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Home My WebLink About043-550-007I 43 SHASTA_N /ct�yPs�, ya Y . a �r..,Hollybrook,Chico --_= - I Permit ��B,P; e&s,, family Contr S tan' 0k9l .as Per t7f1013-85F,(temp ele/624-85)SF I rte- { i L I ` II Ln LO, PERMIT NO. :624=85�B,P,E,M -PERMIT EXPIRES 22 �1/2 OWNER SHASTAN _ CONTR.. Shastan f ASSESSOR P CEL 43-29-U 125 Hampshire Dr, - LOCATION � lot 22, Hollybrook x E S 7/� yap - OFF.I�E Cppy'l! '� I r Address r GAS Meter By Date ELECTRIC Meter By_ Date QS OFFICE COPY F Address IZQ -------------- G GAS .a X1,f1K Meter By'DatELECTRIC.,^r. Meter By '' 7 a e Temp. Power Pole Called PG&E I Temp. Elec. S I Called P( i ,'Temp. Gas Sei Cal led PG JOB FINALE[ Signature i Owner • Permit No. ENERGY C E R T I F ICATION 27-H, Hollybrook $ub Division LOCATION A.P. 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-Cornino Minimum Thickness(Inches) 14" Number of Bags 24 -Wt. per bag 35 lb. Area covered(ft.2) 1�2n6 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 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 SIGNA±URE 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. FIRM NAME/0 (Ple se print) STATE CONTRACTOR'S LICENSE NO. G 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 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 when correction of work is completed. If you have any question pertaining to this matter, or need additional exDlanation. Blease centart thic nffirc imme.il�ts�.. Inspector. Zj�' Date 6 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 6;w -Ss OWNER DCD\AIT 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 mat er, or need additional explanation, please contact this office immediately. Inspector Date A r J. .OK 0Not OK — = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE OOR Plans OK except U's Date FR ING Continued Zoning requirements—Setb a nts V. Property Line Firewall & Openings tg., Main; Soils—Steel e — / /" Ftg. Depth 4VExt. Doors—One 3'—Check Garage -3rd story, 2 exits tg., Garage; Soils—Steel— /" Ftg: Depth eadroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth . Plywood on Roof Overhang—Attic Vents—Rafter Outriggers L5r emwalls, Main; Steel—Blockouts—Wrapped—Slab . Siding—Nailing—Veneer 2) 6 emwalls, Garage; Steel—Blockouts—Wrapped—Slab h—Drip Screed—Fdn. Vents—Underflr. Access Kers—F' Steel Glazing Area—Glass Protection—Sk ights—Plastic W.V.: Fall—Fittings—Test-2 way C/0—Sewer Test Shear Walls; Nailing—Bolts 9. Gas Pipe; Size—Anchors 1 er Pipe, T . —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 J/W Card -BI Date Card -BI O—K Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date P UMBING (0ejj OK except q's Ext. Steps—Door & Sidelight Protection—Landings Smoke Detector CtC Water Ht. rit Access—Combustion Air 5V Furnace; Vents—Clearance—Comb. Air—Connector— In Garage; Above Floor—Ducts—Mech. Protection ater Pipe; est & Anchors—Nail Protection ZZ D.VV'-; TW—Fttngs & Anchors—Nail Protection Bedroom Exiting Shower Pan; Test, First Floor—Tub Access G.F.I. & Bath Fixtures & Tub Access oor—Tub Access . Elec. Trim &-9vbptrttisl; Breaker Sizes—Labels Gas Pipe; Size & Anchors Qg/Stairs & Rails 6B—,F4fe0aseerStove; Clearances -Hearth �Elec. Outlets at Wood Panel; Int. & Ext. Card -BI '5g,Date Card -BI Date Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI Date f Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELJECTRICAL Permit OK except q's &f Page Fire Door; Swing—Landing—Closer C. Duct in Garage—Damper Fixture & Transformer Clearance—Ins. Protection kr Wtr, Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— Garage; Above Floor—Mech. Protection V.Alec. Receptacles Spacing—Lights &Switches at Doors 7 Ib., Elec. &Mech. Equip. Listed for Location Size Boxes & No. of Conductors—Stapled Elec. Receptacles in Garage; (G.F.I.)