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HomeMy WebLinkAbout079-090-02307q 0q0 023 f DA�HART MARTIN FRIEa LI 105 Mel�`rro,s,e Drive, lot 6, Oroville l Permit#1027-R85B,P ,M(new single family , � q-6 - �3# 3 6 f mit#1301-85B,P,E(add'1 ftg/1027-85) ' WILLIAM K. PARKS 105 Melrose Dr, Oroville .® ' Permit#2988-86B(wood stove)SF ' I' S 10 F f 1 Fi 4 1 + • n 1 lk + 1 . 5 Permit#2�9834-86B William Parks 105 Melrose Dr, Oro w;j .C;•sR'+ 44h, ,.. A 0 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A SSES,JR�PAR `/L,NUMB,ER _ if rJ ZONING BUILDING PERMIT OWNER "; TELEPHONE .,,�w �` // SQ. FT. OCC. BUILDING VALUATION ���•/ OWNER'S MAILING ADDRESS CONTRACTOR'S NAME r IK TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS II j Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other© Describe work: t '� �• ;- U f _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 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 CONST. DWELLING OCCUP.8i, OR ADDNS. ACC. BLDGS. 2/2Osgft NEW CONSTR ULTI.OUTLET 2,50 ea NO.-RESID BRANCH CIRC ITS POWER APPARATUS e OUTLET CIR. Ex. Occup�OUTLETS OR FIXTURES 20950t 5AL030 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 $ 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %' X �f / `�I Date 10- 6 ''�% Signature of Applicant — Owner N 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ / occuP. CONST.TYPc JFI.00.JP-..E1J PD 1 ND IS3.E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC'WORKS Y. — Date PERMIT EXPIRES Date Receipt No. �� �� � 99 WNITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT a ' I 4 1 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 explanation, lease contact this office i"diately. Inspector— __ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RANT O. ASSESS r A -R CPL f1UMB R J(/% ZONING BUILDING PERMIT OWNER t c 16 1^ r LEPHO E SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING DR SS CO TOR'S NAME .TELEPHONE V CONT CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /0-S ^ ros � Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 r v ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF nA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ R'jmodel f( ties ❑ Installation ❑ Other Describe work: K / an )� �`�If: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification 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 CONST. DWELLING OCCUP.N B ourLET ) h¢sgft NEA EONS. ACC. NON-RESID BRANCH CIRCUITS) 2.50 ea APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .220 000O 30 30 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 $ 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t sal ounty in co Uquce of the granting of this permit. es X sf.J Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures oyer 3 stori sin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCu P. C04ST.TYPEJ I FLOOD PARCEL P11 I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE T F PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS Date _ I OA Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for •in your name and bearing your signature. ' Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. { 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) hCty signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. - 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date %L NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i PERMIT NO. 1027-85B,P,E,M PERMIT EXPIRES OWNER FRIEDA HART MARTIN CONTR.. owner ASSESSOR PARCEL 36-76-23 LOCATION 105 Melrose•Drive, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) rVA Signature J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 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.-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 Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils-, Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI . 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -B1 Date Card -BI Date Card -BI Date 1 V =.,OK. i 0 = Not OK = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) Date UND FLOOR Plans OK except #'s _Date FRAM1 G (Continued) Zoning requireme is -Se backs- emants 4 perty Line Firewall & Openings Ftg., Main; o' - el -E Grnd.- / /" Ftg. Depth 49.11fift. Doors -One 3' -Check Garage -3rd story, 2 exits Gf�(3.4:Ktg., Garage; Soils -Steel- / /" Ftg. Depth 500, airs• Width -Headroom -Rise -Run -Landing -Fire Protection g. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5Y.' Pyfvood on Roof Overhang -Attic Vents -Rafter Outriggers S,temwalls, Main; Steel-Blockouts-Wrapped-Slab 5V Siding -Nailing -Veneer G *L6r- temwalls, Garage; Steel-Blockouts-Wrapped-Slab co Mesh -Drip Screed-Fdn. Vents-Underflr. Access PLe s -F' I 5 . Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test - L -Gas -Pipe; Size -Anchors Wvnecr'Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI . Date Card -BI Date Card -BI OW Date a.o 2FCard-BI Date Card -BI Date :vf Card -BI Date Card -BI Date Date Card -BI Date FINA ans) OK except H's Card -BI t Dated /( ��> Card -BI Date —�- Date PLU ING (Permit) OK except p's 5 x s -Door & Sidelight Protection -Landings 5 moke_PBteEtor 1'. ater Ht.; Vent -Access -Combustion Air 58. ace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor -Ducts -Meth. Protection 1, :- ter Pipe; Test & Anchors -Nail Protection 16. - .W.V.; Test-Fttngs & Anchors -Nail Protection 59. B m ting ower Pan; Test, First Floor -Tub Access 60. G. & ath Fixtures & Tub Access 18. Test Tub &Shower, 2nd Floor -Tub Access 6 rim & Subpanel; Breaker Sizes -Labels t9—Bea Pipe; Size & Anchors 6 . Stairs & Rails 63. Fir cgor Stove;Clearances-Hearth 64 I utlets at Wood Panel; Int. & Ext. Card -BI Date and -BI Date 6 it & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. �Elec ets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67.lWarage Fire Door; Swing -Landing -Closer c in Gara e -Damper -20:713ture & Transformer Clearance -Ins. Protection 69.r. H .; Vents -Clearance -Comb. Air-Connector-P.R. .- I ra e; Above Floor -Meth. Protection 2 ec. Receptacles Spacing -Lights &Switches at Doors 2 e Boxes & No. of Conductors -Stapled 7 psteel for Elec. &Mech. Equip. Lisfor Loc ' Listed 2 R z Installed Close to Edge of Studs & C.J. 71. E Receptacles in Garage; me 2 p. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulations rr- es Attic [:]„ 2 2 Appliance Circuits in Kitchen & Conductor Size 3. Guard Rails & Deck Construction -Post Caps Ire Size / /.R. C or AI-A.C. Wire Size / / ga. Cu or Al 7 Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 2 nge Circ. / ga. n Circ. / / ga. Cu or A1, ulated Neu I ❑Yes o 75. Following instld.: Drive es ❑ No; Walks es ❑ No; Planters El Yes No 29' Serv'ge-Riser Conductors & Ground -Main Disconnect 7 , u rown- finish quip. Clearances; Panels-Motors-Mech. Equip. 77, C it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3Q._G4otfes Closet Light -Shower Light 78 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 onnect, Electrical, Plumbing G!p80. 44jer4or Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date % Card -BI Date 81. SpWation throughout House Card B-1 Date Card -BI Date 82. GI rotection Date ME94ANICAL (Permit) OK except #'s83/ -Correct ions from Previous Inspections 84 s st-Meter Tagged; Gas -Electric 3 entC. Ducts; Insulation & Support 8 er er Connected -C/0 to Grade -HD Approval 3 Vent Fan; Exhaust above Insulation r9Y Compliance Certificate -Other Certificates -93-condensate Drain & Overflow; Size & Grade Is . urnaee-Vent; Access -Comb. Air -Return Air Vent -115V outlet Q5. Attic.. Access & Platform if Furnace in Attic Card -BI ate and -BI Date W Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date ate Card -BI Date Card -BI Date Card -BI Date Date FR ING (Plans) OK except q's Comments at Final: 3V ' IS; Proper Material & Anchors 3 s; Studs -Nailing, Spacing & Bracing-Plates-So[.nd earing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 4V,bleader & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-_Rfn_q._ _ eplace Ties or Type A Flue -Fireplace Throat is Access; Size & Romex Protection -Draft Stop -Ins. Baffles AdLdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47V Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Y, �..... .M .rte Owrner.M�Li�r�e,�r�L71�� Permit No. a M a� LOCATION ENERGY C•ER'T'IF LCAT ION i77 DESCRIPTION',OF INSULATION ROOF ' Material Thickness(inches). EXTERIOR WALL Material_ Thickness(inches) " CEILING Batt 'or Blanket Type Thickness(inches) Loose Fill Type Minimum,Thicknesi(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) _ Width(inches) FOUNDATION WALL Material Thickness(inches) A.P. No. Brand Name Thermal Resistance (R Value) Brand Name U C Thermal Resistance(R Value), Brand Name e�') • C Thermal Resistance(R Value) Z_ Brand Name Number of BagsWt. per bag lb. Thermal Resistance(R Brand Name Thermal Resistance(R Value) Brand Name `a Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above. building n.conformance with the State of. California -Energy Requirements. WNER STATE CONTRACTOR'S LICENSE NO. F 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 duality prescribed or are specifically approved by the State of California. FI RAt�fE/OUaNER (Please print) STATI CONTRACTOR'S LICENSE NO. IGNATURE OF GENERAL CONTRACTOR/OWNER ^� ATE 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 1, COUNTY OF BUTTE ii 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 W 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 0�'VA COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orov+lle — Phone: 5344541 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. ...n O Al i0.. J-1,, C A _ <""\�-� 1 -1 .