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007-330-024
JoFim--Da��ke 468 Waterford..Dr. , lo"63, Joshua bee #2, Chico t Permit #1866 new siryg� a €yam• y,\/� �° , •�;, �''� j��' �s �: _ - AL Permit #21 B(install-fire CLEO RICHARD r 468 Waterford Dr, Chico Contr: Servamatic Solar System a.Oso� ?ermit,#2856=83P(so.lar wtrr-.htr) 007-330-0u PERM! T#94-2979 RICHARD; CLEO 468 'WATERFORD, CHICO ~CONT: MIKE,RICHARD`• I REROOF / SF : B07-1033 007-330-024 MISCELLANEOUS HVAC Change Out REPLACE HVAC UNIT 468 WATERFORD DR r DAVIDSON, TODD w• Q• C7 M1"M1 01W r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds l Permit No: B07-1033. Issued: 05/11/2007 Setbacks Address: 468 WATERFORD DR Area: CHICO 111 Owner: DAVIDSON, TODD APN: 007-330-024 Grade Beams Applicant: DEER CREEK HEATINGMap Page: a 216 Forms/Steel/Holdowns 122 Permit Type: HVAC Change Out Pre -Slab 124 Description: REPLACE HVAC UNIT 404 Gas Test Yard AREA 4 Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback:' ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwalUB.W.P.-Exterior - 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 -T, Building Final 802 1 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final - 802 Inspection Type 1 IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test. 504 Gas Test r :7::.7. Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes �. Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 oach Info Manufac e: Date of e: fiO c 6-/-0-7 Oc- Model umber: Seri ers: Lengthf< Width - Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 .{jam *Project Final is a Certificate of Occupancy for (itesideptial Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy s� X. COUNTY OF BUTTE =a" BUILDING DIVISIONz DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 a' r CORRECTION NOTICE R�t!< k leg OWNER PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at z the above address and should be corrected. Please call for re -inspection when correction of work is complet . . If you have any questions pertaining to this matter, or need additional explanation, pl c contact the BuildinaInspector as indicated below. vi _4i ' m>3i 5 -/k G2 , Date �_ Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 468 WATERFORD DR Owner: Permit No: B07-1033 APN: 007-330-024 DAVIDSON, TODD Issued Date: 05/11/2007 By KCG Permit type: MISCELLANEOUS 468 WATERFORD DR Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 05/10/2008 Description: REPLACE HVAC UNIT (530) 342-6261 Occupancy: Zoning: RI 0( Contractor Applicant: Square Footage: DEER CREEK HEATING & AIR DEER CREEK HEATING & AJ Building Garage Remdl/Addn PO BOX 171 PO BOX 171 VINA, CA 96092 VINA, CA 96092 Other Porch/Patio Total (530) 839-2545 (530)839-2545 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 I , „, LICENSED CONTRACTOR'S., DECLARATION, Contractor (Name) State Contractors License No. / Class / Expires DEER CREEK HEATING & AIR 865703 / C10 / 10/31/2007 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. - X 05/11/2007 Contractor's Signature Date Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE t COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by As TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 183,894.7 10/01/2007 Contractors License Law.). Carrier: Policy Number.Exp. Date: (This section need not a competed if the permit is oon'T hundr�Ilars ($100) or less. Balance Due: $0.00 Receipt No: B3038 f ' - - OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, 9 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 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 penalty of not more than five hundred dollars [$500]; WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ❑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. X 05/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. 1',' . - ' CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip FII AM EXEMPT under Section B. & P.C. for this reason: A 05/11/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 05/11/2007 Owner Contractor OR DAgent for Owner Agent for Contractor INSPECTOR COPY J I Ca10EM - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 468 Waterford Dr. - Chico CA 95926 Deer creek Heating and Air/ 865703 Project Address Contractor Name / License No. B07-1033 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 62397 HERS Raters Telephone Sampte Group Number ro _ `/-- / e. May 16, 2007 CC14-1798402979 Certifying nature Date Certihcite Number Firm: Sinclair Air Dud Cleaning HERS Provider:Ca10ERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Oriand / CA / 95963 Copies to: Homeowner, HERS Provider and Builditgt Department This CF -4R has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. Thehouse was M Tested LJApproved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and Field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CP -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (Le., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with doth backed, rubber adhesive duct tape to seal leaks at duct connections. LI-ImINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM P 25 Pa) Measured Values 1 in CRk N/A ' 2 Fan Flow: Calculated (Nominal `•... Cooling .L.Heating) or'... -Measured 1740 Enter Total fan Flow in CFM: 3 N/A N/A ALTERATIONS: Dud System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: tyre Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System 212 for Dud System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Dud System (Line 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only V Applicable) E Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )J: ❑ Pass 0 Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or VerWication Standards for compliance: 9 IPass if Leakage Percentage <= 15% 1 100 x ( Line 5 / Line 2 )J: 12.00% ® pass El Fail 10 pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )J: ❑ pass iJ Fail 11 Pass if Leakage Reduction Percentage >— 60% t 100 x ( Line 6 / Lone 4 )) Dass L,1 Fad and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines #9 through #12 pass Q Pass E) Fail https://www.caiccrts.corn/certificate_print.cfm?lots= 0,62397&UseCF4R— Mceri_type_id=... 