
• Approve above specification
• Approve equipment location
DECKIN
Type , tri
Color !—s
Risers
Footings
Mastic
Drains
A Qi7oV,;1
-6
EQUIPMENT
Filter Type
Size
SSO
Pump HP
2 Sp
1 Sp
Smart Box
Yes
Q
Smart Pure
Yes
Ilio
Smart Light
Yes
_.. Ko
500 W Light
Yes
CiF
Smart Vac II
No
Heater BTU ),\TO
at
Pro
Div. Board
Slide
Water Feature
PLASTER
Color Srn RER b
SPA N an Er,
Size In Out
Plumbing Run
Dam Wall Length
Number of Jets
Blower Hp _Yes_ No
Remote Model #
Spa Side Switch Yes No
Smart Light Yes No
100 Watt Light Yes No
BUYER
Initials
• Understand that decking shown is for illustration purposes only and
understand that they are to receive 6100 square feet of deck.
Signature
Date
Prepaired Especially For:
��11 lerw�ll�a�
Street
city • o cam, I\e Zip 91511(0(0 _
Home Phone 32.99 Work Phone 3�i « r Gni
f
Designer K C r+kn Job No.
Lot Block Tract
} Mapsco No. \�
.BUYER'S RESPONSIBILITY
Pool area to be fenced per local code.
Gates to be self-closing and self -latching.
Wet down GUNITE twice daily for seven days.
E X14
RQ .-. %de rA c A.
1
e
G/ FC nis / p (� t 'r y b "e
y
I
BLUE HNNEN P � ��LS) I
GENERAL POOL SPECIFICATIONS: (Temp.# )
n n SUR.
.51r106
vInnuvi rvl v iv 1 -
MAXIMUM LEN H•
BLUE HAVEN OFFICE:
POOL DEPTHS:
Fen (�
�.Li/Pr��f ��IhQ.
EXCAVATION
cce Front f;;hr
`Sob
(Remove
Cat Shuttig10
Dirt TI.Jt
rL j+v Q ae �G
ca-
Remove Stump(s)
Cour-j— 0wrw-r.
y
Remove Fence
Replace Fence ;NA
Remove Concrete
gS,LS.F.
1 /�{
Sawcut Concrete Ft.
r.�CCf2Sj
STEEL
I
Expansive Soil Steel Pattern BH
y r
PLUMBING
'
Filter Run Ftg:
Return Lines
4
l
P•Trap _ B/Wash Line
Gas Line 4ZO Ftg
Drill Drive ill
i
.
ELECTRI
�..
; Run By 13 Ftg
GUNITE
Love Seat
Swim Out
Ext. 2nd Step y1![1
R.B.B. in. X Ft.
i R.B.B. in. X Ft.
COPING
Typp
' TILE
Type
.,
.' Spa Dam
Accent Tyle "Ni
3'
(p �Gc-wsr
GA
• � 1 1 Ij1
Wn
%
,a acn.
' r
co r c MZ
DECKIG
Type �� OV l�
Color
Risers N�
Footings
Mastic r
Drai s
EQUIPMENT S SQ
Filter Tyne Size Iia
Pump HP 2 Spar Z So
Smart Box Yes —QVo
Smart Pure Yes CO
Smart Li h Yes No
500 W LiQ ht Ye Nd7>
Smart Vac II i No M
Heater BTU /'J' at Pro
Div. Board IVO
Slide J I
Water Feature il/�\
PLASTER ��; t
Color Sm i-i�7t4T
SPA/OJ C,
�..:
Size In Out
Plumbing Run
Dam Wall Length 1
Number of Jets
Blower Hp Yes _ No
Remota Model #
Spa Side Switch Yes No 1
Smart Light Yes No 1
100 Watt Light Yes No
BUYER
Initial
Approve above specification -
Approve equipment location
Understand that decking shown is for illustration purposes only and
t
understand
rth(a�they re `o receive square feel of deck.
Signaturev ate
Prepaired Especially For:
n r
3 289 �f
Q `!1
s Street - 1 / .
City' 0row 1(� Zip 9591$ C11
i Home Phone
S 3 q - 3Z9q \'lore Phone X70
Designer 1 '. Job No.
Block _ Tract
sc No.