HomeMy WebLinkAbout079-210-0477 ... ,. _ -Z6---94-149sort. � r,
NOWYKA HO
Lot
� (9-7 #47 Forest View -Dr., Vista
Mea , ,rove
Pe
rmit
;
l
#306-76B(n-' single;famil-y}
Contr: Gridley Plumbing
Permit ##1050-76P(plbg for- 306-76)
f
ars
t
Contr: Fox Electric
®i
Permit #3722-76E(ele for 306-76) �.
- -5ort)
Contr: Park Sheet Metal
LPermit #4013-76M(mech for 306-76)x'
S/F
2556-91B,E
• ,TT'STEVENSON-,
r i 'T F6:'4'1.� •'t i t 'j 4 r. �w• ��
'STEVENSON•,B•ryan ,�1.....
�261� F6rest View. Dr, �Oroville:
,1 t' (addition, re'^SI#31-.91)'�4`a�
1
4
i
J
RESIDENTIAL
36-70-47 ^ 2556-91B,E
STE,VENSON,Bryan
2610 Forest View Dr, Oroville
(addition re SI#31-91)
JOB FINALI
Signature
y
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single &. Duplex)
' =
Date UNDERFLOOR (Plans) OK except tt's '
1. Zoning -Setbacks -Easements -Flood -Slope
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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
-------------- - ----------------------------
17. Water Pipe; Test & Anchor -Nail Protection
----------------- --------------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
-------------------- --------------------
19. Shower 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 ft's
-- - -- 22. Fixture & Transformer Clearance -Ins. Protection
-------------------- -------- --------------
- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------- ------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
----- --------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-----------
-----------------------------------------------------=---- ---
--- 26. Equip. Ground made 'up w/Mech. Fasiners_Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------- -------------------------
28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
29. Range Circ. / r 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-1
------- ------------------------------------------------------------ ----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except h's
34. -.A. -C.- Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
----------------------------------------
36.
---------------------36. Condensate Drain & Overflow. Size & Grade
- --------------...----
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------------ -----------------------------------------------------------------
38. Attic -Access-&. Platform if Furnance in Attic
--------------------------------------------------------------------------------
Date Card -B-1 Date Card B-1
-Date
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
------- ---------------------------------------------- ---------------
--------------------
40. Walls--Studs-Nailing.-Spacing-&. Bracing -Plates -Sound
------------------------------------------------------- ---
41. Bearing Walls over Girders & Floor Nailing
------------------------------------------------------- -------
42. Draft Stop in Walls (rat proof)
---------- -------------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------- ------------------- -------------- ------ ---- ---------------
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof 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
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
_ 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except N's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------------- -
53. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
---------------------------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-------------------------------
66. Elec_ Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
---------------------- ------------- -
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
---------- - ----------------- - ---
72. Garage Fire Door Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
- ----- ----------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
--------------
75.
------- 75. Plb-..--E-l-e-c. &- -M--e-c-h-. Equip.Listed for Location -
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
----------------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
------------------------------------------- ---
78. Guard Rails & Deck Construction -Post Caps
-----------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
---------- -- --- -------------------- --
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------------------------ - g ----
85. Exterior Elec. Trim: G.F.I. Receptacle -Under round
---------------------------------------
86. Ventilation Throughout House
- -- - - - --- -- - --------------------------------------
87. Glass Protection
-.. - - ---------------------------------
88. Corrections from Previous Inspections
- - --- --------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------------------------------------------ ---
Date Card B-1 Date Card B-1
-------- -------------------------------------- ----
Date Card B-1 Date Card B-1
------------------------------------ - -
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
O=Not OK `
= otApplicableMOBILE HOMES NRead
' 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: / /" L" 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
a;
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.-Con nectors
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
i
9
Building Owner
Building Location
ENERGY INSTALLATION CERTIFICATE
Building Permit #
y
DESCRIPTION
OF INSULATION
ROOF
Material
Brand Name -�
Thickness(inches)
Thermal Resistance (R Value) -64-
$EXTERIOR
EXTERIORWALL
Material
Brand Name C-02N/n/6
Thickness(inches)
Thermal Resistance(R Value)/2-/a
CEILING
Batt or et
T,usulrt-r�or./
Brand Name -7
Thickness(inches)
Thermal Resistance(R.Value) -30
Loose Fill Type
$-
Brand Name . -$--
Minimum Thickness(Inches)Number
of Bags -4- Wt. per bag -e5'+-- lb.
Area covered(ft.2)
Thermal Resistance(R Value) _�—
FLOOR, ELEVATED
Material
-
Brand Name -
Thickness(inches)
$
Thermal Resistance(R Value) -e!}
FLOOR, SLAB
Material
• Brand Name $
Thickness(inches)
Thermal Resistance(R Value)
Width(inches)
FOUNDATION WALL
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
zs_..consistent with- approved --building -.department--plans-and attachments and con=
forms with requiremen
,L--, of Chapter 2-53 of State of California Energy Requirement
R STATE CONTRACTOR'S LICENSE NO.