—R mex Protec. omex Installed Close to Edg f Studs & C.J. Equip. Ground made up w./ ch. Fasteners— nd Gas ater Insulation—Foam—Looked in Attic Yes 2 Appliance Circuits in Kitchen & Conductor Size uard Rails & Deck Construction—Post Caps V/6shliaad III'-- ' / a. Cu or AI—A.C. Wire Size / / ga. Cu or Al Fdn. Vents rawl Hole Door—Drainage & Wood -Earth Clearance Looked Yes Range Circ. / / ga C r At Oven Circ. / / ga. Cu or Al, Insulated Neutral es ❑No Following instld.: Drive es ❑ No; Walks es ❑ No; Planters ❑Yes No Service—Riser Conductors & Ground—Main Disconnect — finish Equip. Clearances; Panels—Motors—Mech. Equip. .C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet 36 Clothes Closet Light—Shower Light Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle—Underground Card B-1 $T,,.. Date % j/ Card -BI Date tilation throughout House Card B -I Date Card -BI Date Date M HANICAL (Permit) OK except q's lass Protection 8 Correc 'ons from Previous Inspections . Gas st—Meters Tagged; Gas—Electric Yj Water & Sewer Connected—C/0 to Grade—HD Approval A.C. Ducts; Insulation & Support Vent Fan; ExNaust a ve Insulation 89Energy Compliance Certificate—Other Certificates Condensa Dain & verflow; Size & Grade Furnace t, c s Comb. Air—Return Air Vent -115V outlet Attic Access & P a orm if Furnace in Attic Card -BI Date ) Card -BI Date Card -BI s Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date 71 Card -BI Date Card -BI Date Card -BI Date Date FR ING Plans OK except q's Comments at Final: 19f/Sills; Proper Material & Anchors r/ ' J '727.0/ 7 Walls; Studs—Nailing, Spacing & Bracing—Plates—Sound Baring Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings—Stairs—Chases—Tub Header & Beam—Size & Bearing Hangers—Post Caps—Anchors—Connectors . Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Truss—Shthn .—Rfng_. s Qctype A Flue Fireplace Throat Attic AccessTsye> Romex Protection—Draft Sto I Ba Arm. Windows or Exiting Doors—Sill Hgt. & Dimensions W Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) V. - •OK 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/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing S. 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 B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card B -I Date Card -BI Date Card B -I 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 B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -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 JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO., ASSESSO PCEL NU PER -� ;Tb I�1G BUILDING PERMIT OWN,— TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER AILING DDRESS C /�� - CONTRACTO NAME S TELEPHONE �I 0 CONTRAC R S ILING ADDRESS Fireplace CONSTRUCTION LENDER U t1rKNOWN 'Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 416 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS A PLUMBING PERMIT Filing Fee 10.00 C �G v Each Trap 2.00 Solar Water, Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 'I 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 Mobile Home S G W 10.00 e TYPE OF WORK New El Addition Remodel❑ Utilities Installation❑ Other Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000V OR LESS 100 AMP OR LESS 10.00 ,'f •/� Main service EA. AOD'L 100 AMP. 2.50 NEW CONSDWELING O OR ADDNST ( ACC`BL GS.CCUP.