HomeMy WebLinkAbout026-050-031.
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BUTTE COUNTY OUNTY INTER DEPARTMENTAL CORRESPONDENCE
DELIVER TO LAST PERSON NAMED r
DATE NAME I DEPT. ti DATE NAME DEPT.
FA
RESIDENTIAL
26-05-37 2806-91B,P,E,M
KEE, Howard
6837 Lincoln Blvd, Oroville
(new single family)
"V
It
JOB FINALED
Signature
OFFICE COPY
Address
teter By Date
ELECTRIC
Meter By Dat,4�
OFFICE COPY
Address
GTAS
D
, , ate��
Meter B, y_AV:�
ELECT 1C
Meter B Date
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date _ Card B-1 Date - -Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector,
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements;
2. Footings; Soils-Size-Depth-Spacing-Connectors=Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
0
�u
f
1
_y
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements;
2. Footings; Soils-Size-Depth-Spacing-Connectors=Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
0
f
J
s
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements;
2. Footings; Soils-Size-Depth-Spacing-Connectors=Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (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, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
0
V OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except ti's
on ing;,Setbacks- Easements- Flood -Slope
2_E14gMain; Soils-Elec. Grnd. " Ftg. Depth 6l
_,3iRfg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
.-.5Y3temwalls, Main; Steel-Blockouts-Wrapped
_-6-&temwalls. Garage; Steel-Blockouts-Wrapped
6a. Hol -Downs and Special Anchors
ab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Dat - Card B-1 Date Card B-1
Dat_j Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except ti's
mater Htr.: Vent -Access -Combustion Air -Baffle
-y7--Water Pipe; Test & Anchor -Nail Protection
1 V ; Test -Fittings & Anchor -Nail Protection
----------toot----------------------
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
- - - -----------------------
21. Gas Pipe: Size & Anchors
-------------------------------------------------toottoot-- - -----
--------- - __/__ - - ---------- - --- -
Date Card B-1 Date Card B-1
--ij C g�r'I[toot toot -toot--
-----------------------toot--toot-- ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
- - - 22. Fixture & Transformer Clearance -Ins. Protection
- --------- ---------------------------------------------
,�2&.-El'ec_Receptacles Spacing -Lights & Switches at Doors
----------- ------
.24-Size Boxes & No of Conductors -Stapled
----__ -__ Rom stalled Close to Edge of Studs & C.J.
quip. Ground made up wrMech. Fastners-Bond Gas & Water
------------------
2re Circuts in Kitchen & Conductor SizerGFl - - ---
-------------- -- -- -------------------------------
Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
---------n -
-- --- -----------------------------
ange Circ. ry' g Cu' r AI -Oven Circ. r r ga. Cu or Al.
Insulated Neutral 0 --Yes ❑ No
rvice-Riser Conductors & Ground -Main Disconnect
--tl�qui_p._
- --- --------------------- ------------------------------
cu
-------------------------- --
Clea
trances-- - -Equip.- Equip.
-too-------------tors-Mech. ech.Equi-------------- ---- --
,4�2'Clothes Closet Light -Shower Light -Spa Light
---------- ---------------- --- --
-- ---------toot-- toot - -•
moke Detector
toot -- -
-- ------ - ------------------------------------
-toottoottoot-----------
- toot --
Date�%/j��f Card B -t Date Card B-1
- --- - - --- --------------
-------------- -oo-------
Date / Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
Auc
.C. Dts Insulation & Support
Fan: ent F: Exhaust above insulation
-- --------------------------------------- - - - -
-- __toot --- -- -- -- -------- --
3_6_+condensate Drain & Overflow: Size & Grade
Furnance-Vent: Access -Comb Air- Return Air Vent -115 outlet
----------- --
,ic Access & Platform if Furnance in Attic
toot-- - -- --- -- - --
Date/� �� Card B-1 Date Card B-1
toot - _ _. -- - - --- -- toot- --- -- �oo------
Date( Card B-1 - Date Card B-1
Date FRAMING (Plans) OK except ti's
39-`5_1! .Proper Material& Anchors
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
- -------------------------------
-----
- ---
- - -
JB@aring Walls over Girders & Floor Nailing
Qraf1 Stop m Walls (rat proof)
I/3. F, re Stops Furred Ceilings -Stairs -Chases -Tub -----C---
r4 Headers & Beam Size & Bearing
& Duplex)
Date FRAMING (Continued)
oot-- t
4 a ers-Post Caps -Anchors -Connectors
toot
4&-1
Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
-- - Firelace Ties or Type AFlue-Fireplace Throat clearance
4_8e<tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
garage Fire Protection Framing
roperty Line Firewall & Openings
xt._Doors-One 3' -Check Garage -3rd Story, 2 Exits
----------toot-- ----------------
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-----------toot-- -
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
----------------------
5 ng -Nailing Veneer
55'"Sf[rtte-RAes Drip Screed -Fd. Vents-Underflr. Access
------------toot-- --
lazing Area -Glass Protection -Skylights- Plastic
ear Walls; Nailing -Bolts
----------- __
----
nsulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Dat�11 Card B-1 Date Card B-1
--cr DatCard B-1 Date Card B-1
Date FNA (PI j K except ti's
Steps -Door & Sidelight Protection -Landings
--toot-- --- —
2. S _elector _
3. Furnace; Vents -Clearance -Comb. Air-Connector-
arage: Above Floor -Ducts -Meth. Protection
-toot-- --------------------
edro_om xiting
- - 5 & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & S_ubpanel: Breaker Sizes & Labels
--4Z_&f8irs & Rails
---------------------------------
- ace or Stove:_ Clearances -Hearth
-----------------
69.tlets at Wood Panel: Int. & Ext.
------------ - ----- ---------toot--
�0. Kit.F' t & Appliance: Grnd.-Air Gap -Cooking Clearance
C)Wlets & Receptacles at Kit. Counter
<72. ge Fire Door: Swing -Landing -Closer
- - A_. C. Duct in Garage -Damper
74 tr. tr.: Vents -Clearance -Comb Air-Connector-P.R.V.
