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HomeMy WebLinkAbout021-250-0084 NOTES RESIDENTIAL PERMIT NO. — 021-L50-008 04=1263-` STEFFEN, THOMAS 1370 RICHINS AVE, GRIDLEY Cont: OWNER REMOD 13A,KTCCHN,I7WINDOW+ --47/,f - 3 - SPECIAL CONDITIONS i CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r -17 GAS i I! i Meter By Date, OFFICE COPY Address -17 GAS Meter By Date, ELECTRIC Meter By Date 4✓ JOB FINAL ED (Date) 4 Signature J=OK 0 = Not OK Not . = NotReadyabte Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Gas; MH Test -Demand -Valve -Connector 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Water; MH Test -Regulator -Connector 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation Cert. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 11. 7. Well Clearance & Disconnect 8. Utility Clearance 10. 8. Gas and Electricity Tagged 11. 9. Exits Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 3. 1. Zoning Requirements -Setbacks -Easements 4. 2. Footings; Size -Spacing -Marriage Line 5. 3. Blocking 6. 4. Gas; MH Test -Demand -Valve 7. 5. Electricity; MH Test 8. 6. Water; MH Test 9. 7. Water and Sewer Connected 10. 8. Gas and Electricity Tagged 11. 9. Exits 12. 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f . J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. Insulation -Walls -Ceilings 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 66. 17. Water Htr.; Vent -Access -Combustion Air Baffle 67. Bedroom Exiting 18. Water Pipe; Test & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Date Card B-1 Date Card B-1 Date 76. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 24. Fixture & Transformer Clearance -Ins. Protection Plb.; Elec. & Mech. Equip. Listed for Location 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Clearance Looked under Floor ❑ Yes 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes O No 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 89. Ventilation Throughout House Date Glass Protection Card B-1 Date Card B-1 Date Corrections from Previous Inspections Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Fin Ab 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 PERMIT NO. BP041263 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 021-250-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1370 RICHINS AVE GRI Date: Contractor: Map Index: Description: Remodel ba, kitch, 17 windows, drywall, rewire OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a STEFFEN THOMAS D & CINDY L permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 1370 RICHINS AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9511 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).): 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEEPEN THOMAS D &CINDY L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of t e Busine nd Professions Code Date:,5 _-v� Own WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to Valuation' $0.00 ' become subject to the workers' compensation laws of California. Census Code' 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. Dater Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 1 hundred thousand dollars ($100,000), in addition to the cost of� 1 CC compensation, damages as provided for in Section 3706 of the Labor t 1 code, interest, and attorney's fees.�� CONSTRUCTION LENDING AGENCY This it is hereby issued under the applicable provisions of the Butte County Code anrt/or to a indicated for which fees have been I hereby affirm that there is a construction lending agency for the Re" t' work above paid. performance of the work for which this permit is issued (Sec 3097 Civ.)L V Name: BY� Date: PERMIT EX IR S ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duty authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to r upon the above mentioned property for inspectionpurposes. -'-' Signature: Com' Print Nde: z C/%�J t/ - f Date: L a ner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor Ik-. -'_a:. '-. s � � • :.+..'. o.':+r"�-..Ga-a�•4:.�.�'4.:-.,'`ki[ti ilk � ..., w-��i.C+�.w��l`'ta-'1 w�.T*rti-"' 4 COUNTY OF BUTTE BUILDING. -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street,%,C- ico, CA • (530) 891-2751 -' 7 County Center Drive • Oroville, CA • (530) 538-7541 9, CORRECTION NOTICE OWNER PERMIT NO.' A routine inspection indicates that the following violations of butte county Ordinances exist at the €v. above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please cion. act this office immediately. W.. REV 10192 44,555- 1z PWM11,16 P OaXE 0 5u15- P4N&C15 /a - � z ST T DST 15o T# COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF*DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional. explanation, please ct this office immediately. r11Ctl IV/VL 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.netWds PERMIT NO. BP041065 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN' 