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007-450-062
Alvinco �"� Ray E . Joh s n Jr. +t �r 579 Waterford Dr., lot 62, North Park _� �S 1 00'SW f -�" _ - Y t - - Sub,'Chico �_. .. contrChWebb Bros.Const. , Chico �_ 1 D Nor Chico _ Pe mit 16881-7 e sin family) Permit #3914-80B,P,E(new sin le _ ,y. family) ' /r r v x r�.. B07-0736 007=450-062. MISCELLANEOUS HVAC Cl ange Out INSTALL GAS PACK AND VCT WO1 ` r;s 579 WATERFORD DR� ,H AMM, NANCY SKADAL 1 • tti iw • f t i• i 1. • a ' r 1. r 1. LrD off oav-ww BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 4 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-766 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-";140 Website: www.buttecounty.net/dds Permit No: B07-0736 Issued: 04/09/2007 Address: 579 WATERFORD DR Area: CHICO Owner: HAMM, NANCY SKADAIAPN: 007-450-062 Applicant: DEER CREEK HEATINGMap Page: Permit Type: HVAC Change Out Description: INSTALL GAS PACK AND DUCT WORK Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVE.I 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/Stee l/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 Shearwall/B.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 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 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 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 Coach Info Mar.WfacWpName: D of acture: w ii _ -I WK E6 -i de umber: i N bers: ngth x Width. signia: a 802 .Electrical Final 803 Building Fin 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 a 802 .Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rroject anal is a t-ernncate of uccupancy for wsiaennal uniy) 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 �.JY"+...�,.C�7'�4 f.-t--:►Sv'�`-"i iR`.'`�'--`�'-���:+...�,-ti,.f�ot`�....c'�..f�^'r^�'irk!'?'{-„d'.'i��-+.%:ii�4r�s'�'�«"Y,r-�;{„'.aG�"'i"� Y sF' ..... COUNTY OF BUTTE ... .. A routine inspection indicates that the following violations of Butte County Ordinances exist at BUILDING DIVISION the above address and should be corrected. Please call for re -inspection when correction of DEPARTMENT OF DEVELOPMENT SERVICES work is completed.,If you have any questions pertaining to this matter, or need additional ` 7 County Center Drive • Oroville, CA • (530) 538-7541 = k CORRECTION NOTICE 731r, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ' the above address and should be corrected. Please call for re -inspection when correction of work is completed.,If you have any questions pertaining to this matter, or need additional ..? explanation, pl ase ontact the Building Inspector as indicated below. k J. J. s Date _ Inspector 5/ REV 4/05 Phone # / 3 �� 15 ^�1 FOR RE -INSPECTION CALL: 538-76360R,891-2834 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Itle: ate- ©CaICERTS 2005 noccemen±, ency_ se.i n -s;:; Project A dress:.. a -{�{' yq�). IAi 1d ilk Climate Zo e:pem,,t, E F��1..,,, Documentation Author: l/1 Telephone:CH titan Check bale 4 h; :as -- -- � - Company Name: - < G i 1� t=ieldCheck[tate n, 1:4 :- 221 Fi:i?: ii±ts sic _ .FIAff IMPORTANT: This CF -1 R -ALT for i on 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. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler Is to be Installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace 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 ❑ 1 If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing On 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 duct 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 fumace 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 will be installed with TXV(RCA) AND added duct Insulation (R-4 wrap on existing ducts, R-8 new ducts) In lieu of duct 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. 15A None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Settion.2 - TXV(RCA) On if Lines 3 or 4 are checked, otherwise got to Section 3 16Tile 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 ❑ This 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 22 ❑ If 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 - Equipment 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 If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 2 ❑ lif less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page version us -i u-uo Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Pertificate of Compliance Prescriptive Method - HVAC -only Alteration CF -IR -ALT Project Title ( Date: iq — g- p ® CaICERTS 2005 IMPORTANT: This CFA R -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 # of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match typerlocation and meet or exceed effiaencies/R-values. 