�6c.
age: Above Floor -Meth. Protection
ec.& MechEquip. Listed for Location
eceptacles in Garage: (G.F.I.)-Romex ection
Insulation -Foam -Looked in Attic Yes
- -- -- toot- -- ---
------ --------------------------------------- — —
__ _ _ _--- <T M7rd Rails & -Deck-Co nstruction- Post Caps
do Vents & Crawl Hole Door -Drainage & Wood -Earth
arance Looked under FI or ❑ Yes_
- -- toot ------------coot-- -toot -�-,�
Following instld.: Dn Yes 1� No; Walks es J❑ No:
Planters ❑ Yes No
- -- co Brown -Finish ------
-c
----- ----
8 A.0 nit Disconnect. Electrical, Plumbing
Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
penings---
-p�- toot ----------------toot-- ---
8V 4. er Well; Disconnect, Electrical, Plumbing --
55. Exterior Elec. Trim: G.F.I.Receptacle-Underground
e �.on Throughout House
- ------ - ---- - --- -
- toot toot - --
ss Protecti n
-- ----------------------toot--toot-- -----
88. ctions from Previous Inspections
- - toot-- -- - toot-- --------------toot---toot--
Gas Test -Meters Tagged: Gas -Electric
0. Water & Sewer Connected -C/O to Grade -HD Approval —
nergy Compliance Certificate -Other Certificates
- ---------------------------------- toot--
- - - -- �---- toot - --- -----
�• - -- ----toot- ---
Dat ✓(� and B-1 Date - -Card B-1
-- Z------ ------- -------
Date Card B-1_ Date --- Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE''
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
Date /- Insp
REV 11/91
. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
WNER
PERMIT NO. ;
A routine inspection indicates that the following violations of County Ordinance �?
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this Rti
matter, or need additional explanation, please contact this office immediately. rc
=i
n �� f'� u T �� i1,4 -L vis- �.�. ` •�v
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Date Inspector '7z
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
' 747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date �� Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive., Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office.
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
< t- 7-0
Y�NTs�Dr
�l ve- /9 &. --?D '' c.>
f� VAL—C
Date / l Inspectoraalt4�
5j
ENERGY CERTIFICATION
�¢�37�L� -� co I n �d • �"Cx�I•er►►-w
LOCATION A.P. # �—
DESCRIPTION OF INSULATION
• • ROOF '
MATERIAL
BRAND NAME
THICKNESS ( INCHES)
THERMAL.- RES.
EXTERIOR WALT.
MATERIAL. TYPE Fiberglass
BRAND NAME. CertainTeed
THICKNESS (INCHES) %
THERMAL RES. 15
CEILING
BATT OR BLANKET TYPE Fiberglass
BRAND NAME. CertainTeed
THICKNESS (INCHES) I L
THERMAI. RES. Jb
LOOSE FILO.: (TYPE •_C,()_.
BRAfID NAM[: UNITF-1) FIIrERS
THICKNESS (INCHES) 10
THERMAL RES. 3
FLOOR, ELEVATED
MATERIAL Fiberglass
BRAND NAME. CertainTeed
THICKNESS (I.NCHES)
THERMAL RES.
FLOOR, SLAB
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL.
BRAND NAME:
THICKNESS (INCHES)
_
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE
INSULATION WAS INSTALLED
III THE ABOVE BUILDIN(.; IN CONFORMANCE
WITH THE STATE OF
CALIFORNIA ENERGY REQUIREMENTS..
HAWKINS INI)USTRIES INC.
622184
FIRM NAME STATE CONTRACTOR'S LICENSE #
SIGNATURE
DATE
RRIlRRRRRRRRR11pRRRRgRRRRpRR'pRWRggRqqRRRR1IRRRRpRRRRRRRMRRRRRRR
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED
ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND
ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF
CALIFORNIA ENERGY REQUIREMENTS.
FIRM NAME STATE CONTRACTOR'S LICENSE N
SIGNATURE - GEN. CONTR./OWNER DATE
t
1
c{.3y ..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P�pµ��p.
7 County Center Drive - Orovllle, California 95965 -Telephone: 916/538-7541 C
APPLICATION AND PERMIT
ASSESSOR PdgEV UV R
Z'HKl°1t11
- BUILDING PERMIT
OWNER
HOWARD KEE
TELEPHONE
533-6550
SO, FT. OCG^, BUILDING VALUATI
1598 R 81,498
OWNER'S MAILING ADDRESS
P.O. BOX 151
CONTRACTOR'S NAME
TELEPHONE
378 C 4,914
CONTRACTOR'S MAILING ADDRESS
Fireplace 99.912
CONSTRUCTION LENDER
NONR
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NOW
LICENSE NO.
Plan Checking Fee
$ 216.50
Energy Plan Checking Fee
$ 19-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
6837 T.MNCOT,N BT,VD PALERMO
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 24 00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping,
'5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFP Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
•5.00
Mobile Home S I G
10.00 ea'
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service 100 AMP OR0V OR LESS10.00
10.00
Main service EA. ADD•L 100 AMP
2.50 2.50
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 my license is in full force and effect.
License No. Classification.
Eli, 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ( ACC. BLDGS.
,h2sgft 58.70
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
S ALo
AL@ 0 3
Ex. OCCUp. OUTLETS P(RESID )FIXED APLNS.REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. INirin 9
15.00
Permit Fee
$ 81.20
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):,
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-fnsure.
�Q I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.'
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 1 10.00
Heating
.00
Cooling
g TON
.00 6.00
Hood
3.00 3.00
Ventilation
Permit Fee
$ 28.00
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 s I County in co eque anting of this per it.
%� Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or co struct
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST E
TO ALF E $
867.70
HAZ. CUA
PARK
SC
F
COF
PAR PD
). H Issu
This permit is hereby issued unoer the applicable provi-
sions of the Butte County.Code and/or resolutions to do
work indicated above r which fees have been paid.
DIR. T OF_ BLIC WORKS
By Date J
PERMIT EXPIRES Dat
'•eceipt No. 971712A 971 sn �� �- J '� �O.
3TE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT e
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO.
7 County Center Drive - Oroville, Callfornia'95965 - Telephone: 916."538-7541
`v' �r11n APPLICATION AND PERMIT 6A Ol
ASSESSOR PARCEL NUMBER z0NI G
N6 —QS`D3% ��
OWNER , TELEPHONE
y dUI �33 6550
OWNER'S' MAILING ADDRESS
Pb Bo 15AIE2 A S 68
1
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
j
! 5
0 3, SOL
CONTRACTOR'S NAM TELEPHONE
��l A1J�CIJ
CONTRACTOR'S MAILING ADDRESS
Fireplace
��, 00
CONSTRUCTION LENDER
N 0 N e—
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
g
$ 10.00
Permit Fee
$ • 5J, oc>
ARCHITECT OR ENGINEER
/V oN�
LICENSE NO.