021-250-008-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 1370 RICHINS AVE GRI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: UPGRADE ELE PANEL, NEW GAS LINES Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEFFEN THOMAS D & CINDY L 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 State License Law (Chapter 9 commencing with Section 1370 RICHINS AVE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9511 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).): V1, 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEFFEN THOMAS D & CINDY L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ lam Exemptunder Article 3 of the Business nd Professions Code Dater Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation (neer: En 9 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code'' 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. (5� � Date: `— ( Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ` 1 CONSTRUCTION LENDING AGENCY This permit is hero y issued under the applicable provisions of the Butte County C P 2nrU_ r I hereby affirm that there is a construction lending agency for the Resolu ns ork ind+c ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: Address: PERMIT EXPIRE N: Da e ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of ButteCountyto enter upon the above mentioned property for inspection purposes. Print Name: / D aYJ ko, (1 ��/� /�-- Signature7 Q 4 Date: ,S--3 wrier 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor J C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636,(OROVILLE) (530)t891-2834 (CHICO) OFFICE #: (530) 538-7541 STC PERMIT NO. BP 164 T DATE: APN: V I ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: u cit C - J PHONE STREET A R V , J19Lr JJ -7: C h v e � irti� �5.� L, CITY, ZIP: � � E-MAIL: SITE ADDR S: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT P APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: -- DESCRIPTION OR SCOPE OF WORK': ------ ❑ Structure Built without permits E3 ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: �S 6 Application Received b� Date: Receipt number: Amount Received: 1 -� Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ............................................ ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ j ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage �f ❑ 26. NPDES Form............................................................................................. ! ❑ ` 27. Encroachment Permit for drfiveway from the Public &Ams Dept ........................... ®/ 28. Pre -Inspection for i� Lam' i required... ❑ 29. Contractor's license in oormation. (Numbe N(n\ Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance ...... ................:................. ....................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant_��"� '-- Date: --% /5-- 0 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET' �._�tJ OWNER:ASSESSOR PARCEL NUMBER v�� • V Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde0o apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ............................................ ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ j ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage �f ❑ 26. NPDES Form............................................................................................. ! ❑ ` 27. Encroachment Permit for drfiveway from the Public &Ams Dept ........................... ®/ 28. Pre -Inspection for i� Lam' i required... ❑ 29. Contractor's license in oormation. (Numbe N(n\ Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance ...... ................:................. ....................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant_��"� '-- Date: --% /5-- 0 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- I OV`J WR -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. . /0 Personally plan to provide the major labor and materials for construction of thero osed P P �roperty improvement: YES$ NO 13HAVE HAVE NOT `signed an application for a building permit for the proposed work. I have c ntracted with the following person (firm) to provide the proposed construction: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portionsof this work, but. I have hired the following person to coordinate, \supervise, and provide the major work: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide he work indicated: A'X ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: O E DATE:_ �/_ /.5 NOTE. This Owner -Builder Verification is required by Section 19531 and 19532 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work: If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apPly- Ifyouplan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs), is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to sevehl 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 cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building perrok erroneously implying that the property owner is providing his or Brown 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 may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, f Ld- ME c 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner-Buflderinformatiun is required by Sectfon 19930 of the California Health and Safety Code- OVER ode OVER rJr. rw�+A+:-4 .