28 Configuration: O Split systeackage Unit 29 ❑ Air Handler OGes furnace, AFUE: OHeatpump FAU OHydronic FAU COther 30 ❑ Heat Exchanger 31 ❑ Outdoor Condensing Unit CNC CHoatpump JEfficiency SEER/HSPF: JEER (ifregd): 32 ❑ Cooling or heating coil CNC OHeatpump OHydronic 33 Ducts Location: Length (R): R -value All mandatory measures apply to any altered component. See MF -1 R - ALT forth. 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 dud 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: Nam Address: Company Nem ' Jl C-C-f!d� l"ic - A City/State2ip: Address: ' x. J X71. Phone: City/State/Zip: V I n&_ �,.A qb 0 q �2 P;hne: _5 Signature: Sl re: Enforcement Agency (Building Department)Notes/Co menta: Name: Title: Department: Phone #: Fax #. Signature or Stamp: Required fortes: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CFVR -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CFAR-ALT: by HERS rater. Required to Gose permit. Copies to home owner, enforcement agency, installer. The CF -4R sample orouD shall not be released until all testinq and verification is Completed and Passed for the entire orouri. v ais.o i yr 1U -w Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com CaICERTS - Certificate Page 1 of I CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 81 CF -4R $79 Waterford Dr. - Chico, CA 95926 Deer creek Heating and Air 1865703 Pro}ed: Address Contractor Name / License No. 807-0736 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 60322 HERS Rater Telephone Sample Group Number April 20, 2007 CC14-1798400904 CertlSigfialture pate C&Vficate Number Finn: Sinclair Air Duct Cleaning HERS Provider:CeICERTS, Inc. Street Address: 6360 County Road 12 City/State/2ip:Orland / CA / 95963 Copies to: Homeowner HERS Provider and Building Department This CF -41k has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS® is an arinroved HERS orovIder by the Califnenia Fnemv. rnmmiccinn HERS RATER The house was W Tested UAppfoved 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 bested 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 teeIM 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 dueled (Le., does not use building cavities as plenums or platform mtums in lieu of ducts). New systems where doth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination with doth hark„dniM" aAlueiva d—t cane m can# centre a+,fi . .n....e,w— b61111111111111MUM RE UIREM£PITs FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM 0 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal %Cooling Heatlng) or Measured 2170 Enter Total Fan Flow in CFM: 3 N/A N/A ALTERATIONS: Duct System and/or MVAC 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 Duct System or Altered Duct System 317 for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Une 51 - (Only If Applicable) 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 S/ Une 2 )j: ❑ Pass ❑ Fall 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 ( Une 5 / Une 2 )): 14.60% Q Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )j: ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Une 6 / Une 4 )] and Verification by Smoke Test and Visual Inspection El Pass � Fall 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall Pass if One of Lines S9 through *12 pass ® Pass ❑ Fail https://www.cWcerts.com/certificate_print.efm?lots=0,60322&UseCF4R=I&cert type id=... 4/23/2007 T.'d ssslss806S it:etautS aor eLS=GO LO CZ JJU {,Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: :15kAdal -V Date: n ®�/ V AP109 O 2005 CalCERTS :II}t.lttnFhfOr61v11EhFA . .11i8:011y�etntni. Project Address: Climate Zone: 13WdIli pertr i �� , / I1 N J I It kb 1 IutN.1H phi li 11 p R I R pit: Installing Contractor: Telephone: L iNNNH.kN111tltktfNkl[NN}.1Ltt11 IYe6nou-) I :IIAPrt pp IIR ILp PPR RPaFRM1P P41}IIPAR RII Pp :pAP.R pP PU RRl1 PU LLppFRrf'1 Pp Rp NFIII I}PFIp JkHIINNkH!INN ': N,A b� Irt.r hili ILL Nk N n n 1 I� Ifa iii4 n it iij nij ilN Company Name: ///%%% pv1 -Deer U-reekA� W m E'�. r K.d;FtdSet. NNNHHNHHttN1111LkNNtttHNNlttttlllN! HN}tl tlN NN k/l }Itt tL tt1111tl rLN }f1 tHfiNkktlhlfll kN HH: P PRpp pRl IiP pRPPippP IILRp PPpR 1}Ir ppyP RP Pp RRA �U UPPf »RP Pfi Rll t;rRILP R H I IMPORTANT: This CF -6R forth is only for ise4heii an HVAC -only alteration 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 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 efriciencies/R-values from CF -1R. Equipment Type Manufacturer Model Number Efficient Load" Capacil " Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/ACA 6 r ly i (` ^( lei /D AFUE SEER Package heatpump HSPF SEER EER* AIC Condenser SEER Heatpump Condenser HSPF SEER Indoor DX coil EER* Hydronic coil • Provide EER if needed for compliance (line 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 CF -1R form (line 23 on CF -IR -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirety New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new dud systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. I, 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. I, the undersigned, verify that diagnostic test results listed on this forrn were performed in conformance with the requirements for compliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements specify 150(m) of the 005 Bu' 6i g Energy Efficiency Standards. / �A ZL S red In e : Date: Was.