HomeMy WebLinkAbout007-400-011rake! omes
3 9 Hackamore Lane, lot 43, Woodside
i Sub M., Chico
Permit-#4403-80B(new single tamily)
L
Gore & ii.te Plumbing•
4747-80P '�
(p g/4403-80)
r
' Contr: iPark S eet Metal, rh'
Permit#5757-80M(mech./,4 03-80)SF
Contr: eed Francis Electrid
Per ' t#5904 -80E (ele/4403-80) SF
007-400711 02-0277
HARDESTY, M �;�(. q -Z5"
02
i 3419 HAC ORE, CHICO
CONT: ECTION POOLS
NE OOL MASTER 515-97
007-400-011_, �. 02-0469. �..
HARDESTY
3419 Hacka e Ln., Chico
' Cont:Aotered
Deadmond ,
New Patio r`.ay `
-t •►l
i 007-400-011 03-3150
I HARDESTY, MARK
3419 HACKAMORE LANE, CHICO
CONT: DEADMOND, STEVE
CONV GARAGE TO LIVING .
r
E
r -
1��
-7
C=DD
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -
BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .5 P ��
(Rev. 12/96) APPLICATION ANDPERMIT
ASSESS06Pg 44 ,(ER011
ZDA GSK
BUILDING PERMIT
OWNER
HARDESTY, MARK
TELEPHONE
891-8018
SO. FT. OCC. BUILDING VALUATION
jj
420 U—R 8400.00
. OWNER'S MAILING ADDRESS
3419 HACKAMORE LN CHICO 95973
CONTRACTOR'S NAME
DEADMOND, STEVE
TELEPHONE
521-0907
cDM 3311�NORDEAVE CHICO 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ • 00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3419 HACKAMORE LN CHICO
Energy Plan Checking Fee $
23.00
$
PERMIT FEE $
221.20
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CONVERSION GARAGE TO OFFICE
AND LAUNDRY ROOM
Gas piping stem 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
600VOR LESS
Main Service 20 A OR IES.
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 13 Lic. No. 919
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 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' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO tOooA 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC, sem., 3.50 Fr. 14.70
NEW
NONREOSID T. MULTI.OUTLET 97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES @'.50
BAL Q .SO
Ex. Occup. uitFrs PRM.) EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $ 35.00
Policy Number
(The above sections need not be completed 4 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 f I should become subject to the
workers' compens on provisions of section 3700 of the Labor Code, I shall
forthwith com ly Ith those provisions.
X Date 10-16-63
gn ure licant - ❑ Owner Contractor ❑ Agent
An OSHA per tis required for excava over 5'0" d d demolition or construction
of structures t hei ht
Receipt No. `__1
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
c
PE336.90
TOTAL FEE $
HAz. IMP
oo
coP
PARCEL PD HD SSU
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 7
PERMIT EXPIRES ON �d
IData
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�•Yis'..s*:+Iv�8:.771Gt"" '+'+," �r•s�,,,i:$h�;,�',Sr�F�+.sv+��.c}.nFwr.r.ep� *NT'S
'Rt }t.COUNTYiQ78CTE-DEPARTMENT OF DE ELOPMEERVICES-BUILDING DIVISION
�. iJ:....,T.• r d <•
r
:,06
�Y", "Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
A", � PERMIT APPLICATION DATA SHEET
OWNER: -400 J L/I 1 AS ESS ARCEL NUMBER
r
Proposed Building Use:. q �`n: Date: 0_0
f3Eingineered
s equired in order to apply for a permit. All boxes MUST be ch c OR akein o de to apply.
ite plans, 3 or 4 sets, signed by the preparer of the plans.Complete plans, 3 or 4 sets, signed by the preparer of the plans.. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑,#. Engineered truss details and layouts in duplicate. No faxes!
,r 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the 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.. * .......... "" ........
uplicate.............""........_
❑ 9. Site plan and business license approval from the City of Biggs .................................... _
❑ 10. Letter of intent for non-residential buildings......................................................... _
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... -
❑ 13. Fire Sprinklers............................................................................................
.,� ❑ 14. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by _
❑ 15. Other
:.,
t
iningitemsneeded to issue the permit. (May require additiona Irrv1. u on r celpt of the following items.)
eesasshown on the attached Schedule of Fees Due Sheet....���f..-. �, t/ Statement of Intent for Non -heated and A/C Buildings ........................... :................. _
1 ❑ 18. Sanitation and site plan approval from the Environmental Health Department in
09. City of Chico Plumbing permit........................................................................ _
0. California Department of Forestry plan approval ❑ paid. Sent by: ......................
1 _
21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... _
❑ 23. NPDES Form............................................................................................. _
❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. _
❑ 25. Pre -Inspection for required ................ _
❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... _
❑ 27. Worker's Compensation, Carrier and Policy Number ............................................. _
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization.................................................................... _
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ..................................... _
❑ 311 Manufactured home utility clearance............................................................... _
❑ 32. Existing violations and/or expired permits......................................................... _
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check.to H.C.D. $
❑ 34. Other: _
When issued Telephone - and hold for pickup.
I have been informed of the above 4ems and requirements for obtaining a building permit.
Applicant: �./�� Date: 16-16-6-3
1. Index permit app is iatl on for the, above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of 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
PROPOS]
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 �OUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee ..... Je.l.$I
'42,S1
OL DISTRICT ES
(p d a i c c) (A"
tC ��le r 'Q I
3. SHE FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion #' )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
DATE
RECEIPT # DATE REC.
At time of permit application, I was a vised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan cVfking process.
DATE I'—le—
Pursuant to Governmedt Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100)
etSrlfrA S:-e�'.✓<irc. �.,a. .Y... +� � r ..fir �•: -. .
fi 9
Btt.TTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form Per Building)
/ I e 11 / 1/ • A �, /,
School District
A.P. Number 00,;�
Property Owner
Property Location/Address
Subdivision
Building Department No.
City County
Lot No.
..............................................................................................................< 9
Residential Development Sq. Footage
No'of Living Mobile Home Addition/ 'Supplemental to
Units Installation Conversion Permit #
'(No foundation inspection):
0 0
Department Representative
(Floor Plans reviewed bb School District
s District Identification No. AM
School District certifies that
(Street Address)
(City)
has complied with the requirements.of Resolution No.
representing, a. square feet.
School District Representative
Paid by Check #
Remarks:
Sq. Footage
03- 31�
(Group R)
(Including Exterior
Roofed/
d dAreas)
_ /
Date
(Applicant)
(Phone
(State) (Zip Code)
by payment of $
IAB 2926 $
FULL MITIGATION $
Date
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.
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) feeformAs 110/98)dmm
COUNTY OF BUTTE -,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 a Telephone (530) 538-754
APPLICATION AND PERMIT L" -" 3=
Rev.12/96)
zo BUILDING PERMIT
SESSOR PARCEL NUMBER 51r
NER TION
A�� i/ /1011/ S I FT. OCC. BU -I—
S G D S All
�
NONE
CTOFrS LAM
mo �F-
�*W;o95 ^ 99° �v I i I�E /�V e5l-,5a 73
NDERS MNLING ADDRESS
ARCNRECT OR ENGINEER
ARCIi(fEGT OR ENGINEERS MAOJNG ADDRESS
BU0.DING ADDRESS A
IDT NO. I SUMMONS MAW
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other ePEeI�
TYPE OF WORK
NO.