-. ,,,. .. �.-..c.. bE—,c.c.s l7`*b..^rxvss-•.�--•.-..., ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R - //W r PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ,-1w<.. PRE -INSPECTION REPORT OWNER: •S 4-r, LOCATION: PI 4) e (�- 9 CONTRACTOR: DATE: 7` 2 3` o q A.P. # ZONING: REASON FOR PRE -INSPECTION C&'1 Com' DATE TO INSPECTOR: "�'3�/ PERMIT HISTORY( ) NONE AEE ATTACHED BUILDING INSPEC'TOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: / Mobile home # of Units: Currently Occupied ( ) Yes No Abandoned/Vacant: Electric: Electric Currently ( ) On ( ff Condition of Electric A/1441/ 'AAS Gas: Currently () O/n ( Off Condition r' Sanitation: Plumbing Worldng (t_�es ( ) No Obvious Sewage Problems ( ) Yes NO ACTION RECOAAIENDED: ISSUE Yes (--'No Hold for permits or verify: , /v'!:" /YJiel%/ G� Inspector: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. RE -ROOF 021-250-008 04-1064 STEFFEN, THOMAS & CINDY 1370 RICHINS AVE, GRIDLEY Cont: OWNER RE -ROOF 27 SQ 021-250-008 STEFFEN, THOMAS O4-1065 1370 RICHINS AVE, GRIDLEY Cont: OWNER MAIN PANEL & GAS CONNEC j. {�f f � r � 1 ( �� c • ,�sa t � ' t� � } •� `� t 1 �` .. f ` * , tom• k , '- r I�i< � , s'��` � �, 1 ♦1•` �1: P 'Mrs fr ��T 1 � r <� i l Y \ ... x''. Y { V "1 � � l '�{ (.'F r,, yy. it m -•i4 d ,s., y � �. } •1 0. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds /ERMIT NO. BP041064 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 04/15/2004 APN: 021-250-008-000 effect. - License Class: License Number: Site Address: 1370 RICH INS AVE GRI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: reroof (27 sqs) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEEPEN THOMAS D CINDY L 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 State License Law (Chapter 9 commencing with Section 1370 RICHINS AVE 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 GRIDLEY, CA violation of Section 7031.5 by any applicant for a permit subjects the 95948-9511 applicant to a civil penalty of not more than five. hundred dollars ($500).): Uv1, as owner of the property, or my employees with wages as their j sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEEPEN THOMAS D &CINDY L such work himself or herself or through his or her own employees, Pp provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). t r ❑ I, as owner of the property, am exclusively contracting with f; licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date:`� Se) 11 I Owner: 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is issued, I shall not employ any persons any manner so as to otal Square Ft: 0 S. F. ,Valuation: $0.00 /i,/ become subject to the workers' compensation laws of California, 1 — and agree that if I should become subject to the workers' /% Census Code: compensation provisions of Section 3700 of the Labor Code, I shall t// forthwith comply with those provisions. Date: Appl' WARNING: Failure to secure workers' compensation coverage is– unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' `ere issued under the applicable provisions of the Butte Cou y Code nd/or I hereby affirm that there is a construction lending agency for the Re ork in icated above for 'ch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: 7 Address: PERMIT EXPIRES O D e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Saf ty Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ofButte Cou�nntt to enter upon the above mentioned property for inspection purposes. Print Na— / D6��!7 Y ZZ_� Signature�% — Date: clflgner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 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.netWds PERMIT NO. BP041064 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 04/15/2004 APN: 021-250-008-000 effect. License Class: License Number: Site Address: 1370 RICHINS AVE GRI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: reroof (27 sqs) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEEPEN THOMAS D &CINDY L 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 State License Law (Chapter 9 commencing with Section 1370 RICHINS AVE 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 GRIDLEY, CA violation of Section 7031.5 by any applicant for a permit subjects the 95948-9511 applicant to a civil penalty of not more than five hundred dollars ($500).): U/1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEEPEN THOMAS D 8r CINDY L such work himself or herself or through his or her own employees, pP provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: O I am Exempt under Article 3�of the Business and Professions Code Date: ` EOwned WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is otal Square Ft: 0 S. F. issued, I shalt not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `t/,/-�c� —G / Date: Appli- WARNING: Failure to secure workers' compensation coverage islI 5,6O unlawful, and shall subject an employer to criminal penalties and one �YY I L(/ hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' here issued under the applicable provisions of the Butte Cou y�Code nd/or I hereby affirm that there is a construction lending agency for the Re ork in icated above for wJYLch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name. By: Date: PERMIT EXPIRES O D e Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Saf ty Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Count to enter upon the above mentioned property for inspection purposes. �, Print Nares / O�% ,��eOlZ _ Signature. l Date: ner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION -24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP bq-1 opo DATE: APN: ZONING: OWNER'S LAST AME: OWNER'S FIRST NAVF, PHONE AOVA STREET RESS: rC h v o IJ VT J C F�� <s+— CITY, ZIP: ' . E-MAIL: SITE ADDR S: - CITY, ZIP: .�P NEAREST CROSS STREET: TRACTILOT It APPLICANT NAME: �^ PHONE: STREET ADDRESS: FAX- AXCITY, CITY,ZIP- E-MAIL: CONTRACTOR NAME:PHONE: ver � STREET ADDRESS: PAX CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: ADS PHONE. STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS .Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to. . the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: 1 Application Received by: Date: n� , Receipt number: 7 Amount Received: lY O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until, this verification is received. 0 I personally plan to provide the major labor and materials for construction of the proposed Q property improvement: YEr'signed NO ❑ I HAVE HAVE NOT an application for a building permit for the proposed work 3. I have co tracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: ANE: CONTRACTOR'S LICENSE NO. plan to provide portions of this work, but.I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: may: PHONE: CONTRACTOR'S LICENSE NO. )the I will provide some of the work but I have contracted (hired) the following persons to provide work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE DATE: NOTE. This Owner -Builder Verifuation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to -issue the permit OVER OB. -I I OWNER BUILDER INFORMATION ATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. Ifyouplan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection.: 0 If you employ or otherwise engage any persons other than your immediate famfiy, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. + There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, )M , 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner Builderinformadon.is required by Section 19830 of the Ca! fornix Health and Safety Code. OVER a v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0=9187 ASSESSOR PARCEL NUMBER 021-250-008 ZONING BUILDING PERMIT OWNER STE HONE - SO. FT. OCC. BUILDING VALUATION 2 S 1,560.00 OWNERS MAILING ADDRESS 1370 RTC14ONS GRIDIFY, CA CONTRACTORS NAME THO228-9657 TELEPHONE CONTRACTORS MAILING ADDRESS P.Q. BOX 693 Fj3EST RANCH, CA 95942 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,560.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1370 RICHONS GRIDLEY CA Energy Plan Checking Fee $ $ PERMIT FEE $ 57,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF lX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RE ROOF WITH COMP AND TIRGRADF. FIEC'.TRTC'.AT. SERVICE. TO 200 AMP Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .'0 LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION or the following reason: r0e,fby affirm under penalty of perjury that I am exempt from the Contractors License as owner of the property, or my employees with wages as their sole compensation,Mobile will do the work, and the structure is not intended or offered for sale.I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION rI reby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ to 'Y'-�� "' ©�� ature of Applicant - ❑Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. AI Main Service TO l 46.00 NEW CONST. DWELLING OCCUP. s0 WE U OR ADONS. ( 3 ACC. BLDS. 3.5¢FT: NOµHEOSID. CIROUTLET 97,50 POWER APPARATUS & SINGLE OUTLET CIR. 20 @ 100 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occu . oimF°s Aes Ea 5.00 Tem orar Service 23.00 Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 100.00 I.A D . FEES IMP D COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. A )-1 Date PERMIT EXPIRES J� ate Receipt No. p' o Q �. O WHITE-D.D.S.