5/1 G/200 T. -A SSISTS980ES iieToutS eor dSS:zo LO 91 ReW Ca10ERTS - Unificatc Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 468 Waterford Dr. - Chico, CA 95926 Deer creek Heating and Air / 865703 Project Address Contractor Name / License No. 807-1033 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 62397 HERS Telephone Sample Group Number � �- - May 16, 2007 CC14-1798402979 t atifying afore Date Certificate Number Firm: Sinclair Air Duct Cleaning HERS Provider:Ca10ERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Orland / CA/ 9S963 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CatCERTSO Is an approved HERS provider bX the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 2 Tested FlApproved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CP -4R may be released on every tested building. The HERS rater must not release the CF -4R until a. properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with doth backed, rubber adhesive duct tape to seat leaks at duct connections. RIMINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM P 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal'•... Goofing .; Heating) or'...' Measured 1740 Enter Total Fan Flow in CFM: 3 ne 2^)}- N/A N/A ALTERATIONS: Dud System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System for Dud System Alteration and/or Equipment Change -Out. 212 6 Enter Reduction in Leakage for Altered Dud System (Line 4 - Line 51 - (Only if Applicable) 7 JEnter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Dud System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / line 2 )J: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <- 1S% ( 100 x ( Line 5 / Line 2 )J: 12.00 % ® pass Fail 10 pass if Leakage to Outside Percentage <e 100A [ 100'x ( Line 7 / Line 2 )J: ❑ Pass 0 Fail 11 Pass it Leakage Reduction Percentage >- 60% 1 100 x ( Line 6 / Linea )) and Verification by Smoke Test and Visual Inspection i I Fal Dass 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection r� 13 Pass 0 Fall Pass if One of Lines 49 through #12 pass R Pass ❑ Fail https://www.cakerts.com/ccrtiftcate_lrint.cfm?lots= 0,62397&,UseCF4R_ t&cert_type_id=... 5/16/2007 ).'d S9STS980ES uteloutg aof dss:20 LO 9T Few �- Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT roject Title: Date: O 2005 CaICERTS :nnilk k`EnflitoetnehtA Uce Anun ki, m,. Climate Zone: aiYWiiipRilrili7f n k«r ,. lf"i91. 1prIltd-Address: U Ida 11 :tl111 '2 It L.11H t1 .Ilk !li !L!.II!. all I :q.. .[4 p p+141. :9. a p 'a UTI—fill i r 111F 1i ppa Upr. Installing Contractor. S010 bi!!�,h2JIOIA3:a.gt"kkllflk Telephone: Alanciidcliaiife,«a»,,..:»» r«waw: nC ««" :rl ppapp paaappp RnpFaann4 liappaanpa . A PTI all na 11, np rp Fl F a It na a ap na an Ott Itkt"pk kM Hl.k k, MV4 ftatt el N,It111", :tl11 11k,H Nkk12H Hk HHfllftam"kktl'1H kHflll [! p]Ir pn nrF m Ir.v all. rra n l TITh as r 9'll ptl rrna, ompany Name: 1 K»ia=aa n� tl!! «tt 1211 tlk k ltflMk,l" M t k,tl fltl, N L Hk,H N,. tl11 NllkufJkkkfl flk kllHtkkH }Ik lttl Nfitttt111112 9n pa ap pa if ap as n+p aTllaapppr pp pr 4� l � �«pa rtp aan Rp na all FlZM kp pa apil nR ap>NR IMPORTANT: This CF -6R form is onlyfou when a i HVAC -o ly alteration is made to an existing home Use one form for each system being aIle . This is system # of systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed equipment must match type/location and meet or exceed efficiencies/R-values from CF -1 R. Equipment Type Manufacturer Model Number Efficiency Load" Capacity— Furnace AFUE Heat Exchanger NIA Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC AFUE Q Jq� F/ SEER 1HSPF Package heatpump SEER EER' A/C Condenser SEER Heatpump Condenser HSPF SEER Indoor DX coil EER* Hydronic coil *,Provide EER if needed for compliance pine 24 of CF -IR -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. Loads are sensible for cooling. "- Capacities are sensible at design conditions for cooling and adjusted (altitude, downflow, etc.) output for healing. TXV: ❑ If TXV is required by the CFA R forth (line 23 on CFA R -ALT forth)• it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 8% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entire!y new ducts stems. 1, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. 