&) 21/2QSgft CONTRACTORS LICENSE LAW I declare 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 full force and effect. 7 License No. 3�.7�%� Classification 17 ❑ 1,. 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 U TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW -CONISTR. (POWER APPARATUS 11 NON RESD. 1 SINGLE OUTLET CIR. 20050* Ex. Occup(o OR FIXTURES AL® BAL@30 IXEDrs APPLINIS Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 0 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. �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. ❑ 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 Cooling Hood 3.00 Ventilation 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also ag to sav 1-i9pernrylly and keep harmless the County of Butte against all liabi iti s, ju s, o tS, expenses which may in any way accrue against ai C u tyco quen f the granting of this permit. X!� O J� Date Signature of Applicant 0 er❑ Contractor ❑ Agent An OSHA permit is required 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. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BYAirl PERMIT ate T2 the applicable provi- resolutions to do fees have been paid. WORKS Date `" d , Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J:, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NOf 1 , l �} ASSESSOR PARCEL NUMBERZO L �3__ G BUILDING PERMIT OWNERC-1 SQ. FT. OCC. BUILDING VALUATION OWN'S MAI G AD RESS I3 ^^ ` W 'rAy^' • , CO N3AC TOR' NAFMOE L PHONE I CONT AC OR'S AILING ADpR V //44'' ESS Fireplace i \'A CONSTRUCTION LEND R UNKNOw�v I/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT'IT`��OR REENGINEER LICENSE NO. Plan Checking Fee ,$' 1:5-- 6V �/�• -""�"Y "---" $ rf . ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , 5a BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Q Each Trap 2.00 Solar Water Heater 20.00 ( Water piping 5.00 LOT NO. ^/ SUBDIVI)f NAME `/Ib-IMLGas PARCEL MAP Each qas water heater or vent 5.00 piping system 1 - 5 outlets 5.00 �� USE OF STRUCTURE SF L✓J Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ Remodel[—] Utilities❑ Installation[] Other❑ Describe work: il'l�ser /,22-74 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 60 it 14 Main service EA. ADD'L 100 AMP 2.50 LINGUD OR ADDNS. ( ACCLBLD NEW CONST DWE 2Y20$gft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20050m and Professions Code and m license is in full force and effect. YFIXED /7 License No. 35L7�/ Classification y, ❑ 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 -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTFL /POWER APPARATUS &� NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OuTLETS OR FIXTURES` SAL®30 APLNS. Ex. Occup. OUTLETS P(RESID IREA.) 2.00 p Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ,- Contractor MECHANICAL PERMIT Filing Fee 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 61F.41- ooling [p, Hood 3.00 Ventilation 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 Butteto en r upon the ab o -mentioned property for inspection purposes. I also agr to sa , Ade fy a d keep harmless the County of Butte against all liabili i S, j is osts nd expenses which may in any, way accrue against s i C t i c sequ a of the granting of this permit. X Date 3T Signature of Applica — caner❑ Contractor ❑' Agent ❑ An OSHA permit is equire or excavations over 5'0" deep and demolition or construct- ion oPstructures over 3 stories in height.' Mobile Home Installation Fee $ fiUmAJ _5p .6D TOTAL PERMIT FEE $ occuP GROUP /%� , �'� TYPE OF CONST. U.. N PARCEL 1 (r PD HD ISSUES ./ his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date+.3�Z?