Plan Checking Fee
$ a
Energy Plan Checking Fee
$ %5 6 Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/ m D
7,9-37 Z—atraIN Muni
Permit fee
$ 67 50
PLUMBING PERMIT
Filing Fee 10.00
9556'
Each Trap
a 2.00 12ZI. Q
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME - PARCEL MAP
Water piping
5.00 �b
Each Qas water heater or vent
5.00 $. Oc>
USE OF STRUCTURE
SFXZ Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00 S60
Building sewer
5.00 5.c--1,
Mobile Home S I G I W
10.00ea
TYPE OF WORK
Newt/ Addition❑ Remodel❑ 'Utilities[] InstallationC Other[]
Describe work: oZ Be,
Permit Fee
$ 5 pp
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 �0
CONTRACTORS LICENSE LAW�jf t
I declare under penalty of perjury (check one): 000 ~
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
17i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLOCS. )
izcsaft r O
NEW CONST R. ULTI.OUTLET
NO N.RESID BRANCHCIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR. )
1.
Ex. OCCUp(OUTLETS OR FIXTURES
120@SOC
BALD 30C
FIXED APLNS
Ex. OCCUp. OUTLETS P(RESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$ ,20
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling "i6
Hood
3.00��
Ventilation
Permit Fee
$ Qj
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 County in consequence of the granting of this permit.
XThis
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 inheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
I CUA I PARK
scHL FLD cDF PAR PD D.Ilssua
I I I'
!
permit is hereby issued unser
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provl-
resolutions to do
have been paid.
WORKS
Date
Receipt No. g70y w — 27/5�3;1--
WHITE-D.P.W.. YELLOW-ASSC3SOR. PINK•INSPECTOR, GOLDENROD -APPLICANT
oy�
�
N
k
oq �
W
W �
Ci
. rets. �. �, �3'�:..'q� .�. Pw's'ef+V'i:' rlit3Fp'9M�'yr..:w'.c�'i;f1-r•ir"'-••�•-. :..ywa:,.;�.. ,�;�.«..q... ^ .-..s�,.s �, _ �.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROViLLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
Ho
PERMIT APPLICATION'DATA SHEET
Permit No. /i
OWNER �'� A. P. No. 2(,o+ 05 —037
Proposed Building Use 5 � Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
'2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ............................. ........... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings .............. _
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions..... 1_e�& 12 1. ..........................
............ /
?10
Fees of ...
Chico Urban Area fees paid .......................................
12 Park fees paid ............
1 Q Q Uj I1 *11f School District fees paid ..............
4. Sanitation approval from 4'_j Ile— Health Department ,S
15: City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
&K S'(19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
_,olEff—:�Recorded-copy of Agricultural Acknowledgment Statement ......... Z7- 9 7
�`26. Letter of signature authorization .... .. � ovIe-A(.d�,`� , - . , g
27. 4ho(� L. #& r , h
When you issue
�,� Teleohc
Other_
'm ti process as ollows: J —Mai l to own . Mail to contractor.
65�dand old for pickup at office. Deliver w/inspector.
Ij
^ it
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data m_ust_be-subm.i•tted prior to per Issu Circle ne diem -not- ked
1. Index permit for above items No. IV v� oyY /Ae �/G�c , �i.
2. Additional items required:
✓ —7�
Contractor, designer, owner, was advised of above required data by_phone_rnail—counter by ..date
Contractor,
Plan
!r, owner, was advised of above required data by—phone _mall—counter by date
S Date_ Plans approved by Date_
Sets of plans on hold in File cabinet AP folder
Copy -DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
c� a 3-'1 �.� �=-�.r. c��2; L --6c -�
• ��AP#
Owner Lvcatior.
Plan `Approved for:
Hold final for:
?incl clearance O.R. for:
Sewaqe Disposal
Clearance for 2 bedroom a home. Other
Water Supply
Water Supply
Water Supply
NOTE "
Date
Sanitarian
Q
SK
1 I Environmental Health
f AU.G 1 1991
OroviIle, California
I
4/9
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Pian Approved for:
Hold final for:
Sewage Disposal al--,
7inal clearance O.R. for:
Clearance for 2 bedroom_alsMe home.
Other -
Water Supply e/
Water Supply
Water Supply
NOTE �: s
Sanitarian Date
e'
BUTTE.COUNTY SCHM0114;DfVELOPMENT FEE .CERTIFICATION FOR
D X _ O rQ — rm per Building) Q � —
/rte a
A.PVNumber (����oj"(;CS%Building Dep9rtment No.'
School District City= County [U Jurisdiction
Property Owner 110a)A� -
Project Location/Address�00?7 �/A&,61,V 131UP 911le--me ZOA
1
Subdivision Lot Number
1
Residential Development:
O Sq. Footage
# of Living MHI Addition (Group R)
,units-
Project
nits
Commercial/Industrial:
rTo�.�
E:1 Sq. Footage
nAAi*i^^ (Including Exterior
Roofed Areas)
&- 9 -ak
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. 920319
_ ko School District certifies that
(Applicant Name) .(Phone Number)
eer Aaaress
n
(-City) ,('State) (Zip
Code)
has complied with the requirements of Resolution No.
by the pa ent of $o �T representing square feet.
I: -9/
School Distr,ct Representative Date
PAID -BY CHECK NO.
BANK NO - Q
PAID BY CASH
REMARKS: A
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
vnoon
veevow.L
associa es
A CALIFORNIA CORPORATION
- August 26, 1991
Job #91-146
Butte County
Building Dept.
7 County Center Dr.
Oroville, CA 95965
re: A.P. #25-05-37
Kee
(916) 534.9587
P.O. BOX 986 - OROVILLE, CA 95965
100 GOLD DREDGER DRIVE
Mrs. Donna Kee is going to apply for a building permit on the above
referenced parcel.- A requirement is that the floor of the building be
at, or above, the 100 year flood elevation.
The property is located on the East side of Lincoln Boulevard, and
approximately 550 feet South of Wyman Ravine. From BM 1229 on the
bridge at Wyman Ravine,.the following elevations were determined:
Lincoln Boulevard, 171.8; Property's East side, 171.7; West side,
169.0.