- ersion 03-w-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com 1 Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: I S kJa Date: — / X D% © 2005 CaICERTS IMPORTANT: This CF -6R 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 #_L_ of 1_ systems altered in this house. Copies to: Homeowner, HERS Rater, and Building 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 : CFM25 2 Line 1 x 0.4 Itarget for 60% reduction Step 2 - Determine Total System Fan Flow. Use any of these methods. Use values for equipment after alterations. 3 Cooling: Condenser tonnage: r tons x 400 CFM/ton = ! CFM 4 Heating: Furnace output Btuh x .0217 CFMBtuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching 13 How grid 7 Total system fan flow value to be used: I `3 CFM 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 = CFM25 = 6% leakage target (new duct systems) 8b Total System fan flow (line 7 from above) x 0.15 = ICFM25 = 15% leakage target 9 Total System fan flow (line 7 from above) x 0.10 = ICFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. 10 ❑ Seal all new connections with approved materials. 11 ❑ INo newly constructed portions of the system can have unducted building cavities to convey system air. 12 ❑ 111 adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 5 - 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 Ba, house passes the 6% leakage requirement, Go to Step 9. 14b )4 If line 13 Is less than Ilne 8b, house passes the 15%, leakage require ant. Go to Step 9. 15 ❑ If line 13 Is less than line 2, house passes the 60% reduction requirement, continue. 16)0 If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17r ❑ 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 f 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 ❑ 11f line 18 Is less than line 9, house passes the 10% leakage to outside requirement. 20 ❑ 1 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 Sampling 31 A - House does not pass by lines 14, 15 or 19: OR homeowner chooses not to be part of a sample group 1.) House lobe 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 be performed sole) 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 03-i u -U6 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com CaICE,RTS - Certificate Page I of I CERTIFICATE OF FIELD VERIFICATION A DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 579_ Waterford Dr. - Chico, CA 95926 Deer creek Heating and Air 1865703 Project Address Contractor Name / tkense No. 807-0736 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 60322 HERS Rater Telephone Satnple Group Number April 20, 2007 CC14-1798400904 C&V90ft So tune Date Certificate Number Firm: Sinclair Air Duct Cleaning HERS ProvidenCeICERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Orland / CA / 95963 Copies to: Homeowne . 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. CaICERTStg is an approved HERS provider by the California Energy Commission HERS RATER COMPLIANCE STATEMENT The house was & Tested Dwroved 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 &98gil 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 Cerli hate). New Distribution system Is fully ducted (Le., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where doth backed, rubberadhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed rubber adhesive duct tape to seal leaks at duct connections b6MNXMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM bl 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal v' Cooling Heating) or',,;) Measured 2170 Enter Total Fan Flow in CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC )Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test or Existing Duct System Prior to Dud System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System 317 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)f Applicable) 8 1 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )): ❑ Pass ❑ Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use One of the f011Owing four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )J: 14.60% 0 Pass ❑ Fall 10 Pass If Leakage to Outside Percentage <r= 10% ( 100 x ( Line 7 / Line 2 jJ: ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )J and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass If Sealing of all Accessible Leaks and Verilicatlon by Smoke Test and Visual inspection ❑ Pass ❑ Fall Pass If One of Lines *9 through #12 pass Pass ❑ Fail httpsJ/www.calcerts.com/certificate_print.cfm?lots=0,60322&UseCF4R=1&cert type id=... 