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Home My WebLink About043-550-005I 1 r� o I I SHASTAN; oily rook,� aai C �S 5" ico Permit p,E,M(new single family)v n�QF qq:r M f t� PERMIT NO. P E,m PERMIT EXPIRES SHA'STAN OWNER Shastan CONTR. 4Z*ZVW3X3c 43-29—= 125 ASSESSOR PARCEL 85,Ha LOCATION lot 25 Hollybrook, 'Chico OFFICE'COPY Address GAS Meter By t", f a e ELECTRIC T GAS "Meter r 'Meter By Date Temp. Power Pole I Called PG&E 0 Temp. Elec. Service Called PG&E jt Temp. Gas Service Called PG&E JOB FINALED (Date) 2., Signature 40, Owner • _511W T41V Co Permit No. ENERGY CERTIF ICAT ION Di a?f_125- LOCATION 12 - LOCATION A.P. No. '',N9w G DESCRIPTION OF INSULATION PV ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Batts Brand Name Owens-Corning Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Fiberglass Batts Thickness(inches) 91" Loose Fill Type Rockwool Minimum Thickness (Inches) 9 7/8" Area covered(ft.2) 1.037 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value) R30 Brand Name Rockwool Industries Number of Bags 50 Wt. per bag 28 lb. Thermal Resistance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE'CONTRACTOR'S LICENSE NO. August 13, 1985 SIGNATtM OF INSTALLATION APPLICATOR DATE 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. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. - T�iu cd - �" � ,eek 3 ZW 7< F FIRM NAME/OWNER (P ease rint) STATE CONTRACTOR'S LICENSE NO. S OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-.Easements 2. Soils; Special MH Support-Sketch 2. Footings; Size-Depth-Spacing-Connectors 3. Sewer; Location-Test-Fall-C/0-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rtg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Gas; Location-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME 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 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occuoancv B-1 Date Card -BI Date B-1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini 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 Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card -BI Date Card -BI Date = Not OK . 1' = Not Applicable RESIDENTIAI (Single and Duplex) = Not Ready Date UNDE LOOK Plans OK exce t#'s Date FRAMING Continued Ae'Zo2ing requirements -Setbacks Easements 148,. Property Line Firewall & Openings tg., Main; Soils -Steel -EI nd.- / /" Ftg. Depth 119!Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- /" Ftg. Depth -SB-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depyh S3 --Plywood on Roof Overhang -Attic Vents -Rafter Outriggers LLellgtemwalls, Main; Steel-Blockouts-Wrapped-SI '7 ')V a- Siding -Nailing -Veneer tw-ftemwalls, Garage; Steel-Blockouts-Wrapped-S 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7?--Pit?f'S-F4rep ave -FT_ -Steel Glazing Area -Glass Protection -Skylights -Plastic ".W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test .a&.�Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -An ors mater Pipe; Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date /% Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI `i Date Card -BI Date Date FIN!Plans) OK except q's card -BF Date Card -PI Date Lt Date PL BING (Permit) 0 xcept q's W. Water Ht.; Vent- ccess-Combustion Air ater Pipe; T Anchors -Nail Protection Steps -Door & Sidelight Protection -Landings oke Detector . Furnace; Vents -Clearance -Comb. Air-Connector- In arage; Above Floor-Ducts-Mech. Protection edroom Exiting 6. D.W.V.; T -Fttngs & Anchors -Nail Protection 17. Shower Pan; TQgt'First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access --rest Tub & Shower, 2nd Floor -Tub Access l Elec. Trim & Subpanel; Breaker Sizes -Labels -E Gas Pipe; Size & Anchors - e2--TMirs & Rails ire place or Stove; Clearances -Hearth 44,..