HomeMy WebLinkAbout027-260-011027-260-011 PERMIT#96-0593
FLEENER, Vega
7785 Reservior Rd., Oroville
Cont; Andy Graham
Add Den/SF "� -; "'/'% 9(
RESIDENTIAL
X027-260-011 _ PERMIT#96-0593
FLEENER, Vega j
7785 Reservior Rd., Oroville
Cont; Andy Graham
Add Den/SF
i
e
i 1
F
�4
JOB FINALED (Date) —
Signature
V=OK
O = Not OK
Applimble
`=Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8. Utility Clearance
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
3. Sewer; Location-TestFall-C/O-Concrete
Card B-1 Date Card B-1
4. Water, Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
MOBILE HOME INSTALLATION (Plans) OK except #'s
6. Gas; Location -Test -Wrap; / / L'ft.
/ /Nat. or/ A2ft./ /LPG
00
E
MISCELLANEOUS
Date
7. Well Clearance & Disconnect
8. Utility Clearance
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
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/0 to Grade -HD Approval
Date
8. Gas and Electricity Tagged
Date
9. Tie Downs -Type -Installation Cert.
Date
10. Exits; Insp.-Sketch
11. Cert of Occupancy
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
00
E
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; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
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, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex) ` k
=
Date UNDER F OR (Plans) OK except N's
oni - etbacks-Easements-Flood-Slope
g., Main; toils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ft.g., orches & Decks; Soils -Steel-/ /Ftg. Depth
5 emwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. SI , teel-Wrapped
Piers -Fireplace Ftg.-Steel
9r:9-V4-V--P7tt-Fitting-Test-2 Way C/O -Sewer Test
1W.UF-3'a3PipZ; Size -Anchors - yard gas piping: size -test
Tr-ffa-ter Pipe; est -Anchor -Regulator -Service Test
1- . ric; Underground
1.3 ,R:e &,Ducts; Clearance -Material -Support -Ins.
. Gir rs-Sills-Anchor Bolts -Joists -Vents -Cripples
Accesg & Ventilation
16. Insulation
Date "Card 8-1 Date Card B-1
Date Card Date Card'6-1
Date_ PLUMBING (Permit),OK except fr's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
----------------------------------------------------- - --- -----
17. er Pipe: Test & Anchor -Nail Protection
------------------_ -r - ---------------------------
18. D.W.V.: t -Fittings & Anchor -Nail Protection
---------- ---------------------------------------------
19. Shower Pan: First Floor -Tub Access
20. Test- -
Tub & Shower,- S d Floor -Tub Access
----------------------- ------------------
-----------------
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------------
Date Ca d'B-1 -- Date - Card B_1
---------------- - - - - - - ---------
Date and B-1 Date Card B-1
Date EOCTRICAL (Permit) OK except a's
2. Fi re_ & Transformer Clearance -Ins. Protection
--- --- >eceptacles Spacing -Lights & Switches at Doors - -
--- --- ------ -
_ Sioxes & No. of Conductors -Stapled
---- - ------ R ex Installed Close to Edge of Studs & C.J.
- ---- - --...---------------------------------------------
Equip Ground made up wrMech. Fastners-Bond Gas & Water
--- ------------------ ------------------------------- - ----- ------------------
7. 2 —Appliance
ppliance Circuts in Kitchen & Conductor Size,GFI
------------- ---------------------------------------------------------- --
28.
e ize ga. Cu or AI-A.C. Wire Size ga.
Cu or At
------ ---------------------`-------------------------- ------
96 aa„ gP r irr r r ga Cu or AI -Oven Circ. , r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ---------
0- ---:----------------------------------n --------- --- --._...-. ..
S ce-Ise--onductors& Ground-Main
r ou d ainDisconnect
--------------- 7----------------------- ------- .---------------
quip. earances Panels-Motors-Mech. Equip.
---- - - - - ---- -- ----------- _._ ._.
32. Clo hes Closet Light -Shower Light -Spa Light
-.................... -.............. ... . . ..
moke Detector
(�
--a-- ------ `�!-------_....... -
......-- - ----------
-..-... ....... ...... ..
Dte � Card B-1 /7_i`!,!!7Date Card B-1
----�-a---..----- . -.I......._.--- ---------...........................
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except tr's
34. A.C. Ducts Insulation & Support
----------------- -- --- ------. - - _.........----............ ... ... .. .... ..
