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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: John Wheeler
ADDRESS:
CITY & STATE: Oroville, CA 95965 IMPORTA T:
July 9, 1991 SEE INSTR CTIONS
DATE OF CLAIM: ON REVE SE SIDE
SUBMIT CLAIM TO �PARTMENT RECEIVING GOODS OR SERV ES
DATE
DESCRIP ON OF CLAIM (DESCRIBE FULLY Tx AVOID DELAY)
AMOUNT
Owner has deciaNd not to do work. Permit #16-91B,P,E,
AP#36-43-17, Rec 'pt #93822, dated 5/28/91 01 #93972, dated 6/7/91.
Total Permit Fees Pai----------------------------------$269.55
Retain Plan Checkin Fe --------------- ----- $55.25
Retain Energy Plan Checks g Fee------- ------ 15.00
l'
Retain Building Permit Fin Fee--- ------- 10.00
Retain Plumbing Permit FillFee----------- 10.00
Retain Electrical Permit Fili Fe ---------- 10.00
Total Permit Fees Retained-=-- -------------------------- 100.25
TOTAL REFUND DUE --------------- -------------------------$169.30
TOTAL
169
30
I, the undersigned, declare under enalty of perjury that the services or articles claimed>haveenerformed or delivered, andthat this
claim is true and correct as stated
elt-
Dated this ... !/,�.�.. �............. aY of ....,�, ............. 14.14 et �/'Q 1%l.. f/P..... Calif..... . ............. ........................................
ure of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval F__J (Check one) for the some.
Datedthis ......... th.................. day of ... JulY................ 19..91ac ...Oroyille.... Calif.....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code 440-002 Code 421Q ...9 0 PAYABLE FROM P ml FUND
..................... Const.t...........................................................
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO. INV. NO. INV. DATE ENCUMB.
GROSS AMT.
INSTRUCTIONS to CLAIMANTS
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished or delivered. .
Claims must be certified by the claimant and submitted to the De-
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for payment procedure.. Do
not file with the County Auditor first.
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of chain, failure to do
so may delay payment considerably.
RESIDENTIAL
V 1692-91%, E
36-43-17
MACLEOD, Roderick Oroville
140 Greenbank Ave,
John Wheeler to 1iV)
cont: garage & cnv exist gar
(new det
JOB FINAL
Signatun
i
k ew c
,l COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ;y
' 196 Memorial Way, Chico — Phone: 891-2751
` 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE ;
%N
OWNER r 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.
Date 7 q -/ / Inspector _
'J OK
O = Not OK
Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except #'s j
1. Zoning -Setbacks -Easements -Flood -Slope I
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fir place Ftg.-Steel
V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
D% Card B-1 Date Card B-1
Dae Card B-1 Date Card B-1
Date PLUMBING (Permil),OK ept #'
1 Water Htr.: Ven cces -Combustion Ai Balfie
--------- - - -- --- ------------------
7.--Water
-----------------
7. Water Pipe; Test & Anchor -Nail Protection - -_
D.W.V.; Test -Fittings & Anchor -Nail Protection
--- -------- - - - - -----------------
�er Pan; Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fi lure & Transformer Clearance -Ins. Protection
EI Receptacles spacing -Lights & Switches at Doors
--------------- - -------------------
-------- ----- --- ----------------------------------
-------------------
Boxes & No. of Conductors -Stapled
Ro . Installed Close to Edge of Studs & C.J.