1, the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specif ion 150(m) of the 20 Building EnergyEfficiency Standards. Si ed 1 e Notes: qz�Date•. version us-iu•uo rage i or z This forth can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com f Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Ptoject Title: • t t ' Cko � 3)0 Date: 54-0q `� / �� �f alteration ©2005 CaICERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only is made to an existing home Use one form for each system being altered. This is system #--L of systems altered in this house. Copies to: Homeowner, HERS Rater, and Buildi4 Department Duct Leakage test Results (If duct testing is required per CF -1 R -ALT form) Step 1 - Pre-test Leakage of the system before any alterations. This test is optional and is only used for the 60% reduction option 1 Pre-test leakage ICFM25 2 Line 1 x 0.4 Itarget for 60% reduction Step 2 - Determine Total System Fan Flow. Use gU of these methods. Use values for equipment after alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton = CFM 4 Heating: Furnace output: Btuh x.02117 CFMBtuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Total system fan flow value to be used: o TFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: 8a Total System fan flow (line 7 from above) x 0.06 = ICFM25 = 6% leakage target (new dud systems) 8b Total System fan flow (line 7 from above) x 0.15 = CFM25 = 15% leakage target 9 Total System fan flow (line 7 from above) x 0.10 = CFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1R form. 10 eal all new connections with approved materials. 11 No newly constructed portions of the system can have unducted building cavities to convey system air. 12 If adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = CFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 14a ❑ If line 13 is less than line 8a, house passes the 6% leakage requirement, Go to Step 9. 14b If line 13 Is less than line 8b, house passes the 15% leakage reuirement Go to Step 9. 1 ❑ If line 13 Is less than line 2, house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ 1 If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is required. Go to Step t Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage = I ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 Is less than line 9, house passes the 10% leakage to outside requirement 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14. 15 or 19. 21 ❑ Smoke Test and Visual Inspection of Accessible Duct Sealing is required. See Step 8. 22 ❑ 1 Install required label per ACM Appendix RC, Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification (See 2005 Residential ACM Appendix RC, Sections RC 4.3.5-7) 23 ❑Perform smoke test per ACM Appendix RC, Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and repair of excessively damaged ducts per ACM Appendix RC, Sections RC 4.3.7. 25 ❑ Seal register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ if none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer or their representative, not the third party rater. No S ng -House does not pass by lines 14, 15 or 19: OR homeowner chooses not to be part of a sample group 31 ) House to be tested by a third party HERS rater selected by Installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may he performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be performed solely by the third party rater. version w-iu-w rage z or This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT ect Te:• d ate: © CaICERTS 2005 ...;# . iii, I:::._n_ori3emen =, pney , F7 c i Project Address: nd ben Climate Zone: t3uud'' Pem,d#„ a ni -Mwrlir N. Documents o or* Sad- I 6nna) Telephone: 1an:Checkiba"te 'i, „'� ¢ 3 <«"`i ii>'c'.- ai:esc_ !_:-:3 r' .111 i 4iY?Eirr.=.'..! _---ir—i,¢ji=c-W:��:i Company Name: C;hfei3ra i�[-- - eiit�-E-zri=iicei==1itt�! Y! ?!�`g' -gfgp7.;z xn sci IMPORTANT: This CFA R -ALT for only or use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler Is to be Installed or replaced. Dud sealing to be determined. Continue to next line. 2 ❑ A Fumace Heat exchanger Is to be Installed or replaced. Duct sealing to be determined. Continue to next line. 3 ❑ An outdoor condensing unit Is to be Installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil Is to be Installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be Installed In unconditioned space. Duct sealing to be determined. ❑ Check here If the entire duct system is also to be new or replaced. Continue to next line. 6 CWdlf none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Se 'on 1 - Duct Sealing (Only if any of Lines 1, 2, 3, 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R form. Go to Section 2. 10 ❑ This dud system is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire duct system is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing (and TXV, if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser VIII be Installed with TXV(RCA) AND added dud Insulation (R-4 wrap on existing ducts, R-8 new ducts) In lieu of dud sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be Installed with TXV(RCA) AND a 0.92 AFUE furnace will be Installed In lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12,14 or 16: An SEER 14 AND EER 12 condenser will be Installed with TXV(RCA) AND an 0.82 AFUE furnace will be Installed with Increased duct Insulation In lieu of duct sealing. Go to Section 2. 15 Al None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) On if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1, 3, 4, 5, 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ iThis system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 ❑ IThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22If line 15 is checked, HERS verification is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16.or 17, HERS verification is required for TXV(RCA). 