PERMIT FEE PAID $�✓� G
SRA $_--�-=--
SHERIFF
OTHER
-1k
AMOUNT RECEIVED $ ✓�� U
DATE RECEIVED
Fireplace
PERMIT FEE $
Ex. Or -cup. vnErs PTEs p )0EA.
Total Valuatlon is 07
Fling Fee 20.00
Main Service
Ffin Fee
$
20.00
Permit Fee
$
i
Plan Checking Fee
$-
z
Energy Plan Checking Fee
$
r-
MULTI.OIJTLET 1
$
PERMIT FEE
$
ZLL
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
1
Each gas water heater or vent
1 5.00
Gas piping stem 1 - 5 0
15.00
Building sewer
I
I15.00
Mobile Ho JSJ GI W1
1
1 @20.00
Ex. OCCUR. oun.ET OR FDnURFS
PERMIT FEE $
Ex. Or -cup. vnErs PTEs p )0EA.
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
ecov oR uas
zooA oR LEss
23.00
Main Service
2Da► TO 1000A
46.00
NEW CONST.
DWMLMG O=P.
3.5¢
OR ADDNS.
a AOC. BLDS.
NEW EON . (
MULTI.OIJTLET 1
@7.50
Ex. OCCUR. oun.ET OR FDnURFS
eat @ .5e
Ex. Or -cup. vnErs PTEs p )0EA.
5.00
Temporary Service
23.00
Moble Home Facilities
20.00
nM� Wirinn
23.00
I PERMIT FEE 1 $ :f?"I- MECHANICAL PERMIT I Filing Fee I 20.00
I Hood 1 16.50 1
PERMIT FEE $ ;mj�-' Moble Home Installation Fee $
Energy Inspection Fee $c c ��T• TM�TOTAL FEE $ NAZ D.FEES IMP CDF PARC
This permit is hereby issuediJnder 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
08
Owner Ue4-
Address 103 ( 9
Departm'bnt of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
ADDITIONS TO RESIDENTIAL BUILDINGS
ENERGY COMPLIANCE PACKAGE
CLIMATE ZONE 11
Permit Number - 3150
Floor Area
The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include
conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included.
COMPONENT
<=100SQ.FT
101-499SQ.FT
500-999SQ.FT
1000>SQ.FT
Ceiling Insulation
R-19
R-38
R-38
R-38
Walllnsulation
R-13
R-13
R-13
R-19
Floor Insulation
R-19
R-19.
R-19
R-19
Radiant Barrier
Required q
Required
Required
Required
Glass U -factor
.75.
.75
.65
.65
Max -area of glass'
50 sq.ft
16% plus removed
16% plus removed
16%
Solar heat gain
NSEW:
.40
.40
.40
Not all
AFUE 78%
.40
Heat, Electric
resistance
Not allowed
Not allowed
Not ally VQ
F G 1
SP
Heat, Gas
AFUE 78%
AFUE 78%
Heat Pump -Split
HSPF 6.8
HSPF 6.8HSPF
6.6 . 4
Heat Pump Package
HSPF 6.6
HSPF 6.6
HSPF 6.6
SEER 10
SEER 9.7
Required on new
split A/C systems
R-4.2
Required
Any which meets
budget
HSPF 6.6
Cooling - Split
SEER 10
SEER 10
SEER 10
Cooling Package
SEER 9.7
SEER 9.7
SEER 9.7
Thermostatic
expansion valve•
Required on new
split A/C systems
Required on new
split A/C systems
Required on new
split A/C systems
Duct Insulation
Duct Sealing'
R-4.2
Required
R-4.2
Required
R-4.2
Required
Additional water
heater:
AS AN ALTERNATIVE_
Any which meets
budget 9
GI n71Mrx wiru w
Any which meets
budget
RA VIA..
Any which meets
budget
i 1 •
GOA
;o
-- - _'__ _� _ ." - - .�.. wn , u." u -r -Al: I UK AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A
11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS
AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER.
PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING.
LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT
DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL COI)ftfCHAPTER 6.
DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIQWMEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF
THE CALIFORNIA CODE OF REGULATIONS. - _57
'1PROPERTY OWNER OR CONTRA
(6/1/01
<,4
s% NOTES
RESIDENTIAL
007-400-011 02-0469
HARDESTY
3419 Hackamore Ln., Chico
Cont: Steve Deadmond
New Covered Patio'
k() 9— 0 *D-77-? &cj v.�u
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
�l JItA
Signature
1
RESIDENTIAL
007-400-011 02-0469
HARDESTY
3419 Hackamore Ln., Chico
Cont: Steve Deadmond
New Covered Patio'
k() 9— 0 *D-77-? &cj v.�u
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
�l JItA
Signature
JA' OK
0 = Not OK
- = Not Applicable =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
L'
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
VWoodAwn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal .
10.
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVE , CARPORTS GARAGES (Plans) OK except #'s
_15t -oZ iT
(T
. Zo . g Requirements -Setbacks -Easements
L'
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
y
t2_
VWoodAwn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1. Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ - P' Fig. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5. Stemwalls, Main; Steel- Blockouts-Wrapped
Garage Fire Protection Framing
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a. Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7. Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
S. Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9. D.W.V,; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11. Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12. Electric Underground
Shear Walls; Nailing -Bolts
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels .
14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
Insulation -Walls -Ceilings
15. Access & Ventilation
Inf filtration -Walls -Windows
16. Insulation
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17. Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18. Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19, D.W.V.; Test Fittings & Anchor -Nail. Protection
Bedroom Exiting
20., Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21. Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22. Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23. Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24. Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25. Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26. Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Guard Rails & Deck Construction -Post Caps
30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes I] No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31. Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor O Yes
32. Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
33. Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34. Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35. A.C. Ducts Insulation & Support
Glass Protection
36. Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37. Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39. Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40. Sills Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll 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.
Bdrm. Windows or Exiting Doors -Sill Ht. & 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 -Walls -Ceilings
62.
Inf filtration -Walls -Windows
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 -Connector -
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 & Receptacles 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 (F.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 O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 Throughout 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
94.
Address Posted
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 DIV�!$1`ON
7 County Center Drive • Oroville; California 95965 • Telephone (530) 5X1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0469
ASSESSOR PARCEL NUMBER //-�00�
"NV�/�V� r
ZONING
BUILDING PERMIT
t
OWNER
HARDEM
TELEPHONES
1.. 17
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
3419 RACMVIRE I.N. rRTM A
216 @ 1` 2.808.00
CONTRACTOR'S NAME
SIM DEAD"D
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
311 WMT) AVE, CEITIM A 45973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 2 808.00
ARCHITECT OR ENGINEER
•
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $ 35.10
BUILDINGADDRESs Aes ,�
3419 mafit� n LN.. axl95
Energy Plan Checking Fee $
$
PERMIT FEE $ . 0
LOT No.
susDlv6loNSNAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um 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: Q4 18 X 12 "" ErI�}h •L�?.
t
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home T SJ G I W 1 1 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service noon oa mss 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.PSINGLE
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 contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ADC, stns. 3.5¢FT;
NON•REOSIO. RANCHO CIRCUITS 97.50
a OUTLET OWER APPARATUS
CR.
EX. Occup. OUTLET OR FocruREs BAL p 1.50
Ex. Occup. oFIxL,TETS as ORS 5.00
Temporary Seivice 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE $ 43.00reason
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
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 should become subject to the
workers' compen�tion provisions of section 3700 of the Labor Code, I shall
forthwith comp y�with those provisions.