-Etec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date $ ec. Outlets & Receptacles at Kit. Counter Date ELE TRICAL Permit OK except N's -4 swage Fire Door; Swing -Landing -Closer ee&,--A-.1C:Duct in Garage -Damper &AW. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection W,Ffixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Ib., Elec. & Mech. Equip. Listed for Location 2 Size Boxes & No. of Conductors -Stapled 7 ec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. 7nsulation-Foam-Looked in Attic ❑Yes quip. Ground made up w/Mech. Fasteners -Bond Gas & Water ,---nsul Rails &Deck Construction -Post Caps Appliance Circuits in Kitchen &Conductor Size 74—FUN, Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, nsulated Neutral ❑Yes ❑No 75. Following instld.: Drive es ❑ No; Walks es ❑ No; Planters ❑Yes 1'fQ Service -Riser Conductors & Ground -Main Disconnect 1767-iucco; Brown -Finish Equip. Clearances; Panels-Motors-Mech. Equip. teS.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 36/ Clothes Closet Light -Shower Light , Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -39--Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date Ventilation throughout House 2,,1191ass Protection Corr ctions from Previous Inspections Card B-1 Date Card -BI Date Date MEdHANlCAL (Permit) OK except q'slat,84. G Test -Meters Tagged; Gas -Electric 1. A.C. Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation ?.3,.'- Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet tp, Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except Ws Card -BI Date Card -BI Date Comments at Final: Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing aig. graft Stop in Walls (rat proof) 40',Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 92. Hangers -Post Caps -Anchors -Connectors �3�CIng. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shth_ng.-Rfng._ 4. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 , APPLICATION' AND PERMIT PfERMIT NU. � ASSE OR PARCEL NUMBVERZONING 2)_ Y ^02��=�.? BUILDING PERMIT O W.0 EIR -- n TrZLEPHONITSQ. � 9 ' rialix FT. OCC. BUILDING VALUATION .. OW 5 NG ADDRESS , �/ �W CONTRA TO 'S NAME ITELEPHONE CON OR' ILING ADD ESS 14151 Chi O'DFireplace \t. �� 62!rD, CONSTRUCTION LENDER UNKNOWN Total Valuation $ , eFp Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 12314 /M A HITECT OR ENGINEER ` !at A:1A 4 k PAA, LICENSE NO. Plan Checking Fee dM ARCHITECT OR ENGINEER'S MAILING ADD ES Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 , Solar Water Heater 20.00 Water piping 5.00 5; 6D LOT NO. SUBD v151 N NAME ff � �b�ff�lc= PARCEL MAP Each qas water heater or vent 5.00 1 6D Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY - Building sewer 5.00 Mobile Home S G I W 1 10.00 e TYPE OF WORK New Addition❑ Remode ❑ Utilities❑ Installation❑ Other ❑ Describe work: e — Permit Fee $ 61 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOP OR LESS 100 AMP OR LESS 10.00 O O2 �J Main service EA, ADD'L 100 AMP 2.50 0.5-C)NEW CONS. DWELING Oyq "_ OR ADDNST ( ACCLBLDGS. 2'/-Osgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3' of the Business and Professions Code a d my license is in full fppprce and effect. Q' � License No. V � 11 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. 20es0e Ts OR FIXTURES BAL®30 Ex. OCCUP. FIXED FIXED APPLNS.� OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure.fD ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating J"d::4 71. 77 Cooling &p 0z) Hood 3.00 Ventilation permit Fee $ �. . Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ree to v in a nify and keep harmless the County of Butte against all Iia Iities, I d e ,eco , and expenses which may in any way accrue agains i o n i ons nce of the granting of this permit. cp� X Date 3-7 D•5� Signature of App cant— Owner ❑ Contractor ElAgentwork An OSHA permi is re— ed for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ezvQ?s�, TOTAL PERM(T FEE $ � OCCuP. GROUP TYPE OF CONST. PARCEL PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1- O"u Receipt No. 3c2✓C, WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916.534-4541 PERMIT APPLICATION DATA SHEET OWNER Permit No. A. P. N o.,V 3" --6 /Y63-,2% %� Proposed Building Use Jf-- Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plan_ s and calcs. 5. Plans with Energy Design Compliance Statement. State Energy Forms No. 7. Statement of Intent for Non -Heated and AC Build s. 8. Fees of $ , VLetter of signature author O. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: hV_W5 (B) Parking:om 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) ` 14. Owner -Builder Verification (Given to owner El Mail to owner[]. 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. 7. Pre -inspection for required. 8. Other— PW61r42_4j t;: When/you issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone �%yGb2"% and hold for pickup at _office. Deliver w/inspector. Other A 1 A /) . . _ GENERAL INFORMATION V U 1/ BUILDING DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. h - (, HEALTH DEFARTMENT OFF CES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:30 a.m. Oroville . . . 7 County Center Drive 3 Phone: 534-4281 Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT – 7 County Center Drive, Oroville – Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION – 1111 Howe Avenue, Sacramento – Phone 916/322-3725 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS – 7 County Center Drive, Oroville – Phone: 916/534-4339 Original—Applicant Section 26-8.1 of the Butte County ;ode requires this acknowledgement mAR 7 be recorded prior to issuance of a building permit. EL=Ayi) ; LCLLAK- ;t The property described herein is adjacent to'land.or included 811- 6� 25 EE within an area zoned.for.agricultural purposes, and residents of this. property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County hasestablished 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 disconforo from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Being a portion of Lot -13, of the Second Subdivision of the John Bidwell Rancbo, according to the Official Map thereof filed in the Office of the Recorder of the County of Butte, State of California,.September 17, 1900 in Map Book 5, at page 27; and being a portion of Lots 3, 4 and 5 of the McGlalley Block formerly Lot 12 of the Section Subdivision of tht' John Bidwell Rancho, filed for record May 5, 1903 in the Office of the Recorder of said County of Butte, State of California in Book % of Maps, at page 23, more particularly described as follows: Parcel 3, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California on May 18, 1983, in Book 92 of Parcel Maps, at page 70.. Date: February 15, 1984 State of County of 0 c v .Z On this the PROPERTY OWNERS: SHASTAN COMPANY, INC., A CALIFORNIA OORPORATIO1 4a rt, Fresldent 15th day of February 19 E4-_, before _ 3 I STATE OF CALIFORNIA Butte Iss. COUNTY OF —_ I On February 15, 1984 before me, the undersigned, a Notary Public in and for. said State, personally appeared_ Jay S • Halbert --_—_and personally known to me W9QQRP9QQQPWWbasis to be the persod who executed the within instrument as eencence.bed t0 the President and ====m=--- Secretary, on behalf of Shastan Company, Inc. the corporation therein named, and acknowledged to me tha such corporation executed the within Instrument pursuant to it: by-laws or a resolution of Its board of directors. WITNESS my hand and official seat. Present E Sharon R. Howell OFFICIAL SEAL SHARON R. HOWELL 3 NOTARY PUOUC — CAUFORNIA COUttTY OF /UTT! t; Comm. Exp. Aprff 12, 1985 tn�nfau�ne��rt�4>��'j}�r�Y�f'dt�fd�a41�1'�'�t al seal. FLAN 5A W7 AI. -f,. 8 1z \A4,A-U-1 This set of plans and specifications MUST-bw - kept on the job at all times and it is unlawful to See Master pla mate any changes or altercations on some without - - .1 plans. n file TOJ 6uildin riften permission from the Department of Public torks, County of Butte. '51" FLAN i . I K C W-1 W7 A"r'- U TJT XM lec 0 PIAN F f?- E: v ��O 0 l►IL IN PAA 4D 0 rL.A N H Q al i PIWI N JH ti A Artgfback oftAlft. from �the 1`11.44 propai,W_�-_ '�a sADFICK 9 t f ram1fi-e 'road . ,_._con�terline shall be clear of AJ' I structures or equipment excep %t -a -2 .-ft.- save overhang. M a I\I V) v� z�� 3: \3 7:E f FORM I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY .ownerCO. Climate Zone Permit No. Ca 'QJ oor Area /037 =pliance.path: Package .❑ A ❑ B ❑ C ® Point System []Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling 2-30 ® Wall. -13 ❑ Slab Floor Perimeter ❑ Raised Floor 7/83 (D) Moveable (2). INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the HC=c3.`% R=,29 1972 ANSI Air Infiltration Standards'and shall be certified and Location labeled. ® (C) All swinging doors and windows leading to unconditioned areas - Area shall be fully weatherstripped. BUM Could HC= Tight - the above standard features plus ALDING DEPARTMENT ❑ (D) Continuous infiltration barrier ® (E) Electrical outlet plate gasket APPROVE ❑ (F) Air-to-air heat exchanger Ft..2 (3) GLAZING: R= (A) Location Area Glazing Uloor Area Single Double Triple Type Total Bldg //3i 4&:= ® Ft. North Zoo o 1,13 ��-- ® MC= East iso 4 R 2 S► / ® South 1 ® Type West 2J- Z , /o �— ❑ Ft'. 2 Skylights — R= (B) Shading Shading Type Coefficient Description ® Ft: 2 East ,(c!o PUAL-G-'L;dZ/rJr, .frAimP. �i peaPeS ® MC= South <o( u ' ,I ,r r WeSt ( D• �.SS ® Mq,� ' 3S G, OFF -HIS Fl, c c v2.Ta j x'40 —� ! ❑ s Skylights ® (C) South Overhang , Length of projection ft. Description (D) Moveable insulation: Area ft .Description (E) Thermal Type A mass 549& - Area Ft.� HC=c3.`% R=,29 MC= i,3 Location q Type - Area Ft: HC= R= MC= Location Type -.Area Ft..2 HC= R= MC= Location Type Area Ft. HC= R= MC= Location Type - Area Ft'. 2 HC= R= MC= Location Type - Area Ft: 2 HC= R= MC= Location FORM l ❑ . (4) MASONRY AND FACTORY -BUILT FIREPIACES shall be equipped with -tit itting closeable metal or glass doors covering the entire opening of the ire ox; a com usion air intake equipped with a readily accessible, openable,.and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. %F T�Tto" ,' ��° "7 K°T, 2� •_ *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM_ (A) Heating ® Central Gas Furnace 14141. !/ SuamIT MF4S (brand and model number) SE S��C!5 Btu/hr To iNs7ALu�)6 (heating capacity) ❑. Heat Pump (brand and model number). ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar Collector brand and ft2 collector area collector Ful 7/83 type (liquid or air) model number solar fraction orientation collector tilt .rated slope Other rated y -intercept (describe) (B). Cooling Electric Air Conditioner M/M. .O (brand and model.number) (seasonal EER) Btu/hr. (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at.95°F) Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall. be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for.all thermostats, except those controlling heat pumps. ` .(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for. all fan systems exhausting air to the outside. (G.) DUCT -CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic,to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 (6) DOMESTIC WATER SYSTEM (A) Gas Only _vO�Jo . LJ/,4 Gallons K_ (brand and model number) (tank size)' -— Heat Pum p w/Elect'ric Backup (brand and model number) Gallons (tank size) 13 2 Active Solar (collector brand and model number) (rat . ed y -intercept) (rated slope) (solar fraction) ft 2 (backup' heater type, brand and model number) (collector area) (collector orientation) (collector tilt) 13 Location of Solar Panels 13- Other (Describe) (B) TANK . INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five 1,:et of pipe clotest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. - Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and_ atearn condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and. faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission: (7) LIGHTING (A) Lamps. used in luminaries for general lighting in kitchens and bathrooms - shall have an efficacy of not less than. 25 lumens per -watt (usually florescent). *1 Submit Pdoc . tion of sizing heating and cooling equipment -by Manual J, sizing chart s m r#4).r other approved methods, section 2-5352(g), and fill out the /, 14 folio Heating': Winter design temperature elevation heating .loadBTU elevatign factor x heating load maximum outlet capacity gas furnace PA BTU cooling load 019TU Cooling: Summer design temperature *2 Submit T.1'.*P*.S.E. char*t or other approved system (form #5) -to document sizing of. solar panels. USE ONLY AS SIZING GUIDE, COOLING MAY BE INADEQUATr- DESIGN COMPLIANCE STATEMENT:;- The above building design meets the requirements of� l . Title 24, Part 2, Chapter 2-53 o . f the CaliforniAdmi�ni tr on C e.. .7/83 SIGNATU OF UILDI -DES R OR APP CANT 3 ZONE 11 F - JPL.AAJ - 1-0 7- Z!9 PORTS :able SodCi'-iQC1i1q Ciating PC 'Table 3-10. Shading Coefficient Point. - OWNER SHIdSTM CGy , .SKYLIGI(T - •37-.57 ST, Dbl, 11. Pointe •' T PERMIT N0. --' r1IA ASSIGNED ACTUAL MEP/UM t S ELEc, PcATE INFILTRATION 11.10 10.65 I I Clating Type I 1. SLAB - INSULe1TION NONE o 15. � --1�-L- �� I A -Yalu• of Insulation I I I points I I' I • Total I I I S of I Sngl, Dbl, Trpl, T( r; ..a..r li "+2) 17. DUAL PACK (SE. SEER) 8.0-8.3/71-76% A) Q I " o 13. ACTIVE SOLAR 60% 11IN (110NE) I Floor I (U - I (U - I - I 2. P.:IISED FLOOR - R-19. ZONALLY CONTROLLED ELECTRIC n��N N 20. I 19 1 =•4= I I Area 11.10) 1 0.65) 10.41)1 -S I 1 7.4- 8.2 I -12 I' -8 1 -7 I I 8.3- 9.7 1 I 22 I -2I I I alai- I Dints ( ointsl 3. CEILING - R-30.. -12 I -10 I ( 10.9-12.0 I -19 I I 30 I 0 IT---.--T;� +3 +g -22 I -16 1 -13 1 _ / �-IS -24 I -18 I I 38 I +2 .