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Home My WebLink About043-550-004SHASTAN _ Hallybrook,Chico. Permit !_Ys"'pg,P,E,M(new single family) f 043-550-004 #98-1670 WARD, BEVERLY 95 HAMPSHIRE DR.-CHICO OWNER _ REROOF �� 3.'?v . ' y I I • i h zt .s,�:iiFS=1'Tw r 043-550-004 08-1670 WARD, BEVERLY ' 95 HAMPSHIRE DR. CHICO OWNER REROOF - Y� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �.PF� IIT NO. (Rev. 12/96) APPLICATION AND PERMIT { �((,,II ASSESSOR PARCEL NUMBER / , ^ , w [_-1/ •,/( ZONING PuD BUILDING PERMIT OWNERTEL a EPHONE Y SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 0 111, M CONTRACTOR'S NAME ^^ 1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3 .� ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF `l� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heat9rr 23.00 Water piping 15.00 Each as water heater or v t 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 1 Gas piping system 1 - 5 o ets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200A OR LESS i 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: 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. O 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 200A To 10-A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT, P10µEW geSID. T. MULTI -OUTLET @7,50 POWER APPARAT a !SINGLE ourLer IR. LET OR FDARES 20 Q 1.00 Ex. Occu OUTALL @ .50 Ex. Occup. oLmFEDrs Ro .GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 01 PERMIT FEt $ 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.) ®' 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 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. X �,nJ ! I.Lt Date _-7 � 2 �"� � � _ Signature of Applicant - O Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. p ' Mobile Home Installation Fee I $ Energy Inspection Fee $ - T. �� TOTAL FEE $ LIS,00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IS U 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. /n� � 9 9 By !(�P&uDate �� dL7�() PERMIT EXPIRES ON a?I 19 Date Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J X COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C r 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541IT NO. (Rev. 12/96) APPLICATION AND PERMIT qS-1 6T) ASSESSOR PARCEL NUMBER20NI �3-• 55'd-- d G u BUILDING PERMIT OWNER TELEPHONE o ` 3s SD. FT. OCC. BUILDING VALUATION oo .00 .OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3 s� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ;1 ' Energy Plan Checking Fee $ PERMIT FEE $ 3'100 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF3( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heati 23.00 Water piping 15.00 Each as water heater or v t 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ' &eq 15 neo, %vim Gas piping system 1 - 5 o ets 15.00 Building sewer 15.00 Mobile Home IS G I W@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 e00v ORLES: Main Service 2o0A 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: 5K 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 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 (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) 01"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 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. X /L✓ IG(� Date 2 Signature of Applicant - ❑ Owner ❑ Contractor ® Agent An OSHA permit is required for excavations over 5'0"deep and demolition or construction : of structures over 3 stories in height. �' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.50FT, NEW No..ESIDT MULTI -OUTLET r7G 7,50 POWER APPARATIA & SINGLE OUTLET IR. 20 @ I'� Ex. Occup.OUTLET ORF RES BAL 1W .s0 Ex. Occup. D.F ED Ao °E'A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee . $ Energy Inspection Fee $ Gcc T. TYPE TOTAL FEE $ e0 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. �(��[� By Date QI tJ O PERMIT EXPIRES ON / �O / 2 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signab te, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until ft-. verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YESO- NO C32. I HAVE— HAVE NOT C3 signed an application for a building permit for the proposed WO' &' 3. I have contracted with the following person (firm) to provide the proposed eonstruction:--..; �,t5 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work; but I have hired the following person to coordtriatey supervise, and provide the major work: , NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated'. NAME ADDRESS PHONE TYPE OF WORK : SIGN �ROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 1--2-0 q S NOTE: - --This Owner -Builder Verification is required by Section 198.31 and 19831 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. AW, OWNER BUILDER INFORMATION I Dear Property Owner: An 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible 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 should 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 materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractdrs or subcontractors, then you may be an employer.. ♦ If you are an employer, you must register with the State and Federal Governments 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 contributions. ♦ There may be 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 specific information 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 State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing 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 contac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Healer and Safety Code- OVER oda OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NG Rev. 1:2/96) APPLICATION AND PERMIT -� ASSESSORPARCELNUM19 OO ZONING BUILDING PERMIT OWNER J T owe SO. FT. i OCC. BUILDING VALUATION OWNER'I MAILING ADDRESS ' J N -� qif—� O �------- 415 He" COMRACTOR'9 NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MNUNG ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGMIEERS MAILING ADDRESS Permit Fee Plan Checking Fee $ SULL.OwGADDRESS "` Energy Plan Checking Fee $ $ PERMIT FEE _LJ : ,00 LOT NO. SUISMI IONS NAME PARCEL A1A° PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.0023.00 Solar or heat um water heater SF g Duplex ❑ Mobilehome ❑ Other Water piping 15.00 B°�"Y Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instalation ❑ Other ❑ Building sewer 15.00 Describe Work: S!%- Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ma oa Es 23.00 LICENSED CONTRACTOR'S DECLARATION Mein Service zouA TO t000A 46.00 NEW CONST. DWELJNG OCCUR SO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter OR ADDNSstns. 3.50r. a Ax. . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON-RNEW ES D. BRAMM MULTI -OUTLET @7.50 and my license is in full force and effect. POWER APPARATUS 8 SINGE OUTLET CIR. License Class Lic. No. Ex. Occup. aw I:w OWNER -BUILDER DECLARATION OUTLET OR FIXTURES I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occu . ung L.16.1 E 5.00 Law for the following reason: Temporary Service 23.00 O I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wiring 23.00 to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE : reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation Insurance, as required by Section Ventilation 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 PERMIT FEIE S Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee L of one hundred dollars ($100) or less.) OCC CONST. TYPE ❑ 1 certify that in the performance of the work for which this permit is issued. I shall TOTAL FEES (jQ not employ any person in any manner so as to become subject to workers' HAZ. 0. FEES I IMP I FLOOD I COF PARCEL PO 10 ISSUE 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. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. By Date _ ReceiptNo. PERMIT EXPIRES ON WHITE 0.0.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT 04101 v' kr `C� Rte- [Zooms' ►"�`f �oM_�� pts' �l 5. l�4 AHL P5 t� � 2E �D_Ca..► �l C , �� a � 9 s � �.. Cp N �.E i4oME (s oLu ac 2ycCuPte-D MY so1\1 UkLLAAry-\ LU- g �D�cN C� rfE -r-H SS 'PC2rn�T. �► �Nt:: -YY—O ti a 1� � -1 PERMIT NO. .621-85.B, P,E,M PERMIT EXPIRES OWNER SHA90 CONTR.. SAastan ASSESSOR PAR5�1_ Y4MVZW=Y& 43-29W2125 amps ire I)r, LOCATION MVWjot 24, Hollybrook Chico • •" mow` � , ��,:' , OFFICE COPY ,�� Address GAS21D Meter By ELECTRIC =,, . Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E '40)(( 100F JOB FINALED (-bate) Signature ' r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 'CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction f rk is Yompleted. If you have any question pertaining to this matt;L� ne Iion expl nation, pl ase contact this office immediately. ryEr/1 . _ 2_ / _� /1 _ nr1 A A e� f Inspector Date COUNTY OF BUTTE DEPARTMENT. OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have'any question pertaining to this matter, or need add i�ti\ona0explan ion, please contact this office immediately. 2.G1 Inspector JT "` Date f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER, PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need addition4l. explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE ��2e-'l (HAIAIC0 01=DRA17 Kin A routine inspection indicates that the following violations of County Ordinance ?xis at the above address and should be corrected. Please notify this office ye correction of work is completed. If you have any question pertaining to this r, or need additional explanation, please contact this office immediately. �, 1y "l—A4141-W ell J Ala I Inspector/L'�fW Date / Y COUNTY OF BUTTE DEPARTMENT''OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office immediately. / D D n . ('7` Inspector/ '�!� Date Owner: /�/(% ng . Permit No. (OA�—gam ENERGY CERTIF ICAT ION 24-H Hollybrook Sub Division. LOCATION A.P. No. NO% DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Rockwool Minimum Thickness (Inches) 9 7/8" Area covered(ft.2) 1+206 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Brand Name Thermal Resistance(R Value) Brand Name Rockwool Industries Number of Bags 62 Wt. per bag 28 lb. Thermal.Resistance(R Value) R30 . . Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of Californ''l.a Energy Requirements. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. 1 ,4 1 �r� August 13, 1985 SIGNAtURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. S 71A / 6 9 - A � 2 /t /, 0,/" 7, FIRM NAME/OWN A (Ple se print) STATE CONTRACTOR'S LICENSE NO. SlOkATVA OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 J = OK O = • f`at 3•I( Not'Appl icable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FR MING Continued 6---Z'oning requirements-Setba asements roperty Line Firewall & Openings tg., Main; Soils -Steel - / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5.-'Ftg., Garage; Soils -Steel- / /" Ftg. Depth 9. )6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection ,-4—Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers 6iStemwalls, Main; Steel-Blockouts-Wrapped-S- iling-Veneer 6-.8temwalls, Garage; Steel-Blockouts-Wrapped-SWStucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access flywiql - srs-Fireplace Ftg.-Steel I, S 5 Glazing Area -Glass Protection -Skylights -Plastic .W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 5K. Shear Walls; Nailing -Bolts { i 9. Gas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground ,12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date :i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI , Date Z) Card -BI Date Date FI L (Plans) OK except #'s Card-B� Date Card -BI Date Date PAIMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector ater Ht.; Vent -Access -Combustion Air 58/4urnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection W./Water Pipe; Test & Anchors -Nail Protection T D.W.V.; Test-Fttngs & Anchors -Nail Protection We- edroom Exiting . Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access 1L. Test Tub & Shower, 2nd Floor -Tub Access EW-Elec. Trim & Subpanel; Breaker Sizes -Labels 10. Gas Pipe; Size & Anchors tairs & Rails A@" Fireplace or Stove; Clearances -Hearth .64�Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Card -BI Date Card -BI Date W. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance WEIec. Outlets & Receptacles at Kit. Counter Date EL CTRICAL Permit OK except #'s arage Fire Door; Swing -Landing -Closer 66y -M. Duct in Garage -Damper fixture & Transformer Clearance -Ins. Protection ESPOVtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Receptacles Spacing -Lights &Switches at Doors Size Size Boxes & No. of Conductors -Stapled Plb., Elec. & Mech. Equip. Listed for Location jl/Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic E) Yes 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps e ize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al dn. Vents & Crawl Hole Door -Drainage& Wood -Earth Clearance Looked under Floor ❑ Yes V. Range Circ. / / ga. or AI -Oven Circ. / / ga. r AI, Insulated Neutral es ❑No 75. Following instld.: Driv es ❑ No; Walks es ❑ No; P, niers ❑Yes o X28. Service -Riser Conductors & Ground -Main Disconnect 6 tucco; Brown -Knish Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date entilation throughout House Card B -I Date Card -BI Date Glass Protection Date ME HANICAL (Permit) OK except #'s Corrections from Previous Inspections 84. GM Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates Condensate Drain & Overflow; Size & Grade .Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR MING Plans OK except #'s Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stgp in Walls (rat proof) Fire Stops; Furred Ceilin s -Stairs -Chases -Tub 1 eader & Beam Baring angers -Post Caps -Anc ors -Connectors 4 Cing. Joist-Rftr. Ties -Purl in -Roof Brac(-jL4§sShthnp.-Rfnp._ 4 Type A Flue -Fireplace 5 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4Y Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) ESQ dOK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance H 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q'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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini 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 Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date I Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,IPE4RMI�TNO ASSESSO PARCEL N MBE 3—a% zo NG BUILDING PERMIT OWNER�- T E NE _� SO. FT. OCC. BUILDING VALUATION ONO OWN R'S'MAjLING ADD 150 X �� , 1101 Zo 6D CONT CTO NAME TELEPHONE aoa ' D COTRACTOR'S MAILING ADDRESS �� N W Fireplace %NAW CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a ARCHITECT OR ENGINEER LICENSE NO. Chhecking Fee PlanChecking $ "¢��y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0170111in BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 r' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 5, LOT NO. 0q SUBDIVISION NAME �� PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 -5 outlets 5.00 �.6D �� USE OF STRUCTURE SF � Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 5,fD Mobile Home S G W 10.00 e TYPE OF WORK New Addition F1 Remodel❑ U11tiIities❑ Installation❑ Other [J Describe work: Hit -STPr /22' 79 — Permit Fee $ Alk. do Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Wrmnua_ IC/ ) P Main service EA. AOD'L 100 AMP 2.5049 OR ADDNST ACCLBLNG OG Z��Z�Sgft CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. j �f y }7` License No.X` r �_ Classification 8 ❑ 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-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occu 20@60a P�o OR FIXTURES BAL®30 A FIXED APPLNS. OR FIXED 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 FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 9/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 Zo .6D Hood 3.00 Ventilation 3 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 relating1 to building construction, and hereby authorize representatives of the Countyot Butte to ent upon the above- entioned property for inspection purposes. I also agre o sav , i m f and keep harmless the County of Butte against all Iiabilit a jud e t s, expenses which may in any way accrue against s d Co y in o que of the granting of this permit. _ X Date p'S Signature of Applicant ner❑ Contractor E]Age[ An OSHA permit is r quired excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCU ROUP TYPE OF CONST. 9►^ V PARCEL D SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,- y�Zy Receipt No. a235-7 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 9 ASSESSOR PARCEL NUMBER �3 ,�2 6'-03 3 - 9 -79 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 2 s OWNER'S MAILING ADDR 55 �� {3 � 5 CONTRACTOR'SN ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace d CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 5v Penalty $ / w�r (7r ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ X56.06 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16-00 Solar Water Heater 20.00 Water piping 5.00 �. LOT NO SUBDIV� AME 1: I PARCEL MAP I Each qas water heater or vent 5.00 sr Gas piping system 1 - 5 outlets 5.00 51 SE OF STRUCTURE SF � Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 s, Mobile Home S_57F10.00 e TYPE OF WORK New R/ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ^^' VV 2�� Permit Fee $ 46, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 10.00 100 AMP OR LESS 1r),00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWEL GG UP.&� OR ADDNS. ACC. 2%0sgft A CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions a and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR UL I -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR, / Ex. OCCUp(OUTLETS OR FIXTURES 9A 50 300 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 $ Q, 6 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 , Q� Cooling 2T G 00 Hood 3.00 3, �b Ventilation 3 3160 Permit Fee $ ��6 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot- Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County o Butt against all liabilVents, ost , nd expenses which may in y w y accrue against sn equ a granting of this perm' . X Date Signature of Applicant — caner Contractor E]Agentwork 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 $ �/ / �A TOTAL PERMIT FEE $ I (p, OCCUP, GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable resolutions fees have WORKS Date provi- to do been paid. Receipt No. WHITE-O.P.W., YELLOW -A SCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Section 26-8.1 of the Butte County !;ode requiref� this acknowledgementIAR be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included 84.. s� 25 EE within an area zoned.for agricultural purposes, and residents of this property iaay be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to.eultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural'pur•poses, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Being a portion of rn-,13, of the Second Subdivision of the John Bidwell Rancho, acoording to the Official Map thereof filed in the Office of the Recorder of the Oounty of Butte, State of California,.September 17, 1.900 in Map Book 5, at page 27; and being a portion of Lets 3, 4 and 5 of the McOMey Block formerly Iot 12 of the Section Subdivision of the John Bidwell Rancho, filed for record May 5, 1903 in the Office of the Recorder of said County of Butte, State of California in Book 4 of Maps, at page 23, wore particularly described as follows:. Parcel 3, as shovn on that certain Parcel Map reoorded in the Offioe of the Recorder of the County of Butte, State of California on May 18, 1983, in Book 92 of Parcel Maps, at page 70.. Date: February 15, 1984 State of County of m N CD 0 N a M Present E On this the PROPERTY OWNERS: SHASTAN OOMPANY, INC., A CALIFORNIA CORPORATIOi a bdrt, rest n 15th day of February 19 84—, before I STATE OF CALIFORNIA Butte Iss. COUNTY OF —.--•--_- -- -- I On February 15, 1984 before me, the undersigned, a Notary Public in and for. said State, personally appeared Jay S. Halbert —_and personally known to me W9QQQP9WQQP0Fe basis to be the person/ ence. who executed the within instrument as incebed t0 thePresident and --------- __Secretary, on behalf of Shastan Company, Inc. — - — the corporation therein named, and acknowledged to me If such corporation executed the within instrument pursuant to by-laws or a resolution of its board of directors. WITNESS my hand and official seal. Sharon R. Howell OFFICIAL SEAL SHARON R. HOWELL NOTARY PUIUC — CAUFORNIA cou11TY OF /Vft! Comm, Exp. April 12, 1985 111INN1111111l121IltOltttl[itur•u•.••••.........._. al seal. Ho -re; No- FE4--E5 To Er-- I G%AP-A4E. WALL SEC4 -7- Z,00 A -M GAC A 7, See Piaster Plan o51, GIA (6 , it q, Tor bui Id.ing\ plans. - �oOP4z 7, I � 0- FIV � ; ( � �°� � I - Com. rLAN F rLAH H f?- E: V FLAN G FIE V. 44 setback of 5 ft.* fro t6 L P�Serty-.Iines and a.s hack . \N Plans and sjp0.c',pjCa+;161 r 0 of 50 6m the road kO on fhe 166 ns < jEi,44 centerllri"hall be cle f q (0 u of ions on ame if structures Pmer written permission from Q ssi the a°2 ft verh Works, unfy of Depcwfjnenf P 4 I le, C p BUTTE C01tM P -1-A < GILDING. DEPARTMENT PROVED 0. J -u- -1ZL li RESIDENTIAL ENERGY PLAN CHECK UM /fNSPECTION SMARY FQ R'rt -Owner ��15Tf3�tl c_o. Climate Zone Permit No. oor Area / ZC)Co , o ' pliance path: Package ❑ A ❑ B Elio ❑ Cint System [I Budget ❑Other MIN R -VALUE DESCRIPTION REQ 1D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling Wall ❑ Slab Floor Perimeter ❑ Raised Floor 7/83' ❑ F!, (2) INFILTRATION• (A) A vapor barrier is required in climate zones, 1, 14 & 16.- (B.) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. E COUP Tight - the above standard features plus: (D) Continuous infiltration barrier (E) Electrical outlet plate gasket (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Obi►L®!NG DEpARTM APpRQ Area Glazing %Floor Area Single Double Triple ® Total Bldg �G'hyl- �g North a/d_ ® East 5 .0 2 90 El South 39,75 2, 1 is West�— ❑ Skylights (B) Shading Shading Coefficient Description ®. East CeArr—__`i South q � ® West(?'Miar') ,3� D,h, AcG) x .777wNre FACXfe' cv-?7.;W/_•90�;� i3s ❑ Skylights 0 (C) South Overhang , Length of projection / ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass Type Area Ft.2 HC= R= -7 7 MC= Location =c'E F1,', ❑ Type - Area Ft.y HC= R= HC= Location ❑ Type - Area Ft. .HC= R= HC= Location ❑ Type - Area Ft. 2. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type -.Area Ft.2 HC= R= MC= Location 't FORM 1 ❑ . (4) MASONRY AND FACTORY -BUILT FIREPIACES shall be equipped with t, ight fitting closeable metal or glass doors covering the entire opening of the ire ox; a com union air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. XP `''1° "_-;� t4aT. .za *1 (5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace M -/A), i/ ®S�lT sr� (brand and model number) SE Btu/hr IN TALI.�x;4. (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept .rated slope Other (describe) (B) Cooling Electric Air Conditioner /1) /A). , O (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) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. �j (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ® (G) DUCT CONSTRUCTION & INSUTATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or_ ��. mastic to prevent air loss and shall be insulated-a'ta, conform_ to the provisions of Section 1005 of the UMC, 1976 Ed'ito.n,.,= 7/83 2 r�1�° (6) DOMESTIC WATER SYSTEM (Q) Gas Only 'J► ► 00,► ►•-) �� Gallons (brand and model number) (tank size) -�---- Q Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Q *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels Q Other 1 (Describe) (B). TANK INSUTATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five l.:rt of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation, return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). i. ® (D) FLOW RESTRICTORS shall be,provided for showerheads and faucets as outlined in the new appliance efficiency standards and. shall be certified to 'the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit.doc tation of sizing heating and cooling equipment by Manual J, sizing charts orm # or other approved methods, section 2-5352( and o� fo1lowi g USE OI Y AS S�I�G bID t� � COOLING MAY BE INAD 0% Heating: Winter design temperature "�� °, elevation Zo5 ', heating load BTU elevation factor x heating load - maximum outlet capacity gas urnace BTU Cooling: Summer design temperature 1fn °, 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 Ca 1/83