24 If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER Section 4 - E-17 ui ment Efficiencies 25 If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section S. Section 5- Duct R -Values 26 ❑ lif more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Sect on 6 - see next page Version o3 -10-o6 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: Date: ®CaICERTS 2005 'IMPORTANT: This CF -11R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system #__I of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typeAocation and meet or exceed of iiciencieslR-values. 28 Configuration: ❑ Split system Package Unit 29 ❑ Air Handler ❑Gas furnace. AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 ❑ Outdoor Condensing Unit ❑AIC ❑Heatpump JEfficiency SEERIHSPF: JEER (if reqd): 32 ❑ Cowing or heating coil ❑AIC ❑Heatpump ❑Hydranic 33 Ducts Location: Length (ft):JR-value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Uto&nniL Address: Company Name: City/State0p: ddress: Phone: City/State/Zip:. Phone: _ 4 Signature: gnature: Enforcement Agency (Building Department) Notes/Co nts: Name: Title: Department: Phone #: Fax Signature or Stamp: Required forms: CFAR-ALT: by anyone. Required at time of permit application. Copies to homeowner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF4R-ALT: by HERS rater. Required to close permit. Copies to homeowner, enforcement agency, installer. The CF -4R sam le rou shall not be released until all testina and verification is corn leted and passed for the entire group. rage z or z This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com CaICERTS - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4111 468 Waterford Dr. - Chico, CA 95926 NEW CONSTRUCTION Deer creek Heating and Air 865703 Measured Values Project Address 1 Contractor Name / License No. 7 s% 2 Fan Flow: Calculated (Nominal 0 Cooling 0 Heating) or 0 Measured Enter Total Fan Flow in CFM: - 1740 B07-1033 ACOb 3 Contractor Contact Telephone Permit Number I9 Joe Sinclair 530-865-4214 62397 -0t L, `may ,j�,n,, -" HERS Rater Telephone Sample Group Number 5•�,�L� ^� May 16, 2007 CC14-1798402979 RQ11-tn-NZ, Certifying . ature Date Certificate Number pis—` Firm: Sinclair Air Duct Cleaning HERS Provider:Ca10ERTS, Inc. Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: Street Address: 6360 County Road 12 Q Pass ❑ Fail City/State/Zip:Orland / CA / 95963 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: Copies to: Homeowner, HERS Provider and Buildina Deoartment This CF -4R has been registered with the CalCERTS0 registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal 0 Cooling 0 Heating) or 0 Measured Enter Total Fan Flow in CFM: - 1740 3 N/A N/A ALTERATIONS: Dud System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Dud System Alteration and/or Equipment Change -Out. 212 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5] - (Only if Applicable) . 1. 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: [:]Pass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: 12.00% Q Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection El Pass El Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection - 1:1Pass El Fail Pass if One of Lines 4t9 through #12 pass Pass ❑ Fail RECEIVE® MAY 21 2007 CITY OF CHICO DPW - MSC https://www.calcerts.com/cerfficatip_print.cfm?lots=0,62397&UseCF4R=1&cen type_id=... 5/16/2007 • �V T T F BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING PERMIT' • • y • 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) C�VN�r OFFICE #:(530)538-7541 FAX#: (530) 538-2140 , WEBSITE: www.buttecounty.net\dds ".. ' PROJECT INFORMATION Site Address: 468 WATERFORD DR Owner: Permit NO: B07-1033 APN: 007-330-024 DAVIDSON, TODD Permit type: MISCELLANEOUS 468 WATERFORD DR Issued Date: 05/11/2007 By KCG Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 05/10/2008 Description: -REPLACE HVAC UNIT (530) 342-6261 r Occupancy: Zoning: R1 0( __.... ..,,r,........... .,4— I. -.r'.. DEER CREEK HEATING & AIR DEER CREEK HEATING & A) Building Garage Remdl/Addn PO BOX 171 PO BOX 171 VINA, CA 96092 VINA, CA 96092 Other Porch/Patio Total (530) 839-2545 (530) 839-2545 1' FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 0 3 I Balance Due: $0.00 Receipt No: B3038 k'w CONTRACTOR'S DECLARATION.t°"` :' ` . s,r' OWNER /;BUILDER DECLARATION . _5,,iL•ICENSED . Contractor (Name) State Contractors License No. /Class / Expires p I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DEER CREEK HEATING & AIR 865703 / C10 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) a Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is i 94aff lb-rce'abd effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the f • basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 05/11/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); tors,S)gnau j Date Please check one of the following: ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WORKERS' COMPENSATION DECLARATION COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.)., AND WILL MAINTAIN WORKER'S COMPENSATION ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ElHAVE INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves. My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 1838947 10/01/2007 Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permit is or one dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 05/11/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' Owners Signature Date 05/11/2007 - ,. _ .