�V �f� d ,C,+.f?/1f u..r♦ rS +t^,.aat S e,4.- Y ri . -Me./` r �y \ f G �cS Cc44a c- ce cccs�' CaY2 N S ucl e o k +(� 1�-. Inspector 1 1 Date JCOUP,ITY OF BUTTE - DEPAh'T•MENT,OF, PUBLIC WORKS:.-'-, 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AERIIAITNO 1 ASSES P-ARCE NUMBER — ^ (/s/_ ('�J- zoNIN� - BUILD'ING PERMIT OWNER r t r TELEP ON - S0. FT. OC BUILDING VALUATION /loin O R'S MAI NG ADDRESS ' ^ t \ CON ACTOR -5 NAM TELEPHONE O CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total VfllUatlOn $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - e 00 $ / . 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee V 1 $ BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16.00 Solar Water Heater 20.00 r Water piping 5.00 0 LOT NO. SUBDIVISI0 NAME 1 (�/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 SE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 S;Q Mobile Home S I G I W 10-00e TYPE OF WORK New rV1 Addition❑l 4emodelE:1 Utilities❑ Installation❑ Other❑ Describe work: 11 — Permit Fee $ sb�0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &DOV OR LESS 100 AMP OR LESS 10.00 j) 06 e Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING 0 OR ADDNS. ( ACC. BLDGS4 2/ZQSgft CONTRACTORS LICENSE LAW I de la under penalty of perjury (check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professi0 s,C d 4n my license is in full force and effect. License No. �JJ 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 CON5TR MULTI—OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. NON-RESID. ( POWER APPARATUS SINGLE OUTLET CIR. &� 200 030 Ex. Occup(OUTLETS OR FIXTURES BA FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 6.010 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor 9 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 $ S De. e, f ` Q. TOTAL FyEliMIT F E $ Occup. ROUP r TYPE of CONST. PARCEL PD HD 1 7. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE40R OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date a`� ^ Receipt No. 9 / WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT l II Materials V+/orkr cnshsp `�h D Be ,� , ., .. �r.;zed-C� -Accordance w� r _ Ciac.. _ ficd case icy o 3 Y#�s fcr t��sNec' _? ,ofqu*11ify prcccr'Ucd. Codes _ } - . - - ,-r r �.. --� ._ r �Pe Y 8 s e�d� seiha a i'larnb;rtg.i Iti�leclianical a + A.- Aiding, , + *®,� ck Unifoem.tus,tiiag; _ r - + + , , . ihroad r ` the Natrona! `Electrical Code.-{ r _ r r 'e�t� 1'�o6i6)! 6-_gear of L. _ }�..-: ,.. 1 _, a:'f---r 'r..'., i.-{.�--i- A- 4- egIiOnen# exc* -F- r . - . - # .� f -rte terve overhang. _ + {... .l. .-. '-...:. + a--, .:. - r. +_ ­-4 .r. "i- ._ t•- : __ ,} {"• T - _,_ T _ L - - i._ T ._ - _{ r I r 1 y 1 ._ -.- _ _Y .._ _ .... r .�.-: i ,—} _ + - �- -r' - - -- r t r,� ._• - t- r 1!i i } r '-(!. 17/ a _ 1 , -_ _ ... .._+.I�c�F}- r r _4-, Y_.,.. _ �_..- :... ,,.. ..�. - i_ _ _._. - 1. _p •!.�- -- _--t-- ,- -r-t- - }<-+- -t- 4- i-. . _ o . -.. _.- _ .-- . - - r � + +--..:_ _ .. r•. � + V 'SSC �y O Q. LM. _. _ _ r. .. _ . .a _ .� � . o _ , r- r �. .. 1 ��.. � _ . .r _. r r _ - �. _... - r•- - Ce +• -' lrl�gl QUJII r �fiS 3@f CS a J. Mus- _ _ kept on the job at all times and i� is unlawfd fF + + t male any changes or alterations-on s a *w'ithot written permisson from the Department of Pnhlir Works; County .of-Buttes. +� (E) Thermal FOR I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION-SUMMARY ❑� Owner 4-1" ` A6- y�� Climate Zone Permit No ... O Floot Area /0(0 - Compliance s. . path: Package ❑ A ❑ B 11C C9'oint System ❑ Budget Other MC = MIN R -VALUE DESCRIPTION . REQ' D INSTALLED ITEMS (1) INSULATION• - Area Ft Roof/Ceiling �,14 R= ❑� g s Wall Location ❑ Slab Floor Perimeter —T " ❑ Raised Floor Type (2) INFILTRATION• Ft.2 ❑ (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. Ly' (C) All swinging doors and windows leading to unconditioned areas HC= R= shall be fully weatherstripped. BUTTE COUNTY MC= Location Tight - the above standard features plus: BUILDING DEPARTMENT ❑ (D) Continuous infiltration barrier ❑ ❑ (E) Electrical outlet plate gasket - Area Ft.2 (F) Air-to-air heat exchanger. APPROVED13 R= MC= (3) GLAZING: (A) Location ❑ Type Area Glazing %Floor Area Single Double Triple - Area G� Total Bldg . R= North Location East 1� South /9 West G�2 ❑ Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights (C) South Overhang Length of projection _��ft. Description ❑ (D) Moveable insulation: Area ftz Description 7/83 (E) Thermal mas ❑� Ty M- Area ry Ft 2 HC= R= io�7 MC = Coca ion . ❑ Type - Area Ft HC= R= MC= Location ❑ Type -Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 7/83 FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion 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-. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A)' -Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacityJP� Q/ Heat Pump. ( 'E A- �' 31io � v— I" (brand and model number) ACOP ��elo -o Btu/hr (heating capacity at 47°F) ❑ Active Solar :;type (liquid or air) Collector brand and ft2 model number solar'fraction collector area collector O *1 orientation rated slope Other collector tilt rated y -intercept (B) Cooling Electric Air -Conditioner - (describe) (brand and -model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) .Electric Heat Pump Cis/- -213 - Z ER Btu/hr (cooling pacity 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.-' Q� (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air. loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 Al (6) DOMESTIC WATER SYSTEM (A) Gas Only FORK 1 Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar l i �=6� e --r 4c_ (collector brand and model number) (rated F -intercept) rated slope) (solar fraction) f�V I,—=w, / L/ 66 ra-1 .X7,.V ft2 (backup heater type, brand and model number) (collector area) �o0-ld.__ 12 /d Ta 4_!�s o (collector orientation) (colLector tilt) Location of Solar Panels /y"' /-'louti„(�.. ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems'shall be externally wrapped with R -12 -insulation or greater. (C) PIPE INSULATION. The five feet.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 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 cqO_°, elevation —Zoo -e.) ', heating load 2a.- BTU elevation factor 66-o x heating load = maximum outlet -capacity gas furnace 2006 BTU USE ONLY AS SIZING GUIDE, Cooling: Summer design temperature `�°, cooling loadz�.�•• -��i4Y BE INADEQUATE, (USE ONLY AS A SIZING GUIDE, COOLING MAY BE JNADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. . 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 GLAZING PIAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) (a) �_ x (b) —,L— x (c) x = (d) x (e) x Total North Glazing = _(SQ.FT.) (a+b+c4d+e) . TOTAL NORTH !TOTAL BLDG` CONVERSION TOTAL GLAZING FLOOR AREA. FACTOR." NORTH GLAZING 3Z //CJS x 100 = SQ.FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) ��_ x 3ayo = �� (b) x = , (c) x = (d) x _ (e) x = .....Total South Glazing. _ L� (SQ.FT.) (a+b+c+d+e) TOTAL SOUTH TOTAL BLDG. CONVERSION TOTAL GLAZING 'FLOOR AREA. FACTOR SOUTH GLAZING l.Z G/OO x 100 SQ'.FT. SQ.FT. FORM 6 3-.6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) xO_3a (b) x (c) x _ (d) X (e) x a Total East Glazing (SQ.FT.') (a+b+c♦d+e) TOTAL EAST TOTAL BLDG CONVERSION. TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING x 100 % SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY f SIZE AREA '(SQ.FT.) (a) _�_ x, (b) X - (c) (c) / x (d) x a (e) x Total West Glazing,— (SQ,FT.)' (a+b+c+d+e). TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR WEST .GLAZING — //,0 d x 100 _ ` cS . 6^ % SQ.FT. SQ.FT. 3-9 Skylights. QUANTITYSIZE. AREA (SQ.FT.) (a) x 1 (b x _ 1 / J3 .. (c) x ) a Total Skyli is = (SQ.FT.) (a+b+c) TOTAL SKYLIGHT TOTAL BLDG CONVERS TOTAL GLAZING FLOOR AREA FACTOR SI ZING x 100 SQ.FT. SQ.FT. OWNER PERMIT NO. ONE 1 OWNER POINTS PERMIT NO. - � 7 ,S, ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R -30r t4. WALL - R-19 5. NORTH GLAZING -�� y' 2.4-3.6% �- 6. EAST GLAZING -Gc� 2.5-3.6%� 7. SOUTH GLAZIPIG - 1.6-3.6%Z S. WEST GLAZING -vr;G 2.9-3.6% 9. SKYLIGHT - 0-1.3%�- 10. SHADING (Exclude Overhang)" EAST - �/ G .66 SOUTH 19-.42 WEST - .13 36 SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) I 14. THERMAL MASS SF^� i i 15. GAS FURNACE (SE) 71-76% 16. HEAT PUIiP (EER) 7.5-7.9% 0' -7 I 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE WATER HEATER ATTIC OTHER . OTAL POINTS =-72 - D A :ably a 3-1. Sl ab dor {pin_ es T able 2. Raised Floor Points I Tn=ala- I R -Value of Insulation I I R -V lue of 1 I tiun I I I a lit 1 Points I Depth, I lncties 1 0-2 1 3-4 ! 