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HomeMy WebLinkAbout007-450-070T Alvinc r 570 Waterfo r., lot 70, North Park Sub, Chico - - contr-. Webb` Bros' Co Chico Permit #3922-80B P new family) v contr: Bros.Const.,. Chico Per 1#4503-81B(lst iene4al for = ermit w��3922-80)---_.•••r Kt,• .,-w.. ' .._ - i�r' }c�`. Ted Blofsky . .. 570 Waterford�•Drive, Chico F 5 Permit # 1371-82B,,P,E (ele and Gas for ' =spa and deck and cover)SF contra Carefree Pools, Chico B07-0737K� 007;450-070.t' MISCELLANEOUS" HVAC Change Out ' INSTALL GAS,PACK 570 WATERFORD DR ' _ JOHNSON, CYNTHIA L (P''g k row � BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 4 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) 5382140 Website: www.buttecounty.net/dds 1 Permit No: B07-0737 Issued: 04/09/2007 Address: 570 WATERFORD DR Area: CHICO Owner: JOHNSON, CYNTHIA L APN: 007-450-070 Applicant: DEER CREEK HEATINGMap Page: Permit Type: HVAC Change Out Description: INSTALL GAS PACK ALL PLAN REVISIONS MUST BE AP�RO Inspection Type IVR INSP DA E 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 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 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: VED BY THE COUNTY BEFORE PROCEEDING t ,l 1 Inspection T pe 1 IVR I INSP I 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 no Manufactures Date o ufacture: Q (TE -rAc M umber: S bers: Lenoffi x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 l _rroject rinai is a uermicate of occupancy for Wesiynaawniy) _ PERMITS BECOME NULL AND VOID t YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspectory Copy COUNTY OF BUTTE .......................: BUILDING DIVISION .; DEPARTMENT OF DEVELOPMENT SERVICES +` 7 County Center Drive • Oroville, CA • (530) 538-7541 t' CORRECTION NOTICE =N ,_ic.,14.,/_7 7- 072;z OV1%IGER PERMIT NO. tr -jJai 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 I)AQany questions pertaining to this matter, or need additional explanation, please contac a Building Inspector as indicated below. i/X d' ✓Vb'7 �/-"id �vTGcJ-- h7 iii✓. -' Date Inspector c REV 4/05 Phone # FOR RE -INSPECTION CAL_ L::�538-7636 OR 891-2834 I. 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: 570 WATERFORD DR Owner: Permit No: B07-0737 APN: 007-450-070 JOHNSON, CYNTHIA L Issued Date: 04/09/2007 By GLB Permit type: MISCELLANEOUS 1791 ROTH ST Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 04/08/2008 Description: INSTALL GAS PACK Occupancy: Zoning: R1 0( Contractor Applicant: Square Footage: DEER CREEK HEATING & AIR DEER CREEK HEATING & AI Building Garage RemdUAddn PO BOX 171 PO BOX 171 VINA, CA 96092 VINA, CA 96092 (530)839-2545 (530)839-2545 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2549 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires DEER CREEK HEATING 8: AIR 865703 / C10 / 10/31/2007 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, 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 X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 04/09/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 Contractors License WORKERS' COMPENSATION DECLARATION 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 ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are notintended 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 performance of the work for which this permit is issued. 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 of the Labor Code, for the I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractors 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 Carrier: State Fund 1838947 10/01/2007 Policy Number: Exp. Date: Contractors License Law.). (This section nee not be completed if the permit is or one hundreddollars ($100) or less. El IAM EXEMPT under B. & P.C. for this reason: ❑Section 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 Califomia, and agree that if I should become subject to the workers' X 04/09/200 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 04/09/2007 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, 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 rules, regulations, and Slate 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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 owners behalf. 04/09/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. ❑Agent for Owner DAgent for Contractor INSPECTOR COPY Lenders Address City State Zip Certificate of Compliance Prescriptive Method - HVAC-onlv Alteration CF -1 R -ALT ProtectItie: ¢� ® I V Car ate: .� © CaICERTS 2005 ,:.:;. ;_i;:; n orcein.y- sel..n ..:..:.:.:.:. go - Project Address: s7o wilar-&A--br lop Cli mate Zone: - - - Documentation Author: Lf Telephone: Plan Check bate - Company Name: ./ Check -:11Gate t"ieldiN. .:i: IG:F _ 7.1 IMPORTANT: This CF -1 R -ALT for is only for use when an HVAC -only al leration is made to an existing home Use one form for each system being altered. This is system #—L— 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. Dud 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 CF -4R 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 will be Installed with TXV(RCA) AND added dud 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. 15 1 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 J\ 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. t 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 isnot 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 ❑ Ilf lines 11, 12, 13,14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 1& If =more 40 feet of duct is being installed or, replaced, duct R -value must meet or exceed Package D requirements. 27 less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Sectio 6 - see next page vcFaF�n vv-Fv-vv � . This form can only be used on projects being verified by CalCERTS certified raters. • b l Nage 1 of 2 www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title. i 5 0 r &E Date: IV OCaICERTS2005 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 mattype/location and meet or exceed etTicienciesM-values. 28 Configuration: O Split system Z ackage Unit 29 ❑ Air Handler L Mas furnace. AFUE: OHeatpump FAU OHydronic FAU OOther 30 ❑ Heat Exchanger 31 ❑ Outdoor Condensing Unit OA/C OHeatpump JEfficiency SEER/HSPF: EER (if reqd): 32 ❑ Cooling or heatino oil OAIC OHeatpump OHydronic 33 Ducts Location: Length (R): R -value: Air Mandatory measures apply to any altered component. SeeMF-1R-ALTTorm. 