HomeMy WebLinkAbout043-550-006_ 4 3,�955-
SHASTAN
75 Hampshire Dr
-_ - -
_ -_ , lot 26 Hollybroak; C}�i
-- _ - Permit��623-85B, P, E, M
�� ew single family):
i
? PERMIT N0. 623-85 ' 3, P,E,M
PERMIT EXPIRES Coo
j OWNER SHASTAN
CONTR.. Shastan
ASSESSOR PA 1, 41WKu9V1yc• 43-29'V 125
KLCLLLLP0r -
LOCATION '9� ,lot 26•, Hollybrook
/ .. FFICE OPY I `
Address`
GAS
Meter By Date
ELECTRIC $I` i
Meter By Date
r
.,,. OFFICE COPY
*Address`--'
Called PG&E
Temp. Elec. Service
Called PG&E
i
GASrM o ti�j
Meter By e SK Date
r�y Or.
ELECTRIC
Called PG&E
Meter By
I '
JOB FINALED (Date)
r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
"
JOB FINALED (Date)
y
Signature
- "*44r
b
4
Owner: 5I�6rlw
Permit No. -�
ENERGY CERT IF ICAT ION
i
LOCATION A.P. No. 1�j.tall-
Q►V
DESCRIPTION OF INSULATION
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 Brand Name
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type Fiberglass Brand Name Owens-Corning.
Minimum Thickness(Inches) 14" Number of Bags 24 Wt. per bag' 35, lb.
Area covered(ft.2) 1,206 Thermal Resistance(R Value) R30
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal
Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insula tion 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.
j'
August 13, 1985
SIGNATURE 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.
13 as 709
STATE CONTRACTOR',") L CENSE NO.
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
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center. Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
m ter, %or need additional explanation, please contact this office immediately.
z
Inspector 1/�:Cf KI Date
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
whe►� correction of work is completed. If you have any question pertaining to this
matTfer, or need additional explanation, please contact this office immediately.
Inspector `� "�' Date �`'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER
PE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
tics,
0h� nQ'U"L" JJ—
LV
Inspector Date
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date ND FLOOR Plans OK exce t#'s
Date
FRAMING Continued
Z ning requirements-Setba a nts
Property Line Firewall & Openings
tg., Main; Soils -Steel EI . ' / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils-Stee - ' `Ftg: Depth,.
-60—Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. epth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
&.,81emwalls, Main; Steel-Blockouts-Wrapped-S
52. Siding -Nailing -Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-S
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
'14-F' - teel
-64--Glazing Area -Glass Protect ion-Sky lights-Pla tic
O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
-s&. Shear Walls; Nailing -B Its
9. Gas Pipe; Si A- nchors
-7 3
10. Water chors-Regu lator-Sery ice Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
L Date 7L Card -BI Date
Card -BI
Date 2. Card -BI Date
j , K
Card -BI
Date Card -BI Date
Card -BI Date11E'Car BI Date
Date
FI AL (Plans) OK except q's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) K except q's
. Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Water Ht.; Vet cess -Combustion Air
W. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Water Pipe; T & Anchors -Nail Protection
D.W.V.; -Fttngs & Anchors -Nail Protection
Bedroom Exiting
41. Shower Pan; Test, First Floor -Tub Access
eer G.F.I. & Bath Fixtures & Tub Access
.18.+ Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Satrpattel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.-•6ftirs-&-R'5
e or Stove; Clearances -Hearth
., Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
Kit. Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
' Elec. Outlets & Receptacles at Kit. Counter
Date EL TRICAL Permit OK except p's
W. Garage Fire Door; Swing -Landing -Closer
e_9 --AG r9uct in Garage -Damper
2 ixture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2 Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
Plb., Elec. &Mech. Equip. Listed for Location
lec. Receptacles in Garage; (G.F.I.)- mex Protec.
omex Installed Close to Edge of Studs & C.J.
