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042-170-038
rN44 42-17-38 HAROLD LATIMER NIS Grape Way, ap 15001 E Dal�ry LRjj rm7t#hiZ072r-3�4E ele ser ch) SF 42-17-38 92-1572 BPEM HEETER, E,l Mary Chico VIC( 3122 Grape C- 038 Mary new f )> 042-17-0-038 92-3697B HEETER; Ed Mdary Way, 3122 Grap Way, Chico contr: Gary -Engelder- demolish old-sf 042-170-038 02-24312431 LATIMER, MARTY 3122 GRAPE WAY, CHICO CONT: CARE -FREE POOLS POOL �1 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 N (Rev. 12/66) APPLICATION AND PERMIT °'AS S ESSO R PARCEL NUMBER 042-170-018 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION V e'L 25 000.00 . OWNERS MAIUNG ADORES '1199 aAPE WAY, MICO, CA CONTRACTOR'S NAME CARE-FRF.F. P001 S TELEPHONE 1342-A629 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 'LENDER'S MAILING ADDRESS Total Valuation $ 2M00.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 252.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3122 GRAPE WAY CHICO Energy Plan Checking Fee $ $ PERMIT FEE $9qs no LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.001 9_00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL - MASTER#502-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2a0A OR LESS 23.00 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 11 force and effect..-� License Class ~' Lic. Na. /� 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, will do the work, and the structure is not intended or offered for sale. ❑ I, as 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 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 Jor workers' compensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I 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' coy4pens�tilo)n insurance carrier and policy number are: Carrier f/JY�G./�I.It 4�t Policy Number -'^ a-(, '/ // �+' , (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 foAhv th comply with those provisions. f- X Date ` Signature of' Appllcant - ❑ Owner 4onact—or ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUR 3,5Qs0. ACC. FT. OR ADcorsr. ( BLDS. M N=FIESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDCruREs 20 °'•00 BAL .SO Ex. Occup. ounFrs Ao .DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL E 2 ctr1c 1,30.00 PERMIT FEES so no MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ z D I P D 1 01pARC0. SU 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 If PERMIT EXPIRES ON z D ?t I I(Dt,) C�A Receipt No. •0o WHITE-D.D.S.- CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a P-1 . i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovllle, California 95965 • Telephone (530) 538-7541 Rev. 12196) APPLICATION AND PERMIT 7 - ASSESSOR PARCEL NUMD[AO` /.•� _ i�_�39 zomm ^ ^¢DEBUILDING PERMIT OWNER Nn oat`f d - -- -- NorNe1' OCC. BUILDING VALUATION —OWNERS d INOI�pQ({E89 r.� — --/ 'O`l --- ---- --- COMRAC'TO ' NAMa Pit T3y qb3 cl OJA -..COMRACTORB • --- ® CONSTRUCTIONUENDER --- LENDER$ WALING ADDRESS ARCHITECT OR ENGRdXR ARCISTECT OR ENGOVER$ HALING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SFADuptex ❑ Mobilehome ❑ Other ePecav TYPE OF WORK Now ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:— �� o� �J � aU (� • U� PL,m-D- A CEIVE , D SEP 0 4 200 FEi PAXb $U:��Nc D vNTY • • tvrsrox SHERIFF arm AAOUW arc o $--EEO, 00 *R6CE;ttT NV1M��+t &oo l �I S Fling Fee $ 20.00 Permit Fee $ : �- Plan Checking Fee $ (� Energy Plan Checking. Fee E PERMIT FEE S , O PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5 -Go Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 13 1 G I W 020.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service eoov oR aooA OR uric LESS 23.00 Service 200A TO 1000A 46.00 [Mai.n NEw ooNo . UWELLM %jP. OR ADDNS. A ACC. BlD3. 3 SQao. ES10. MUITI.OUTLET%.501 -•..._ POWER APPARATUS S 81N OUTLET CIA. Ex. Occup. OUTLET OR FvmFtEs 20a 1.00 SAL 0 a0 " Ex. OCCU MD APP .ID OR ovrt�+o pelo. eA 5.00 Temporary Service 23.00 _ Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE l $ 56,00 MECHANICAL PERMIT Firing Fee 1 20.00 6.50 : PERMIT PES I f Mobile Home Installation Fee 1 $ Energy Inspectlon Fee Is ocC cONsT.TYPE O AL FEE Z v. NA2. 0._ fF .(nVOO IPW' P EL W � --- This permit Is hereby Issued under tfie applicable. provisians of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. --- By ReceiptNo. PERMIT EXPIRES ON WHITE •O.O.S.. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 • PERMIT APPLICATION DATA SHEET OWNER:tt��� C� ASSESSOR PARCEL NUMBER 7 0 — (�O —038 Proposed Building Use: P(9 Counter Technician: 0 Date: q- `t -01a It710t quired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Jans, 3 or 4 sets, signed by the preparer of the plans. 2. omlete plans, 3 or 4 sets, signed by the preparer of the plans. ❑'3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. N&4. Engineered truss details and layouts in duplicate. No faxes! AA 4 5. Energy compliance design and supporting documentation in duplicate. �� " Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. k-7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. /� Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate.. �...........1':1:........ ��' )_ 9. Plot plan and business license approval from the City of Biggs.......... .............. ❑ 10. Letter of intent for non-residential buijdings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15 atement of Intent for Non -heated and A/C Buildings ................................./. 6. Sanitation and plot plan approval from the Environmental Health Department in lwwL ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: OIL (B)Parking: . (C) Parcel Check: d ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone and hold for pickup. 1=4 I have been.�m•f ed of the ab items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: r od Plan Check Letter 2. Additional items required ontractor, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: ,7 o A -i Contractor, designer,was advised of the ab ve d to by ❑ phone, ❑ mail, ❑ counter, by Date: o n r, Plans reviewed by: Date: 9 zS Oz Plans approved by: Date: /V 87� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE—ON" Piot Plan AttncMd V Floor Plan Attacked Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: - -_ Enviro mental Health Specialist 8196 Date TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i 3122 Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: 9 NOTE Environme al Health S cialist 8/92 F.H. usr ONLY Plot ITm Att. h,d Fluor Plan nuAwd Sent to B.u.-I y�- /7 3,6 AP# Private Well ALL �� l5 3 -Date I RE OIDENTI L 4 -1 -3 HEETER, Ed & Mary 3122 Grape way, Chico new sf 0 ell t eeO bL OFFICE COPY Address GAS Meter BY 4 - I _ Date ELECTRIC et Meter By Meter By --nate ELECTRIC Meter Byate L---- -- j &$-413 JOBFINALED(Date)' Signature J=OK a O = Not OK =Not Applicable ' = Not Ready. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged + 9. Exits; Insp.-Sketch .; 10. Cert. of Occupancy t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS `• Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing - 11. Ext.; Steps -Doors -Landings Date -Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6: Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓.•= OK Q Not OK Not a`dalile Rey Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ff's on ing-Setbacks-Easements-Flood-Slope F g., Main; Soils-Ele nd.-/ /" Ftg. Depth Ftg., Garage; Soils-Ste'dt*l rhd.-k/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S11-6walls, Main; Steel -Bloc kouts-Wra pped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. b; Steel -Wrapped . Pi -Fireplace Ftg.-Steel .; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pi ums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts-Joists-Vents-CJiRAIez 15. Access & Ventilation 16. Insulation Date (Q z Card B-1 Date Card B-1 Date L Card B-1 Date Card B-1 Date PLU ING (Permit),OK except ft's -- - -- 19�. ter Htr.: Vent -Access -Combustion Air -Baffle - - --------------------------------- 0hower e; Test & Anchor -Nail Protection 1 1est-Fittings & Anchor -Nail Protection 1an: Test. First Floor -Tub Access ------- ---------2T--r_est -- ------------------------- Tub & Shower, Second Floor -Tub Access ----------------- ---------- ------------ - ---- -as Pipe: Size & Anchors --------! ---- ----- -------- ------------------------------------- Date / G �3 Card B_1 Date Card B_t- Date --- and -------- Date Card B-1Date Card B-1 Date ELEC RICAL (Permit) OK except k's 2 xture &Transformer Clearance -Ins. Protection -------------- -------------former--arance------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors ---------------- -------- --- - ------------------------------------------------ - 24. Si .e Boxes & No. of Conductors -Stapled ------ 2 Romex Installed Close to Edge of Studs & C.J. -- -------------- ----------- ------------- ----- -- ---- ----- _ uip Ground made up w!Mech Fastners-Bo Gas & W r --------- 2 Appliance Circuts in Kitchen & Conductor Size!GFI - --------------- -_:- ---_.____________________ ---------- 2` ubfeed Wire Size r i ga. Cu or AI-A.C. Wire Size !L.1 ga. d or At ------------------------------------ ----------------------------------- --- 29. Range Circ. !,Cy ga. r ,Al --Oven Circ. / ! ga. Cu or Al. I ated Neutral �V Yes ❑ No Service -Riser Conductors & Grout -Main Disconnect- 14 eS ----------- --------------- ------ - -- /1 - -------------------- E uip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light dS Smoke Detector ----------------- - - ------------------------------------- Date Z .?Card B-1 C� Date Card B_1 Date Card B-1 Date Card B-1 Date M ICAL (Permit) 6K except ft's Ducts Insulation t - . nt Fan; Exhaust above insulation •------------- - -- - - -- ------------------------------------------------ 3 ondensate Drain & Overflow: Size & Grade ante -Vent: Access -Comb Air -Return Air Vent 195 outlet ----------- - --------------------------------------------- - --- Attic Access & Platform if Furnance in Attic Date yL Card B_1 � `� Date Card B_1 --- - -- -g - -------------- --------- Date 11r *?