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: ACompany Name: - IV tLo Address: Name: I t % -Vey�k � City/State2ip:dress: I Phone: City/State/zip: 14 &oq �-- P e: Signature: Signat . Enforcement Agency (Building Department) Not m e Name: Title: Department: Phone #: Fax #. Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, 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 Gose permit. Copies to home owner, enforcement agency, installer. The CF4R sam le group shall not be released until all testino and verification is completed and Passed for the entire rour). Tan'� -WU Page 2 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' Date: O 2005 CaICERTS 60 narintt?EnrdrClirneMA lls@On utrnrnn Project Address: Climate Zone: Plc�nU Tlr fc 11 Un Ir 11 1- 411 411 -11' aWialrly ReiMtiih.,� ., ,57 nrr v t rl ev ul n _en: u An; 11 1 n n u nr 'An' Y .RTI' � I AU R 1n1 Installing Contractor: 5, [//✓' Telephone: p4nChalttiUel.: "i Z. nnnrt nal rtnnRrtn :nnn arnnn Rnnn nnnRnnnn RR Inn rtnnrar nnrtnnunrt nn Tllr nnntt tta wr .nrtunm lmrnttn me nnnm rot n nvutt nnrlttnitll ^tt vttvatttturlttttnnun tt„rnl Company Name:beer�r&k NeA gq e 4 t / r ki.ld dlwowd5a6. n.� > n a f1tt uft ntt tt nv nrt nrt rl.. n ntl.nre n n a nn nn ne aa.mt ttn nttttrcv utttturltttnv uttttuvmt tta an nn Ann AURI Rn URR n3aRn IRnAnnrt Rn]IIT 'A„UA RnnnnlTAnn nrtAin Nn nnnAnnRnM>NR I n. IMPORTANT: This CF 8R forth is oj& for use when an HVAC- IaIterati n is made to an existing home Use one form for each system being altered. This is system 8 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 lypellocation and meet or exceed efficiencies/R-values from CF -1 R. Equipment Type Manufacturer Model Number Efficient Load” Capacity— apacit —Furnace Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fen coil N/A Other FAU Describe Package gas/ACAFUE � 717 14 ofQO ✓ r SEER v 3 31O W Package heatpump HSPF SEER EER* A/C 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 heating. TXV: ❑ If TXV is required by the CFAR form (line 23 on CFAR-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 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 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 specifie lion 150(.) of the 2005 Building Energy Efficiency Standards. s io SigWed<nsiallerr V Date: Notes: versrun vri0-uo Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.c.alcerts.com r� Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title: l ;50 c Date: '/- w © 2005 CaICERTS IMPORTANT: 3his 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 #___` of i 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 I Pre-test leakage: CFM25 2 1 Line 1 x 0.4 1 -7_0, target 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: 3-0 tons x 400 CFM/ton = 8O CFM 4 Heating: Furnace output Btuh x.0217 CFMBtuh = ?j 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: I —LO 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 = 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 -1 R form. 10Seal all new connections with approved materials. 11 No newly constructed portions of the system can have unducted building cavities to convey system air. 12 1 If adding or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 6 - 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 ❑ If line 13 Is less than line 8b, house passes the 15% leakage requirement Go to Step 9. 15 ❑ 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 Seating is required. Go to Step I 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 = CFM25 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 Al Install required label per ACM Appendix RC, Sections RC.4.3.5. Step 11 - Smoke Test and Visual Verification (See 2005 Residential ACM Appendix RC, Sections RC 4.3.5-7) 23Perform smoke test r 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. HE S 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 socessable 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 Spmpling - 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 be 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 va- I u -u0 Page 1 of 1 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Ca10ERTS - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF -4R 570 Waterford Dr. - Chico, CA 95926 Deer creek Heating and Air / 865703 Project Address Contractor Name / License No. 807-0737 Contractor Contact Telephone Permit Number Joe Sinclair 530-86S-4214 60321 HERS Ra Telephone Sample Group Number April 20, 2007 CC14-1798400903 9 Date Certificate Number Firm: Sinclair Air Duct Cleaning HERS Provider: CaICERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Orland / CA 195963 Copies to: Homeowner, HERS Provider and Building Department _ This CF -4R has been registered with the CaICERTS® registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO Is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was n Tested L-14pproved 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 do tested compliance requirements as checked on this forth. The HERS rater must check and verify that the new distribution System Is fully ducted and correct tape Is used Wore a CF -4R may be released on every W:ggC 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 instailer has provided a copy of the CF -6R (Installation Certificate). New DistrlbutJon system is fully ducted (1.e., does not use building cavlues as plenums or platform returns in lieu of ducts). New systems where doth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with doth tlarJrsrl_ nlhl»r arlhomiwa A.rt Pana M Baal Iaak.c at .ii -t ­nMl.. INIMUM REQUIREMENTS FOR DUCT LEAKAGE 7EDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 0 ft fc3ted backage flon ii eFM. N/A 2 Fan flow: Calculated (Nominal ti Cooling C) Heating) or G� Measured 1302 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: Pro -Test of Exlsdng Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 514 S 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 27i 6 Enter Reduction In Leakage for Altered Duct System (Line 4 - Line 5] - (Only If Applicable.) 