HomeMy WebLinkAbout042-130-052.... . .. .. ' ...' F
042-130-052 PERMIT#94-2080
CASEY, WILLIAM
1145 GLENWOOD AVE CHICA, '`- i 9194 i
CONT: TED HANSON �j
NEW SINGLE.FAMILY 1
B08-0783,TA)JPED 042-130-052
MISCELLANEOUS Re -Roof i
REROOF W/COMP (34)
1145 GLENWOOD AVE i
CASEY FAMILY LLC,
r i
RESIDENTIAL
` I042-130-052 F PERMIT#94-2080
CASEY, WILLIAM
1145 GLENWOOD AVE., CHICO
CONT: TED HANSON,•;
i• NEW SINGLE FAMILY
.
lr'
a
r
�fiLr.
a4
I
d+�
C+
�. off. w . s �u� � •
• 9 .
9-Zo-gt4 I`lot react V .
r�
OFFICE COPY
r�
i` Address
:i GAS .
Meter By Dat
ELECTRIC pate
Meter• By
Address
GAS
T Meter BY
ELECTRIC _Datt �►
Meter BY
JOB. FINAL',FQ, (Date)
8igpatu►e
V=OK
O = Not OK
Not = Not Ready.
MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Solis; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials 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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
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-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/Initials 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-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
J
V=OK
O = Not OK ;
- = Not Applicable ,.._ RESIDENTIAL
= Not Ready
t
Date/Initials UND LOOK (PlansLgf< except #'s
Z ng-Setb s-Easemen lood-Slope
Ftg., n; Soils-Elec. G d.- U>Ftg. Depth
3 g -e, Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
rches & Decks; Soils -Steel-/ /Ftg. Depth
tem s, Main; Steel-Blockouts-Wrapped
emwalls, Garage; Steel-Blockouts-Wrapped
6a. H Downs and Special Anchors
p-4 lab; Steel -Wrapped
8. Pie replace Ftg.-Steel
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. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING Permit OK except #'s
1 . afar Htr.; Vent -Access -Combustion Air -Baffle
1�WatqL,PIpe; Test & Anchor -Nail Protection
1g!fSW.V.; Test -Fittings & Anchor -Nail Protection
--48.-Shower Pan; Test, First Floor -Tub Access
-20:-TeSJeb-& Shower, Second Floor -Tub Access
as Pipe; SI z & Anchors
1414 -
Date/initials ELECT Permit OK except #'s
Faure & Transformer Clearance -Ins. Protection
kS.'EleS,Beceptacles Spacing -Lights & Switches at Doors
ides & No. of Conductors -Stapled
> omex Installed Close to Edge of Studs & C.J.
1916 -round made up w/Mach. Fastners-Bo s &
97/IAppliance Circuts in Kitchen & Conductor Slze/GFI
2✓ ._$wbT a Wire Size /" ga. Cu or&A.C. Wire SIzeJ& ga.
Cu or(8L'>
g,."nge Circ. / ga. Cu or AI -Oven Circ. /166ga. Cu or Al.
Insulated Negfral ❑ Yes
Luwe
49,-se-rvice-Riser Conductors & Ground -Main Disconnect
Sl!Equip,Clearances Panels -Motors -Mach. Equip.
3>'o<rothes Closet Light -Shower Light -Spa Light
3L.Saroke De actor
r
-Fq-4q WA -
Insulation &
3$^Ve Fan; Exhaust above insulation
CgAdensate Drain & Overflow; Size & Grade
37lFurWce-Vent; Access -Comb. Air -Return Air Vent -115 outlet
J% -Attic Access &,Plettorm if Furnance in Attic
Date/Initials FRAMING Plans OK except #'s
it Proper Material & Anchors
ells Studs -Nailing, Spacing & Bracing -Plates -Sound
-014e earing Walls over Girders & Floor Nailing
Dra Stop in Walls (ret proof)
4�e�Stops; Furred Ceilings -Stairs -Chases -Tub
waders & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
ngers-Post Caps -Anchors -Connectors
Joist-Rftr. ties-Purlin-roof Brac-Tr(Dg.Sktf-ng.-Rfng.
