HomeMy WebLinkAboutB17-0447 039-610-045' t
BUTTEICOUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 3pm)
Development Services cannot guarantee inspections on the date requested
Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds
Permit No: B 17-0447 Issued: 4/6/2017
APN: 039-610-045
Address: 11761 MERIDIAN RD, CHICO
Owner: DAWSON CHARLES & AMY
Permit Type: PRIVATE POOL
Description: POOL - GUNITE NO HEAT FROM (MP17-
ALL PLAN REVISIONS MUST BE APPRO
Inspection Type
IVR INSP DATE
Setbacks '
131
Foundations / Footings
111
Pier/Column Footings
122
Eufer Ground
216
Masonry Grout
120
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test Underground/floor
404
Gas Piping Underground/floor
403
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
505
Pool Fencing/Alarms/Barriers
503
Do Not Install Floor Sheathing or Slab Until Above Signed
Shearwall/B.W.P.-Interior
134
ShearwallB.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Manufactured Homes
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House
403
Gas Test House
404
Shower Pan/Tub Test
408
Do Not Insulate Until Above Signed
Permit Final
802 L6A /l
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Fire Sprinkler Test or Final
702
1
Finals_
AREA
5
Flood Zone: None SRA Area: No
SETBACKS for Zonino- AG. SRA. PW
Front: 20 Centerline of Road:
Rear: 25 SRA:
Street: 20 AG:
Interior 25
Total Setback from Centerline of Road:
) BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR
INSP DATE
T -Bar Ceiling
145
Stucco Lath
142
Swimming
Pools
Setbacks
131
-14
Pool Plumbing Test
504
Gas Test
404
Pre-Gunite
506
W S 7
Pre -Deck
505
Pool Fencing/Alarms/Barriers
503
(�
Pre -Plaster
507
Manufactured Homes
Setbacks
131
Blockin /Unde inin
612
Tiedown/Soft Set System
611
Permanent Foundation System
613
Underground Electric
218
Sewer
407
Underground Water
417
Manometer Test
605
Continuity Test
602
Ski rtin /Ste s/Landin s
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Final 538.7681
Fire De artment/CDF 538.6226
Env. Health Final 538.7281
Sewer District Final
**PROJECT FINAL 6 f C
t *Project Final is a Certificate of Occupancy for (Residential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
5303452503 5JU34525UJ u u o
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. /.Class / Expires
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for
BOWEN POOLS AND 929978 / C53 / 3/31/2019
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section:
7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she licensed pursuant to the provisions of the Contractors'
(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 i
State License Law (Chapter 9 (commenting with Section 7000) of Division 3 of the Business and
in full force and effect.
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
0
X'
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their sole compensation, will
❑
Contractors Signature Date
do U all of or U portions of the work, and the structure is not intended or offered for sale
(Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who, through employees' or personal effort, builds or improves the
property, provided that the improvements are not intended or offered for sale. If, however, the '
building or improvement is sold within one year of completion, the Owner -Builder will have the
WORKERS' COMPENSATION DECLARATION-
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' =
burden of proving that it was not built or
❑I
compensation, issued by the Director of Industrial Relations as provided for by Section
improved for the purpose of sale.).
3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy
' - -
No.
I, as owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' State
❑.;
1 have and will maintain workers' compensation insurance, as required by Section 3700 of
the Labor Cade, for the performance of the work for which this permit is issued. My workers'
License Law does not apply to an owner of property who builds or improves thereon, and who
contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
compensation insurance carrier and policy number are:
Lam,.). -
Carrier. STATE Policy Numb908987a Exp. 0=1'2018
-
I am exempt from licensure under the Contractors' State License Law for the following
❑
❑reason:
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 the workers'
- compensation laws of California, and agree that, if I should became subject to the workers'
X -
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
_
Owner's Signature T Date
provisions. K
X
PERMIT APPLICANT DECLARATION
Signature Date
By my signature below, I certify to each of the following:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE ISI
am (_) a California licensed contractor or U the property owner' or U authorized to
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
act the property owners behalf**.
I havv e read this construction permit application and the information I have provided is
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
correct.
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
I agree to comply with all applicable city and county ordinances and state laws relating
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES..
to building construction's
authorize representatives of this city or county to enter the above -identified property
for inspection purposes." California Licensed Contractor, Property Owner* or
Authorized Agent": 'requires separate verification form "requires separate
CONSTRUCTION LENDING AGENCY DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the
authorization form -
performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name and Address
X. -- -
ame of Permittee [SIGN] Print Date
Lender's Name & Address
City State Zip -
FEE INFORMATION
Total Fees: .$727.50 Fees Paid: $727.50
Balance Due: (None) Job Value: $32,000.00
v
Butte County Department of Development Services
PERMIT CENTER.
7 County Center Drive, Oroville, CA 95965
Main Phone (530) 538-7601 Fax (530) 538-7785
Nvw%v.buttecountv.net/dds
ANTI -ENTRAPMENT CERTIFICATION FORM
FOR SWIMMING POOLS & SPAS
FORM NO
DBP -66
The following form is required whenever a building permit is issued to construct
or repair (re -plastering) a swimming pool, toddler pool, or spa.