7 Enter Tested Leakage Flow In CFM to Outside (Only It Applicable) 8 1 Entire New Duct System - Pass if Leakage Percentage < 6% 1 100 x ( Line S / 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 <a 15% 1 100 x ( Line S / Line 2 )]: 20.009A6 Cp71� ElPasS 9 Fall 10 Pass If Leakage to Outside Percentage <- 10% 1 100 x ( Line 7 / Une 2 )J: ❑ Pass ❑ Fail ass If Leakage Reduction Percentage 60% 1100 x ( Line 6 / Line 4 11 P )] and Verification by Smoke Test and Visual Inspection ❑Pass ❑Fall 12 Pau if Seating of all Accessible Leaks and Vertflcatlon by Smoke Test and Visual Inspection 0 Pass ❑ Fail Pass If One of Lines #9 through #12 pass e Pacs ❑Fail haps://www.caleeris.comlccrtificate_print.chn?lots=0,60321&UseCF4R=l&cert type id=... 4/23/2007 T -d ssslsseoes .1teTautC dor Pi6c!cn in c' _,.,1.. Ca10ERTS - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page i of 8) CF -4R S70 Waterford Or. - Chico, CA 95926 Deer creek Pleating and Air / 865703 Project Address Contractor Name/ License Aro. 807-0737 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 60321 HERS Ra Telephone Sample Group Number April 20, 2007 CC14-1798400903 Signahme Date Certificate Number Firm: Sinclair Air Duct Cleaning HERS Provider:CaICERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Oriand / CA / 95963 Copies to: Homeowner, HERS Provider and Building Department This CF -411 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 0 Tested CApproved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verlflcaUon, I certify that the house Identified on this form complies with the diagnostic tested compllanme 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 i&slgd. building. The HERS rater must not release the CF -4R until a property 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 (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where doth backed, tubber adhesive duct tape Is Installed, mastic and drawbands are used In mmbinatlon with doth earlrpd_ nshhpr adhn it iftut taop to Saul Ipairc at duet mnnartinnc IMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pal Measured Values 1 N/A 2 Fan flow: Calculated (Nominal L Cooling ) Heating) or ' Measured 1302 Enter Total Fan Flow In CFM: 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Furter Tested Leakage Flow In CFM from CF -61t: Pro -Test of Existing Duct System Prior to Dud System Alteration and/or Equipment Change -Out. 514 5 Enter Tested Leakage Row In CFM: Final Test of New Dud System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out., 271 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 Entlre New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Une 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- -3 Pass If Leakage Percentage <= 15% [ 100 x ( Line S / Line 2 )]: 20.00% ❑ pass 0 Fail 10 Pass if Leakage to Outside Percentage <= 20%1 100)c ( Une 7 / Une 2 )J: ❑ Pass ❑ Fail 11 Pass If Leakage Reduction Percentage >- 60% ( 100 x ( Une 6 / Une 4 )] and Verification by Smoke Test and Visual Inspection ❑Pass C1 Fall 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ® Pass ❑ Fail Pass If One of Lines e9 through f112 pass 10 Pass ❑ Fail https://www.calcerts.cornlccrtificate_print.cfm?lots=0,60321&UseCF4R=I&cW—type id=... 4/23/2007 I'd S99TS9806S itelouls 00C ells:60 LO EZ -Add 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: 570 WATERFORD DR Owner: Permit NO: B07-0737 APN: - 007-450-070 JOHNSON, CYNTHIA L Issued Date: 04/09/2007 By GLB Permit type: MISCELLANEOUS 1791 ROTH ST Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 04/08/2008 - - - Description: INSTALL GAS PACK Occupancy: Zoning: Rl 0( Contractor Applicant: Square Footage: DEER CREEK HEATING & AIR DEER CREEK HEATING & Al Building Garage Remdl/Addn PO BOX 171 PO BOX 171 VINA, CA 96092 VINA, CA 96092 (530)839-2545 (530)839-2545 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00. Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2549 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER 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 exempt from the Contractor's License Law for the'ollowing 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 1 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 ' ision 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 and a of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 1 04/09/2007 a civil penalty of not more than five hundred dollars [$500]; C tf or's Signature Date Please check one of the following: 4 ❑ 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 WORKERS' COMPENSATION DECLARATION 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 ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' 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 COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; The Contractors 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 State Fund 1838947 10/01/2007 Cartier: Policy Number: Exp. Date: Contractors License Law.). ' (This section nee not be completed if the permit is or ons a hundred dollars ($100) or less.) ❑ IAM 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 04/09/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 04/09/2007 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 Stale laws relating to building igna aDate WARNING: FAILURE SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP FU ONE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the abov esti p ' n purposes. I hereby certify that I am the , pro y oKer or am au arty owns behalf. CONSTRUCTION LENDING AGENCY 04/09/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name errffitteW IS -P—rin—f—_Date the performance of the work for which this permit is issued. (3097 civ. code) Owner LJ Contractor OR. E]Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name 150 /_f (�W First Name Mailing Address 94` City State/0 C__, Zi Phone Fax E-mail E-mail APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number TMN 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..b1� BIN #. PROJECT LOCA��TIION nn AP# a ` v�V ert ress City WORKER'S COMPENSATION Policy Number Carrier 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 OAF WORK: /" & Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): tJ For office use only: Zoning Flood Zone SRA I Yes I -�lr: Occ. Type Const. CaICERTS - Certificate CERTIFICATE 570 Waterford Dr. - Chico, CA 95926 Project Address ] Page 1 of 1 AAR2� 5 7 IG (Page 1 of 8LFTiY-J�WPAAZ'4F CF -411 creek Heating and Air ictor Name / License No. B07-0737 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 60321 HERSRa r Telephone Sample Group Number - Z Joe-, April 20, 2007 CC14-1798400903 Certi g Signa re Date Certificate Number Firm: Sinclair Air Duct Cleaning HERS Provider:CaICERTS, Inc. Street Address: 6360 County Road 12 r. City/State/Zip:Orland / CA / 95963 Copies to: Homeowner, HERS Provider and Building Department This CF -411 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 0 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 -411 may be released on every tested building. The HERS rater must not release the CF -411 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 -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 dud tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive dud 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 EroiterTested beekage Flaw N/A 2 Fan Flow: Calculated (Nominal 0 Cooling 0 Heating) or 0 Measured f :, ,. 