« 4- ,X I hereby certify that I have read this application and state that the above information is correct. I agree Sign Ure , Date to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building WARNING: FAILURE TO SECUUORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the " CONSTRUCTION LENDING AGENCY.,, er'sbehalf. prop n rams oigiaiNi—j-, _,,, 5/11/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for am Print r---� ��" Date the performance of the work for which this permit is issued. (3097 civ. code) -- Owner E] Contractor OR:Agent for Owner : gent for Contractor - Lenders Address City State ' Zip FILE COPY I BUTTE COUNTY DEPARTMENT OF .DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OW ER INFORMATION Last Name i .HCl CityZA First Name Mailing Address 0 � �/ errCity Fax 2S 116 State t Zip 575Z7 3 Phone 3 2„- -7` ' C.�J Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Dq e (�n=,LL Vett_+- vqt 5LA� Address —7 CityZA LA State C? Zip Phone '53093? .5 Fax 2S 116 E-mail le / oW 'r� C_ /� K 2—CCL Lic. # 7 Class Z APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PERMIT NO. b07. BIN # PROJECT LOCATION AP# r Property Address �rr City e WORKER'S COMPENSATION Policy Number Carrier S If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: law_ A Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. .7�r .S�h.kYT.r Zw T,'?;�ri -.(^{i%•': r i.yi�S�p�.i�:+�'!'`l<3'%Gtt:�'�`.erartLR�.t..7+[•,t'�i•s-�.'w*y.';W?Ao•P�Y^w�.4: 1�'i.�`:dC"s'�i''•'�`C��''Ri''r�Ft�'.'�; Sgi�'t'�:gt�P.",4.••,�y.�/<r�C ....l•4`dtt �ih(+J,-'•.:a d�art��,}.�.:Ja1��ri >, Q07-330—C&- PElUlIT#94-2979'" RICHARD,,CLEO m _ 468 WATERFORD,'CHICO n CONT: MIKE RICHARD 3`. • REROOF/SF • t. _ J P i ' I i t r 1 • e " 9 } 4� .. .. Civ. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive - Oroville, Califdinla 95.965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ' Jcl 7!2 ASSESSOR PARCEL NUMBER `q �' 007-330-024 ZONING BUILDING PERMIT OWNER C r0 RICMRD TELEPHONE 342-5276 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 468 WATERFORD DR., CHICO C A 95926 12 COMI 720. CONTRACTOR'S NAME MIKE RICHARD TELEPHONE 894-2135 CONTRACTOR'S MAILING ADDRESS 9F1, 2 1IN N., CHICO, CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 468 WATERFORD DR.- CHICO PERMIT FEE $ 41.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFS) Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe Work: REROOF PORT. W/COMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( e00V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW ; I declare under penalty of perjury (check one) pN I am a licensed under provisions of Chapter 9, Division 3 of the Business and • Professions Code and license is in full force and effect. '7F� License owNo. y Classification (1 ❑ 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 00 WORKER'S COMPENSATION INSURANCE I 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. 10 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California.E 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 S 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, judg nt , coslos, and enrs which may in any way accrue against said Cou/nt�y i✓n con eq nc f the gra ti of this permit. Date 16`9y Signatur6 of Applicant - ❑ Owner .W 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 $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 41.00 HAZ- I D. FEES IMP I FIOOD I CDF PARCEL 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 above for which fees have been paid. By /��✓y+� /�'K�" s - Date II�j�7 PERMIT EXPIRES ON I�,/��' ' tDatel Receipt l'�033 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California; 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 007-330-024 ZONING BUILDING PERMIT qN OWNER CLEO RICHARD TELEPHONE 342-5276 SQ. FT. OCC. BUILDING VAI OWNER'S MAILING ADDRESS 468 WATERFORD DR. CHICO C A 95926 12 COP 720. CONTRACTOR'S NAME PIKE RICHARD TELEPHONE 894-2135 CONTRACTOR'S MAILING ADDRESS ` ? L 14 C C C 26 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 468 WATERFORD PERMIT FEE $ 41.00 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 Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 1%20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation O Other C Describework: REROOF PORT. W/COTP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. I SO. 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 r�K icense is in full force and effect. License No. Q / Classification � O 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NDN-RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.O00 BAL. S Ex. Occu FIXED APPWS. OR p' (OUTLETS (REBID.) EA. I 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. ❑ 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. Id 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, jud nt coslo, andpfe—nibs which may in any way accrue against said County in n q nce f the gfanti of this permit. Date /d ' �% �� SignaturA of Applicant - O Owner Akcontractor 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 $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 41.00 HAZ- I D. FEES I 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 above for which fees have been paid. By Date �./ PERMIT EXPIRES ON �� q� atel Receipt No. 1-70,33 Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTYOF BUTTE - DEPARTMENTOF, DELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTI R DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C410 1fl c;;VAA 0 A. P. No. 7.33 • 2 Y Proposed Building Use `s/F IGONO©L - PoRT Building Inspector G Date 10. 