�I 1 up to l.s F +2 I +2 I +2 1 4. WALL - R-19 9.6-10.1 ( l � -20 I 49 I +4 I I 1.6- 3.j I -1 I 0_ 1 o 1 ��D. _ -4 I" I -2 1 5. NORTH GLAZING - 2.4-3.6'1. �. `/ - Z : 7-2 1 -2t I I I Sal- 6-s I -6 I 1 -3 1 6. EAST GLAZING - 2.5-3.6:: �1 �1 -4 '�� 0 1 0 0 1 0 1 0 .37-.57 1 I 6.6- 7.7 I -9 1 -6 1 -S I 7.8- 8.9 ( -11 I -8. I -7 7. SOUTH GLAZING - 1.6-3.67. Q`. /a •-' % -- Table 3-4a. Wall Insulation Points 1 9.0-10.0 I. -13 I -10 •1 -9 I I 10.1-11.5 I -17 1 -13 I -11 1 I Dints 'CLAZINX 11.1 - 1.9 1 -1 1 -2 I it -Value Insulation I I 111.6-13.0 I -21 I -16 I -14 1 B. WEST - 2.9-3.6% G /D 44 t{ -7 of Points I 17.1-14.5 I -25 ( -19 1-16 1 14.6-16.0 1 -28 i -22 1 -19 9. SKYLIGHT - 0-1.3% I I I 11 I -7, I 1. +Z' I +4 I 10. .SIADINC (Exclude Overhang) I -1 I I I I I I inches I 0-2 13-4 15-•b I' 7+ 1 I 19 I o 1 Table 3-8. Yest-Facing Clatln Pts. EAST - .67-.82 t+o O ' �� I 24 I I 30 I +2• I +3 I Clating Type ' 1 I 1 I I I I I I Lelow 3 I 3- 4 I -12 1 -8 I I 2.5-.3.6 1 I 3.7-'4.6 I.. 5_�I---B 1 ( I Total I 2.9- 3.6 I -9 I 3.7- 4.2 I 1 ' SOUTH - .19-.42 (o 61 !- v' I S- 1 1 1 ; of I Sngl, Dbl, Trpl, WEST - .13-.36 .3io � jAX O ""''C� Table 3-5. North -Facia Cla'tin pie I Floor I (U - I (Y - I (U . I I Ar 11 l0 1 0 63 1 0< I I Total 1 I of .SKYLIGI(T - •37-.57 ST, Dbl, 11. HORIZONTAL SOUTH OVERHANG 2' •' l U- 12.' MOVABLE INSULATION - :NONE r1IA ( 0.42- 13. MEP/UM t S ELEc, PcATE INFILTRATION 11.10 10.65 14. THERMAL HAS A "'/I•S'SF i .37-.66 o 15. CAS FURNACE.(SE) 67 n 1 +4 lh. HEAT PUIfP (EER) 7.5-7.9% ..a..r li "+2) 17. DUAL PACK (SE. SEER) 8.0-8.3/71-76% A) Q I " o 13. ACTIVE SOLAR 60% 11IN (110NE) /J A I -2 19. ZONALLY CONTROLLED ELECTRIC n��N i -4• 20. SOLAR WITH CAS BACKUP 0114) /J A I -6 I I Total 1 I of Clasing Type I'' I ST, Dbl, Trpl. I Floor l V- l U- l U- I I Are• 1 0.66 ( 0.42- 1 0.41 1 I 11.10 10.65 I down I 1 0I I +1 i .37-.66 o I moi.1 1 0.1 vl,, 2 1 +4 1 +4 I +4 I ICT -3- 2. 3`1' +1 li "+2) 1 +2 1 1 2.4- 3.6 I -2 I " o I +1 I I 3.7- 4.8 I -4 I -2 1 -1 I 1 4.9- 6.1 I -7` i -4• I -3 I I 6.2- 7.3 I -9 I -6 I -S I 1 7.4- 8.2 I -12 I' -8 1 -7 I I 8.3- 9.7 1 -14 I -10 I -8 I I 9.8-10.8 I -17 I -12 I -10 I ( 10.9-12.0 I -19 I -14 1 -12 I 112.1-13.2 1 -22 I -16 1 -13 1 1 13.3-14.5 I -24 I -18 I -15 I 1 14.6-15.3 1 -27.1 -20 1 =l7 1 I ea ) . ) . !) I I olnts I olnts I olntsl I SC by o •i •G ♦6� up to, 1..3, 1 . +s_ 1 1 0-3.1 I to 16.4 up I I I 6.3 I i I I I I 0 -.19 I 0 I +1 I +2 i .20-.36 1 0I I +1 i .37-.66 o I moi.1 +] I 1 .83 up I 2.9- 3.6 1 -3 1 0 1 +1 I 16.4 1 3.0 19.S 1 3.7- 4.2 1 -5 1 -2 10 1 Waa ns 1 4.3- s.0 1 -8 1 -4 1 -2 I t +1 I 3.1- 5.6 1 -10 I -6 1 -4 Length Out I Area. I of Floor I ( 5.7- 6.2 ( -13 I -8 i -6 -2 I -2 I -J I 6.3- 6.9 I -15 I -10 1 -7 I I 7.0- 7.6 I -18 I -12 I -9 I I 7.7- 8.2 I -20 I -14 ( -ll I I e.3- 3.8 I -22 I -1'6 I -13 I I 8.9- 9.3 I -25 I -18 I -is 'I I 9.6-10.1 ( -21 I -20 1 -16 1 110.2-11.0 I -29 1 -23 i -17 I 111.1-11.8 I -35 I -26 1 -2t I I 11.9-12.7 1 -38 I -2'9 I -24• 1 12.8-13.5 1 -42 .1 -32 I -27 13.6-14.3 I -46 1 .-35 I -29 14.4-15.2 ( -50 1 -]s 1 -32 T_ (IlW) I SC by I i Orien- I : Floor Area Cation I cast I I 3.2 1 1 1 0-3.1 I to 16.4 up I I I 6.3 I i I I I I 0 -.19 I 0 I +1 I +2 i .20-.36 1 0I I +1 i .37-.66 , I 0 I I o 1 .67-.82 I o I I -1 1 .83 up i 0 i -1 1 -2 1 South 10 1 3.2 16.4 1 3.0 19.S I I to I to I' to I to I up Waa ns 13.1 16.] 1 7.91 9.5 o t +1 I +2 I +2 I +3 1 o -.le l I .19-.42 1 01 Length Out I Area. I of Floor I I 0 1 0 1 I.43--66 1 0 1 1. -2 I -2 I -J I .67 up ' 1 0 1- 1 -4 ( -4 I -4 West 1 .1 1 1.6 1 3.2 1 6.4 1 9.1) I to I to I to I to I up 1 1.5 i 3.1 16.] 1 7.9 I 0-.12 1 _1_0 0 -0-. I + 1 n I +3 1 +6 1 +7 0. 