�/►� Receipt No. _ f�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Section 26-8.1 of the Butte County rode requires this acknowledgement }AR 7 be recorded prior to issuance of a bailding permit. �c E,..�Fi1J= CL -Av - RE -cut uFIR The property described herein is adjacent to'land or included within an area zoned.for agricultural purposes, and residents of this property a►ay 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 has established agricultural zones which have as a priority use for productive agricultural•pur•poses, 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 Oounty of Butte, State of California,.Septenber 17, 1.900 in Map Book 5, at page 27; and being a portion of Lots 3, 4 and 5 of the McCulley Block formerly Lot 12 of the Section Subdivision of the John Bidwell Rancho, filed fior record May 5, 1903 in the Office of the Recorder of said Oounty of Butte, State of California in Book 4 of Maps, at page 23, more particularly described as follows: Parcel 3, as shorn on that certain Parcel Map recorded in the Office of the Recorder of the Cbbunty 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 m f - c ccU 1 N 0 8 Present E On this the PROPERTY OWNERS: SHASTAN COMPANY, INC., A CALIFORNIA CORPORATIOi albdrt, President 15th day of February 19 84_, before i I STATE OF CALIFORNIA Butte iss. COUNTY OF -- - --- -- --) On February 15, 1984 before me, the undersigned, a Notary Public in and for. said State, personally appeared `Tay S . Halbert - ----and -- _—. personally known to me basis to be the persod who executed the within instrument as—_.ence.ince t0 �e President and --------- Secretary, on behalf of Shastan Company, Inc. — the corporation therein named, and acknowledged to me tf such corporation executed the within Instrument pursuant to 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 OUBUC — CAUfORNIA COWITY or Turn Comm. Exp. April 11, 1985 al seal. K E Y, oil PLA H F F- E: V 0 i 44.1 I \; \ �. c — r4 P, ti 0 play cn File dor McisletO of%!*.. 02, 7 411 BUILDING "'FLA N 01 AW Inv, 01 IDset a of SIM fiom PLAN O g- 4pro e y lines and a see ac ac I f, 11 5 from the ro 'b P GiAlz-,' IV' e erline shall b clear of ipment except ures or e sfruct Overhanih 0 2 ft- tX C) 12,w. / This so+ of/Pans andsp Mus lawfw/o loo onth -bafalltIM.S ndi nuAe any'leo. -W W c;inges or .0 Ions S& me W1 perr/ni i written per ission from e rLAH F WW61 Cq1uftfy of Bu P1= 0 CO 24.�� - 0- PI-Ati H T Iz 7) FO R M j RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY .O ner 5HA5TW Go. Climate Zone Permit No. 0 o Area / ZOO , 0 pliance path: Package JDA ❑ B ' ❑ C MPoint System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ D. INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling /2 -3n i a s ® Wall /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 Tight - the above standard features plus: c(�(fN ❑ (D) Continuous infiltration barrier HOLDING DEPARTW-N ® (E) Electrical outlet plate gasket ;, ❑ (F) Air-to-air heat exchanger (3) GLAZING:PPR O.V (A) Location Area Glazing %Floor Area Single Double Tx,iple Total Bldg `s&7..7i ® North 3.5 ® East ®. m South 35,01) Z. 70 West Q Skylights (B) Shading Shading Coefficient Description ® East ,PA4,4 L-, i-/1 % Mit, 6=;'R 11-1E ® South ® West.3S�i, C; .