5-6 I' 7+ I 1 f I I I I I I I below 3 I -12 I 3-4 I -8 10- 11 I -5 I -5 I -5 -S r12 -15(-S I-3 I-2 I- I 1 8-12 1 -6' I 16 - 19 I -5 j -2 I -1 1 0 1 1 13 - 18 I I 20 + I -5 I -1 1 0 1 +1 i I •19+ 1 0 7/7/83 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I 1 I 19 I 22 1f 1 30 1 0 I I 38 I +2 1 1 49 i +4 I Table 3-4a. Wall Insulation Points I R -Value of Insulation I Pointe I 19 I o I 24 I 30 I + J I I I Table 3-5. North-FacinS Glazing Pts I I Glazing Type J I Total I J I Z of Sngl, Dbl, Trpl, I Floor l U- I U- I U- I Area 10.66 10.42- 10.41 I I 11.10 10.65 I down I 0 +4 +4 +4 1 0.1- 1.2 I +4 ! +4 J +4 I I 1.3- 2.3 I +1 1 +2 I +2 1 2.4- 3.6 1 -2 IO J +1 I I 3.7- 4.8 I -4 I -1 1 I 4.9- 6.1 I -7 I -4 I -3 I I 6.2- 7.3 I -9 I -6 I -5 I I 7.4- 8.2 i -12 I -8 1 -7 1 I 8.3- 9.7 I -14 I -10 I -8 I I 9.8-10.8 t -17 I -12 1 -10 1 10.9-12.0 I -19 I -14 1 -12 I 112.t-13.2 I -22 I -16 1 -13 I 3-14.5 1 -24 I -18 i -15 1 1 4-6`10-3 1 -27 I -20 1 -17 I TTable 3-7. -South-FacingGlazin Pts Teblr a 3-L0. Shading Coefficient Points 1 I Glazing Type I I SC by I Li I • Total I ( ( 0-3.1 I to 16.4 up . I Z of I Sngl, Dbl, Trpl,l I 0 I +1 I +2 I Floor I (U - I (U • r (0 - I :37-:6 I 7-.82 Area 11.10) 10.65) 1 0.41)1 I South I up to 1.5 I +2 I +2 I +2 I I 1.6- 3.6 I -1 1 I 0 1 I 3.7•- 5.2 I -4 I -2 1 -2 I I 5.3- 6.5 I -6 I -4 I -3 I I 6.6- 7.7 I -9 I -6 I -5 I 1 7.8- 8.9 I -11 I -8 I -7 I I 9.0-10.0 1 -13 I -10 .1 -9 i 110.1-11.5 I -17 1 -13 1 -11 1 111.6-13.0 1 -21 I =16 1 -14 I 113.1-14.5 I -25 I -19 I -16 I 14.6-16.0 I -28 I -22' 1 -'.9 t Table 3-8. West-FacingGlazin Pts. I I Glazing Type I 1 Total I J I Z of I Sngl, Dbl, Trp1, I Floor I (U - I (U - I (U - I t Area 11.10) 10.65) 1 0.41)1 i I pints I olnts ( ointsl o iTu up to 1.3 1.4- 2.22.]- 2.82.9- 3.6 I 3.7- 4.2 1 -5 I -2 1 0 1 I 4.3- 5.0 I -8 1 4 1 -2 i I 5.1- 5.6 I -10 i 6 -S I 5.7- 6.2 i -13 1 � -6 I I 6.3- 6.9 I -15 I -10 I -7 I 1.0- 7.6 I -18 I -12 I -9 7.7- 8.2 1 -20 'I -14 I -11 1 I 8.3- 8.8 t -22 1 -16 I -13 i I 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 J _-27 -20 I -16 I 110.2-11.0 I -29 I -23 I -17 I 1 11.1-11.8 1 -35 i -26 I -21 I 1 11.9-12.7 I -38 1 -29 I -24' I 112.8-13.5 I -42 I -32 I -27 I 13.6-14.3 I -46 1 -35 I -29 I i 14.4-15.2 I -50 I -3S t -32 I I Orien- I Floor Area teflon 1 I East I I 3.2 I ( ( 0-3.1 I to 16.4 up . I I I 6.3 t 1 0 -.19 I 0 I +1 I +2 I 0 0 I 0 I ♦t J30 I -.-W I �-a� I 0 i 0 :37-:6 I 7-.82 I 'ii -1 0 I -1. ( .83 up I 1 0 I -1 I -2 1 I I I South 1 0 1 3.2 16.4 18.0 19.1 I I to i to I' to I to I up I I 13.1 16.3 i 7.9 19.5 I 1 0 -.18 1 0 1 +1 I +2 I +2 I +? I .19-.42 1 0 1 0 1 0 1 0 1 C I r. -V366 I I -1 I -2 I -z ' -2 I -4 I -4 I -e West ( .1 11.6 1 3.2 16.4 18.0 I to I to I to I to I up 1 1.5 1 3.1 1 6.3 1 7.9 0-.12 1 0 1 +1 I +3 I +6 1 +7 3-.3 1 0 1 D I 0 1 0 .37-.57 1 0 1 -1 II -6 I -7 .58-.82 I -1 I -3 1 6 -12 I -IS .83 up I -2 I -4 1 -8 I -16 I -.20 I t I I i Skylight 1 .1 I .8 11.6 I. 3.2 14.7 I ft r I to I to I to i to I to I .7 11.5 1 3.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 -6 1 .58-.82 t -1 I -3 I -6 I- 2 f -. .83 up I -2 I. -4 I -8 I -16 I -20 I I I I I I I I I I Table 3-11. Horizontal South Overhand. Points Table 3-9. Skylioht Points I I South Glazing Table 3-6 East-Facin GlazingPts. I Length Out I Area, Z of Floor I I I Glazing Type I I from Wall I I I Glazing Type I I Total I I I ft r ��I • T al I I I Z of Sngl, Dbl, Trpl, I 1 0-6.3 1 6.4 up00 I of I Sngl, Dbl, Trpl, I Floor I U- I U -I F1oor I (U - I (U - I (U - I I Area 1 0.42- 10.41 I 0 - O.S -2 -4'Area 1 1.10) 1 0.65).1 0.41)1 1 �Ouo;6- 0 1 0.65 I down 1 1 0.6 - 1.0 I -2.. I -3 I 1 i 11Pq nts Point: I ointsl T1 11.1 - 1.9 1 -1 I -2 I I 0 I+ 4 +4 t4'1 1 up to 1.3 I -1 0 I 0 I 1 2.0 up I 0 I 0 I I I up to 1.3 I +3 I I +4 I I 1.4- 2.2 I -3 I -2 I -1 I I I I I T 1 1.4- 2.4 1 +1. I +2 +2 1 ( 2.3- 2.8 I -6 I -4 I -3 I Table 3-12. Movable Insulation 1 1 2.5- 3.6 1 -2 I I 0 1 I 2.9- 3.6 I -9 1 -6 I -5 I Points 1 1 3.7- 4.6 1 -5 I -2 i -1 1 1 3.7- 4.2 1 -11 1 -8 I -6 1 1 4.7- 5.6 1 -8 i -4 I -3 1 1 4.3- 5.0 1 -14 1 -10 I -8 I I Moveable Insulation•1 1 1 1 5.7- 6.7 I -10 I -6 1 -5 1 1 5.1- 5.6 ( -16 I -12 I -10 I I Area, Pof Floor ( Points 1 1 1 6.8- 7.7 I -13 I -8 1 -7 1 I 5.7- 6.2 I -19 I I -12 I 1 7.8- 8.7 I -15 i -10 ( -8 I 1 6.3- 6.9 I -21 I �14 16 I -13 I 1 1 8.8- 9.7 1 -1.7 1 -12 1 -to 1 ( 7.0- 7.6 1 -24 ( ( -15 I I 0 - 5.5 0 1 I 9.8-11.2 1 -21 1 .-15 1 -13 ; I 7.7- 8.2 I -26 1 -20 I -17 I 1 5.6 - 11.5 +2 1 111.3-12.7 1 -25 1 -18 •1 -15 I I 8.3- 8.8 I -28 1 -22 -19 I I 11.6 - 17.5 I +4' I 112.8-14.0 I -28 _) -21 1 -18 I 1 8.9- 9.5 I -31 I -24 1 -21 I i 17.6 - 23.5 I +6 1 14.1-13.3 I 732 1 -24 1'-20 'I I 9.6-10.1 I -33 I -26 I -22 I I >23.6+ I +8 -h-- --- - -- - �- .�._..�----------�_ -- -1 Table 3-13. Infllttation Control Features Points I Coctrol'Features I Points I Standard �1 1 -..9 air changes per hr I I I I T-'-" I -Tight I +12 I I I I I 0.6 air changes per hr I I i I I Table 3-15. Cas Furnnce Without 7� Refrigeration Cool!ng Points 1 I Seasonal Efficiency I Points I I (SE), t 1 I I I I 71 - 76 0 1 I 77 - 82 I +2 I I 83 - I +4 I I - 9, I +6 1 • I 95 up I +8 I I I I ti Table 3-16. Heat Pump Points I 7-14 2 2 I Energy Efficiency I Points I I Patio (EER) I I 7.5 - 7.9 I +3 1 I S.0 - 8.3 I +6 I I 8.