t7 place Ties or Type A Flue -Fireplace Throat clearance
{IB -Attic esi; Size & Romex Protection -Draft Stop -Ins. Baffles
arm. Windows or Exiting Doors -Sill Hgt. & Dimensions
age Fire Protection Framing JZ& P
Pr y Line Firewall & Openings
xt. Doors -One T -Check Garage -3rd Story, 2 Exits
tai Width -Headroom -Rise -Run -Landing -Fire Protection
mood on Roof Overhang -Attic Vents -Rafter Outriggers
STISIding-Nalling Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
-68. Sh Wells; Nailing -Bolts
q�1gH 5 nsulation-Wells-Ceilings V15 fe-C 0K &to
60. Infiltration -Walls -Windows
Date/Initials FINAL Plans OKkoxcept #'a
81. Ext. Steps -Door& Sidelight Protection -Landings
_---e2. Smoke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
X64. Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
66. • Elec. Trim & Subpanel; Breaker Sizes & Labels
-67-Stairs & Rails
L---e6"-Fireplace or Stove; Clearances -Hearth
L--69-Elec. Outlets at Wood Panel; Int. & Ext.
�7�Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
Alec. Outlets & Receptacles at Kit. Counter
L--r27--Garage Fire Door, Swing -Landing -Closer
^"- 7=A:C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
j,,�S. Plb., Elec. & Mach. Equip. Listed for Location
6. Etec. Receptacles in Garage; (G.F.I.)-Romex Protection
X77. Insulation -Foam -Looked in Attic ❑ Yes
8. Guard Rails & Deck Construction -Post Caps
JZ-Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
Following instld.; Drive ❑ Yes ff-No; Walks ❑ Yes No;
Planters ❑ Yes ❑ No
Ecco; Brown -Finish
82. A.C., Unit; Disconnect, Electrical, Plumbing
ants Above Roof; Plbg :Appliance -Fireplace -Clearance to
Openings
ater Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
6. Ventilation Throughout House
lass Protection _
88. Correctio5phrom Previous Inspections
i9. Gas Tee -Meters Tagged; Gas -Electric -I ` .q -Q, fj/
90. Water & Sewer Connected -C/O to Grade -HD Approval
Comments at Final:
Owner:
Permit No.
ENERGY CERTIF ICAT ION
145 Glennwood, Chico, CA. d 42, 130- 0S72 -
LOCATION A.P. No. _
DESCRIPTION OF INSULATION
ROOF
Material.
Thickness(inches)
EXTERIOR WALL
Material FIBERGLASS BATTS
Thickness (inches) 31"
CEILING
Batt or Blanket Type FIBERGLASS BATTS
Thickness(inches) 91i
Loose Fill Type_ FIBERGLASS
,Minimum Thicknesl(Inches) 12;"
Area covered(ft. ) 705
FLOOR, ELEVATED_
Material
Thickness(inches)
FLOOR,SLAB
Material
Thickness(inches)
W idth(inches)
FOUNDATION WALL
Material
Thickness(inches)
t+
Brand Name __
Thental Resistance (R Value:)_,
f
Brand Name SCHULLER
Thermal Resistance(R Value)_- RT3
Brand flame SCHULLER
Thermal Resistance(R Value;)_
Brand flame INSUL SAFE 3
Number of Bags 15 Wt. per bag w27 !lt>.
Thermal Resistance(R Value) R30�_
Brand flame
Thermal Resistance(R Value')^
Brand Name
Thermal Resistance(R Value)___�„�
Brand Name
Thermal Resistance(R
above tiuX¢ipg
LOERK INSULATION CO., INC. 499150
NAME/ NE STATE CONTRACTOPO S LICENSE NO. i
�i';
G./ October 31. 1994 _
SIURE OF I STAL ION APPLICATOR DATE
G T
I hereby certify that the above insulation was installed to the
in conformance with the State of California Energy Requ ftoment.s.
I hereby certify the above insulation and all 'required items as shown op'•the
Building Department approved plans and attachinents have been installedas
required by the State of California Energy Requirements.
All equipment, devices and materials
are of the quality prescribed or are
specifically approved by
the State of
California.