_
35. Vent Fan: Exhaust above insulation
- -- 36 Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 oullet
............................... ... .-----.._. ... ... ..
38 Attic Access & Platform if Furnance in Attic
------ ------ ....__----- _._ .. .. ....... ..
Date Card B-1 Date Card B-1
- - ....... . ..... ..... .
Date Card B-1 Date Card B-1
Date , RAMING (Plans) OK except n's
3 ls. Proper Material & Anchors
4 alts uds-Naihng. Spacing & Bracing-Plales-SOUnd
...... ._ .. .....-- ............. ...... .
ing Walls over Girders & Floor Nailing
`iDraft Stop in Walls (rat proof)
- 43. Fire ops: Furred Ceilings -Stasis -Chases Tub
.... ..._. _._....-...._ta9
4 aders & Beam - Size & Bearin
I .
Date FRAMING (Continued)
--------- 45. H gers-Post Caps -Anchors -Connectors
Joist-Rftr' ties-Purlin-roof ac -T s -S �
irep _ "i replace Throat clearance
---- - --iccess; iz & Romex Protection -Draft Stop -Ins. Baffles
rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---------------------- —
0. Garage Fire Protec i n Framing
----------------------------------
51. Propertyine rewall & Openings
--------------------------------- -
32..oors- ne heck Garage -3rd Story. 2 Exits
Vdth=Ffe'adroom-Rise-Run-Landing-Fire Protection
ly d on Roof Overhang -Attic Vents -Rafter Outriggers
idih ailing Veneer
--------- - ---------------- — -
tu Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazi Area -Glass Protection -Skylights -Plastic
------------------- ------- --- —
5&.ier Walls: Nailing -Bolts
---------- ------------------- ---
59. In tion -Walls -Ceilings — -
Infiltration -Walls -Windows
^ S2--------
- - ------ ---- --
Date iaj - Card B-1 Date Card B-1
------ -- - -- ------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
6 . s- oor i e-ig roe - endings
---------------
----moke------Detector
------------------- —
Air-C9nnector-
In G - ge: Above Floor-Ducts-Mech. Protection
........ ---- ----------------------
Bedroom Exiting
u u cce
_ ss -S a
ec. Trim & Subpanel_ Breaker Sizes & Labels
.. . . .. 68 -F+Fep .es 8tvve-Ctisdrances-Hearth ljjec. Outlets at Wood Panel: Int. & Ext.
.. ... ..... -- --- --- ------------ ----------
r -Gap-Cooking Clearance
71. Elec. utlets & Receptac at Kit. Counter
----------
7 arage Fire Door: Swing -Landing -Closer
uct in Garage -Damper
------ ....---------.._.__------------------------------ -----
7 arance- om . ir-Connector-P.R.V.
In G ge: Above Floor-Mech. Protection
7 Ib.. Elec. & Mech.Equip. Listed for Location
... ...... ---------------------------------------- —
zc. �, - -rage_ (G_F.I_) Romex Protection
74,1n_I 8 n-Foam-BECruc ion- ost
Looked in Attic ❑ Yes
a __
- --- -- -A ---------------
.....
- ------ --
dn. Vents & Crawl Hole Door -Drainage & �_ 15 Earth
Clearance Looked under Floor - 11-q"es —
.. ... ... ._. - --
i 've ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ED No
- ----------------------
-----------------
u c ni
.. .. . ......................_.._...------------------ -----------------
8 nit: isconn trical, Plumbing
-------------
ve Roo : g -Appliance-Fireplace.-Clearance to
Openings
- -----------------
84
---------------84. Water Well: Disconnect. Electrical, Plumbing
d Exten Trim: G F.I. Receptacle------- -
entda n Throughout House
Gla Lection
Corrections ' m Previous Inspections
ged: Gas -Electric
....__...--------------------------------------
ewer onnected-C/O to Grade -HD Approval-
- - -- ------------------------
ergy Compliance Certificate -Other Certificates
, .... _-----------------------------------
Date/gJ _`",.-C/Card B-1 Date Card B-1
.- -------------------------------------
Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments at Final
COUNTY OF BUTTE -DEPARTMENT OFbEVELOPMENT SERVICES -BUILDING DIVISION
' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT (o
ASSESSOR PARCEL NUMBER
027-260-011
ZONING
A9
BUILDING PERMIT
V
OWNER
VEGA FLEENER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
245 R 13,230.
OWNERS MAILING ADDRESS
7785 RESE
CONTRACTOR'S NAME
ANDY GRAHAM532-1271
TELEPHONE
CONTRACTORS MAIUNG ADDRESS -
PO BOX 5655, OROVILLE, CA 95966
Fireplace
CONSTRUCTION LENDER
UNID,OWN
Total Valuation is
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 99-45
Energy Plan Checking Fee $ 0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
7785 ]RESEIRVIOR ED PALERMO
PERMITFEE $
PLUMBINGPERMIT Filing ee 20.00
Each Trap 7.00
LOT NO.
- SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF jX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition U Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DEN ADDITION 17.5 X 14
Mobile Home I S I G W @20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service a OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
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 a Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw 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
NEW CONST. DWELLING OCCUR SO.
OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. 8.60
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
SAL so
Ex. Occup. ( OUTLETS (FESID.�EA) 5.00
Temporary Service 23.00
Mobile Home Facilities
Misc. Wiring
t�2�3.000
PERMITFEE ; 2
Contractor
WORKERS' COMPENSATION DECLARATION
I ereby affirm under penalty of perjury one of the following declarations:
❑ I 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.
l➢� I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers"co p sation i_nsuranc carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X __ Dateto'� 5---
SWi nature of pplicant - ❑ Owner -wCOntractor_❑ Agent
n OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is 46.00
OCC
CONST. TYPE
TOTAL FEE $ 370.05
HAZ. D. FEES IMP FLOOD CDF PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
8 9
By G Bate r�
PERMITEXPIRESON Q �/
(ate)
Receipt No. 194782/324.05//
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
3;r..w.:.i+:.t-:..°�,..Y,r.i`-X:t+�'aieJ+�r.rw'F:^�d7Cv�s..,,{t;Ynnv��Nn+o�"-'C�L`:F'�.Y4'.�{Y.°.'S,�.'..i8ox.X�:dy,Y,`+F�1!':F�-va79y' wr�il;:•. �:i ;T «r^: -.. . . ..
' I . i•
COUNTYOF BUTTE - DEPARTMENTOF,EVi'L�DPMENTSERVICES BUILDING DIVISION /
s
I
7COUNTYCENTER
PERF
E - OROVILLE, CALIFeRNIA95965 - TELEPHONE (916) 538-.7541
6
APPLICATION DATASHEET
OWNER V E 6� A L 'ailE A) t ' P -i P. No0�-�
Proposed Building Use , Building Inspector Date d�
At time of permit application, I was advised thef following data must be submitted prior to permit processirg and/or issuance:
DATE RECEIVED BY
1, All items have been submitted. ............................
104,;2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
-16012& Complete plans, 3/4 sets, signed by preparer of plans. G
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. . ► .............................. .
4077,6. Energy Design Compliance and supporting documentation . .................. ----
7. Statement of Intent for Non -Heated and A/C Buildings.
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installatio . 'nstructions, 2 sets. ........... All
10. Fees of $• CSO (2�.Y..t>\S �0 . �ee� ..........................
Impact fees as shown on attached schedule. .
L --
12. California Department of Forestry plan approval/fees. Qi.- 44� .............
13. Flood elevation lettey(100 year flood) by California Engineer. . .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. o e!!As 7 nspedor� (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner'
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. ....' ....................................
26., Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.{ Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ..................... :............ ..... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
...............
31. Existing violations/expired permits . ......................................
32. PIncheck is
33. ........ .
34.
Wh�enyou issue the permit, process as follows: Mail to own r. Mail to contractor.
ZTelephone -P��] and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: 1- S ,P?
(Contractor, jasigner, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Conaordesigner, owner', was advised of above required data by _ phone _ ail nt by _ Date
Plans checked by Date Plans approved by C Data OF -
Sets of plans on hold in /*nl'e�!Ainety�,. AP folder
Copy - Department of Public Works
E.H. USE 0
Plot Plan AUwaal �^
Floor Plan AtmcW
1 seat to B. ! - AA" .
TO: ,, ,; Building Department
i
FROM: Environmental Health
SUBJECT: Sanitation. Clearance
At4by 64Aff-
:�EcA- `3 �Q Vo �R
Owner Location
Plan Approved for: Sewage Disposal Water Supply: Public
Clearance for . therJ��/ l /�� 17 / r-/oA-f
Final
O.K. for:
Environmental Health
8/92
Oa 7 -o2Co - o//
AP#
Private Well
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916)538-7541
OWNER
y C--ro,* �'!- �-����
A.P. #C'C_
PROPOSED BUILDING USE C��
DATE
`
REC. # DATE REC
- SCHOOL DISTRICT FEES
(paid at District Office)
2.