-B. D. CANA -A SESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ti Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 r APPLICATION AND PERMIT ABSESSORPARCELNLM ER nD BUILDINGPERMIT a -a5®_00 a 5 OWNER, , A- ! t ITn q I SO. FT. I OCC. BUILDING VALUATION ADDRESS CONSTRUCTION LENDER - - LENDER'S MNUNG ADDRESS ARCHITECT OR ENGINEER ARCWTECT OR ENGINEER'S MAIING ADDRESS BUILDINGADORESS /') LOT NO. I SUBOMSION'S NAME a USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other eP�IPr TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ instaletion% ❑ Other Describe Work: A Q J1 1' n- e' 4 >-✓ 12_ ou'+v�- t �'►�Cc�ed 3 � ��3 v _ Ir4o cen�ai� mo Total Valuation S PERMIT FEE S Filing Fee S 20.00 Permit Fee S 0 () Plan Checking Fee S NEW CONST. Energy Plan Checking Fee S OR ADDNS. A ACC. BLDS. S PERMIT FEE S SV -06 PLUMBING PERMIT Fling Fee 20.00 Each 7.00 Solar or hent ater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 • Building sewer 15.00 Mobile Home I S I G I W 020.00 OUTLET OR FIXTURES Ex. Occup. OUZ N16.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities I I 20.00 11 I PERMIT FEE 1 $ Lf fl " U� Ic MECHANICAL PERMIT I Fling Fee 20.00 1 6.50 PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ G" CONST. -PE TOTAL FEES Z6a . d (� WIZ. 10. FEES I WP I RMO 1 CDP 1 PRRCEL I PO I NO I ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON mow PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service ==. 23.00 0 D Main Service 2.A To t—A 46.00 NEW CONST. OWEL NG OCCUP. 3.5d . OR ADDNS. A ACC. BLDS. OUTLET OR FIXTURES Ex. Occup. OUZ N16.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities I I 20.00 11 I PERMIT FEE 1 $ Lf fl " U� Ic MECHANICAL PERMIT I Fling Fee 20.00 1 6.50 PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee $ G" CONST. -PE TOTAL FEES Z6a . d (� WIZ. 10. FEES I WP I RMO 1 CDP 1 PRRCEL I PO I NO I ISSUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON mow BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 5384636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041065 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN' 021-250-008-000 ' the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1370 RICHINS AVE GRI Date: Contractor: Map Index: Description: UPGRADE ELE PANEL, NEW GAS LINES OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: STEEPEN THOMAS D &CINDY L 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 State License Law (Chapter 9 commencing with Section 1370 RICHINS AVE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9511 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).): 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEFFEN THOMAS D & CINDY L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business nd Professions Code Datei G`� Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer' ' insurance carrier and policy number are: Carrier: Policy #: ' Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation' $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith those provisions. �with hccomply Date: Applicant C O -7 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. (J - CONSTRUCTION LENDING AGENCY lending for the permit is her y issued under the applicable provisions of the Butte County C P anrU. r rResolu ns ork indi ted above for which fees have been paid.,q I hereby affirm that there is a construction agency performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: PERMIT EXPIRE N: Address: Da e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. &1'7�7 Signature: Print Name f7"/lZ/e S--3 •- U Date: #8 wrier 13 Contractor 0 Agent for Owner 0 Agent for Contractor 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.netldds PERMIT NO. BP041263 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' APN' 021-250-008-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1370 RICHINS AVE GRI Date: Contractor. Map Index: Description: Remodel ba, kitch, 17 windows, drywall, rewire OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEEPEN THOMAS D &CINDY L 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 State License Law (Chapter 9 commencing with Section 1370 RICHINS AVE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9511 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).): }p f 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' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: STEFFEN THOMAS D & CINDY L such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of t e Busine nd Professions Code Date:v=-Z�'unOwner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation' $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. Dater ^�3 — d Applicarit:� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of r� ( �I compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 46c79 _6 } c79 CONSTRUCTION LENDING AGENCY This it is heerreeby issued under the applicable provisions of the Butte County Cody; and/or 'sated I hereby affirm that there is a construction lending agency for the Re to a work in above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 5/41/' Name: By: Date: `' Address: PERMIT EX I SON: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Coynty toenjBr upon the above mentioned property for inspection purposes. . Print N mm O:�J 5/Q^l� o-/I/l��— Signature: Date: C- ner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF-,DEVELOPMENT� SERVICES BUILDING PERMIT APPLICATION' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE).-(5301-s^—`- 4 (CHICO) OFFICE M (5301510---- PERMIT 5301 ao PERMIT NO. BP G 4 IPS SGIAPN: U So�� ZONING: NNER'S LAST NAME: OWNER'S FIRST NAME: PHONE ETA 7 Q Z �� v B 7V1 r 19 C F 4 /rte_ CITY, ZIP: 6,21 �S� E-MAIL: SITE ADDR S: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT P APPLICANT NAME: PHONE STREET ADDRESS: ta— FAX CITY, ZIP. E-MAIL:* CONTRACTOR NAME: PHONE. STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: DESCRIPTION OR SCOPE OF WORK. 1A E-MAIL: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received byi:4e Date: Receipt number: Amount Received 1 I - OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit willbe issued until this verification is received 1. personally plan to provide the major labor and materials for construction of the proposed property improvement: 'YEE992" NO ❑ BAVEHAVE NOT C( Signed an application for a building permit for the proposed work - 3. I have cohtwted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: - CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: ------------------------ DATE: N0 This'owner-wilder Verification is requited by Section 1983.1 and 19832 of the Cal fornia Health and Safety Codes This verification must be. completed and returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing improvements specified. yourself as the builder of property For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit: Building permits are not required.to be signed by property owners unless the are personally own work. If your work is being performed Y P Y performing their mg p by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials. and other costs) is $300 ' or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about yourobligations; under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a. licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Penal. 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 peg their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of dais form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I401-1 Mi 1.B.O. M ger, ding Inspection NOTE: This Owner Builderinf"r'on is required by Section 19530 of the.Caqornia Health mzd Safely Codes �' I TITLE 24 REPORT I Title 24 Report for: STEFFENS 1370 RICHENS GRIDLEY, CA Project Designer: OWNER 1370 RICHENS GRIDLEY, CA Report Prepared By: EVERGREEN DEVELOPMEN Evergreen Development 2530 Zanella Way Suite B Chico, CA 95928 (530) 894-5590 Job Number: STEFFENS Date: 4/30/04 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and -Nonresidential 2001 Building Energy Efficiency Standards. J i This program developed by EnergySoft, LLC (415) 883-5900. EnerovP,ro 3.1 By EnergySoft Job Number: STEFFENS User Number: 5712 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Checklist Form C -2R Computer Method Summary HVAC System Heating and Cooling Loads Summary 1 2 3 6 8 12 EnergyPro 3.1 By EnergySoft Job Number: STEFFENS User Number: 5712 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R, STEFFENS 4/30/04 Project Title Date 1370 RICHENS GRIDLEY Project Address Building Permit # Evergreen Development (530) 894-5590 Plan Check / Date Documentation Author Telephone Computer Performance 11 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 2,883 ft2 Average Ceiling Height: 8.8 ft Total Conditioned Slab Area: 0 f? Building Type: (check one or more) X❑ Single Family Detached ❑ Addition ❑ Single Family Attached © Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (West) 270 deg Number of Dwelling Units: 1.00 Number of Stories: 2 Floor Construction Type: ❑ Slab Floor Y Raised Floor FENESTRATION Shading Devices Type Orientation Const. Component Frame Assembly Location/Comments Type Type U -Value (attic, garage, typical, etc.) R-13 Wall (W.13.2x4.16) Wood 0.088- Exterior Wall R-19 Floor (F.19.2x8.16) Wood 0.038 Exterior Floor / Over Crawlspace (w/R-6 Credit) R-30 Roof(R.30.2x4.24) Wood 0.031 Exterior Roof FENESTRATION Shading Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U - Factor S GC Shading Yes / No Yes / No Front (West) 128.0 0.36 0.65 Bug Screen x❑ ❑ ❑ X❑ Right (South) 66.0 0.36 0.65 Bug Screen Q ❑ ❑ Q Left (North) 80.4 0.36 0.65 Bug Screen ❑ 0 ❑ 0 Rear (East) 129.5 0.36 0.65 Bug Screen Q ❑ ❑ Q Left (North) 18.0 0.36 0.65 Roll -down Blind or Slats ❑ X❑ ❑ X❑ Rear (East) 18.0 0.36 0.65 Roll -down Blind or Slats X❑ ❑ ❑ X❑ Skylight 