The Flood Hazard Boundary Map, sheets 6 and 7, show the area but not
the 100 year flood elevation at the parcel location. The nearest
elevation shown is 172 feet which is opposite the parcel on the West
side of Lincoln Boulevard. The map indicates that water would not flow
over the road at that location. The flood elevation at the bridge is
174 feet.
I make the 100 year flood elevation to be .17rt at the building
site. A 60 penny spike was set in the South side of a 36 inch
cottonwood tree on the West side of the building site.
The elevation of the spike is 174.31.
Therefore, the finished floor elevation should be 1.31 feet below the
spike.
County bench mark #1229 was derived from U.S.C. and G.S. bench mark -
bronze disk S-847-1948 (1964 datum) located 1 mile Northwest along the
railroad bed, 3/10 of a mile North of Wyman Ravine.
Sincerely,
qb�� /J- Wn , A
Robert C. Brooks
RCE 15140
SURVEYING _ SOIL TESTING ENGINEERING
F
AUGUST 26, 1991
F -
MR. & MRS. HOWARD LEE KEE
P.O. BOX 151
6837 LINCOLN BL
PALERMO CA 95968
BUTTE COUNTY
CC:
DEPT. OF PUBL I C WORKS
DEPT. OF PUBLIC HEALTH
7 COUNTY CENTER DR
OROVILLE CA 95965
To whom it may concern,
The following statement of intention is contingent on Mr. & Mrs. Howard L.
Kee obtaining the reinstatement of two separate parcels located at 6837
Lincoln B1, Palermo, CA, by whichever legal channels they pursue.
We Mr. & Mrs. Howard L. Kee do intend to remove the mobile home currently
located at 6837 Lincoln Bl within 60 days of passing the final inspection on
the intended new home to be built on said property.
Thank you for your time,
Mr. & Mrs. Howard Lee Kee
9i-35493
Return to DPW AGRICULTURAL ST:IMENT OF AUUTOWLEDGE11ENT
FOR RESIDUITIAL DEVELOPMENT
Section 26-8.1- of the Butte County Code
.requires this acknowledgement be recorded
prior to issuance of a building permit. -
I
The
property described herein is adjacent
91-035493 1 Rec Fee
to
land or included within an area zoned
I Cash
for
agricultural purposes, . and residents
Recorded I
of
this property may be subject to incon- '
Official Records I
veniences or discomfort ;arising from the
County of I
use
of agricultural chemicals, including,
Butte
but
not limited to herbicides, pesticides, I
Candace J. Grubbs I
and
fertilizers; and `•from- � the pursuit
Recorder I
of
agricultural operations including,
11: 19am 27 -Aug -91 I
but
not limited W, cultivation, plowing,
spraying, pruning,'aid harvesting which
5.00
5. 00"
XX 1
occasionally generate' dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property -situate in the County of Butte, State of California, described as
follows: -- ----- -- - ..._.
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State
of California, described as follows:
COMMENCING at a.point on the East and West center line of Section
5 in Township 18 North, Range 4 East, M.D.M., 2669.7 feet East of the one
quarter section corner between Sections5 and 6.and at the Southwest
corner of the Southwest quarter of the Northeast quarter of said
Section 5; thence North a distance of 360.0 feet to a point, said
point being the true point of beginning for the parcel of land herein
described] thence from said point of beginning, continuing North a distance
of 180.0 feet to a point; thence South 880 12' West, a distance of 660.0
feet, more or less, to a point on the East line of the Palermo Road;
thence South along the East line of the Palermo Road, a distance of
180.0 feet, more or less, to a point which bears South 889 12' West,
from the point of beginning; thence North 880 12' East, a distance of 660.0
feet,•more or less to the point of beginning.
Date: PROPERTY 0[1i`1ERS :
State of 0_0J%�MAI.11) On this the day of 19�, before me, the
DGpp�) SS. undersigned Notary Public, perso lly appeared
County of is(l'-- )
�
Personally known to me. M Proved to me on the basis
oof satisfactory evidence.
SEALEMACHAN to be the person(s) whose names) -CALIFORNIA subscribed to the within instrument and acknowledged that
OUNTY 7 1993 executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
S
Present A.P. No.D��`DS�-C'�37-C}®®�00C Notary Public✓
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
'Bldg. Permit #d�
OWNER A.P. #
Plan Checker 4
GENERAL
8/91
Zoning requirements: (sideyards and number of permitted living units).
-P�2! aluation.
lans signed by designer.
Lk Proper description of work on application.
.S!�Existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law,'etc).
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures. ,
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
-
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light,and ventilation (Sec. 1205).
12. Required windows for second exit (Sec: 12.04).
Skylights (Chapter 34 & Sec. 5207).
h[.Garage
man impact glass (Sec -5406). -- --
quired room sizes; ceiling heights (Sec. 1207).`
CIs in baths, garage, kitchen, and exterior outlets (Article
ght fixtures, switches, receptacles,_and exterior receptacles
nance of mechanical equipment.
cations of water heater, heating and.cooling equipment, other
gas equipment.
firewall, door size, and closer (Sec. 503(d)(3)).
- 3`0" exterior exit door (sec. 3304 (f).
replace and wood stove location, alcoves, and clearance.
oke detectors (Sec. 1210).
umbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
Standard bracing or engineered design (Table 25V)
TJnusual shape, size, or split levelhouse requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and talcs if necessary.
Rafter ties or bearing ridge beam.
garage door or porch header sizes.
Stud heights:
Adobe soils - special foundation design.
-Retaining walls requiring design.
Special Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
6. Roof covering type - (fire hazard).
�Y. Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
Attic access and ventilation (Sec. 3205).
.2 -. —Underfloor access and ventilation (Sec. 2516).
j. -3 -. —Combustion air for fuel burning appliances - L.P.G. requirements.
-4t.—Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
it. OF responsible area requirements.
--
VI
Leruncate or t:ompuance: rcesiaentiai Ciimate Lone 11
Project TlUe
Project Address
/_ D.; % /,i7eej14 z�lkw(
BUMDING DATA
Co 'cloned-lrloor Area �.
lab sedl~loorp __
___. - _..
in'gj� t•`amily Detached (SFD)
[ ] Single Family Attached (SFA)
(J Multi -Family (NM
Budding Permit it
Uedted By /.Date
Emforoanait'AgenryUs&0*
_.�
North -9w., sD 3. ,
Number of Stories / East
Number of Units„�_ South
[ ] Addition Alone west
[ ] Existing Building Skylight
[ ] Existing -Plus -Addition Total
BUII,DING SHELL INSULATION
Component Insulation Location/C.^,mments
Type R -Value (attic, ;o garage, =i=z, eta) •
Wall ..............