SHERIFF FEES (paid at Building Division)
-
Residential...... x =$
unit amt.
Commercial (sq.ft.). x =$
3.
URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.). x =$
sq.ft. amt.
4.
RECREATION DISTRICT FEES
(paid at District Office)
5.
THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
;,r•c�n�:"r..r.ray.-y.�r..�-�.+"'�,�rp�`�;»^,s�cu5{s�.;,;L�;wrrs,�;+�rW1Fqu"iv.,.m�y;�,^ '.��,irk;e�+ fit. :� �.�ai+`t
.3
ol
BUTTE COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM
(One Form Per Building)
School District 0 0?,o (/ t Lm LD iz, ► Building Department No.
A.P. Number 6477-0-60-611 .Jurisdiction: 0 City County
Property Owner
s
Property Location/Address
' Subdivison Lot No.
} Residential Development Sq. Footage �—/
No, of Living MHI Addition (Group R)
Units
Commercial/Industrial
0 Sq. Footage
New Addition
(%&'Plans reviewed by School District Personnel)
(Including Exterior
Roofed Areas)
r-
6ate
,v IN
District Identificatio`h No. 960108
School District certifies that
•' (Applicant)
-779,5 ,x'33- 4 7 �9
(Street Address) (Phone Number)
9 5 9'�
(City)1_ (State) a (Zip Code)
has complied with the requirements of Resolution No. `�(� J / (� by payment of $
representing p� square feet. FAB 2926 $
LL MITIGATION $
7M C �" I o7
School OFWIVReprese6tative Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
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) feeformmkl (11/94)dmm
INSULATION CERTIFICATE ANDY dRAHAM
---------------------------------------------
---------------------------------------------
7785 RESERVOIR ROAD
NUMBER AND STREET
BUTTE
COUNTY
DESCRIPTION OF INSULATION
1. ROOF
MATERIAL`
THICKNESS (INCHES)
2. CEILING
BATT
BATT OR BLANKET
SUBDIVISION
---------------------------------------
---------------------------------------
OROVILLE
CITY
LOT NUMBER
BRAND NAME
THERMAL RESISTANCE (R -VALUE)
BRAND NAM
CERTAINTEED
6.25 19
THICKNESS (INCHES) THERMAL RESISTANCE (R -VALUE)
LOOSE FILL TYPE BRAND NAME
CONTRACTOR'S MIN INSTALLED WEIGHT/FT2 LB MINIMUM THICKNESS (INCHES)
MANUFACTURER'S INSTALLED WEIGHT PER SQUARE FOOT TO ACHIEVE THERMAL RESISTANCE
3. EXTERIOR WALL
FRAME
BATT• '
MATERIAL
6.25
THICKNESS (INCHES)
EXTERIOR FOAM SHEATHING
MATERIAL
THICKNESS (INCHES)
4. RAISED FLOOR
MATER
THICKNESS (INCH
5. SLAB FLOOR
MATERIAL
THICKNESS (INCHES)
PERIMETER INSULATION DEPTH (INCHES)
6. FOUNDATION WALL
CERTAINTEED
BRAND NAME
19
THERMAL RESISTANCE (R -VALUE)
BRAND NAME
THERMAL RESISTANCE (R -VALUE)
BRAND NAME
THERMAL RESISTANCE (R -VALUE)
BRAND NAME
THERMAL RESISTANCE (R -VALUE)
MATERIAL_ BRAND NAME
THICKNESS (INCHES) THERMAL RESISTANCE (R -VALUE)
DECLARATION
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN
CONFORMANCE WITH THE CURRENT ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS (TITLE 24,
PART 6, CALIFORNIA CODE OF REGULATIONS) AS INDICATED ON THE CERTIFICATE OF COMPLIANCE, WHERE
APPLICABLE.
JULY 26, 1996
DATE
2,3
ITEM #'S
1,/l�riA
DAN HANSEN BRANCH MANAGER
COUNTY OF BUTTE
i BUILDING DIVISION
11 DEPARTMENT OF DEVELOPMENT SERVICES t
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 a'
CORRECTION NOTICE
O N R 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 ;
is completed. If you have any questions pertaining to this matter, or need additional explanation,
Cplease 34tact this office immediately. 9;.
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REV 10/92
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