X� •9� Date "'
S gnature' o"f A"pplicant - ❑ Owner 9]• Contractor ❑ Agent
An OSHA permit is required for excavations over 60" 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 S
Mobile Home Installation Fee $
Energy Inspection Fee' $
occ
CONST. TYPE
TOTAL FEE $ 152.10
HAZ.
1 D. FEES
IMP
I 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.
By Date 36-2002
PERMIT EXPIRES ON 3060-2003
Date
Receipt No. 0 1'C.lU 3434519
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIV ON
7 County Center Drive • Oroville;CalifoNia 95965 • Telephone (530) 5382-7 1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0469
ASSESSOR PARCEL NUMBER '
001-400-011
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAKING ADDRESS
RE TN-, C14TCO CA
216 @ 1 = 2,808.00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
-311 NnRT) CHICO CA 95973
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $ 2,808.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 35.10
BUILDINGADDRESS
3419 HAC A
Energy Plan Checking Fee $
$
PERMIT FEE $ 109.10
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee20.00
USEOFSTRUCTURE
SF El ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.O0
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: CABANA 18 X 12 — C<"
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '..AOR 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.FSINGLE
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 contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. S.3.50 FT.
NON-RESID. MULTI.OUTCIRLEITS T @7,50
8 OUTLOWER APPARAET CTUS
IR.
20 @ 1.00
Ex. Occup. ourLET OR FIXTURES BAL o .so
Ex. Occup. oursAEs�io.°EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.0
PERMIT FEE $ 43.00reason
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
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 f California, and agree that if I should become subject to the
workers' compe tion provisions of section 3700 of the Labor Code, I shall
forthwith comp ith those provisions.
X Date .3_ ®ir -r 6
S gnatu pplicant - ❑ Owner Contractor ❑ Agent
An OSHA rmit is required for excavations over 60" 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 $ 152.10
HAZ.
D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or. Resolutions to do work
indicated abov for hich fees have been paid.
By Date 3-6-2002
PERMIT EXPIRES ON 3060-2003
Date
Receipt No. vim,343457
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"Z:e'yi��G.'�uv{�'^►%`.�•.o✓•ii.':�:..t'''.�••�:''\,7`�.e�Tf1'1'�.Y+Q�•r-'�r�,'V,a,•`�."f,.�"„""hd""-':t'�YwJ{�°ti:{a:' ",r}_'ii-.� �,.i'%"tr•.:"'ti;.%��.-,�+�... ,� .. .. .... n .
COUNTY OF BUTTE-DEPARTMEN `OF�D�VELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Orovil,le, CA 95965 -Phone (530)538-7541 Fax (530)538- #140
PERAT'�AIPPLICATION DATA SHEET
OWNER: � %C I �S�V ASSESSOR PARCEL NUMBER 00 7 - .4J00
Proposed Building Use: CA b,,l n4 Counter Technician: Date:
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, signed by the preparer of the plans.
02. 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.
.0 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 by the 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 plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12.• Hazardous Material Form...............................................................................
❑ 13. Other I 1y .
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
0 15. Statement of Intent for Non -heated and A/C Buildings.................................'� •.....
Lel' 16. 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 approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development 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. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. 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 the above items and requirements for o t iningoa building permit.
�6
Applicant: 3 Date:
1. Ie e it application for the above items numbered:
al items required
t ctt• r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contradtor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date:
Plan�/reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: De:
Yellow: Building Division
iS
Plan Check Letter : i
E.H. Use GAILY
F402 Sinn dttnchod MT
_u rlooa 6
9on dh
Sana to 6.0
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_c.vo%si' 3��5 h'4G�lHf9a►� Ln 7-
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public X Private Well
Clearance for 4welliag. Other cc,, .2,a IY"X /Z
Hold final for:
Final clearance O.K. for:
NOTE:
�. �G4�/01 l s
Environmental, Health Specialist
8/96
........................ _...._-........_......................-.. _.......
Date
,�
=s
NOTES
.1E
RESIDENTIAL
PERMIT NO.'R"rL_�V`
-- Lj Cab- (
pn,`Flan-P2
1
l
• �i
I'
i
I�
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) . ' C7
Signature
,
r�=
• �i
I'
i
I�
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) . ' C7
Signature
,/ = OK
0.= Not OK
= Not Applicable
• = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
7.
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Soils; Special MH Support Sketch
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Sewer; Location -Test -Fall -C/O -Concrete
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Water; Location -Test -Easement Needed (Sketch)
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
Date Card B-1 Date Card B-1
/ P Nat. or / /"L"ft./ /'LPG
f Date
7.
Well Clearance & Discorinect
1.
8.
Utility Clearance
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
t
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Date
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
Card B-1 Date Card B-1
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B- Date Card B-1
Date
MOBILE ME INSTALLATION (Plans) OK except #'s
L,Kzon
equirements-Setbacks-Easements
ootings; Size -Spacing -Marriage Line
8.
ec dr
(
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
t
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
1'
8.
Gas and Electricity Tagged
Date
9.
Tie Downs -Type -Installation Cert.
Date
10.
Exits; Insp.-Sketch
Date
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
2.
Soils; Compaction -Structure Stability
-Date '
3.
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
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. Heisfh Department Approval
rin umb.; Cir. Test -Water Supply Test
ZZ c(7 1 . Light Niche
Date Card B-1 Date Card B-1
I Date Card B-1 Date Card B-1
la.
f
MISCELLANEOUS
f Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
(�
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
t
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
s,
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
(
9.
Siding; Nailing -Veneer -Stucco -Mesh
t
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
1'
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
f�f
t.
C
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
(
4.
Elec.; Receptacles and Lighting, Distance-GFI
!
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9. Heisfh Department Approval
rin umb.; Cir. Test -Water Supply Test
ZZ c(7 1 . Light Niche
Date Card B-1 Date Card B-1
I Date Card B-1 Date Card B-1
la.
f
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning -Setbacks -Easements -Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
MECHANICAL (Permit) OK except #'s
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex) r
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-RoN Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & 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 -Walls -Ceilings
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
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
t
73.
Elec. Outlets & Receptacles at Kit. Counter �Y
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
A
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romer. Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Hails & Deck Construction -Post Caps ;
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes 1
82.
Following Inslld./Drive �) Yes 0 No/Walks 0 Yes' No/Planters 0 Yes O 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 Throughout 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
94.
Address Posted
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:
007-400-011 - - 02-0277
HARDESTY, MARK
3419 HACKAMORE, CHICO
CONT: PERFECTION POOLS
NEW POOL MASTER 515-97
COUNTY OF BUTTE'= DEPARTMENT OF DEVELOPMENT SERVICES-VRUILDING DIVISION r
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96). APPLICATION AND PERMIT _�' 7
ASSESSOR PARCEL NUMBER
007-400-011
ZONING
BUILDING PERMIT
OWNER
MARK HARDERVRol
TELEPHONE
1
SO. FT. OCC. BUILDING VALUATION
n000000-
OWNERS MAILING ADDRESS
q41 a rn 95928
CONTRACTORS NAME
P
TELEPHONE
Q5�
CONTRACTORS MAILING ADDRESS
Z F r aKa
__CO
CONSTRUCTION LENDER _
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 207.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING,.AQDR S A
�w,CJ
Energy Plan Checking Fee
$
$
PERMIT FEE
$25().0()
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 1 r1
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: [ 'f. "L
STM 515-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$ 15 00
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LESS
Main Service zo.A 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.POWER
License Class Lic. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.POOL
❑ 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' competon � nce carrier end policy number are:
Carrier //`fit
Policy Number 971 51 q " 0 �2_
(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
Mort with comply with those provisions.