�',� y 9rF Wrt170 cvl'TxuU ,•��=.35 ❑ Skylights (C) South Overhang Length of projection _�ft.-Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass 0 / Type A- -.St A - Area A( 5 Ft. 2 HC= 1, R= MC= Location :50e• !-D(eli-1 1 ❑ Type - Area Ft.z HC= R= T MC= Location ❑ Type - Area Ft. Z HC= R= MC= Location ❑ Type - Area Ft.. HC= R= ., 1 ❑ MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area. Ft. HC= R= MC= Location 7/83 FOR M ❑ . (4) MASONRY AND FACTORY -BUILT FIREPIACES shall be equipped with tight 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. XP T iTto" `''l° "9 htaT. 2� •_ " ' 1 N SYSTEM * (5) HEATING, VENJILATIAG, AIR CONDITIONI G (A) Heating Central Gas Furnace SuC-1,11T tc.S (brand and model number). SE Po-ioz 7v Btu/hr JNt TALL.I NCy (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) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr . (cooling capacity at 95°F) Electric Heat Pump M/n1 8.0 (seasonal EER) EER Btu/hr (cooling capacity at 95°F) 13 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 (6) DOMESTIC WATER SYSTEM IV (A) Gas Only '�N1<lJOVJL4 n Gallons (brand and model number) (tank size) (] Heat Pump w/ElectricBackup (brand and model number) i0 Gallons (tank size) *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 (backup heater type, brand and model number) (collector orientation) Location of Solar Panels 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.. (collector tilt) ft (collector area) (C) PIPE INSULATION. The five Ycet 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_aream 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 documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating:' Winter design temperature '�°, elevation '31 - heating .load BTU x heating load maximum outlet capacity gas urnace elevation -factor BTU ♦Y, �o a Cooling: Su= r design temperature t'Mb °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form Cto d current sizing of solar panels. 8k.ONLAS SIZING GUIDE, COOLING MAY BE INADEQUATE, II^� DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of l Title 24, Part 2, Chapter 2-53 of the Californ Administr ion Code. 7/83 SIGNATU OF UILID G DE GNER OR AP CANT 3 0. .SHADING (Exclude Overhang) EAST .67-.82 0 61(1 c SOUTH .19-.4277,77() WEST - .13-.36 SKYLICIIT - .37-.57 A. HORIZONTAL SOUTH OVERHANG 2' 1. t•IOVd BLE INSULATION - NONE %t% M E:01 U,L1 T' C-) etF-C , PUA'Tz L3. INFILTRATION (4t4nder•d-OjtTtght-+'Tn G11SKe7,5 r7 A. THER14AL MASSA �,�5 SF � S. CAS FUR"tACE (SE) 7076% n A. HEAT PUIfP (EER) 7.5-7.9% J. DUAL PACK (SE. SEER) 8.0-8.3/71-767. NA. ,8. ACTIVE SOLAR 607. ItIN (NONE) Iti1 A .9. ZONALLY CONTROLLED ELECTRIC Q 0. SOLAR WITH CAS BACKUP (HW) A. OTHER - NO ELECTRIC (IIW) ITEMS SHOWN - ZERO POINTS able 3-1. flab Floor Pointe Table 3-2. Raised f loor Points In+•+la- 1 R -Valu• of '[nwlstlon I I R -Value of ttwnI �� i Insulation ( Points 0srth,. I Inches ( 0-2 1 3-4 1 3-¢ 1' 7+ I I I I I I I below 3 I -12 0- It l -5 I -5 I -5 I -5 I I s- 7 I -6 I' 12 -,15 I -5 I -3 I -2 I -1 I I 6 - 12 16 =`19 1 -5 i -2 I -1 I o I I 13 - 18 I T2 I 20 + I -5 I -1 I 0, 1 +1 1 I •19+ I o I 7/7/.0 ( � Points R -Value of Insulation I Points 1 I I I I 19 I 22 I -2 1 ( 36 1 +2 I I' 49 I +4 I 14 I I Table 3-4e'. Wall Insu R -Value of Insulation 11 19 24 ]0 Table 3-S. Total 2 of ZONE 113.- %:LlVi /-1 - LOT 2 OWNER �- /AS-rM ': r-,-) POINTS PERMIT N0. -'"' ASSIGNED ACTUAL !! 