4/23/2007 t'd S9.SIS9fi0t:S utelouis aor ei_a:rzn /_n is udu Ca10ERTS - Certificate Page 1 of 1 BUTTE COUNTY CERTIFICATE OF FIELD VERIFICATION R DIAGNOSTIC TESTING Pa e 1 of 8 APR x 1 2W7 CF -411 OLVELOPMENT 579 Waterford Dr. - Chico, CA 95926 Deer creek Heating and Air§1XMCE,S Project Address Contractor Name / License No. Contractor Contact Telephone Joe Sinclair 530-865-4214 HERS Rater Telephone April 20, 2007 Certffyin ignatureDate Firm: Sinclair Air Duct Cleaning Street Address: 6360 County Road 12 B07-0736 Permit Number 60322 Sample Group Number CC14-1798400904 Certificate Number Copies to: Homeowner, HERS Provider and Building Department HERS Provider:CaICERTS, Inc. City/State/Zip:Orland / CA / 95963 This CF -4R has been registered with the CaICERTS@ 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 © 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 -411 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 -611 (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 duct 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 O Cooling O Heating) or G Measured Enter Total Fan Flow In CFM: 2170 3 N/A N/A ALTERATIONS: Duct 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 Duct System or Altered Dud System for Dud System Alteration and/or Equipment Change -Out. 317 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5] - (Only if Applicable) 7 Enter 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 )]: ❑ Pass ❑ Fall 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 <= 15% [ 100 x ( Line 5 / Line 2 )]: 14.60% Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: I ❑ Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% ( 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑Pass ❑ Fall 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection I ❑ Pass ❑ Fall Pass If One of Lines #9 through #12 pass 0 Pass ❑ Fall https://www.calcerts.com/certificate_print.cftn?lots=0,60322&UseCF4R=1 &cert_type_id=... 4/23/2007 I. �V T TF. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) c�UN'�y OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 579 WATERFORD DR Owner: Permit NO: $07-0736 APN: 007-450-062 HAMM, NANCY SKADAL Permit type: MISCELLANEOUS 579 WATERFORD DR Issued Date: 04/09/2007 By GLB Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 04/08/2008' Description: INSTALL GAS PACK AND DUCT M Occupancy: Zoning: RI 0( %.vrrua,rur Applicant: Square Footage: 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 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 ged: $55.00 Fees F $55. Balance Due: $0.00 Receipt No: B2550 LICENSED CONTRACTOR'S DECLARATION_ OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DEER CREEK HEATING & AIR 865703 / C10 / 10/31/2007Law 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) of 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 in full force and effect. 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 X04/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature Date 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: State Fund Policy Number: 1838947 Exp. Date:10/01/2007 (This section need not be comp sled if the permit is for one hundred dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to 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 04/09/2007 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 ATTORNEY'S FEES. 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) 4 Lender's Address City State Zip Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE - COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (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 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). r, I AM EXEMPT under Section B. 6 P.C. for this reason: Ix 04/09/2007 Owners 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. 04/09/2007 Nam- of P.—iff-- rCl!_Wl IDA— Owner ❑ Contractor OR: Agent for Owner r7lAgent for Contractor INSPECTOR COPY 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: 579 WATERFORD DR Owner: Permit No: B07-0736 APN: 007-450-062 HAMM, NANCY SKADAL Issued Date: 04/09/2007 By GLB Permit type: MISCELLANEOUS 579 WATERFORD DR Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 04/08/2008 Description: INSTALL GAS PACK AND DUCT M Occupancy:' Zoning: R1 0( Contractor Applicant: Square Footage: - DEER CREEK HEATING & AIR DEER CREEK HEATING & Al Building Garage RemdUAddn 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 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 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is finis in full effect. 