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +13 I I 9.7 - 10.2 I +18 I I 10,3 - 10.8 I +21 I 1 10.9 - 11.5 I +24 I 1 11.6 - 12.3 I +27 I I 12.4 - 13.2 I +30 I Table 3-17. Cas Furnace With Refrlveration Coolinm Points ;Refrfgeracionl Gas Furnace I 1 Cooling. I SE S I I7 1- 7-183- - 95-I� I 1761 e:l •I 941 uo I 1 8.0 - 8.3 I +21 +•41 +61 +8 1 1 8.4 - 8.7 +21 +41 +61 +s1+10 I 1 8.3 - S I +41 +61 +61+101+12 1 1 9.? - .7 1 +61 +81+101-121+14 1 I 9.8 10.3 1 +31+a1+121+141+16 1 110.4/ 10.9 I+1Gi+121+1=1+16i+19 1 111.0 - 11.6 1+121+141+1614181+20 1 •I I ! I ► I - 7/7/83 TABLE 3-14 (ADAPTED) MASS AREA so. FT. I A B C D s.0 ?D0. ISO fj7 _ 200 259 300 350 400 500 600 190 130 500 1,000 1,100 1,200 1,700 1,:00 1,500 2,000 2,50'0 3,000 3,500 1,000 4,500 -5,00_ ZONE I1 INTERIOR THERMAL MASS POINTS DWELLING AREA SQUARE FOOT 1,500 1 2,000 1 2,500 I 3,000 3,500 Sic D A B C D A B C 0 A B C OIA B C 2 2 2® I 7-14 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 I 56 - 63 4 4 2(D 'Z 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 6 6 6 4 4 4 4 2 2 .2 2 2 2 2 2 2 2 7 2 2 2 2 2 B 8 6 4 6 6 4 2 4 4 4 2 4 4 2.2 2 2 2 .2 2 2.2 2 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 7 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6. 2 6 4.4 2 4 4 4 14 1412 6 8 10 10 8 6 8 8 6 4 6 6 4 4 6.6 8 4 2 4 4 4 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 24 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 8 6 8 8 6 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 103 30 50 26 18 ?2 20 20 14 10 16 16 10 14 14 12 8 12. 12 10 6 12 10 10 .32 37. 28 2O 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 16 14 14 8 14 12 12 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 16 16 14 34 34 32 22 30 30 2618 26 26 22 16 22 22 20 14 120 20 18 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22 32 30 22 3030 26 28 6 24 174 32 32 30 281 0 30 30 26 32 72 30 A) 1. 3's• Concrete Slab: HC•8.93; R-.29; Factor -7.3 2. 3 3/4• Thick Common Brick: IIC-1.125; R-.13; Factor -7.3 81. SS'Concrete Slab: NC -14.106; R•.458; Factor•7.1 C 1. S. Solid Filled Block: HC•2C.67; R-1.92; Factor•6.1 2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: liC=?9.164; R-.96�• Factor -6.1 D) 1• Thick Concrete/Tiled HC -2.55; R-.083; Factor. -3.7 Table 3-19. Zonally Controlled Electric Restatance Space lleatinq Points I Points for this measure will I be completed after the CEC I I has approved an Alternative 1 I Component Package for Resistance I I Beat. I Table 3-15. Active Solar Spnce Heatlna with Cas Points I Net Solar Fraction I Points I I (NSF), Z I I I I I 0-6 4,000 0 I I 7-14 I +2 i I 15 - 23 I +4 I I 24 - 1 +6 I I 31 39 i +8 I A B c C I 48 - 55 I 432 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I I I +20 I I r -&I- I -•+n e.-1.- v--„- u.....4-- u4.0 r.- e.1-.- wood owe 4133 pointsy ack up) Casablanca a t Multifamily (per unitpoints) 4,000 I 4,500 I Cas Only 1 0 i 5_,000 ! 0 A 8 C 0 A 6 C G A B c C 0 -s0 I fr.Z O 0 0 0 0 C 0 5 0, 0 0 0 0 2 2 0 0 2 2 0 0.0 800-999 0 0 0 2 2 2 2 0 2 2 2 01 2 1 2 0 1 2 2 2 2 2 2 2 2 212 +4 - 2 Si 2 2 2 2 2 2 2 2 2 2 - 2: All of u (per building points) 2 2 2 •2 2 2 2 2 2' 2. 2 2 2 2 4 4 2 2 4 4 2 7 I 2 2 2 2 2 4 4 4 2 I 4 4 1 2( .' 4 2 2 2 6 6 4 ZZ 4 4 4 2 I 4 4 4 j 4 6 6 6 4 I 6 5 4 2 1 6 6 4 2' 4 8 6. 6 4 1 6 6 6 4 i 4 e 6 6 4 I 8 6 6 O I 6 6 u 4 1 6 I 0 8 '8 4 8 8 6 41 8 8 6 [ i 6 10 10 8 6 8 8 C 41 8 C 4 i 6 10 10 10 6 11 10 8 6 !0 e r I• B '12 12 10 6 10 10 8 6 In In 8 6 6 12 1210 6 112 10 10 6I 10 10 :, v 8 14 14 12 8 12 12 IG t. 10 11 17 S 1 8 14 14 12 a (?? 1: TO G I ;7 12 1'. o i 12 18 18 16 10 i IC 16 is C 14 14 12 8 1 14 22 22 13 :2 20 20to !: t9 ?� It 'D 16 124 24 22 14 22 22 20 It Id 28 28 74 16 26 24 22 1S 1 74 ;4 70 14 ` 20 130 30 26 18 78 28 24 lE 75 2a 2: if 32 32 28 10 30 30 26 It j I2 17 21 i 20 I IJ 3" 76 1= wood owe 4133 pointsy ack up) Casablanca a t Multifamily (per unitpoints) Points I 1 I Cas Only 1 0 i 1 Beat P.mp I I Floor Area I I Solar with Electric I Net Solar Fraction (NSF), Z 1 per unit. I menta I I I I Electric Resistance I l I Only I I -s0 I fr.Z 0.9 10-19 20-29 30-39 40-49 5 60-69 10-79 , 600-799 0 +3 +7 + +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +-2 +6 +8 +IO +12 +14 1,500-1,999 0 +3 +4 +6 +7 +8 +10 2.1109 -and u *I +2 +4 +5 +6 +7 +9 All of u (per building points) _ 800-899 0 +5 +10 r14 +19 +24 +29 i +34 900-999 l,t)OD 1•,199 0 0 +4 +4 +S •1.7 +13 +I.1 +17 +15 +21 4.19 +26 +3G +22 +26 1,20ir1,499 0 +3 +6 +9 +12 +15 '+18 +21 1,500-1,999 0 +2 +5 +7 +9 +l'.' +14 +lc 2.1in0-',999 0 +2 +3 +5 +7 +8 +10 +I1 3,000 a..d uo •_0 +: !3_ +4 +5 I +7--L +S +10 1 Table 3-21. Other Hater Heating pts. I System Type I 1 I Points I 1 I Cas Only 1 0 i 1 Beat P.mp I I 0 I I I Solar with Electric I Resistance Backup 1 1 Meeting the Require- I I menta I I I I Electric Resistance I l I Only I I -s0 I sE I CkP SOLAR PLAN C!!t-CK SHEET NOTE: 1. Solar systems with electric resistance backup and some component packages with gas backup require 607 NSF (line'12). Use of tables on back of this sheet may be used when 60% NSF is required. 