/ t
X ,c, _0ADate )
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.
Main Service To
46.00so
CCU000A
NEW CONST. DWEWNG OCCUP. SO
W
OR ADONS. 8 ACC. S.
c. TLE, 97,50
NONES2 ' BRANCH
APPARATUS
8 SINGLE OUTLET CIR.
20 @ 1 DD
Ex. Occup. OUTLET OR FDRURES BAL @ .50
FIXED APPLNS. . OR 5.00
Ex. Occup. ourLErs REBIDEA
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
30 00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 335.00
MAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
I PO
H
IS Wi
This permit is hereby issued under
of the Butte County Code and/or
indicated above"fbr which fees have
By .�firr
PERMIT EXPIRES ON lilL%��%?
I
the applicable provisions
Resolutions to do work
been paid.
Date Z/a/,Z,
Date
Receipt No. �'��� %
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
71County Center Drive Oroville, California 95965 • Telephone (530) 538-7 41 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 6 til
ASSESSOR PARCEL NUMBER
007-400-011
ZONIN G
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
CC)NIR FS 20
000 00
.OWNER'S MAILING ADDRESS
3419 MOIIE CHICO, CA 95928
2
CONTRACTOR'S NAME
PFRFF(—PTnN MOI S
TELEPHONE
1895-04 37
CONTRACTORS MAILING ADDRESS
F
CONSTRUCTION LENDER
Fireplace
LENDER'S MMUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINR SJ
�
aim$
Energy Plan Checking Fee $
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 15 00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NW POM,
MASTER# 515-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800V0LE
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO l
46.00SO
NEW CONST. DWEL. OCCUP.
WE U
OR a AcI' Blas.
SO
3.5¢FT:
CNS.
NOµq°�IpT' MULTI.OUTLET
@7,50
APPARATUS
a SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES
20 @O I'00
aAL @ .so
Ex. Occup. oFMUTLEEDTS AEslo.°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL ELECIRIC
30.00
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' compo axion insurance carrier and policy number are: ,
Carrier
MECHANICAL PERMIT
FifiKd ee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need hot 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
kers' compensation provisions of section 3700 of the Labor Code, I shall
fort with comp those provisions.
X Date
Sign ure of Applicant- ❑Owner Contractor ❑ Agent
An O HA permit is required for excavations over 60" deep and demoliti n or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 335.00
�HAZ.
D. FEES IMP
I FLOOD
COF
PARCEL
I PO
H 5
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ov r which fees have been paid.
By Date Z
PERMIT EXPIRES ON
Date
Receipt No. %WQ
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
b
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 AND PERMIT a2zZU 72
ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT
n
OWNER Mar 14a 0, e4v— �/\TELE �^E epi SO. FT. OCC. BUILDING VALUATION
OWNERS MAI AO`R-/ V I 15
CONTRACT M TELEPHONE
CONTRACTOR
MDR;n • L ^
CONSTRUCTION LENDER ���"-SF/
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADORESS� • , . n ) I I i
LOTNO. I SUBDIVISIONS NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: r) ew
*PERAIT FEE PAlb
SRI •
SHERIFF
OTHER
AJ bVW RECEMb
"R6CEtrT NUMM _�l 9S
" TO IN Wr INTO CO#.FV ER
Fireplace
PERMIT FEE
$ S1Cx0
Total Valuation $
I Fling Feel 20.00
Main Service
Filing Fee
$
20.00
Permit Fee
$
_
Plan Checking Fee
$
OR ADDNS.
Energy Plan Checking Fee
$
NEW CONST.
NON-RESID.
MULTI -OUTLET
BRANCH CIRCUITS )
$
PERMIT FEE
$
PLUMBING PERMIT
Filing Feel 20.00
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00 c
Each gas water heater or vent
15.00
Gas piping system 1- 5 outlets
15.00
Building sewer15.00
Mobile Home I S I G I W
920.00
Y'
EX. Occup. OUTLET OR FDTTURES
PERMIT FEE
$ S1Cx0
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service
E00V OR LESS
200. OR LESS
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
(
DWELLING OCCUP.
OR ADDNS.
8 ACC. BLDS.
3 S�So.
FT.
NEW CONST.
NON-RESID.
MULTI -OUTLET
BRANCH CIRCUITS )
@7.50
EX. Occup. OUTLET OR FDTTURES
IEZ' ,,Z
EX. OCCU FOXED APPI IS, OR
O.RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
_ MECHANICAL PERMIT Fling Fee 20.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE TOTAL FEE $ G C-)
HAZ. 10. FEES IMP FLOOD CDF PARCEL PD DJ
.SE
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
Receipt No. PERMIT EXPIRES ON
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dale
e
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:_ASSESSOR PARCEL NUMBER OQ 7 O//
Proposed Building Use: Counter Technician: Date: Z D
Ite7Priot
s uired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to ply.
plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. 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 by the en ineer.
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.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 9. Plot plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner.
❑ 12. Hazardous Material Form.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet.
❑ 15., Statement of Intent for Non -heated and A/C Buildings.
16. Sanitation and plot plan approval from the Environmental Health Department in CA4/GO
❑ 17. City of Chico Plumbing permit.
❑ 18. California Department of Forestry plan approval ❑ paid.
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage.
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required.
0'23. Contractor's license information. (Number, Name Style, Classification).
❑ 24. Worker's Compensation Carrier and Policy Number.
❑ 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner).
❑ 26. 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 info d of the above items and requirements for obtaining a building permit.
Applicant: ` Date: 4
EXPIRATION OF APPLICA')t IO
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an
application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date
of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits
refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department
costs are not refundable. Original -Applicant
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA-I59eRone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ,// /q)21� Aloq DtSrlI - ASSESSOR PARCEL NUMBER 00 7 -- '/oD - o//
Proposed Building Use: _r. Counter Technician: Date:
Items equired•in order to apply for a permit. All boxes MUST be checked OR marked NA in order to pply.
71.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ,
❑ 2. 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 by the 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.
d Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner ..................................... y
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Is
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
I
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
,❑ Statement of Intent for Non -heated and A/C Buildings ............................................
gFIL,Sanitation and plot plan approval from the Environmental Health Department in C /C o
17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about fflimprovements, ❑ 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. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.....................................................................
❑ 27.; Recorded copy of Agricultural Ackno'wledgment Statement ....................................
❑ 28, Manufactured home utility clearance:...............................................................
❑ 29. Existing violations and/or expired 'perrsnits....'......................................r.............
❑ 30.* ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter, from Legal Owner, ❑ Check to H.C.D. $
❑ 3 L! Other: `•
When issued Telephone and hold for pickup.
s
I have been infpriged of the ab ve items and requirements for obtaining a building permit.
•�/0 7,
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, El/co to by Date:
Plans reviewed by: Date: Plans approved by:I`, Date:
Structural' reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: s
Yellow: Building Division
E.H. use ONLY
Plat Plan Attached es
Haas Plan Attache
sant to S.D.
TO: Building Department FO Y
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�crd_s/y 34-/%
Owner Location AP#
Plan Approved for: Sewage Disposal ;-I Water Supply: Public 1_ Private Well
Clearance for 4vvef rrg. Other
Hold final for:
Final clearance O.K. for:
NOTE:
c, 3, 0- f� /wyV. l fps
Environmental Health Specialist
8/96
Z -(—DZ
Date
4403-80B
PERMIT NO.
j PERMIT EXPIRES AW W
I
OWNER Drake Homes
CONTR. owner
ASSESSOR PARCEL. 44-72-11
LOCATION 3419 Hackamore Lane, lot 43,
s Woodside Sub#2, Chico
`1
r
V 3f
F
4
Temp. Power Pole
Called PG&E
Called PG E
Temp. Gas ervice
14 Ca edPG&E
n,.