04/09/2007 Signature Date 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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. State Fund Policy Number: 1838947 Exp. Date:10/0112007 (This section need not be competed if the permit is tor one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of SectA3700 of the Labor Code, I shall forthwith comply with those ota► Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2550 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 Cade: Any city or county that 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 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); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (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.). E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). 1 - ❑ I AM EXEMPT under Section - B. & P.C. for this reason: I( 04/09/2007 Owners Signature Date - X 04/09/2007 I hereby certify that I have read this application and state that the above information is correct. I agree S Date 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims and liabilityway personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is 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, streegubsidewalk. I hereby authorize representatives of Butte ATTORNEY S FEES. Coun the above fj� ed spection pu oses. I hereby certify that I am the CONSTRUCTION LENDING AGENCY prop yo r ra all rtyownefsbe 04/09/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Permittee [r>TGM Print Date the performance of the work for which this permit is issued. (3097 civ. cede) ' Owner Contractor OR., Agent for Owner Agent for Contractor Lenders Address City State Zip FILE COPY ''v 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 APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name S L, Firs ,Na V Mailing Address pQ _ 1 City ' V; City State Zity, Phone Stat Fax E-mail Phone APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR City Name Address Zip City Fax City I / V3 Phone Stat Fax Zi Phone t� �L Fax 25�4-6 Emaileik r Lic. # �S Class 2�'l APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open v State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail � - i�tC/Lef►7S, �L ori PROJECT LOCATION AP# ('*� City PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number & 7- ®� Carrier CSN F iring anyone other than license contractors, a certificate of worker's mpensation must be shown at the time of permit issuance. LENDING AGENCY Name Address P. DESCRIPTION OR SCOPE OF WORK: KYR AA -S Flood Zone -CqJie I Yes I No Occ. Type Const. Sq FT- Living Garage O Structure Built without Permits El Proposed Change of Occupancy (Note previous use): Open v 5W ur For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMI N _ 7 County Center Drive - Oroville, California 95965 - Telephone.916/5 -454 APPLICATION AND PERMIT ASSESSO P RCEL NUMB f ~ v+ ZONING __Z_BUILDING PERMIT OWNER ELEPHONE SO. FT. OCC. BUILDING VALUATION 2 J OWNER'S MAILING ADDRESS a- CNTR AC TO 'S N All rDg TELEPHONE4P 'O 3 212 / ✓ .CONTRACTOR G'MADDR Coo STR�TN L DER .so UNKNOWN Fireplace �` t 76 Total Valuation $ fnio L NDER'S MAI LIN A ESS C6 ceo r atc1. Permit Fee $ ARC ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS e PLUMBING PERMIT Filing Fee 3.00 Each Trap ly 2.00 Repair drainage or vent piping 2.00 Water piping LOT IN- 2 SUB VISION NAME PA^RCEL MAP L�6—Y7:3- Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE -807-3 SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 , TYPE OF WORK New ? Addition ❑mo el ❑ Uti 'ties ❑ Ins al lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 00V OR L Main service 100 AMP ORSLESS 5.00 '70 Jim Main service EA. ADD -L 100 AMP 2.50 NEW CONST. .DWELLING 10 OR ADDNS. ACC. BLD1 ff 2¢sgft ii 4n CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 9�--I" am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi n Cod and my license is in full fo[[[��sp and effect. ,{� License No. Classification I�J ❑ 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 ULT--OUTL NON -R ESI D. BRANCH CIRCUITS 2.50 ea NEW CONSTR.POWER APPARATUS 8 NON-RESID. ( SINGLE OUTLET CIR. SD @ 25c Ex. Occup(o OR FIXTURES BAL@10¢ FIXED TS (RES. OR (FIXED APPLNS Ex. Occup. OUTLETS (RESLD.