3 - ,. , Enter Total Fan Flow In CFM: - 1302 , 3 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 '514 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System 5 271 for Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System [Line 4 - Line 5] - (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 5'/ Line 2 )]: ❑ 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 <= 15% [ 100 x ( Line 5 / Line 2 )]: 20.00% ❑ Pass © Fall 10 Pass if Leakage to Outside Percentage <= 100% [.100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail it Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line_ 6 / Line 4 )] ❑Pass 11 Fail and Verification by Smoke Test and Visual Inspection PE2Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection 0 Pass ❑ Fail Pass If One of Lines #9 through *12 pass 2 Pass ❑ Fail BUTTE a COUNTY ;jEVELOPNIE�T SERVICES https://www.calcerts.com/certificate_print.cf n?lots=0,60321&UseCF4R=1&cert_tICES=... 4/23/2007 PERMIT NO. 1371-82B,P,E o PERMIT EXPIRES OWNER Ted Blofi�kq CONTR. Carefree Pools, Chico ASSESSOR PARCEL.-, 44-74-70 LOCATION 570 Waterford Drive, Chico (d'l Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FI AL > (Date) _ ���i��� Signature i zti A a. } PERMIT NO. 1371-82B,P,E o PERMIT EXPIRES OWNER Ted Blofi�kq CONTR. Carefree Pools, Chico ASSESSOR PARCEL.-, 44-74-70 LOCATION 570 Waterford Drive, Chico (d'l Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FI AL > (Date) _ ���i��� Signature J = OK e 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOI'q- o * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'- 1. Zoning Requirements—Setbacks—Easements 4 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete __ 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors. 7. Utility Clearance 7- Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI. Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date _ POO (Plans) OK except a's - Setbacks—FaafflffajR- 2. Footings; Size—Spacing—Marriage Line oils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. — ns—Thickness—Dead Men—Lining _ 4, and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector—GFI 6. Water; MH Test—Regulator—Connector .6e--E2e Enclosures; Conduit4Eelies—Teraiift�Lislad- 7. Water and Sewer Connected—C/O to Grade—HD Approval Bon Metal w/5' rculatin E ui me ease i 8. Gas and Electricity Tagged Alec.; GFpt tditlg; ER�'—Circula k6 Equip.—Ree# . rE!osures-Paae4bi3gr'ds—Ins. to Maier -i i Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9-+fea+th Beparfinent Approval umb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI V Date��l��L Card -BI Date Card B-1 Date Card -BI Date Card -BI CY Date /Or— %_fl�ard-BI Date J = OK , 0 = Not OK = Not'Applicable = Vi Ready RESIDENTIAL (Single and Duplex) �k , Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements ty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 49 --,Ext. Boors -One 3' -Check Garage -3rd story, 2 exits se. Ste�Width-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth t6wilTywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Ging-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 533 Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7. Piers -Fireplace Ftg.-Steel 8. D. V.: Fall -Fittings -Test -2 w y C/O -Sewer Test 54: -Glazing Area -Glass Protection -Skylights -Plastic 56r -Shear Walls; Nailin -B is as Pipe: Size-Anchorst�GD�f „'7 10. Water Pipe; Test-Anchors-Regulat Service Test - s�-t 1 leciric; Underground 12. Plenums &Ducts; Clearance -Material upport-Ins. 13. Girders -Sill nchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI &2 Date , yr�� Card -BI Date Card -BI <30' DataCard-BI Date Date FINAL (Plans) OK except #'s _.56.-&M_S "s -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 591. eke -B ctor 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 58--FunTace-,,-Vents-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59-- eew Exiting 17. Shower Pan; Test, First Floor -Tub Access 60--G-94, B Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access &1_-E4ee.-+rmT-& Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62-- Stairs -& Rails _ 63 e; Clearances -Hearth e oo anal; Int. & Ext. Card -BI Date Card -BI Date e; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date E ^---ptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s Sw i ng- Land i ng -C loser age -Damper s -Clearance -Comb. Air-Connector-P.R.V.- Iry�aragerAdeve Floor-Mech. Protection {� Mech. Equip. Listed for Location 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled arage; (G.F.I.)-Romex Protec. - in Attic E:) Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 on -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 ole Door -Drainage & Wood -Earth Clearance Lnokeg-dader Ioor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 7 .: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Rlaraet;4� 0 N h 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, - ces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78, ,-Appliance-Firepl.-Clearance to Opngs. 7 nect, Electrical, Plumbing 8 •F.I. Receptacle -Underground Card B -I Date Card -BI Date B#,--V4R iiatM throughout House Card B -I Date Card -BI Date B3.-G4ess4aFe4eetion Date MECHANICAL (Permit) OK except #'s _ revious Inspections ?� T�c;--�!c; c ? - a; Gas -Electric 31. A.C. Ducts; Insulation & Support .35.--Weter&-Sewer Connected -C/O to Grade -HD Approval _ 32._ Vent Fan; Exhaust above Insulation 8&,--&1ef@y-6empliance Certificate -Other Certificates _ _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 - -- Card -BI Date i Card -BI Date Card -BI -_ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36-S 14,.Proper Material & Anchors Comments at Final: 3+__Wa4&,-6tuds-Nailing, Spacing & Bracing -Plates -Sound 38.