---------------
Equip Ground made 'up w/Mech. Fastners-Bond Gas & Water
-- ---- -- -- - --- - ----------
_ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or -Al
-- ---------------------------------------------------
29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------- - -----------------------------------------------
------- 31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower -Light -Spa Light
-------------------------------------------------------------
33. Smoke Detector
- ------------------------------------------------------------------
Date Card B-1 Date Card -B- I
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
--------------- ------------ - ------ -
- --------------------------------
3 x aust above insulation
---------------=---------- ----- ------------------------------- -- -----------
3&-e=J`IFITML-9r ' & Overflow: Size & Grade
----------- - ----- -4
-- -
----------------- --
LI-Vent: Access -C------ ------------ Ve--------
-------------------------------------------- --------------------------------------
------------- 3a -A ti�ess & Platform if Furnance in Attic
------------------- --------------------------------- -
Date- - Card B_1 Date Card B-1
--------------------------------
Date Card B-1 Date Card B-1
Date FR ING (Plans) OK except #'s
9. Sils. Proper Material & A s
--- -- ----------------------------- --------------- -=------ -----------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------------------------------------------------------------
-----------------
41.
-------
41 B ring Walls over Girders & Floor Nailing
-- - --- - --------------------
----------------------------------------
W21
Slop in Walls (rat proof)
------------
-- -- - - - - --------------------
Fire Stops Furred Ceilings -Stairs -Chases -Tub
---------------------------------- ---------------------------
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued) .'.
------ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
--- -----
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-- - - - b& -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls; Nailing -Bolts
-------- Insulation -Walls -Ceilings -
60. Infiltration -Walls -Windows
Date (A 4 Lzy�-Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL Plans) OK except #'s
x teps-Door & Sidelight Protection -Landings
------------- -- -----
moke Detector
---------- ----- -
urnace; Vents -Clearance -Comb. Air -Connector -
In e; bove Floor -Ducts -Meth. Protection
--------------------em-LRR------
- G F.I th Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes & Labels
------------ ---------------------
---------------------
MirSReiJs-.
4,3. F replace or Stove: Clearances -Hearth
- ---------- -- ---- - -
. le
- t. Outlets at Wood Panel; Int. & Ext.
LaL.F+xi.8.lppliance: Grnd.-Air Gap -Cooking Clearance
.- vQi:eis & Receptacles at Kit. Counter
-------------
--------- ---- -- --- -ire Door Swing -Landing -Closer
- n--arage_Damper -----
Wtr. Ht..: Vents -Clearance -Comb. Air-Connector-P.R.V.
I arage: Above Floor -Meeh. Protection
------------ -- ------------------
Plb.. Elec. &Mech. Equip. Listed for Location
c. eceptacles in Garage; (G.F.I.)-Romex Protection
-------------�--- -----�---------------
(Z -Foam -Looked in Attic ❑ Yes
------------------------------------------
Deck Construction -Post Caps
----------------------------------------
9. ru1I' end& Crawl Hole Door -Drainage & Wood -Earth
--------Clearance Looked under Floor ❑ Yes
80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
#4--9taT7713rown-Finish
- isconnect. Electrical, Plumbing
------------------- -------------------------------
L.Iaaents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
a4 -Water Disconnect, Electrical, Plumbing
--------------
-
�sfiF.xrerio --let. Trim; G.F.I. Receptacle -Underground ---
ntilation Throughout House
ass Protection
^ Corrections from Previous Inspections
--------------- -----------------------
s Test -Meters Tagged: Gas -Electric
90. W Esr & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date 1�-Date Card B-1
Date Card B_1 - Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V=OK •-
O = Not OK
Not Applicable MOBILE HOMES
' Not Ready '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch -
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Building Owner.
Building Location % �O
ENERGY INSTALLATION CERTIFICATE.-
Building Permit # y�I' /OJ- 4"le
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material_%��
Thickness (inches) '3 .n
CEILING .
Batt or Blanket Type
Thickness inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
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 e9i'y f h S. C64 ,0 p
Thermal Resistance(R Value)LA-,�/
Brand Name
,r
Thermal Resistance.(R.Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
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,...
- -is- consistent -wi-th approved--bui3ding -depa-r-tment plans--and--attachments --and---con-
form& with re uireme is of apter 2-53 of State of Califo a Energy Requirement
y�, )0/ te; /�'�,
NAME/OAR STATE CONTRACTOR'S LICENSE NO.
7- �- 74
S TUBE OF -INSTALLATION APPLICATOR DATE
2.