0.66 10.42- 10.41 I 1 1. SLAB - INSULATION NONE/ 1 down I 5 .Z 2. RAISED FLOOR - R-19. I Area 11.10) M/A/A 3. CEILING - R-30 .. I 4 I 1.3- 2.1 4. WALL - R-19 / f� "i✓ - . 5. NORTH GLAZING - 2.4-3.6: Z q u 3.7- 4.8 I 6. EAST GLAZING - 2.5-3.6% �•[�`3 I 4.9- 6.1 I 7. SOUTH GLAZING - 1.6-3.67. a I 6.2- 7.3I -9 'CI.AZI:IG -S 1 I 7.4- 8.2 1 B. WEST - 2.9-3.6% ( 8.3- 9.7 I 9. SKYLICIIT - 0-1.3% I 9.8-10.8 I 0. .SHADING (Exclude Overhang) EAST .67-.82 0 61(1 c SOUTH .19-.4277,77() WEST - .13-.36 SKYLICIIT - .37-.57 A. HORIZONTAL SOUTH OVERHANG 2' 1. t•IOVd BLE INSULATION - NONE %t% M E:01 U,L1 T' C-) etF-C , PUA'Tz L3. INFILTRATION (4t4nder•d-OjtTtght-+'Tn G11SKe7,5 r7 A. THER14AL MASSA �,�5 SF � S. CAS FUR"tACE (SE) 7076% n A. HEAT PUIfP (EER) 7.5-7.9% J. DUAL PACK (SE. SEER) 8.0-8.3/71-767. NA. ,8. ACTIVE SOLAR 607. ItIN (NONE) Iti1 A .9. ZONALLY CONTROLLED ELECTRIC Q 0. SOLAR WITH CAS BACKUP (HW) A. OTHER - NO ELECTRIC (IIW) ITEMS SHOWN - ZERO POINTS able 3-1. flab Floor Pointe Table 3-2. Raised f loor Points In+•+la- 1 R -Valu• of '[nwlstlon I I R -Value of ttwnI �� i Insulation ( Points 0srth,. I Inches ( 0-2 1 3-4 1 3-¢ 1' 7+ I I I I I I I below 3 I -12 0- It l -5 I -5 I -5 I -5 I I s- 7 I -6 I' 12 -,15 I -5 I -3 I -2 I -1 I I 6 - 12 16 =`19 1 -5 i -2 I -1 I o I I 13 - 18 I T2 I 20 + I -5 I -1 I 0, 1 +1 1 I •19+ I o I 7/7/.0 ( � Points R -Value of Insulation I Points 1 I I I I 19 I 22 I -2 1 ( 36 1 +2 I I' 49 I +4 I 14 I I Table 3-4e'. Wall Insu R -Value of Insulation 11 19 24 ]0 Table 3-S. Total 2 of 1 Closing Type 1- I ST. Dbl, Tr 1.1 I Floor l u- l u- l u- I I Ase• !! 0.66 10.42- 10.41 I 1 11.10 10.65 1 down I �1.2 ++4 e'+4 I Area 11.10) 10.1 1 1 I 4 I 1.3- 2.1 ( +1 I +2 I +2 I 2.4- 3.6 ( -2 ( 0 ( +t 1 3.7- 4.8 I -4 ( -2 I -1 1 I 4.9- 6.1 I -7, ( -4• I -3 I I 6.2- 7.3I -9 I -6 I -S 1 I 7.4- 8.2 1 -12 I -8 I -7 I ( 8.3- 9.7 I -14 I -10 'I -8 I I 9.8-10.8 I -17 I -12 1 -10 .1 ( 10.9-12.0 1 -19 I -14 I -12 I 11,2.1-13.2 I -22 I -16 I -13 1 113.3-14.5 I -24 I X13 I -15 I 14.6-15.3 i -27 i -20 -42 -32 I -able i -i. So Giazin Pts 'iabie 3-1D. Shading Coefficient Poi:Itab T- r__I- I I Glaring Iype I I SC by I I• Total I I -8 I I Orion- I Z Floor Area I I of I Sngl, I Dbl, r -T -r -p -l-.7 I totlon I I Floor I (U - 1 (U - I (. - I I I =16 I I Area 11.10) 10.65) 1 0.41)1 I -16 I 14.6-16.0 i I Ioint9 I otnta I olntsl' I Lest I I. 3.2 1 O +� +3 +3 ( +4 I 1 0-3.1 1 to 1 6.4 up I up to 1.5 1 +2 1 +2 1 +2 1 1 I 3.1= 3.6 I I 6.) I I' 1.6- a.� I - I 0 I 0 I I I -6 1 I I 1 -37.7-115 -44 -18 I -12 I -9 11`5.7--6.5 1 4 I -4' I -3 I .I 0 -.19 1 0 1 +1 1 +2 1 6.6- 7.7 1 -9 1 -6 I -5 I I 7.8- 8.9 1 -II I -8 I -7 I I 9.0-10.0 I. -13 ( -10 ,I -9 110.1-11.3 I -17 I -I3 I -11' I 11.6-13.0 I -21 I =16 I -14 1 113.1-14.5 I -25 ( -19 I -16 I 14.6-16.0 i -23 i -22 i -19 +3 1 I 2..9- 3.6 ( -3 I 0 I Total I I of I Glazing Type I II I Sngl, Dbl, Trp,, I Floor I (U - I (U - I (U - I I Area 1 1.10) 10.63) 10.41)1 I I ointa I oints I ointsl o +f e6 +ice i up to 1.3 I +5 I +6 I +6 1 I 1.4- 2.2 I +3 I +4 1 +S I 12-s- 2.8 ( 0 1 +2 'I +3 1 I 2..9- 3.6 ( -3 I 0 1 +1 I I3.7- 4. +4 I +4 I 1 ( 1.4- 2.2 1 -] I •22 I 3.1= 3.6 I -10 1 -6 I -4 I 5.7- 6.2 I •13 -8 I -6 1 I 6.3- 6.9 I -is -10 I. -7 1 I 7.0- 7.6 I -18 I -12 I -9 1 7.1- e'.2 1 -20 ( -14 1 -ll I I 8.7- 3.8 I -22 I -16 1 -13 I i 8.9- 9.5 I -25 ( -is 1 -13 I ( 9.6-10.1 I -27 1 -20 I -16 I 110.2-11.0 I -29 1 -23 I -17 I 111.1-11.8 I -35 I 426 1 -21 I 1 11.9-12.7 ( -38 I -2-9 .1 -24' I 112.8-13.5 I -42 -32 I -27 I 113.6-14.3 I •I -46 I -)S I -29 