JOB FINALED (Date) Z Z —�
Signatur
t
i
♦,fr
x
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOO Plans OK except N's
Date FRAM Continued
1. Z ' g requi is -Set -Eas
rgperty Line Firewall & Openings
f(Q3in!ScQys Ste -E - /" Ftg. Depth
xt. Door; -One 3'7 Check Garagee=�wits
3. F a I / /';.Eig.-Depth
- - - g-Bire Protection
_
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stowlall i B#eekenls-W
5
Siding -N -Veneer
6. St alts, G
53.
Stu Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.S
i - ts-Plastic
8. D.W.V.: Fall -Fittings -Test way / Zqjwerj
- o is
9>JrGas Pipe; Size -Anchors
1 Pipe; Test -Anchors -Regulator -Service Test
11 lectric; Underground
1 lenums & Ducts; Clearance -Material -Support -Ins.
-
Card -BI
Date/,L-:Z. and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card-BI66
Card -BI
, Date ,64C -BI Date
Da d -BI Date
Date FINAL,jE ns) OK except N's
Date
PLUMBING (Permit) OK excepS,q s
581.e
-Ext ps-Door & Sidelight Protection -Landings
moke Detector
14. Water Ht.; -Ac -Com ion Air
58.
Furnace; Vent rance-Comb. Air -Connector -
In bove Floor-Ducts-Mech. Protection
Bed m Exiting
_
15. Water e; T Anchors -Nail r ton
16. Fttngs & Anchors -Nail P n
17. S tovveT'Pam, Test, First Floor -Tub AaCgss
6C'.Fjinath
Fixtures & Tub Access
1 u -
ec. Tri!p.& Subpanel; Breaker Sizes -Labels
19. Gas eipf SVla-& An
Rails
6§
-"Fireplace or Stove; CI s -He
4.
utlet
Card B1
Dat 7--L-8;G)Card-BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICA Permit OK except q's
Ile
r ge Fire Door; Swi ng- Land i ng-dqZ7r
C. in Sa-pef--
20. Fi e & Tran Clear - ns. Protection
.•Z/
Wtr- Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Ga In G Above Floor-Mech. Protection
21. Elec. Racees Spacing-Ligh Switc s at Doors
7
ec. & Mech. Equip. Listed for Location
22. Size xes & No -of Condu -St
le tacles in Garage; (G.F.I.)-Romex Protec.
23. Romex In ed Close to Edge of Studs &-C
7e.
-Foam -Looked in Attic E] Yes
24. Equip. ound mad p w/Mech. F ers-Bo Water
at s
25. 2 Applianc uits in Kitchen & Condu r Size
26. g -
r'AI
7
dn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance
Looked under Floor ❑ Yes L�
27. Range Circ. / / ga Co-or(AjdOven Circ. / / ga. Cu or Al,
t
75.
Following instld.: Drive ❑ No; Walks No;
Planters es
28. Service -Riser Con tors & Ground -Main onnect
76.
,;<o
St -Finish v
29. Equip. Clear s; Panels-ftAetolls3Mdch. Equip.
7
C. Unit ' onnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---
Card B -I
Card B-1
- --
_Date Z -Z and -BI Date
Date Card -BI Date
9
erior Elec. Trim; G.F.I. Receptacle -Underground
i�JitfBntilation throughout House
ass Protection
Date
MECHANICAL ermit) OK except q's
83.r
_
J,orrections from Previous Ins ections
Gas Test -Meters Tagged lec i L I-Llw
_
31. A.C.cls; Insu186i6 & S
32. Vent _Exhaust abas Insulationnergy
33
5
Water & Sewer Connected -C/0 to Grade -ND Approval
0.
Compliance Certificate -Other Certificates
Card -BI
Card -BI
34.115V et
35.
Date Date
Date Card -BI Date
Card -BI
Date - Card -BI Date
Card -BI
Date /- 22✓ and -BI Date _
Card -BI
Date Card -BI Date
Date
FRAMING(Pla s) OK except p's
Comments at Final:
_
36. S'I roper M to ' Ancbe(s
37. W StudZ�NaiI"-Spae.,T& Bracing -_Plates_ -Sound
38i-Be�rt±gJG4Mhs-eoe�6istlocc &-FFooF-Ne+ilTltg- --
3Bi_ �raI t_o_p in Walls (rat proof) _
it ops: Furred Ceilings -Stairs -Chases -Tub
_
44-11ne r & Beam -Size & Bearing
I
4 rs-Post Caps -Anchors -Connectors
Ing. Joist-Rftr. - - Roof Brac. -Truss-Shthng.-Rfng.
44. Fir ace Ties Type A Flu Fireplace Throat
4 cess; Size &Romex Protection -Draft Stop -Ins. Baffles
B . Windows or Exiting Doors -Sill Hqt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
V = OK
0 = Not OK'
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date
Date Card -BI Date
POOLS (Plans) OK except It's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
/0-7 fo r//£d o.c I.�.s.�- L�9 .✓.� 7 id£.JT�cd
- ER!lRrT
•
comp^Nr
woeaww" awwflumtrw
'• Pham' 3424764
P.O. ftm m — OufiMn. Cs11Mlrn1m SAlSS
REB WENTIAL
FWPVtCY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE
URTIFICATE
THIS TS TO CERTIFY THAT RNIFRCY (,`OT19IRVATIM RMIREMER['S HAVE •EE1►11
INSTALL . IN C11WORnANCE WITH CURRE.[ T F1.
qRXY CONS 1.7. RVAT.WW REMILAT TONS
15111 ILD INC, PF RM TT No. A • P • NO
•Purr ent t nu Tzar: HAVR RREN 1WTALLED AS Pl:R APPROVED PLAk 1
(Clrcck r.jch item or write N/A if not Applicnhle)
T—WIP,AT TOW, ('.LAZ1NC
lnh F•d�c Single Closed
F(In. Wtt 1.1 SpecXal ( Insulated).
F I.00r• v CERT. 6 LABF.LCI) WDS . /
Wa1.1 s ---- -� 6 SLIDING DRS.
Cc i 1, inF/Rro t - WFAT1IF1tSTR TPPFD DR3.
Ihtct'c BACK DAMPFRF.D FANS
cl.mlint1.nF 1,1pe.- T.NTERMITTENT TCNITION DFVXF,,3
APPROVED ItFA'I'I?Il _ CERT. APPL.IANCF.S ✓ __
AP11l?0VF1) 1Ji'it,ll'rR- _
I DECLARE THAT A1.1. RFOIITR.F.D XTEMS AS IMFO ABOW HAVE! AR1CN TMALLED
TN ACCORDANCE W I'rll 'rill' FNF.RCY CONSFRVATTON Rl-ftl TRI?M1iNTS AND A( RFF. T(1
TIIF (.;(1M1'I.F'I'I?NFSti IlI' 'I'II1S VERTTF•1C,aTVAS S11071111--.1.