� Card B-1 Date Card B -t Date FRAJNG (Plans) OK except #'s ------- 3g. its.-Proer M - aterial & Anchors --------p------------------------------------------------------ Is Studs Nailing. Spacing & Bracing -Plates -Sound 4 Baring Walls over Girders & Floor Nailing --- -- ----------------------------------------------------------- 4 . Draft Stop in Walls (rat proof) ----Cb -------------------------- --------- -- ------------ - - -- ---------- 4 F' Stops: Furred Ceilings -Stairs -Chase u ------------------ ------------red Ce--------------- ------------------ Headers & Beam -Size & Bearing Date,FRAMING (Continued) 4 angers -Post Caps -Anchors -Connectors g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4�¢lace Ties or Type A Flue -Fireplace Tproat clearance c Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5Gar ge Fire Protection Framing ------- 51 perty Line Firewall & Openings xt. Doors -One 3 -Check Garage -3rd Story, 2 Exits -------- r Width -Headroom -Rise -Run -Landing -Fire Protection 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 53. ng -Nailing Veneer ----------------- Stu eb, Mesh -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic ------ 58. She alts; Nailing -Bolts --- � nsulation-Walls-Ceilings 60. -Walls -Windows Date /��l3 Card B-1 C.;- J Date Card B-1 Date Caro. B- Date Card B-1 Date FIN Plans) OK exce t k's t-�6- 1 s oor & Si light Protection- Landings q�C �Sm'oke Detector 133 Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------------- 64'- Bedroom Exiting ------------- -- -- ----------------- G.F.I. & Bath Fixtures & Tub Access -Spa _ 6;!€lec. Trim_ - & Subpanel: Breaker Sizes & Labels -.-Stairs--- 067 Fireplace or Stove:_ Clearances -Hearth 69-E+ec. Outlets at Wood Panel; Int. & Ext. Xr-kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec_ Outlets & Receptacles at Kit. Counter --- 121?'arage Fire Door: Swing -Landing -Closer ------------------------------ 71--AA.C. Duct in Garage -Damper 7� Wtf. Htf Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection --------------- PI b.. Elec. & Mech._Equip. Listed for Location Elec. Receptacles in Garage: (G.F.I.)-Romex Protection e -insulation -Foam -Looked in Attic ❑ Yes - - Tis. Guard Rails & Deck Construction -Post Caps 7V-Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------- ---------- - - --- 64. Stucco: Brown -Finish --------------------------------- --- A.C. Unit: Disconnect. Electrical, Plumbing ---------- - --------------------------- ------ 6'rVents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to _rrOpenings ---------- d4. ter Well: Disconnect, Electrical, Plumbing — bS�Exterior Elec. Trim; G.F.I. Receptacle -Underground 1tS. Ventilation Throughout House ............ - ------------------------------------------ (V Glass Protection e8. Corrections from Previous Inspections \ ------------------------------------------ i3H!Gas Test -Meters Tagged: Gas -Electric \ 9�ater & Sewer Connected -C/O to Grade -HD Approval - energy Compliance Certificate_ Other Certificates ------ -------------------------------------------- , -----...--------_----------------------------------- Date Card B-1 Date Card B-1 -- ----- 04A -- - -/ Card B-1 Date Card B-1 Date / - Date Card B-1 Date Card B-1 Comments at Final: � , . �-•�-....�,-wr'°at^i�+tiaF�i` '�!'"`Y' 7'�ig-T:C"1�1�1 0 COUNTY OF BUTTE 1 BUILDING DIVISION �j. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE JaEE-N aR 92- !S7 OWNER PERMIT. NO. A routine ircpecdon indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscorrpleted Myouhave any questions pertaining to this matter, or need additional explanation,• please this office immediately. IL/ i ' S P�cINC-� o kl T (lA Q' &/ gree CC Pt c 0 Ql� ? - 4C° A.,r-,rc �Daat`e11 /�/�L/_ ? ? _ �j �, Inspector RL- IOW Y .raarr•- •-s^iw-va.•rsp �w.�R�y;,�Yy'7F,,fi,..>;ft,,,r�,y,i..•-..w.•.--ryw++r.v--.r.�r++r'v+K' ...cr^...�..ry.' r COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte"County Ordinances exist at . the above address and should be corrected. Please notify this office when correction of work is completed. H you have any questions pertaining to this matter, or need additional explanation, please conte t this office immediately. GQ du �a / OJ P�e tr RcXqL h Z- s/o0es r Date REV 11/81 Inspector AZ—/ S 5 �'/i ! � �Ati .sh o w� pip n/ ✓!r c.� /�¢',p.,G+�S Date REV 11/81 Inspector AZ—/ S 5 C--JPermit No nuner, : E N E R G Y C E R T IF I CAT I ON 72-- /5- 7 2 3122 Grape Wa Chico Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION I ROOF Material TIt icknes s (inclk e a ) EXTERIOR WALL Material FIBERGLASS BATTS Thickness (incites) 3 5/8" Brand Name Thermal Resistance (R Value) Brand Name OWENS-CORNING Thermal Resistance(R Value) R13 CEILING FIBERGLASS BATTS Brand Name OWNS -CORNING Batt or Blanket Type . Thickness (incites) 12" Thermal Resistance(R Value)1.38 Loose Fill Type FIBERn _A5S _ Brand,Name OWFNS-CORNING - Minimum T1►icknea (Inches) 15" Number of Bags 39:. Wt. per bag 35 _lb. 195E Thermal Resistance(R Value) R38 Area covered(ft. )_ FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness (incites)__ Son FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand NameOWENS-CORNING Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that Lite above insulation was installed in the above building In conformance with Lite State of California Energy Requirements. LOERKE INSULATION CO., INC. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. MON April7, 1993 SIG TURF OFINSTAL[ . PPI.ICArOR 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. 7n" C3� r ( P� FIRM /OWNER (Please print) STATE CONTRACTOR�3 LICENSE NO. (:�5��s ��22- �3 SIGNATURE OF (1..NERAL NTRALTD R DATE THIS CERTIFICATE MUST BE ON FILE WITH TUE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cellfornla 95985 - Telephone: 918,'538.7541 APPLICATION AND PERMIT P$ZZ MIT NO, - 572 ASSESSOR PARCEL NUMB R 042-170-038 ZONING A 10 BUILDING PERMIT OWNER ED & MARY HEETER TELEPHONE 343-1742 SQ.FT. OCC. BUILDING VALUATION 2266 R .122 364 OWNER'S MAILING ADDRESS 3122 GRAPE WAY CHICO 95926 690 M 12,420 CONTRACTOR'S NAME Ui�i NOWIN TELEPHONE G 6']/. 34 0 V,242 CONTRACTOR'S MAILING ADDRESS Fireplace i "All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation is 144,526 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 755.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 377.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS RAPE WAY CHICO 5 26 Permit fee $ 67.50 ' PLUMBING PERMIT Filing Fee 15.00 Each Trap141 5-001 70.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 nn Building sewer 15.00 1 nn Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4 BDRM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200A TO 1DDOA) 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. Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&� OR ADDNS. \ ACC. BLDGS. s.scsq.tc. 103.45 NEW CONSTRULTI.OUTLET NON-RESIP BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. _ Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. OCCup. OU ETS PRESID 1APLNS.REAJ 1 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 136.95 - 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 9.00 SPLTT Cooling g 16.50 Hood 6.50 Ventilation 2 4.5 9.00 it Fee ee $ 56.00 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. 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 it. oosaid my in co sequence of the granting of this 013/e7; X �/� -ZThis Signature of Applicant - Owner V1 Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition o ostruct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Cca COVN _N$TpTYPE N' TOTAL FEE $ HAz DFEES IMP F&PI CDF PARCEL I PD I HD YiSSUE permit is hereby issued under the sions of the Butte County Code and/or work indicate a fo which fees OR F LIC By % PE 11111 EXPIR S Date applicable provi-Date� resolutions to do have been paid. WORKS Date ® % Receipt No. 115345 PC FEE 457.50 %Zlo/6.5'- /06 f. ?.S WNITE-D.P.W., YELLOW-ASS[SSOR. PINK -INSPECTOR, G DENROO-APPLICANT I N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 91h '538-7541 APPLICATION AND PERMIT ox I PERMIT NO. A33E33R PARCIEL NUMBER �L 2-/`7-3 X 0 NI A -/o BUILDING PERMIT OWNER 111al-5, Reetei TELEPHONE 3V3-I?Yz SO. FT. OCr,. BUILDING VALUATI N OWNER'S MAILING ADDRESS : ollk g9$ -5%9Z 3122 &ea 0. wa cti;C,o CA 9S9zG CONTRACTORS NAME . U K wr TELEPHONE " CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ o, ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUJILDING DDRES Permit fee PLUMBING PERMIT Filing Fee 15.00 fr C j y( (C-0 � 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 Neo AdditionLj Remodel Utilities❑ Installation ❑ Other ❑ Describe work:_4 4 42 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee15.00 - Main service 600VORLESS 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 BusinessPOWER and Professions Code and my license is in full force and effect. License .Jo. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. II 3.64 sq.ft. IQ r NEW CONSTR • ULTI.OUT LET NON-RESID, BRANCH CIRCUITS @.5.00 APPARATUS e (SINGLE OUTLET CIR. ) I E Ex. Occup(OUTLETS OR FIXTURES 20 764 RA FIXELJ Ex. Occup. OUT ETS PIRESID )NSREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 Misc. VVirin 9 i 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 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. G 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 lei Cooling , Hood 6.50 Ventilation s�Ls1/10 it Fee ee $62 r 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 consequence of the granting of this permit. X Date 5ignature,of Applicant — Owner F_,' Contractor Cj Agent Fi An OSHA permit is required for excavations over 5'0" deep an molition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ , ), rc,7 I COy�rtvPE TOTAL FEES % V �} � , / Ic HA2 DFEES IMP I FLOOD CDF I PA.:Vl P HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date .� / Receipt No. WHITE•O.P.W., YELLOW-ASSr.SSOR• PINK -INSPECTOR, GOLD ENRO - PPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9`5965 - TELEPHONE (916) 538.7541 PERMIT APPLICATION DATA SHEET OWNER EGA' �� T� A. PP 1 —/ 7 Proposed Building Ude r` Building Inspector Date At time of permit 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 . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... 77411`924' Mobilehom at d a turer's installation instructions, 2 sets. ............ U'�Fees of $ • 0 Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. . 13.lood elevation letter (100 year flood) Cal nia Engineer:. .................... —_5 14. Sanitation and plot plan approval � by / Health Department . ............ 5. 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: . ........ Contact Land Development about (A) Improvements (B) Drainage. ......... . 19 Driveway permit (construction approval required prior to occupancy). .. 3z;* 20. Pre -inspection for to Building l°" request) required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ner-Builder Verification (Given to owner Mail to owner _). ..... `r Recorded copy of Agricultural Acknowledgement Statement . ...............:� 25. Letter of signature authorization . ....................................... . Copy of recorded deed of p c I cr ation and 6 ri of wa to a ubli oad. ... . 7. Letter of intent on building u - ... . ........ 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 . ...................................... _ .7 _ 34. When yo . issue the ermi , rocess as follows: Mail to owner. Mail to contractor. ��`T elephone hold for pickup at office. Deliver with inspec or. Other Parcel Creation /qS'R Acreage Applicant �f ^�' " Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other—T Date By The following data must be submitted pri r to permit issuance: (Cir I newi not 1. Index permit for above items No. 2. Additiural items reauired: Contractor, designer, owner, was advised of above required data by' `I5hone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte b _ Dates �1 Plans checked by �� Date C4-6- 912 --Plans approved by Date 2i is of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance z!f / , �e✓ owner location AP # Driveway permit �� G Z has been issued for the above property. si ature date TO: Building Departiiiciit FROM: Ltivirotiiiieiital Health SUBJECT: Sanitation Clearance i Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom 6VOha home. Other Hold final for: Final clearance O.K. for: NOTE �- 4A-11, Z". I Enviro »ental 4alth Specialist 8/92 1: it USf_tl'NI.11 Pini I'laii hitiiclictl _ Flour Pkii AiiiiciWd T y.2 - /'7- 39 AP# Private Well 9 30- 9z Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC --WORKS*- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER //y�/r��► A.P. N0. PROPOSED BUILDING USE S DATE 147?� REC. # DATE REC 1. School Distric Feesjat9 ©� l_(paid at District Offi e 2. ....................... Sheriff Fees aid at Building Department) f� R01` Residential .......... X =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ —T units amt. Co werical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ........................:. 5., Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE / „iyr+or.��."'tdri�R'17+'k Xy �'9w ,!, w�•�ry � � .37.'1�n N • .. .. .�.� . + �„y y 1 i' _. �I+i'.!'U' Y 1t , �T�"t'- � r+m , � '3 '1'< i �S. r b.• �:-J's' `�� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -~ (One Form Per Building) School'District—L,/ _ —_ _ _ Building Dep artme,t No. A.P. Number- -r�� Jurisdiction (_ City County Property Owrier Property Location/Address _Q� / Subdivison` Lot No. Residential Development` "'''- �] 0 Sq. Footage ' No. o Living MHI Addition ,(Group R Units k6,f — Commercial/Industrial New 0 Sq. Footage Addition zy Date (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) y District Identification No. 9--- a�((lo �_ School District certifies that (Applic t) (Street Address) (Phone Number) (City) (State) (Zip Code) ` has complied with the requirements of Resolution No. _,:—Q� by payment of $ representing _� _ -,square feet. _ - /4 /� School District Representative Date �� Paid by Check Number — / �p Remarks: Bank Number Paid by Cash 144 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification .Form, the School District is notified by the applicable Local Planning Agency that this project is beingreviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional _school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) RESIDENTIAL•PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg.- Permit #_ 92— X572 OWNER 4E_CTf A. P. # 42- Plan Checker GENERAL e� /-Zoning requirements: (sideyards and �:be:rof ermitted livin 2�: V�a uation. 31.-Alans signed by designer. y oper description of work on application. Existing violations on property. , Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). �ed notice of violation. PLOT PLAN �.-Setbacks, mplete parcel size and dimensio sideyards, easements, etc. 3. Other buildings or structures.�a�1 4-'IGrading, fills, drainage. flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utj es across lot lines (Record form). FLOOR PLA . I��mple teto scale plan with .dimensions., ired windows for'light and ventilation (Sec. 1205). 3! equired windows fo_r,second exit (Sec. 1204). , , ,Skylights ~(Chapter 34 &'Sec. 5207): y/man impact glass, (Sec. 5406). Required room sizes, ceiling heights'(Sec. 1207). FC in`baths,'carage,,kitchen•; and ex-erior outlets (Article 210-8). rY Ligh fixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. Loc 'ns of water heater, heating and cooling equipment, other electrical 1 7s equipment. 1 r ge firewall, door size, and closer (Sec. 503(d)(3)). 1 1- 3'0" exterior exit -door (sec -3304 M. ,13?/ re ace and wood stove location, alcoves; and clearance. 1 S e. detectors (Sec.'1210). , 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS - 1�-' Standard bracing or7engineered design (Table 25V) , Visual shape, size, or split level house requiring lateral design. 3--tT restory requiring'balloon framing and/or engineering. e� story building requiring engineered calculations and plans. oundation plan complete enough to construct building. ,/.,Floor construction details complete'enough to construct building. levations and wall construction details complete Roof construction details complete enough to rre�lace construction details and calcs if Rafter ties or bearing ridge beam. arage door or porch header sizes. 11 ---Stud heights. It. Adobe soils - special foundation design. •1 Retaining walls requiring design. 1 Special Inspection required. enough to construct building construct building. necessary. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. '3306). rail details (Sec. 1711 & 3306(j). irldk or stone veneer (Chapter 30). 4. Exterior plaster - weep screeds (Sec. 4706). 5�e- Pr r roof pitch for roof convering (Chapter 32). o' covering type - (fire hazard). insulation protection. 36" halls and stairways. 9. livjag_ area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1Z.-' is access and ventilation (Sec. 3205). 1 U erfloor access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. IA requirements on duplexes. 1 gy design. 10—"'Plashing at all exterior openings. B'—responsible area requirements. -7- -:3.© --47i - -7 -P S > N 6E o CSU —� s�A E ET 1=0 e. �t4 SSS J, ✓, SIZ h O 2 C_ 1) PDV) •� ice' 01v ;.k.� �dfPc GMSC So�kM�Z $ACHMAN February 26, 1992 COUNTY OF' BUTTE Department of Building #7 County Center . Drive Oroville, California 95965 Attn: Mr. Jim Glanders RE: 100 -YEAR FLOOD ELEVATION Ed Heeter 3122 Grape Way, Chico AP# 42-17-38 Dear J im: ASSOCIATES A level net from the subject property was run from the U.S.G.S. monument at the Lindo Channel Bridge on West Sacramento Avenue just west of Grape Way, elevation 159.24. Based upon that information and a review of the Flood Insurance Rate Maps for the subject property, the finish floors for the new house should be above elevation 150.00 to be at or above the 100 year flood level. A paint spot has been placed on the concrete casing for the well, and the elevation of that spot is 148.94. Therefore, the finish floors should be at least 1.06 feet above said paint spot. If there are any further questions I can answer for you, please do, not hesitate to let me know. Very truly yours C.W. BACHMAN CWB:trb 8.4 Exp. 6-30.93 7 V NO. 16803 n z �j% �'�VIL - -, \F CAL\F- ENGINEERING SURVEYING 3012 The Esplanade, Chico, California 95926 rnil m 11 OP �1- SOO ®R P�� • PLANNING DESIGNING • Telephone: (916) 342-4136 CO!