4.0 0.94 0.60 None ❑ X❑ ❑ X❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Run Initiation Time: 04/30/04 14:17:55 Run Code: 1083359875 Ener Pro 3.1 By Ener ofl User Number: 5712 Job Number: STEFFENS Pa e:3 of 12 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R STE F F Et4S 4/30/04 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location/ pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments Central Furnace 92% AFUE Ducts in Crawl 42 Setback H /QAC System Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc.) Duct Thermostat Location/ R -Value TvDe Comments Split Air Conditioner 12.0 SEER Ducts in Crawl 42 Setback H /A r System WATER HEATING SYSTEMS Rated 1 Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value Standard Gas 50 gal or Less Small Gas Standard 1 40 000 50 0.52 n/a 12 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS COMPLIANCE STATEMENT' This certificate of compliance lists the building features and performance 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 design responsibility. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: Name: EVERGREEN DEVELOPMEN Title/Firm: OWNER Title/Firm: Evergreen Development Address: 1370 RICHENS Address: 2530 zanelia Way Suite B GRIDLEY, CA Chico, CA 95928 Telephone: Telephone: 894-5590 Lic. #: (signature) (date) (signature) (d te) Enforcement Agenc Name: Title/Firm: Address: Telephone: Documentation Author - IEneravPro 3.1 By EneravSoft User Number: 5712 Job Number: STEFFENS PageA of 12 1 19 r Certificate of Compliance: Residential (Addendum) CF -1 R STEFFENS 4/30/04 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agencv determines the adequacy of the justification, and may reject a building or design that otherwise complies )ased on the adequacy of the special justification and documentation submitted. Plan Field The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.525. An EF below 0.58 requires an R-12 External Blanket. The HVAC System "HVAC System' has Heating Ducts in the Crawlspace. Supply registers may be no more than 2 feet above the floor. The HVAC System "HVAC System" has Cooling Ducts in the Crawlspace. Supply registers may be no more than 2 feet above the floor. An Air Retarding Wrap must be installed per the manufacturer's specifications that must comply with ASTM Ell 677-95. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field Run Initiation Time: 04/30/0414:17.55 Run Code, 1083359875 EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page:5 of 12 - ' 'Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures ❑X '§150(a): Minimum R-19 ceiling insulation. / r § 150(b): Loose fill insulation manufacturers labeled R -Value. * a§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does 00 not apply to exterior mass walls). ❑X *§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/Exriftration Controls (/70V 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. V 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150 ft Special infit ration barrier installed to comply with Section 151 meets Commission quality standards. ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures ❑X §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑X § 150(): Setback thermostat on all applicable heating and/or doling systems. b FX § 1500: Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page:6 of 12 `Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X—] I150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181 A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive dud tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the duds. 3. Joints and seams of dud systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. FRI§115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btufhr) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measures ® §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumenstwatt or greater for a general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of / (�iG VVV 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page:7 of 12 Computer Method Summary (Part 1 of 3) C -2R SIEEFENS 4/30/04 Project Title Date 1370 RICHENS GRIDI EY Project Address Building Permit # EverareP eyelnpment (530) 894-5590 Docum ntation Author Telephone Plan Check/Date Cr)mpt1�erformaf1cP_ 11 FieldCheck/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 13.63 9.30 4.33 Space Cooling 9.57 13.88 -4.31 Domestic Hot Water 9.88 9.88 0.00 Totals . 