7-'71
SIGNATURE OF INSTALLATION APPLICATOR DATE
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.
Si, V14111
BUILDING CONTRACTOR ER Please Print)
(FIRM NAME)
;
SIGNATURE OF BUILDING CONTRACTOR/ NEk
HVAC FIRM NAME/OWNER (Please Print)
,
STATE CONTRACTOR'S LICENSE NO.
Y -7 -Si
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC 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.
SEPTEMBER 1988
0 .
August 9, 1991
RE: Stevenson Residence
2614 Forest View Drive
Oroville, CA. 95966
To Whom It May Concern;
It is believed that the gravity gas wall furnace existing in this
residence meets the requirements set fourth in CEC 2-5352, and will
maintain a temperature of 70°F three feet above the floor throughout
the conditioned space of the building.
Sincerely;
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541
` APPLICATION AND PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER ZONING
36-70-47 ARWJ
BUILDING PERMIT
OWNER TELEPHONE
BRYANSTEVENSON 534-3313
SQ. FT. OCC. BUILDING VALUATION
342 M—R 6840
OWNER'S MAILI` ADDRESS
P.O. BOX 5051 OROVILLE
CONTRACTOR'SNAME
1400991 OGINER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
E
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $ 62.50
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $ 31.25
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 65 FOREST VIEW DRIVE OROVILLE
14
Permit tee $ 118.75
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
SFP Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I GW
0.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other®
Describe work: (,nNVFRT cARAu. Tn FAMTT.Y RnnM
RE- SPECIAL INSPECTION
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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.
Icense No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTDWELLING OCCUR.&)OR ADDNS. (ACC. BLDGS.
,/
Z0sgft
NEW CONSTR. U TI -OUTLET
NON.RESID BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS °
(SINGLE OUTLET CIR. I
Ex. OCCup(OUTLET's OR FIXTURES
20050t
eALoso
Ex. OCCUp. OUTLETS P(RESID.IREA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 18.50
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
f Consent to Self -Insure.
II 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 a ove-mentioned property for inspection purposes.
i
I also agree to ave, in mnify and keep harmless the County of Butte against
2 all liabilitie udgmen costs, and expenses which may in any ay accrue
against sai ounty in onsequence of the granting of this pe mit.
j
X Date -7&,,1h
Signature of Applicant — Owner ❑ Contractor ❑ Agen
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 $ 30.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL F $
167.25
HAz. CUA PARK
SC H
F
I H ss rl
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.
DIRECT F PUBLIC WORKS
By Date
P T EXPIRES Date 7-3 c, Z�
Receipt No. 96832 167.25
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
^as—rti•.......7.�.••iq,,r.t•,,,,.,n•„�7r,..:Yt""3� �f''}^."Yr('``'`'�"�"�-ty.:i^�e�? "4
COUNTY OF BUTTE,- DEPARTMC5NTOF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROA4LL--141ALIFORRNIA 95965 - TELEPHONE: 916/536-7541
d
PERMIT APPL' (CATION DA_ TA SHEET
' Permit No.
OWNER A. P. No., G -/Q 7
Proposed Building Use CMve_ ( Y\ Gy -Ci 2 Frn-Ufnl- Building Inspector Date 7-ZL9
At time of permit application, I was advised the following data must be submitted 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 talcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting 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
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Par fees p I . ....... Scho .........fees ................... - —
13. (� O ►� School District fees paid .
14. Sanitation approval from Health Department
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. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required...Pre-Inspec. request to
tiBuilding Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to own r. Mail to contractor.
_ Telephone_��3-6 22 and hold for pickup at ffice. Deliver w/inspector.
Other
Appl icant_�&_ Date 7 ZT S %
Copy of ! laz-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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items reat,ired-
contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _mail_c inter by date
Ets checked by Date Plans approved by� Date e
Sets of plans on hold in File cabinet --" AP folder
Copy—DPW
COUNTY OF BUTTE '- Department of Public Works
7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541
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.
I personally plan to provide the major labor and materials for construction of
�<-- the proposed property improvement (yes or no)
( 2.J IaveApropos ave not) signed an application for a building permit
for�heed work.
3. I have contracted with the following person (firm) to provide the propos.ed
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
Sign
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.
BUTTE'COUNTY'SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(Onq Form per Building)
A.P. Number. 707 Building'Department No.