2 Equip. Ground made up w:/Mech. Fasteners -Bond Gas & Water
ALE.Insulation-Foam-Looked in Attic Yes
2 Appliance Circuits in Kitchen &Conductor Size
uard Rails &Deck Construction -Post Caps
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
F . Vent§�jj&� Crawl Hole Door -Drainage & Wood -Earth Clearance
ooked,Atid�4h`f 56r ❑ Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
,Insulated Neutral ❑Yes ❑No
Following instld.: Driv es ❑ No; Walks Yes No;
lancers Yes No
Service -Riser Conductors & Ground -Main Disconnect
it
$ tucco; wn-Finish
. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
DO.,/Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
Ve tilation throughout House
Card B I Date Card -BI Date
ass Protection
Date MECHANICAL (Permit) OK except q's
orrec 'ons from Previous Inspections
West -Meters Tagged; Gas-Electricle-'
& Sewer Connected -C/O to Grade -HD Approval
A.C. Ducts; Insulation & SupportWIX
Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
Condensate Drain &Overflow; Size &Grade
K. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date �" Card -BI Date
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 q's
Comments at Final:
Oe IIs; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
3 Baring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40,—'Fire Stops; Furred Ceilings -Stairs -Chases -Tub
4J./Header & Beam -Size & Bearing
qpl Hangers -Post Caps -Anchors -Connectors
¢,3! Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
.4.9Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46/Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
J=OK'
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
o Not Ready
Date MOBILEHOME UTILITIES (Plans) OK except q'sDate DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q'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.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors,
7. Utility Clearance 7. Elec.
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except N'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 Occupancv
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date POOLS (Plans) OK except N'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 -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I Date Card -BI Date Card -BI Date Card -BI Date
Card B -I Date Card -BI Date Card -BI Date Card -BI Date
JCOUNTY OF BUTTE - DEP4\RTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 918/534-4541
APPLICATION AND PERMIT
PERMIT. NO.V6, `
3 J �
ASSESSOR P RCEL NUMB
3_a9—r c5
ZO N
BUILDING PERMIT
OWNER
T CO
SQ. FT. OCC. BUILDING VAL'U
A ION�h�
I
�HOONE
OW R'S MAI oADDRS
hi
. 6D0.
CONTR CTOR-V NAME
TELEPHONE
CO RACTO 'S MAILING DDRESS
0. 1
Fireplace �� it
Q
CONSTRUCTION LENDER
UNKNOWN ,
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ *50- ID
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
'�"
$
RCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ (j
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
15
Each Trap
. 2.00
Solar Water Heater
20.00
01 h)
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 J(D
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00 57,
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: YA c —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESSjD
10.00 ,
- w' ��
ca /,�
Main service EA. ADD'L 100 AMP
2.50 012-50
NEW CONST.(DWELLI C &
C.
2/zQsgft
CONTRACTORS LICENSE LAW
I declar ender 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 full force and effect.
License No. ,392-71Ff Classification %i
❑ 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 CDONSTRA L1TB.OUTLET
NON -RES,., CIRCUITS) 2.50 ea
NEW CONSTR (POWER&\
SINGLE OUTLET CIRPOWER APPARATUS . /
Ex. Occup(OUTLETS OR FIXTURES e°Le30o
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 09,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
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.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
6 a I j
Cooling
Hood
3.00
Ventilation
permit Fee
$ oZ
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 agr to sav i dernfy and eep harmless the County of Butte against
all liabil ti s, ju ts, sts, d expenses which may in any way accrue
against ai Co t i co eque of the granting of this permit.
c�
X Date— 3 %"o S
Signature of Aifplican — Ob4e,❑ Contractor ❑ Agent ❑
An OSHA permit is quired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP GROUP
'
TYPE of CONST.
I.VI
PARCEL
PD D ISSUE
This permit is hereby, issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 3—Z�
3
Receipt No. :�03 ::!i7
WHITE-D.P. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Section 26-8.1 of the' Butte County Code requires this acknowledgement jAR 5�
be recorded prior to issuance of a building permit.