I 14.4-15.2 i -50 i -33 i -32 Table 3-9. Sk lirht Points Table 3-6. East-Facln Clazin Pts. I I Glazing Type I I Total I of I' Glazing Type I I ( I Sngl. Obi, Tr 1. I Total I I of I Floor I- ( .67-.82 I 0 I 0 I -1 Sngl, Dbl. l U- I U - Trpi, 1 U - 1 Floor 1 (U - ( (V - 1 (U •I 1 Area, 10.66- 1 0.42- 1 0.41 I Area 11:10) 10.65).1 1 6.3 0.41)) I 11.10 I1 1.10 1 0.65 down i- I 1 olnts 1 oints I otntel I I u to 1.] I -1 I I .43-.661 1 `o? I 0 j o+ +.1 +4 up to 1.3 I +] ( +4 I +4 I 1 ( 1.4- 2.2 1 -] I •22 I -1 ( 1.4- 2.4 I +1 .I +2 1 +2 I I 2.3- 2.8 I -6 I -4 I -3 I 2.5-,'3..6 I -2 I 0 1 0 1 I 2.9- 3.6 1 -9 I -6 I -5 ( 3.7- 4.6.1 =5 1 -2 1 -1 1 1 3.7- 4.2 1 -I1 1 -8 1 -6 I 4.7- 3:5 1 -8 1 -4 1 -3 1 1 4.3- 5.0 1 -14 1 ' -10 ,.1' -8 5.7=;6.1.1 -10 1 -6. 1 -5 1 1 5.1- 5.6'1 -16 1 -12 1' -10 6.8-•7.7 I -13 1 -8. I -7 1 1 5.7- 6.2 1 -19 1 -14 1 -12 I 7.8- 8.7 I -15 I -10 I -8 1 1 6.3- 6.9 1 -21 1 -16 1 -13 I 8.8- 9.7 1 -1.7 I -12 1 -10 1 1 7.0- 7.6 1 -24 1 -13 1 -15 I 9.8-11.2 1 1 -15 I -13 I I 7.7- 8.2 1 -26 1 -20 1 -17 1 111.3-12.7 { -18 I -15 I 1 8.3- 8.8 1 -28 1 -22 1 -19 1 112.8-14.0 (;� -21 I -18 1 1 8.9- 9.5 1 -31 1 -24 I -21 1 114.1-15.3 , -24 1 -20 I I 9.6-10.1 I -33 1 -26 I -22 I 1 .20-.36 1 0 1 0 1 +1 I .37-.66 . I 0 1 0 I 0 ( .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 18.0 19.j I I to I to I' to I to I up 1 3.1 1 6.3 I 7.9 I 9.3 I 1 +1 i +2 1 +2 I +3 I 0 -.18 1 0 I .19-.42 1 0 1 0 1 0 1 0 1 I .43-.661 1 `o? 1 -1 I -2 1 =2 I -3 .67 up . I 0. 1 -2 1 -4 I -4 I -6 Wo.st 1 .1 1.6 I 3.2 1 6.4 1 3.0 I to I to I to I to I up 6.7 i 7.9 i 0-.12 1 0 1 +1 i +3 1 46 1 +7 1 ]-:36�I O.. I 0 1 ,_ 0 t 0 1 0 :17-. .)7-:s1' I o 1 -1 1 -) 1 -6 1 -7 .58-•d2 I -1 1 -3 1 -6 1 -12 1 -15 .83 up i -2 1 -4 i -8 i -16 1 •20 skylight 1 .1 1 .8 11.6 1 3.2 1 4.9 1 to ( to I to I to 1 is I.7 t_s Ir3.11 3.9 5.2 0-.12 1 0 1 +1 1 +3 I +6 1 +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 I 0' 1 -1 1 -3 I -6 I .58-.82 I -1 I. -) I -6 1 -12 1 -, .83 up A -2 1 -4 1 -8 1 -16 1 -20 Table 3-11. 'Horizontal South Overhane Points, South Glarinj 1 Length Out I Area. I of floor I from `Wall tIT•„ I 0-6.3 1 6.4 up 1 u- u.a 1 -a 1 4 1 10.6 + 1.0 1 -2 1 -) I 11:1 - t.9 I -1 1 -2 I 2.0 up I 0 I 0 I Table 3r12. Movable Insulation Points I Moveable' Insulatloo'I i I Area, I of floor I Points I I I I I 0- 5.5 1 0 I 1 3.6 - 11.5+2 I I 11.6 - 17.3 1 +4 I I 17.6 - 21.: ��JJI +6 I. ( >23.6+ ./ +6 I GLAZING PLAN TAKEOFF • s1iEET rU K M tS 3'5 North .Glazing QUANTITY SIZE. AREA (SQ* FT.) x = �) x =) x -._ .. Total North Glazing 26,o (SQ.FT.) (a+b+c+d+e) )TA L )RTH TOTAL BLDG 1ZING FLOOR TOTAL BLDG /AREA Lo (c? 9 0 x J Z �.FT. SQ.FT. CONVERSION TOTAL FACTOR NORTH GLAZING 100 3-7 South Glazing QUANTITY SIZE AREA. (SQ.FT.) a) �— x 4o�o x X030 9,v x 2k- r2, T4 = 7o -,D 3) x e) x = Total South Glazing '=. 25,0 (SQ.FT.) (a+b+c+d+e ) 3-6. East Glazing QUANTITY SIZE AREA (SQ. Fr. ) x 20so - . (b). 2• x ^ Z G 40 = Z0, o (d) x `. (e) x Total East Glazing .7S (SQ,.FT. ) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR. EAST GLAZING 17-0&,o x 100 % i SQ.FT. SQ.FT. . 3-8 West Glazing . QUANTITY SIZE AREA (SQ.FT.) (a) / x 4040 _ 16,0 (c) X. (d) x 1 (e) x Total West Glazing =_�� (SQ•F'=-.' (a+b+c+d+e) E rm t, TOTAL � TOTAL BLDG CONVERSION TOTAL T WEST TOTAL BLDG A FLOOR AREA FACTOR SOUTH GLAZING GLAZING FLOOR AREA o x 100 7. x Q-. FT: SQ.FT. SQ.FT. SQ.FT. 3-9 Skyli&hts QUANTITY SIZE (SQ.FT.) a) x b) x c) x Total Skylight (a+b+c) OTyL :PLIGHT TOTAL ' BLDG NVERSION TOTAL % AZI,:G FLOOR AREA -FACTOR SKYLIGHT GLAZING x 100 = % Q.FT. SQ.FT. DZER 'r01IT NO. '83 CONVERSION FACTOR 100 TOTAL 9 WEST GLAZING 7s ,1'2 q_l IO 0I,'NER SHAS-_i Al✓ l-0 • THERMAL MASS TAKEOFF SHEET PE,RMI: NO. 