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042-170-057
42-17-57 GLENDA �e ya D ``ne ��v CPKMON, C.H. o9 -66B S E/S Gra e a ,.500' S Sacto Ave; Ghic 692-66P 330-66P rmi0549-84B,E ad ition/SF) I 396-66E ylas/-1�- ' e/s Grape, Way 5Q0' so. of Sacr e o Rlw042-170-057� PERMIT#97-1740, DIETZ, Dan Chico �. 2673 Grape Way,,(new l:' (new single family) Reroof/SF CONTR: Vernon Berg, P.O. Box/56, Chico 042-170-057, 02-3464 _ - LANE, JOHN , 2673 GRAPE WAY, GHICO� WIRING FOR HOT TUB' Nk i 12 042-170-057 02-3464 LANE, JOHN , „` 2673 GRAPE WAY, CHICO WIRING FOR HOT TUB 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT. n2 -WA ASSESSOR PARCEL NUMBER 042-170-057 ZONING BUILDINGPERMIT ' OWNER TELEPHONE so. FT. OCC. BUILDING VALUATION . OWNER'S MAIUT ADDRESS.. vMinCA Q5971 CONTRACTOR'S NAM ower TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 901 Crqpe .. U Chi, -0 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other ' SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _Describe Work: >r/ c T. ;?-� �€ fes' Ltt �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LEss Main Service 2eoo0Aov 00 RRLESS 23.00 t LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. j OWNER -BUILDER DECLARATION i 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service tow TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. s0 OR ADDNS. ( a ACC. BLDs. 3.50FT; NON-REOSID. ' MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. EX. OCCU OUTLET OR FIXTURES SAL � 1.00 .so FIXED APPLNS.OR Ex. Occup. ouTL�s RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 Pre -Inspection 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which'this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with ose provisions. ��.,-, X �✓'- Date /� � 2 t, Signr tureof Applicant'- O O ner ❑ Contractor ❑ Agent An,OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.04 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above of whic fees have been paid. By..�.•.-.-., y - Date PERMIT EXPIRES ON / 08te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /" `1 -e -N i COUNTY OF BUTTE • . • . . . • " BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWFVER PERMIT NO. r >�A routine inspection indicates that the following violations of butte county Ordinances exist at the i 'above address and should be corrected. Please notice this office when correction of work is r completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this (lice immediately. i& 11 V SGL'" Tia COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-3464 ASSESSOR PARCEL NUMBER 042-170-057 ZONING BUILDING PERMIT OWNER Lane C — TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 2673 CP 11 -ay Chi ca CA 9597-1 CONTRACTOR'S NAM owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER " Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Grape9673 Chico$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:y, i W1�R,ag -for, net- #_tib G:a S!" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OVR LESS Main Service zo.A 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 full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: f' 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 Main Service 200A To 1000A 46.00 NEW CONST. OWEWNG OCCUP. OR ADDNS. ( s ACC. its. SO 3.5QFT: e paIDT' MULTI -OUTLET 97.50 POWER APPARATUS 1111N. swoLE ourtET aR. EX. OCCu OUTLET OR FDRURES .00 BAL @ +..50 Ex. Occup. oPIx�E�°T5A Runs oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 Q0 Pre-Insaecti0 PERMIT FEE $ 6 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe 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 forthwith comply with se provisions. X !,� Date O �_ Sigr lure of Applicant - O er ❑ Contractor ❑ Agent An�"SHA permit is required for excavations over 5'0" deep and demolition or construction of tructures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ :CONST. TYPE❑ TOTAL FEE $nn Ir . D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated =ate By%/7i PERMIT EXPIRES ON applicable provisions Resolutions to do work en paid. - �JJ{,J Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Svn.✓ ^, 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: r ASSESSOR PARCEL NUMBER G43 C V ^� Proposed Building Use: Counter Technician: Date: I o U Items required in order to apply for a permit. All boxes MUST be checked OR daked NA in order to apply. ❑ ' 1.. Plot plans, 3 or 4 sets, signeclky the preparer of the plans. ❑ 2. Complete 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in dualicate. ❑ 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 ❑ 8. Flood,Elevation Certificate, wet -stamped and signed, in duplicate ...............................: ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 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. Statement of Intent for Non -heated and. A/C Buildings ...................... ......>:........... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. contact Land Development about ❑ Improvements, ❑ Drainage ............................... W2. Encroachment Permit for drive ay from e Pgblic Works Dept. (construction approval prior to occupancy). Pre -Inspection for i �� required ................ ❑ 23. Contractor's license information. (Numb r, 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, qM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone )ind hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Ln Date: Plan Check Letter phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division :,4 f . A^ O`'V'NER-BUILDER VERIFICATION A:tencion Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing ym Please complete and return this information at your earliest opportunity to avoid nmeoesps,►�d�gr in processing and issuing your building permit. No building permit will be issued lima this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES PE NO O I HAVE HAVE NOT C3 signed an application for a building permit for the; op ase vm& ;. I have cdatracted with the following person (firm) to provide the proposed o--buctim YAti1E: . AD I>RESS: CITY: PHOL�'E.'� CON-M-kCTOR'S LICENSE NO. 4. I plan to provideons of this work, but I have hired the following person to coordinate, supervise, and provide major work: ' NAME: ADDRESS: CITY: PHONE: CONI kCTTOOR'S LICENSE NO. 5. I will provide some of the work but I have contra Z d (hired) the following persons to provide the work indicated: NAME ADDRESS PHOT TYPE OF WORK SIGNED:• .. • DATE:. ri XOTF: This Owner -Builder Verification is required by Section 19831 and 19832 4VA9 California Health and Safety Code This verification must be coff9W&lad Md returned to our offcce before we are permitted to issue the permit OVER OWNER BUILDER INFORIMATION CC —I- ?roce-'., ,aa application for a building permit has been submitted in your name listing yourself as the builder of Property improvements specified For your protection. you should be aware that as "owner -builder" you are the. responsible petty ofreeord oosoch a permit. Building permits are not required to be signed by property owners unless they are personalty per5oemio is . own work. If your work is being performed by someone other than yourself, you may protect yourself from posiible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you ihould be aware of the following information for your benefit and protection: • If you employ or otherwise engage any persons other than your immediate family. and the work (including =wrials and other toss) is S300 or more for the entire project, and such persons are not licensed as contractors or subcortactors. hen you may be an employer. ♦ (; you are an employer, you must register with the State and Federal Goverrunents as an employer and you are subject to several obligations including *state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation conutbutions. ♦ There may to Financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more scecitim c in about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under S:ace Law, ccrcac: the Department of Benefit Payments and the Division of Industrial Accidents. If tlt,e s,:ucrure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or hroug-`r their own employees, without a licensed contractor or subcontractor, only under limited conditions. ding A frequent practice of unlicensed persons professing to be contractors is to secure an 'owner builder" buil pennit. erroneously implying that the property owner is providin; his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10=0 N Street. Sacramento, CA. 958 I4. Please complete the -Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these natters. The building permit will not be issued until the verification is returned. XLI� 6k, N(2CI C. Vi ira, C.B.O. ger, Building Inspection NOTE: Tits Owner -Builder Information is required by Secdlon 19810 of the California Hadlrh and Safety Ct& OVER Dec 20 02 08:03a WA P•1 - `'�'• RE -INSPECTION REPORT �.PORT DATE: ra - OWNER LOCATION: ZP�t �G, �f A.P. #- '� 6c-) ZONING: CONTRACTOR: PRE-INSPETION FOtZ_P �Q � � � � �. DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE �O AS KNOWS 2fi=- Building Dacription: Carunercial/Uasge: Residential/# of Units: / Currently Occupied Abandoned/Vacant Electric: Ycs Q.,i No :__-__— Condition of.Eleetric, Bun mING INsPECTOWS REPORT � �/ ")0 Electric cunxently On t� Off :i. Gas: _ _IX _ ' None Currently On` ' - - Off- Na ff- Natural /. Propane -- Obvious Problems: r� Sanitation: Plumbing Working r Potable Water Well Worsting — Obvious ScwageProblems ACTION RECOMMENDED: ISSUE: HOLD FO Inspector. i Date Sketch buildings s on reverse and indicate location on proper' for E�4 Dec 20 02 08:04a p.2 Fh .