The property described herein is adjacent to'land or included
within an area zoned for agricultural.purposes, and residents of this
property tay be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and frothe pursuit of agricultural operations including, but not limited
to cultivation, plowing, praying, pruning, and harvesting which occasionally generate 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 disconform 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
Rancho, according to the Official Map therecf filed in the Office of the
Recorder of the county of Butte, State of California, . Septenter 17, 1.900
in Map Book.5, at page 27; and being a portion of Tots 3, 4 and 5 of the
McCulley Block formerly Tot 12 of the Section Subdivision of the 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 4 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
Present L
N
N
0
Co
On this the
PROPERTY OWNERS:
SHASTAN OOMFANY, INC., A CALIFORNIA OORPORATI%
a drt, Frest n
15th day of February 19 84--, before
STATE OF CALIFORNIA I
COUNTY OF Butte Iss.
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 W9QQQP9Q9QPWe
basis
.
to be the persorl who executed the within instrument as oencencebed t0
the President and --------- Secretary, on behalf of
Shastan Company. Inc. -
the corporation therein named, and acknowledged to me th
such corporation executed the within Instrument pursuant to i
by-laws or a resolution of its board of directors.
WITNESS my hand and official seal.
Sharon R. Howell
.OFFICIAL SEAL
SHARON R. HOWELL=
NOTARY VUCUC — CAUFORNIA
COUNTY OF IUTTt
Comm. Exp, AprU 12, 1983
al seal.
110, 44'
85,44 .
A setback of 5 fi-t-. Oroi l I - -
�roperty lines and a setback l I 14 SToP.NI dP,AIH EA,5EM5NT
of 50ft. from the road
22,°0
I 2Z,00�
centerline shall be clear of '
structures or equipment except I FLAN 5-D GAC, pLM e,•D 8 -.
for a 2 ft, gave overhang. I W1 AI.T, GAK, W7 ALT,' Z
goo;;
�o. � O
l K N 00 7
II I (n'
rFes/ • ' O '
dee f -Iv aster Plan on fie f'or. �sn"1din9 KEY. � �i�
plans.
1WTT U v
i I o N
This stet oftars and specific&i. ns MUS be _ _ _ _ _ 71,44- __
kepf on the job at all times and it &Taw To
sY *4 any changes or alterations on t eme wit out R
written permission from the Departsi ant of R ie
W�rks, County of Butte. I
• � I
I s2
,} I
(s: D(- 'FORM I
RESIDENTIAL ENERGY PLAN CHECK/ INSPECTION SUMMARY
•c_lwner f:-H4s rqy cv, , Climate Zone Permit No.
oor Area / Zoe-,, o
= apliance path: Package 11 A ❑ B ❑ C ® Point System' ❑ Budget ❑ Other
MIN R -VALUE DESCRIPTION
REQ,D
INSTALLED ITEMS (1) INSULATION:.
®
Roof/Ceiling ,�-
® Wall 9-/3
❑ Slab Floor Perimeter
❑ Raised Floor
(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
1972 ANSI.Air Infiltration Standards and shall be certified and
labeled.
® (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped: BUTTE COUNTY
Tight - the above standard features plus:
BUILDING DEPARTMENT
❑
(D)
Continuous infiltration barrier
®
(E)
Electrical outlet plate gasket
APPROVED-,
❑
(F).
Air-to-air heat exchanger
r►
MC=
(3) GLAZING:
(A)
Location
O
Type
Area Glazing Uloor Area
Single Double Triple
®
R=
Total BldgL7.,��9f-
MC=.
r..N
North 15v, O
❑
East 2,90
_
Ft.
South 3y,7�' 7,
R= -
(
14C=
West --
Skylights Skylights
❑
Type
(B)
Shading
Ft.
HC=
R=
Shading
MC=
Location
Coefficient Description
®
. ❑
East DUAL- 17LA.ZIAi,
F/jANIF �i 670-Aer-
m
Ft. 2
South 6<0 01 1 11 n q '
Wes t�,36Mw) X36 D,L,, �,o�J X'tFF-wHl7P FA6FICyI�Ti1�� qo) •�5
❑
Skylights
Location
❑
(C)
South Overhang ,
❑
Type
Length of projection / ft. Description
❑
(D)
Moveable insulation:. Area, fty
Description
(E) Thermal
mass
®
Type
- �c.�?�
- Area
/�3•,! Ft. 2
HC=,�,?