I hereby certify the required features, devices, and equipment, ats shown on,the approved
Building -Department plans -and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
Gl/�7f��jf,-
BUILDING CONTRACTOR/OWNER (Please Print)
RM NAIMMEE)/
ATURE OF BUILDING CONTRACTOR/OWNER
i
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
vp 017
STATE CONTRACTOR'S LICENSE NO.
2 �d
DATE
STATE CONTRACTOR'S LICENSE 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.
SEPTEMBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
i- 7 County Center Drive - Oroviile,alifornia 95965 - Telephone: 916/538-7541 ��
APP&ATI<ON AND PERMIT -
ASSESSOR PARCEL NUMBER
036-43-0-017
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING ALU ION
480 M
8-6-4-0
OWNER'S MAILING ADDRESS
3913Vo
312 M -R
6240
NA
SRE TELEPHONE
John Wheeler 534-544
CONTRACTOR'S MAILING ADDRESS
5078 Larkin Rd., Oroville CA 95965
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
14,880
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 110.50
ARCHITECT OR ENGINEER
None
LICENSE No.
Plan Checking Fee
$ 55.25
Ener Plan Checking Fee
Energy g
$
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
140 Greenbank Ave. Oroville
Permit fee
$ 190.75
PLUMBING PERMIT Filing Fee 10.00
Each Trap
21 2.00 4.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Det Garage & Carport
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
NeaX] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: __ Det Garage & Convert Existing Carport
To Den
Permit Fee
$ 19.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
100 AMP OR LESS
10.00
Main service EA, AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 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.
J-94 7 C
License No. � Classification. �ats �_
❑ 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
GOCCUP.tr\
oR ADDNST ( DWEACCLLING
S./
yz'tsgft 19.80
NEW CONSTR. ULT' -OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(o OR FIXTURES
2ALO30
eAL030
FIXED A
Ex. Occup. OUT ETS P(RESID )KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. wiring
15.00
Permit Fee
$ 29.80
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
pI I have placed on file with the County of Butte Building Department
b� 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.
I 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
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai said County/yin c nsequence of the granting of this permit.
: c,.
X �- Date --^j d '�
S'gnature of Applicant - Owner ❑ Contractor [A Agent ❑
An OSHA permit is required for excavation 0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
-
TOTAL FEE .$ 269.55
HAL
-
I CUA
PARK
SCHL FLD
CDF
PAR
_
PD
I HD
Issu
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR O BLIC WORKS
By Date
PERMI _XPDate
Receipt No. 93822-239.55// 3'p,)
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
•moi: �'Y�'Fr�".-•.tib• t--�--'^••-•.r.r;�.�.s-r�."'�►'i'—+"o�'+�-"�'•�"=•�tL'F7�Tr-azr: • •.7+vr--`suer..--..r-+,�'�a'"''t:� '�. a�.ti'v�
COUNTY OF BUTTE - DEPAR '
:'PUBLIC WORKS -BUILDING DIVISION
�0f
7 COUNTY CENTER DRIVE - OROVILL<E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 !
PERMIT APPLICATION DATA SHEET
�� %��� 1�C 1/ /� �� /�� „• Permit No. �
OWNER C( A. P. No. 19 —113-0(7
Proposed Building Use e� � Kf1KA Gef Buildinnspector'` Date CD
At time of permit application, I was advised the following data must besubmitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans
5. lHazardous Material Form ...........................................
6. Energy Design Compliance and su,pporting,.documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
41 instructions . .
Fees ofd .OD �K e
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
—ie/ 13. b'ZJ - El& School District fees paid .............. 5:.2!Y- q f so
14. Sanitation approval from 090 Health Department 2
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:-
18.
arking: 18. Improvements may be required. Contact Land Development Section DPW I
` 19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
.-21. Contr:actor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
* 25. Letter of signature authorization ................................... �a
26. L
27. r
When you issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone S 34`s-Zf/L/ %nd hold for pickup at office. Deliver w/inspector.