31 .99/ At time o permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets,, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets; signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form' ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . •Pre4�*eoGon reyu� 20. Pre -inspection for required. . to Buils ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Iver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r e - e 1 • COUNTY OF BUTTE - DEPAR'TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN4 PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONI 31 BUILDING PERMIT OWNER ,? 1 t 2; z �, L, r C1 TELEPHONE `, 274 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME { -C _ TELEPHONE CONTRACTOR'S MAIrLING ADDRESS • c , , � t a � O .�,,, �• r 1�• 1t- t.N,';l' , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS U PLUMBING PERMITg Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r -ti r- (- I � r4i J' ' Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF E, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile HomeS G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li ies ❑ Installation ❑ Other 0- Describe work: C r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10'00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ACCLBLDGS.CCUP.&� 2YzQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): u 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. Y "�C`-J f A -.-� 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.(MULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR I POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. 120 050t Ex. Occup(Ts OR FIXTURES BALe3o BAL@30 P. FIXED APP LNS, OR FIXED EX. QCCUp. 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. 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 against said County in consequence of the granting of this per�jit. r� ' . f / X -sem -,• crs Date Signature of -Applicant — / Owner © Contractor ❑ Agent' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD MD 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. ` \-1 fir' '� r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date j Receipt No. ��-r WHITE-D.P.W-. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA;ION AND PERMIT PERMIT NO. ASSEqfl PARCEL NUMBER _ZONING — — 0_ o BUILDING PERMIT O ERTELEPHONE e R� Ckc\r c 276 SO. FT. OCC. BUILDING VAL TION OWER'S MAILING ADDRE WoLf -er Verg Dr - CONTRACTOR'S 9LNAME i --per n5ervc4r,cAt G S&IQr S� ST G'm-s Z n c - TELEP E CONTRACTOR'S MAILING ADDRESS' ® 1i► ctw+.3 V�' L vim. C1, e a �c Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 20.00 t (,� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF JK Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New❑ Addition ❑ mode l❑Utili ie ❑ Installation❑ Other Describe work: �� �/� Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 &o0V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21h¢Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C{ode a d m license is in full {{{orce and effect. License No /ul Classification 9D®�� Y �41'� ❑ 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. 20®50a Ex. Occup(ouTLETs OR FIXTURES BAL®30 FIXED APPLES. 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 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 11� 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in conse uence of the granting of this per it. p X Date �� O Signature ofZpplicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. C O OF PUBLIC WORKS Q p BY Date V �� 6� PERMIT EXPIRES ate X22 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ERS F,T ' ppnn COMPANY i!!1 LICENSED CONTRACTOR _ Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date To THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street EXTERIOR WALLS Lot Number ManufacturerThickness/Type Tract No. R Value /) CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thicknees'ss No. B11 s Wt./Bag Sq. Ft. Covered v R Value FLOORS " Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer. Thick(nees(s/�Type� R Value GENE ,L�rc\O}�tt�1T R j�jJ1D��iLICENSE NUMB©ER ia''� BY /` TI E -r+ ` DATE <2 INSU 10 ONTRACTOR LICENSE NUMBER TITLE DATE— SAVE ATE SAVE ENERGY - INSULATE! ( DATE) ACCEPTED HERSE H COMPANY (Authorized Representative) Ef TC Buildin', .1 PROM PLealt"a '{1,:;': S•3 i;3 3 C%'d/o.i e aT_.o �iE 33 %;is��.>�. eT a 1: e' �—,_L3 _ 0:•ir,21- S Fc, i v? si G P 7 P,.ar,s aro a-pprova for: Sewago M.sposax: x Water Suo?ly x �. r cid tip Fina:? f or: data: S �_ p? 1 Final. Clearance C�: for: later Supoiy O( C-v'83"ra. nca is. for ti.e f1 ':•zinc: Lot. M=bar Type of Ne lit-1. 57 3 Roo, �ioj� r:iYa Bd- Room 9 3• fid. Room Mo ava Lri —a 62 3 Dd. ROM. Moja:va Dri na �s3 F . ii-0om voronaco Clay 61: 3 BD- Room C _,rona:.:a r'a 1.01 3 M. Room. 1'IUjave Drive : 3 ''d. Roo.i:4 MO ja ve mice r; i :r -WERMIT NO. 1865-78B 1, PERMIT EXPIRES �" Johh Drake .TOWNER CONTR. owner v LOCATION (A.P. 44-053-73 pert. 468 Waterford Dr., lot 63, Joshua Tree#2, Chico t Temp�Power Pole Iled PG&Egt===7j_ Te P. Elea Serv. �— Called PG&E �— emp. Gas Serv. .Called PG&E JOB FINALED CJ (Date ure) COUNTY OlF-8t TE• = bEPAR:TMENT OF PUBLIC WORKS I w ' BUILDING INSPECTION, RECORD Stucco ' Final Subpanels G�1 Mesh — MECHANIC_4L Grd. Fault Prot. ' Scratch Heating Service, Brown Cooling Temp. Pole �^ Finish Ducts ✓ Underground Interior Lath -�— Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES •------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE MARKS OR CORRECT NS 9 4s_ r •TE: An entry must be made on this form each time you visit the job BUILDING BUILDING (Cont'd) PLUMBING'S Setback —���. r Firewall r Soil Piping' f Forms Parapets '1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows '3rd.Floor Stemwall SidingTo out. Slab - Roof SheathingWater PI In .. Piers Roofing Sewer Garage Fdn. Vents Fixtures (/ Footings StemwaII Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for physically � handica ed Conformance of ex. structure Appliances �---� Gas PI in &Test Temp. Gas Slab Final '99 Sanitation Patio FIREPLACE Final Q Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final -a3 . `7 Fixtures Bond Beam FIRES , 1N LERS Motors Stucco ' Final Subpanels G�1 Mesh — MECHANIC_4L Grd. Fault Prot. ' Scratch Heating Service, Brown Cooling Temp. Pole �^ Finish Ducts ✓ Underground Interior Lath -�— Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES •------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE MARKS OR CORRECT NS 9 4s_ r •TE: An entry must be made on this form each time you visit the job COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS al, 7 County Center Drive - Oroville, California 959651�k6l Tel epWne: 5344541 APPLICATION AND PERMIT A authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 4/'J 7 --79 Signature of Permi pr�Agent Receipt No. �� I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JG�UBLIC WORKS By Date7�- Buding permit expires Date _ q ,X1'7,1 BUILDING , Owner rs SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address G sy �C_. v T`I e ° �- o Ca c Contractor Mailing Address Fireplace Total Valuation .Q� Telephone No. Permit Fee 0O ( Building AddressPlan r' Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 ` 1..11 �3 •-�4�►°1U3 �Ye>r��tomag Ve'ificaiion OnkX Repair drainage or vent piping 1.50 '�AAWater A. P. No. L% T —7 -?(6411^Z_0 n' piping 1.50 Each gas water heater or vent 1.50 F A_e<J S i on I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Pians Declaration I reel Map 60' R/W I Improve me s additional outlet .30 Building sewer 5.00 WRe1bJM Parc proval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0V OR Main service 100 AMP ORSLESS 5.00 Single Family 210' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service 100 AMP OR LESS 25.00 100 AO Main service EA. ADD -L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP. B) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. TI -OUTLET ON.RESID ` BRANCH CIRCUITS) 2.50ea .....ES,., NEW CONSTR. (POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR, EX. OCCUD(OUTLETS OR FIXTIIPES BAL@1 FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ F_EE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and,state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is 13C TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 4/'J 7 --79 Signature of Permi pr�Agent Receipt No. �� I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JG�UBLIC WORKS By Date7�- Buding permit expires Date _ q ,X1'7,1 TREE 5U50/l�la✓inls Y6o4m7anship'SZll Be inNV�_S/IO Accor�ry ce �,,;�?� �����,1 -1 Gn,34 Prnctices and _^-----', of a qunlitlr.I .C._ =1 '-nec;f;ed use in the Uniform Building. 71"r�' • i iq & Machanical Codes and 13-1+=seg .�,.• _ .1 f`". �!� ,`y�• , �f/ATee ro c d 0 ', • , 75,00 , `•� •C' ', '11'''x' y' Il,il f j .'. rl 1^ . 1 .I tills set of pl r?s and spec' ications Mus.l� i' <ep4 or, the joU z j afi times d it' is urlwrui t Ill ke any clic: T- 'QV cl..t t d r m u o� IC..S an slim-,- VJ.tihO 1 Y►�I/9� r,•. �h,`•�1 I') •.r '. written pc 'ssoa rcrn the, D MVV Ni 'rr ` nt artme of Public 1 1, �• I .� ',;:�'r r�1 Works, County o ,Butte. �."' �'' ' ,1;».,,• �.,, ,r I I df '1, •..,r, ',JI 'at , i 1 � t•: ., 1, a 1 1'i it 11 j T. The Ele.g. Sdb ac! .ingll'6e 5 f. from the' site :�ru('er' 1 ,sr �•'•cal� 53 fl,' from the ' ..: � : ; � '•• ,..i � ;'.,, .,•, certetiit.e o il.e r' <c:, `;s: ;r"r,iri Ig a rnaxi-9'•� �S' et a'sti''P`'a>3;' file for building tllL. c,e u 2 It. ow". overhang ul entirely � an'. out of all easerllEl°`' Z4 I ' r`•' �: `'I' 11, s" <% Q COUNTY Septic system al d low on f' I ! 30, 1i1�'.s_P1R�`r DEPARTMEN1 ati ' build- ing drain stub out to. be as per i But te' County Kalth D ' V'C t. Re- I '1,�;,� '. O D quire/merris. i ? a'''' ' 75, OO I ILIn' S , M, GG -2. . �� •III _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x XDate ignaturc of Permitee or Agent Receipt No. /7�z %z/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' DIRE R 0 PUBLIC WORKS 2A By Date4l -21 2F -permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor E Mailing Address �6� Fireplace Total Valuation on elephNo. _ £Z7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE Q P PERMIT FILING FEE $3.00. p Each Trap 1.50 OD G f• 2i Repair drainage or vent piping 1.50 A. P. N ✓ Zoning & Planning Water piping 1.50 f v Each gas water heater or vent 1.50 U es Saaitatiasl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 6 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ElOTHER 0 Permit Fee $ is i ®� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 L Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST � ACCLBLDGS.CCUPDWELING . S) 2¢sgft 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 of: (0qG�� %J� �1I� NEW CONST R -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES 5 L� FIXED APPLNS. OR \style Ex. Occup (OUTLETS (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ��1 \ _(Z G� License No. �Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 W rkmen's Compensation. 