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HomeMy WebLinkAbout079-370-050REGORY ..HEMS TALK. . End pri dr, b ind 5201 Miners Ranch RL OrovilleKA ( r/ ►, �a Permit#1083-o82E(t' ee f Y future lot dev.) mounted on large barn Contr: Todd Hemstalk 'n �I 31 Permit32314-84B,P,E,ew singe fa ily) 50 GREGORY T. HENSTALK Breez.e.Hollow:.Lne, Oroui:lle AGRICULTURAL BUILDING EXEMPTION FORM (27 X 32) and14 X 16) 2/25/8 I I sa S Vii. I 0-,7q- 3-70-6-50 INCIDENT NUMBER 14501 --- — EVENT NUMBER IF 1641 LOGGED BY TB777. LOCAL FIRE NUMBER I j ate* +Flro I RO J. MORRIS - - - STATE FIRE NUMBER i - 43 irn era . aaf data F+m s nBIF� CASE NUMBER MEDICS LOCATION 1,156 WHISPERING OAK RD PRA 1-51 ECC ❑ RP KYLE _ i� j PHONE NUMBER ] 588 2600 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES ,F-7�0 FIRE INFORMATION STRUCTURE FIRE IRESIDENTIAL FIRE INFO SENT HOW � E-MAIL _ BY TB,_] TO OTHER FIRE 7 -DAY LOGGED INITIALS MB MEDICAL AIDS INCIDENT NAME �INHISPERING i PSA/OTHER -� �� START DATE 212/200 START TIME -_ 20:00[ HAZ MAT DIAMOND # 2.0 Billable Incident ❑ CAUSE I MISC COMMENTS LAND USE i DOMESTIC FLUE WITH EXTENTION TO THE SHAKE ROOF F. ACRES [� 0j TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE 11. DOLLAR DAMAGE i 2000.00' SAVE j 300000.00; INJURIES/FATALITIES ❑ #CIVILIAN INJURIES J # CIVILIAN FATALITIES I"',1 EMD ❑ OES ❑ Interesting Event # FF INJURIES0 # FF FATALITIES 0' FC -40 INFORMATION ♦ ♦ New Incident S J FC -40 ❑ DATE OF FC40 INC f AGENCY INC # 7=777 7 INC P# if i FC -40 COMP DATE FCO COMP BY County Notifications © EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ 11 2314-84B,P,E,M PERMIT NO. PERMIT EXPIRES GREG HEMSTALK OWNER CONTR. Todd Hemstalk ASSESSOR PARCEL 36-23-50 LOCATION 5212 Miners Ranch Road, Oroville ?V -e a .G 14'a yW y, t� TJ Lt +i 1 d ; Temp. Power Pole Called PG&E r Temp. Elec. Service Called PG&E " {, Temp. Gas Service Ca11edPG&E JOB FINALED (Date) r` A N Signature J OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's - 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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; Locatiort-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 p's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except Lt's t 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. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. 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 -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Nq, OK - = Not Applicable * = Not Ready / RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMI Continued i S 14 Af9poifg- requirements -Setbacks -Easements 48 r rty Line Firewall & Openings tg., Main; Soils -Steel- / Ftg. Depth 49. At oors-One 3' -Check Garage -3rd story, 2 exits 3 tg., Garage; Soils -Steel- / /" Ftg. Depth 50 t Width-Headroom-Rise=Run-Landing-Fire Protection 4 orches & Decks; Soils -Steel- / /" Ftg. Depth 51. • lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. emwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer temwalls, Garage; Steel -B lockouts -Wrapped -S lab_ _( 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. iers-Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sew a 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service est 1 lectric; Underground 10-15--16-14 12.lenums & Ducts; Clearance -Material -Support -Ins. .i W. Girders-Sills-Ancho Bolts -Joists -Vents -Cripples Card -BI - Date Card -BI Date" r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Date FINA (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's E Steps -Door & Sidelight Protection -Landings Smo elector ter Ht.; t -Access -Combustion Air 58. urnace; Vents -Clearance -Comb. Air -Connector - In garage; Above Floor-Ducts-Mech. Protection e�raom Exiting W Pipe; T Anc rs- ct4n 1 18. .W.V.; -Fttngs & Anahars- it Protech ower Pan; Test, First Floor -Tub Access Test Tub &Shower, 2nd Floor -Tub Access 60!I .l. & Bath Fixtures & Tub Access � Ems. Trim & Breaker Sizes -Labels e & Anchors 62 -.-"Stairs 62tairs & Rails Aa-flireplace or Stove; Clearances -Hearth 64. -F!e!0sF:!Qu4et6-a4-Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6D,-Kit--Flxt. & Appliance: Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date $§/Elec. Outlets & Receptacles at Kit. Counter Date EL ICAL Permit OK except p's 67. Garage -Fire -Door, -Swing -Landing -Closer 68. A .' a -Dam er 20./F* ure &Transformer Clearance -Ins. Protection 6. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. EI :Receptacles Spacing -Lights &Switches at Doors 2 Si Boxes & No. of Conductors -Stapled 7(p�Plb., Elec. & Mech. Equip. Listed for Location 2 R ex Installed Close to Edge of Studs & C.J. 7 :aieceptg�lgg in Garage; (G.F.I.)-Romex Protec. 2 E . Ground made up w/Mech. Fasteners -Bond Gas & Water Z2. Insulation -Foam -Looked in Attic ❑Yes 2 2 Appliance Circuits i Itchen &Conductor Size uard �Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / We. Cu or A.C. Wire Size / / ga. Cu or At 4:�dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Lookjed under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No ?5, F lowing instld.: Drive Yes ®,No; Walks ❑ Yes o; Planters El Yes o 28. Service -Riser Conductors & Ground -Main Disconnect 7 rowrr�Firrish- 29. Equip. Clearances; Panels-Motors-Mech. Equip. a' g.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light Vents'Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 -9:' -Water Well; Disconnect, Electrical, Plumbing 80--lifx1arrar Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 0 JCard-BI Date 8ti-'Ven 'anon throughout House 812 --Mass Protection Card B-1 Date Card -BI Date Date MECHAL (Permit) OK except p's 83. Corrections from Previous Inspections 84,,Q2�9st-Merarc Tagged; Gas -Electric 31. .Ducts; Insulation &Support _Sewer Connected -C/O to Grade -HD Approval 31 -'Vent 33. Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. jEnergy Compliance Certificate -Other Certificates 1 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMI dans) OK except p's Card -BI Date Card -BI Date Comments at Final: 36. I Proper Material & Anchors 37. W Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing raft top in Walls (rat proof) 40.4P11 -0 -St -ops; Furred Ceilings -Stairs -Chases -Tub 41. He & Beam -Size & Bearing 42. ers-Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties -Purl in -_AobT Brac.-Truss--Shthng.-Rfn_g_.__ Fireplace Ties or Type A F e -Fireplace Throat 4 Atti cess; Size & Romex Protection -Draft Stop -Ins. Baffles 46. indows or Exiting Doors -Sill Hgt. & Dimensions 47. FGarage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) I 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 NOTIC-E A routine inspection indicates that the following violations of County Ordinance exist at the above address and should becorrected. Please notify this office when correction of wo,�R,'is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. InspectorG Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNERf 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. A' 1, i <kv r7" h a A L 3 2,,A S 1,— ,— A' 4-C n T I �P �-P �Atar• -YiY,,, Ir Inspector_ /-,� Date d;H— k$y _ 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, please contact this office immediately. 11---, Inspector__e—J�—Date COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise-- Phone: 872-2961, Ext. 57 CORRECTION NOTICE PERMIT #-0 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector__ _ Date Owner: Permit ENERGY CERT IF ICAT ION A. P. No. DESCRIPTION OF INSULATION ROOF Material 1Q ►1 r1 Brand Name I Thickness(inc s) a Thermal Resistance (R Value)_ EXTERIOR WALL Material Brand Name .37A Thickness(inc es) �' Thermal Resistance(R Value) �- NG I 1 A r Blanket Type��� �hickness(inches) Brand Name Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material = _1J Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name , Thermal Resistance(R Value) -1 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAMEOWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR AATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. O2 �2 FIRM NAME OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. tl SIGNATURE OF q. CONTRACTO OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 „5” �5� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive - Oroville,,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMITA/Orl fl �?C�I��' ASSEfO PARCELUMBE c -J[ I ZOA—",* BUILDING PERMI OWNER ]TELEPHONE SQ. FT. OCC, BUILDING VAI UATI OWNER'S AILING DR S C N ACT R'S NAME I TELEPHONE /92 t� J NTR CTOR'S MAILING ADDRESS Fireplace 1"' CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1, 0:31�w Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ C9g ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty$ ARCHITECT OR ENGINEER'S MAILING AD RESS Permit fee G $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 ^p LOT NO. SUBDIVISION NAMEPARCEL MAP —/ -7 Each qas water hea er 5.00 420 Gas piping system s 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 1 110-00e TYPE OF WORK New VAddition❑ Remodel Utilities❑ Installation❑ Other❑ Describe work: e — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 1 1&60 Main service EA. ADD'L 100 AMP 2.50 NEW CON S.LIN OR ADDNST ( ACCLBL te.l.&) 2YZQsq it CONTRACTORS LICENSE LAW I declare unde nalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business2o�soa and Professions Code and my license is in full force and effect. License No�?R 9/Z Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON STIRMULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CON ST R. (POWER APPARATUS &1 NON.RESID. SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES a L®300 LNS Ex. Occup. OUTLETS ED AP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 152 1 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The It is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling V Hood 3.00 Ventilation permit Fee $ roo 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue/ against said Cou y in o equence of the granting of this permit. Date Signature of Applicant— Owner Contractor Agen An OSHA permit is required for excavations over 5'0'.' 4eepdll limo or construct- ion of structures over 3 stories in heig t (a Mobile Home Installation Fee $ TOTAL PEF4AIt FEE $ occuP. GROUP - 3 I TYPE of CONST. ti PARCEL 1,1010 L,7711D ISSUE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC J0F PUBLIC �i By P IT EXPIRES Date')e� the applicable provi- resolutions to do fees have been paid. WORKS '/ Datev�j 7 Receipt No. .-- ' WNITE-D.P.W.. YELL -.A $$a P N -INSPECTOR, GOLDEN RO &JP LI AN COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. O ASSESSOR PARCEL NUMBER 36-23-50 ZONING BUILDING PERMIT OWNER Greg Hernstalk TELEPHONE 5W-1689 SQA FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS 5212 Minp-rs Ranch Rd-, Ornvillp CONTRACTOR'S NAME Todd Hemstalk TELEPHONE CONTRACTOR'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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 5212 Miner Ranch Rd. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Oroville Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFRI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[-] Other ❑ Describe work: 1st renewal Permit #2314-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.OR ADDNS. C ACCDWELBLDGS.LING CCUP.h\ I/ 2yaQSgft 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. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thason NEWCONSTR. U TI -OUTLET NON .RESID BRANCH CIRC TS 2,50 ea NEW CONSTR / POWER APPARATUS 91 NON -R ESID. SINGLE OUTLET CIR. / zoaaoe Ex. Occup(o OUTLETS TS OR FIXTURES eAL090 FIXED APP LNS. 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 enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue inst said County in consequence of the granting of this permit. Date Vgn`a1u,. Applicant - 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 $ 143.75 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND SSVE 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 By Date PERMIT EXPIRES Date 8-1-86 Receipt No. WNITE-O.P.W., YELLOW-A96CeSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY C4gTER33DRIVE - OROVILLE; CAL1F'ORNIA 95965 - TELEPHONE: 916/534-4541 ��l I PERMIT APPLICATION DATA SHEET / Permit No. OWNER—A" / A. P. No. Proposed Building Use) J Permit Fee Based Upon: * Complete Contract Price',, --DPW Valuation Otfie"r (Explain) Building Inspector i% Date ? ` -- M 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance State ent. . . . �CState Energy Forms No. .T. . tatement of Intent f r Non -He a ed d AC Bui dings. Cees of $ .Ccs . Letter of signature authorizatiion. . 1K -Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre -I17. Pre -Inspection for Required. sp I request t (Dote) / p q B�ud;r, In ror 'TB�Other �'�Q.-(,- � c:;r Q ACA When you issue the permit, process asJfollows: 4 ----Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index hermit for above Items No. 2. (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: CkXCopy—DPW ( � ; / Telephone Mail Other Date Date 14, Date _ • 61vA.- From— Lr-2alG 1 'Subjr'CG; SairiiGcGio ('i B���T;• L r- rf v 446, Plar: ZoSal �. I I-:atet' sup H'Jii 11?l4� 117r.: �'iater SU�`' 1' O.K. Ol. t 8 SLIP � J Fig?C. clearance 0v -- ; wa r. _�_ C.ie-arn. c- for , b-edroomhorse. Other J Dai Table 3-3a. Ceiling Insulation ONE 11 Points OWNER POINTS PERMIT N0. -" ASSIGNED ACTUAL 1. SLAB - INSULATION NONE 4V Type I (.R -Value of Insulation I. Points I 2. P.AISED FLOOR - R-19 -3 -2 I 3. -30 CEILING - R-30- I I of I Sngl, 4. 4. WALL - R-19 +1 I 5.1- 5.6 1 5. NORTH GLAZING - 2.4-3.6% JZ� Q (U - I 6. EAST GLAZING - 2.5-3.6% 1. ZC- 2- 7. SOUTH GLAZING - 1.6-3.6%� .► 8. WEST GLAZING - 2.9-3.6% � I 30 9. SKYLIGHT - 0-1.3% +3 10. SHADING (Exclude Overhang) I +2 1 I up to 1.5 I +2 EAST - �'t2 .67-.82 I 49 I +4 1 SOUTH - s►I= .19-.42 �'� T 0 1 WEST - 0 .13-.36 I 3.7- 5.2 I -4 .SKYLIGHT - .37-.57 111.9-12.7 I 11. HORIZONTAL SOUTH OVERHANG 2' _ ♦,� 12. MOVABLE INSULATION - NONE I 6.6- 7.7 13. INFILTRATION (Standard=0)(Tight=+12) _ 0 14. THERMAL MASS SF i -8 1 15. GAS FURNACE (SE) 71-76% �- I 9.0-10.0 16. -HEAT PU[fP (EER) 7.5-7.9% _ 40 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% - 13. ACTIVE SOLAR 60% 1IIN (NONE) - �-'-- 19. ZONALLY CONTROLLED ELECTRIC R -Value of Insulation I Points 1 Table 3-3a. Ceiling Insulation Table 3-7. South-Facfng Glazing Pte Points I below 3 1 -12 1 +6 I +6 I I 1.4- 2.2 I +3 1 4 i I Glazing Type I (.R -Value of Insulation I. Points I I Total ( -3 -2 I 1 1 I I I of I Sngl, Dbl, T Trpl, +1 I 5.1- 5.6 1 I Floor 10 - I (U - I (U - I 1 19Y"'�,I.,_- I I Area I 1.10) 10.65) 1 0.41)1 I (422 I -2 1 I I oints I oints I ointsl I 30 I 0 1 O +! +3 + 3 I 38 I +2 1 I up to 1.5 I +2 1 +2 I +2 1 I 49 I +4 1 1 1.6- 3.6 1 -1 I 0 I 0 1 1 f 1 I 3.7- 5.2 I -4 I -2 I -2 I 111.9-12.7 I -38 I I 5.3- 6.5 1 -6 I -4 I -3 1 -32 I -27 I I 6.6- 7.7 I -9 I -6 I -5 I 114.4-15.2 I -50 I I 7.8- 8.9 1 -11 i -8 1 -7 I -10 I 1 Area, Z of Floor ( Points 1 I 9.0-10.0 I -13 I -10 -9 I Table 3-4a. Wall Insulation Pointe 1 10.1-11.5 I -17 .I I -13 1 -11 1 I 1 7.0- 7.6 I 1 11.6-13.0 I -21 1 -16 I -14 I R -Value of Insulation I Points 1 113.1-14.5 I -25 I -19 ( -16 I 1 1 I 1 14.6-16.0 I I -28 I -22 1 -19 I I u I -7 I I 17.6 - 23.5 I +6 I I I I i I 19 I 0 ) Table 3-8. West -Facing GlazinPts. --. 1. !-•----- - ... - - - - -.. ( _ I 30 I +3 I 1 I' Glazing Type I I I I Total I I I Zof I Sngl, Dbl, Trpl, Table r a 3-5. North -Facing --r-�-�--T Glazing Pts 1 Floor I Area 1 (U - 1 1.10) 1 - I 10. 1 0. 65) (U - 1 0.41)1 1 [points looints loointsl 20. SOLAR WITH GAS BACKUP (HW) 21. 0 IC (HW) A7 --W# 4 jP- i JS ITEMS SHOWN - ZERO PAINTS - � i - -- abl 3 1 Slab Floor Points Ta e 3-2. Raised Floor Points 1 Incula- I R -Value of Insulst I R -Value of I I I tion I Insulation I Points i I Depth,i 1 I inches 1 0-2 1 3-4; X5-6 1' 7+ 1 1 r I I i I below 3 1 -12 1 +6 I +6 I I 1.4- 2.2 I +3 1 4 1 +5 1 o- it II -5 -5 -5 1I 3-- 71 -*Z6 1 1�6'1- s -3 -2 -2 -t -1 o I 8 1I I 0 1 s -1 o +1 I 5.1- 5.6 1 0 7/7/83 I Total I ( I of I ST, Dbl, Trp_, I Floor I U- l u- I U- I Area 10.66 10.42- 1 0.41 I I 11.10 10.65 I down I ( 0.1- + 1.2 1 +4 ! 4 4,+4 I 4 I I 1.3- 2.3 I +1 I +2 1 +2 I 1 2.4- 3.6 I -2 I 0 I +1 I 3.7- 4.8 I -4 1 -2 I -1 I I 4.9- 6.1 ( -7 I -4 I -3 I 6.2- 7.3 i -9 I -6 I -5 I I 7.4- 8.2 I -12 I -8 1 -7 I I 8.3- 9.7 I -14 1 -10 I -8 I I 9.8-10.8 I -17 1 -12 I -10 1 1 10.9-12.0 I -19 I -14 I -12 I 1 12.1-13.2 I -22 1 -16 I -13 1 1 13.3-14.5 I -24 I -18 I -15 I 14.6-15.3 i -27 i -20 i -17 Table 3-6. East -Facing Glazing Pts. I I Glazing Type I I Total I I I I of I Sngl, I Dbl, I Trpl, 1 Floor I (11 - 1 (11 - 1 (11 - I Area 1 1.10) 1 0.65).1 0.41)1 ISI ofnts 1 oints I ointsl I O 1 ; 1 :;7 rt 1 up to 1.3 1 +3 1 4 I +4 1 I 1.6- 2.4 1 +1 . 1 +2 , I +2 1 I 2.5- 3.6 I -2 1 0 1 0 1 I 3.7- 4.6 I -5 1 -2 I -1 1 I 4.7- 5.5 I -8 1 -4 I -3 1 I 5.7- 6.7 I -10 i -6 I' -5 I I 6.8- 7.7 I -13 1 -8 i -7 I I 7.8- 8.7 I -15 I -10 1 -8 'I I 8.8- 9.7 I -1.7 i -12 I -to- 9.8-11.2 10 9.8-11.2 I -21 I -13 I -13 ; 1 11.3-12.7 1 -25 i -18 1 -15 I ( 12.8-14.0 1 -28 I -21 I -18 I 1 14.1-15.3 1 -32 I -24 I -20 I Io I •6 1 +6 1 +6 1� I up to 1.3 1 +5 1 +6 I +6 I I 1.4- 2.2 I +3 1 4 1 +5 1 1 2.1- 2.8 i 0 1 +21 +3 I I 2.9- 3.6 1 -3 I 0 1 +1 I I 3.7- 4.2 I -5 I -2 I 0 1 I 4.3- 5.0 I -8 1 -4 I -2 1 I 5.1- 5.6 1 -10 I -6 I -4 I 5.7- 6.2 I -13 1 -8 I -6 I 1 6.3- 6.9 1 -15 I -to i -7 1 7.0- 7.6 I -18 I -12 I -9 ( 7.7- 8.2 I -20 1 -14 i -11 I I 8.3- 8.8 I -22 I -16 I -13 I i 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 1 -27 -20 I -16 I 110.2-11.0 1 -29 ( -23 1 -17 I 1 11.1-11.8 i -35 I -26 I -21 I 111.9-12.7 I -38 I -29 I -24' I 112.8-13.5 I -42 I -32 I -27 I 13.6-14.3 I -46 I -35 1 -29 I 114.4-15.2 I -50 I -38 I -32 1 Table 3-10. Shading Coefficient Ports I I 1 ( SC by I I Orten- 1 Z Floor Area tation Overhane Points I Zest I I 3.2 I Points i 0-3.1 to 6.4 up ( I 6. i 0 -.19 I 0I +1 ( +2 I .20-.36 1 0 i 0 I -1 I .37-.66 i 0 I 0 1 0 1 .67-.82 1 0 1 0 ( -1 .83 up i 0 i -1 i -2 I South 1 0 1 3.2 1 6.4 1 8:0 19.6 I I to I to I' to I to I up j13.1 1 6.3 1 7.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 1 +3 I .19-.42 1 0 1 0 I 0 1 0 1 0 I .43-.66 1 0 1 -1 I -2 I T2 -3 1 .67 up 1 ,I 0 1 -2 1 -4 1 -4 1 -6 ' 10.42- 10.41 West I .1 11.6 13.2 1 6.4 1 9.0 I to I to 1 to I to I up 11.5 13.1 i 6.3 1 7.9 I i I I I 1 0-.12 i 0 1 +1 I +3 I +6 1 +7 .13-.36 i 0 I 0 1 0 1 O I 0 .37-.57 I 0 1 -1 1 -3 1 -6 I -7 .58-.82 I -1 I -3 I .-6 1 -12 1 -15 .83 up I -2 [ -4 I -8 I -16 Skylight i .1 1 .8 1 1.6 13.2 14.0 I to 1 to I to I to I to 11`5 1 3.1 13.9 I 5.2 0-.12 1 0 1 +1 I +3 1 +6 I +7 .13-.36 1 0 1 0 1 0 1 0[ 0 .37-.57 1 0 1 -1 I -3 I -6 I - .58-.82 I -1 I -3 1 -6 I -12 I -, .83 up I I -2 I -4 I -8 I -16 1 -20 I I i I I ( I I 1 Table 3-11. Horizontal South Overhane Points Table 3-9. Skylight Points I South Glazing T_ TI Length Out I Area, I of Floor 1 I I Glazing type I I from Wall I I I Total I I I ft T 1 I of T Sngl, Dbl, Trpl, I 10-6.3 1 6.4 up I I Floor I U- I U- I U- I I I I I I Area 1 0.66- 10.42- 10.41 1 0- 0.5 1 -2 1 -4 I 11.10 10.65 I down 1 1 0.6 - 1.0 1 -2 I -3 1 11.1 - 1.9 I -1 1 -2 1 1 up to 1.3 ( -1 I 0 1 0 1 1 2.0 up I 0 I 0 I I 1.4- 2.2 I -3 I -2 I -1 I I I 1 I I 2.3- 2.8 I -6 I -4 1 -3 I Table 3-12. Movable Insulation 1 2.9- 3.6 I -9 I -6 I -5 I Points I 3.7- 4.2 I -11 1 -8 I -6 I 4.3- 5.0 I -14 i' -10 I -8 I I Moveable Insulation] 1 I 5.1- 5.6 I -16 I -12 1 -10 I 1 Area, Z of Floor ( Points 1 I 5.7- 6.2 I -19 I -14 1 -12 I I 1 I 1 6.3- 6.9 I -21 1 -16 I -13 I I 1 7.0- 7.6 I -24 I -18 1 -15 I I 0- 5.5 1 0' i 7.7- 8.2 I -26 I -20 ( -17 1 I 5.6 - 11.5 I +2 I I 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 I +4 I i 8.9- 9.5 I -31 I -24 I -21 I I 17.6 - 23.5 I +6 I I 9.6-10.1 I -33 I -26 I -22 I 1 >23.6+ I +8 ), �---�-- --- -�-- --. 1. !-•----- - ... - - - - -.. ( _ b. Table 3-13. Infflttation Control I Coatrol Features I Points I I I I I Standard I 0 I I t 11.9 air changes per hr I I I I 1 T- I Tight I +12 I 1 I f I 0.6 air changes per fir I' 1 i 1 i Table 3-15. Cas Furnace Without RefriReration Cool!r.e Points I Seasonal Efficiency I Points 1 1 (SE), I I I I 71 - 76 1 0 1 I 77 - 82 I +2 i I 83 - 88 I +4 1 I 89 - 94 1 +6 I i 95 up I I I +8 I I 1 8.8 - 9.1 Table 3-16. Eeat Pumo Points I Energy Effic!ency I Ports I I Ratio (EER) 1 I I 7.5 - 7.9 ( +3 I I S.0 - 8.3 1 +6 I I 8.4 - 8.7 I +9 1 1 8.8 - 9.1 i +12 1 I 9.2 - 9.6 I +13 I I 9.7 - 10.2 1 +18 I I 10.3 - 10.8 1 +21 I I 10.9 - 11.5 I +24 I 1 11.6 - 12.3 I +27 I I 12.4 - I 13.2 1 i +30 I I Table 3-17. Cas Furnace With T_ Refrigeration Cooling PoinlT lRefelgerationl Gas Furnace I 1 Cooling I SE ; 1 1171-177-183-169-79-3-T I 1 761 821 881 9+1 u I 1 9.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 41 +61 +31+10 1 I 8.8 - 9.2 1 +41 +61 *81+101+12 1 I 9.? - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +311-1(31+121+141+16 1 110.4 - 10.9 I+1G,'+121+141+16,'+18 1 111.0 - 11.6 1+121+141+161+181:20 1 I I 1 1 I I 7/7/83 ZONE 11 TAISLE 3-14 (ADAPTED) IRTER•IOR THERMAL MUSS POINTS MASS DUELLING AREA SQUARE FOOT AREA 1,000 1.500 I 2,000 I 2,500 I 3,000 I 3,500 4,000 I 4.560 S.000 I Sq. FT. I A 8 C D 1 A: 8 C D I A B C DA 8 C 0 A B C D 1 A B C 0 A B C D 1 A 8 C D A B -F-71 50 2 2 2 2 2 2 2 01 2 2 2 0 1 0 0 0 0 0 0 0 0 0. 0 0 0 0 0 0 0 O 0 0 Oj 0. 0 O 0 109. ISO 4 6 4 6 4 6 2 4 2 4 2 4 2 4 2 2 2 2 2 •2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 02 2 2 2 2 0 2 0 2 2 2 2 2 0 2 0 2 0 2' 2 Z 0 2 0 o 0 2 o 2 0 ! 0 0 200 250 399 8 10 12 8 10 12 6 8 10 4 6 6 6 6 8 6 6 8 4 6 6 2 4 4 4 6 6 4 6 6 4 4 6 2 2 4 4 4 6 4 4 6 2. 4 4 2 2 2 2 4 4 2 4 4 .2 2 4 2 2 2 2 2 4 .2 2 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2- 2 2 - 2 0 350 400 $07 600 770 230 . 903 1,010 1.;OU 1,200 1,400 1,i00 1 2,003 2,507 J,:GO 7,500 4'900 4,500 5,909 14 14 12 8 10 14 14 12 8 10 18 IS 16 10 12 22 20 18 12 14 24 24 20 14 18 26 24 22 16 70 28 28 74 16 22 30 70 25 18 ?2 32 37. 28 20 24 34 32 30 22 26 34 34 32 22 28 34 34 32 24 28 36 34 34 24 30 34 10 10 12 14 16 16 20 20 24 26 26 28 30 34 8 8 10 12 11 16 18 20 22 22 24 26 26 32 6 5 6 8 10 10 12 14 14 16 16 18 18 22 6 8 10 12 14 14 16 18 20 22 22 24 24 30 34 6 8 10 12 14 14 16 18 20 20 22 24 24 30 34 6 6 8 10 12 12 14 16 18 18 20 20 22 26- 30 4 4 6 6 8 8 10 10 10 12 12 14 14 I22 18 22 I30 6 6 R 10 10 12 14 14 16 1B 18 20 26 34 6 6 8 10 10 10 14 14 16 18 18 20 20 26 30 32 6 4 5 8 10 10 12 12 14 14 16 18 18 22 26 30 2 4 4 6 6 6 8 8 8 10 10 12 12 16 18 22 6 6 - 6 8 10 10 12 12 14 14 1u 18 18 22 26 30 32 4 6 6 8 10 10 12 17. 14 14 14 16 18 22 26 30 32 4 4 6 6 8 8 10 10 12 12 14 14 16 20 24 26 30 2 2 4 4 6 6 6 6 8 8 8 10 10 14 120 16 18 .0 4 4 6 8 8 10 10 12 12 14 14 14 16 24 28 30 32 4 4 6 C 8 8 10 10 1Z 12 12 14 16 20 24 .6 30 32 4 2 4 4 2 4 6 2 6 6 4 6 6 4 8 8 4 I e 3 6-I 3 10 6 10 10 10 6 1.12 12 8121210610 12 8 12 8 14 14 8 14 18 12 18 22. 11 22 24 16 I24 26 ld �28 30 20 30 32 4 4 6 6 6. 6 8 10 10 12 14 14 18 22 24 28 30 32 2 4 4 6 6 6 '8 8 10 10 12 12 16 i9 22 24 26 28 2 4 2 4 2 4 4 6 4 6 4 I 8 4 B 6 8 6 13 6 12 8 12 if 12 10 16 :2 10 14 22 16 26 18 ' 28 20 30 II ]2 4 4 t 6, A 6 B 8 10 10 10 12 12 I6 20 22 14 .8 30 V 2 2 4 4 6 6 0 B 6 10 :G 10 i4 l8 20 2? 24 26 zi 7 2 2 4 2 4 2.- 6 41 6 4I 6 41 0 f 1 10 6In f 110 f , 10 GI ;2 6I 14 !:• 19 14� 141 ±t it 26 :t'j iti 23j 13 2 4 4 6 6 6 6 e In ;9 to 1? 14 13 :J :4 .6 in ;u 7 2 4 4 4 0 6 e 8 F. 17 1;. 12 16 i 20 22 2t' ."6 2 2 2 2 f 4 j 1 61,J90 6 6 u tl i :,3 ti 14 if ' :t Id j A) 1. 3%' Concrete Slab: HC -8.93; R-.29; Factor -7.7 -� - - �,` 2. 3 3/4 Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 81 1. 54' Concrete Slab: HC -14,106; i-.458; Fac!or-7.1 C 1. 8" Solid Filled Block: HC•ZG.63; R-1.93; Factor -6.1 2. 8" Sol td Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal.Mass Area: RC -10.164; R-.965; Factor -6.1 D) I" Thick Concrete/Tile: NC -2.55; R-.083; Factorj-3.7 Table 3-19. Zonally Controlled Electric Resistance Space Heating Points 1 Points for this measure will Table 3-20. Solar dater Heatinr.With Cas BsckaPaint I be eomplete4 after the CEC I 1 has approved an Alternative I Component Package for Resistance I I Beat. I Table 3-18. Active Solar Space Hestina with Cas Points 1 Net Solar Fraction I Points (NSF), Z wood stove #33 poinEs•(no back up) casablanca fan + 1 point kultifamil (er unitpoints) Floor Area Net Solar Fraction (NSF), Z I 0-6 I 0 I 1 7 - 14 1 +2 I I 15 - 23 I +4 I I 24 - 30 0.9 I +6 I I 31 - 39 I +8 1 I 40 - 47 I : +10 I I 48 - 55 I +12 I I 56 - 63 I +14 i 64 - 71 I +18 . I' I 72 up I +20 1 wood stove #33 poinEs•(no back up) casablanca fan + 1 point kultifamil (er unitpoints) Floor Area Net Solar Fraction (NSF), Z per unit, ft? 0.9 10-19 20-29 30-39 40-49 50-59 60-69 7D-79 , 600-799 800-999 1,000-1,499 1,500-1,999 2,1100 and u 0 0 0 0 o +3 +3 +2 +1 I +1 +7 +5 +4 +3 +2 +10 +8 +6 +4 +4 +14 +11 +8 +6 +5 +17 +14 +10 +7 +6 +21 +24 +16 +19 +12 +14 +8 +10 +7 +9 All others (pe building points) 8u0-899 900-999 0 0 +5 +4 +10 +9 +14 +13 +19 +17 +24 +it +29 +34 +26 +30 1,000 1,199 1,206-1,499 1,500-1,999 2,000-2,999 3,060 nad uo 1 0 0 0 0 0 +4 +3 +2 +2 +1 •*7 +6 +5 +3 +3 +11 +9 +7 +5 +S +15 +12 +9 +7 +5 +19 +15 +12 +8 4.7 +22 +26 +18 +21 +14 +li: +10 +11 +8 +10 I Table 3-21. Other Water Beating Pts. I System Type 1 Points I Cas Only I 0 I Beat PonP 1 0 I S013r with Electric I 1 I Re+!stance Backup I I i Meeting the Require- 1 I menu in Part 2 i 0 i 'I I Eleccrte Reststance I I I Daly -40 1 GLAZING PLAN TAKEOFF SHEET TOTAL 3=5 North Glazing NORTH TOTAL BLDG QUANTITY SIZE AREA (SQ.FT.) (aj �_ x roe. V, Sly _ (b) L_ x 0010 = I1 (c) 'I.• x &0&1f = (d) I x 3oao = (e) x _ Total North Glazing = /G G (SQ.FT.) (a+b+c+d+e) TOTAL NORTH TOTAL BLDG GLAZING FLOOR AREA lL4C /5'/i x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR NORTH GLAZING 100 = % 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) _.._ x (b) x (c) / x SZla► _ �� (d) �_ x iZZN = lG./G (e) x = -..,Total South Glazing = G!L/ (SQ.FT.) (a+b+c+d+e) TOTAL SOUTH TOTAL BLDG, GLAZING `FLOOR AREA . L- x SQ'.FT. SQ.FT. CONVERSION TOTAL FACTOR SOUTH GLAZING 100 = —s 3rj*.i—% 3-9 Skylights QUANTITY SIZE (a) x = (b) x = (c) x _ Total Skylight—p,—"= (a-+b+c ) TOTAL SKYLIGHT TOT BLDG GLAZING FJZR AREA x .FT. SQ.FT. AREA (S F`T . ) (SQ•FT. ) PDR M B 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) —oe x %t0 (b) _�_ x (c) x = (d) x = (e) x Total East Glazing (SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING •�� /47 4� x 100 a % SQ.FT. SQ.FT. �Z 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) x _ (b) x = (c) x (d) x (e) x = Total W`5aC Glazing n (SQ.FT.) (a +d+e) TOTAL WESTTOTAL BLDG CONVERSION TOTAL % GLAZIN FLOOR AREA FACTOR WEST GLAZING CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING OWNER - a-. -41 PERMIT NO. l{f 7/83 100 = x 100 % SQ.FT. SQ.FT. FORM e :. RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY i Owner. Climate Zone Permit No.' FloorArea Compaiance path: Package DA ❑ B ❑ C ®,Point System ❑ Budget []other MIN R-VALUE DESCRIPTION REQ `D 1 INSTALLED ITEMS .(1) INSULATION: Roof/Ceiling - Wall je-11 ego ❑ Slab Floor Perimeter ® Raised Floor /Q •�/ (2) •INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16". ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air:Infiltration Standards and shall be certified and labeled. ■ (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger :(3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple ® Total Bldg 2i..�a. /,, s�Z North �(s(.-- H.D X . East -fcj` e+��2. =iL South (� •5�..� ----��� ❑ _ ,_ West ❑. Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights ® (C) South Overhang. Length of projection ft. Description ❑ (D) Moveable insulation: Area ft Description (E) Thermal mass ❑ 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 ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 SRM (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. t *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) .'Heating Central Gas Furnace % *1 u (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar model number SE ACOP type (liquid or air) Collector brand and ft2 solar fraction collector area collector orientation collector tilt rated y -intercept rated slope /� Other �AeeQ_ hit ( .,4 zzm.-a zc- (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump (seasonal EER) EER Btu/hr (cooling ca city at 9 °F) Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps, j] (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. 7/83 2 . FORK 6 (6) DOMESTIC WATER SYSTEM ® -(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electri,cBackup (brand and model number) Gallons 2 (tank size) E3 Active Solar (collector brand and model number) r (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (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,_°, elevation *=t@" ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU �• a " Cooling: Summer design temperature /0![_ , cooling load BTU *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 t 7/83 3 LDING DESIGNER OR APPLICANT f • Return to DPW ' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL rrcCnF_'t FOR RESIDENTIAL DEVELOPMENT COUNTY-�;;,j � �r$H Section 26-8.1 of the Butte County Code requires this acknowledgement ���� J �� J� OWN be recorded prior. to issuance of a building permit. T The property described herein is adjacent to land or included :ICitri within an area zoned for agricultural purposes, and residents of this FFE property may be subject to inconveniences or discomfort arising from the -use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; -and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. _. The land referred to herein is described as follows:' All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: ` ~Being a portion of Section 25, Toi'mship. 19 North, Rarige 4 East, M. D. B. & M., and being more particularly described as follows: recordehe Parcel 1, as sho�-m on that . certain- ParcelfMCaliforniaa on Augustin. the fl, e1975of tin Recorder of the County of -Butte, lState o Book 53 of Parcel Maps, page PARCEL B: - A non exclusive easement for road and public tilipuof pses,,ashown on that certain Parcel Map recorded in the office the -Recorder he County of Butte, State .of California, on August 1, 1975 in Book 53 -of ,Parcel Maps, at, page 17. r .........:.+; ''l.f�.:.�,i lli\�`f'�.`•{.YW"0 1yM+�'a 2W rd XT'�r: � 't v" �' � ! Wr• .Yf:, rid, •j...r.. r i r rrf ,tg7�i��..yj�'-�•��/�'�i'r'�•`j'�i 1.,µZ.. x hl�l`-N"� •'' id'{.i�� `M <�'%Y�pr.•y���r�;bi '�*f �^�.�,Kh,'.. ����.�'�. Y �r � _•�J'•/f�r�.tt M�r [-•��j. � ypy � `� �'2 y :l i , M , r M /• '1�1.t `�^ .�r� may? � * y ? f..��.a'�"jr.• .• }, ,lw( 1G�-li. P" 7ri`'Y ° ` �`'` r` ' ` 4•k,'. - .. `S, 4 �, 1 )t ~.t{ .�.� : � •1 • a � : � .' wit"_' , j k Jrt �i' �i',�.. 'W �'yr. - ' JS � v 1 y9 iSh "f i' w r !r• i.. til �.. , � . • 4 t1 i'!. .•i+.'' -�f�?'�+..•'�..nrv���1G-w�ri+`�`JrJ�'Gi��;�r'��':!rf +vti L.�' - N •' s Date: % 1i! • d �' J State --of ) SS. County of ) ;- CFF I:;IAL rFAI •.� �•I`JD Nfi:,RY?;!5UC—CfIIFOfiNIA My Cu.--rslon 3U?TE COti�JTY Expires .lune 19, 1987 On this the - _ZT day of ,'rc, , 19 , berore me, the undersigned Notary Publ c, 6irsonally appe red J4 (I— W e Instdk Personally known to me. C/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(ssubscribed to the within instrument and acknowle ged ft ha the same for the purposes therein co tai d. IN WITNESS WHEREOF, I hereunto set my hand and of icial seal. Notary Public Present A. P. No. 1 C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 STATE OF CALIFORNIA ) j COUNTY OF f3 o T 1C ) On % .3 7 before me, the undersigned, a notary public in and for said�County and State, personally appeared 7-o a p f-1c-MJ7�4 L /L personally known to me (vr-• n--the-baste-Gf-s-a-t-i-sf-aete-r-y-ev.id.ence) to be the person whose name is subscribed to this instrument and acknowledged to me that he executed same. OFFICIAL SEAL STEVEN J HOWEU NOTARY PUBLIC - CALIFORNIA BUTTE ECOUNTY�WU NOT BLIC My comm, expires MAR 23, 1987 1 June 4, 1986 Gregory Todd Hemstalk RE: Permits and Inspections 5212 Miners Ranch Road A.P. #36-23-50 Oroville, CA 95965 Dear Mr. Hemstalk: With' reference- to the above subject, on August 1, 1984, Permit #2314-84 was issued to you to construct a single family dwelling on your property located at 5212 Miners Ranch Rd., Oroville. The permit expired August 1, 1985, without a final inspection, and the dwelling is being occupied. Since.both permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, renew the permit, pay the appropriate fees, and make arrangements for a final inspection. Should you have any questions concerning this matter, please contact this office. Yours very.truly, William Cheff Director of Public Works j t)rrginal signed by J. F. Glander J.F. Glander JFG:ahb Chief Building Inspector cc:' Building Inspector - Oroville Contractors State License Board 429 Red Cliff Dr., Suite 140 Redding, CA 96002 CERTIFIED 14AIL Gregory Todd Hemstalk 5212 Miners Ranch Road Oroville, CA 95965 Dear Mr. Hemstalk: October 27,1986 RE: Permits and Inspections A.P. #36-23-50 With reference to the above subject,, on June 4, 1986, we wrote you a letter concerning Permit #2314-84 which was issued to you to construct a single family dwelling on your property located at 5212 Miners Ranch Rd., Oroville, The permit expired August 1, .1985, without a final inspection, and the dwelling is being occupied.- Since both permits and inspections are required by both State. and County laws',. unless you contact this office within ten days of the date of this letter, renew the permit, pay the appropriate fees, and make arrangements for a final inspection the matter will be referred -to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Giander J.F. Glander JFG:ahb Chief Building Inspector cc: Building.Inspector - Oroville Contractors State License Board 429 Red Cliff Dr., Suite 140 Redding, CA 96002 61ofoo, 1 ---TCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIP,ATILIN AND PERMIT / PERMIT NO. / — _ 49 ,7 . — . -IaCJ ASSSSO PARCEL NUMBER E I - 5 I ZONIN G, A BUILDING PERMJT OWNER' 6+/ t -p j 0 r U )- Pam � � � 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / " I / _�" _k- f -C I- CONTRACTOR'SNAME y� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER fF/ 1 p LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee' $ BUILDING ADDRESS �s y D r i VP - 1 •� t PLUMBING PERMIT Filing Fee 10.00 `- Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME "PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities ,❑ Instal lation❑ Other©' Describe work: 1 �pr1 - to t- ^C.0 t J r P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS /QL00 �y0 ✓11 +w r + Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.y, OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p J y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO and Professions Code and my license is in full force and effect. License No. Classification © I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NO BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR, I @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@10¢ Ex. Occup.(ouTLE TS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 i `E' :Tr^c oJb • D Permit Fee 1 $ Al 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. © 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation penult Fee S 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r ��%%��; X Q.m, �. .C��fZ Date -_.. Signature gf�Applicant — Owner [ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, CROUP I TYPE OF CONST, F PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,OF PUBLIC By,� y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date tf 13 Receipt No. to I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 /`�93'..._ 0�/ APPLICATION AND PERMIT AA <li ASSESS PARCE NUMBER VVVV ZONI G - BUILDING PERMIT OWNER 77 k—r3&1 r TELEPHO E SQ. FT. OCC. BUILDING VALUATION OW ER'S M ILI NG DRE S C Q CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DD S ,) PLUMBING PERMIT Filing Fee 10.00 dkki)Asa�s C`R-2mdq "R CL Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping ' LOT NO. SUBDIVISION NAME PAP.CEL MAP S_3,/7 Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Instal ati n❑ Other Describe work:�Ir moo h P� p � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS Q00 Main service EA. ADD'L 100 AMP 2.50 .9 Icy NEW CONST. / DWELLING OCCUP.m) OR ADDNS. \ ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FlI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. I POWER APPARATUS D\ NON-RESID. SINGLE OUTLET CIR. / 50 @ 23¢ Ex. OCCup. OUTLETS oR FIXTURES BAL@1 Ex. OCCUp.�OUTLETS FIXED P(RESID.)REA. 2.00 Temporary service 10.00 ion Mobile Home Facilities 15.00 sc. Wiring 7.50 -p— JVNc C Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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. Rj 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in cone uence of the granting of this permit. X Date SignatU Applicant — Owner [j? 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 ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date �/ a / Receipt No. lf5 ��, WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Oroville, CA. '95965 PHONE: 916-534-4541 AGRICULTURAL BUILDING Exemption Form ,.owner of the property located at p1 ase print) Assessor Parcel # J]2 , intend . to construct a yi ,vi Sb�n,- agricultural building on this property. (specify type of construction & sidin ) I declare the building will be used to house �i9 • r' , (spgcify use from definition below) which conforms to the Ag, building definition. Agricultural building is defined as follows: Agricultural building is a- structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure-shall not be a place of human habitation or a place of employment where agricultural products are. processed, treated, or packaged, nor shall it be a place used by the.public. I understand if I change the use or occupancy of this building I will be sub- ject to. the necessary permits, inspections, and approvals from the Butte County Building Department Si nature.of Property Owner_lt::��If, "4� g P Y Date Building.Inspector receiving form Comments: ..Duplicate to field inspector : Date ._; 4*1 BUTTE COUNTY BUILDING DEPARTMENT 7'County Center Drive Oroville, CA. 95965 PHONE: 916-534-4541: AGRICULTURAL BUILDING Exemption Form I, , owner of the property located at (p ease print) Assessor Parcel �� � " � '" S , intend to construct a Z_' x /I/, - Z -0 S,`Oi7 agricultural building. on this property: (specify type of 'cons ruction & Sidi ) I declare the building will be.used..to house AIV a 6)28i. , (s cify use from definition below) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building is a .structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human -habitation or a;,pace of employment where agricultural products are processed, treated, or,packaged, nor shall it be'a place used by the public. I understand, if I change the.'.use or occupancy of this building I will be sub- ject to the necessary permits; inspections, and approvals from the Butte County . Building Department. Signature -of Property. Owner Date .Building Inspector receiving form