2. For point system, solar systems with gas backup use the % NSF shown (line 12) in point table 3-20. "Rule of Thumb" sizing estimate per C.E.C. Residential Regulations 1, Hot Water Usage: Single-family (w/laundry, etc.) = 50 gal/day Multi -family (w,o< laundry.<<) = 30 gal/day 1, <T gal/day 2, Water Temperature Rise: a Delivery J 4o F. -b. Supply F < 2 e�a,�� F. 3< Energy Required: 1. S'0 x 2. P x 3;04 btu = 3. 12 Kbtu/yr 4, Average Solar Radiation Daily for Mo< of Jan..4. Jae- btu /ft2 5. % Effectiveness of Collector for Tilt + 100 _5< 0./ U 6. % Effectiveness of Collector .for Orientation + 100- 6. _ 7. Gross Solar Energy Available: x 5 x 6 / = 7. rij - btu/ft2 8, Tipse Values (On Manufacturer's Data for Collectors:) a< Low temperature efficiency + 100= 8. 0. (a) B. Medium temperature efficiency + 100= 0> (b). 9. Usable Fraction of Gross Solar Energy: (8(a) ,'/ + 8(b) 49 ) x 0,34 9 . 10. Net Solar Energy Available: 7. • 4/ x 9. S2j- _ 10. 3�is- Kbtw/ft2.. 11, z Coller_tor Area /d.r .ar ft. x 10- -2i,- - - 11, eO P4/ K btu 12. Percent of Total Demand: 11. D _g 3 02)10 x 100 = 12:Z4 % .7/83 Minimum Collector Area, sq. ft'. (60% efficiency) C1.TM4TF' 7( F. 11 I -Collector I COLLECTOR F -INTERCEPT Slope I50— I . T— •50 —_5� 49 I43 I1A 39 1 3 6 {-33—) I .55 I 83 { 69 I 58 I 51 { 45 40 { 37 { 34 `I .60 I 89 I 73 I 61 I 53 I 47 I 42 { 38 I 35 I I .65 I 95 I 77 I 64 56 I 49 43 39 36 .70 I 102 82 + 68 58 I 51 45 41 37 I .80 I 118 95 76 64 I 55 49 { 44. 39 I .:8 5 &'� I 12 8 ( 51 45 41 tfu 107 { 85 71 53 , 47 42 I ..95 I 149 I 114 { 90 ( 75 64 55 49 44 I 1.00 I 164 I. 122 I 96 I 79 ( 67 { 58 { 51 I 45 I 1.05 I 180 I 131 I 103 84 ( 70 60 I 53 47 I 197 I 142 I 110 89 74 63 I 55 49 I1.10 1.15 I 216 I 154 { 118 I 94 78 66 { 57 50 I 1.2.0 ( 239 I 167 I 126 { 100 I 82 69 I 60 52 { 1.25: { 268 I 184 I' 136 I 106 I 87 ( 73 62 54 { 1.30 i 305 I. 202 I 146 { 113 I 91 { 76 65 57 { 1.35 . I -- _ I 220 { 157 { 121 I 96 I . 80 68 59 { 1.40 { -- { 240 { 170' I 129 I 102 { 84 ( 71 I 61 { ! -- 264 184 138 I 109 89 75 64 I1.45 1.50 I -- 295 I 200` 148 I 116 94 79 67 NOTE: Values shown in table indicate square feet of collector area required when direction of collector is within 22�* of due south and with slope of 4 : 12. Multiply areas by the following factors when slope differs: 0 ; 12=1.05 5 : 12=0.97 2 : 12 = 1.04 6 : 12 = 0.94 3 12 = 1.02 12 : 12 = 0.75 90 60 30 22� 0 22� 30 60 90 West South East EffQct of Solar Collector Orientation on Annual HPhaLinqq Performance (use when orientation greater than 2.2L-° of south) NOTE: To obtain minimum co lector size, divide percent reduction into minimum collector area determined}by table at top of page. . �� r,var1 y sr�s f¢r �!'� � r�� /, 3 x t�T c.•�s 8 �7 7/ qe 30 �l � = � " Y(= Of 5S " jc 1 = '74 , wau- /¢3x8 = //4¢ 3L A -2-A, 9 e- 14 -- - N= 0,(.2- 104,9 .62-/048 W s�c.� CGi C.,/.✓ q �i�'/1%i �,y,�.f� ��/�!� %Z� � .:fl//� � •, /�.. %�.. %`3.JAR D `�' CDi 5�f a,i+..-ic.,, mr �u) 01 V 2 / / o 48 l 3 (u� 3 0 -30 �. / 9 s� �7 2 �z-------- i y2 q4, 3� °, o y� 30 C Rq 3 k- G -1r x i, 3 = /�� 7 9� r ; If 9!b' (u)f1cT Gos 30 i/2 . ,� S74 �Xl L N 1400 O. 0566 6 iso x o, o4S 3 7,f d X�• 3 l �o� "3: 9 'ErV 60 _ ,�iit = 89v� wry 38 i3ry 0/14-�r L r NOn— SL/�i� i�•Gy i3�c�i�rc Zv/v�r,4/vc /7I v `� Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT S 4 3` r FOR RESIDE IAL, DEVELOPMENT -�3C OFFJC- Section 26 -8.1 -of the Butte County Code requires this acknowledgement -:''•C :nn:gr'��:e; �E;; ;; be recorded prior to.issuance of a -building permit. fir) «fQ. 0 T 1 I �� pit 19 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this Eiz:'+h�;;i property may be subject to inconveniences or discomfort arising from CLFliK the use of agricultural chemicals, including, but not limited to herbicides, pesticide;f 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 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: Lots 1 thru 6, as shown on that certain Map entitled, "COPLEY ACRES UNIT 2, PHASE 2", - which Map was filed in the Office of the Recorder of the County of Butte, State of. California, on September 24, 1984, in Book 95 of Maps, at Pages 62 and 63. Date: October 17, }984 PROPERTY OWNERS: X Frieda E. Hart State of California ) On this the 17th day of October. , 19 84 , before SS., me, the undersigned Notary Public, personally appeared