R/r1
Wall ..............
Glass Type Interior Exterior Overhang
Roof .............
Orientation (Sf)
Roos' .............
(metallwood)
Floor.........
Floor .............
North ( ) O
Slab Edge.....
GLAZING
Shading Bevices
HVAC SYSTEMS Nfi:.imum Duct
Type (furnace. air Efficiency Location Duct Output Manufacturer /Model #
condi(ioner, heat pump) (SE, SEER,HSPF� (attic, etc.) R -Value tuh) (ora roved a al
t�-- s- t �`' _ f
M imum Fumatx Heating Output: Btuh
HOT WATER SYSTEMS �;t• �;•�.`,�”
Tank Manufacturer/Model # 4,
,
Svstem Tvne (storave vas- etc-) Capacity (nr annmvPrl rrntall Cnnr; el n'en.ro/c\ -
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Gla: in g Area
Glass Type Interior Exterior Overhang
Framing Type
Orientation (Sf)
(single, double) Uolies blind, etc.) (shadesereen, etc.) (ye*o)
(metallwood)
No r`h
North ( ) O
East
East ( )
Sout-h
Sou th
West ( )
N
West ( )
Skylight....... _e)
•,
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile, etc.)
(SO (Inches) Location/Description(kitchert, bath, etc.)
HVAC SYSTEMS Nfi:.imum Duct
Type (furnace. air Efficiency Location Duct Output Manufacturer /Model #
condi(ioner, heat pump) (SE, SEER,HSPF� (attic, etc.) R -Value tuh) (ora roved a al
t�-- s- t �`' _ f
M imum Fumatx Heating Output: Btuh
HOT WATER SYSTEMS �;t• �;•�.`,�”
Tank Manufacturer/Model # 4,
,
Svstem Tvne (storave vas- etc-) Capacity (nr annmvPrl rrntall Cnnr; el n'en.ro/c\ -
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
1. Ceiling Insulation
Floor Insulation
II
Number
of stories
-
R -value One
Two
Three
R-0 -103
d9
-M
R-19 -8
-4
.2
R30 .2
-1
.1
R38 0
0
0
U -value
3 1
U -value .. ...
0.50 .176
44
-54 l
0.30 -102
A9
32
0.10 -26
-13
-8
0.08 -18
.9
-6.
O.C6 -11
-5
-4
0.C4 .4
-2
.1
• O.C2 4
2
1
0.00 11
5
3
14
10
_ . 0.00 24
2. Wall Insulation
Floor Insulation
II
Single-
Single-
-
Famriy
Family
MUlti.
R -value Detached
Attached
Family
R-0 38
-51
34
R-11 0
0
0
R-13 2
2
1
R•30
3 1
U -value .. ...
:...
:.
-
-_
- =--76
444 .70
0.50 _91
38
-46
0.30 -47
46
-24
. 0.10 0
0
0
0.08 4
3
2
Us 9
0.10
-17 -8
0.04 14
11
7
0.02 19
14
10
_ . 0.00 24
18
12
0
0.02
:-.3. Raised
Floor Insulation
Number of stories
Raised Floor
Insulation in Floor
-
Two
Number of stories
R-0
R -value
One Two
Three
R-0
-17 -8
-5
i R-11
3 .2
.1
R-19
0 0
0
R•30
3 1
.2
% U-vaius
-10
4
40
444 .70
.46
`.� 0.50
-t 20 -58
38
0.40
.95 -46
Sb
i 0.30
39 34
.22
0.20
-4 -21
-14
0.10
-17 -8
.5
0.08
-11 -6
-4
0.06
-6 -3
.2
0.04
.1 0
0
0.02
4 2
1
0.00
10 5
3
Controlled
Ventilation Crawispace
S. Infiltration (Air Leakage)
Spea6cetion Points
Standard 0
6. Glass Heat Loss
Total
Effective Peic t Clan
Number of stories
Raised Floor
R•value
One
Two
Three
R-0
-t 1
-7
.5
R•5
.4
.4
3
R-11
.2
•2
.2
R-19
-1
.2
.2
4. Slab ledge Insulation
-10
4
40
Number of Stories
37
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 facer
12
29
-58
0.90
-t
3
.1
0.80
.1
.i
0 -
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Infiltration (Air Leakage)
Spea6cetion Points
Standard 0
6. Glass Heat Loss
Total
Effective Peic t Clan
Stab Floor
Raised Floor
(percent etams X SC)
U -value
%Glass
Percent
East
South
.5110
Alto
.31 to 0.30 or
Glass
Single
Double
.50
.50
.40
less
50
-121
-53
39
-24
-10
4
40
-90
37
-26
-14
3
8
35
.75
-29
.19
.9
-1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
.12
3
5
12
28
-55
-18
-10
.2
5
13
27
-52
-17
-9
.2
6
13
26
-A9
-15
-8
.1
7
14
25
-46
-14
.7
0
7
14
24
-43
-12
.5
1
8
14
23
-40
-11
-4
2
8
15
22
37
.9
3
3
9
15
21
34
-7
.2
4
10
15
20
31
-6
0
5
10
i6
19
-29
-4
1
6
11
16
6
9
3
2--
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
:•-15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
it
15
18
12
A
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
.-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
EtfectI, a Percent Cuss
(percent Qlass x SC)
Elect've
Effective Peic t Clan
Stab Floor
Raised Floor
(percent etams X SC)
3
%Glass
North
East
South
'West
Skylight
18
5
1
4
1
na
16.-'..4._11
,,.2.
-48
5
._::.
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
. na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
1
2
7
1
3
4
2
2
6
1
3
4
2
3
5
_ 1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
.1
.1
•1
.1
2
0
.1
.2
-4
.2
0
na - not allowed
& Shading (Shade Closed)
9. Interior Thermal Mass
Interior
Effective Peic t Clan
Stab Floor
Raised Floor
(percent etams X SC)
3
Elfectiw
1
0.40
Stories
!CFA
One
%Giacs
Nath
EM
SW6
West
so*
18
-14
-48
39
-64
na
16
.12
-t2
-59
-55
na
14
.10
-35
-50
-46
na
12
-8
-29
-40
37
na
i t
-7
-26
36
33
na
10
-6
.23
31
-29
.74
9
-5
-20
-27
-25
35
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
d7
6
3 -
-11
-15
.14
-38
5
.2
•9
-11
-t0
-30
4
.i
•6
•8
-7
•23
3
.0.