-8Qacizq-Walls over Girders & Floor Nailing___ 3G_ Q4aSL&top in Walls (rat proof) _ re St s; Furred Ceilin s -Staff Chases -Tub ?itil //ers-Post Header _ Beam -Size &- aps nchors-Connectors --- Ing. Joist Purlin-Root Brac. -Truss-Shthnq. ce Ties or Type A Flue -Fireplace Throat - 43"-A44o Access; Size & Romex Protection -Draft Stop -Ins. Baffles d8 indo_ws or Exiting Doors -Sill Hgl. & Dimensions 4W, --Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - Department of Public Works' 7 County Center Drive, Oroville, CA.•' 95965 Phone:'916-534-4541 OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection, you should -be aware that as "owner -builder" you.are..the responsible party of record on -such a permit. Building permits are not required to be signed by property owners unless they are ,personally performing their own. work. If your work is being performed by someone other than yourself, you may pro- tect yourself from possible liability if that person applies for the proper permit .in his or her name. Contractors are required by law to be licensed and bonded.by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits -for which they apply. If you plan to do your own work,.with the exception of various trades that you plan to subcontract,,youlshould'be aware of the following information for your bene,, fit and protection: If you employ or otherwise engage any persons other than your immediate family, J. and the'work (including materials and'other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. . If you.are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes,.workers' compensation insurance, disability insurance costs; and unemployment compensation contributions... There may be financial risks for you.if you do not carry out these obligations, .and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, `contact the'Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Depart- ment of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not.licensed con- .tractors.-are on- tractors_are allowed to perform their work personally or through their own-emplijyees, without a licensed contractor or subcontractor, only under limited conditions.. A frequent practice of unlicensed persons professing to be contractors is to - secure an "owner -builder" building permit, erroneously implying that the property owner. is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about.licensed contractors m tors State License Board in your community or Please complete and return the enclosed we can confirm that'you are aware of these ma issued until the verification is returned. JFG: da:. Enclosure ay be obtained by contacting the Contrac- at 1020 N Street, Sacramento, CA. 95814. owner -builder verification form so that tters. The building permit will not be Very truly ours, J.F. Glander Chief Building Inspector NOTE: This Owner -Builder Information is sent to you as required by Section 19830 of the California Health and Safety Code. I "70��- C�f� ,Fw l✓' f/oma �D D� �.JJe'�o%vt GA1jll �GcJi Z:� 'V/Op i,� Ul/ OL COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR T,ARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o CONTRACTOR'S NAME LE PHONE L CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER > UNKNOWN Total Valuation $ Fee LENDER'S MAILING ADDRESS Filing $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDINP­ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system I - 5 outlets USE OF STRUCTURE Building sewer Lawn sprinkler system SF Duplex F� MobilehomeF� Other SPECIFY �EOO I TYPE OF WORK Permit Fee $ New ❑ Addition EY' Remodel[:] Utilities[:] Installation[D Other ❑ Contractor Describework: el° ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS main service 100 AMP OR LESS 5.00 Main service EA_ ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW NEW LE -OUT CONSTFI T N.RESI., (MULTI U I declare under penalty of perjury (check one): NO BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &I NON-RESID.- -SINGLE OUTLET CIR. F❑T I am licensed under provisions of Chapt. 9, Div. 3 of the Business 50 @ 250 and Professions Code and my license is in full force and effect. Ex. OCCUP(OUTLETS OR FIXTURES BAL@I(X (OUIXED APPLNS. OR License No. Classification Ex. Occup. TLE TS (RESID.) EAJ 2.00 ❑ 1, as the owner, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 0 1, as the owner, am exclusively contracting with licensed contract- 7.50 ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Fi I ing Fee 10.00 I declare under penalty of perjury (check one): Heating F-1 The permit is for $100.00 (valuation) or less. ---I have placed on file with the County of Butte Building Department —Coo I i ng a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Hood 3.00 ❑ I shall not employ any person in any manner so as to become subject Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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 sY Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ t�' 4f I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. GROUP TYPE OF 7o- ST. PARCEL PD HO7 ISSUE _x all liabilities, judgments, costs, and expenses which may in any way accrue against -_§aid County_in, consequence of the granting of this permit. This permit is hereby issued under the applicable provi7 X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant OWnerE] Contractor _Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR)/OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By- Date WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PEPMIT EXPIRES Date ASSESSOR T,ARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o CONTRACTOR'S NAME LE PHONE L CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER > UNKNOWN Total Valuation $ Fee LENDER'S MAILING ADDRESS Filing $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDINP­ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system I - 5 outlets USE OF STRUCTURE Building sewer Lawn sprinkler system SF Duplex F� MobilehomeF� Other SPECIFY �EOO I TYPE OF WORK Permit Fee $ New ❑ Addition EY' Remodel[:] Utilities[:] Installation[D Other ❑ Contractor Describework: el° ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS main service 100 AMP OR LESS 5.00 Main service EA_ ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW NEW LE -OUT CONSTFI T N.RESI., (MULTI U I declare under penalty of perjury (check one): NO BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &I NON-RESID.