/Ar au/tLoe� eP 14 1892 a- Ed Heeter Mary Latimer-Heeter 3122 Grape Way Chico, CA 95926 May 30, 1992 To whom it may concern, The home being built at 3122 Grape Way is intended for the private residence of Ed Heeter and Mary Latimer-Heeter. CoBUoof BUILDING o MAY 1�Wy Ed Heeter Mary Latimer-Heeter LIAWUA4v Home Phone # 343--1742 Work Phone # 898-5992 ` f 92-23110 .0? DLW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -Rn.to �W FOR RESIDENTIAL DEVELOPMENT Section 16-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 92-0237701 Rec Fee 8.00 'I'he pr. opert: v described herein is adjacent I Cash 8.00 to land or included within an area zoned Recorded for agr.i.cu I.t..ur.al. purposes, and residents Official Records of this property moy be srihject to incon- County of vena e.nccs or d i.scomfort arising from the Butte use of agr:icul.t.ural chemicals, including, Candace J. Grubbs but not l.i.miLed to herbicides, pesticides, Recorder and [err -:i l.irers; and from the pursuit t 11:17am 29 -May -92 I PUBL XX 2 caf agr'.i.c:u] turaI opera Lions including, but not J i.m:i.i:ed to cultivation, plowing, spraying, pri.ining, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agric.u.l- Lural zones which have as a priority use for productive agricultural. purposes, and r.es.i.deuts within said zones and on adjacent property should be prepared to accept such inconven.i.encC or, discomfort from normal, necessary Farm operations. All that real property situate in the CounL y of Butte, State of Cali.forn i a , desc r i.bed as follows: 5-ee attdc/j-ed C,0/0/ a Date: o� o PROPERTY OWNERS: State of Ljr' ) On this the &� day of 19 f hefore me, SS. the undersigned NoCary Public, perso ally appeared County of /%poV4 �/.9/19�5 .�. fs���7(Le� 9� /�/.4�y f1A�/irlP�¢. '- 1'��EE•�i'A?/ muluarnnuuwuumauuwwumm�uunnuuuuulluu" OFFICIAL SEAL Personally known to me . Proved to me on the has i s 0. CHAS O. STOREY to -� of satisfactory ev:i_dence. � � A Q NOTARYPUBLIC- CALIFORNIb be the person(s) whose name(s) COUNTY OF BUTTE My Commission Expirea March 18, Lif)scribed to the within instrument and acknowledged that. """"""'°°'!R!"!!"I„ln•II••nII••..III•..111wIIIIIIIIIIgrXecuted the same :for the purposes therein contained . TN W.1'1' ;SS -W HEREOF, I hereunto set my hand and official seal. Present A.P. No.02-Q%-38 Notary Pub] -i. IN 2-3 l 7 0.. 3 t SCHEDULE C The land referred to in this Policy is described as follows:, All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: A portion of.Lot 51, as shown on that certain Map entitled, 'Map of the Seventh Subdivision of the John Bidwell Rancho, near Chico, Butte County, California", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on November 11, 1902,'in Book 5 of Maps, at page 29, more particularly described,as follows: Beginning at a point on -the South line of said Lot 51 in the Center of Grape Way,,South 660 481 West, a distance of 11301 feet f rom.the South- east corner of said Lot 51; and running thence South 66" 48o West along said South line of Lot 518 a distance of 247.49 feet to a point, which point is distant North 66 460 East, 357°49 feet from the Southwest corner of said Lot 51; thence leaving said line, North, a. distance of 212,70 feet to an iron pipe; thence North 680 361 East, a distance of 167.85 feet to an iron pipe; thence South 210 540 East, a distance of 190.90 feet to the point of beginning, containing .924 acre, more or less. PARCEL TWO: The Westerly ten feet of the herein described property being a portion of Lot 51, as shown on thet certain Map entitled, 10Map of the Seventh Subdivision of the John Bidwell Rancho, near Chico, Butte County, California', which Map was recorded in the office of the -Recorder -of the -County of-butt'e, State of California, on November 119 1902, in Book 5 of Maps, at page 29, more Particularly described as follows: Beginning at the Southeast corner of said Lot 51 in the centerline of Grape Way; thence along said centerline South 66® 480 West, a distance of 113.1 feet to the Southeast corner of that parcel of land described in peed from E. S." Bishop at ux, to Erwin'M. Wright, at ux, recorded September 11, 1950, in Book 561 of Butte County Official Records, at page 40; thence along the Easterly line of said Wright parcel North 21 540 West, a distance of 190.90 feet to the Southerly line of that parcel of land described in Deed from E. S. Bishop at ux, to Claude F. Mecum at ux, recorded September 11, 19509 in Book 561 of Butte County Official Records, atppage 40; thence along the Southerly line of said Mecum parcel, North 68° 36° East, 188.12 feet to the East line of said Lot 51; thence along the East line of said Lot 51, South 200 feet, more or less to the point of beginning, END OF DOCUMENT DEPT OF U8L1f ,Q -;z JUN' 10 1992 NUL, -n Lc Sec tion re CIU'ire_s prior to DPW AGRICULTURAL STATEMfAT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code Lhis acknowledgement be recorded issuance of a building permit. MAY 2 9 1992 Che property described herein is adjacent Lo 1 and or i.ncluded w.i thi.n an area zoned 92-023770 for' purposes, and residents of this properly m,ry he srrhjecL Lo incon- ven.ionces or. di.scomfurt arising from the uF:e of agr.icul t.ura.1 chemicals, including, but not .1.imiLOd to herbicides, pesticides, srnd f'erL..i I.ircrs; and from the pursuit of agr.i.cuILural opera Lions including, t buL not. 1i"01.0cl to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estab l i shed Jt'1'1'i cu l - Lural zones which have as a priority use for productive agricultural purposes, .incl residew s within said zones and on adjacent property should be prepared to accept such i ncunvei i ence or discomforL from normal, necessary farm operations.. All. L.hat. reel property situar.e in the COUnLy of Butte, StaLe of: California, dc•:,cri.bod as (o].low�, S,, attd c-A-Ie.d G°!034 COUN or OF Ou" TS mm.2 Date: A o PROPERTY OWNERS: State of: &Z/ On this the day of1 D 9%1 he fo rc nic , SS. the undersigned gotary Public, perso ally appeared County of 9z 2M a.ucnnrrnnrrlunrrn"O111A1Otpunnnunurnnuuuul� — - t'7A OFFICIAL SEAL Personal] y known to me. 968614 IvProved to me on the has i s CHAS O. STOREY of satisfactory ev.i.dem NOTARY PUBLIC- CALIFORNIb* be the person (s) whose name (s) Q COUNTY OF BUTTE '--" c My Commission Expires March 18, ,ssscribed to the within instrument and acknowledged tha t q """"""""""""'•'"'+'""'+" ^rQ(1111/+ll,l:,,.4ecuted the same for the purposes therein contai_ne>d. IN WJTNfSS WHEREOF, I hereunto set my hand and official seal. �r Present A.P. No. Z�2-1 %-38 Notary Puhl i : ro SCHEDULE C The land referred to in this Policy is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: A portion of Lot 51, as shown on that certain Map entitled$ nMap of the Seventh Subdivision of the John Bidwell Rancho$ near Chico,.Butte County, California", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on November 11, 1902,'in Book 5 of Maps, at page 29, more particularly described as follows: Beginning at a point on the South line of said Lot 51 in the Center of Grape Ws•y$ South 660 48, West, a distance of 113.1 feet from the South- east corner of said Lot 51; and running thence South 66" 48 " West along said South line of Lot 51 a distance of 247.49 feet to a point, which point is distant North 66a 48' East, 357049 feet from the Southwest corner of said Lot 51; thence leaving said line, North, a distance of 212,70 feet to an iron pipe; thence North 660 361 East, a distaance of 167.85 feet to an iron pipe; thence South 210 541 East, a distance of 190090 feet to the point of beginning, containing .924 acre, more or less. PARCEL TWO: The Westerly ten feet of the herein described property being a portion of Lot 51, as shown on :i that certain Map entitled, *Map of the Seventh Subdivision of the John Bidwell Rancho, near Chico, Butte County, California", which Map was recorded in the office of the Recorder of the County of butte, State of California, on November 11$ 1902, in Book 5 of Maps, at page 29, more Particularly described as follows: Beginning at the Southeast corner of said Lot 51 in the centerline of Grape Way; thence along said centerline South 66° 480 West, a distance of 113.1 feet to the Southeast corner of that parcel of land described in peed from E. S. Bishop at ux, to Erwin M. Wright, at ux, recorded September 11, 1950, in Book 561 of Butte County Official Records, at pa§e 40; thence along the Easterly line of said Wright parcel North 21 540 West, a distance of 190.90 feet to the Southerly line of that parcel of land described in Deed from E. S. Bishop at ux, to Claude F. Mecum at ux, recorded September 11, 1950, in Book 561 of Butte County Official Records, atppage 40; thence along the Southerly line of said Mecum parcel, North 68" 36' East, 188.12 feet to the East line of said Lot 51; thence along the East line of said Lot 51, South 200 feet, more or less to the point of beginning. GLAZYING Shading Devices Glazing Area Glass Type Inti:aor Exterior Overi=g F. -==g Type Orientation (Sr) (single. double) (roller blind ere.) (shadascreett, est.) (yes o) (tnemywood) Nonh ( ) _East ( ) ,.-East ( ) Sousa ( ) Sou t ( ) West ( ) WestSkylight. THERMAL MASS Type/Covering . , Area ThicL-ness (slab/exxsed. tile, eta) -� ' (Sf) (inches) Locadon/Descriction (kitchem bath, est.) HVAC SYSTEMS . Nfirimum Duct Type (�+�. air Efficiency Location Duct Output Manufacrurer /Model # conditioner. hent Dumb) (SE. SEER.HSPF) (attic, etc.) R -Value ' (Bruil) (or acoroved ecual) Maximum Furnace Hearing Output: 2!Z61W Btuh OUN77 HOT WATER SYSTEMS d Syste:n Tvoe (storage Tank u, etc.) Caoaei Manufacturer/Mode! # (or acomved equal) - Soecial Feature s) A `SPECIAL FEATLRESIREMARKS (Add extra sheers if necessary) 14, projectTiw 92 — /572 3/ ZZ Bu s Permu r Project Address �— a �7 — 46:--92 Checited By /.Data Documentsuon Author Teiepnone Fstletcemo t Agency uwa,b, S BL'II;DING DATA North' Glass Area � � ..4b Glau .......... _� f�pL' •!