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-x'541 - PERMIT NO. :1 (Rev2/96) APPLICATION AND PERMIT ' ASBESSORPARC&NUMBER ` ��\ - I V mroN3 BUILDINGPERMIT . owns G � ._ 15.00 � �''� SO. FT. OCC. BUILDING VALUATION OWNERS NG ADORESB�`� 1 -6 outlets s 3 Building sower 15.00 cjDCONrRACTOi15 18 1 G1 W 1 NAMETELEPHONE CONMACTOR'B MALUM ADDRESS PERMIT FEE S ELECTRICAL PERMIT COrGMW=ON LENDER Main Service Mein Service adBA Oct 230 =3A TOO 1000A 29.00 46.00 LINDPR1 VAUNG ADDRESS OWELL M3 Occup. i AGC. MD& •� S 3.Seo.. Fireplace .� Total Valuation S ARCH= OR ENGINEER L[CPNSE N0. Filing Fee $ 20.00 ARCW= OR ENSWEERS MAAM ADDRESS Permit Fee $ Plan Checking Fee $ SULMADDRES6/� (9t-0— Energy Pian Checking Fee $ a PERMIT FEE S toTNa suaonr6wNSNAME PARCEL MAP PLUMBING 'PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFA Duplex 0 Mobilehome 0 Other BPELffY TYPE OF WORK -New 0 Addition 0 Remodel 0 UdKes Installation O Other 17 Describe Work: , t f *PERMIT FEE PAlb SRA SHOUFF OTM . AMOVW RECEMt) -2D (0 " TO " W ZHTO co#mm ReceiptNo. • WHITE-D.D. S.•n.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR00-APPLICANT cowl Imp Solar or heat pump water heater I.vu 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas elping system 1 -6 outlets 15.00 Building sower 15.00 Moble Home 18 1 G1 W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Mein Service adBA Oct 230 =3A TOO 1000A 29.00 46.00 "Lw OONST. ' OR ADONS. OWELL M3 Occup. i AGC. MD& •� S 3.Seo.. 9 Ex. -Occup. f amuca Fanwim) I I F21-21 Service I PERMIT FEE S (p & 0 1 MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FEE S Mobile Home installation Fee $ Energy inspectlon Fee $ DSD NBT "` TOTAL FETE $ NAZ 0.FEE5 DAP I FLOOD. I COF I PARCEL I PC I IB) I MUE This permit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated abov9 for which fees have been paid. By . Data PERMIT EXPIRES ON Dec 20 02 08:04a f h k M v 1 w • yy m Y. .i ,.. w p., w ^V + 1 cQi ,f V 0 F• 10 U V -A V p.3 I E` f ' . o t E i L � nj PAW F 1 % i• i �' .I I�„It t 1 •Y 4 i t * r r r C ) \I w � t i v , A Pan own yKamft� C + .. zi�w Ind -v r rwri 7 wF.- 042-170-057 PERMIT097-1740 DIETZ, Dan 12673 Grape Way, Chico Reroof/SF +r.- - f ,1+r-�.:-• �1 ; . ^ ;a•- s-�-._i.,j,S -. COUNTY OF BUTTE- DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califd ia` 95965 - Telephone (916) 538-754,1 / �� RMI o� (Rev. 12/96) APPLICATION ANB PERMIT ,� ASSESSOR PARCEL NUMBER _70ZONING BUILDING PERMIT OWNER 1!✓1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING 3E6 Q CONTRACTOR'S NAME NC. TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS " Plan Checking Fee $ BUILDING ADDRESS +�... _ (�(J Energy Plan Checking Fee $ $ PERMIT FEE $ , LOT NO. SUBDIVISION'S NAME 1' PARCEL MAP j PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE } SF lid Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition P Remoj�d�el�❑ Utilities ❑ Installation ❑ Other Describe Work: PE 1�i" a �� W't� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Fee 20.00 Main Service 0 E 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /,/ /� u License Class — Lic. No. .71)07 % 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: R ❑ 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 Main Service ( To 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NS.9 NON RES DT MANC 1 CU �� @7.50 POWER APPARATUS d SINGLE OUTLET CIR. OUTLET OR FDRURES Ex. Occup.BAL 20 Q 1.00 p .so FI%ED APPWS. OR Ex. Occup.oUTLETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co ppnsation insur nce carrier and policy number are: Carrier � (,"I Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 I� X /1" .Uf Date Signature of Applicant!- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ r HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date � ; Date Receipt No. 7777277Z.777 ! —%T .d,� WHITE-D.D.S.-B.D. CANARY -ASSESSOR- PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville,_CEWfornia 95965 - Telephone (916) 538-754 PERMIT RMIT o. (Rev. 12/96) APPLIOATIOA AND PERMIT Ot 7 - ASSESSOR PARCEL NUMBER -1 ©-�7 ' ZONINGBUILD A - G PERMIT OWNER t M1I _ 2— TELEPHONE *Q.F7.OCC.BUILDING VALUATION OWNERS HARING ESy O ��D ve- C--41 /(��1 1C© `/Y_ CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Pilin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAWNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS d!f Co Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition Remodel ❑ fUtilities ❑ Installation ❑ Other 9I - Describe Work: C, �n INLD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. [�j/ �^[POWER License Class Iis' (, Lic. No. S' /�(� 9,11-7 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 Main Service 200A TO 1000A J 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. so 3.50 FT.. NEW CONST. =OUTLETCUI NON -RE NS CIRCUITS @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS Q' 0 LNS Ex. Occup. ouTLEEDTSA RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co p nsation insur nce carrier and policy number are: Carrier f k �U;14 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' co nsation laws of California, and agree that if I should become subject to the w k rs' pensation provisions of section 3700 of the Labor Code, I shall f rth ith o ply with those provisions. _/�— X Date 2� __ Sign tur d Applica t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ r HAZ. I D. FEES IMP I FLOOD I CDF PARCEL pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for whi fees have By PERMIT EXPIRES ON 0 1p'��`-� the applicable provisions Resolutions to do work been paid. Dated Dale Receipt No. "U"",-0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR[ PINK -INSPECTOR GOLDENROD -APPLICANT 4P 1 PERMIT NO. 549-84B,E PERMIT EXPIRES 5 _ OWNER GLENDA TEDFORD CONTR.. owner I ASSESSOR PARCEL 42-17-57 t LOCATION E/S Grape Way, 500' S Sacto Ave, Chicc t �1 A It Temp. Power Pole ' Called PG&E 3 Temp. Elec. Service f r 1t Called PG&E Temp. Gas Service t Cal led PG&E i JOB FINALED (D A. a } Signature 1 t i `J = OKE O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors _ 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements -2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg•. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test t Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK T - = Not Applicable RESIDENTIAL,(Sing'le and Duplex) = Not Ready Date UNDERF OOR Plans OK except #'s Date FRAMING Continued on' g requirements-Setbac -Easements 480."Property Line Firewall & Openings g., Main; Soils -Steel -EI nd.- / /" Ftg. Depth x-.49 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits L 3r�tg., Garage; Soils -Steel- / /" Ftg. Depth .50 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . . Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth -.&1. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers mwalls, Main; Steel-Blockouts-Wrapped-Slab t2<Siding-Nailing-Veneer '6•.-St"emwalls, Garage; Steel-Blockouts-Wrapped-Slab S3_ S ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ers=f3ee_F4e)--STeel lazing Area -Glass Protection-Skylights-Plastic -8-D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test ear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors ka-Water Pipe; Test -Anchors -Regulator -Service Test !I. Electric; Underground . Plenums & Ducts; Clearance -Material -Support -Ins. 13l irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI l.. Date 14117 1 Card -BI Date SU [4jLYt Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBIN (Permit) OK except N's _ 14. Water .; Vent -Access -Combustion Air 15. Water Pi e; Test & Anchors -Nail Protection _ 16. D.W.V.; T t-Fttngs & Anchors -Nail Protection __.__17. Shower Pan; est, First Floor -Tub Access 18. Test Tub & Sh er, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date EL RICAL Permit OK except q's Fixture &Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors -Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of St_4ds & C.J. 24. Equip. ound made up w sen-B6nd•Gas_gJClyicX e2S� Appliance Circuits in i c en actor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or -271-Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No -service -Riser Conductors &Ground -Main Disconnect ____2S -.Equip. Clearances; Pane ls-Motors-Mech quip v 30. C -Sh Date FINAL (Plans) OK except s's J8. -•Ext. Steps -Door & Sidelight Protection -Landings 5[ly8fBoke Detector -56r. -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection_ edroom Exiting 40-G.F.I. & Bath Fixtures & Tub Access �Bt-Flet. Trim & Subpanel; Breaker Sizes-Labels -S2._Stairs & Rails -X -_Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. r66 --Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter •-ei-Garage Fire Door; Swing -Landing -Closer .48-A.C. Duct in Garage -Damper `611-7 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 7,11g-Plb., Elec. & Mech. Equip. Listed for Location W4.-_Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7 nsulation-Foam-Looked in Attic trVV -74-Guard Rails & Deck Construction -Post Caps Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0.4's '76 following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No -76--Stucco; Brown -Finish -1-7--A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet •_71 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -2S-Water Well; Disconnect, Electrical, Plumbing � ----.— -M Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 11� '' Card -BI _ Date _ Card B I Date Card -BI Date entilation throughout House 92. --Glass Protection _ orrections from Previous Inspections Date MECHANICA (Permit) OK except q's - 4. Gas Test -Meters Tagged; Gas -Electric - — 31. A.C. Dus: Insulation & Support 'far Water & Sewer Connected -C/O to Grade -HD Approval - 32.- Vent Fat ;Exhaust above Insulation -89-Energy Compliance Certificate -Other Certificates _ _33. Condens to Drain _& Overflow; Size & Grade 34. -Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - --- - - -- - ---- — --- - Card -BI -_ Date _ _ Card -BI Date .Ca cl-EI Date Card -BI Date Card -BI Date ' -1 Card -BI Date Card -BI Date Date FRA ING(Plans) OK except p's Comments at Final: Sills; Proper Material & Anchors _ _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound ,Bearing Walls over Girders & Floor Nailing__ _ 39! Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings-Stairs-Chases-Tub Header & Beam -Size & Bearing_ -angers-Post Caps -Anchors -Connectors 4j3! CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq v-44,Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &_ Rom_ex Protection -Draft Slop -Ins. Baffles 6. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ _ �a -garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Date Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californiap5965 - Telephone 916/534-4541 APPLICATI6N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER I Z ING _, _ yr BUILDING PERMIT OWNERL5102) d T�EPHONE �j7�".�7 SQ. FT. OCC. BUILDING VALUAT ON Z OWNER'S MAILING ADDRESS % Z AMC Z ONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ D Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 65,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -Z $ ARCHITECT OR ENGINEER'S MAILING ADDRESSy Permit fee $ fzz, BUILDING ADDRESS S+ PP PLUMBING- PERMIT Filing Fee 10.00 `.F�(,� sad > gJ aF- � OP � ,, , u ��t Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFV Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:)�ZA �® Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. ( DWELING OR ADDNST ACCLBLDGS.0 U 21/20$gft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$ and Professions Code and my license is in full force and effect. License No. Classification [Y I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESD BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &' NON•R ESID. \SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES BA ®30 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be°deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s id Coun in sequenc of the granting of this permit. X Date fo�This Signature of Applic — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ o c(( F.kG TYPE OF COINST. ��V� N {��PARC PD ND ISSU permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " F Receipt No. WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �i�— Q i ' . ENERGY SHEET ORM 7 FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. Ste' gg PACKAGE "A" (Additions) 42-17-S7 NAME 6LWb)9 TEDFORD SQUARE FOOTAGE JOB ADDRESS PARE WhY Cleo C Existing Residence TYPE OF WORK ADD 8EDL>UU&-! New Addition 2�8 New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room add itions, .converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted,to conditioned space. Remodeling of existing conditioned space is not included. col 11 ZGNfE--4-2 �ZO1<tE'1� INSTALLED APPLIES TO NEW AREA', CEILING ::-30 R-3 R-3co WALL R-11 R-1 R-19 FLOOR R-11 R- 1 R-19 RL 11 R- 7 GLAZING 65 1.65 �.65 SHADING SOUTH OPTIMUM OVERHANG ` or .36 S'.C, WEST - .36 S.C. WNirE MLEZ S NARES. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTIIATING AIR CONDITIONING SYSTEM (A) Heating EW aSTI ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr '. (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and- . ft2 model number . solar fraction collector area collector orientation collector tilt rated y -intercept rated slope 13Other (describe) *1 (B) Cooling E C//V 13 Electric Air onn i ion�r (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM i5X/S r/ /VA ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) C3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) • ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of ,sizing'heating,and cooling equipment by Manual J, sizing charts (form #4) or other approved methods,"section 2-5352(g), and fill out the following: /n� Heating: Winter design temperature G elevation ', heating load BTU elevation factor x ating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature 1070"!, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIG ATURE q0F =UILJDIN DESIGNER APPLICANT A setback of 5 ;'r, .'..)m the property lines jai d a setback of 50ft. from t'. ; - -.d centerline shat? I:.c char of 'structures or equipment except for a 2 ft. eave overhang. ,n R TE:—AII Materials & Workmanship Shall B, Accordance with Recoanized Good Practices of a quality prescribed for the Specified use in Uniform Burildinq, Plumbing & Mechanical Co, and the -National Eledrical Code. This set of plans and specifications MUST E kept on the job at all times and it is unlawful i make any changes or alterations on same witl out written permission from the Department o Public Works, County of Butte.. 54-q-94- BUTTE 4q-84 BUTTE COUN—rY BO-ILDING DEPARTMENT `f3 of C� I e.1 • Tom•' •, 4,•,I / /.y•.�. yam; �'A .a'-Y,r•a•, nr N yiegw.A.yy +e. s+.! .. vIr9• b L.. u ^ Tax Area Code 62 - 22 42 -17" Y2 -l7 660 s60 ,. Q. O o , • .5.4 Ac 2/.7,5Ac. .5-46,4c 400 39I T 38 co /3 57 nn V') ooa so' /5.45 ac. / A VE. 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