.4
-5
-4
-i6
2
1
i
.2
1
.9
1
1
1
1
1
-4
0
2
3
4
3
0
9. Interior Thermal Mass
Interior
0
Stab Floor
Raised Floor
Mass
3
Stories
1
0.40
Stories
!CFA
One
Two
Three
One
Two Three
0.0
-8
.5
-4
-2
-1 .1
0.1
-8
-5
3
•1
0 0
0.3
-7
-4
.2
0
1 1
U
-6
3
-1
1
1 2
0.7
-'S -
-2
-1
1
2 2
0.9
-5
-1
0
2
3 3
1.1
.4
.1
1
3
4 4
1.3
3
0
2
3'.
4 5
1.5
3
1
2
4
5y', 5
2.0
-1
2
4
5-
5 ' 7'
25
0
3
5
7
7 8
3.0
1
4
6
8
8 9
3.5
2
5
7
9
9 10
4.0
3
6
8
9
10 10
4.5
3
7
8
10
11 11
5.0
4
7
9
11
12 12
5.5
5
8
9
11
12 12
6.0
5
8
10
12
13 13
6.5
6
9
10
12
13 13
7.0
6
9
11
13
13 14
7.5
6
10
11
13
14 14
8.0
7
X10
11
13
14 14
8.5
7
10
12
13
14 15
10. Exterior Wall Thermal Mass
Exterior Swgle- . Single.
wag Mass Family At�d ' Fermi
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8'
1.40
12
13
9
1.60
10
13
11..., .
1.80
10 ...
12
12
11
200
10
11
13
0.90
11. Heating System
SE or HSPF '
(aaumes ducU in attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
Sum of 1-6
-25 or
-24 to -14 to -t to
+6 to
16 or
SE
HSPF less
-15
-5
+5
+15
more
0.72
6.60 0
0
0
0
0
0
0.75
6.88 3
3
3
2
2
1
0.80
7.33. 8
7
6
5
4
3
0.85
7.79 13
11
10
8
7
5
0.90
8.25 17
15
13
11
9
7
095
8.71 20
18
15
13
11
8
Effective SE or HSPF
(SE or
HSPF x duct efncienc7)
Effective -25 or -24 to -14 b
-4 to
+6 to 16 or
SE
HSPF less
-15
-5
+5
+15 more
0.30
Z75 -73
-64
-56
-17
38
30
na
3.41 45
-39
-34
-29
-24
.18
0.40
3.67' -34
a
-26
-22
-18
-14
0.50
4.58 -10
-9
-8
•7 •
-5
.4
0.56
5.13 0
0.
0
0
0
0
0.60
5.50 5
5
4
3
3
Z
0.70
6.42, 17
15
13
it
9
7
0.80
7.33 25
22,
19
�i 6
13
10
0.90
8.25 32
28
24
20
17
13
1.00
9.17 37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
i
Mandatory Measures Checklist: Residential MF -IR
NOTE: Lo -rise rcudennal buildings subject to the Standuds mus cm -n these ttdessttrefs rep "iscu of the —tro—
appnaeb used Items marred wtut an asterisk (-) may be superseded by more struttertl eomptitu= re4turcincon fined
on tate Certifusne o(Complian= When Lhm chw*re a incorpmated inn the pamn document%. the (enure Dora sal
be considered by all panus as binding minueum component performance Mocifrations (or the nu miamry measures
whetter they are shown elsewhere in the documents or on Nis cADcklis oelj.
DFSCR1P ION
DESIGNER
ENFORCEA04T
Building Envelope Measures
12.5352(a): Minimuneuling nn suluion R•19 weithraavcnic.
62.5352(bt Loose fill insulation manu(aeturv•s labeled R.Value.
12.5352(e): Minimum wall insulation in (ramcd walls R-11 weighted average (does not apply n
eatertor mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greyer than 0.3%. nate vapor
transnsssron rate no greater than 2.0 p=WMI .
12.5311: Insulation sponficd or installed meets California Energy Commi iori (CELS quality
standards. Indicate type and fonn-
'
§2.5352(fx Vapor barriess mandatory in Climate Isms la and 16 only.
12.5317: InfiltrauonrYsGltration Controls
a. Doors and windows between condtua ed and unconditioned spaces designed to limit air
leakage
b. Doors and windows certified.
e Doors and windows wcaUtctsoippea all 'pints and pawxatioru caulked and sealed
62-5352(c), Spacial inrdtraeion barrier insolkd neornply with §2.5351 moeu CEC quality
standards. a , -
12.5352(d): Installation of Far ptaers
1. Masonry and factory -built rueplaces have: i
a Tight fining, cio=ble metal or glass door
b. Outside air intake with damper and control 4 I '
C. Flue damosr and control
2. No canunuous burning gar piers allowed.
HVAC and Plumbing System Measures
12-5352(&) and 2-5303: Space conditioning c*pmeat siding: attach calculations.
12-5352(h)w42-5315. Setback thrmgsaas on all applicable hearing systems
12-5316W Ducts constructed, installed and insulated per Chapter 14 1976 UMC
12-5316(bk ExAaust systems have damps: controls
§2.5314(c): Gas -fend span heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment. water heatcs shows heads and fauces eertifiod by the CFC_
62.5352(i} Water heater insulation blanker (R-12 or peater) or combined imeriorkaterior
insulation (R-16 or grcaLcr : fust 5 feet of pipes closes to tank insulated (R-3 or greater).
§2.5312(Eaeeption Ile Pipe insulation on steam and scam condensate return h rtcuculating
piping.
12.5318(d)- S-imming Pod Hating
1. System has:
a. Orloff switch on heater.
b. Wcwhapnoof instruction plate on hearer.
- -
e Plumbed to allow for solar. t
2. 75 percent thermal e(ficicocy.
3. Paul cover.
_
4. Time clock.
5. Directional -etc inlet
Lightint and Appliance Afemures
62-5352a Lighting - 25 lumcrutwau or greater for Scneral lighting in kitchens and bathrooms.
12-5314(c): Gu rued appliances equipped with intermittent ignition devices.