� Conditioned Floor Area 'Number of Stories East 4::2:,© l Slab/Raised Floor 1 ISED Number of Units South 'S©: 3 • S' Single Family Detached (SFD) � ( ] Addition Alone west-, /K Single Family Attached (SFA) ` ,' . (] Existing Budding Skylight' a . j Multi -Family (Ivy) ' ( ]. E7isting-Plus4tion • Total . 3G3 BL'II.DLNG SHELL INSLZATION • . Component Insulation LAcadon/C :metier Type R -Value (atdc, to garage. mix', ett.) wall ..........».. R_ t/ Fb) mn L_ Wail .............. Roof ........» +1 5 Roof....»....... Floor ........»». Floor ............. . Slab Edge—. _ GLAZYING Shading Devices Glazing Area Glass Type Inti:aor Exterior Overi=g F. -==g Type Orientation (Sr) (single. double) (roller blind ere.) (shadascreett, est.) (yes o) (tnemywood) Nonh ( ) _East ( ) ,.-East ( ) Sousa ( ) Sou t ( ) West ( ) WestSkylight. THERMAL MASS Type/Covering . , Area ThicL-ness (slab/exxsed. tile, eta) -� ' (Sf) (inches) Locadon/Descriction (kitchem bath, est.) HVAC SYSTEMS . Nfirimum Duct Type (�+�. air Efficiency Location Duct Output Manufacrurer /Model # conditioner. hent Dumb) (SE. SEER.HSPF) (attic, etc.) R -Value ' (Bruil) (or acoroved ecual) Maximum Furnace Hearing Output: 2!Z61W Btuh OUN77 HOT WATER SYSTEMS d Syste:n Tvoe (storage Tank u, etc.) Caoaei Manufacturer/Mode! # (or acomved equal) - Soecial Feature s) A `SPECIAL FEATLRESIREMARKS (Add extra sheers if necessary) 11g .�r$i•. IPP SEER -t 3 (4ssnasn ducat 1a atilt) -4b. S1m of 7--10 16 or -is S J, -2410 P.1410 -A10 .610 t6 Or -15 1 -6 .5 .15 mon •12 -10 -a -6 .4 -7 -6 •5 -t J • .4 3 .2 .2 3 3 -Z •2 •1 0 0 0 0 0 3 3 Z 2 1 6 5 4 3 2 9 7 6 4 3 13 11 9 7 5 17 14 12 9 6 S 14 9 Etfadth SEER 20 is (SEER x-laact d nden47) anal C000roi Ad[usanent Wt of 7--10 -t 3 T -2410 •1410 -4b. i6b 16 or -is S .5 .15 mon -25 -21 •17 •t3 •9 -11 d -7 -6 .4 .4 1 -3 -2 2 to to or less 11699 2199 2699 mon 14 T2 9 7 5 19 13 10 7 23 19 15 12 8 26 22 18 14 9 29 24 20 is 10 anal C000roi Ad[usanent 5 4 8 7 6 4 3 a CooGn; sewn Inst -fled -15 -4 -t 3 -Z •Z ' , - x = ' 4 p c. South 3 . S X d. West !o, X =._ Z - F -WIT Dd2ched aad Attached huerior,MasxtCFA iUna site (St) :129 12M 1700 2200 2700 8 or • b to to or less 11699 2199 2699 mon IaUK b 4.2. los ,woo"d slab# 12 'i a 6 5 4 8 5 4 3 3 5 3 3 2 2 8 5 4 3 3 37 -24 -18 -15 •12 tX 013. IOt: :Cs 403: W% 0 U Q3 QS a7 0.9 Q2 Q4 Q6 QI 03 LI 0.4' Qt Qs Q9 1.1 1.2 -'8 •i2 -9 •7 -6 -ZS •i6 .2 •;0' a 2-7 Z1 11 12 24 IS Z1 11 13 33 36 IS -9 -7 -6 -5 3 •Z -2 -Z 7 5 4 3 2 3 2 1 i i -28 719-.1 2t 29 3 1t 22 3 It 12 13 IA 12 13 14 15 16 8 5 4 3 3 -to -6 -5 .t 3 IU -F=04 (1odtHdasl units) MY. 4St: 903:' 15r. it10T. 1.4 1.4 1.5 1.6 iJ Una Size (sq 1.2 1-2 2 2 Z1 699 700 1200 1700 2200 or less 10 1199 t0 1640 10 2190 or man s 0 0 0 0 0 14 7 5 4 3 i2 t 3 id 6.4 63 64 6 S ii 6.7 6.7 ICS% 1107. 115% 127x. 125% 1.8 1.9 2 2 21 2 21 Z2 Z1 23 l 9 4 1 2 2 l 9 5 3 2 2 t -is 23 -i5 -it •9 ' 2 , t o 0 •23 42 a -6 •5 -ZS •;3 •8 -6 5 Z3 -2 a -6 •5 a 4 z z 6 3 2 1 1 ' 0 0 0 0 �8 7 S 1 a Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation Z. Wall Insulation 3. Raised Floor Insulation 4. �SIab Edge Insulation S. Infiltration 6. Glass Heat Loss _7. Shading (Shade Open) Mensvre��s 9V or R•vaiae/(3/8j U -valves (0.030] or R•vaiue(11 U-vaiue(0.0981 or R -vain( 91 U•vaiue (O.M71 or R -value (01 F2 factor (0:771 Standard 012 Type (doaolej U -vain (0,63] S Tani Glans (161 Point Scores 0 Z -� sa111 'c Glass SC EM % Glass a. North Co x Z, O O b. East ' , - x = ' 4 p c. South 3 . S X d. West !o, X =._ Z - e. Skylight O , X _ _ © , to huerior,MasxtCFA --- I t Ttfi t PASS IaUK b 4.2. los ,woo"d slab# os S% la% tss M% 2M 3os Z% 4c% 4St:. 50% SS% Eos KdL Tan 73% 40% OSx 0% a% tact; 1031 iter. 115n tX 013. IOt: :Cs 403: W% 0 U Q3 QS a7 0.9 Q2 Q4 Q6 QI 03 LI 0.4' Qt Qs Q9 1.1 1.2 0.6 0.8 1 1.1 1.3 13 Qs. 1 1.2 1.4 1.5 tJ 1.1 1.2 1.4 1.6 1.7 iJ 1-3 1.4 iJ 1.2 13 Z1 13 1.8 1.8 2 Z2 2.3 1.7 1.9 2 Z2 Z4 ZS 1.9 21 Z2 Z4 ZS 27 Z1 Z3 24 Z6 ZS 3 Z3 Z5 Z7 Zt 3 12 ZS Z7 Z9 3 12 14 2-7 Z1 11 12 24 IS Z1 11 13 33 36 IS 22 13 1S 17 18 4 14 15 17 33 4 412 29 17 11 4.1 43 4.4 11 4 4.1 4.3 4.3 4.6 4 43 " 4.7 AS 42 l4 4.5 4.7 41 S1 44 4 6 4.8 49 S.1 SS -4.3 z.a. S Si S.3 is .tet S 52 5.3 SS 5] Sl2 5 . S6 S.7 S9 SS% mx 65% 70% 75% 0.9 1 1.1 1.2 U 1.1 12 U 1.4 t3 1.4 1.4 1.5 1.6 1J 1.9 1.7 1.7 1.8 IJ 1.3 1.9 1.9 2 7.173 2 21 Z2 Z2 Z2 23 Z4 Z5 2S Z4 ZS Z6 it Z7 Z6 i.l Zs 21 3 2t 29 3 1t 22 3 It 12 13 IA 12 13 14 15 16 13 15 36 17 is 17 IS 3J 19 4 23 4 4 It 42 41 4.2 4.3 43 44 43 4A 43 46 44 4.5 4.64.1 4.7 4.1 It 4.7 4.9 S 4.9 i1 5 12 5.1 u it 5.2 53 S41 S3 .33 5.4 55 6 $.67 56 56 i7 58 19 5.4 5.9 5.9 6 s.1 6 61 s 1 62 6.1. MY. 4St: 903:' 15r. it10T. 1.4 1.4 1.5 1.6 iJ 1.5 1.7 i] 1J t! 1.2 1-2 2 2 Z1 2 Zl Z2 Z2 22 22 23 Z4 Z5 23 24 ZS 26 Z7 Zs Z6 2.7 2s Z9 3 29 Z9 2 i1 32 3 31 12 33 3A 13 13 34 15 3A 33 33 i6 17 3.t 17 It Ss l9 4 19 4 ll 41 42 41 4.2 U 4.3 44 4I 44 4.S 4.5 46 AS It l7 is 49 47 d.t V S St 49 S S1 u 5-3 5.1 S 2 33 S.4 5.5 54 S 4 SS S6 sT 56 S s S7 St S9 S.b 5S.29 t 6.1 6 4. t t2 a2 8.3 i2 t 3 id 6.4 63 64 6 S ii 6.7 6.7 ICS% 1107. 115% 127x. 125% 1.8 1.9 2 2 21 2 21 Z2 Z1 23 22 U Z4 ZS ZS Z4 23 ZS 27 Zs Z3 27 Z Z9 3 Z 29 3 11 3.2 3 11 12 13 u 23 13 14 15 16 23 li IS 2.7 It 17 11 is 19 4 19 4 4.1 4.1 4.2 4.1 42 43 44 u 4.3 44 4S 4.6 is 43 46 4.7 4.8 43 47 4s 4.9 S S1 49 S it 52 S3 11 S2 S3 SA 53 14 S4 i3 S6 SJ S 6 5.7 5.7 SO 5.9 it 19 Ss 6 t1 t t1 62 a2 t3 t2 t3 a4 t5 tS t< a5 l6 tl 6.7 t i 6.7 i.t i.9 7 t d 69 7 7.1 7.2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation Z. Wall Insulation 3. Raised Floor Insulation 4. �SIab Edge Insulation S. Infiltration 6. Glass Heat Loss _7. Shading (Shade Open) Mensvre��s 9V or R•vaiae/(3/8j U -valves (0.030] or R•vaiue(11 U-vaiue(0.0981 or R -vain( 91 U•vaiue (O.M71 or R -value (01 F2 factor (0:771 Standard 012 Type (doaolej U -vain (0,63] S Tani Glans (161 Point Scores 0 Z -� sa111 8. Shading (Shade CIosed) �o Glass SC Eff.'fo Glass a. North x � (o = h-7 7 b. East X Z C $OIILh X d. -West x = 4, Z e. Skylight X 1 77 = en, C,=, Z 9. Interior Thermal Mass TYPE 1 KASS AREA . a Iluettar u�cA COND. FLOOR AREA 10. Exterior Wall Nt= _ � TYPE 2 MASS AREA �Wau. COND. r L OR AREA usr 11. Heating System x Zonal Control? ( Y / N) SE or rLSpF Duct Efficiency (0.781 Effecu- KsE or HSPF [O.SbJS ] 12. Cooling System�'�_ x + •- _ 61'7 � 1 Zonal Control? ( Y / N) sE---R (9-51 Duct Efflri=cy (0.741 Effc=vsSEER 17.031 13. Water Heating Type tsc( Cmaa (amci f Pnrnr Tntdt: l I 'c Glass SC EM % Glass a. North Co x Z, O O b. East ' , - x = ' 4 p c. South 3 . S X d. West !o, X =._ Z - e. Skylight O , X _ _ © , to 8. Shading (Shade CIosed) �o Glass SC Eff.'fo Glass a. North x � (o = h-7 7 b. East X Z C $OIILh X d. -West x = 4, Z e. Skylight X 1 77 = en, C,=, Z 9. Interior Thermal Mass TYPE 1 KASS AREA . a Iluettar u�cA COND. FLOOR AREA 10. Exterior Wall Nt= _ � TYPE 2 MASS AREA �Wau. COND. r L OR AREA usr 11. Heating System x Zonal Control? ( Y / N) SE or rLSpF Duct Efficiency (0.781 Effecu- KsE or HSPF [O.SbJS ] 12. Cooling System�'�_ x + •- _ 61'7 � 1 Zonal Control? ( Y / N) sE---R (9-51 Duct Efflri=cy (0.741 Effc=vsSEER 17.031 13. Water Heating Type tsc( Cmaa (amci f Pnrnr Tntdt: l I ltitandatory Measurer Checklis:: K=idential MF -IR NOTA Lo -TL>= resdoteal bw1dtnits mbttu n tete Stanm,m mum cattaw thoe aaaaaes regartsb m of ute =maize¢ zvvm=n anti Items mart= �vft an astelua (-)maybe nrra7se0(ed lrf 9RWW fatM, t:OrnM&"= reaurvoe iad On a+e Ccnuftote of Comate M= Whm Una •M• t•- is tnoorpaated tno uta OCrMd d CWftc nz. uta fC UUM OWN SIRWA be cotstovcd by alt carves as ba+mng mrrwam comacnem p"torntartm JI a 3CtrAU0" lar ttta mandmory MCIPA s mane they arc tno-n ctst:+rtve n Ute 60MUM MU Cr on MU craclust CRAY. 6trrldint Fjt-fiOpf Measures. • 12.53521a1: Mittman "inter tttsulauon 2.19-ogntrd a-erage 12.5352(b), Loom iu irtmown mann(• =uw'_ (a-im R -Valine. ;2.5352(ek Min-- -&U instdaam to !tartare watts R -I I wagnted svaage (doe rot apply a I CILMor mass -ells), ;2.5352fk k Slab mI(c insalauat ..,ares shzorauor rate no gears Ihart 0 75, aarQ vtpar towumusron tare no great" titan 2.0 paWurL ;2.531 l: Irawatwat spm wd or installed mans Caldt mist Encrzy Commamm (CELT aualiry ItandarCz Imcare type Md torm. 12.5352(rk Vacer barnts =amatory a Cheat" Zorta 14 and 16 Daly. 12.5317: InftlasuonjEzAl=aon Consols L Doors apo -unto-s ba -ea conmuara and uma ditiored maers deep ed to limo air IoYatp: b. Doors ane .taro -s "Carted. L Doors ane -uwo-s .autcrungp= as joints and patedxiau eaalkcd utd —WA i2.5352(e), Spoaal tnfdetatton tzurt" tasalkd toesmgly vruh 42.1351 meeia CC quatiry i2-53=dk Installation of Fircatacc 1. Masarrr and taaory-trait fuepta cs Ita.e a, -r rm fining, closable mctal or glass door b. Outstae au tnCMC Inca dampv nerd -mad F_ Flue camoe am aanaot 2 No caauttuao ow w C gas ptkms alto -ad. HVAC and Ptntabing Sim sts Mesutnts ;2-5352(y and 2-5303: Saace eaditionmg t>gtoprntat sizing: smeh Caiedadons. 42.5352(D) and 2.5315: San= awmwsm an aG appliabic haunt syseas. 