Tncttl nt lnn Appl Icntor. Name J%"Alfzu//
(ply sc pr.1n
SiFn�tvrc of
InsularI.on Appl.tentor _
St-nte (:nnl-rnctorc92
I.1cenpc No.
reneral Contractor/(wner Mone
Si.Fnarttrc of
CM),rnctr.r/rh er,
(PIC RP pr I tlr )
tlnrc '�
TH IR CERT IF TCAT? MUST BE ON F TLE W rM TO BU TLO" VB?AR'Ia" "'M To
RF.(yl1E9T1N0 FINAL TN9PECTION AND SHALL Of POSTED 01 A CONSPICUWS LOOATtM
W TTN TN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS "IT
a 7 Couoty Center Drive - Oroville, California 95965 - Telephone 916/534-4541
- `•'1 a CCCJJJ
APPLICATION AND PERMIT
ASSES O PA EL NUMB ''��'' `` l Z NING
�t�t -%Z" 0 % Z /9S2 /L/�(% BUILDING P /Od o
OR TELEPHONE SQ. FT. OCC. BUILDING VALUATION
2/qeC lk"e 5 2 O.00
OWNER'S MAILING ADDRESS
3 Z.00
CO TRACTOR'S NAy19 xie� ::s ,,.,�C / �. 00
COR'�'A'CJTIF`EC)�'I,/`JrT� RESS
��✓✓3SS ..J4
CONSTRUCTION ENDPr�, - UNKNOWN Fireplace SOvOQ
WtLLS �R0 0 �L e %rm/r l�' P -OU Total valuation 3 5(0 , ap
LENDER'S MAILING ADDRESS p $
• 060 ® � S,96 • &* 4?S Z5^ Permit Fee $ J7/, 00
ARCHITECT OR ENGINEER LICENSE ND. . Plan Checking Fee $ 3 r%
ARCHITECT OR ENGINEER'S MAI ING ADDRESS ,
Penalty $
Permit fee $ t' 75
BUILDING ADD Ess PLUMBING PERMIT FilingFee 3.00
H f /9G/e A MO215 Z-4/.
Each Trap 2.00
Repair drainage or vent piping 2.00
Ch�lGO Water piping
LOT NJO. SUB/,DSI/y ISSIIOo NN NAME PARCEL MAP Each qas water heater or vent 2.00
3 ''v 00Z)S1Z)E Gas piping system 1 - 5 outlets
USE OF STRUCTURE Building sewer
SF [??-_Duplex ❑ Mobi lehome ❑ Other
Lawn sprinkler system 2.00
SPECIFY
TYPE OF WORK Permit Fee $
New Q --'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Contractor
Describe work: �57-P, ELECTRICAL PERMIT Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLB OGS.CCUP,&) 22 sq ft
CONTRACTORS LICENSE LAW NON•RESID R BRANCH CTRLE
CTITS 2.50 ea
I detare under penalty of perjury (check one): NEw CONSTR. / POWER APPARATUS &�
NON•RESID, (SINGLE OUTLET CIR.
I am licensed under provisions of Chapt. 9, Div. 3 of the Business Ex. OCCUp(OUTLETS OR FIXTURES 50@�
and Professi s Code an my license is in full force and effect. BAL@toe
FIXED APPLNS, OR
License No. Classification Ex. Occup. OUTLETS (RESID.I EA.) 2.00
❑ I, as the owner, or my employees with wages as their sole compen- Temporary service 10.00
sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00
for sale. (Sec. 7044) Misc. Wiring 6.25
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code Permit Fee $
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 3.00
I declare under penalty of perjury (check one): Heating
❑ The permit is for $100.00 (valuation) or less.
have placed on file with'the County of Butte Building Department Cooling
a Certificate of Workmen's Compensation Insurance or a Certificate Hood 2.00
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject Ventilation
to the W. C. laws of California. E± -
Notice to Applicant: If after making this statement, should you become subject permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating Land Development Fee $
to building construction, and hereby authorize representatives of the Countyot � H,-7 7S
Butte to pon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
I also ave, i de y eep harmless the County of Butte against oc UP, GROUP TYPE of CONST. PARCEL PD HD 550E
all I' Ilities, ju me s, co is d expenses which may in any way accrue 2 t�
ag 'n 'd C t seq c the granting of this permit.
—22 �Q This permit is hereby issued under the applicable provi-
Date sions of the Butte County Code and/or resolutions to do
51 re of Applicant — Owner
Contr r ❑ Agent work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. By Date�'z�p��"
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PE IT EXPIRES Date_
ASSES O PA EL NUMB ''��'' `` l Z NING
�t�t -%Z" 0 % Z /9S2 /L/�(% BUILDING P /Od o
OR TELEPHONE SQ. FT. OCC. BUILDING VALUATION
2/qeC lk"e 5 2 O.00
OWNER'S MAILING ADDRESS
3 Z.00
CO TRACTOR'S NAy19 xie� ::s ,,.,�C / �. 00
COR'�'A'CJTIF`EC)�'I,/`JrT� RESS
��✓✓3SS ..J4
CONSTRUCTION ENDPr�, - UNKNOWN Fireplace SOvOQ
WtLLS �R0 0 �L e %rm/r l�' P -OU Total valuation 3 5(0 , ap
LENDER'S MAILING ADDRESS p $
• 060 ® � S,96 • &* 4?S Z5^ Permit Fee $ J7/, 00
ARCHITECT OR ENGINEER LICENSE ND. . Plan Checking Fee $ 3 r%
ARCHITECT OR ENGINEER'S MAI ING ADDRESS ,
Penalty $
Permit fee $ t' 75
BUILDING ADD Ess PLUMBING PERMIT FilingFee 3.00
H f /9G/e A MO215 Z-4/.
Each Trap 2.00
Repair drainage or vent piping 2.00
Ch�lGO Water piping
LOT NJO. SUB/,DSI/y ISSIIOo NN NAME PARCEL MAP Each qas water heater or vent 2.00
3 ''v 00Z)S1Z)E Gas piping system 1 - 5 outlets
USE OF STRUCTURE Building sewer
SF [??-_Duplex ❑ Mobi lehome ❑ Other
Lawn sprinkler system 2.00
SPECIFY
TYPE OF WORK Permit Fee $
New Q --'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Contractor
Describe work: �57-P, ELECTRICAL PERMIT Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLB OGS.CCUP,&) 22 sq ft
CONTRACTORS LICENSE LAW NON•RESID R BRANCH CTRLE
CTITS 2.50 ea
I detare under penalty of perjury (check one): NEw CONSTR. / POWER APPARATUS &�
NON•RESID, (SINGLE OUTLET CIR.
I am licensed under provisions of Chapt. 9, Div. 3 of the Business Ex. OCCUp(OUTLETS OR FIXTURES 50@�
and Professi s Code an my license is in full force and effect. BAL@toe
FIXED APPLNS, OR
License No. Classification Ex. Occup. OUTLETS (RESID.I EA.) 2.00
❑ I, as the owner, or my employees with wages as their sole compen- Temporary service 10.00
sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00
for sale. (Sec. 7044) Misc. Wiring 6.25
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code Permit Fee $
for this reason Contractor
WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 3.00
I declare under penalty of perjury (check one): Heating
❑ The permit is for $100.00 (valuation) or less.
have placed on file with'the County of Butte Building Department Cooling
a Certificate of Workmen's Compensation Insurance or a Certificate Hood 2.00
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject Ventilation
to the W. C. laws of California. E± -
Notice to Applicant: If after making this statement, should you become subject permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating Land Development Fee $
to building construction, and hereby authorize representatives of the Countyot � H,-7 7S
Butte to pon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
I also ave, i de y eep harmless the County of Butte against oc UP, GROUP TYPE of CONST. PARCEL PD HD 550E
all I' Ilities, ju me s, co is d expenses which may in any way accrue 2 t�
ag 'n 'd C t seq c the granting of this permit.