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee /0.00 Heating 60,000 5,00 D 00 - PA Cooling 3T 5'.00 Hood 9 68 3 pp Ventilation Permit Fee $ 'l?j vO Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 againstlafkd County in consequence of the granting of this permit. �' (I X - `' Date Signature of A is r - 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 $ Land Development Fee $ co TOTAL PERMIT F ocCUP. GROUP I TYPE OF CONST, PARCE PD HD 551,E This permit is hereby issued under sions of the Butte County'Code and/or work indicated above for which DIREC OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 3 . WHITE-D.P.W., YELLOW -A P= S ECTOR, GOLDENROD -APPLICANT NOTE: -All Materials & Workmanship Shall Be in Accordance with Recognized Gpod .Practices and of a quality pr'es'cribed for the Specified . use in the Uniform Building, Plumbing 9 ;Mechanical Codes and the National Electrical (`.nFla This set of plans and specifications MUST -be kept on the job at J`fimes and it is unlawful. to make any cheincir,s or alterations on same without• wriften permission from the Department of Pub. --'-1 1'7 -11 ,4 nc worKs, c.ounv?° \10 L3L0 I. P �.£ - - E er e) _ 30 - --�--- ------ l4'; L4 N nAq ZA I M LR t t Z. - 1 --T 4' : Fit, S/,3o A setback of 5 ft. from the V property lin s and a setback bg of 50ft. from the road centerline sh II be clear of structures or equipment except" for a 2 ft. ea .e overhang. Dc• \� 5@6 Master Plan on Filo for plans. AU/V60 �z-7( 39i�L �0 1 - i4 V le -W. G o Am,,e AF- . BUTTE COUNTY BUILDING DEPARTMENT APP -ROVED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — ^Phone 3.43-4211, Ext. 70 7 County Center Drive, Orovi Ile — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector 6 4�� Date 47—'/ f— ?C--. COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico Phone,343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and E9liott Road, Paradise — Phone 877-3435 CORRECTION NOTICE Wall I UCO - Z,) 2 :Y5,45oo—' BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when 0rrection of work is completed. If you have any question pertaining to this m er, or need additional explanation, please contact this office immediately. /S/i /lam Inspector ! Date— `i G - Inspector ! Date— PERMIT NO. PERMIT EXPIRES OWNER . CONTR. ASSESSOR PARCEL ' LOCATION r S r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E a Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature ✓ = OK O = Not OK - = Not Applicable RESfDENTIAL (Single and Duplex)� * = Not Ready Date UND FLOOR Plans OK except #'s - Date FRAMING (Continued) Zo g requirements -Set -Ea ents 48. Property Line Firewall & Openings ., Main; Soils -Ste Ele n /%Z/" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soil -Steel- /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. ., P Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers /fFM,yain; Steel-Blo s-Wr - 5 S' g- g -Veneer 6. Stem , Garage; Steel-Blo is-Wr ed lab to Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers-Fi ce Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. J11 D.W.V. CF Nr2rFitti T -2 w /0r T s 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13 Girders -Sills -Anchor Its-Joists-Ve is -C ' les Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI 07 Date /'i_ia3 Card -BI Date L - Date NAL (Plans) OK except q's Card -Bl Date/./-/ �" Card -BI Date ��! �Q Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext ideli ion -Lan tngs 5 Detector 58. urnace; V Cleara r- e; Above oor-Ducts-Mech. Protection _ 1 ater Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access6 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe Size & Anchors edroom ng Bath Fixtures ub Access 6 .Trim & Su ; Brea es -L , & p.-6 t Clearan earth Ajdoerec. Out at Wood Panel; Int. &Ext. C -BI Date 7Z Card -BI Datei Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 6 utlets & Receptacles at Kit. Counter VFX-earage Fire Door; Swing -Landing -Closer uct t - 69.--Wtr. Htr.; Ven s- ance onnector-P.R.V.- In Garage -Above, Floor- ech. 20. Fixture &Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights -& Switches at Doors 7A. P Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size - c les in Garage; (G.F.I.)-Romex Pr tec. 7 ton -Foam -Looked in Attic 73 74. Guar on - Fdfi. Ventsnage & Wood -Earth Clearance Looked under Flo _ 26. Subfeed Wire Size / &Z ga. Cu or A.C. Wire Size /j,�/ ga. r AI 27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al, Insulated Neutral �s ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip.tt; 75, Following instld.: riv ❑ No; WalksZ-14No; Planters ❑Yes 76. Stud rd fish isconnect-Clrnces-Brkr. & Cond. Size -11,6V Outlet . Clothes Closet Light -Shower Light 7 b of; Plbg.-Appliance-Firepl.-C ar c to Opngs. 