12.5314(a)- Refrigerators. refrigerator-frecters, freezers and nuorcteent lamp balluu certified
by the aC- lndirate nuke and model number.
COMPLIANCE STATEMENT
This cmufic= of complianm lists the blinding features and performance specifications nailed to comply with
Title 24. Chapter 2-53 and Title 20. Cluptrr 2. Stibd3aptes 4. Article 1. of the California Administrative code. This
certihicafe has been signed by the incliviaual with overall design responsibility and the bmIding owner. who shall
mtain a copy of it and'transmit the orttificate to xay► subsequent pmdlaser of the building.
Dtsigner Building Owner
Nast le 6 Nance
Talon= Tidt% Ftmc
Addm= Addmu:
Tekpsonr_ Telephone
Lx. 1:
(sig�namm) (date) (signature) (date)
Documentation Author Enforcement Agency
N&MC: Name
TilkIFtmL AgQ1c7:
L
v
og Syst•:m
SEER
s
-3
-2
(assatuet ducts
In attic)
.: 2
Sim 017-10
2
1
•FamOy
1r -24 b ►14 b
-4 to
.6 b
16 at
AS 1 a
.5
.15
man
-12 -10
-8
-6
.4
-7 -6
-5
•4
J
-4 -4
-3
-2
-1
J
-2
-2
-1
0 0
0
0
0
3 3
2
2
1
6 5
4
3
2
9 7
6
4
3
13 11
9
7
5
17 14
12
9
6
1
42
r -1
.1
Efreedve SEER
0
0
(SEER xSad e(ndeaq)
-12
Wt of 7-10
-7
-6
)r -24 to -14b
-4b.
+6b
16 or
1 -15 -S
.5
+15
mon
-25 41
-t7
-13
-9
-11 -9
-7
-6
-4
.4 -4
J
-2
-2 .
a 0
0
0
0:
8 6
5
4
3
14 12
9
7
5
19 16
13
10
7
23 19
15
12
8
26 22
18
14
9
f 29 24
20
15
10
vonal Control adjustment
8 7 6 4 3
'o Cooling, System Installed
.4
s
-3
-2
-2
3
.: 2
2
2
1
•FamOy
Ddached and
Attached
InteriorMasslCFA
Unit Size (s0.
e.
.09
12M
1700
2200
2700
it or •
b
to
to
: or
e fess
1699
2199
2699
mon
e 0
1 0
o.
0
0
r 12
' 8
6
5
4
8
5
4
3
3
3 5
3
3
2
2
I 8
5
4
3
3
o -37
-24
-18
-15
42
r -1
.1
.1
0
0
1 -18
-12
-9
-7
-6
1 -25
-16
-12
-10'
-8
t -18
_42
-9
-7.
-6
-5
-3
-2
-2
-2
' 7
5
.4
3
2
3_
2
1
1
1
1 -28
-19
14
-11
-9
8
5
4
3
3
-10
-6
-5
d
.3
Iltt-Fami y (Individual
units)
100%
Una Size (SQ
11076
699
700
1200
1700
2200
or
° fess
to
1199
to
1699
b
2199
or
mare
+e 0
0
0
0
0
u 14
7
5
4
3
R 9
5
3
2
2
8 9
4
3
2
2
U 9
5
3
2
2
e -b
-23
-15
-11
-9
u 2
1
1
0
0
q -23
-12
-8
-6
.5
8 -25
-13
.8
-6
•5
J _23
_12_8
20%
-6
-5
a -8
.4
.3
.2
-2
1r 6
3
2
1
1
J 1
0
0
0
0
a v0
15
-10
•8
•6
r 18
9
6
4
4
0
41
119
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD
I.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
d.
InteriorMasslCFA
S L x =�
e.
Skylight
X =_
9. Interior Thermal Mass
TYPE 1 MASS AREA
. rrn ! Ilwes
COND. FLOOR AREA
10. Exterior Wall Mass
TYPE 2 MASS AREA .�
Wall ss
ND. c L OR AREA
11. Heating System
--L�Y`---
.
Zonal Control? ( Y / N)
SE or HSPF
Dun Efric mcy (0.781 Effective SE or
(0.72/6.6)
HSPF (O -*5.151
12. Cooling System
X
•' �-eL = '�"
Zonal Control? ( Y / N)
S (g,1
Duct Efficiency (0.741 Fsfccuve SEER (7.031
13. Water Heating
11. )NIwC•..71
cledit (nmel 1
1 Trre 1
niw
(UTAC 6 4.2. 1., exposed .t_bl
I
0%
5%
10%
tS%
27%
2S%
30%
3S% 40%
4SY.
50%
SS%
W%
"
7(r%
75%
V%
a%
9o%
9SX
100%
to5T-
11076
115%
1207:
12S`
0%
0
(12
0.4
0.6
ae
1.1
12
1.5
1.7
1.9
21
23
25
23
29
32
14
16
3.8
4
42
4.4
4.6
S
IV.
02
0.4
0.6
0.6
1
1.2
1.4
1.6
1.9
21
23
IS
21
21
11
33
35
17
4
4.2
4.4
4.6
-4.5
-4.L
S
52
53
S.4
20%
0.3
0.6
0.8
1
1.2
1.4
1A
1.6
2
22
24
27
29
3.1
13
15
11
i9
4.1
4.3
4.5
4.8
S
S2
S.4
56
90%
0
41
119
1.1
1.4
1.6
1.8
2
22
24
26
26
3
32
35
31
39
41
4.3
4.5
4.1
4.9
5.1
S.3
5S
5 8
407'.
0.7
09
1.1
12
1.5
1.7
1.9
22
24
26
28
3
12
34
16
18
4
43
4.5
4.7
49
5.1
5.3
5.5
5.7
59
SOX
U
11
13
1.5
1.7
1J
21
23
25
27
3
32
14
31
18
4
42
44
4.6
4.4
S.1
5.3
5.5
SJ
5.9
6.1
SS%
0.9
1.1
1.4
1.6
1.8
2
22
24
i6
26
3
12
SS
17
19
41
4J
4.5
4.7
4.9
11
53
SS
S.8
6
62
60%
1
12
1.4
1.7
1.9
21
23
25
27
29
11
13
3.5
18
4
4.2
44
4.6
4.6
S
12
5.4
5.6
5.9
at
63
65%
1.1
13
1.5
1.7
1.9
22
24
26
28
3
12
14
36
18
4
4.3
45
4.7
4.9
it
53
55
5.7
5.9
61
64
70%
12
1.4
1.6
1.8
2
22
25
U
29
11
33
15
17
39
41
43
46
48
5
5.2
5.4
5.6
58
6
62
54
75%
13
1-5
1-7
iJ
it
2.3
2S
27
3
32
14
36
le
4
4.2
44
48
4.8
5.1
S3
_ iS
S.7
19
6.1
6.3
6S
W.