School Districtoro 0wol'1 A�L city county [0 Jurisdiction
Property Owner 1,)f_nA, j7-4 Vekj _ S OV X
Project Location/Address 26itt.'roy-,estVi, w Dr, Vill f- CCA I
Subdivigion tot Number
Residential Development:
-Sq
Footage 3q'�,
of Living MHI Addition'. (Group R)
Units Cahverf 6A nage-
Commercial/Industrial:, Sq. Footage
New Addition (Including Exterior
Roofed Areas)
���/ 7-) Lf -� c
Vilding PpArtmfft Representative - Date
(Floor Plans'reviewed.by School District Personnel)'
DId No. 9 20 277
jX0 V
_N (Applicahnt'Vame)
School District certifies that
t enone Number)
N
PAID BY CHECK NO. REMARKS:.
7—
BANK' NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEt (8/88)
(Street
Address).
(18W
(City)
(State)
(Zip Code).
has complied with
the require, en.ts
of-Resoluti.on
No.
by -the payme t of
$
repres'enting
square feet.
/School Dhstrict
Representative
Date
PAID BY CHECK NO. REMARKS:.
7—
BANK' NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEt (8/88)
�,�`��, cam' yT 'R p�g�"�+k�Y�n.�y� _}�''�.s'�nr,�xj.,:� ti�r.;�sx�.� +ri`i.��k _Sraj�.-sa.�rr,-�C' �:,c�'�.` ':iy�-. ;t3g'��-t�+.:34�•+��,:;'a"'w � �.—,p
T r r� Y
7 County Center Drive, r,roville, California 95965CA-11
Telephone: ;538-7541 1.
APPLICATION FOR SPECIAL ' INSPECTION A '�� ORA50 �—p
i ' e13 2-
Owner A. P. No. D .3(a.' Z6 ''jO'U`�'
Mailing Address Z(_ ( �or?,c STV IE=r.J D(L Telephone No.-- 34 -S09 Z
Mailin
Buildin
I hereby request a special inspection of, the following building:
1. Dwelling (if only aportion, specify) GA(ZAQ� CoNUGZS)o , I -o }'►`+,v��yVM.
It
2. Apartment House (if only a portion, specify)
•3 .
Commercial (specify present occupancy)
4. Other (specify)
I am requesting a special inspection for the purpose of:
.1. Moving the building.
Q 2. Financing (specify agency) —"- --Gase No.
ti w.
LTJ 3. Change of occupancy to
FZ-3
4. Other (specif'y')
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required .by the County of Butte, as a result of this inspec-
tion,' to comply with building and housing code requirements. . I also certify that prior
to the use or occupancy of this building, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above required corrections, alterations, or repairs within 30•days.
I certify that I have read this application
and hereby aqthorize representatives of the
Z:pro erty for inspection purposes.
Z:
s
1
Signature of Owner.
00
Fee Paid $
lst=DPW/2nd-Inspector/3rd-Applicant
and state the above information is correct
County of Butte to enter upon the above-
Date
Receipt No.ALI
AV
A
Suite, county
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
July 23, 1991
RONALD D. McELROY
Deputy Director
Bryan Stevenson RE: Special Inspection #31-91
2614 Forestview Drive (A.P. # 36-70-47)
Oroville, CA 95965
Dear Mr.'Stevenson:
With reference to. the above subject and - your request- for inspection of the
garage conversion to a family room at 2614 Forestview Drive, Oroville, the
inspection was made on July 16, 1991.
The conversion was constructed by you without permits and inspections from this
office, so we were not *able to perform the required inspections during
construction. t
We therefore made a reasonable visual inspection, without going on the roof,
under the building, or in the attic and found the conversion appears to conform
to the intent of code requirements, except for the following items which must
be done or r solved:
Verify wall heater adequate to heat increased area to 70° three feet
off the floor.
(2) Verify conversion meets State energy requirement in effect .at the
time of conversion.
(3) Provide fire wall between conversion and remainder of garage.
This inspection by the County of Butte does not act as a guarantee or warranty
as to the internal soundness of said conversion.
It is now in.order for you to submit complete plans and, structural, details,
apply for the.required permits and pay the appropriate fees.
Letter to Bryan Stevenson RE: Special Inspection #31-91 (A.P. #36-70-47)
Page 2
July 23, 1991
The permits must be obtained and the above listed items completed within thirty
(30) days of the date of this letter.
Should you have any questions concerning this matter, please contact Rod Taylor
of this office at (916)538-7541.
JFG:dms
cc: (Building Inspector
Assessor
Land Man Realty, Kay Thompson
1353 Feather River Blvd, Oroville, 95965
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Manager, Building Inspection
COUNTY OF BUTTE - DEPARtMENf-OF' PUBLIC WORKS - BUILDING DI I a
,W
a - 7 COUNTY CENTER DIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
} Permit No..ll
OWNER i• / i�Ve, Vl SQ A. N T
Proposed Building Use c Building Inspector Date
At time of perm" pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
f . All items have been submitted . ....................................
y 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting 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
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13• School District fees paid ..........`... .