- -SINGLE OUTLET CIR. F❑T I am licensed under provisions of Chapt. 9, Div. 3 of the Business 50 @ 250 and Professions Code and my license is in full force and effect. Ex. OCCUP(OUTLETS OR FIXTURES BAL@I(X (OUIXED APPLNS. OR License No. Classification Ex. Occup. TLE TS (RESID.) EAJ 2.00 ❑ 1, as the owner, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 0 1, as the owner, am exclusively contracting with licensed contract- 7.50 ors. (Sec. 7044) F-1 I am exempt under Sec.—, Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Fi I ing Fee 10.00 I declare under penalty of perjury (check one): Heating F-1 The permit is for $100.00 (valuation) or less. ---I have placed on file with the County of Butte Building Department —Coo I i ng a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Hood 3.00 ❑ I shall not employ any person in any manner so as to become subject Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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 sY Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ t�' 4f I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. GROUP TYPE OF 7o- ST. PARCEL PD HO7 ISSUE _x all liabilities, judgments, costs, and expenses which may in any way accrue against -_§aid County_in, consequence of the granting of this permit. This permit is hereby issued under the applicable provi7 X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant OWnerE] Contractor _Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR)/OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By- Date WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PEPMIT EXPIRES Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PRIePERTY 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 matte, or need additional explanation, please contact this office immediately. /Jl//T/�Y f%n n � fGa/i ✓J.i r s��. T . Inspector ii� �9 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 lhemo lal Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway arrd Elliott Road, Paradise — Phone: 872-2961, Ext. 57 RRECTION NOTICE / 7` BUILDING OR PROPERTV'AD 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, "eed additional explanation, please contact this office immediately. J Inspector %/ Date �. ! COUNTY OF BUTTE - DEPAAT MENT OF PUBLIC WORKS 7 ounty Center Drive - Oroville. California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT V"o PERMIT AS EL R v ZONING ' BUILDING PERMIT OW _ �• ��5 TELEPHONE SQ.FT. OCC BUILDING VA ATION V efoo.. a OWNER'S MAILING ADDRESS CONTRACTOR0 _'S My/� E _ _ �OO �� G%/��YFIrJ/`�J'riij1% fJ�i��✓ T EPHONE 1-435 co TRA g7r's A[iL�Ir,�ADDRESSJrA)r ^ HA� 64- — �t l.� (-� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2S .00 Filing Fee $ 10,00 LENDER'S MAILING ADD S Permit Fee $ , 1100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $` 71 Penalty $ ARCHITECT OR ENGINEER'S AILING ADDRESS Permit fee $ BUILD( GESS • ATEe — �� ' W /L,lill }l��]C/JI�w PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION N ME 0 -FA(,�p 1 t---- PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets I�t 00 USE OF STRUCTURE SF[20oo<plexF1 Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Rem del ❑ Utilities ❑ Installation[] Other ❑ Describe work: !kS fin— SPS- C J Ccs Permit Fee $ , 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMSLESS P OR 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.y ACL. , 22 sq ft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions�� Classification �'— S� Code and my license is in full force and effect. License No. 3P& ❑ 1, 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 CCONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC Ts 2.50 ea NEW CONSTR. (POWER APPARATUS 61 NON.RESID. (SINGLE OUTLET CIR. 50 @ 28¢ Ex. Occup OUTLETS OR FIXTURES BALP1 Ex. Occup.(OU LETS FIXED P(RESID•)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring iFx 7.50 Permit Fee $ 7&C Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r<have placed on file with the County of Butte Building Department _ 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 10.00 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. 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 agai7=nt=en ce of the granting of this permit. %� Date , o� 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 Gy,'7 OCCUP, GR UP _ l TYPE oP CONS PARCEL . PD H ss This permit is hereby issued under sions ofthe Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY POUT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS /,^ o Date J� 274 Z J-17-7-2.3 Receipt No. Yj WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPAF TMcNT OTF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVkL41!F,'CALIFORNIA 95965 - TELEPHON-: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Uses Permit'No, A. P. No. Permit Fee Basedpond Complete Contract Price f/ DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. 'Fees of $ . . . . . , . . 9./Letter of signature authorizatio . . . . . . . . . . . . �10 Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . , 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Other a When you issue the permit, process as follow Mail t ner. Mail to contractor. Telephone and cold fdr pickup at office. Deliver w/inspector. Other Applicant — n11,LV Date_ Z�oy Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desi Owner)as advised of above required data by _sem By Telephone Mail (her Plans checked Date —� Plans approved by Date Other: Copy—DPW Date TO: '.Building Department � p' FROM Environmental Health, Chico SUBJECT: Sanitation Clearance Owner ? Location AP# Plan approved for: sewage disposal water supply Hold final for:. water supply Final clearance O.K. for: water supply Clearance for bedroom mobile. home. Other. oe Sanitarian Date 1 ,._�.