County of Butte ) FRIEDA E. HART LXX Personally known to me. to be the person(s) whose iia the within instrument and ac executed the same for the p IN WITNESS WHEREOF, I here n Present A.P. No. 036-54-0-023-0 /.Proved to me on the basis of satisfactory evidence. I (s) is subscribed to wledg that e oses ein co t n d. set y hand a d f ici 1 sealau 0 c� R Daniel F. Hunt,• NotaryIPublic .END OF DOCUMENT OFFICIAL SEAL �..,: DANIEL F. HUAlT NOTPUBLIC - CALIFORNIA PRINCIPAL OFFICE IN =� BUTTE COUNTY MY COMMISSION EXPIPES OCT. 1; 1986 FRIEDA E. HART LXX Personally known to me. to be the person(s) whose iia the within instrument and ac executed the same for the p IN WITNESS WHEREOF, I here n Present A.P. No. 036-54-0-023-0 /.Proved to me on the basis of satisfactory evidence. I (s) is subscribed to wledg that e oses ein co t n d. set y hand a d f ici 1 sealau 0 c� R Daniel F. Hunt,• NotaryIPublic .END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONi AND PERMIT PERMIT NO.� ASS SSOR Pip g.CEL NU BER ZONI BUILDING PERMIT OWNER 1 1 t TttELE HONE J �J SQ. FT. OCC. BUILDING VALUATION OW R'S IVIAItT. G ADDRESS rot)I COt ACTOR'S NAIfE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON4TrUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER ® yk C+ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS os-� �asl? r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6,00 Solar Water Heater 20.00 Qto IJ fla Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP —MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New ❑ AdditionJRe odel ❑ Utilities ❑ I tally io F-1 V Other Describe work: a �a c Permit Fee $ /160,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONSDWELING OR ADDNST ( ACCLBL GS.0 2'/20sgft ./ CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 1 am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS Code �and my license is in full force and effect. and Professions J License No. yV/226 / 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 U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APP ARATNON-RESI D. (SINGLE OUTLET CIRUS & . Ex. OCCUp�OUTLETS OR FIXTURES SA 030 FIXED APPLN S. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in consequence of the granting of this permit. XDate S—% -FIS' Signature of Applican 7—/' Owner❑ 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 I TYPE OF CONST. PARCEL PD MD 95D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO O PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date i/ 16— 11 Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT lgj I i 1 , r; { , 1 , 1 r t r + F- t t-NOTE:—All Materials–& Workmanship SF Cf -,Re iii 7 t Accordancle witht.Reco.grize� Good Ptactices of a r I and I { goal' Y p escrlb, d for the S ecified u 4Uniforrh Bui ding, Plumbing &i Mechanicse in al Codes and } ' the National E.lec#rical Cods; t t f- t r f- t -F I { 1 � 1 I t I I I f Thisrset of plans and specifications MUST be- kept e-kept on the job at all times and' it Is unlawful to I r + - t t r t- �` f• t +_•> � t- � � -- -- - 1 1 make cprnv rrhhnges or blterrtions on same wi thout t I 1written permission from the Departm nt of Publii I Works; County of Butte: f 1 ' ' NJ A setback of 5 ft. from,the 1 I 1 + I t f t + + property lines and a setback of 50ft. from the road - -- ' centerline shall be clear of s 1 r structures o`r equipment except + for a=2 ft.•eave ove'rhan'g. ? t + + , I t 4 77 ...t 41 1- — - — «_ 1 L t a . 1 a 1 I r t -+ i - , — .� I + + 1 h + + + 1 + .. +—'', O' r t r t r BUTTE COUNT ' 1 ; .--�- +--t- 4 � ; -�-�BUILDING DEPAR , ENS /0,Z 7f7 BtZ F ' + r t r ; t ©- ! "f ( 7 - 8 Z,- I 1 f r ' - +- ' I , i 1 r , { f� r { • . � 1 ! II �� t t � i 1 f r 1 , -4. - : I � Submi} e - _ L. ngineered detail of trusses I ! ! { f +for approval prior' -to Ierection. siid4c� al:r7zt 1 t �� RAC A -f I fi 2 i I tee Master Plc n on,ile Tor 6u1j'srjg { + + ! f I r +- }- FutuRE t + - t j.� j -+ - f- -� .t - } f r BUTTE COUNTY 'BUILDING DEPART -M T4 � t t- } ' I I I 5� • r r t i -l._ ' I Telephone ' 5332000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965' DISTRICT APPROVAL AND 56-84 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: FRIEDA E. HART MARTIN' 91 Canvon Drive. Orovillep CA 95965, Applicant Phone No.: 589-3759 Property Location (s): /OS -'Melrose Avenue, Oroville, CA 95965 A. P. No. (s): Fees Paid: Copley Acres Unit 2, Phase II, Lot,6 (N) J,/ - 7�— �,9 3 36-54-23 900.00 SC -OR $250.00 Application for service approved; October 17, 1984 ional Facility Charge =.-.,Connection Fee Due t North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: 19- Y") By: (M North Burbank Public Utility District release to close permit: Date: �,�� 9 J 9S7 By: -- ahs 11