—22 �Q This permit is hereby issued under the applicable provi-
Date sions of the Butte County Code and/or resolutions to do
51 re of Applicant — Owner
Contr r ❑ Agent work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. By Date�'z�p��"
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PE IT EXPIRES Date_
COUNTY OF BUTTE 'P DEPARTMENT OF PUBLIC WO S PERMIT NO.
4 7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541
APPLICATION AND PERMIT
ASSESSOR P C LNUMBER
XZ._
ZONING
eW _,4,f?
BUILDING PERMIT
OWNER` '•
LCA i ,
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONS.6tACTOR'S�tJ AME /
TELEPHONE
CON ACTO S M IANG ADDRESS
r X �S� y CGU
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
°./£
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�L L�
PLUMBING PERMIT
Filing Fee /&.00
Each Trap
2,00
Repair drainage or vent piping
2:00
Water piping
loo
LOT NO.
SUBDIVISION NAME
�'/Z/
PARCEL MAP
Each qas .water heater or•vent-
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
��
SFI?' Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
157-1 19 0
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition R model Utilities ❑ installation[-] Other
Describe work: y !/lG1� /�rC .� ��d���d
Permit Fee
$ 0
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
V OR L
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BUGS.
2�sgft
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio -Code m license is in full force and effect.
License No. Classification
F-1 1, as the owne , a or my employees with wages as their so compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec.., Business and Professions Code
for this reason
NEWCO NON -RESIT R BRANCH CIRCUITS2.50 ea
NEW CONST R. ( POWER APPARATUS IN
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@
BAL@1Oq
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.I EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
6,25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ T permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and exp ns which may in any way accrue
against said Count se nceL of r ti g of this permit.
X D
Signature of pplicant — Owner Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee
$
TOTAL PERMIT FEE v
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI T F PUBLIC
By v
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
% U
Date v'rt
�;iver
Receipt No. `71 9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSER P RCEL NUMBER ONING
47 - - -
BUILDING PERMI
OWN e TELEPHONE N
SQ. FT. OCC. BUILDING VALUATION
OWNE MAILING ADDRESS
TRACTCj R'S NAME TELEPH NE
K/
A TOUS� IN ADDRESS
�- _�
C NSTRUCTION LENDIER
U N K 41OWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL G D.D ESS
/ t.-
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ RemodejI �Ej� tilities Installs ion❑ Other
Describe work: �'h.tl r �� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC, BLDGS.
) 20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1Z I am licensed under provisions of Chapt. 9, Div.3 of the Business
and Professions Cod and my license is in full force an effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NON -RESIT P- BRANCH CIRCUITS 2.50 ea
NEw CONSTR ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@lox
FIXED APPLES. OR \
Ex. Occup.(ouT LETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
n I have placed on file with the County of Butte Building Department
L� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee J6.00
Heating
r
Cooling
^�{
Hood
00
Ventilation
Permit Fee
$ p
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X��A �_ U��/1/h L Date ��
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions the Butte County Code and/or
wor in icatedjbb for which
& OF PUBLIC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�_ �/
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPAR';MENT OF PUBLIC WORPERMIT O��
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45X �/
APPLICATION AND PERMIT
ASSESSOR P R EL NUMBER
—,
ZONING
BUILDING PERMIT
OWNER
l
�d ���
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
MAI
OWNER'S LING ADD ESS
CO RACTO SN E
TELEPHONE
C NTR CT R'S M/�j�I�`N)G ADDRESS
1121 PTIdg-f—.
CON TRUCTI N LEN DE
s
UNKNOWN
Fireplace
Total Valuation $
LEND R'S M (LING ADDRE 5
D�
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
3r C a -n#-j,-e
PLUMBING PERMIT
Filing Fee 3.00
ez--e
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOTNO
�B IVILON.,AME
/
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF2;o--Ouplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ - Remodel ❑ Utjl-ties InstallationC Other—Contractor
D'diDescribe work: ��'
Permit Fee
$
ELECTRICAL PERMIT
Filing Fee /0.00
V OR
Main service 100 AMP ORSLESS
5.00 Cn
a
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCC P
OR DA sq
2� ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and license is in full force` a d effect.
�^ C /
��'� ��
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR ULTB OUTS
NON.RESID. BRANCH CIRC ITS 2.50 ea
NEW CONSTR POWER APPARATUS &)
NON.RESI D. (SINGLE OUTLET CIR.
50@25C
Ex. Occup(o Ts OR FIXTURES 50
BAL@tOS
(FIXED PR
Ex. Occup. OUTLETS (RESID.)EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ 5
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee- 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C nt conse a of the granting of this permi .
X Date
Signature of Applicant — OwpTeContractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
i on of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ 530S�
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�E�DF PUBLIC
PERMIT Da
the applicable provi-
resolutions to do
fees have been paid.
WORKS
R
�-
Receipt No. 45�_? 91G 0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
`�c��dsloE �Irs�lvlslo�t UI�l I -�' I�
This set of plans and specifications MUST �4
kept on the job at all fines and it is unhwf-11 4o
make any changes or alterctjions on same w;lhnut
written permission from the Department of Public
Works, County, of Butte.
9
itz
4
i y Z
J `i
_o
NOTE:—All Materials & Workmanship Shall ge fn
.Accordance with Recognized Gond Prrctices and
'of al qu ri "i3O ..�,, �. �;" use in the
Uniform Building, Plumbing & Machanical Codes and
the Rational Electrical. Code.
r
I
`0
NSeeaster
Q
Plan on file foe
Ions. c�
-
- 3`26
0
setba
k of 5 ft. from th
ri, ) 8
i i Z�O
roperty
lines and a setback
cf
50ft.
rom the road
c.nterlin
itz
4
i y Z
J `i
_o
NOTE:—All Materials & Workmanship Shall ge fn
.Accordance with Recognized Gond Prrctices and
'of al qu ri "i3O ..�,, �. �;" use in the
Uniform Building, Plumbing & Machanical Codes and
the Rational Electrical. Code.
Ia
414 '490
BUTTE COUNTY
BUILDING DEPARTMENT
Pt.
I
r
I
0
setba
k of 5 ft. from th
roperty
lines and a setback
cf
50ft.
rom the road
c.nterlin
shall bo -clear o
s
ructures
or equipment c
cE
f
r a 2 ft.
eave overhang.
Ia
414 '490
BUTTE COUNTY
BUILDING DEPARTMENT
Pt.
I
BUTTE COUNTY
BUILDING DIVISION
APPROVED
MCI
D
4-4
f 5 ar4
1
SPA. GENERAL
- SPECIFLCATtONS' •'
SPA TYPE: MDL #
DIMENSION:
DEPTH:
COLOR TOTALGALLONS
SRA JETS TILE
HEATER:
PUMP i MOTOR:
AIR SLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
=SOLAR -GENERAL
SPECIFICATIONS
$0. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PLUMi RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE ❑ DOUBLE O ELECTRIC •Y'
JOB NO.
MAP"BOOK NO.
LEGAL DESCRIPTION
LOT N0.
TRACT NO.
BOOK PAGE BLOCK
ESCROW CLOSE
TENTATIVE DIG DATE
PERMIT OFFICE
MGR.