14. Sanitation approval from Health Department
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. •Improvements may be, fequir d,. Contact Land Development Section DPW
19. Driveway permit (construct on approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to,
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification, :..
22. Certificate of Workmans Compensation Insurance ..................
P.
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of'AgciculturaOAcknQwledgment Sttatement
25. Letter of�signature<auth9rization
�.
26.
27.
When you issue the permit, process as'L n 1�;f r. r
follows ,all to owner. Mail to contractor.
Telephone °�nw fold for pickup at office. Deliver w/inspector.
a
Other
Applicant Date
Copy of !-laz-Mat form -sent Health Dept. - (rre7bept.r Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit iss.ua,hce' (Circle n2w>11eni not checked above).
1. Index permit for above items No.
2. Additional items requi•red'`'X`�
Contractor, designer, owner, was advised of above required data by_phone__rlaiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
7 Complaint -Date
❑;Other -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC'WORKS
SPECIAL INSPECTION REPORT
ZONING
Owner:_ el� 4-o(4 .SC'A.1 A. P. #
Address: /3s-3 F6aVW_ Z V &iZ 9 LV 0, O q0 4 �qDate of Inspection
Tenant: Inspector G� _
Building Location: `z-Co/� ./ z�,fZl_sT/GAi 0Q, Oq?.,O C4�—
Type of Inspection requested:
1. Housing ".2. Financing
L=L 3 • Change of Occupancy to
L( 4. Work W/O Permit / / 5. Other (specify) n
Present use of building: .s%rn W14"444_ ., PH C'etV\✓'
A.. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents: T
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs :(Rise, Run, Headroom, 1HR, Tolerance#, Handrails)
15. Comments: t•)S fi 0 C.A.-° /%! v.VWZAL" 4-1/1^7
B.. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof con
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles: Ga U-VUAirM
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3.Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A.
B.
7= C.
/ / D.
Information only - file.
Hold for ten days, then write letter.
Write letter.
Other:
FORM 7
ADDITIONS.TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner SrLakl �VeOSO h Climate Zone
Permit # Floor Area 3 Ll I
The following data showing mandatory and required features of Package "A" 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 -no , included.
APPLIES TO NEW AREA
CEILING .
WALL
SLAB
GLAZING
SHADING
ZONE 11
R-30
SOUTH - OPTIMUM OVERHANG
U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
(Dual)
INFILTRATION CONTROL (Weatherstrip.doors, certified windows, caulking)
law
V hE 11
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING GOv� ��'�n
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT EM
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS 0�
OF THIS SHEET. - V1:'
OTHER
12/85
*1 ,'. HEATING. VENrIIATING, 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
(describe)
*1. (B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling.capacity at 95°F)
Electric Heat Pump
EER
Btu/hr.
(cooling capacity at 95°F)
❑ Other
(describe).
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
❑ *2
❑
❑
*1
Gallons
(tank size)
Active Solar
(collector brand and model number)
(ratedy-intercept) (rated slope) (so -lar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
location of Solar Panels
Other
(Describe)
Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) 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 #5) to document sizing of
_i + •�
solar panels.
k'- ® DESIGN COMPLIANCE STATEMENT: The above=OFUILDING
the requirements of
Title 24, Part 2, Chapter 2-53 of the Cn Code.
y UREESIGNER OR APPLICANT
i .
8UTTTE COUNTY
BUILDING DEPARTREN1
APPROVED
NOTE:—All Materials' & Workm-nnshin Sh^!1' Be
Accordance with- Recognized Good f+-�c ices *'"
of a .quality prescribed for •the Specified use In th`
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
this set of plana arm s MUST be.
kept on the job at all times and it is to
make any changes or alterations on sprn,« a...1!3vt
wrhhan permisson from the Department of Public
Works, County of Butte.
Setback shall be 5 ft. from
the side pr,)perty line and 50 ft. from
the centerline of the road, permitting
,a maximum of a 2 ft. eave ovenccmg.
See Master Plan on
plans.
PSG
SUBDIVISION CITY COUNTY O
SEWER wA JOB NO.
���•��i HOMES,INC.
WATER ry�y YNO-K P.O. BOX IS SCALE
ty-o
GAS OROVILLE,
FP,�'�' CAL. 96988
ELECTRIC 9'18'533'2738
Certificate of Compliance: Residential (Page i of 2) CF -1R
�j fieve,✓1 s� n
Pro jectTitk Date
Project Address
WAYNE DAILEY ( 916) 534-0300 Building Permit N
Doeumentatlon Author Telephone Checked By / Date
Po I w T SYST' a M I I
Compliance Method (Package, Point Syrtam or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: :34Z- ft2
Building Type: _ Single Family Hotel/Motel
(check one or more) Multi -Family (less than 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
Front Entry Orientation: North / East /ou / West / All Orientations (circle one or more)
Number of Dwelling Units: My
Floor Construction Type:a Raised Floor (circle one or both)
Infiltration Control: Zg�;J/Iight (circle one)
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to garage, typical, etc.)