1.4
1.8
1.8
2
22
24
26
28
3
13
13
17
19
41
4.3
45
4.1
49
5.1
5.4
54
5.6
6
62
64
66
85%
1.4
1.7
13
it
23
2S
27
29
It
13
15
le
4
4.2
4.4
46
4.8
5
52
54
56
59
6.1
63
65
67
907:'
1.5
1.7
2
22
24
26
28
3
3.2
24
16
34
41
43
4.3
4.7
49
It
S]
SS
i1
3.9
i2
is
66
6e
95%
1.6
1J
2
22
25
21
29
11
33
15
17
3.9
41
4.3
4.6
4.8
S
12
5.4
_
5.6
ie
6
62
6.4
6.7
69
100%
1.7
1J
21
23
25
28
3
32
3A
16
38
4
42
44
46
4.9
it
53
5.5
5.7
19
41
6.3
6.5
6.7
7
105%
1.8
2
22
24
26
28
3
13
3S
17
19
4.1
4.3
4.5
41
4.9
U
5.4
56
S.8
6
6.2
6.4
66
66
7
110%
1.9
21
23
23
27
29
11
3.3
36
3.8
4
42
44
46
4.8
S
u
S.4
5.7
5.9
6.1
6.3
6.5
6.7
6 9
7.1
115%
2
22
24
26
28
3
3.2
3.4
l6
18
4.1
4.3
4.5
4.7
4.9
it
13
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7 2
120%
2
23
2S
27
29
11
13
15
17
19
4.1
4.4
4.6
4.8
S
i2
14
i6
51
6
62
6.5
6.7
6.9
7.1
73
125%
21
23
2S
26
3
12
14
36
38
4
4.2
44
L6
4J
It
S.3
15
5.7
5.9
6.1
63
65
6.7
7
7.2 ',7.4
Point System Summary: Climate Zone 11
SCORE CARD
I.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7. Shading (Shade Open)
Measures
--�- or O
R -vain, (381 U -value (0.0301
or
R-valne(11) U -value 10.0981
or
R-value(191 U -value (0.0371
or
R -value (01 F2 faoar (Q771
Standard
Type (doablel U -value (0.651
Point Scores
��. •r o - 7
% Total Ghia (161 Sum 1.6
8. Shading (Shade Closed)
% Glass
_ % Glass SC - Eff. %
3.1
a.
North
--s'- X 77 =
b.
East
_�
S . X =
C.
South/-
'!� X = Q
d.
West
S L x =�
e.
Skylight
X =_
8. Shading (Shade Closed)
% Glass
SC Eff. % Glass
a. North
IP -43.1X
�t (k-
b. East
es5• / X
c. South
1.3 X
=
d. - West
e- Skylight
-/X�-
X
0077 = D
9. Interior Thermal Mass
TYPE 1 MASS AREA
IntuiorN�suCFA
COND. FLOOR AREA
10. Exterior Wall Mass
TYPE 2 MASS AREA .�
Wall ss
ND. c L OR AREA
11. Heating System
--L�Y`---
Zonal Control? ( Y / N)
SE or HSPF
Dun Efric mcy (0.781 Effective SE or
(0.72/6.6)
HSPF (O -*5.151
12. Cooling System
X
•' �-eL = '�"
Zonal Control? ( Y / N)
S (g,1
Duct Efficiency (0.741 Fsfccuve SEER (7.031
13. Water Heating
Type (SGI
cledit (nmel 1
/'
I
PERMIT NO.
P
E .
MH UTIL.
PERMIT NO. 2751 —74P,P.
PERMIT EXPIRES d�
DOWNER Howard Kee
e.
FCONTR.
LOCATION (A.P. 26-05-37 )
6837 Lincoln Blvd., Oroville
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Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
/Called PG&E
Temp. Gas Serv.
Called PG&E
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DATE REMARKS OR CORRECTIONS
,
COUNTY OF BUTTE — DEPARTMtNT OP PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING • BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Garacie Vents
Water Htr.
StemwaII
Slab
Prov.'for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO KS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 j
)APPLICATION AND PERMIT
autnorize representatives of the County of Butte to enter upon the
above -mention property for inspection purposes.
Date
ignature of Permitee or Agent �
Receipt No. __ 42Z 2rSr/7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P BLIC WORKS
By, Date -7---l!
uilding permit expires Date................�.��� 7`�
..................
BUILDING
OwnerAef d all /Vl EC
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
d
Tele hone No.
.53-�Sb
Fireplace
Contractor �) _
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
e
Tlephone No.
Permit Fee
Building Address �dp
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. Q S� ?iZon
i P
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
S� on
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Improvements
P
Lawn sprinkler system 2.00
°� v B%{ _� �p
Plans ec'd a 'y'RA�lSrcef A ova Plans A roval
Permit Fee
$
l X60
$ l Q(
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.1
@ I
FEE
PERMIT FILING FEE $3.00
6 QQ
Main service incl. 1 meter
,�rQ
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home 27 Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal0 10
Receps., switches & fix outlets b.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
S', dr'®
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
66
TZE t5
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
ElI have placed on file with the County of Butte a certificate of
❑ Workmen's Compensation Insurance.
SII I certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
autnorize representatives of the County of Butte to enter upon the
above -mention property for inspection purposes.
Date
ignature of Permitee or Agent �
Receipt No. __ 42Z 2rSr/7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P BLIC WORKS
By, Date -7---l!
uilding permit expires Date................�.��� 7`�
..................
,
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u° C ° m ;�eptfic syste and location
Z' o o f _ i - tte to be as per.,
,� k Coun y Health' Dept. Re-
3 ^'� v quirements. P
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—7.c +
d
` The +3. Setback shall be 5 ft. from .
the side property line and 50 ft. from
' Ft: I .the centerline -.of . the- -road, per • i` '
-tot,..,,.` r>r / •~ ��
- - BUTTE COUNTY
` r BUILDING DEPARTMENT
APPROVES
L