.SALESMAN . i ccs O e"i—
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
:. POOL OR SPA
NAME
ADDRESS
CROSS STREETS
RES. PHONE
BUS. PHONE .I • AlLl
I
897 EAST 20TH STREET
PERFECTION CHICO CA 95928
,
916 895-0437
License #566654
re Of
ELLIS A&E SUPPLIES #4006c �e s f �u
_.. .. :,, .� ».:�... _ T .. ... ,,..........__._...._ _.:__.y�..._....�....... ..._..._. �..,..._..__......_.._
-'POOL'.. G'EN ERAL
.--SPECIFIC'ATIONS
SIZE X > Z AREA3$50 DEPTH I TO %
SHAPE Nr0
LINER ,' bf� �-IYS
POOL CAPACITY r 560 GALS.
PUMP VuraA•
MOTOR H.P. • H.P.
FILTER rki -6 O SO. FT.
VACUUM LINE i SKIMMER (4).
RETURN LINE "
MAIN DRAIN (z)
SKIMMER MODEL •,�
BACKWASH LINE " 00
' OF Y:" FILL LINE
ANTI SIPHON VALVE PSC S
HEATER SIZE BTU.
GASLINE BY: 1A VENTED BY:
LIGHT
CLOCK
ELECTRIC BY: nj
ELECTRICAL BONDING BY:'&_amDoo
POOL CLEANER .Z. O
CHLORINATOR tJ tt.1 ib
BOARD — SIZE
BOARD SUPPORTS
LADDER — MODEL
Water
SLIDE M _.I _d" Calor_ Hookup
GRADING 1 '0 At- ,
STUB PLUMB ES O NO
DECK BY: C r irl-OtA
NOTES
SCALE 118" = 190"
"owe S LEv4
-IQ..l1 1� � k1 Corner+
OWN IIY.. - IG l." ci ! DATE a .
DATE
NOT TO SCALE
DEEP
END SHALLOW
END
UNLESS OTHERWISE SPECIFIED:
POOL IS I SHALLOW TO 7 IDEEP
1 HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE POOL AND
EQUIPMENT LOCATION
CUSTOMER'S SIGNATURE DATE
SPA. GENERAL
- SPECIFLCATtONS' •'
SPA TYPE: MDL #
DIMENSION:
DEPTH:
COLOR TOTALGALLONS
SRA JETS TILE
HEATER:
PUMP i MOTOR:
AIR SLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
=SOLAR -GENERAL
SPECIFICATIONS
$0. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PLUMi RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE ❑ DOUBLE O ELECTRIC •Y'
JOB NO.
MAP"BOOK NO.
LEGAL DESCRIPTION
LOT N0.
TRACT NO.
BOOK PAGE BLOCK
ESCROW CLOSE
TENTATIVE DIG DATE
PERMIT OFFICE
MGR.
.SALESMAN . i ccs O e"i—
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
:. POOL OR SPA
NAME
ADDRESS
CROSS STREETS
RES. PHONE
BUS. PHONE .I • AlLl
I
897 EAST 20TH STREET
PERFECTION CHICO CA 95928
,
916 895-0437
License #566654
re Of
ELLIS A&E SUPPLIES #4006c �e s f �u
_.. .. :,, .� ».:�... _ T .. ... ,,..........__._...._ _.:__.y�..._....�....... ..._..._. �..,..._..__......_.._
I��
tin
3419
:
0 4
Lj
GQ
19
V
o
cl &0 A-0
qV
A�j N LTTE
) LDING DEPARWS!Ve
Oil
0 X i
Op
ELLIS A&E SUPPLIES #4006c
SIZE
FOOLVENtRAL
--SPECIFICATIONS---,
C'�'6 FICA
TIONS
R
S P
SI± I E 410 X;Lt AREA5850 DEPTH.2TO!
Z
P
SHAPE
LINER
LINER
::SPA S
P
SPECIFICATIONS'
SPA TYPE: MDL#
DIMENSION:
DEPTH: EPTH:
COLOR TOTALGALLONS
SPA JETS TILE
HEATER:
PUMP -& MOTOR:
AIR BLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
.;.SOLAR GENERAL*
SPECIFICATIONS
SO. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PLUMB RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE 0 DOUBLE 0 ELECTRIC V4
. . . . . . . . . .
JOB NO.
MAP'BOOK NO.
LEGAL DESCRIPTION
-LQT NO.
TRACT NO.
BOOK —PAGE —BLOCK—
ESCROW CLOSE
TENTATIVE DfG'DATE
PERMIT OFFICE
MGR.
SALESMAN
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL CN DAY OF EXCAVATION
POOL AREA TO BE FENCED,.-
BY OWNER PER COUNTY Y OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
POOL OR SPA
NAME
-4A id
ADDRESS' -t -nVAIM
I-
897 EAST 20TH
PERFECTION CHIC09 CA 95928STREET
(916).895-0437
License #566654
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Environmental Hecial
FEB 0 4 pnn7
Chico, CA
POOL GENERAL
SPECIFICATIONS
SIZE a X Z AREA3950 DEPTH I TO 7
SHAAPE '~ 'yip grA
LINER 14-1 TS
POOLCAPACITY Ip 56 0 GALS.
RUMP uritA` L
MOTOR H.R. H.P.
FILTER rkITbN -6 C 0 SO. FT.
VACUUM LINE i SKIMMER (4),
"
RETURN LINE ?j
MAIN DRAIN
SKIMMER MODEL
BACKWASH LINE NO
402 OF 'A," FILL LINE
ANTI SIPHON VALVE
HEATER hl 6 SIZE BTU
GASLINE DY: VENTED BY:
LIGHT
CLOCK " S
ELECTRIC BY: A%
ELECTRICAL BONDING BY:pEJ
BOOL CLEANER pLq IS -1 V
CHLORINATOR 8masovi Tt�
BOARD — SIZE
BOARD SUPPORTS
LADDER — MODEL
SLIDE N _0 'water
Calor_ Hookup
GRADING W AL.'
STUB PLUMB ES 0 NO
DECK BY:_ Q r t,t.OW
NOTES
SCALE Ili' = 1'0"
� v
fLk-
r &06S .--
r (L
R�"1 t N 'S W Cornlr
DWN lY. , -IC j_ C C ! DATE ' ,o
CK'D 1Y. DATE
NOT TO SCALE
DEEP "`—
END SHALLOW
END
UNLESS OTHERWISE SPECIFIED:
POOL IS I SHALLOW TO l DEEP
I HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE POOL AND
EQUIPMENT LOCATION
CUSTOMER'S SIGNATURE DATE
SPA. GENERAL
SPECIFICATIONS`
SPA TYRE: MDL #
DIMENSION:
DEPTH:
COLOR TOTALGALLONS
SPA JETS TILE
HEATER:
PUMP & MOTOR:
AIR SLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
,SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PLUMB RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE O DOUBLE O ELECTRIC BY:
JOB NO.
MAP BOOK NO.
LEGAL DESCRIPTION
LOT NO.
TRACT NO.
BOOK PAGE BLACK
ESCROW CLOSE
TENTATIVE DIG DATE
PERMIT OFFICE
MGR.
SALESMAN I rte- C cv,- %.:
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
POOL OR SPA
NAME
ADDRESS
i
CROSS STREETS F N
RES. PHONE 91– $O
BUS. PHONE 9,15-412g
PERFECTION 897 EAST CH CO, CA 5928 ET
' 0 0 mg ' , (916) 895-0437
License #566654