33.08 33.05 0.03 Percent better than Standard: 0.1% BUILDING COMPLIES Total Conditioned Floor Area: 2,883 ft2 Floor Construction Type:XQ Raised Floor 0 Slab Floor Building Type: Single Fam Detached Building Front Orientation: (West) 270 deg Total Fenestration Area: 15.4% Number of Dwelling Units: 1.00 Total Conditioned Volume: 25,314 ft 3 Number of Stories: 2 Total Conditioned Slab Area: 0 ft 2 BUILDING ZONE INFORMATION Zone Name Floor Area Volume OPAQUE SURFACES Act. Type Area U -Fac. Azm. Tilt Wall 109 0.088 270 _90 Wall 67 0 088 1 An -qQ Wall 54 0 088 180 A0_ FlnnrC:S 1,800 0.038 0 180 Wall 221 0.088 270 90_ Wall 240 0 088 Q_ -90 Wall 286 0.088 90 90 Wall 48 0 088 180 90 Roof 717 0 031 270 _0 Wall 130 ao88 77n 9,0_ Wall 134 0.088 -Q go Wall 134 0.088 90 go Roof 1 079 0.031 270 Solar Gains Y/N # of Thermostat Vent Units Zone Type Type Hgt. Area Location / Comments 1 st Floor 1 st Floor 1st Eloor 1st Flnnr 1 st Flnnr 1 st Floor 1 st Flnnr 1 st Flnnr 1st Floor 2nd Floor 2nd Flnnr 2nd Floor 2nd Floor Run Initiation Time: 04/30/0414:17:55 Run Code: 1083359875 EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page:8 of 12 Computer Method Summary (Part 2 of 3) C -2R STEFFENS 4/30/04 Project Title Date FENESTRATION SURFACES Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hat. LExt. U- 1 Act. 0.76 Glazing Type Location/ # Type 2.0 2.0 Area Factor SHGC Azm. Tilt 1.0 Comments -1- Window Front (1C1(est) 192 0360 065 970 _go Wndw nbl Vni 1 qt Floor _ 2 Window Right (South) 33.0 0.360 0.65 180 90 Wndw Dbl VnL 1st Floor 3 Window Right (South) 33.0 0.360 0.65 180 90 Wndw Dbl VnL 1st Floor 4 Window Front (West) 66.8 0.360 0.65 270 90 Wndw Dbl VnL 1st Floor 5 Window Left (North) 80.4 0.360 0.65 0 90 Wndw Dbl VnL 1st Floor 6 Window Rear (East) 129.5 0.360 0.65 90 90 Wndw Dbl VnL 1st Floor Z Window Front (West) 42.0 0.360 0.65 270 90 Wndw Dbl VnL -2nd Floor 8 Window Left (North) 18.0 0.360 0.65 0 90 Wndw Dbl VnL 2nd Floor INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hat. LExt. RExt. Dist. Len. Hgt. Dist. Len. Hgt 1 Bug Screen 0.76 6.7 3.5 2.0 0.1 2.0 2.0 2 Buq Screen 0.76 6.7 6.0 1.0 3.0 2.0 2.0 3 Buq Screen 0.76 6.7 6.0 2.0 0.1 2.0 2.0 4 Bug Screen 0.76 6.7 10.5 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 9 Bug Screen 0.76 6.7 23.5 2.0 0.1 2.0 2-0 7 Bug Screen 0.76 6.7 9.0 1.0 3.0 2.0 2.0 8 Roll -down Blind or Slats 0.13 9 Roll -down Blind or Slats 0.13 6.7 3.0 1.0 3.0 2.0 2.0 10 None 1.00 3.1 Rv FnarnvCnft User Number: 5712 Job Number: STEFFENS Paoe:9 of 12 Computer Method Summary (Part 3 of 3) C -2R. STEFFENS 4/30/04 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPFXducts/attic, etc.) R -Value Type Comments Central Furnace 92%AFUE Ducts in Crawl 4.2 Setback HVAC System Hydronic Piping Pipe Pipe Insul. System Name Length. Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Crawl 4.2 Setback HVAC System WATER HEATING SYSTEMS Ratedl Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss (%) Ext. Standard Gas 50 gal or Less Small Gas Standard 1 40,000 50 0.52 n/a 12 1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. Computer Method Summary (Addendum) C-210% STEFFENS 4/30/04 Project Title Date Special Features and Modeling' Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the perfomtance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies )ased on the adequacy of the special justification and documentation submitted. Plan Field The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.525. An EF below 0.58 requires an R-12 External Blanket. The HVAC System "HVAC System" has Heating Ducts in the Crawlspace. Supply registers may be no more than 2 feet above the floor. The HVAC System "HVAC System" has Cooling Ducts in the Crawlspace. Supply registers may be no more than 2 feet above the floor. An Air Retardina Wrap must be installed Der the manufacturer's specifications that must compiv with ASTM Ell 677-95. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page: 11 of 12 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE STEFFENS 4/30/04 SYSTEM NAME FLOOR AREA HVAC Svstem 2,883 1 TI Number of Systems 1 Heating System Output per System 112,000 Total Output (Btuh) 112,000 Output (Btuh/sqft) 38.8 Cooling System Output per System 58,000 Total Output (Btuh) 58,000 Total Output (Tons) 4.8 Total Output (Btuh/sgft) 20.1 Total Output (sgft/Ton) 596.5 Air System CFM per System 2,055 Airflow (cfm) 2,055 Airflow (cfm/sgft) 0.71 Airflow (cfm/Ton) 425.2 Outside Air (%) 0.0 Outside Air (cfm/sqft) 0.00 Vote: values above given at ARI conditions Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensibl-I Latent 1, CFM I Sensible 2,326 43,633 182 724 38,115 0 2,182 1,906 0 0 0 0 0 0 0 0 0 2,1821 1,906 47 996 182 41 926 BDP CO. 563AN060-A 42,912 11,053 112,000 Total Adjusted System Output a2,s12 110753112,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 27.0 OF 69.1 OF 69.10F 119.70F O Supply Air Ducts Outside Air 0 cfm Supply Fan Heating Coil 118.90F 2055 cfm ROOMS 70.0 of 69.1 of i 1% Return Air Ducts `S (COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak) I 100.9/71.3OF 79.0/64.4OF 79.0/64.401 59.6/57.60F Outside Air O 0 cfm Supply Fan 2055 cfm 79.0/64.4 of Cooling Coil �% Retum Air Ducts 4 Supply Air Ducts 60.6/58.0 OF 46.8% R.H. F7VZOOMS 78.0/64.1OF EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: STEFFENS Page: 12 of 12