Wall .............. t ?`(P 1 LAT
Wall ..............
Roof ............. 30
Roof .............
Floor ............. n o,
Floor .............
Slab Edge..... Houle
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single, double) (roller blind, etc.) (shadescreen, etc.) (yestno) . (metal/wood)
Front....
Front....
Left......J
hti-r-
Left......
( )
Yo I e r
Rear.....
(0) —o_
Shy �s
Rear.....
( )
on lJesi-
Right ....
( )
gY1o� rt.► t k
Right....
Skylight.......
en
Skylight.......
THERMAL MASS
00.0c__
F-E4RUI t -E77
NoNf-7 MF_7Al._
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.)
�Q iJ.l REO
v
Certificate of Compliance: Residential (Page 2 of 2) CF -1R
lkn Al
ProjectT{W Date 'z�
HVAC SYSTEMS
Minimum Duct
Type (furn=e. air Efficiency Location Duct Output Manufacturer/ Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or. approved equal)
p
SAT - (9 Z So ,, I0'(>
tA 1,-
Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Featum(s)
sTv R -AG -re C*pf., AD STPD Ta j JnQ E
PIZ V - 4 o - PP -r
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility. and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Features/Remarks section.
Designer
Name: �3 h yu h G✓1 e t/ e✓l S o /)
Title/Firm:
Address: 0-0- BOX 1947
Telephone: 16 534-0300
Lic.
"7-3a -9 I
(signature) (date)
Documentation Author
Name: WAYNE DAII.EY
Title/Fin-h:
Address: B - O - BOX 1947
Telephone: 916) 534-0300
(signature) (ate)
f
Form Rcvi Marrh 1998
Building Owner
Name: 8 q A
Title/Firm:.
Address: 14
�000V
Telephone:
(signature)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp)
tC'_ V"'5' & H
I e v..1
—03
-30 -g I
(date)
(date)
Mandatory Measures Checklist: Residential NIFA R
VOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance .
�- approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed
i, on the Certificate of Compliance: When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
DESIGNER I ENTORCEMENT
Building Envelope Measures
' §2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2-5352(b): Loose fill insulation manufacturer's labeled R -Value.
✓
N /a
' §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
✓
§2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
✓
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
✓
§2-5352([): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/Exftltration Controls
a.' Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows Certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed.
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control .
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. ✓
.§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls. v
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water heater insulation blanket (R-12 or greater) for storage and backup tanks
for solar water heating systems (first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating
piping. F7/,6,
0-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
;2-5352(j): Lighting - 25 lumens/watt or erecter for general lighting in kitchens and bathrooms. ✓
§,-5314(0: Gas fired appliances equipped with intermittent ignition devices. ✓
;2-531Va): Refrigerators, refrigerator- Freezers. freezers and fluorescent lamp ballastscertified ✓
by the CEC. Indicate make and model number.
Revised July 1990
0.)
Point System Summary: Climate Zone 11 p -2R
G�eye_✓t t/l
Project Title Date �^
BUILDING DATA
Conditioned Floor Area 547- Number of Stories
Slab/Raised Floor Slk�-
Check all applicable Unit Type co dition(s):
[+Single Family Detached (SFD) (K Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
Measures
or
Point Scores
-Z
2
n
O
n
Aou6le- .(Os 17.5 -3
Type double) U -value [0.65] % Total Glass [ 161
Glass Area
13 or
North
R -value (1IT—
U -value [0.098]
n or
o
R-value[19]
U -value [0.037]
C or
p
R -value [0]
F2 factor [0.77]
5.9
Skylight
Point Scores
-Z
2
n
O
n
Aou6le- .(Os 17.5 -3
Type double) U -value [0.65] % Total Glass [ 161
Glass Area
% Glass
North
4o
I1.�
East
o
p
South
o
p
West
20
5.9
Skylight
p
0.
Total
100
1.7. S
Point Scores
-Z
2
n
O
n
Aou6le- .(Os 17.5 -3
Type double) U -value [0.65] % Total Glass [ 161
8. Shading (Shade Closed)
% Glass SC Eff. % Glass
a. North 11-7 X .,Z2 _ = 2 . C,
b. East n X = O
c. South o X = O
d.. West 5.9 X = 3.1
e. Skylight p X = a
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y /0
12. Cooling System
Zonal Control? ( Y /149)
13. Water Heating
I Form Revised March 1988
1-l0
% Glass
SC
Eff. % Glass
a.
North
11.7
X .77 =
9.0
2-
b.
b.
East
p
x
HSPF (0.56/5.151 .
c.
South
O
X =
O
Effective SEER 17.031
d.
West
5.q
X=
4.5
2
e.
Skylight
CD
X =
0
CD
8. Shading (Shade Closed)
% Glass SC Eff. % Glass
a. North 11-7 X .,Z2 _ = 2 . C,
b. East n X = O
c. South o X = O
d.. West 5.9 X = 3.1
e. Skylight p X = a
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y /0
12. Cooling System
Zonal Control? ( Y /149)
13. Water Heating
I Form Revised March 1988
1-l0
Interior Mass/CFA
Exterior Wall Mass
• (n Z
X (• o =
!o Z
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.72!6.6]
HSPF (0.56/5.151 .
no ne—
X 1.0 =
v)one
SEER [9.5]
Duct Efficiency [0.741
Effective SEER 17.031
V10 V1 e—
Type [SG] Credit [none]
Point Total
_3
Sum 1-6
2
Sum 7-10
S
1
Interpolation, Weighted Average & Addition Worksheet WS -2R
Steven soH 725 /tet 1
Project Title Date
a The use of interpolation is illustrated in Section 4.3 of the Energy Conservation Manual (ECM). Evaluate the
expression between the vertical brackets, make it positive (+) whether negative or positive and add the value to the
"Low Points" to obtain the Point Score.
b Mixed raised floor/slab-on-grade construction and Glass Heat Loss are arca-weighted according to point scores not
U -values. Other measures are weighted according to their respective values (e.g., U -value, shading coefficient,
HVAC efficiency) as explained in Section 4.2 of the ECM. Insulation may be weighted by point scores or U -values.
c Different slab edge types and duct conditions (duct insulation and location) arc weighted by length. All other
measures are area -weighted as explained in Section 4.2 of the ECM.
d Compliance of additions with the point system is described in Section 4.4 of the ECM.
INTERPOLATIONe
Value
Value
Value
Low for Low
Actual High
Low
for Low
for High
Item "'Toints Points
Value Points
Points
Points
.Points
Point
No (A) (B)
(C) (D)
(A)
(B)
(E)
Score
+
�(
-
)x( -
)
+
+_
x( -
)
+
)X( -
)
+
+
x( -
)
+
WEIGHTED AVERAGE
Weighted
Item Type Type I
Type 2 Type 2
Type 3
Type 3
Total
Avera%e
No. ValueArca`
Valuc Area
Value
Area
Area`
Value
X
X
K ) " (
) + (
) " (
) + (
) (
A
+
XX
:/9
K )x(-)+(
+(
)X(
A
-i-
POINT GOAL OF EXISTING-PLUS-ADDITIONc1
Existing Existing
Existing
-Plus
Building Building
Addition
Addition
Addition
Point
Point Total Area
Point Gpdf
Area
Area
Goal
K ) x ( )
+
( 0 ) x
( A
+
_
Form Revised March 1988
Thermal Mass Worksheet WS -1R
?
Project Title Date
INTERIOR THERMAL MASS
Use orfe of the two following options for calculating interiormass as explained in Section 4.2 of the Energy Conservation
Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity' less than 1.7.
Meihod A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1
mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on
Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area
divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area
of only one side to calculate the percentage.
Mass %
Type 1 Mass Area: ►10 v� e- o
Type 2 Mass Area: 347- In al/
Interior Mass/CFA from Table 4-7:
Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass
Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. Include the
interior surfaces of exterior mass walls. For interior mass walls exposed :on both (two) sides to conditioned space, enter the
surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM.
Description
Unit Interior
Mass Area . Mass Capacity
X
X
X
X
X
EXTERIOR WALL THERMAL MASS
Interior
Mass Capacity
Total CFA Interior Mass/CFA
Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from
ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation.
Description
Conventional Walls
Form Revised March 1988
Opaque Exte r
Wall Area M Fact
Total
+
Total Opaque Exterior
Wall Area Wall Mass
/8- 6
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,L, 14 V(t-,j Drive
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,PERMIT N0. 306-76B
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'MH UTIL.
t•. `.PERMIT NO.
k
5
PERMIT EXPIRES
v
1OWNER Wynoka Homes Inc.
CONTR. owner
PLOCATION (A.P. 36-194-10 port.
Lot #k47 Forestview Dr., Vista Meadows Unit
P2, Oroville
i
Temp. Power Pole
Called PG&E
Temp. Elea. Serv._/,Z�,
Called PG&E
Ih^
Temp. �Ss erv. —T�
2—
{ Iled PG&E
+1
JOB
FINALEDt) /4-�Q
�r
(I�
re)��
(Signa
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping.
Forms
L
Parapets
1 st Floor
Main Bldg.
Restroom Finish
2nd Floor`
Footings
Windows /1.71
3rd Floor
Stemwall
Sidin"-� �'
To out
Slab
` %
Roof Sheathing
Water Pipi
Piers
Roofing - L Z-
Sewer 6 - Z %
Garage
Fdn. Vents k
Fixtures
-/D 7 4.
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
.e-"
J
Prov. for physically
handicapped •
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
X
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Wall
Throat
Rough
Reinf. St
I
Final
Fixtures
-Lo G
Bond B am,
FIRE S I ERS
Motors
Framing
-711-
Test
Water Htr.
Stucco
Final
Sub anels
-"'/
Mesh -
�.�
MECHANICAL
Grd. Fault Prot.
Scratch
Heating 11--16 -24.
Service
' Brown 6
Cooling I- A -/ b 7
Temp. Pole
e
Finish
Ducts
Underground
Interior Lath
Ventilation r/O -7
Permanent
Door Closer
11-10 U,
Final J - 1&-76
Final Z / - O
DATE
REMARKS OR CORRECTIONS
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE. OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS ��
Manufacture`Thickness/Type /Z'
R Value
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufactures — Thickness No. Bags j Wt./Bag
Sq. Ft. Covered R Value—
FLOORS
alue FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation inches
FOUNDATION WALLS
Manufacturer Thickness/Type RV e
GENERA ONTRA O G LICENSE No. 2/2.1
BY TITLE – — DATE 1z ` 7G
INSULATIgN CONTRACTOR' HAWKINS INSULATION CO. LICENSE N . 215-925
BY UG TITLE DATE2 7 ��
J
- -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wo
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT 7 l -
•�r•���^••^••�-+ .
BUILDING
Owner (,� tt� S J N G
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 4k L 5"ke lE j kms) (IL)[---C,(IL)[---Total
Valuation
Mailing AddressP6 2a g 4KGA ),J
pl
Permit Fee
Plan Checking Fee&/or Penalty
( C' 6
Telephone No.
Permit Fee $
Building Address 'j %I`'Si v/�� PtPLUMBING
No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
L
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. As — ` �--�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
WAC
ftti•tftK
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQ/A
Parking
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
13Rftf-Plsn
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
�vIG✓C /11111 �� ""/
Main service 1100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family D• Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.OCCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON•R ESI D, BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS &
NON -REST D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cal' rnia Business & Professions Code under the name
style of: i
Ex. Occup(OUTLETS OR FIXTURES)@L@1
BAL1
Ex. Occup. ( OUT ETS PP
(RESID )KEA) 2•00
Temporary service 10.00
r
Mobile Home Facilities 15.00
L -^� �� >G
License No 115 ��_ �� Classifications
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
/9 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 7..0
Heating;'t7 �D� o) 97'L" , pv
Coo Iingil/ig 10, JD
Ventilation
FP2.0012.
Hood o!l
Permit Fee $ �3,�a
$ /3 31J
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
TOTAL PERMIT FEE
$ /
-1 r.ay vJ vui — c11rc1 UFUII ulo
above-mentioned propertyfo I spection purposes.
X Date
$ignoture of Permiteee or AAgent
/ l i
Receipt No. / `l f S�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
D EC R OF PUBLIC WORDS _
BY Dat /_ —
Building permit expires Date
-COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DrivL, — Uroville, California 5 5
Telephone: 534-45411� /a� x-76
APPLICATION AND PERMIT 1 / /lam
�'� !cFi oGi��a1IV6J VI LHE l,Uullty UI DuLty to enrer upon me
above mentioned property for inspection purposes.
-711 174
X Date
Signotuure of Perm a or t
Receipt No/ �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
D419ECT_QfMF PUBLIC WORKS
By, Date — z — � 6
Building permit expires Date— 2
BUILDING
Owner le�17,e
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor ��k ����� �l
Total Valuation
Mai I ing Address ?,� f �� �—
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address // ,�
�c� T�GS� rs�w
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
�/�.O(✓/L- 64-
Each Trap 1.50
Repair drainage or vent piping 1.50
S �/9 St. /T ��•
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 36-- /9L��/p �G�T' Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
S&ftt4e+ton
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/N/
Improvements
provements
Lawn sprinkler system 2.00
B'dw. Plon•s•d-e 4.6—
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER.-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3Qa
30G -- %K
Main service 00v OR LESS
100 AMP OR LESS 5•00
Main service EA, ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 10 OVER600V
OR LESS 25.00
Main service EA. ADD'L loo AMP 1.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ACG. BLDGS./$7�) 22Sq ft (�
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST R. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
-�
060X L�,F-2k,/ �//Vc,
Ex. Occup(OUTLETS OR FIXTURES) O@.1
BAL1
FIXED
FIXED A
Occu PLNS, OR
Ex. P
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. &L�36 Classification_-
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 3 V
✓E
$ 7j lj/ ,f
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
2
$ 3 SC
�'� !cFi oGi��a1IV6J VI LHE l,Uullty UI DuLty to enrer upon me
above mentioned property for inspection purposes.
-711 174
X Date
Signotuure of Perm a or t
Receipt No/ �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
D419ECT_QfMF PUBLIC WORKS
By, Date — z — � 6
Building permit expires Date— 2
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
uuw�icc represenLat ves UI llle 1,Uun Ly of Butte to enter upon the
above-mentioned property for ins ection purposes.
00,
X Date.
Signature of Permitee r Agent
Receipt No. t4- SO 43
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By e, -lig \— Date 3 7 --74
IiWilding permit expires Date ;3 — 9 :;� '7
BUILDING
Owner w N
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 10 L'EY/ PLIJIMBI&J6
Total Valuation
Mailing Address SCZ0 HAIEL p^-
Permit it Fee
Fee
Planng Fee&/or Penalty
I phone o'
Permit Fee
Building Address Lu ft. 4 r f�2
PLUMBING
No.
@
FEE
PERMIT FILING FEE ✓ $3.00
3 Oo
V ( STA 6A f~
Each Trap k 1.50
%Z, o O
Repair drainage or vent piping
1.50
Water piping 1.50
I , $O
Each gas water heater or vent 1.50
O
A. P. No. — QG4- --(t'j �j
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Q
Each additional outlet .30
Fipsr
Uj,J9,.-
8htri-tattorl
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
t�Q
EQA
Parkin
Pla sg
Declaration
I Parcel Map
1 60' R/W
I Improvements
Lawn sprinkler system 2.00
Mug. ane
Parcel Approval
Plans Approval
Permit Fee
$
Z4 -,\,o$
2
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE J$3.00
F(_ M ►V FF_ZMiT OmLV
Main service 100 AMP LOR ESSLESS 5.00
�u,QI t6 t''�iT y 7i
iV �f�
Main service EA. ADD'L loo AMP
2.50
Single Family JR Duplex ❑ Mobil Home ❑ Others ❑
Main service 100EAMP oR LESS 25.00
Main service EA. ADD•L. 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGSCCUP, &)
20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. (BRANCH CIRCUITS) '2.50ea
NEW CONSTR. /POWER APPARATUS &
NON-RESID. \SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busi ess & Prof Ions Code under the name
st Ie
Y
Ex. Occup(OUTLETS OR FIXTURES) @I25C
BA _ � 104
FIXED APPLNS. OR
Ex. (FIXED
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License ��� Classificatiorle'—��
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
f or Work n's Compensation.
Iave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Iermit is issued certify that in the performance of the work for which this
p employ y I shall not em an person in any manner
so as to become subto subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ 24 SC
uuw�icc represenLat ves UI llle 1,Uun Ly of Butte to enter upon the
above-mentioned property for ins ection purposes.
00,
X Date.
Signature of Permitee r Agent
Receipt No. t4- SO 43
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By e, -lig \— Date 3 7 --74
IiWilding permit expires Date ;3 — 9 :;� '7
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, .,— Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
i cN�cacn iou vca ui uic tUU11ty Ui ouuc W CIItUl uNun uie
above -mention property for inspection purposes.
X Date/ 76
Signa ure of Permitee or Agent/
Receipt No. ,z'4 !;,�4 o
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUALIC WORKS
BY Date 2-'3' 7 {�
ildina permit expires Date
BUILDING
Owner� c"
SO. FT. OCC. BUILDING VALUATION
Grb —
Mailing Address
Lr'
Telephone No.
S
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
j
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
�
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
///J -2
l� G(
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
IJA A. . No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
.---
Each additional outlet .30
17 s I
WAK
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking Parcel
Plans Declaration
parcel a P
60' R/W
Im provements
Lawn sprinkler system 2.00
5VAt Q4'&2 j � v
Bldg. Plans Recd
Parcel Approval
Plans royal
Permit Fee
$
$
NEWreop ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
—
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b d102
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
'--
Evap. cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. �.c� tie Classification /91
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
f4� I have placed on file with the County of Butte a certificate of
y� Workmen's Compensation Insurance.
certify that in the performance of the work for which this
❑ piermit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
i cN�cacn iou vca ui uic tUU11ty Ui ouuc W CIItUl uNun uie
above -mention property for inspection purposes.
X Date/ 76
Signa ure of Permitee or Agent/
Receipt No. ,z'4 !;,�4 o
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUALIC WORKS
BY Date 2-'3' 7 {�
ildina permit expires Date