STATEMENT TO BE SIGNED PRIOR TOS,
FINAL APPROVAL
Verification of Compliance with the "Swimming Pool Safety Act of 2006"
(Health & Safety Code 115920 - 115929)
Site Address: //76 % MGR 1 D/A14 Oji - e-1+( L 0) C4, 153
Property Owner: RLES Y PAWPhone: S-30— x'93— 471
Owner's Mailing Address: �'f}/M 4 A,S &E50 y C
I hereby certify that the swimming pool, toddler pool, or spa located a the above-
mentioned address complies with the provisions or the "Swimming Pool Safety
Act of 2006" and has been equipped with an anti -entrapment cover meeting
the current ASME/ANSI Standard A 112.19.8 as quired under the
provisions of the law d have receiv addi 'on I information on pool
barrier requir ants
Signed: Date: r
Signed: �d / , �'(. Date: / ' / % - 1
Contractor
CONTRACTOR'S INFORMATION
Company Name: -PaZ5Ls AWO Ck,4(!'L
California Contractor's License Number: 9 2 9�
Mailing Address: 90S7 el C 130 RT--
Phone: q- 3 Email: 336W E "'j T -0L5 e i" 1' ka( l ' C
Attachments: Swimming Pool Enclosure Requirements and Pool Barrier handout
Revised 7.20.2015 Pagel of 3
Swimming Pool Enclosure Requirements
Definitions
Approved Safety Pool Cover: A manual or power -operated safety pool cover that meets
all of the performance standards of the American Society for Testing and Materials
(ASTM), in compliance with standard F 1346-91.
Enclosure: A fence, wall or combination thereof that isolates a swimming pool
from unauthorized access.
Exit Alarm: A device that makes an audible, continuous alarm sound on the doors
leading from the dwelling/garage or other structure to the pool enclosure, which,, when
opened or left ajar, permits entry to the pool without any intervening enclosure device.
Exit alarms may be battery operated or connected to the electrical wiring of the
building.
Public Swimming Pool: A swimming pool operated for the use of general public
with or without charge, or for the use of the members and guests of a private club.
Public swimming pool does not include a swimming pool located on the grounds of a
private single family dwelling.
Swimming Pool or Pool: Any structure intended for swimming, "recreational bathing or
other recreational use that will contain water over 18 inches in depth. Swimming pools
include in -ground and above -ground structures and include, but are not limited to, hot
tubs, spas, portable spas and non-portable wading pools.
Other terms, words, or phrases not defined shall have their ordinarily accepted meanings
within the context with which they are used. Webster's Third New International
Dictionary of the English Language, Unabridged, copyright 1986, shall be considered as
providing ordinarily accepted meanings.
Revised 7.20.2015 Page 2 of
Swimming Pool, Requirements
Drowning Prevention Safety Features
Based upon California Health and Safety Code Section 115920-115929, known as the Swimming
Pool Safety Act
The County of Butte requires either a listed, approved safety pool cover* meeting
ASTNI Standard F1346-91, OR a complying enclosure* which isolates the pool from
the dwelling and remaining yard,
OR a complying enclosure* which surrounds the perimeter of the pool and dwelling, with door
alarms and self-closing, self latching devices on all doors leading into the enclosure.
*Enclosures
• Minimum height of 60 inches
• Access gates shall open away from pool and have self-closing, self -latching device no lower
than 60 inches above the ground.
• Maximum vertical clearance of 2 inches from the ground to the bottom of enclosure
• No openings greater than 1/2 inch within 18 inches of the release mechanism when closed.
Gaps or voids shall not allow the passage of a 4 inch sphere.
• Outside surface shall be free of cavities or protrusions that would serve as a foothold or handhold
that could enable a child of less than 5 years of age to climb over.
• Maximum mesh size for chain link shall be a 2.25 inch square unless the fence is provided with
slats fastened at the top or bottom which reduce the openings to no more than 1.75 inches
*Pool Cover
• Shall be correctly installed per the manufacturer's instructions to prevent the access of children
under five years of age to the water.
• Shall be properly constructed to meet ASTM specifications and be labeled accordingly.
• All ties, anchors or attachment points and controls for automatic covers must be installed in a
way to prevent operating or uncovering the poll by children less than five years of age.
• The pool cover shall possess a listing that insures the original design or performance of the cover
meets. or exceeds testing as prescribed by ASTM Standard F1345-91, Section 9 Test Methods for
Safety Covers.
Door, atatms orself-closing
self latching doors
ro6lin Iiand doors
routinely closed;and
Matched � �,
:'Safety pooh 1.3 ` r=�
cover
•isotation
Perimetefrent I! .444.
t 4 t t ljy
self-closing,
sett-latching`lt ,fence ., . ;
-At
a minimum, one of these shelf be provlded
(Revifled:4/08)
Revised 7.20.2015 Page 3 of 3