12-5316(a)- Duets consncert• insatled and irastlatm per Chaps" A 1976 UMC 12.5316(bk c=" srsicass nave damp¢ m=ots ;2.5314(e1: Gas-fvm :pact hang eaniormu Rau inu=iaau ignkon devise 12-531:: HVAC =vipme>z.tater Itcstcr-stat-erreads and (quem mdficd b7ft CEC ;2.5352(x W u" hat" insu(auon bliaka (R-12 a gra=) or mmMcd inresiornsstv+or inswaum (R-16 or pca=r ries 5 Ion d pipes stases w unit 4nuiared (R-3 or Raa). 12.5312(Eaccotson lk Pipe knWaskm on srcam and steam cordensate rourn k nsyeWatint I �s i2-531R(dk S-imarng Foot Hotint ' 1. STsan has: a onatr samCh on hats. b. Wcurteprpof imw=wn plate on hates. c. Plumom to ata- for sour. 2. 75 percent uwmtai ciTaaCtCy. 3. Pool co -Cr. d. ittme Ckr . 5. Dv=uord rat" in1Q U111tint and Applonee Measures 12.5352('x Ugnunt - 25 kw=w -au or great¢ for gate: Gghaint in eirhert• and bsUrooms. 12.531A(c): Gas find apptiaaca cgWppCd with intCminatt ignition dCvicei 12.5314(a): Refrigtsators- refrigcraxw4reczcm Get:as and nuarvemt luny baLI=CC CICd by Ute CcC. Ina== mase lad menet wmocr. COMTLIANCE STATENUIrr This o~tfic= of ca:ap%aace lists the building fcaauzs and performance specifications needed to comply with Title 24. C mpmr 2-53 and Titic M. C=ptr 2.' hbd3sF 4• Article 1 of the California Administrative code. ibis C ficate has be= signed by the individual widi orm-aa design respcnsbiliry and the belding owner. who shall m-tain a copy of it and transmit the t -.I f•c'= to any sabsequ= pmt:haser of the hnldiag Designer Namc Tukfi sr= Tckplwn, Lx. I: (s>icnauue) (due) I%OcumCntation Author Name TictvFirttt Addre=: Building Owner Nam= ` Addr=c Tckptsonc „ (sitname) - - FAtorcement Agency Atenry: (date) Z Nall Insulation Imsttladon in Floor Numoer of scenes Single- R•vatue One Two Three R3 -103 19 v20 R-19 -8 1 2 R30 •2 -1 •i R38 0 0 0 U-vaiue -17 -1 r-ts 0.!0 -176 -&t -S4 0,20 -102 -49 -32 ' 0.10 46 -13 -8 Us -18 -9 -6. O.C6 -11 •5 .4 0.04 -L .2 .1 0.02 4 2 1 O.Co tt 5 3 Z Nall Insulation Imsttladon in Floor - Single- Sime- Number or szries Famtty Famtry Multi - A -value Oetawed A=ieta Famif R-0 -68 •51 34 Aa1 0 0.30 0 R•13 2 2 1 0 0 R-30 3 -17 -1 r-ts 0.08 •-i6 4 •i4 36 -24 0.10 0 3 a 0.08 d 2 2 _ . : Us 9 7 5 0.04 14 aCA 7 0.02 "; 3 10 aCA 4 3 12 Raised Floor Insulation U-Vaiva Imsttladon in Floor - Three -S 3 d 4. SIab Fdge Insulation Number or szries .� R-vaius One Two Three R-0 -t 7 -8 -S R -t 1 0.30 -69 34 R-19 0 0 0 R-30 3 -17 U-Vaiva OneTwo -11 -1 Number of series -7 d •Z Three -S 3 d 4. SIab Fdge Insulation -fd4 .� Percent 0._0 -120 -S2 38 0.40 -95 -46 _w 0.30 -69 34 .22 0.Z0 "a -21 -14 0.10 -17 -1 .5 0.08 -I1 4 •i4 0.06 8 O.sO •1 0.04 0 0.70 2 0.02 4 0.60 6 aCA 10 5 3 Controlled VentAadon Cnwlspaee R -value R-0 R-5 _ R-11 R-19 OneTwo -11 -1 Number of series -7 d •Z Three -S 3 d 4. SIab Fdge Insulation U-valus Glass Percent Number of Stares South R -value One Two Three Single Ooude .EO SO R-5 8 5 2 R-7 8 6 3 F2'aL= 40 -90 37 -26 •i4 -3 8 O.sO •1 -t 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 Sgecri=wn Points S>idare 0 6. Glass Heat Loss Total •v• • •aC1 l\\J\ 1.\i1.. Sao Floor Raised Floor FSeal,e Percent Ciro U-valus Glass Percent East South .51 b .41 to .31 b 0.30 or Glass Single Ooude .EO SO 40 lass 50 -121 -53 39 -24 -10 4 40 -90 37 -26 •i4 -3 8 35 -75 •29 -i9 •9 1 10 30 -61 -21 -13 _L 4 12 29 -58 -20 .12 3 5 12 28 -55 -i8 -10 .2 5 13 27 -52 -17 •9 -2 6 13 25 -49 -15 3 .1 7 14 25 -t6 -14 -7 0 7 14 24 -L3 -12 5 1 8 id 23 -LO ii -L 2 8 15 22 .47 .9 3 3 9 15 21 34 .7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -1 1 6 11 16 _t8• . -26 -3 2 - 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 7•15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 42 4 8 11 15 18 12 -9 -6 9 12 15 . 19 11 d 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Sh2ding (Shade Open) F1Tecttve Pee c Ctass (Percmt glass x SC) to a not allowed 8. Shading (Shade Closed) •v• • •aC1 l\\J\ 1.\i1.. Sao Floor Raised Floor FSeal,e Percent Ciro ' 3 Glass Nam East South : West Wight t8 5 1 . 4 1 na 16 .' 4....,.2. west . 5 ._., t ... m 14 a 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 1 2 7 1 3 4 2 2 8 t 3 d 2 3 •14 -19 .18 .47 6 3 4 0 1 3 5 3 3 0 t1 .30 4 3 2 .- 0 -0 1_ 0 3 1 -1 -1 -1 -1 2 0 -1 •2 .4 -2 9 to a not allowed 8. Shading (Shade Closed) •v• • •aC1 l\\J\ 1.\i1.. Sao Floor Raised Floor FSeal,e Percent Ciro ' 3 Sbnes 1 • (Pere -t ttam x SC7 Stories Edecrin 1CFA One Two Three One %Gress Nath EM Saudi west Skylight 18 as -L8 -69 •6t- rte 16 -12 -42 -59 -SS na 14 .113 J5 -50 -is na 12 -8 •29 -W .37 na 11 -7 •26 36 v3 na 10 _S .23 31 -29 •14 9 -5 -20 -27 -25 -65 8 •5 •17 •23 .21 •56 7 -t •14 -19 .18 .47 6 3 -11 -t5 -1d 38 5 •2 -9 -11 W .30 4 -i -6 -3 -rf -r'Z• 3 Q 1 4 -t -16 2 .3. 1 42 •1 -9 9 9 Y 4.0 , ;,L 8 9 10 10 4.5 3 no . not a& -ad 8 10 11 11 - --• Intenor •v• • •aC1 l\\J\ 1.\i1.. Sao Floor Raised Floor Alms ' 3 Sbnes 1 0.40 Stories 4 1CFA One Two Three One Two Three a0 -8 .5 -4 .2 -1 -1 at -8 -S 3 •1 0 0 0.3 -7 -4 -2 0 1 1 OS -6 3 -1 1 1 2 0.7 -5 •2 .1 1 2 2 0.9 -5 •t 0 2 3 3 1.1 -4 -i 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 a 5 5 2.0 -1 1 4 5 6 7 Z.5 0 3, S 7 7 8 3.0 1 4 6 8 8 9 35 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.a 5 8 10 12 13 13 65 6 9 10 12 13 13 7.0 6 9 11 13 13 14 75 6 10 11 13 1d 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Nall Thermal Mass Ezmrtor wan Fmiy Famitf L1uhi 0.q 0 0 0 0220 ' 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.220 13 12 8' 1.40 12 13 9 1.60 10 13 11.. 1.s0 10 12 12 2.00 10 11 13 M Heating System SE or EtSPF ' (aanmet du= In lisle) Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Omer 6 5 4 3 2 2 Sum of 1.6 -25 or 44 to -14 to -t to +6 to 16 ar SE HSPF less -15 -5 +6 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 as0 7.M- 8 7 6 5 A. 3 0.85 7.79 13 11 10 8 7 S d90 8.25 17 15 13 11 9 7 095 8.71 ZO 18 15 13 , 11 8 Wective SZ or HSPF (SZ or HSPFx duct all6me7) ENedve -25 or -24 to -14 b -4 to i6 b 16 or Sc HSPF less •i5 .5 +5 15 more Q.3o Z75 - 73 44 -56 - 7 38 _M na 3.41 -l9 -39 -3i -29 -24 -18 0.40 3.67 -34 30 .26 -22 -i 8 -14 050 4.58 -10 -9 -8 -7 , •5 � 0.55 5.13 0 0 0 O j 0 0 0.60 Sao 5 5 d 3 i 3 1 0.70 6.42 17 15 13 9 7 aso 7.33 25 22 19 �i 6 13 10 0.90 8.25 32 28 24 210 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Omer 6 5 4 3 2 2 8 HS14 POWER SAVER° SERIES CONDENSING UNITS *32,800 to 64,500 Btuh Cooling Capacity *ARI Standard 210/240 and DOE Ratings t9 S"�Po 10 CERTIFICATION APPLIES ONLY WHEN THE COMPLETE SYSTEM IS LISTED WITH ARI Application — The HS14 POWER SAVER line of remote con- densing units offer seasonal energy efficiency ratios (SEER's) of up to 15.5 in 3, 4 and 5 ton sizes with a choice of single or three phase voltage power supply. These super efficient units are equip- ped with a two -speed compressor staged to deliver the precise cooling capacity desired with minimum operating costs. Com- pressor operates on low speed under light and medium loads and goes to high speed for heavy cooling loads. Vertical discharge of air allows concealment of the unit among shrubs on a slab at grade level or out of sight on a roof. A variety of matching blower powered or furnace add-on evaporator units provide a wide range of cooling capacities and application versatility. See ARI Ratings table. For evaporator unit data see tab section Coils -Blower Coil Units. Condensing units are shipped factory assembled, piped and wired. In addition, the units are test operated at the factory to ensure dependable, on the job performance. The installer has only to connect the refrigerant lines and make electrical connections. Approvals — Condensing units have been tested with matching evaporator units in the Lennox Research Laboratory environmen- tal test room and rated according to U.S. Department of Energy (DOE) test procedures and in accordance with ARI Standard 210/240-89. In addition, units have been sound rated in the Lennox reverberant sound test room in accordance with ARI Standard 270-84. Condensing units and components within are bonded for grounding to meet safety standards for servicing required by U. L. and N.E.C. Units are also U.L. Listed. Equipment Warranty — The compressor has a limited warranty for a full ten years in residential installations and five years in non- residential installations. All other components have a limited war- ranty for one year. Refer to Lennox Equipment Limited Warranty certificate included with the unit for specific details. M ENGINEERING DATA COOLING UNITS CONDENSING UNITS Page 20 July 1991 Supersedes August 1990 CERTIFICATION APPLIES ONLY WHEN THE COMPLETE SYSTEM IS LISTED WTTH ARI Typical Applications M Unit on slab at ground level. Multiple units on rooftop/ NOTE — Specifications, Ratings and Dimensions subject to change without notice. ©1991 Lennox Industries Inc. �j ARI RATINGS �R Condensing Urlt Model No. *ARI Standard 270 SRN (bels) 'AR Standard 210/240 Ratings Evaporator Unit *Expansion Valve Kit SEER EER Cooling Total tuh IBtuh/ Capacity Unit Up -Flo Down -Flo Horizontal Watt) Watt) IBtuh) Watts H S 14-411 V HS14-413V (7.6) 11.85 9.20 32,800 3556 -- CR 16-31 FF -- LB-53081CA 12.05 9.40 33,800 3593 C16-28FF(FC), C16-28WFF(FC) - C16-31FF(FC), C16-31WFF(FC) 12.15 9.40 33,800 3593 ---- -- CH16-31FF 12.70 9.80 35,200 3585 •"CB18-31 --- ••CBS18-31 12.45 9.80 35,800 3652 ---- CR16-41FF ---- C16-41FF(FCI _ 12.45 9.80 35,800 3655 C16-41WFF(FC) 12.85 9.95 36,000 3610 •'CB18-41 -- "CBS18-41 12.70 9.90 36,400 3675 ---- ---- C H 16-41 F F 12.45 9.95 36,600 3680 -- CR16-51FF ---- 12.45 9.95 36,600 3678 C16-46FF(FC) C16-46WFF(FC) 12.80 10.00 37,000 3705 `•CB18-51 ---- "CBS18-51 12.75 10.05 37,400 3724 ---- ---- CH16-51FF 13.30 10.40 38,000 3698 ,: C14-41 FF(FC) : = `%:?:. -. ---- ---- 12.90 10.50 38,500 3650 '•CB19-31 •'CB19-31 ••CBH19-31 12.95 10.50 39,000 3714 ••CB19-41 "CB19-41 "CBH19-41 15.00 10.80 39,500 3665 '•CB21-41 "CB21-41 CBH21-41 12.50 10.70 40,500 3793 •'CB19-51 ••CB19-51 '•CBH19-51 15.50 10.80 43,000 3980 •'CB21-51 ••CB21-51 ••CBH21-51 HS14-511V HS14 513V (7 6) 11.35 9.10 46,500 5110 C16-46FF(FC) C16-46WFF(FC) ---- ---- LB 53081C8 11.65 9.25 47,000 5074 ---- CR16-51 FF ---- 11.65 9.25 47,500 5140 ---- ---- CH16-51FF 11.85 9.30 47,500 5104 ••CB18-51 ---- ''CBS18-51 11.55 9.40 48,000 5119 C16-51FF(FC) ---- ---- 11.45 9.15 48,500 5307 ••CB18-65 ---- ••CBS18-65 11.90 9.50 49,000 5159 C16-65(FC) i CR16-65 ---- 12.55 9.65 49,000 5080 C14-41FF(FC) - - -- 12.40 9.50 49,500 5201 i';:'i •C14 651FC).:.a!`,:'. -- -- 12.10 9.55 50,000 5229 - -- CH16-65V *Factory Installed 12.50 10.00. 51,000 5100 ••CB19-51 ••CB19-51 •'CBH19-51 LB-53081CB 12.30 10.00 53,000 5293 ••CB19-65 ••CB19-65 ••CBH19-65 13.40 9.70 53,000 5440 ••CB21-51 ••CB21-51 "CBH21-51 13.30 9.70 54,000 5550 •'CB21-65 ••CB21-65 •'CBH21-65 H S 14-651 V HS14-653V (7.8) 11.10 8.15 55,000 6774 -- --- CH16-51FF LB -53081 CC 11.40 8.00 55,500 6973 --- CR16-51 FF , ---- 11.35 8.25 56,000 6819 C14-41FF(FC) -- - 10.80 8.10 56,500 6993 C16-51FF(FC) -- --- 10.80 8.15 56,000 7129 •'CB18-51 ---- •'CBS18-51 10.80 8.20 58,000 7079 - - CR16-65FF_ --- 10.90 8.30 59,000 7115 C16-65(FC) ---- ---- 10.85 8.20 59,500 7307 "CB18-65 ---- `"CBS18-65 11.40 8.40 59,500 7072 '•CB19-51 •'CB19-51 ••CBH19-51 11.40 8.55 61,500 7236 -- ---- CH16-65V •Factory Installed 11.65 8.60 61,500 7187 :; :::• °'..C14-651FC1..- 12.75 9.10 63,000 6935 •'CB21-51 •'CB21-51 •"CBH21-51 12.60 8.90 63,500 7152 '•CB19-65 •'CB19-65 "CBH19-65 LB-53081CC 12.65 9.30 64,500 6970 ••CB21-65 ••CB21-65 ••CBH21-65 NOTE Shaded area denotes most. popular evaporator col.' ,t Sound Rating Number in accordance with ARI Standard 270. 'Rated in accordance with ARI Standard 210/240 and DOE; 95°F outdoor air temperature, 80°F db/67°F wb entering evaporator air with 25 ft. of connecting refrigerant lines. "Denotes blower powered evaporator. *Kit is optional and must be ordered extra for field installation. •Fumished as standard with coil. -20b- plSlGp r� N cis �sfo I �fRTII omaEfi1pENCT C6tli FiEp Typical Applications G21 "PULSE21TM-SERIES UP-FLO GAS FURNACES *91.7% to 96.2% A.F.U.E. 40,000 to.100,000 Btuh Input Add -On Cooling — 1-1/2 thru 5 Nominal Tons *Isolated Combustion System Rating for Non -Weatherized Furnaces Closet Installation With cooling coil and electronic air cleaner - With cooling coil, return air cabinet and humidifier Application— Lennox G21 series gas furnaces are available in eight models (natural gas or LPG) with input capacities of 40,000, 60,000, 80,000 and 100,000 Btuh. Units operate on the pulse combustion prin- ciple and do not require conventional pilot burner, main burners, flue orchimney. Standard size cabinetwith side or bottom return air entry permits installation in a basement, utility room orcloset. Lennoxadd- on evaporator coils, electronic air cleaners and power humidifiers can easily be added for a total comfort all -season system. Replacement of furnaces manufactured by Lennox in the last twenty-five years can be done with only minor modification to duct work or add-on coils. High efficiency of the G21 series is achieved with a unique heat ex- changer design which features: finned cast iron combustion cham- ber, temperature resistant steel tailpipe, aluminized steel exhaust de - coupler section and a finned stainless steel tube condenser coil. Moisture, during the process of combustion, is condensed in the coil, extracting almost every usable Btu out of the gas. Most of the com- bustion heat is utilized in the heat transfer from the coil, producing flue vent temperatures as low as 10OF to 130F which allows the use of PVC (polyvinyl chloride) pipe for venting. Furnace can be vented through a side wall, roof or to the top of an existing chimney with up to 35 ft. of PVC pipe and up to four 90 degree elbows. Condensate created in the coil (PH ranges from 4.0 to 6.0) is not harmful to stan- dard household plumbing and can be drained into city sewers and septic tanks without damage. NOTE — Specifications, Ratings and Dimensions subject to change without notice. G210 Bulletin #480175 November 1991 The G21 furnace has no pilot light or burners. An automotive type spark plug is used for ignition on the initial cycle only, saving gas and electrical energy. In the pulse combustion process, the use of atmo- spheric burners is eliminated, with combustion confined to heat ex- changer combustion chamber. Sealed combustion system virtually eliminatesthe loss of conditioned air due to combustion and stackdi- lution. Combustion air is piped to the furnace with same type PVC pipe as used for exhaust gases. Furnace is equipped with standard type redundant gas valve in series with gas expansion tank and gas intake flapper valve. Also factory in- stalled are a air intake flapper valve, purge blower, spark plug igniter, flame sensor with solid-state control, solid-state blower control, limit control, high and low voltage terminal strip, 30VA transformer and cleanable airfilter. Furnished forfield installation are a flexible gas line connector, (4) isolation mounting pads, base insulation pad and con- densate drip leg. Optional equipment available: flue vent/air intake line roof orwall ter- mination installation kits, LPG conversion kits, mufflers, furnace twin- ning kit, continous low speed blower kit, external filter mounting kit and thermostat. G21 units are shipped completely factory assembled with all controls installed and wired..Units are testfired atthe factory beforeshipment. @1991 Lennox Industries Inc. SPECIFICATIONS Model No. G21 Q3-40 G21Q3-60 G2104-60 Input Btuh 40,000 60,000 60,000 Output Btuh 38,000 55,000 55,000 *A.F.U.E. 96.2% 92.4% 92.5% California Seasonal Efficiency 90.0% 87.2% 85.6% Temperature rise range (°F) 35-65 40-70 35-65 High static certified by A.G.A. (in wg.) .50 .50 .50 Gas Piping SizeNatural I.P.S. (in.) .88.0% 1/2 1/2 1/2 **LPG 1/2 1/2 1/2 Vent/Intake air pipe size connection (in.) 2 2 2 Condensate drain connection (in.) SDR11 1/2 1/2 1/2 Blower wheel nominal diameter x width (in.) 10 x 8 10 x 8 11 X9 Blower motor hp 1/3 1/3 1/2 Number and size of filters (in.) (1) 16 x 25 x 1 (1) 16 x 25 x 1 (1) 16 x 25 x 1 Tons of cooling that can be added 1-1/2-3 1-1/2-3 2-1/2-4 Shipping weight (lbs.) 250 250 255 Number of packages in shipment 1 1 1 Electrical characteristics 120 volts — 60 hertz — 1 phase (less than 12 amps) All models **LPG kit (optional) LB-83176CR ILB-83176CE ILB-83176CE 1/2 Cont. Low Speed Blower Switch Kit (optional) LB -83611A (All models — not used with twinning kit) Furnace Twinning Kit (optional) (1)16x25x1 LB-63093CA (All models) (1)20x25x1 Cont. Low Speed Blower Switch (optional) 67H18 (All models — used with twinning kit only) External Filter Mounting Kit (optional) Part No. LB -81871 CA LB -81871 CA LB-81871CA .Filter size (in.) (1) 16 x 25 x 1 (1) 16 x 25 x 1 (1) 16 x 25 x 1 -Filter is not furnished with kit. Filter kit utilizes existing filter supplied with G21 unit. *Annual Fuel Utilization Efficiency based on D.O.E. test procedures and according to F.T.C. labeling regulations. Isolated combustion system rating for non -weatherized furnaces. **LPG kit must be ordered extra for field changeover. SPECIFICATIONS Model No. G2103-80 G2104-80 G21Q5-80 G2103-100 1321014/5-100 Input Btuh 80,000 80,000 80,000 100,000 Output Btuh 73,000 73,000 74,000 93,000 95,000 *A.F.U.E. 92.7% 92.7% 91.7% 91.7% 9 .501.__ California Seasonal Efficiency 87.3% 86.4% 86.6% 87.9% .88.0% Temperature rise range (°F) 45-75 40-70 35-65 55-85 40-70 High static certified by A.G.A. (in wg.) .50 .50 .50 .50 .50 Gas Piping Size I.P.S. (in.) Natural 1/2 1/2 1/2 1/2 1/2 **LPG 1/2 1/2 1/2 1/2 1/2 Vent/intake air pipe size connection (in.) 2 2 2 2 2 Condensate drain connection (in.) SDR11 1/2 1/2 1/2 1/2 1/2 Blower wheel nominal diameter x width (in.) 10 x 8 11 x 9 12 x 12 10 x 8 12 x 12 Blower motor hp 1/3 1/2 3/4 1/2 3/4 Number and size of filters (in.) (1)16x25x1 (1)16x25x1 (1)20x25x1 (1)20x25x1 (1)20x25x1 Tons of cooling that can be added 2-3 2-1/2-4 4 or 5 2-3 3-1/2-5 Shipping weight (lbs.) 250 255 297 297 297 Number of packages in shipment 1 1 1 1 1 Electrical characteristics 120 volts — 60 hertz — 1 phase (less than 12 amps) All models **LPG kit (optional) LB-83176CF LB-83176CF I LB-83176CF I LB-83176CP I LB -83 CP Cont. Low Speed Blower Switch Kit (optional) LB -83611A (All models — not used with twinning kit) Furnace Twinning Kit (optional) LB-63093CA (All models) Cont. Low Speed Blower Switch (optional) 67H18 (All models — used with twinning kit only) External Filter Mounting Kit (optional) Part No. LB-81871CA LB-81871CA LB-81871CB LB-81871CB LB-81871CB .Filter size (in.) (1) 16 x 25 x 1 (1) 16 x 25 x 1 (1) 20 x 25 x 1 (1) 20 x 25 x 1 (1) 20 x 25 x 1 -Filter is not furnished with kit. Filter kit utilizes existing filter supplied with G21 unit. *Annual Fuel Utilization Efficiency based on D.O.E. test procedures and according to F.T.C. labeling regulations. Isolated combustion system rating for non -weatherized furnaces. **LPG kit must be ordered extra for field changeover. e'l 1-4/ G 0 1r�•R� �( AGS v � L,hFz G�.E E�G/�TI N. c$ - AG. '$Ln G . To of T/ r%*4 F9h%VarMfi=-;VT' A 2 - J 7- 393, F) Kb -4-.l 7(6-7 U ,S (3S -a j• 2� , bS , 2 Kb -4.2 Z�v�- UJ -• , �. I COUNTY OF BU17E BUILDING DEPT _ OCT 2 E 1991 BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM " (One Form Per Building) School Distract Building Departure t No. A.P. Number Z — l6 Jurisdiction 0 City County Property Y— Owner Propeity. Lobation/Address Subdivison Residential Development Commercial/Industrial No. of Living �� N Units MHI New Lot No. Sq. Footage Z 26 & Addition (Group R Sq. Footage 6 Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) District Identification No. i S / 72� Date C./nC��l ClSchool District certifies that /J ,` (Applic t) 7 (Street Address) (Phone Number) (City) (State) (Zip Code has complied with the r�qirements of Resolution No. _1. by payment of $ representing' _ square feet. School District Representative 1a/Zo /yam Date Paid by Check Number ��'(C Remarks: -' -Bank Number Paid by Cash _. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being rieviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS S 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND•PERMIT PERMIT NO. !J z3(g7 ASSESSOR PARCEL NUMBER 042-17-0-038 ZONIITG A10 BUILDING PERMIT OWNER Ed p M TELEPHONE 343-1742 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSer 3122 Grape Way, Chico est 2,000 CONTRACTOR'S NAME Gary En elder TELEPHONE 891-3530 CONTRACTOR'S AILING ADDRESS 440 Brett Ct. Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3122 Grape Way, Chico Permit fee $ 52.50 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 G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: Dem¢lish old sf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in ful ore 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 - (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) _37.50 NEW CONST. / DWELLING OCCUP.81 3.64sq.ft. OR ACDNS. 1 ACC, BLDGS. II NEW CONSTR ULTI.OUT LET NO N•R ESID BRANCH CIRC ITS 5•00 /POWER APPARATUS 61 SINGLE OUTLET CIR. I EX. OCCU 20 76d OUTLETS OR FIXTURES P Ex, Occup. OUTLETS ED PRESID )REA.7 1 3.00 Temporary service 15.00 0 Mobile Home Facilities 15.0ors. Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e 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 on shasent to Self -Insure. j I ll 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 Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c sequ ce of the granting of this permit. P� X Date !©nlcy / Z Signature of Alrpplicant — Owner ❑ Contractors 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 $ 52.50 HAZ DFEES IMP I FLOOD I COF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the to Co Code and/or resolutions to do j work ind' at a or which fees have been paid. OF PUBLIC WORKS ByDate/O PE E PIRES Date —/9' 9.3 Receipt No. 196165 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE: y� - �q,PARTMENT OF -PUBLIC %N i��t BUILDING DIVISION ~. r. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -` TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET t . P. No. e17, Building Inspector.-_eDate AtW7AII 'application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 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 talcs, 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 . ............................... 12. 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 Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ..... 20. Pre-InSpeCtlOn fOr Pre -Inspection request required. . to Building Inspector (Date) r Contractor's license information. (No., Name Style, Classification) . ............. . Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded 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. .... . 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. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other, Parcel Creation Acreage Applicant' Date. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 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 COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive7- Oroville. California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT ASSESSOR PA RCIL NUMBER ZO BUILDING PERMIT OWN�g� TE EPHO E �� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / CONTRA TOR'S NA� t TELEP ONEO CONT CTO 'S MAILIN ADDRES Yc G v Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 3 r -a Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINf,jADDR ESS G 14� IfPermit �T fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 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 I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition J Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty. of perjury (check one): E]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 — 01 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 Main service 200A TO 10o0A1 _37.50 NEW CONST. / DWELLING OCCUP.g\ 3.6Q sq.ft. OR ADONS. ACC. BLDGS. / 1 NEwCONST R- " UL TI.OUT LET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLN S.A EX. Occup. OUTLETS P(RESID,IRE A.) I 3.001 Temporary service 1 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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation p ermit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ccrue against said County in consequence of the granting of this permit. X Date A2�% Signature of Applicant — OwnerElContractor ElAgent 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 FEES 2 5 , HAz 0FEES MP IMP] FLOO!7 PARCEL I PD I 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 B PERMIT EXPIRES Date Date Receipt No. � � � �` WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement yy Date /0-/4 AN q2-- /7— Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor.to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. SigrdrtUre of Applicant 2/19/91 . ,. � r Y � �7 -__ :� � l-h����' U�'�;�rr�7Z ... -.� i{, EEE��� ;' � � x '2�� 0 � ��1 Eili/E L(pK4 £' - �i% j�2 , / n �. /�, �� � ,��� d 1 s COUNTY OF BUTTE — DEPARTMENT OF'PUBLJC WORKS �-' 7 County Center Drive — Oroville, California 95965 Telephony: 534.4541 APPLICATION AND PERMIT auinorize representatives or ine i;ounty or tsurre to enter upon ine above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. J�9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By ` r-}; /',' - — Date �F B61ding permit expires Date i BUILDING Owner�.�'� L ACT- � Mc i2 SQ. FT. OCC. BUILDING VALUATION Mailing Address Q'�^' &,( .2(o'-7 C (4 fro l 4\ phot e No -Y -Y i Contractor 2 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address A)/ S (DR-1118Ly Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 l C Repair drainage or vent piping 1.50 c� A. P. No. L1 — (� — �, p nIn & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I W/C. I Sanitation- Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI -dg Plan Reed I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ T_ 1 I (VAS- ELECTRICAL NO -1 @ I FEE PERMIT FILING FEE $3.00 U� Main service e01v OR LESS 100 AMP OR LESS 5•�0 Single Family Qj Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 ' Main service OVER 100 AMPe0ov OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW ONS.OR ACDNS• ( DACCLBL GS.CCUPWELING . ' 20sgft. 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: NEW CONSTR MULTU LET NON-RESID L I. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. EX. OccUD(oUTLETS OR FIXTURES, BAL 50@ 250 ,`e FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 07.1•(4J_/`t(,:n1 6.25 (�•1 4 O(- S - i? 1(,(` I am exempt from the Contractors License Laws of the State of Cali fomia. 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. ❑X I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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 Land Development Fee $ TOTAL PERMIT FEE auinorize representatives or ine i;ounty or tsurre to enter upon ine above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. J�9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By ` r-}; /',' - — Date �F B61ding permit expires Date i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone:r 53. 4541 APPLICAtION AND PERMIT BUILDING ffl Owner L L� 1 r m�S'R SQ. FT. OCC. BUILDINOVALUATION Mailing Address PT 2- C6M O 1. A ele, ��G! onZ `0 " Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address A)/,S G �ti�� AR Q Plan Checking Fee&/or Penalty Fee -ox /n^ F IDAIP-V iP-N' P-10. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 caj� ��-W/� (coRepair drainage or vent piping 1.50 A. P. No. ��— �� oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes I C. I 6apketiram FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map' 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 & ams Recd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ G �'-�t3�t� SC� 0 ce ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 X05 Main service 100 OR LESS 00 loo AMP OR LESS 5.00 , Single Family Duplex Mobil Home 9 Y p ❑ ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 a.'5b Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBL GS.LING CCUP. Y\ 20 sq ft / 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 st le of: Y NEW RESID.CONSTBRANCH(MULTI-OUTLET,CIR NON-RESID. BRANCH CIRCUTS) 2.50ea NEW CONSTR. (POWER APPARATUS 8. NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI]RES� 5 L210O¢ Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 4*1 1 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 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 16 R5 authorize representatives of the County of Butte to enter upon the above-mentioned pro erty for inspection purposes. X e , /lrll�. Date Signature of Permitee or Agent Receipt No. 1�911 33 - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY BPI ng permit expires Date