%1 �,/
�C)l'V/9/l��dNl/fCJ�rri
IA/V
FIRM NAME/OWNER (Please
print)
STATE CONTRACTORS LICENSE
NO,!:
i
-§-1—GNA—TURt1dF GENERAL CONTRACTOR OWNER
DATE
1r:
j'
JI
THIS CERTIFICATE MUST BE
ON FILE WITH THE BUILDING DEPARTMENT PRIOR
TO FINAI,
INSPECTION APPROVAL AND
A COPY SHALL
BE POSTED WITHIN THE BUILDING.
January 1984
'S
a
V COUNTY OF BUTTE - DEPART=MENT OF DEVELOPMENT SERVICES - BUILDING DIV ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 19 L f7- _ PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
042-130-052 A5
ILDING PERMIT
OWNER TELEPHONE
WILLIAM CASEY 895-3632
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2165 OAK WAY CHCIO 95926
1584 R 85,536.00
543 M 9,774.00
CONTRACTED THANSON NAME
TELEPHONE
592 C 7
696.00
CONTRACTOR'S MAILING ADDRESS
WEST SACRAMENTO, CHICO
Fireplace I A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 104
506.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 657.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
427.05
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 23.00
Penalty
$
BUILDING ADDRESS
PERMIT FEE $ 1127.05
PLUMBING PERMIT
Filing Fee 1 20.00
Each Trap
7.00 1 63.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFj{O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 1 00
Mobile Home S G I W
@20.00
TYPE OF WORK
NewX❑ Addition ElRemodel O Utilities O Installation O Other O
Describe Work: SF - 3 BUM,
PERMIT FEE$
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 'OV OR LESS
( 200A OR LESS )
23.00 .23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. ( DWELLING OCCUP.
OR ADONS. & ACC. BLOS.
3.5, so
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
,,�tthe work, and the structure is not intended or offered for sale. (Sec 7044)
�1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEWCONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
.50
APPLNS.BAL.
OR
Occup. OUT
Ex. UTFIXEDLETS RESID(RESID.) EA. )
(
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 117.45
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating SPLIT SYSTEM
15.00
Cooling
15.00
Hood
6.50 6.50
Ventilation
12 4.50 9.00
PERMIT FEE
$ 65.50
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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.
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
Crty in co sequenc of a granting of this permit.
X� Date 7lal lql-
ure of Applicant - er ❑ Contractor O Agent
Si' VOnSHA permit is required for excavations over 5"0" deep and demolition or
ruction of structures over 3 stories in height.
Mobile Home Installation Fee 1 $
Energy Inspection Fee $ 46.00
OCC
I CONST. TYPE
TOTAL FEE $ 1499.00
I
HAZ- D. FC�6
- 1
IMP
FLooO
coF ftpRCEI PD
11 -
H ISSu
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 i Date 7
PERMIT EXPIRES ON O S
Da l
ReceiptNo. 163015 �� �Q S
WHITE-D.D.S.-B.D. CAN RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF -BUTTE
13UILDIN44GDIVISION,,...
a4
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt agad,Clico, CA - (916) 891-2751
7 County Center Dive, 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 add ss and should be corrected. Please notify this office when correction of work
is completed f you have any questions pertaining to this matter, or need additional explanation,
please c act this office immediately.
�a
,I
Dat Inspector
REV 10/92
4 v
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT W-amo
ASSESSOR PARCEL NUMBER D `/_ JL^O
L U
ZONING
BUILDING PERMIT
OWNER
TELE ONE
SO. Fr, OCC. BUILDING VALUATION
/y/���1U�
OWNERS a 1 °lLls Et c �-c (0` �'9 Sg
CON TRAC SNAME
E o
TELEPHONE ✓
L✓•
�+ -
J
CONTRACTOR'S MAIUNG ADDRESS
e5 (/P (C V
Freplace -TOS
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $4q 55-0lo
LENDER'S MAILING ADDRESS
Filing Fee $
Ir 20.00
Permit Fee $
ARCHITECT OR ENGINEER..
LICENSE NO.