1 o 1 0 I 7-.57 I 0 1 -1 I -3 1 -6 1 -7 .58-.42. I -1 1 -3,1 -6 1 -12 1 -11 .83 up I -2 1 -4 1 -0 1 -16 1 -70 Skylight I .1 1 .e 1'1.6 13.2'1 4.9 1 0.41 I to I to I to 1 to I to Ir,�, rI' t_s I,r ]_1_I 3�9 I_5_2 0 1 +1 I +3 1 +6 I .7 0-.12 1 .13-.36 1 0 1 0 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 1 -6 I 1 0.6 - 1.0 1 -2 1 -3 I 14 1 -12 I -,- .83 up 1 -2 1 -4 1 -8 1 -16 '1 -20 21. OTHER - NO ELECTRIC (IlW) •, Table 3-11. Hortsontal South . Overhane ►Dint•• l000)o A--r-r/G ��eA&F_ A106•t J ��' TaDla 3-9. Sk ilrht Points Waa ns Table 3-6. fast-Factnq Clazing Pts T T Length Out I Area. I of Floor I ITE11S SHOWN - ZERO POINTS + I i Closing Type ( I . I Clating Type I I I 1 I tram Wall I I 1 ft T' �t-•1 "�' (/� - --I Total I I Total I i of Sngl, Dbl, Trpl, I 1 0-6.3 I 6.4 up 1 I I of I Sn�l, ODI, Trpl, I FI r I U- I U- I U- I I I I I Table 3-1. Slab Floor Points Table 3-2. Raised Floor Pointe I Floor I (U - I (U - I (U - F I Aral 10.66- 1 0.42- 1 0.41 I 1 0 - -2 T rI' Area 1 1.10) 10.63).1 0.41)1 I J 1 -lo 1 0.65 1 down 1 1 0.6 - 1.0 1 -2 1 -3 I 1Inn•ila- I R -Valu- of 'In w/scion I i R -Value of I. 1 1I points I Dints I otntel 11.1 - 1.9 1 -1 1 -2 I I ttwn I 1 I InsulaCiom 1 Pointe � I o 1•+.-f I .+•1 t{ -7 I up to 1. I -1 1 0 I 0 I 1 2.0 up I 0 I 0 1 I Oerch,. ^f I I I I up to 1.'3 I +] 1. +Z' I +4 I I 1.4- 2.2 I -] 1 -2 I -1 I I I I I I inches I 0-2 13-4 15-•b I' 7+ 1 I 1.4- 2.4 1 +1 I '+2 1 +2 I 1 2.3- 2.8 -6 ( -4 ( -3 1 Table 3r12. Movable Insulation I 1 I I I I I I Lelow 3 I 3- 4 I -12 1 -8 I I 2.5-.3.6 1 I 3.7-'4.6 I.. 5_�I---B -2 -S 1 0 ( -Z 1 0 1 j 71 I I 2.9- 3.6 I -9 I 3.7- 4.2 I 1 ' I -6 I -8 ( -S I I -6 I Polnts !- I 0 It I -S I -S I -S I -S I I S- 1 1 -6 i' I L4.7- 1 4 -3 I I 4.]- 5.0 I -1 I-10,.1 -8 I I Moveable Insulatloo'I I 112 - 15 1 -S •I -3 I -2 1 -1 1 1 8 - 12 1 -i' 1' I S.7='6.7. 1 -10 1 -6. 1 -5 1 1 S.1- 1.6.1 -16 1 -12 I -10 1 1 Area, teat Floor 1 points I i 114 19 I -3 i -1 I -1 1 0 1 1 13 - 18 I v2 I I 6.8- 7.7'1 ,-1] 1 -8. 1 =7 I I 1.7- 6.2 I -l9 -IG 1 -12 20 + 1 -3 1 -1 I 0, 1 +1 1 I •19+ 1 '0 I• I 7.8- 8..7 1 -15 1 -10 1 -8 1 1 6.3- 6.9 1 -21 1 16 1 -13 1 I + I 1 I ( I I I I I 8.8- 9.7. 1 -1.7 1 -12 I -10 1 1 7.0- 7.6 1 -24 1 -13 1 -11 1 1 0- 5.5 1 0 I I I 111.3-12.7 9.8-11.2 1 1 1 -15 1 -18 1.-15 -13 1 I I 7.7- 8.2 1 -26 1 8.3- a.8 1 -28 1 -20 I -22 1 -17 1 IN -,I 9 1 I 5.6 - 11.$ +2 i 1 11.6 - 17.3 +4 I 7/7/b3 12.8-14.0 -21 1 -18 I I 8.9- 9.5 I -31 I -24 I -21 ( I 17.6 - 23.: +6 I 1 14.1-15.3 i -24 I -20 I 1 9.6-10.1 -33 1 -26 1 -22 I 1 >23.6+ -/ +8 I GLAZING PLAN TAKEOFF SHEET FORM 8 3-5 forth Glazing 3:-6 East. Glazing WEST QUANTITY SIZE AREA (SQ.FT.) TOTAL BLDG CONVERSION -TOTAL % QUANTITY SIZE AREA (SQ.FT.) x 4OSa _ 2b•o (a) Z x ¢OSD D,D (b) I_ x 28 re pp_ /010 x = (c) x = - /037 x 100 x _ (d) x = SQ.FT. x_- ':---- (e) x .Total North Glazing = Zo,o (SQ.FT.) Total East Glazing SD•o (SQ.FT.) (a+b+c4d+e) (a+b+c+d+e) iTAL TOTAL WEST �RTH TOTAL BLDG CONVERSION -TOTAL % EAST TOTAL BLDG CONVERSION ,ZING FLOOR AREA FACTOR NORTH GLAZING GLAZING" FLOOR AREA FACTOR. /0 37 x 1.00Z, .. ?0,0 -_ /037. o x 100 /• 13 ry, �0 - /037 x 100 �.FT. SQ.FT. SQ.FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) L) 3 x 26, >) �_ x 4050 20,0 :) x i) x �) x Total South Glazing ,5 (SQ.FT.) (a+b+c+d+e ) yr e T TOTAL BLDG ' CONVERSION ' TOTAL % FLOOR AREA FACTOR SOUTH GLAZING qZ5.= lo3i x 100 _ !A0✓-/. �'.FT. SQ.FT. 3-9 Skylights QUANTITY SIZE (SQ.FT.) �) x b) x c) x = Total Skyligh (a+b+c) . OTyL PLIGHT TOTAL BLDG AZIING FLOOR AREA Q. FT.. SQ.FT. TOTAL % EAST GLAZING % 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) x /(, Z� = �, (b) �_ x X050 /S.0 - (d) T x (e) x = Total West Glazing 2h 75 (SQ. FT. (a+b+c+d+e) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR* WEST GLAZING ;2 ix` 10i� /0 37 x 1.00Z, SQ.FT. SQ.FT. NVERSION TOTAL % . FACTOR SKYLIGHT GLAZING 100 ME SH AsT�1N Gp . RPIIT NO. 83 PAIV 1-07 2S 163% 0 OWNER SHAD IM GG, ' THERMAL MASS TAKEOFF SHEET' r" VtCM 'j i r PERMIT'NO. ' Thermal mass: Materials which have the ability to .store heat (typical types are masonry, brick and ceramic tile). 