���o _�ovc� Foy :NOTE;—AII Materials & Workmanship Shall Be in =FAdance ' with Reco P-9�. g Mir. ?ro ,BLvryJ'R- r gnized Good Practices and 40 of a quality prescribed for the Specified use in the his set of plans`iand specifications MUST b co�rr�2 /Q6Ro Uniform Building Plumbing & Mechanical C94qt kept on the job a -t all times and it is unlawful tcem,c- G1 S5f &-L make any changes or alterations-oand the National Electrical Code. n same with= � _ oui written permission from the Department Qf Pu lic Works, County of IUttc. .s ./y 6 . A setback of 5 ft, fro- the property lines and a 10&t* d s 7/ t of 50ft. from the rtO'bd . - i centerline shall be cleat o structures or equipment WOW` _ e, -c -7e fare 2 ft, eave ovBirt C I"A 7' u E c71rr��< 1311-S Z BUTTG C UN I y p� 0/3 AUILDING DEpARTMEU,"t --_. ` rVF - J �1 G r `1 M AI ' 0 �I 3 rr � G AI ' � yl` h � yl` 00120.0 C T G � fl.. a F. 0 0 El y a o � W w. W _ n-A.ZZ Q 00120.0 C T G � fl.. a F. 0 0 El P X53 ;'PERMIT NO. • 1 - t PERMIT EXPIRES. ?OWNER Alvinco Webb Bros.Const., Chico 1CONTR. A 44740-9 port. LOCATION (A.P. ) 570 Waterford Dr., lot 70, North Park Sub, Chico t_ tt ,y - Temp. Power Pole Called PG &E " ep Temp. Elec.Called PTemp. Gas Called P JOB FINALED -' � a } (Date) k (Signature) a Scratch COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Service BUILDING BUILDING (Cont'd) PLUMBING Setback 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 i '% Insulation ..,r Water Htr. Heaters Slab Carport Footings Provfor ph slcally handica ed Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings FootingELECTRICAL Ma.sonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh _ MECHANICAL Grd- Fault Prot_ Scratch Heatino 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 OBILEHOME 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.) ,S2 7( V = OK ` O = Not pK - = Not Applicable. = Not Ready RESIDENTIAL (Single and. Duplex) Date UNDERFLOO Plans OK except #'s Date FRAMING (Continued) 1. Z requir s -Se s -E nts a Firewall & Openings 2. ; S -St -Elec. rnd.- / L " Ftg. Depth xt. Doors -One 3' -Check Garag`6--M- Eeptr4. ucits 3. Ga So -teel- / " Ftg. Depth 50 gllq4tai Width Headroom -Rise -Run -Landing -Fire Protection orches & Decks; Soils -Steel- / /" Ftg. Depth I wood on Roof Overhang - Attic nts-RafAsr.Qoh-iggers 5. Ste s, eel-BlooOcerrtT- Wr62iding-N ' '-V•e%@W 6. s, Gar9ge!SteaL BfUckouts-Wr3ppetl= Q ��� to o bjas - ri ed-F4wr4i"s-U"derW, Access place Ftg.-Steel 5 lazing Area -Glass Protection -Skylights -Plastic 8. D. ittiagcLTt;W3 <-v"yC/ ewerTea - ipe; Size -Anchors vuJ 1Q, -Vater Pipe; Test-Anchors-Regulator-Serv' j, Q ,-1k,1 ound 1 c s; Clearance -Material -Support -Ins. 1 s ---Anchor Bolts -Joists -V nts-Crippl s Card -BI j Dat -1 _ Card -BI Date I&MCard-BI Dat 2 Card -BI Date Card -BI Date Card -BI Date Card - l Date - Card -BI Date Sam Date FINA Plan) OK except N's Card -BI Date Card -BI Date D to PLU G (Permit) OK except p' Ext. ps-Door & Sidelight Protection -Landings a Detector Wat t.; \ant --A ombu A Furnac ; Vents -Clearance -Comb. Air -Connector - In ra e; Above Floor -Ducts -Meth. Protection Ike -water Pipe; Test & Anchors -Nail Protection V.; Test-Fttngs & Anchors -Nail Protection 5 e om Exiting 1#v -Shearer -Part; Test, First Floor -Tub Access 6 .I. at tures & Tub Access 1 wer, 2nd Floor -Tub Access g `j Elec Sub aoe ; eaker Sizes L 1 as Pipe; Size & Anchors ai it or S0>a9­Clear es -H h UI c. Outlets at Wood anel; In Ext. Card -BI Dat -=Card-Bl Date 6 i ixt. & i ; G--Air-Cookingarance Card -BI da Date jf�Card-BI Date I . Outlets -&-Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's age Fire Door; Swing- Land in -Closer A.0 Duct i arag Damper /yj Fi Lure & Tr a -Ins. Rrot'ection 3�L� tr. Htr.; Clearance -Comb. Air-Connector-P.R.V. Injjatage; ove Floor-Mech. Protection lLid lec. Receptacles Spacing -Lights & Switches at Doors Iy, Elec. & Mech. Equip. Listed for Location 22r-6+xe­B"oxes & No. of Conductors -Stapled 7 EI c. Receptacles in Garage; (G.F.I.)-Rom Protec. 2 x Installed Close to Edge of Studs & C.J. 724"1 nsu lat ion- Foam- Looked in Attic es 2 quip. Ground made up w/Mech. Fasteners -Bond as ater •9§--frnged=R�s & Deck Construction -Post Caps 5 iance Circuits in Kitchen & Conductor Size 7 dn. Vents & Crawl Hole Do D ina e & Wood -Earth Clearance Loo 'under Floor ubfeed Wire Size /Z / ga. C"."Al-A.C. Wire Size ('D/ ga. Cu or -M ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Vtea ❑No / ollowing instld.: rive ❑ es El No: Walks s ❑ No; PI 9,m6s es No 28. Service -Riser Conductors & G d -Main Disconnect t o; B&,K- F Ks &AV () Z6 JZ_ 28 --Equip. Clearances; Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ge.es Closet Light -Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. e , Disconnect, Electrical, Plumbing Card B -I 4�i> Dat, k yj Card -BI Date x -ior Elec. Trim; G.F.I. Receptacle -Underground qL,--fieptir6tion throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's I Protection 8 ections from Pre s spe ' G -Meters Gas c t grCz-3s-�L C. Ducts; Insulation & Support a f& Sewer Con ed -C/O to Grade -HD Approval ent Fan; Exhaust above Insulation de nergy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 95r -*t+* -Actress & Platform if Furnace in Attic Card -BI Card -BI Date j�Card-BI Date �%_ Y -. Date Card -BI Date 4 14 Card -BI Dat ' Card -BI Date Card -BI Date epi Card -BI Date _ Card -BI Date Card -BI Date Date FRA G Plans) OK except q's _ Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ r Girders & Floor Nailing_ aft Stop in alls (rat proof) Comments at Final: :w Z d/P/rL - Axc Wc,1/W 4,,f 4 -C14 Z4 A -- _ it ; 4Furred-6eilinga-Sh3ire�CiFa5E5-F+tb� &Beam-Size&Bearing___-Po�s-AnclwrSrCorA,eetcrs_i4aw�-leTe_ed oist-Rf"--+tee -Pwot-@sec.-Tr -Sht .-Rfnq. _ 4 irepfeee-TM9 or Ty Flue-Firepfeee FHFeat Att' ccess; Size & Romex Pro e�t.ien-Draft-&top-Insg:�� 4 Bdr or Exiling Doors -Sill Hgt. & Dimensions _indows arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) J V = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready aj i r '�"� 1 • �, � . , Vri, � •t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3, Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N'S 1• Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5, Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6, Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg, Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date JCard-131 Date Card -BI. Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i RESIDENTIAL. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN ATSTALLED Ili Zo NFO/TC, U Cl�jtRENT F,�I1v ONSERVATION REGULATIONS . (q�ooc ion) BUILDING PERMIT NO. A. P. NO, g-'C� THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge NA Single;Glazed ! v Fdn. Walls NA Special (Insulated) NA Floors_ AIA '.,CERT..,.,&. LABELED WDS. Walls - l \ ?