Plan Checking Fee 1429$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
14
Energy Plan Checking Fee $
3, C2::>
Penalty $
e,
BUILDING ADDRESS lO
LCJ
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME PAR EI MAP
� ` ��
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
AY
S Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
NewAddition`❑ - Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: 3
PERMIT FEE $5
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service •BOOV OR LESS
( 200A OR LESS )
23.00 2-3,
Main Service ( 200A TO.1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AOONS. 8 ACC. BLOS. )
3.5C FTSO
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in fuirforce and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
.
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 50
Ex. Occup.FIXED APPwS. OR
( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $ 100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept, of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
1/ 7 r y
MECHANICAL PERMIT
Filing Fee 1 20.00
Heating / -
Cooling
Hood
6.50
Ventilation `
p�
PERMIT FEE S
Contractor
SQZ
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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. 11?141X Date /
Signature of Applicant - Cl Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy InstiF, f
Inspection $
'"l
/l
7
Co"/)jTYPE TOTAL FEES
V /v
HAZ. D. S IMP FLOOD COF pARCFJ> PD
HO ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMIT EXPIRES ON
IOetel
provisions
to do work
paid.
Date
Receipt No. _
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
W-0
COUNTYOF BUTTE - DEPARTMENT'OF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �� A. P. o. A 47 - Z-� -6S72-
Proposed
6 ZProposed 6/uilcYng Use o GBuilding Inspector O Date Z t
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1 DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. .... .........................................
j6. 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 installation instructions, 2 sets. ...........
Feesof $ ..........................................
Impact fees at. shown on attached schedule. .. ....................... .
12. California Department of Forestry plan approval/fees.................. .
1.3. Flood elevation letter (100 year flood) byCalifornia Engineer . ................. .
14 Sanitation and plot plan approval Health Department . ............
C ` 5. 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).
Pre4nspection reque
20. Pre -inspection for required. .. to Building Inspector (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 . ..................... 1 ..................
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. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail t kyper. Mail to contractor.
Telephone 817S',.363 Z 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 it iss nce: r le new item not checked above).
1. Index.permit for above items No.
2. Additional items required:
,Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by -Date
�
Plans checked by Date Plans approved by - Date %279
Sets of plans on hold in File cabinet AP folder
Copv - Department of Public Works
' COUNTY OF BUTTE - DEPARIMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE Cd 95963 - TELEPHONE (916) 538-7541
OWNER
to,
PROPOSED BUILDING USE
'741. SCHOOL DISTRICT FEES
" (paid at District Office) .........................
FEES
A. P. L� 112 -1-30- osz
DATE 2
REC. DATE REC
01
_ (paid at Building Department)
Residential ..... x �� � v %��ol
unit amt.
-C_
Commercial (sgft) x �� \
,sq.ft, amt. -� —
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x _$
#` uunni,ts amt
Commercial (per sq.ft) x J
sq.ft. amt. J
4. RECREATION DISTRICT FEES C -,
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CH= = $89.00......
(paid at Building Department?
mnkmn:�a•
8 . OTM
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit: ,
APPLICANT
DATE
f
' P
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Forth Per Building)
School District Building Department No
A.P. Numberqq7--/3d-�; , Jurisdiction CityCounty
Property Owner 114) %
Property Location/Address
Subdivison Lot No.
Residential Development 0 Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0 Sq. Footage
New Addition (Including Exterior
oofed Areas)
71,0,1
Building De art ent Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.— 95-001-7
1 C b of W (I Cil, School District certifies that W.t&a Irl -1 u
( licant)
(Street Address)
15
(Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 5 7 Cj - cl by payment of $ 07i(o`J
representing 15 �I rJ square feet. 0 Check here if fee received represents "Full Mitigation".
hool District Representative
Paid by Check # Remarks:
Bank Number
Paid by Cash
Date
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) feeform.wk, (4/94)
.... .. .,-r.�•'r•V^.r.i..1'�t'+K'3,t'���j:{}�Cf'1fM'.¢ `"C7*,�;. ;. " � •e' ,��,'yy'' r��weyy. ���4^r.Y[6fhd7.X��
BUTTE COUNTY PARRS DEVELOPMENT FSS CERTIFICATION FORM
CHICO AREA RECREATIO1N'1NeP"ARK. DISTRICT '
Assessor Parcel Number(s)
Property Owner -
Project Location/Address �g%iVG(%� �9 "" c • >
Subdivision Lot Number(s)
Residential Development: (check one) ,
C>hew-Development _Alteration/Addition _Mobilehome(s) Non-Res(iential
to Residential
J' R
IT,64 )Number of Dwelling Units
Comment:
Building Departrrker6
Representative D&
TV
k7k7k:�
Chico Area Recreation and Park District(CARD) certifies that
(Applicant Name) (Phone Number) _..'...�.
(Street Address)
(City) (State) (Zip Code
has complied with the requirements of Butte Co. Resolution No. 90-140 byZ=—.-�:
payment for dwelling units @ $1,189 for total payment of $
CARD R e tat'
PAID BY CHECK NO
BANK NO. '7761_ 2 / /
PAID BY CASH / ! w
RECEIPT N0.
2 /C GSL 0/ L
Date
REMARKS:
Distribution: White --Applicant
Pink --CARD
1
park.fee (form revised 11/90)
e
Yellow --Butte Co. Building Dept.
'Goldenrod --City of4hico,Building Dept. _ +
07/41194 . 1:40H 0OW0417
$1189.0
Return to: AGRICULTURAL STATEMENT OF ACKNi OWLEDGENMW
Bw r Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building
permit..
All that real property situate in the County of Butte, State of California, described as follows:
.the real property in the MF4X4W unincorporated area
County of Butte State of California, described as
.Lots 60 and 61 of the SECOND SUBDIVISION OF THE JOHN BIDWELL RANCHO, accord.ing
to the Official Map of said Subdivision filed in the office of the Recorder
of the County or Butte, State of California, September 17, 1900, in Map Book
5, page 27.
Date: y PROPERTY OWNERS:
�LIIZAI VW,l�ianr 3e
State of California )
County of )
On before me,
Personally appeared
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
A.P. a }, . )3e,51
Seal:
94-0317431 Rec Fee 9.00
The property described herein is adjacent to land or included
I COP 1.50 '
within an area zoned for agricultural purposes, and residents
Recorded I Cash 10.50
of this property may be subject to inconveniences or
Official Records I
discomfort arising from the use of agricultural chemicals,
County of I
including, but not limited to herbicides, pesticides, and
Butte I
fertilizers; and from the pursuit of agricultural operations
Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying,
Recorder I
ping, and harvesting which occasionally gnc=
2:38pm 26 -Jul -94 I PUBL XX 2
dust,smoke, noise, and odor. Butte County has established
agricultural 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 real property in the MF4X4W unincorporated area
County of Butte State of California, described as
.Lots 60 and 61 of the SECOND SUBDIVISION OF THE JOHN BIDWELL RANCHO, accord.ing
to the Official Map of said Subdivision filed in the office of the Recorder
of the County or Butte, State of California, September 17, 1900, in Map Book
5, page 27.
Date: y PROPERTY OWNERS:
�LIIZAI VW,l�ianr 3e
State of California )
County of )
On before me,
Personally appeared
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
A.P. a }, . )3e,51
Seal:
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOKOUT FOR
,I-. S-tairway details: landings, rise and run, head clearance, handrails
_--(Se c . 3306.) .
-1'2. ,Guardrail details (Sec. 1711 & 3306(j).
3. ick or stone veneer (Chapter 30).
4C!BlExterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
of covering type - (fire hazard).
7✓✓Foam insulation - protection.
84.-�36" halls and stairways.
9—.--'ving area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
I&.—Titer-ex-its on three-story dwellings,(sec. 3303 & see Mezannines - 1716).
1—Attic access and ventilation (Sec. 3205)..
l��derfloor access and ventilation'(Sec. 2516).
I Combustion air for fuel burning appliances - L.P.G. requirements.
e requirements on duplexes.
�-"�Ilergy design.
16 -.'Flashing at all exterior openings.
1BF-responsible area requirements.
7�z�i�[�
RESIDENTIAL -PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 94 - Z D
OWNER_ A. P. #qZ-- f - S -2-
Plan
Plan Checker
GEN�ERAL/
I��:Zoning requirements: (sideyards and number of permitted living units).
Yjaluation.
3! fans signed by designer.
41-.- Proper description of work on application.
�- isting violations on property.
6 tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
ecorded notice of violation.
PLOT PLAN
mplete parcel size and dimensions.
2. Setbacks, sideyards, easements, etc.
�t er buildings or structures.
rading, fills, drainage.
Flood hazard.
6: -'Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
FAQ& FAS road setback.
wilding or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
. /Required windows for light and ventilation (Sec. 1205).
V. Required windows for second exit (Sec. 1204).
lights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
FC
/Is in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
enance of mechanical equipment.
cations of water heater, heating and cooling equipment, other electrical
gas equipment.
1G./Wage firewall, door size, and closer (Sec. 503(d)(3)).
1- 3' s exterior exit door (sec. 3304 M.
1 place and wood stove location, alcoves, and clearance.
1 oke detectors (Sec. 1210).
1 . Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
2�- unusual shape, size, or split level house requiring lateral design.
,3----Merestory requiring balloon framing and/or engineering.
—. Thr-e"tory building requiring engineered calculations and plans.
R/ Foundation plan complete enough to construct building.
-6. reconstruction details complete enough to construct building.
7� Elevations and wall construction details complete enough to construct building
8"! Roof construction details complete enough to construct building.
9-.-44-replace construction details and calcs if necessary.
1�jafter ties or bearing ridge beam.
1 Garage door or porch header sizes.
12-.'Itud heights.
a -3—.1 -dobe soils - special foundation design.
i% -.--Retaining walls requiring design.
-Bgecial Inspection required.
. - Certificate of Compliance: Residential (Page 1 of 2) CF -1 R
Project Title
!� Date
G
Project Address — 0
Bt-ildqgP #Documentation Author Telephne Plan Date
0 Field Check./, Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only .
GENERAL INFORMATION
Total Conditioned Floor Area: / % 5 ft'
Building Type: (i Single FamilyAddition 1
(check one or more) Multi -Fare' Existing -Plus -Addition UJ f_ COUNTY
Front Orientation: Nort ast / outh —/West/ All Orientations
(Input a on in degrees and circle one.) • r ..
Number of Dwelling Units: , WILDING DEPARTMEiN ',
Floor Construction Type: lab Raised Floor (circle one or both)
APPROVE
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Tempe __ R=V-alue'—�,U-Value (at11C_ to narann fvr%ir�t e..
wall .............. L1-7— (Q-1.3_ + t=oAm
Wall ..............
Roof .............. 1`3 d
^ Roof .
Floor .............
Floor... .....
Slab Edge ....
FENESTRATION .
Fenestration
{Klrda__�
Fernes" anon
Orientation'
(so-
rU-Value)
Front.... `
-7,s—
�S �
Feont.....
�—
r
Left....... (
ZZ
Left....
Rear..... (a,/)
j
Rear..... ( ).
Right..... (5)
Right..... ( )
_ I
Skylight .......
a I
Skylight .......
THERMAL MASS
Shading Devices
Intefte ` Exterior
roller blind, etc.) (shadescreen, etc.)
Overhang
Type/Covering AreThickness
Area
(slab/axpoised, tile, etc. l s inches Location/Descri tion Itchen, bath`, etc: '""
Revlsad January 1992
Certificate of Compliance; Residential
(Page 2 of 2)
CF -1 R
HVAC SYSTEMS, . 4, ' ' . I """ ' "
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum` Type and Duct or
T pe (furnac'e heat Eff i
ylc
um etc.
ency-
Location
'
Piping
Thermostat
,(AFVE/HSP
ducts/�attiid, etc:
R -Value,
u
T . '
0l, 40,0
.e
Cooling Equipmerif
Minimum
Duct
Type (air conditioner,
Efficiency
Location
Duct
Thermostat Configuration
heat pump, eyap. coolinq)
(SEER)
(attic- nte--
Q_v�r...,
T...._
WATER HEATING SYSTEMS
�• Ener 1
Rated' Tank Factor or '' � k al�
:. Water Heater Distribution Number Input (kW Capacity Recovery . Standby.: Insulation
Type • TydA in System or btu/hr) (gallons) Efficiency Loss (%) (R Value
1. *or small gas storage (rated input S 75,000 Sturm). electric resistance and heat pump water hoators, list Energy Factor.
'For large gas storage water heaters (rated input 2 75,000 Btu/hr),.rist Rated Input, Recovery Efficiency and Standby Loss.
..For Instantaneous gas water hoators,•Qst Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheet$ if necessary)
COMPLIANCE STATEMENT '
This certificate of compiiance lists the building features and performance'speciffcations needed to comply. with Title 24, Parts 1 and 6, of
the California Code of Regulations,'and the administrative regulations to implement them. This certificate has been `signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single buiidngpplan to, be built in multipie
orientations, any shading -feature that is varied. is indicated in the Special 17 att rbOefnarks section..
Designer or Owner (perPCs
Name: t; lness & Professions Code)
r
Tide/Firm:
Address: /'!d -7 A-=V.4�� e__
Telephone: I? 9 Y 5
(signature) date)
Enforcement Agency
Name:
�.. Tide: „
Agency: '
Telephone:
(s gnature/stamp) • (date)
:Revised January1902
Documentation Author
Name:
lide/Firrn:
Address:
Telephone:
(signature)
(date)
Mandatory Measures Checklist:: Residential
MF -1 R
NOTE: Lowriso residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') maybe superseded by more.,stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance: specifications for the
mandAtory.measures whether they a�,e,shown elsewhere in the documents or•ornthis checklist only.
_ DESCRIPTION DESIGNER ENFORCEMENT
Building E•nvelope.Measures, `
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fin insulation manufacturer's labeled R -Value.
* §150(c): Minimum R-13 wall insulation in framed walls (does not apply to ekterior mass walls).
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§1500: Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no.
greater than 2.0 perminch.
§118: insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed,to limit air leakage. ,
b. Manufactured fenestration products have label with certified 'U -value, and infiltration certification.
e. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.'
§150(1): Special infiltration barrier instatied to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
a Flue damper and control
2. No continuous burning gas pilots allowed.
Space Co,nditionin.g, Water Hbating and Plumbing System Measures
§110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(): Setback thermostat on all applicable heating systems. C..
§1500: -Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined in toriodexterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater lank, non -recirculating systems, insulated (R-4 or greater).
3. An buried or exposed piping 1'nsualated in recirculating sections of hot water system.
4: Cooling system piping below 55"F insulated.
5. Piping insulated between healing source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, Installed and sealed to comply with UMC Sections 1002 and,1004; ducts Insulated,:
to a minimum installed value of R-4.2 or ducts ehclosed entirely within conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers �..---
3. Gravityventilating systems serving;conditioned spape have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System. is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System Is installed with:
------------
.a. 'At least S6' pipe between filter and heater for future solar heating. r
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater,6r'Nousehold cooking appliance have no.
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btufnr.)
Lighting Measures
§150(k): 40 IumensMratt or greater for•.general lighting in kitchens and,roomsiwith water closets; and
recessed celing fixtures IC (insulation cover) approved.
Revised Jandary'102
L. a
Protect Title Date
Orientation (circle one):: North / East / South .r West / Skylight
(Note: All values on Part 2 of Form WS -3h are for one orientation only.)
Overhangs •
OH Factor
OH Factor
Fenestration Overhang Overhang Projection
(Shade
"
Shade
closed)
Description Height Depth (H) Hp ght,(V) Ratio
., Open) ;
OH Factor SC SC Shade OH Factor
SC
SC Shade
(Shade Shade Open (w/ : (Shade
:Shade °
Closed (w/
Description Open) Open Overhang) Closed)
Closed
Overhang)
x =
x
=
x =
x ..
_
Area -Weighted Average SCShade open & Shade Effectiveness Ratio
SC SC'SC-Shade
Shade
Shade Shade Shade Fenestration '• Open
Eff .'Ratio
Description Closed' Open' Eff. Ratio Area
x : Area
x Area
Orientation Total':
Orientation Total Orientation Total Average : Orientation Total OrientationTotal
Average
SC Shade Open Fenestration SC Shade Shade Eff. Ratio Fenestration
Shade
x _Area Area Open, : x Area Area.,
.,
Eff. Ratio
Note: Shading coefficients should include overhangs H applicable.
Percent Fenestration
Orientation Total
Fenestration
Area
Form Revised January:1992
x 100 / " %
Multiplier Conditioned " Percent
Floor -Area Fenestration
. (per orientation)
Point System Summary:: Climate2one 1.1
/
Project Title
BUILDING DATA
Conditioned Floor Area 13 Number of Stories
Slab/Raised Floor ato
Check all applicable Unit Type condition(s):
Single Family Detached (SFD) [ ] Add[tlon Alone,
Single Family Attached (SFA) ( ] Existing Building
[ j Mufti -Family (MF) ( j Existing -Plus -Addition
. P -2R
SCORE CARD ..
Measures
Point Scores
Ext{ Wall Mass
1.
Ceiling Insulation
'2--'30
or — V
9 -value [381
U -value [0.0281.
2.
Wall Insulation
I_
or
or HSPF
' `
R -value 1191
' 'u -value [0.065]
3.
Raised Floor Insulation
, -
or
Effective SEER
R -value [19)
U -value 10.0371
4.
Slab Edge Insulation
U
or
System 1 5
R-valuo [O1
F2 factor 10.751
5.
Infiltration
Any Ducts in Unconditioned Space? ( Y / N) [Y]
6.
Fenestration Heat Loss
' 08 ( _,
S o 15,
[121
[None)
Type '—
U -value [0.651 Total % Fe es. 1161 Sum 1-6
7. Fenestration Heat Gain
% Fenestratio07.
CShade Open Elf. % Fenes.
North , 7 7 = 1. 0,q
East 5• 7 G�
South " g x
West
Skylight
Overhangs? ( Y / N )
8.. Interior Thermal Mass 7� or
% Exp. Slab 1 Int. Mass/CFA
Shade Elf. Ratio
�Sto
G
9. Exterior Wall Mass .
Ext{ Wall Mass
10. Heating System
A?•b. x
, r3 =
AFUE or HSPF
Duct Effie. [1 story:
Effective AFUE
. (78% or 6.81
0.83; 2+ story: 0.881
or HSPF
11. Cooling System
x
SEER [10.01'
Duct Effic.• 11. story:
Effective SEER
0.81,,2+ story: 0.871
12. Water Heating
System 1 5
5-3
Z
n a Yk4,
Heater Typener
yFactor
Ext. Ins. R -value
Auxiliary Input
ISG501
(0.53]
[121
[None)
'- System 2.
Heater Type [None]
Energy Factor
Ext. Ins. R -value
Auxiliary Input
Form Revised January.1992
Zonal Control
Adjustment 101
.:6
Zonal Control
Adjustment [0)
s 7-O
Distribution
[STD)
Distribution
°Point' Total:
Polnt .Goal:
n
320: oo�
PW -F -L 4
4.44 ACPLE RST.
e� -tL-�N 1L Ej8oI
Fl el -o PES- 6 GO:
APPROVE®
Butte County Environmegtol. ieolth
�I/rl �rao�/ ��ic✓�C�
• uxzt
J (ptopose.4
m, ,� _ ENVIR0N�,7ENTALHEAL��
�q
AUG - 3 1994
CHICO, CALIFORNIA
i
u
= IDO -o..
GREGORY A. PEITZ ClAe�> HCX)s E-1#
ARCHITECT
1907 Ste. E Mangrove I I '1 ?V1 UU a OC�
Chico, CA 95926
(916) 8945719 (2evl
li.11. 1111: tl\Ll'
Plot Plan Alladmi
Flour flan Attached
lent to U.U.
TO: Building. Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
d-A
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Othcr Zh�e Hawn 9 f 2d&5 x'-
Hold final for: jz--J,i
Final clearance O.K. for:
mnTF.-
C!AW"
Environ ental Heal t Specialist
8/92
Aq,
Date