R= ,Z-�/
MC=
Location
O
Type
- Area
Ft.
HC=
R=
MC=.
Location
❑
Type
- Area
Ft.
.HC=
R= -
14C=
Location
❑
Type
- Area
Ft.
HC=
R=
MC=
Location
. ❑
Type
Area
Ft. 2
HC=
R=
MC=
Location
❑
Type
- Area
Ft.
HC=
R=
MC=
Location
7/83'
4.
FORM 1w
❑ . (4)
MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tit
_ _
itting closeable metal or glass doors covering the entire opening
of the ire ox; a com usw n 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. X TESTED" `''b" '� K°T Z� •_ '
*1(5)
HEATING, VENTIiATING, AIR CONDITIONING SYSTEM
(A) Heating
®SoEmIT
Central Gas Furnace M /N -21
sr= (brand and model number) SE
Pr2iofa. ry Btu/hr
IN . rALL x)
(heating capacity)
❑
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active, Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
.rated slope
❑
Other
(describe)
* 1
®
(B) Cooling
Electric .Air Conditioner 0
(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.
7/83
2
❑
*2
13
13-
L2
UKP 1✓.
(6.) DOMESTIC WATER SYSTEM .
(A) Gas Only UIJ I4-►o�� r•J �O Gallons
(brand and model number) (tank size)
Heat Pump.w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation)
Location of Solar Panels
Other.
(bescribe)
(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.
(collector tilt)
(C) PIPE INSULATION. The. five l.:et of pipe closest 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 steam 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 doc tation of sizing heating and cooling equipment by Manual J, sizing
charts orm or other approved methods, section 2-5352(g), and fill out the
follows y/ L
Heating: Winter design temperature. °, elevation Zo5 ', heating*load BTU
elevation factor 0 x heating load - maximum outlet capacity gas Turnace
O BTU
vi, 2.o V
Cooling: .Summer design temperature h °, cooling load BTU
USE NLY AS SIZING GUIDE,
*2 Submit TAI *P' .S.E. chart or other approved system (fo300QING aaymaE
solar panels....
DESIGN COMPLIANCE STATEMENT: The above build
1j Title 24, Part 2, Chapter. 2-53 of the Califor
7/83
SI
3
design meets the requirements of
Administration Code.
LD DESICXER OR APPL
ZONE 11 PL -A/ J /y L0 7-
2
OWNER 5HAS7-*J GD. POINTS
PERMIT N0. -" ASSIGNED ACTUAL
1. SUB - INSULLITION NONE
2. P WISED FLOOR - R-19. /Q
3. CEILING - R-30.
4. WALL - R-19
5. NORTH GLAZING - 2.4-3.67.
6. EAST GLAZING - 2.5-3.6% 'Z- -LD
7. SOUTH GLAZING - 1.6-3.6%
B. WEST'CI.AZI:7C - 2.9-3.6%C d • ,
9. SKYLIGHT - 0-1.3%
:0. . SILADINC (Exclude Overhang)
EAST - .67-.82
SOUTH - :19-.42
WEST - .13-.36 , T, O
SKYLIGHT - ..37-.57
777-
1. HORIZO1:TAL SOUTH ovERHAtIC 2' / `'
,2. MOVABLE INSULATION - NONE
ME D I U M 4--b C -t &C_ . 1`4 A_rF r5
L3. INFILTRATION 4Stppaad*ntw0(J494"4•B)
4. THER14AL MASS fT' jQ j•s SF
.5. GAS FURNACE ' (SE) / 176% i7 '
.6. HEAT PUlrP (EER) 7...55--7.9% ;,_•:ba..-.