Other
/ Applicant l/ Date
Copy of Haz-Mat form sent . Health Dept. Fire Dept. Air Pollution Date'
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to er it issuance: (Circle new itejn not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data
Contractor, designer, owner, was advised of above required data
PI9'ns checked by
Copy—DPW
Date
by_phone_mail—counter by -.date
by_phone_mall�counter by date
ans approved by
Sets of plans on hold in File cabinet l/AP folder
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
'7�QXx is of V i l / y e E / , ^ c o� / ��61e-iz--IV8#xIk 3& —0/7
O er Location AP#
Plan Approved for: Sewage Disposal Water=Supply
Hold final for:
^incl clearance O.R. for:
Clearance for droom mobile home.
NOTE '*,**
Sanitarian
Water.Supply
two
Water Supply
Other
-0Q k14)U ?j
Date
�tcS2r's.f:3rr5.•wi�tK"�'Y'Z�:"^y'y"ei�':Fi�: t• , �''`'a �131i"�'r--F•"'°V`�[VYfxa Imo+sir=i�rtLCrtr-.'l:�'-:•r-�f�
BUTTE COUNTY SCHOOLS :I)E&,LQPMEN•T FEE CERTIFICATION FORM
,'(One Form per Building)
A.P. NumberD /" Building _Department No.
School District O(n ID � � City r7_1 County � Jurisdiction
Property Owner MAc Teca4'
Project Location/Address /' 7U - feelU �//� (/ 2 Cpl
Subdivision Lot Number
Residential' Development:M,
Sq Footage 3712—
#
71Z# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage'
New Addition (Including,Exterior
Roofed Areas)
Building Departmdnt Representative ate
, z6wy2y
(Floor Plans reviewed by School District Personnel)
Dist ict Id No.
School District certifies that
(Applicant Name) (Phone Number)
'Ju"
(Street Address)
6„
A A -
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the p yment of $ 1r` representing Esquare feet.
School Dish �1 Representative Date
(/
PAID BY CHECK NO. REMARKS:
BANK NO y
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PAID BY CASH M L _•
,-White-applicant, yellow -building .department, pink -school district
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SCHOOL.FEE (8/$8) "`
69
A setback of 5 ft. from the
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property lines and a setback of
50 ft. from the road r ;
centerline shall be clear of ,
structures or equipment except
for a 2 ft. eave overhang. 441 I r
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�' rr This set of plans and lo� is fications MUST be l
kept on the job at all times and itis unlawful to:
make any changes or alterations on same with- ;
out written permission from the Department of
Public Works, County of Butte.
! NOTE:—AI) Materials & Workma4hi
'p Shall Bs)h' • ( .
Accordance with' Recognised Good Practices and
of a quality prescribed for -the S '
�r CL Uniform Suiiding, Plu n e-' '°d use in tha I j,
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FO R M 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner Climate Zone__
Permit # Floor Area
The "following data showing mandatory and required features of Package "Al' shall
be installed for additions to dwellings. Additions to dwellings include room
Additions, converting garages and patios to living areas, house moves that'add
footage and attic conversions, and any space that is existing non -conditioned
space:that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36.Shading Coefficient
ZONE 16
R-38
k-
R� 9
5 (Dual)
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip_�doors, certified windows, caulking)
VAPO IER (Z e 6 -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WAT',E-RAYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INS Qo N ON BACK
OF THIS SHEET.
12/85
*1 .-HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace 7
(brand and model number) SE
Btu/hr
(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 x
(describe)
*1. (B) Cooling
C3 Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
'(cooling.capacity at 95°F)
❑ Electric Heat Pump
MER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(descr`ibe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
- (brand and model number)
Gallons
2 (tank size)
C]* 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) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 464) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system.(form 465) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
•�` idle 24, Part 2, Chapter 2-53 of the California Administration Code.
3r
tDA-ai f ue S NATURE OF BUILDING ESIGNER OR APPLICANT
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