'Theirmal mass: Materials Which have the ability to store heat (typical types are masonry, brick and ceramic tile). t)pearmal mass cannot be insulated from the interior of the building. (If covered by car - ,t; 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 c-711: not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE A . l / nt '? THICKNESS LOCATION DIMENSIONS AREA ¢y Entry Floor ' x ' ,o S:),.F'T•, :Bath 41 Floor ' x /3'.0 SQ . F1'., Bath 02. Floor ' x ' ZS,D SQ.FT. Bath #3 Floor ' x ' --- SQ. FT., �— Kitchen Floor ' .x 5 SQ. FT. Floor ' x ' SQ. Fr . Floor ' x ' 4 SQJ L , Fireplace ' x ' SQ. FT_ Fireplace ' x ' a SQ. FT , Bath #1 Counters ' X. a SQ.F-L , Bath #2. Counters . ' -I. "x ' o SQ. F -T , Bath #3 Counters ' x ' SQ.T.-C Kitchen Counters ' x ' SQ. F), Wall Shield ' .x ' SQ.F:C., . Walls '• x ' SQ. F-). Walls '• x ' a SOFT , Walls ' x ' �SQ.ne, ' x ' p SQ.�e7) - x SQ. r ' x ' 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 shod thermal mass compliance. P"AJ - 1 �-�,7/83 A 54-A6 1¢S,s , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 13— �� ASSESSOR PARCEL NUMBER q-3'- 2 C --03 q3 -2 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 11211 '17, 9 OWNER'S MA LI G ADDRESS PIT 7coir D CONTRALTO NAM 'w _V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace QQ CONSTRUCTION LENDER -UNKNOWN Total Valuation $ 3 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2� , BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 f Each Trap 2.00 Solar Water Heater 20.00 _ Water piping 5.00 LOTt_ `T SUBDIVIs N ME PARCEL MAP 1 1 Each qas water heater or vent 5.00 5, Gas piping system 1 - 5 outlets 5.00 s. rte% USE OF STRUCTURE SF G Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New J Addition [J Remodel Utilities❑ Installation EJ Other [:1 Describe work: J J Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Aye vV Main service ADD'L 100 AMP 2.50 NEW CONS. //EA. OR ADDNST % ACC, DWE G S CUP.&� 2�/2QSQ ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@S0a de and Professio s and my license is in full orce and effect. 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 NON -RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &'1 NON-RESID. SINGLE OUTLET CIR. / OR FIXTURES BAL®30 Ex. Occup(o XED FIXED A PPLNSOR EX. Occup. OUTLETS (RESI.D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 5 0, Contractor 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 shal I be deemed revoked. MECHANICAL PERMIT Filirig Fee 10.00 Heating , (rp Cooling 2 `jr . &0 Hood 3.00 Venti lation 3 �, 00 9,0-0 permit Fee $ ,Qb 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 relatingp to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, Inde nify and keep harmless the County of utte gainst all liabilities 'udgments, cost nd expenses which may in a way accrue again a' my in f the granting of this permit X Date l" l Signature of A liaonr — caner g pp ❑ Contractor ❑ Agent An OSHA permit is requir for excavations over 5'0" deep andEmolition or construct- ion of structures v r In height. Mobile Home Installation Fee $ Uzi TOTAL PERMIT F $ Y/ IC, 40 OCCUP. GROUP TYPE OF CONST. PARCEL PD ND 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 aid. p WORKS Date Receipt No. r) WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT