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HomeMy WebLinkAbout078-200-004A.P - - F. MC KENZIE REALTY 5560 FarleySt. 0 oville °? L,,a. CONTR: Four Counties, Chico Permit 519-74B reroof (J� �. 96U •-USS LOT BLOCKsuBDIV. RODERICK MACLEOD 5560 Farley St, .O.rov.ille Permit #951-86B, P, E,M(new roof structure REMARKS DATE TE & repair fire damage/SF) g/�S//D/ - 93�27U9`B .SMITH, CYNTHIA 5560 FARLEY, OROVILLE rincc CONTR: OSCAR LINHOLM /�� S - STUCCO SOUTH WALL/SF I TH, CYNTHIA r5505-0890 FARLEY ST, OROVILLE : FOUR SEASONS ROOFING OOF 18SQ TYPE OF PERMIT PERMIT NO. PLAN NO. i P PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D - DEMOLITION 600.1 ooy 31VO 'OIs31VO ''DIS 31VO OtS 31VO OIs 31VO OIs NOI1VN9193O IM39Wf1N llWM3d S7VAOMddV S30MAIV773O9If4l �SZKONrcj Calf1v 1VNId S1N3A 9 S30NVI1ddV 3NII M3M3S VNldid M31VM LS31 3unSS37Ad SVO NI-H9f10M 31VO OIS 31VO 'OIs 31VO 916 31VO 'VIS 31VO 'VIS tM39Wf1N llWM3d lVNld SM313 W S37NVIlddV V 93MIl1Xld N I-H9f10M . 31VO OIS 31VO ''DIS 31VO ''DIS 31VO '919 31VO DIS IM39Wf1N 1lWM3d �SZKONrcj Calf1v 1VNId S1N3A 9 S30NVI1ddV 3NII M3M3S VNldid M31VM LS31 3unSS37Ad SVO NI-H9f10M 31VO OIS 31VO 'OIs 31VO 916 31VO 'VIS 31VO 'VIS tM39Wf1N llWM3d SrIVA02fddV OAlIQ71179 atlO33a NOI133dSN1 31VO '9IS 31VO '91S 31VO '9l3 31VO 'OIS 31VO '9IS 31VO VIS 31VO t 'VIS 31VO 'VIS 31Va 'DIS 31VO 'VIS 31VO '91S 31VO• • 'VIS m 1� n m m> rm r r 70C� m 1n �� m m0 I �A �'{ m m0 A� 5m =O X r Dm =O m > Z 0 �r r0 Z 0 zoo -113p0 0 2 cm m3 SrIVA02fddV OAlIQ71179 atlO33a NOI133dSN1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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. 3 License Class: license Number: Dale: --(O `®S Contractor: 6OLV4' G1 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than rive hundred dollars ($500).): ❑ 1, 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 (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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. O I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: rr� Policy it: O(CL( ❑ 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 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. Date: A J Applicant: WARNING: Fallurt3 to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees: CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) PERMIT NO. BP050890 Issued Date: 04/06/2005 APN: 036-370-004-000 Site Address: 5560 F_ARLEY ST ORO Map Index: Description: re -roof 18 squares Owner: SMITH CYNTHIA D 5560 FARLEY ST OROVILLE, CA 95966 Applicant: FOUR SEASONS ROOFING #11 COMMERCE COURT SUITE #1 95928 530-895-0418 Contractor: FOUR SEASONS ROOFING #11 COMMERCE COURT SUITE #1 95928 530-895-0418 License #: 659073 Architect: Engineer: Total Square Ft: Valuation: Census Code: This do 8 PERMIT EXPIRES ON:, 0 S. F. $0.00 S under theIcable provisions of the Butte County Code and/or 16 ebov fpr vy ' fees have been paid. Dale: ^y -r -- a Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it Is unlawful to alter the substance of ' , y official form or u e Bu ou I hereby authorize representatives of Butte County to er4er upon t above mentioned property for inspection purpos c Print Name* OF Signature: Dale: ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor o r ...;,A;_ De ;i nt_1R_nd nn 1 ti BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Nam First N me AAA Address © 54 City Q� `�� Stat ZipGI�� Pho 3 �33_6�7 Fax E-mail CONTRACTOR Name ro u.. Address City to Zik� Ph I Fax E-mail Li . D2,3 ass APPLICANT NAME ARCHITECT/ENGINEER Name City ocy Address Zi �3 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name nh 5 1` Address L(61 q City ocy Sta Zi �3 PhonL51- Jam. O ��� ,G- 711 Fax E-mail j„ �i FIA -1 For office use only: Zoning Property Addssss r r .. t a Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. I I M BIN # 7 LOCATION rr�� AP# D� / Q ,__OO Property Addssss r r .. t a City Cross Street WORKER'S COMPENSATION Policy.Number, Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he'shown at the time of permit issuance. LENDING AGENCY Name Address escription or Scope of Work: Ir.'r o t s 14 am iA,9W_ O' Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change, of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Received by: Amount:Ila C �; Bldg SRA p. Receipt #- �t/ Sheriff SMIP Other Total Page 1 of 2 REV 2-24-05 e SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ' ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only)., Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from -the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. * NPDES Form. ❑ ' 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 036-27-0=004 - SMITH, CYNTHIA .5560 FARLEY, OROVILLE a. CONTR: OSCAR LINHOLM. STUCCO SOUTH WALL/SF COUNTY OF BUTTE - DEPARTMENT OF DEYELORMENT SERVICES.- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _.EE,R.,MIT N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERO36-370-004 ZONING BUILDING PERMIT OWNER Cgnthia9 Smith TELEPHONE SQ. FT. OCC. BUILDING VALUATION 785.W OWNER'S MAILING ADDRE X560 Farley Ste0 bw Oroville 95966 CONTRACTOR'S NAME OscarLinholm TELEPHONE 877-6699 CONTRACTOR'S MAILING ADDRESS /_ P.O. BOX 2649, Paradise 95967 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7855.0 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERUC ENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 41.00 PLUMBING PERMIT Filing Fee 20.00 5560 Farley St., Orovil*e Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE I` SFJI Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ^ @20.00 TYPE OF WORK I. New O Addition O Remodel O Utilities O Installation 1:1Other IX 1 Describe' rk:Replace Stucco with Siding On South East ' I terior Wall i z� ' PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A0 LESS Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW{ I de lare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and offect. No. LJIL7 np,t,�' Classification i O I, as the owner, or my employees with wages as their sole compensation, will dothe work, and the structure is not intended or offered for sale. (Sec'7044) O I, as the owner, am exclusively contracting with licensed contractors Y(Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason frl NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) BSINGLE OUTLET CIO. p• ( )Professions EX. OCCU OUTLET OR FIXTURESF23.00 Ex. Occu FIXED APPWS. ORp'(OUTLETS (RESID.) EA. 1License Temporary Service Mobile Home Facilities Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I�I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. I Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above informatiop is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County;of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte( against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of�thegranting of this permit. X / .fid f Date �_- /)�_ % 3 Signature of Applicant - O Owner Contractor O 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 S Energy Inspection Fee $ occ CONST. TYPE 7 •0 1 41.00 TOTAL FEES V0V HAZ• I D. FEES IMP FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �6 Date � / � PERMITEXPIRESON �� /,4 /Date/ Receipt No. 148335 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF-ZEVF_LOPMEN i SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, dalifornia 95965 - Telephone (916) 538 -7541 ---PERMIT N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-370-004 ZONING R-1 BUILDING PERMIT OWNER Cynthia Smith TE PHONE SQ. FT. OCC. BUILDING VALUATION t. 785.00 OWNEWS MAILING ADDRESS Oroville 95966 5560 FarleySt., CONTRACTOR'S NAME OscarLinholm I TELEPHONE 877-6699 CONTRACTOR'S MAILING ADDRESS P.O. Box 2649, Paradise 95967 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 785.00 Filing Fee $ 20.00 LENDEWS MAILING ADDRESS Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 41,00 5560 Farley St., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF I1 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Ca120.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other C Describe Work: Replace Stucco with Siding On South East PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Exterior Wall Main Service ( '"ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( & ACC. BLDS. ) SO. 3.50 FT, CONTRACTORS LICENSE LAW( I dare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and XProfessions Code and my license is in full force and/ LicenseNo. Classification f ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2091. 00. FIXED APPNS. OR . p' OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑,This permit is for $100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consP a of the want of this permit. / ? X Date Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ 41.00 HAZ• 1 D. FEES I IMP I F1OOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECT6J�1plORKSp' By D' to �y PERMIT EXPIRES ON v (De ) Receipt No. 148335 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFIDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. /ASSESSOR PARCEL NUMBER ZONING /j / v BUILDING PERMIT OWNER TEdPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 7 TELEPHONE (Pa 8 [ 7 CONTRACTnOR'S MAILING ADDRESS I& �C> Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7 S LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ Z 1 • O v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS " f PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex O Mobilehome ❑ Other VV SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00ome Mobile HS G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ElUtilities O Installation O Othe n . DescribeWork: lr7CG J ����� /i(/fT!// J/Gf//1/� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OR 200A ) 200A OR LESS 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) SD. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1:00 Ex. Occu FIXED OR p' (OUTLETS (RESIDRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring Y3.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / (`, X Date Signature of Applicant - O 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. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FI.00D I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON fDe tel Receipt No. J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 PERMIT NO. 951-86B.P,E,M PERMIT EXPIRES �7 OWNER RODERICK MACLEOD CONTR. owner ASSESSOR PARCEL 36-37-04 LOCATION 5560 Farley St, Oroville f. OFFICE COPY t I Address GAS � Meter By ELECTRICI Date Meter By r Temp. Power Pol OFFICE COPY Called PG&E,_=_ Address Temp. Elea Servi Called PG&Ei GAS ' Da Meter By I ELECTRIC Date t. Temp. Gas Services Meter By.- Called y Called PG&E �J. JOB FINALED (Date) PT-TIMMIE��.]URNFAMIN•:•,i J' _' OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS - Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 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 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 H'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/0 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 -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-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 - = Not Applicable = Not Ready ,r� , • _ RESIDENTIAL (Single and Duplex) Da UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48..Pva, ty ine Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth t. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50.-9t&h--*tMW--1Teadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel-'/ /" Ftg. DepthPlywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab • Sid ing-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. SkmT. lOe -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. tng rea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55.�3t23rWalls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test C Yµ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Dat2'7,.2 CRL Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (PI ) OK a cep #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s to - ht Protect' n- Land ings V. Smoke Detector 4. Water HL; Vent -Access -Combustion Air 58. Furnace; Vents -Clear ce-Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection _ 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection •8egroom Exiting 17. Shower Pan; Test, First Floor -Tub Access .F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 67 ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe: Size & Anchors 62 ails _ 63. F es_Hearth '-' ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date �2 and -BI Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter 67. or; wing -Landing -Closer Date EL RICAL Permit OK except #'s 68. A C. Duct in Garage -Damper Fixture &Transformer Clearance -Ins. Protection tr. Hir.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection W.zReceptacles Spacing -Lights &Switches at Doors Boxes 8 No. of Conductors -Stapled `7 Ib., Elec. & Mech. Equip. Listed for Location .yS�ize i.. rs ex Installed Close to Edge of Studs & C.J. in Garage; (G.F.I.)-Romex Protec. nsu ation-Foam-Looked in Attic EJ Yes Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -7 Appliance Circuits in Kitchen & Conductor Size ai s eck onstruction-Post Caps V_ - _ - -- Card B -I Card B -I / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27 Rv7ge-CR!^ T / gra. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,_,Yes :]No 2 ductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light ------ Date7-�.:::% rd -BI Date Date Card -BI Date 74. Fd?r.- e1*s-&-GM.I Hole -Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Drive s E) No: Walks es ❑ No; Planters ❑Yes 76. Stneee-Brown-FimsFr^ 77, i6conaeQ_Clrnces-Brkr. & Cond. Size -115V Outlet &&-. "Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. i onnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House mss Protection Date MECHANICAL (Permit) OK except #'s Gao-Cor ctions from Previous Inspections as -Meters Tagged; Gas -Electric _ 31. A.C. Ducts: Insulation & SupportO&T-%ra-ter 32. Vent Fan; Exhaust above Insulation 33. Condensate Draa'' & Overflow; Size & Grade _ p�Purnace-V*f, Access-Comp/Kir-Reim"-A44 1.Un_t-1leY-eeNet 35. Attic Access & Platform if Furnace in Attic Card -BI Date? Z3 -Card-BI Date Card-Bl� Date Card -B-1 Date & Sewer Connected -C/O to Grade -HD Approval 86., Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: xyS�- 36. Sills; Proper Material &_Anchors__ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 3�-$edit�JCP311s over Girders & Floor Nailing_ 39. _op ails (rat proof)_ /Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ 4'r Header & Beam -Size & Bearing angers-Po`t Caps -Anchors -Connectors 40, Ing .J.I Rftr.&A-R" ^-Ro c. -Tr ,a.R,tago 44 p+eee-ore=s or Type A Flue -Fireplace Throat Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimen_si_o_ns_- 47._Jaacage-?1M Protection Framing _ - (NOTE: Anentry must be made each time you visit job site) MdO—RdoO aay30 ale(] !q Panoidde sueld ale(] - Aq palloayo sueld ale0 A8 iayl0 1!elN auoydalaj,,;— Aq elep pai!nbai anoge 10 pas!Ape Senn-(xa'GMO `aau6!saQ `aoloealuo0) :pai!nbei swat! leuo!l!ppy .Z •oN swan anoge io1!wiad xapul •L (•wal! aloi!o `uo!leo!Idde 10a 11 le anoge p@Noayo lou swat! pai!nbai io3) -aouenss! I!wiad o1 io!id pall!wgns aq lsnw elep bu!nnollol ay1 `ss000id bu!iIoayo ueld ayl bu!in(] ,;!7 -/ Z- ale(] aayl0 ',Ida(] ai!3 ',Ida(] ylleaH Inas sueld 10 Ado0 slral �oS -4 aay10 aoloadsu!/nn ian!Ia(]•901110J -�e dn�{o!d io1 Ploy pue •�1� L,S�S'auoydalal •ioloeiluoo oI I!elN •aaunno �i W :snnollol se ssaooad `l!w"a"a`7ayl anssi no uayM iay30 '6L - • luawalelS luawbpalnnou� oy Ieinllno!i6y 10 Adoo papiooE)u •9L ajo joyoadsul 6uippng .pai!nba» iol uo!loadsul-aid Q) oy ysanbai •oadsul-aJd 'LL . . . . . . . . . . . •e1e(] uo!lellelsul awoyal!golN '9L • • • • • • ' • • • ' •pailnbei aq Aew sluawanoidwl 'SL ( F� iaunno 01 I!elN `❑iaunno 01 uan!(]) uo1Ie011!iaA iapl!n8-iaunn0 'tL • (•1!sselo `81AIs aweu `•ou) uo!Iewiolul asueo!-1 s,ioloeiluo(] • • • • • •aoueinsul uo!lesuadwo0 S,uaw�ioM 10 aleo!1llia0 'ZL • :bulNied (8) :as(] (y) io1 lenoidde buluueld 'LL . .Ida(] ylleaH woil Ienoidde uo!lel!ueS 'OL • • • • • • • • • •uollez!ioylne ainleu6!s 10 i9119-1 •6 . . . . . . . $ 10 saa3 •9 •s6u!pI!n8 OV pue paleaH-uoN io1 lualul 10 IuawalelS L . . . . . . . ueld ioo13 uo dwe1S ,P!ed saad„ (]S(10 '9 • • • • • •luawalelS aouelldwo(] u61s9(] A6iau3 yl!nn sueld 'S • • • • • • • • • •soleo pue sueld paiaeu!6ua alaldwo0 •t, • • • • • • • • •aleo!1d!il/aleo!Idnp ui sueld alaldwo(] •£ . . . . . . . . . . .aleolld!il/aleolldnp u! sueld 101d 'Z • • • • • • • • • • • •pall!wgns uaaq aney swat! Iid ¢+ O3AOHddV O3AI3O3H 31VO :ao nssl io/pue bu!ssaooid I!wiad oI io!id pall!wgns aq Isnw elep 6ulnno11o1 941 pas!Ape Senn I `uo!leo!Idde l!wiad 10 aw!l IV ioloadsul bulpl!n8 (u!eldx3) iay30 uo!lenleA Md(] � . d lm,juo0 alaldwo(] :uodn paseg aa3 l!wiad ,51 as(] 6ulpi!n8 pasodoid /�•oN •d •t/ .. G�• �� � 'oN 83NM0 I!wiad - - ANS VIVO N01iV011ddV iIW83d Jf lti9t�-t7CG/ 9l6 :3NOHd3�31 - 99696 `dINaOJI-110 '3��IAOaO - 3A180 a31N3O AiNnOO L NOIwSIAI.O JN1011f18 - smom Onifhd'�0 JLN3W_LHVd30 - 311(18 30 AINf100 ' N PERMIT NUMBER - g 519-74B fi C PERMIT EXPIRES C ' oC�� 76 OWNER McKenzie Rmlty CONTR: Four Counties, Chico LOCATION (A.P. 36-37-4 5560 Farley -St., Oroville. DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of Public Works, BUILDING INSPECTION RECORD Zoning _. IN Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents - Framing Pimg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final -- ; C—,Z -7 DATE REMARKS OR CORRECTIONS a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK� 7 County Center Drive — Oroville, California 95965 / 9/ Telephone: 533-1236, Ext. 259 s APPLICATION AND PERMIT tv �� authorize repre ives of the County of Butte to enter upon the above -m ion prop rty forinspecttiion purposes. X r �r�/ Date Feb. 25, 1974 Signature of Permitee or Age t Receipt No. ep, _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 UBLIC WORKS 7-6 BY Date �' `7 7 Building Permit Expires Date? — — 7d BUILDING OwnerMcKenzie Realty SQ. FT. OCC.1 BUILDING VALUATION Mailing Address 1343 Lincoln Broville, California guilt -up Re -roof Fireplace Contractor Four Counties Roofing Company Total Valuation $698.00 Mai I ing Address p. 0. BOX 3215 Permit Fee PI an Checking Fee &/or Penalty Chico, Ca 1 i fora i a Permit Fee $ $ 7.00 Building Address 5560 Farle PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Orovi 1 le California Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. O "— Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 Plans Fees W. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION [_OTHER IL] Permit Fee $ $ Built-up Re -roof ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) (��( USE OF STRUCTURE Single Family 12 Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets —bal 1@10 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: Roofing Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. 252071 ClassificationC 39 ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code,which requires every employer to be insured against liability for orkmen'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 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 In Sirumentati nrrp a Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ 7.00 authorize repre ives of the County of Butte to enter upon the above -m ion prop rty forinspecttiion purposes. X r �r�/ Date Feb. 25, 1974 Signature of Permitee or Age t Receipt No. ep, _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 UBLIC WORKS 7-6 BY Date �' `7 7 Building Permit Expires Date? — — 7d ORM ENERGY SHEET F i FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. r PACKAGE "A" (Additions) NAME JOB ADDRESS TYPE OF WOR 111..�I.1_Ji��l■m MAN "n New Addition, New Total ane Toiiowing inrormazion.sneez, snowing mancazary reazures ano requireG Teatures of Package "A" must be completed and attached to all plans for additions- to dwellings... Additions to dwellings include room additions, 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. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLTO NEW AREA CEILING P.-30 -30 -38 WALL R-11 R R-19 FLOOR R-11, R 11 R-19 SLAB R- 7 - 1 R- 7 GLAZING .65 5 .65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 -- LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT �IMUM 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 *I HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating % C Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) [3 Heat Pump (brand and model number) ACOP. Btu/hr (heating capacity at 47°F) C3 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 13 Other (describe) *1 (B) Cooling C3 Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) E Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM [3 (A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 0 *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) rl Location of Solar Panels 0 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(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE -OF BUILDING DESIGNER OR APPLICANT