27::-W .04_ Card B -I Dat -- Card -BI Date ell; Disconnect, Electrical, Plumbing e' lec. Trim; G.F.I. Receptacle -Underground enI'Iation throughout House Card B -I Date Card -BI Date ass a aon _ Date MECHANICAL (Perrr,it) OK except #'s . orre ' s from Previous Inspections 84. _ as Te Meters Tagged; Gas -Electric _ Card -BI Card -BI Date 31. A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain -& Overflow: Size & Grade 34. Furnace -_Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI _ Date Date Card -BI Date V FRAMING(Plans) OK except q's 85' r ewer Connected -C/O to Grade -HD Approval 86P ergy Compliance Certificate -Other Certificates Card -B Dat Card -BI Date Card -BI Date Card -BI Date _ Card -BI Comments Date Card -BI Date at Final: _ 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39, Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cin . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. fireplace Ties or Type A Flue -Fireplace Throat 5. Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm Windows or Exiting Doors -Sill Hgt. & Dimensions 5Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK = Not Applicable * = Not Ready MOBIL'EHOM.ES - MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirerrients-Setbacks-Easements° 1. Zoning Requirements -Setbacks -Easements• 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) - 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec.- v Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k'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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date PERMIT NO. 3914-•80B,•p,E, Al PERMIT EXPIRES /c2 —/ / OWNER Alvinco 'CONTR. Webb Bros.Const., Chico 44-40-9 port. LOCATION (A.P. ) 579 Waterford Dr"., lot 62, North Park Sub, I Chico i r, r x t R "Temp:� Powen.,Pole ! Called*PG&E E-lec. Serv. Cal. ed PG&E .v /Terf7ril—Y Gas Serv. r 6 Called PG&E A 'JOB FINALED COUNTY OF BUTTE 1 [DEPARTMENT OF PUBLIC WORKS BUILDINGINSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING selDacK Firewall Soil Piping Forms Parapets 1st.Floor Main Bldg. Restroom Finish 2nd.Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage - Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicapel Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final rootings I Footing I ELECTRICAL Stucco Final Subpanels Mesh MECHANICAL 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 WQ131LEHOME INSTALLATION - - - - - - -.- - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS ONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 62, North Park. Subd. , Ch co (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Pj Fdn. Walls ,yg Floors N/A Walls R11 Ceiling/Roof R22 Ducts A* Circulating Pipes_ APPROVED HEATER APPROVED WATER HEATER v GLAZING: Single Glazed Special (Insulated)y.4 CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. v BACK DAMPERED FANS ✓ INTERMITTENT IGNITION DEVICES A,,4 CERT. APPPLIANCES w• • I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED' IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF,THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name N_TCHOLSON INSULATION INC. (please print) Signature of . Insulation Applicator State Contractors License NP. 212461 General Contractor/Owner Name (� Ce - ork QeW S please print) Signature of �QQ General Contractor/Owner �_ LTJ Date State Contractors G License No.— 3 6 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTYWTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 POO/APPLICATION AND PERMIT -� Receipt White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Building permit expires Date Date BUILDING Owner 1&14 S�(�- � SQ. FT. OCC. BUILDING VALUATION Mailing Address C _ cc) (-16 h� � i Contractor DWA) L Mailing Address Fireplace Total Valuation Telephone No. P ee Building Address Plan Checking Fee&/ enalty a Permit Fee • I PLUMBING No. @ I FEE 51W n PERMIT FILING FEE $3.00 Each TraD 1.50 �j ,1 /p� AbP-ri+ P SUIJ (p G(�{ Ct) Repair drainage or vent piping 1.50 A. P. No. C44` POCT� -� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es 1 4/6. 8arti-tat7erl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans I Parcel Declaration Parcel Ma P 60' R/W Im provements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd rcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ P•-&) to'? -R) Pte, MTiL3gW ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 600V OR LESS 10o AMP LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCVP. 4') 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRES,., -OUTLET NON•RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .& NON•RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES) 50 @ 25¢ BAL @ ? Ex. Occup.FIXED APPLES. OR �OUTLETS (RESI D.) 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 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the abo - ned p perty for inspection purposes. Date a ... Land Development Fee $ TOTAL PERMIT FEE is 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 Receipt White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Building permit expires Date Date