,7. DUAL PACK (SE. SEER) 8.0-8.3/71-767.' 1&
.3. ACTIVE SOLAR 60% 111N. (NONE). N /A
9. ZONALLY CONTROLLED ELECTRIC
0. SOLAR' KITH CAS BACKUP 010 I7 /A
1. 'OTHER - No ELECTRIC (Hw)
L, l00 07o A'T Ic SeAC6 .f
ITEMS SHOWN - ZERO POINTS ('
rable 3-1. Slab floor Point. 1, 1 Table
3-2. Raised
Floor Points
In'�•lI a- I R -Valu• of Insw2etfon I
I R -Value of
i.•
own 1 I
1 Insulation
I Faints
I inches• 1 0-2 1 3-4 } S-¢ I' 7+ I
10.66_
10.42-
I 1 I I f
I below 3
I -12
-T
I 3- 4
I -8
-5 I -5 I -5 I -5 1
I $- 7
I -6
12 - 15 I -5 1 -3 I -2 1 -1 I
I 8 - 12
1 .4'
16 - 19 I -5 i -2' I -1 I 0 } I
.13 - 18
I +2
30 +. „_ -5 I -1 I 0, I +1 I I
•19+
I '0
7/7/3
Tebic :-it. Cci::nb
Points
I R -Value of Insulation I Points I
i
I
1 22
2
I 30 I
0 I
I 38 I
+2
1 49 1
+4 I
10.66_
10.42-
Table 3-4a. Wall Insulation Points
I R -Value of Insulation I
1 I
Points I
I
11
1 down I
19 I
024 I
4+4
'
I 30 I
1 I
+3 I
I
1 1.3- 2.3
I +1
I
I Total
I 11
1 Claaing Type I
I" I
Sngl,
Dbl,
Trpl,
f Flooe
1 U-
I u-
1 U- I
I A444
10.66_
10.42-
1 0.41 1
I
11.10
10.65
1 down I
4
++4
4+4
1 0-1- 1-2
i
I .1 +4 1
1 1.3- 2.3
I +1
( +2 1 +2 I
(' 2.4- 3.6
I -2
I 0 1 +1
.3.7-..4:01--
-4....1.
�2 1 -1
I 4,.,9=-6:1
I -T'
I -3 I
I 6.2- 7.3
i -9 1
I -s I
I 7.4- 8.2 I
-12
i -6 I -7 1
1 8.3- 9.7 1
-14 I
-10 1 -8 t
I 9.8-10.8 1
-17 I
-12 I -10 i
I 1,0.9-12.0 1
-19 'I
-14 1 -12 i
1 12.1-13.2 1
-22 .I.
-16 I -13 I
I 13.3-14.5 I
-26 I
X18' I -15 .1
14.6-15.3 i
-27 i
-20 i =l7
Total
I of
I '' Clasing Type I
I I
I Ing!,
Obl, _Tr _P_1_.1
Floor
I (v -
I (u - I (u - I
Area
1 1.10)
1 0.65).1 0.401
�
I oint6
1 olnts I ointal
o
I .+
+i_ e4-1
I up to 1.3.1
+3
1 . +4
1 +4 I
I 1.4- 2.4 I
. +1
1 '+2
1 +2 i
I 2.5-,3.6 I.
-2
I 0
1 0 I
1 3.7- 4.6 1
-5
I -2
I -1 I
I 4.1- 3.5 I
4
I -4
I -3 I
5.7-' 6.7 I
-10
1 -6.
I -5
6.8- 7.7 I
-13
I =8.
I =7 I
I 74- 8.7 1
-15
1 -10 A
-8 1
8.8- 9.7 I
-1.7 .1
-12
1 -10 1
I 9.8-11.2 I
1 0
i -15
I -13 }
111.3-12.7 I
-18
I -15
1 12.8-14.0
West' I
-21
I -18 I
1 14.1-is.3
to
-24
1 -20 1
-able i -i.
i-
atine Pts 'fable 3-10. Shadine Coefficient Pours
1 I Claring Type I
I • Total I I
I 2 of I Sngl, I Dbl, rTrpl,
I Floor I (u
I Area 11.10) 10.61) 1 0.41)1
I I oints I oints 1 ointS1
-01 +3 1 +] 1 +3
I up to 1.5 I +2 .I +2 I +2 1
i' 1.6- 3.6 1 -1 1. 0 I 0 1
1 3.7•• 5.2 1 -4 I -2 I -2
I 5.3- 6.5 1 -6 I -4' 1 -3 1
I 6.6- 7.7 1 -9 i -6 1 -5 1
I 7.8- 8.9 1 -11 .I -8' I -7 I
1 9.0-10.0 1. -13 '1 -10 ,I -9 I
110.1-11.5 1 -17 1 -13 I -11 I
1 11.6-13.0 1 -21 I =16 I -14 I
113.1-14.5 1 -25 I -19 I -16 1
14.6-16.0.1 -28 1 -22 1 -19
Table 3-8. West-Faeine Clatlna Pts.
1 Clating Type '
Total . I
I of I Sngl, Dbl. Tfp1.1
Floor I (U- I.(u - I (U - I
m
Ara11.10) 10.63) 10.401
mints I olntil
+6 +6"'I
+6 1 +6 1
+•4 I +s i
+2 i +3 I
�2 I +1 I
-4 I -2
-6 I '-4
:10 ( -7 I
-12.I -9 I
-14 i.' -11 I
-16 I -13 t
.-16 I -is I
-20' I -16 I
=26 I -21 I
-219 I •24' t
-32 I -27 I
-)S .I -29 'I
-33 I -32 I
I up to 1.3
I 1.4- 2.2
I 2-i- 2.8
2.9- 3.6
I 3.7- 4.2
I 4.3- 3.0
I s-1- 5.6
5.7- 6.2
6:3- 6.9
7.0- 7.6
7.7- 8.2
8.3- 6.8
6.9- 9.5
9.6-10.1
10.2-11.0
11.1-11.8
11.9-12.7
12.6-1].5
13'.6-14.3
14.4-15.2
I
I SC by
I
i Orion-
I S Floor Area
I tstloa
I
i
I Lost
I I • 3.2 I
I
I 0-3.1 I to 16.4 up
I
I I 6.) I
I 0 -.19
1 0 I +1 I +2
I .20-.36
( 0 I 0 I +1
I .37-.66
,
( 0 I 0 1 0
I .67-.82
I 0 I 0 I -1
.83 up
i 0 i -1 i -2
I South
1 0
1 3.2 1 6.4 1 5.0 1 9.9
I
1 to
I to I' to I to I up
I
1 0
1 +1 1 +2 I +2 I +)
( 0 -.18
I .19-.42
1 0
1 0 1 0 1 0 I
I .67 up
1
1 0
1 -2 I -4 1 -4 I -4
West' I
.1
11.6 1 3.2 1 6.4 1 3.0
I
to
I to I to I to I up
11.S
1 3.1 I.6.) 1 7.9 1
0-.12 1
0
1 +1 I +3 1 46 I +7
.13-.36 1
0,1
0 1 0 1 0 1 0
.37-.17 1
0
1 -1 1 -3 1 -6 1 -7
.58--62 1.
-1 I
-3 1 -6 1 -12 1 -15
.83 up 1
-2 1
-4 1 -6 1 -16 1 -79
Skyllght 1.•1
I.
.6 1'1.6 I 3.2 1 4.0
7
to I
to. I to I to I t7
Fr,
� Irt_s
I•r3_1 139 13.2
0 1
+1 1 +) 1 +6 1 +7
0-.12 1
.13-.36 1
01
0 0 1 0 1 0
.37-.37 1
0 1
-1 -3 1 -6 I
.58-.82 1
-1 1
-3 1'-6 1 -12 1 -,
.63 up i.-2
i
-4 i -8 1 -16 1 -20
i 11. 1 I Table 3-il. Horisontal South
Overhane Points,
cable 3-9. Sk ll.ht Points 1 Sow eh Gla:ing
I Length Out' I Area. t of floor I'
1 Glaring Type 1 1 from Wall I 1
Total I ( I ft T"
I of T $aCL, I Dbl. I Trpl,T 1 1 0-6.3 1 6.4 up I
Floor l u l u- l u- I I I 1 ' I
Aram . 10.66- 10.42- 1 0.411 1 0- -
11.10 10.65 I down I 10.6.- 1.0 1 -2 I -3 I
I ' 1L 1.9 I -1 1 -2 I
up to 1:3 1 -t I 0 I 0 1 I 2.0 up I 0 I U I
1.4- 2.2 I -3 I -2 1 -1 I I I I A
2.3- 2.8 i -6 I -4 1 -3 1 Table 3:12. Movable Insulation
2.9- 3.6 I -9 I -6 1 -5 I Points
3.7- 4.2 I -11 I -8 I -6 I
4.3= 5.0 I -14' I'• -10.,1+ ' -8 I' I Moveable' Insulatloo'I 1
5.1- 5.6'1 -16 I -12 I -10 I I Area, i of Floor 1 Faints i
5.7--6.2 I -19 I -14 I -12
6.3- 6.9 1 -21 I -16 I -13 I
7.0- 7.6 1 -24 I -13 I -15 I I 0- 3.3 I 0 I
7.7- 8.2 1 -26 I -20 I -17 I 1 5.6 - 11.5. ' +2 I
8.3- 8..8 1 -28 I -22 I -19 I I 11.6 - 17.5 i +4 I
8.9- 9.5 1 -31 I -24 I -21 I 17.6 - 23.:_� +6
9.6-10.1 1 -53 I -76 1 _11 I I %71 f- i
GiAZING PLAN TAKEOFV SHEET
.3'-5 North Glazing
QUANTITY SIZE AREA (SQ.FT.
x )
4040
l x X0oaf)
x =
x `--
Total North Glazing = .o (SQ.FT.)
(a+b+c+d+e) X?
,TA L
iRTH TOTAL BLDG
,ZING FLOOR AREA
;;'0/ ZNcl'0 x
�.FT. SQ.FT.
CONVERSION TOTAL `i.
FACTOR NORTH GLAZING
100
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
�) 2 x 10
e) l x Z�3�
.Total South Glazing = _4,75 (SQ.FT.)
(a+b+c+d+e)
yr A T
TOTAL
EAST
TOTAL BLDG
GLAZING
FLOOR AREA
FACTOR SOUTH GLAZING .
x
Z'. FT.
SQ.FT.
t -v K M 0
'3-6 East Glazing
QUANTITYSIZE AREA (SQ.FT.)
(a) ! x 40.0
(b) --T— x 3030 _ , o
(d) x =
----------
(e).x `
Total East Glazing Ss,o' (SQ..FT. )
(a+b+c+d+e )
TOTAL
TOTAL
EAST
TOTAL BLDG CONVERSION. TOTAL %
GLAZING
FLOOR AREA FACTOR. EAST GLAZING
FACTOR SOUTH GLAZING .
Zolo,o x 100
SQ. FT.
SQ.FT..
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x 20, 0
(b) —� x 4o4o _ /Z, 3-
(c) _ _ x .3,0re ` — --
(d) x
(e) x
Total West Glazing(SQ. ET.
(a+b+c+d+e) G`
3-9 Skylights
QUANTITY SIZE (SQ.FT.) .
o) x _
x c _
Total SVFACRTEOR
(a+b4.DTyL
PLIGHT TOTAL BLDGION TOTAL %
AZII:G FLOOR AREA SKYLIGHT GLAZING
100 %
Q. FT. SQ.FT.
MER fASP4Al
RMIT NO.
83
CONVERSION TOTAL %
FACTOR WEST GLAZINI
100 2 98
rT_AN H -
l.• 1G7.7J
3: 4
0
®,
TOTAL
CONVERSION TOTAL T
WEST
TOTAL BLDG
FACTOR SOUTH GLAZING .
GLAZING
FLOOR AREA
100 = 2. 8 •i.
o .
2.
! 0 x
SQ. FT.
SQ.FT. -
3-9 Skylights
QUANTITY SIZE (SQ.FT.) .
o) x _
x c _
Total SVFACRTEOR
(a+b4.DTyL
PLIGHT TOTAL BLDGION TOTAL %
AZII:G FLOOR AREA SKYLIGHT GLAZING
100 %
Q. FT. SQ.FT.
MER fASP4Al
RMIT NO.
83
CONVERSION TOTAL %
FACTOR WEST GLAZINI
100 2 98
rT_AN H -
l.• 1G7.7J
3: 4
0
®,
OWNER -t l-A/ %o • THERMAL MASS TAKEOFY SHEET
PDRHIT P. .
Thermal mass: Materials which have the ability to .store heat (typical types are masonry,,
brick and ceramic tile).
harmal 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 so that carpeting r•/1T:
not occur. (Covering of vinyl or asphalt tile and linoleum is permitted).
TYPE THICKNESS LOCATION DIMENSIONS. AREA
Q-" Entry Floor ' x ' ac , o S:?
I.
Bath f1: Floor ' x ' /3'.6 SQ . FT.,
Bath #2 Floor ' x ' ZS, D SQ . FT .
Bath #3 Floor ' x ' a SQ.FT.,
�, Kitchen Floor ' x ' .. �(�.S SQ.FT.
Floor ' x ' SQ.F,T ,
Floor ' x SQ. F7,
Fireplace ' x ' SQ.
F?:' ,
Fireplace ' x ' a .. SQ. FT ,
Bath #1 Counters .. ' x ' Q SQ. Fi' ,
Bath #2 Counters ' x ` SQ.i-T,
Bath #3 Counters ' x ' s SQ.Irx
Kitchen Counters ' x ' +' SQ. F.), ,
Wall Shield ' x ' a SQ, n, i
Walls ' x ' SQ.FT.. E
Walls '• x ' a SO. FT ,
- Walls ' x ' a _SQ . I"`i ., ?
i' �,• SQ
e
71
'
X. ' a SQ. I `',
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
R
1
COUNTY OF BUTTE - DEPABTMENY.OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
%
/ -3a9
ASSESSOR PARCEL Ny�MBER
3 —a b - 63 &4 4�3 -2 9 -'72
ZONING
BUILDING PERMIT
OWNER wla�TELEPHONE
S0. FT. OCC, BUILDING VALUATION
I
OWNER'S MAI ING ADDRESS / / Z
IL
CONTRACT O NAME
w
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace a
1660
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
�3
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
2 0,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Is,
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS P�
PLUMBING PERMIT
Fee
Filin Fee
Filing
10.00
I rile
Trap
2.00
16,06
Solar Water Heater 20.00
Water piping
5.00
5-
LC.T NQ. SUBDIVISION NA E
L
/Ilj�l/Ys'
PARCEL MAP
Each qas water heater or vent
5.00
5,
Gas piping system 1 - 5 outlets 5.00
5,
USE OF STRUCTURE
S& Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 5 ,
Mobile Home S I G I W 10-00e
TYPE OF WORK
New Addition Remode [_] Uti ities [_1 Installation[—] Other ❑
Describe work: ! —
3 �—� f
Permit Fee
$ , 00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service soov OR LESS 10.00 ()�
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2' .50
OR ADDNSTNEW CON S. ( ACC• L S C &/\
2��2�.$gft
0
-36,85
-
CONTRACTORS LICENSE LAW
I de a under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesszD®s0a
and Professions Code and my license is in fu l orce and effect.
License No. � Z� 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. MULTI -OUT LET 2,50 ea
NON.RESID BRANCH CIRC ITS.
NEw CONSTR /POWER APPARATUS &'1
NON-RESID. I, SINGLE OUTLET CIR. /
Ex. Occup(o OR FIXTURES BALQ 30Q
FIXED A PLNS
EX. Occup. OUTLETS (RESID )REA.) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 56,
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.
I have placed on file with the County of Butte Building Department
;a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling ,� `T 0.00
Hood 3.00 3
Ventilation 3,6o 1 9,o -,o
permit Fee $ -(�
Contractor
I certify that I have read this application and state that the above information
is correct. I. agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
i also agreet save, indemnify and keep harmless the County of Butte against
all liabilities judgments, postnd expenses which may iny way accrue
again said unty in c nc of the granting of this permi .
X Date
,Si g,naturi of Applicant = Owner❑ Contractor ❑ Agenf,
An` OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ov in height.
Mobile Home Installation Fee $
,. '3(2 00
TOTAL PERMIT FEE $ 85
OCCUP. GROUP
TYPE OF CONST,
PARCEL
PD
HD
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
resolutions
fees have
WORKS
Date
provi-
to do
been paid.
Receipt No.�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT