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Home My WebLink About022-204-01919 .22-204-19 =r ANN DENIZ r. S/S PR I DE RD. , APPROX. 2 " Hwy. 99E, RIG S , PERM I_T462.1.2-75P,Mb NST.. __NAT. GAS PIPING VS/F i Contr: Burl Woodward Permit22-204- 9 F. //,o% ��1288-84B, P,E,M(additiOn/SF) 022-20-4-019 DENIZ, ANN 93-2221 M -------------- I 169 PRYDE AVE, BIGGS CONTR: AMERICAN INTL �� ^ WALL FURNACE/SF 022-204-019 PERMIT#96-0037 DENIZ, Ann. i 169 Pryde Ave., Biggs Cont; Advanced Rep lace Ht r SF c I a ' E I ' ' I y 91 ti y,� 0 t 022-204-019 PERMIT#96-0037 DENIZ, Ann I I I . I 169 ' Pryde Ave., Biggs Cont; -Advanced Replace Htr/SF 1/3 j -+,.t COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES - B.UILDING DIVISIO 7 .County Center Drive - Oroville,' Califori'tia 95965 - Telephone (916) 538-7541 V PERMIT NO. APPLICATION AND PERMIT 4,�, ed ASSESSOR PARCEL NUMBER, .- 022-204--019 ZONING A5 BUILDI PERMIT , OWNER ANN DERZ TELEPHONE 868-5847 ` SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 169 PRYDE AVE. BIGGS CONTRACTOR'S NAME ADVANCED HA TELEPHONE CONTRACTORS MAILING ADDRESS 275.5 140OLNER AVE,FAIRFIELD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. i Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 169 PRIDE AVE, BIGGS I PERMITFEE $ I PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ( New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: HEATER I 1 Mobile Home IS✓ GI W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service eoov OR LESS ( 200. OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. = License Class I No. OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation,Misc. will do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensee} contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:. ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ACc. BUDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 p 1.00 aAL .50 Ex. Occup. ( OUTFIXELETS (R ISE ISE D.)EA ) 5.00 Temporary Service 23.00 Mobile Home, Facilities 20.00 Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating MR X 35,0W Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, arid,agree that if I should become subject to the workers' compensation provisions -of section 3700 of the Labor Code, I shall /forthwith co ply with those provisions." "••"' X`1 Date pool, 6 _ lt�—w L., L) L --Signature of Applicant - 0- Owner • ❑ Contractor MoAg'ent / An OSHA permit is required for excavations over 5'0" deep and demolition or construction �of structures over3 stories in height.-,, Mobile Home Installation Fee $ Energy Inspection Fee $ OCCCONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD' CDF PARCEL PD HD ISSUE 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. By % Date PERMITEXPIRESON r ""(Date) ReceiptNo. /:2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, GaF4►)rnia -95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT D 4 ASSESSOR PARCEL NUMBER 022-204-019 ZONING A5 BUILDI PERMIT OWNER ANN DENIZ TELEPHONE 868-5847 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 169 PRYDE AVE BIGGS CONTRACTOR'S NAME ADVANCED HA TELEPHONE CONTRACTORS MAILING ADDRESS 1755 7., FAIREIRLD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 169 PRYDE AVE BIGGS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF P Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _HEATER Mobile Home I S I G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service e00V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Ill do the work, and the structure is not intended or offered for sale. 01-1was owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. ) So. 3.SQ FT. NEW CCNS. ONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .SO FIXED APPWS. OR Ex. Occup. p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating NEXTXX 35,000 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ions. Date �C 6 � - M-Ag1ft Q;9zWContractor An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I COF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for w ' fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. g Date d (Date) Receipt No. J^ WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t a AVs:A-�..A��. December 1995 City Officials Please be advised this agent for Richard Heath & Associates is acting on our behalf to pull permits and or Business licenses in your fine City If you need confirmation you may call us at (707) 428-3242 Thank you in advance for your cooperation Sincerely Christopher Bommarito Sec/Tress ;ACO cc: file 1755-B Woolner Ave. Fairfield, CA 94533 (707) 428-3242 Lic. #532661 ■ [3ICHARD ■ [DEATH AND ■ E3SSOCIATES, INC. ■ 5762 PELADEAU STREET, EMERYVILLE. CA 94608 510 450-8340 FAX 510 547-8160 To: Whom it May Concern From:, Bob Booher, Program Manager Energy Efficient Furnace Program Date: January 2, 1996 RE: Building Permit and Business License Pulling Authorization The following individuals are Richard Heath & Associates (RHA) employees, and are authorized to pull permits and/or business licenses on behalf of RHA: Jim Dezell. Don Choate Leon Trubin Rick Tilton Al Lucero If you have any questions, please call either David Anselmi or Bob Booher at 510/450-8340. Thank you. cadata\bob\m em63 3. doc ■ 604 BANCROFT WAY BERKELEY, CA 94710 510 649-1464 FAX 510 649-9593 ■ 31 MAIN STREET. #A CHICO. CA 95928 916 898-1323 FAX 916 898-1325 ■ 917 W. GRAPE STREET. ■ 2055 SAN JOAQUIN SAN DIEGO, CA 92101 FRESNO, CA 93721 619 233-5090 209 238-2955 FAX 619 233.8667 FAX 209 237-0181 022-20-4-019 93-2'221 M DENIZ, ANN 169 PRYDE AVE, BIGGS INTL m COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, OaMornis95965 - Telephone; 916 '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I GW @ 15.00 TYPE OF WORK New _ Addition _ Remodel L; Utilities L Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS j$,50 200A OR LESS Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penaltyofperjury per Iur y (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) [J I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) 3.64sq.ft. oR ADDNS. 1 ACC. BLDGS. NEW CONSTR UTLET @ 5.00 NON-RESID BRRAANNCCHHCIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 7614 FIXED APPLNSR Ex. Occup. OUTLETS IRESID IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si natuA g pp – Owner❑ Contractor ❑ Agent ❑� Applicant re of An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz I DFEES IMP I FLOOD I CDF PARCEL PD HD ISSUE 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 r PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLI KS MIT NO. 7 County Center Drive - Oroville,'Califbrrtia 95965 - Telepho 6. 5 8-7541c- APPLICAfION 9ND PERMIT !!! ASSESSOR PARCEL NUMBER 022-204-019 ZONING AS BUILDING PERMIT OWNER ANN DENIZ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 169 PRYDE AVE GRIDLEY 95917 CONTRACTOR'S NAMETELEPHONE ROF AMERICAN INTL 40,9 CONTRACTOR'S MAILING ADDRESS PO BOX 706 SAN JOSE 95106 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 169 PRIDE AVE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New a Addition LJ Remodel ❑ Utilities FXI Installation❑ Other ❑ Describe work: REMOVE R REPLACTIF WATT FURNACE—Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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. License No. SZ�V&S Classification &61150 oCs6 F -1I, 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 Elfor sale. (Sec. 7044) 7044) ors. (Secas • owner, , am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC iT5 @ 5.00 POWER APPARATUS b (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 EX. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ,F I—,/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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9,00 Cooling g LHood 6.50 Ventilation Permit Fee $ 24-00 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 County in cons quence f the granting of this permit. X 0 Date �il Signature of 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 24.00 HAZ I D 111 I IMP I FLOOD I CDP I PARCEL I PD I HD ISSUE This permit is hereby issued under the slams of th to Coun ode and/or work in at ab f which fees OF PUBLIC By �' PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS to �% Receipt No. 143607 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT ,r—•..r�'n-., � � n.•.rt1--,.-.-*=r-s-�-+�[-�'?'"-'*+--..�...-.��.y.,•1�,,ry�.A�+r^�'�fi'f'�'�',""'".,�y�y.Y�—"t'�`r�''1�"�A�-^�"�sa._v-.c�`,,7. ..... COUNTY OF BUTTE -DEPARTMENT OF BEVELOPM ENT SE �IE -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET /- A •►- OWNER r ! �P. o. ZZ —Z 0 Proposed Building Use ul ing Inspector Date At time of peF(nit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, ,All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ..... 3, Complete plans, 3/4 sets, signed by preparer of plans.. ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule . .............................. ,�1'2. California Department of Forestry plan approval/fees.. . (13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Developmental bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pre-Inepeotion re4dest 20. Pre -inspection for required. . to Building Inspector (Date) y(Contractor's license information. (No., Name Style, Classification) . .............. 22.QQertificate of Workmans Compensation Insurance . ......................... . ai., Owner -Builder Verification (Given to owner , Mail to owner _�.......... . J 2d<kecorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... S 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................... ....... . 32. Plan check list . ..................................................... 33. 34. / When you issue the permit, process as follows: Mail to owner. C/ Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant A� Date -7-,5-,93 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works I r I ,PERMIT NO. 1288-84B_P_E_M PERMIT EXPIRES / Zas— OWNER ANN DENIZ CONTR. Burl Woodward ASSESSOR PARCEL 22-204-19 LOCATION' fl� S/S Pride Rd,'y, mi W Hwy 99E,Bigg OFFICE -COPY i Address_ "".s • ,,,�r.,. ^ :) �' � ear.. � •.. � •+ � GAS L Nets Date IC �'rt •" Fes. Mt, ,• ff er / Date) . Temp. Power Pole Called PG&E' Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED(Date) ' Signature 2 __ y Owner: /1/�/ t f' Permit No. o LOCAT ENERGY CERTI'F ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type. Thickness(inches)_7 Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A.P. No. Brand Name Thermal Resistance (R Value) Brand Nam��Lyt Thermal Resistance(R Value) Brand Name Z r. mac, - T/";&4 Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. .Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the.above building in conformance with.the State of California Energy. Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. i• SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the - Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. / J SIGNATURE OF GENERAL CONTRACTOR OWNER DA E 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 J = dK ' 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS. COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements _—Setbacks—Easements — — —� 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Decks: Girders and/or Joists—Decking—Bracing—Stairs—Rails_ 3. Sewer; Location—Test—Fall-C/0—Concrete 4. Water: Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— RIIrs_—Connec.--Shthg.—Rfg.—Brat 1 ng 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas: Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance -- _-- ---- 7. Elec. - -----_ --- Card-BI Dale Card -BI Date -BI Date Card -BI Date Card -81 Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s _Card Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements 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—'_",r ___ 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/0 to Grade—HD Approval 8. Gas and Electricity Tagged 6. Elec.: Enclosures: Conduit Entries—Terminals—Listed 7. Elec.: Bonding: Metal w/5'—Circulating Equipment—Heater — 8. Elec.; Grounding: Equip.w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval — 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 3 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR PI s OKexcepth's (Date FRAMING (Continued) requirements -Setbacks -Easements q$�efle Firewall & Openings ----V--& : Doors -One 3' -Check Garage_ -3rd story, 2 exits - --- _ _oning -- �tg., Main; Soils-Steel_-Elec. Grnd.- 1A /" Ftg. Depth 3. Ftg_, Garage; Soils -Steel- / /" Ftg. Depth 5 - droom-Rise-Run-Landing-Fire Protection _ 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth -�- wood Root Overhang -Attic Vents -Rafter Outriggers - emwa_IIs, Main; Steel-Blockouts-%Ilrapped_-Slab 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-Slab _ 5 Ing -Nailing -Veneer - 53. es -Drip_S_creed-Fdn._Vents-Underflr. Access _ _ -- - 7. Pier Ftg=Steel_ azing Area -Glass Protection -Skylights -Plastic _Fireplac_e V. Fall -Fittings -Test -2 way C/0 -Sewer Test 5: Nailing -Bolts - 9 Pipe; Size -Anchors _ _as 10. /ater Pipe; Test -Anchors -Regulator -Service Test - - _ _ 11. Electric; Underground 12. genu is & Ducts; Clearance -Material -_Support -Ins. rders-Sills-Anchor Bolls -Joists -Vents -Cripples I �t3at _ Card BI Date ----- Card-BI Date Card -BI Date _ - Card -BI Date � Card -81 Date d -B Oat Card -BI Date Date FINAL (PWKr'6K except #'s C -BI Dat �Card-BI Dale Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 4. Water Ht.: Vent -Access -Combustion Air 58, Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meeh. Protection _ W r Pipe; Test & Anchors -Nail Protection_ -15. _D_.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 59.Bedroom Exiting - .I. & Bath Fixtures & Tub Access --_ 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe: Size & Anchors 62.1 Stairs & Rails - - 63.1 Fireplace or Stove; Clearances -Hearth F "'---_-'--- - Card -BI Date Card -BI Data Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & A pliance; Grnd.-Air Gap -Cooking Clea:anc_e _ _ Card -BI Date Card -BI Date - 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except #'s 67. Garage Fire Door; Swing -Landing -Closer _ 68. A.C. Duct in Garage -Damper - 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P_R.V.- In Garage; Above Floor-Mech. Protection 20/'f ixt Transformer Clearance -Ins. Protection -- _ 21 Dec. Receptacles Spacing -Lights &Switches at Doors Boxe & No. of Conductors -Stapled NO -Rib., Elec. & Mech. Equip. Listed for Location -' 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protea _4e -- �- ---- -- - -- 2Z_Romex Ins d -Close to Edge of Studs & C.J. 72• Insulation -Foam- Looked in Attic es ' made up w/Mech. Fasteners-Bond_Gas & Water - --.--- - - 73. Guard Rails &Deck Construction -Post Caps 25; _ in Kitchen & Conductor Size - 26.�_ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al AI Range Cir - ga-Cu or -Oven Circ. / / ga. Cu or Al,- 27.Ci r ; -_ Insulated Neutral _, Yes ;]No - 28.•_S_ - _ etors_& Ground -Main Disconnect - - 29 �& -E qui+earanrU9- Pan-els-Motors-Mech. Equip. --- - _ 302-.C1nthe5Closet Light -Shower Light _---- -- - 74. Fdn. Vents & Crawl Hull+ Door -Drainage & Wood -Earth Clearance Looked under Floor Lam_ Yes 75. Following inst Drive es rl No; Walks [ es [{N;,' Planters Yes ❑No _ 76. Stucco: Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Above Root: Plbg.-Appliance=Firepl.-Clearance to Opngs. Gid 8-I y�` Dat Card BI Date- Card B -I Oate Card -BI Date --1wVents 79j Water Well; Disconnect, Electrical, Plumbing _ W-15--terior Elec. Trim: G.F.I. Receptacle -Underground - ntilation throughout House _ Glass Protection _ 83. Icorrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 5 ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates - _ Date MECHANICAL (Permit) OK except #'s -- - 31. A.C. Ducts: Insulation _& Support _-- -_ _ 32.. Vent Fan: Exhaust above Insulation -------_ 33. _Condeiis_ate Drain & Ove_n_low, Size & Grade_ �34. Furnace -Vent; Arce_s_s-Comb._Air_-Re_t_urn Air Vent_ -_115V outlet - 35. Attic Access & Platform if Furnace in Attic -- --' ------------ ---- - --- -'---- Card$I Date - Card -BI Date ----Card-BI Card -6-1- Date Card -BI - Date --- - - - - -- Cam -BI ate - 1-0 Card -BI Date _ - Date Card -BI Date - Card -BI Date Card -BI Date Comments at Final: -- ----- Date FRAMING(Plans) OK except #'s IsfProper Material & Anchors 37`W:i4VS'�Studs-Nailing, Spacing & Bracing -Plates -Sound 38.,_fieaKing _ IIs over Girders & Floor Nailing g�Ufett`Stop in Walls (rat proof) 40:--PT�tops _Furred Ceilings -Stairs -Chases- Tub -- - -- ade, & Beam -Size & Bearing ---'- -- 42j --H -,T -r5-Po`;i Caps -Anchors -Connectors y. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss -Shthnq.-RIng. ype A Flue -Fireplace Throat 7Sa��sj 45. Attic Access Sine & Rnnrx Profertirni-Drab Stop -Ins. Baffles 4 nrm. lintt;ws or ,x li y')onrs.-Sill Figt. & Dimensions - 47 F-aming --- - - - --------------- - -- - - - ------ - --- -- - - _ -� ; e° --. ----- -----------_---^- (NOTE.AnenLymusi he made each time youvisit johsite) { COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 04 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT l PERM60- ASSESSOR 0- ASSESSOR PARCEL NUMBER /12 — d �, _ zo r+ (—S BUILDING PERMIT OWNER V TELEPHONE SO. FT. OCC.1 BUILDING VALU/5 ION 92 15 OWNER'S MAILING ADD S CONTRAC 0R'S NAME Wolt" TELEPHONE 4�-6-2667 CONTRAC O S MAILIN ADDRESS „ �, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ p Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a5,ot ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t vv Penalty G $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �, 66 BUILDING ADDRESS S S - / j2 2tots� PLUMBING PERMIT9 Filin Fee 10.00 / Each Trap 2.00 No Oa Solar Water Heater 20.00 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 SF [9/ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S GTW- 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ InstaliationD Other ❑ Describe work: '� Permit Fee $ �. Contractor ELECTRICAL PERMIT Filing Fee 10.00 1100V OR LESS Main service 100 AMP OR LESS 10.00 W + W �- Main service EA. ADD•L 100 AMP 2.50 NEW CONST.( DW G�9'CCUP.&) OR ADDNS. AC QCg 2'hQSgft 1115 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de and m license is in full force and effect. -!� D < %) License NUS( O _� �9 9 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 CONSTIR ULTI-OUTLET 2.50 ea NN.RESID BRANCH CIRC ITS NEW CONSTFL ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. / i0®s0C Ex. Occup(o Ts OR FIXTURES 9AL®30 FIXED APPLNS. OR ` FIXED EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 P$10 Permit Fee $ >4p, 1 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department Lki 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 T ob 3, Oa permit Fee $ 3,OQ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again sai o my in onse uen a of t granting of this permit. Date ignature of 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 $ -50,00 TOTAL PERMIT FEE $ UY �� OCCUP. GROUP �_�_� I TrP OF CONST. PARC � PD HD IS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi h DIR ORF By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS Date 1& -2- [ / � Receipt No. T WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 7J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive — Oroville, California 95965 Tel ep*ne: 53-4:4541 APPLICATION AND PERMIT dutnunce representdtives or ine county or twee to enter upon ine above-mentioned property for inspection purposes. Date Signature of Permitee or Agent o./WhReceipt No./- White-D.P.W. ite-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 Date ` Buiidit5T permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping "system 1 - 5 outlets 1.50 Each additional outlet .30 fees 1M.tl. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1 1.00 Water Heater or Space Heater 1.00 Light fixtures bbl a2 In Receps., switches & fix outlets 20025 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. Classification Misc. wiring ❑ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 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 $ dutnunce representdtives or ine county or twee to enter upon ine above-mentioned property for inspection purposes. Date Signature of Permitee or Agent o./WhReceipt No./- White-D.P.W. ite-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 Date ` Buiidit5T permit expires Date COUNTY OF BUTTE —" DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oro.ille, California 95965 /2, — %5 Telephone: 534-4541 APPLICATION AND PERMIT Date Signature of Permitee or Agent / Receipt No. -346:g� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Go[ thp.Butte County Code and/or resolutions to do work indicated ,,above for which fees have been paid. !/DIRECTOR OF PUBLIC WORKS By Datey 3� 7 y Bxrd>hrTpermit expires Date / //G - BUILDING Owner AAw SQ. FT. OCC. BUILDING VALUATION Mailing Address • Tele hone S� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressPLUMBING S No.1 @ FEE PERMIT FILING FEE $3.00_a,, i Each Trap 1.50 t Repair drainage or vent piping 1.50 Water piping 1.50 Each gas Iter heater or vent 1.50 A. P. No. 71_� �� Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 a4ketion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg.an�I n Recd L Parcel Approval Plans Approval Permit Fee $ — $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 < r Main service incl. 1 meter IF f 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 2 b 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.Misc. Classification 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. ❑ 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 oas to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,�d Heating Cooling Ventilation Hood 2.00 Permit Fee $ -7—,$ 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 ws relating to building construction, and hereby authoripF representatives of the County of Butte to enter upon the ahnvp antinnpri nrnncrt..r.r ;, e..+Aa TOTAL PERMIT FEE $ <r-- This permit hereby P y issued under the applicable provisions of Date Signature of Permitee or Agent / Receipt No. -346:g� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Go[ thp.Butte County Code and/or resolutions to do work indicated ,,above for which fees have been paid. !/DIRECTOR OF PUBLIC WORKS By Datey 3� 7 y Bxrd>hrTpermit expires Date / //G - FORM 7 ENERGY SHEET FOR. ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. 1258'84 PACKAGE "A" (Additions) NAME AkJ �J DW I JOB ADDRESS TYPE OF WORK 'LCXT—WD g SQUARE FOOTAGE IR -44S Existing Residence New Addition 46- r-T'z' New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, .converti*ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is'ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. E 12 . ZONE 116 INSTALLED 'APPLIES TO NEW AREA CEILING v-30 R-38 R-30 R-119 WALL R-11 R-11 FLOOR R-11 R' 11 R-19:sL� R 7?' RN11 R 7 GLAZING , 65 .65 *15 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C. W 41%— .P"E2, s�a�CS WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT _._ MAXI1NM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 J U *1 HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating LN 157-1 N G Central Gas Furnace % (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 ❑ Other �y (describe) *1 (B) Cooling l X(ST14� ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump 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) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: q Heating: Winter design temperature Id elevation heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature �Q °, 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 the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT ��,�. d.. +. I. ' , :il •. • n ' f, 'Y 4 C. •' '' , .' o '; • 1 , + - µ ` . • /:�. ..y .''�Ot�/ _. !] r'*. ��'� �' f 4 F'c i This set of pins an r Fi , ShII Ea in d .. ci. P� ii ns MUST be.,.i�.,,7i a kc'pton the Viral. crit �,,!i t'il,ic: a ind i i" Unlawful t� ?�t C�r�y't?r?? �IT1tia i�r 1i t (c;�;l Pt. �cti�GS c�t�,r I make any chcnC:^s or idforat?ons on some with- �`y'�� '1 � �'•t;:�lP t�rr�Ciim!" 3 ;rt •�lo. * y '�� !f" in tho E ►» r "til T'^ ,i" ;.` C�ui �vrittrn permisscan {rc�Jn the Department o{ " .xM' E�:rar• + :+fie ;7atlica Codes �-ub Fr. Works, County of 13utte. "fit � �� Nal,ional Llcctrical C'odgl l ,r .•.r' A srtback of 5 ft. from the property lines and a setback of 50ft. from the toad centerline' shall b-, clear of -ti-kittures or equipment exp ePt ft. eave overhang, � V'. a .. Rs.ns•...+nd..+.m.�....w. a.a ., 1 _ r I .. � AV yr j Y •r"+ ai W y i l A NO '3 ! !Il! li II IIillll1il 111111111 IIIIIIl11 IIIIIIIIIIi�IiIl1i! 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