• & 'SLID'ING. DRS. ?� s Ceiling/Roof WEATH•ERSTR-IPPED DRS, r Ducts BACK DAMPERED'FANS V Circulating Pipes* .v INTERMITTENT IGNITION DEVICES 10v APPROVED HEATER APPLIANCES APPROVED WTR,HTR. —� 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 HaWkine InSUJmtion Co Inc Signature of (j(Ple�� print) Insulation Applicator R(\4 nT @ k State Cb-ntractors . v License No, 378407 General Contractor/Owner Namezy y./ Qf, (please print) Signature of General Contractor/Owner C J Date 9AFL, State Contractors License No. _07o23 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. J, . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�7 7 Cpunty.Ceiter Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION,AND PERMIT v ASSESSOR PARCEL NUMBER ZONING- -P&L-DING PERMIT OWNEER TELEPHONE SO. FT.*`10CC.'J BUILDING VALUATION OWNER'S MAILING ADDRESS s CO///���'''���T A TOR'S ME /�[TELEPHONE 7 - ' CONTR C OR•S A%%I ,INGff DDRESS �i C,v/✓/C�D/'L�f Cv Fireplace CO TRUC TIONL NDER , . UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILIN ADD HESS 1493-6 C .• -Permit Fee $ 6 ARCHITECT.OR ENG( EERLIC NSE,NO. Plan Checking Fee $ Penalty - ' $ ARCHITECT OR -ENGINEER'S MAILING ADDRESS • Permit fee $ y(� BUILDING ADDRESS • �` 0/ � PLUMBING PERMIT - • Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ` ' Water piping ' LOT NO. SUBDIVISION. NAME - r PARCEL MAP Each qas water heater or vent 5.00 ' Gas piping system 1 - 5 outlets USE OF STRUCTURE, + SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ : Addition ❑ Remodel ❑ Uti Iities ❑• Installation ❑ Other Describe work: ;// �GciliZ 40_, — �—�d " s . Permit Fee $ Contractor ' ELECTRICAL PERMIT. Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y) OR ADDNS. 1 ACC. BLDGS. _ 22 sq ft • - CONTRACTORS LICENSE LAW I declare nder penalty.of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions /Cod and my•license is •in full rce and effect. ' License No. Q 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. (Seo. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec: 7044) , ❑ 1'am exempt under Sec. ,:Business and Professions Code for this reason NEW CO (DTR. BRANCH TLETITS 2.50 ea NEWCONSTR POWER APPARATUS D - NON .RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 OC FIXED APPLNS. OR 'Ex. Occup. (0UTLETS (RESID ) EA.) 2.00 Temporary service •10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under, penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F,-_I,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. ,I Heating Cooling Hood 3.00 Ventilation ' permit Fee $ ' Contractor I certify thathave 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,liabi (ties, judgments, costs, and expenses which may in any way accrue agains said. County in consequence of the granting of this permit X Date ' Signature of Applicant— Owner ❑ Contractor .Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -(RECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 90,00' OCCUP. GROUP TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of. the Butte County Code and/or work indicated above for which OF PUBLIC BY PERMIT t the applicable provi- resolutions to do fees have been' aid. P WORKS p Date%%'�/J Receipt -No. ���3.��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - via .. -.. •- `.x,:. PUBLICWORK TERMIT NO. 11 Telephone 916/X5-4541 _ APPLICATION AND PERMIT ASSES OR PARCEL NUMBER ZOIVING-21 BUILDING PERMIT OWNER VA ♦ TELEPHONE SQ. FT. OCC. BUILDING VALUATION .� OWNER'S MAILING ADDRESS C N7RAC TOR'S NA- TELEPHONE CON A OR' MAIL G AQDR ESS I EJ b I NS UC ON LENDER UNKNOWN- A ' Fireplace V Total Valuation $146016 LENDER'S MAI INC t.JDRESS CnlylJ Permit Fee $ � ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ 41-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Qti Repair drainage or vent piping 2.00 Water piping LOT NO. S BB�IVISIO NAME /V (`� r V7&ArL PARCEL MAP I Each Qas water heater or vent 2.00 t� Gas piping system 1 - 5 outlets USE OF STRUCTURE �p.-?J(p �—/ SF L� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer tDyo Lawn sprinkler system 2.00 TYPE OF WORK New � Addition ❑ Remo V ❑ Uti Iitie�-s�❑1 Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. ( ACC. BLDG ) 20sft q CONTRACTORS LICENSE LAW, I declare under penalty of perjury (Check one): ) 0-1r am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns. e and my license is in full fOrge and effect. -' IS 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 -OUT LET NON-RESID. BRANCH CIRCUITS2.50 ea NEW CONSTR. (POWER APPARATUS 8) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 50@� BAL212s Ex. Occup. (OUTLETS FIXED P(RESID )REA.) 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.(/0_P1 � 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 000 1 /4 Cooling 37- 16"00 Hood 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in con equence oft ranting of this permit. c� %� Date / r. �� Signature of AP31 Owner❑ Contractor Agent ❑ An OSHA permit is required for excavatio s ,pr 5'0"deep and demolition or construct- ssfin height. ion of structures over 3 stories Mobile Home Installation Fee' $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, JP7LJ;/J Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By.Date P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS l2 Receipt No. / c7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK- SPE.CTOR, GOLDENROD -APPLICANT NOTE:= -All Materials & Workmanship Shall Be in Accordoncq with Recognized Good -Practices and Of a'=quality.prescri6ed for the Specified use in the Uniform Buildink, Plumbing & fviachanical Codes and the National;—El.e4racal Code. h� This set of ° plans and specifications MUST he kepF on the iob at all times and it is urJawful to made onv changes or altnratiens on some without written permission from the Department of Public Wourks, oun of Butte. -100 f.l�O �+r I — -ra.j wtk .. 40,i is j _�� N ens fit:: W 20ThE.ar•� -,i4 j P. U•E. WNW A setback cf 5 ft. from the L�taF property lir es and a setback of 50ft. f roi n the road �Ir' centerline s iall be clear of - AVATEfZ 0 structures o equipment'excepf for a 2 ft. a ve ovieftrig. See Masfer Plan on file for building G6-7� . _ . 392 Z- 8o ;4 �tcczctc�' J6T'fV OUNTY._ BUILDING DEPARTMENT APPROVED