0 Tharmal mass cannot be insulated from the interior of the building. (If covered by car- pet.- cabinets, or enclosed in closets the mass is considered insulated). - . Thermal mass floors must have an exposed and textured surface or design s.o that carpeting cell: not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA D- TI LC /� Entry Floor -¢ ' x 3 ' /Z,o S ?-J. A Bath 01 Floor ' .x /o, 5 SQ Bath #2 Floor ' x ' Q. SQ Bath 43 Floor ' x ' a SQ.FT A SC.� " Kitchen Floor ' x ' .. 52, o SQ. FT . Floor ' x ' 0 17,o SQ.�T Floor ' x 'a SQ. F~, , Fireplace ' x ' SQ. FT, Fireplace ' x ' a SQ. FT , Bath #1 Counters ' x ' SQ. F-1, Bath #2 Counters ' x, ' SQ. FT Bath #3 Counters ' x ' SQ.r Kitchen Counters ' x ' a SQ. F!, , Wall Shield ' x ' a so, ?`i ., Walls ' x ' SQ. F-). Walls '• x ' SO. FT -- .•-::_ Walls ' x_ ' SQ,£7;., ' x c SQ . r x ' a SQ. R!.' If compliance method proposed is other than the point system (where thermal mass point charts are available),. use calculation methods on reverse of this form to show thermal mass compliance. . `-� 7/83 COUNTY OF BUTTE - DEPARTMENT 'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT :PERMIT NO. . ASSESSOR PARCEL NUMBER _ a ZONING BUILDING PERMIT owrR TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW�p1.ER'S MA NG ADDRESS c)z !' av CONT TOR AM TELEPHONE CONTRACTOR'-SCONTRACTORI-S MAILING ADDRESS Fireplace I"A" r CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 ` Each Trap 4'; 2.00 Solar Water Heater 20.00 011 Co Water piping 5.00 ' LOT NO, SUBDIVISION NAME o(� t PARCEL MAP Each qas water heater or vent 5.00 _ Gas piping system 1 -5 outlets 5.00 ^ USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 1 Y,00 Mobile Home S G W 10.00 e TYPE OF WORK New [E/Addition❑ Remodel❑ UlilitiesO Installation❑ Other Describe work: P/ Permit Fee $ 00. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2:50 NEW CONST.(DWEG ` OR ADDNS. ACC.LLIBLNDG 61 / 2hosgft C� CONTRACTORS LICENSE LAW I dqclaA under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions _Code and my license is in fu orce and effect. �.j License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT CONSTR BRANCH CIRCTITS. 2.50 ea &� NEW CONSTR POWER NON-RESID. (SINGLE OUTLET CIRAPPARATUS.9 zo@sos Ex. Occup(OUTLETS OR FIXTURES BAL®30 EX. OCCUp. OUTLETS FIXED P(RESID•)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department 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. Heating qD AA 4,00 Cooling 0 Hood 3.00 ,?3Qj 00 Ventilation 3,p permit Fee $ ,t�Q Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of utte gainst all liabilitie , judgments co s, and expenses which may in an way accrue against said ounty in co seq a ce of the granting of this permit. %� Date Signature of Applicant — Own r Contractor ❑ Agent ( An OSHA permit is required fore ovations over 5'0" deep and emolition or construct- ion of structures over ries ' fight. Mobile Home Installation Fee $ — -30, �^ TOTAL PERMI E $ d�c/ OCCUP. GROUP TYPE OF CONST, PARCEL PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above .for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �� WHITE-D.P.W., YELLOW-ASSESSO INK -INSPECTOR, GOLDENROD -APPLICANT