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x XDate ignaturc of Permitee or Agent Receipt No. /7�z %z/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' DIRE R 0 PUBLIC WORKS 2A By Date4l -21 2F -permit expires Date COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT =Signature 's of the County of Butte to enter upon the , for i tion purposes. Date ✓�� reee or Agent Receipt No. Z ,Y,7 7/ White-D.P.W. Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTOR OF PyBLIC WORKS By v< ucwvLCwv �l Date J e_') 40 Building permit expires Date BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing Address Ie D ' elephone No. �—� s r Contractor Mailing Address Fireplace M 00 Total Valuation �� 00 Telephone No. C Permit Fee Building Address �, Plan Checking Fee&/or Penalty Permit Fee Q PLUMBING No.1 @ FEE _ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F S&."& ,&n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee$ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00. V OR LE Main service 10000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 OVER Main service OVER s 25.00 AMP OR LESS O Main service EA. ADD'L 100 AMP 1,00 OR ADDNST ( ACCL BLDGS.0 CUP. Y) 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLET NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR, EX. OCCUP(OUTLETS OR FIXTURES gAL@` Ex. Occup. ( IIXED OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 cense No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Wo en's Compensation Insurance. Ricertify 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction., and hereby Land Development Fee $ TOTAL PERMIT FEE $ =Signature 's of the County of Butte to enter upon the , for i tion purposes. Date ✓�� reee or Agent Receipt No. Z ,Y,7 7/ White-D.P.W. Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. - DIRECTOR OF PyBLIC WORKS By v< ucwvLCwv �l Date J e_') 40 Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel eptione: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -mention dproperty for ins ection purposes. X Date rs 7B Signature of Pe i o nt Receipt No. 11 T -7 f / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DfffEZCT_0AJOF PUBLIC WORKS By Date SuUdilitt permit expires Date 00,, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor I Mailing Address V Fireplace Total Valuation tI Mn V I-ele o`e. Permit Fee Building Address P I an Check i ng Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 LD Ala qp Repair drainage or vent piping 1.50 A. P. No. �'® S�3' 2,64,t— Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees.Sanisat:ierr Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ g ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1$3.00 S.0 Main service 100 AMP OR00V OR LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.(DW -4B S. CUP. N) 2¢sgft OR ADDNS. AN CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR M L I_OU L T NON-RESID BRANCH CIRCUITS 12.50ea NEW CONSTR POWER APPARATUS8, NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3or36t Classification 4f -/Z) Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability WWrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 0 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation - Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -mention dproperty for ins ection purposes. X Date rs 7B Signature of Pe i o nt Receipt No. 11 T -7 f / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DfffEZCT_0AJOF PUBLIC WORKS By Date SuUdilitt permit expires Date 00,, V _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Tel eptione: '532t-4541 APPLICATION AND PERMIT • BUILDING Owner �� r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor G �/ i r Mailing Address ' Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE lCv PERMIT FILING FEE $3.00 Each Trap 1.50 4 �2F� Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 6aRitei•ien Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BW-Phorrs-R d Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE. $3.00 Main service 100 AMP ORV OR LESS5.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 � Main service OVER 25.00 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � ACCLBLDGS.LING OCCUP. Y) sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /I MULT NEWNONRESID. BRANC OUTLET .CONS ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS 6 NON .RESID. (SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIRES B �@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA) 2.00 mporary service 10.00 19 LjZ/ t� f` Mobile Home Facilities 15.00 .4 2 (22—C License No. 3 1442/r' Classification Misc. Wiring 6.25 I 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. X '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. I certify that I have read this application and state that the above inflipt ' is correct. I agree to comply to all County Ordinances anLaws relating to building construction, and hereby auepresentatives of the County of Butte to enter upon the aboned pro p//e/Q�t fo inspection purposes. sVD; ie`— Date)7z� ture of Perrmiitee orAgent Re White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heatina /A/1 M dfrr Cooling : / d -IJ . I I q- ,)-61 V, 6—A Ventilation Hood 2.001 000 Permit Fee $ $ L$ 00 TOTAL PERMIT FEE $ r, 7j 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. CT OF PUBLIC WORKS ByQC_� Date Big -permit expires Date _