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HomeMy WebLinkAbout039-370-016DWIGHT SMITH 39-37-16 1168 Stanley Avenue, Chico ; Permit #941-83P (repair vents & test i gas piping/SF) . Ma T 04-318 5 r- x - EGA , . �"r ID, ,, t w ;.t•..'. YAVEASONSROOFING .•,ni } 039-370'-016 ' � B07-0947 HVAC Changc.0ut 1,4 ELLANEOUS - Q N HVAC REPLACEMEENT``=7r,""' f 1166 STANLEY AV X01 + " GALLO DAVID E, S; 14 -, B08-0867 'i�„ 4 aA = ' <;, 039 370 016 MISCELLANEOUS' Phtovtai6 Sys Roorf , ROOF MOUNT SOLAR SYSTEM, 1166 STANLEYRAVE�xc �, ,+� k i` GALLO DAVID E,;+� f��;, z ., `,�►.�; y • s' ,a P a t M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1166 STANLEY AVE Owner: Permit NO: B08-0867 APN: 039-370-016 GALLO DAVID E, Issued Date: 05/13/2008 By TMP Permit type: MISCELLANEOUS 1166 STANLEY AVE Subtype: Phtovtaic Sys Roof CHICO, CA 95928 Expiration Date: 05/13/2009' Description: ROOF MOUNT SOLARSYSTEM (530) 321-6840 Occupancy: Zoning: SR1 Contractor Applicant: Square Footage: ST CLAIR CONST CO ST CLAIR CONST CO Building Garage Remdl/Addn 2360 PARK AVE 2360 PARK AVE CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 894-5590 (530) 894-5590 FEE INFORMATION DBMSC Photovoltaic System $421.93 Total Charged: $421.93 Fees Paid: $421.93 Balance Due: $0.00 Receipt No: B7314 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ST CLAIR CONST CO 181845 / A B / 08/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and ffect of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the Sectio basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/13/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date E]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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). 1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the the for this is issued. ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: performance of work which permit The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the STATE FUND 713-16045-05 05/01/2008 Cartier. Policy Number. Exp. Date: Contractors License Law.). (This section need not a competed if the permit is or ons unt} Bred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 05/13/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 05/13/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature V Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 05/13/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ,( ❑ Owner ❑Contractor OR: A1:1gent for Owner IxlAgent for Contractor FILE COPY Y� Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ,so -6 7& BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name / 441 U First Name t Mailing Address t l ` Sq-" City u StateGCA Zip CI -5'q?ti Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name S–� 6a I$, C._.� S Address 3 6 0 r k— v City(,nA.Lo Fax State C� Zip Phone is SSU Fax �a E-mail Lic. # �,' 81 s Class -A 19 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name !j Go 77— TA-e,k 5• o �'! Address 23Go �1a,�tJL. 1�'f/ City State Zip Phone Q g y_ �SI�U Fax E mail 5 c.e-7r_.Z7-(E) ei, _ _ APPLICANT SIGNATURE X di4� A7"^_ PROJECT LOCATION AP# 0,51- 17Q _ Property Address C 14- v City_J WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning7 FloodZonFType SRA Yes No Occ. st. 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.neAdds PERMIT NO. BP043185 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: 11/01/2004 APN: 039-370-016-000 the Business and Professions Code, and my license is in full force and effect. �'Cj License Class: G3Liiccense /� Number: 1,��� Site Address: 1166 STANLEY AVE CHI �?�Q0�2 Date: -1 Contractor. t&V_5WMs L4_ Map Index: Description: REROOF W/COMPT 11 SQ 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: GALLO DAVID E permit to construct, alter, improve, demolish, or repair any structure, prior • to its issuance, also requires the applicant for such permit to file a 1166 STANLEY AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA 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 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Applicant: FOUR SEASONS ROOFING Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, #11 COMMERCE COURT provided that such improvements are not intended or offered for SUITE #1 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-895-0418 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 Contractor: FOUR SEASONS ROOFING 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.). #11 COMMERCE COURT ❑ I am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 530-895-0418 Date: Owner: License #: 659073 WORKERS' COMPENSATION DECLARATION 1 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 Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:8&/ Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: 2Z �>3 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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. CONSTRUCTION LENDING AGENCY This per here issued under the applicable provisions of the Bu a Cnunty Code ?nNor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio s t o rk ind' ted above for which fees have been paid. / r / Name: Bv: Date: PERMIT EXPIR N: V Address: Date ❑ 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 f document of Butte County. I hereby authorize represeaXe County to enter upon the above mentioned property for inspection purposes. Print Name: L- Signature: C/_r) 0 Date: / ❑ Owner ❑ Contractor `Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name I l irst Name Address 6 E, City o —Phone State(, Zip MD 2k ( �b�b Phone Clast—>,q Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name Address I c; 3u 1 City tC� State( Zip?6 —Phone a E-mail Lic. # 6570? Clast—>,q APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLI ANT SIGNATURE X udt For office use only: AP# 07�,L 3 � D L Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. B P M-5 BIN # LOCATION AP# 07�,L 3 � D L Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY —Name Address Description or Scope of Work: Sq. Footage p ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. II Received by: Amount: !` 0 Bldg 11 OVER FOR SUBMITTAL REQUIREMENTS Lt K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt #:44F44 Date: ( ) SRA Sheriff SMTP Other TMtel If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesi ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). _3—Sanitation_and_site-pJ.ariappto.YaLfrom-tbe-EmaronmentaLHealth-Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 C>vc t-SAYT0N i-�EA2 i!V4it4�R1 ASI , BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 5 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0947 Issued: 5/1/2007 Address: 1166 STANLEY AVE Area: CHICO Owner: GALLO DAVID E, APN: 039-370-016 Applicant: AIR -ART HEATING & A]Map Page: Permit Type: HVAC Change Out Description: HVAC REPLACEMENT Flood Zone: AO SRA Area: No Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 I Inspection Type IVR INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC • . 145 Stucco Lath 142 Stucco Scratch 143 Stucco" Brown 144 - Swimming Pools Set acs + 132 Pool Plumbing Test 504 Gas Test "- 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 1 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 C- 1 19-11 -rrolect rmai is a Lernncate or Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy ..-^.[' r.��-.�.--.--:.a -...`!"'w'�'..•.-iwi.�+•:^isbl+" 's�rsiC-u.: i.�;:r—..s-..r..-%�•r �.^yam•-��, y,:. •-.:.ti_`'r ��fi.:; S COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 'E 7 County Center Drive • Oroville, CA • (530) 538-7541 s .. CORRECTION NOTICE ,. OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. VR C) V (b t H E RS 10 OFF Cc lotfc, E 1910 uE Al 0 ff9Q V640 ��s1• l �1 3.t Date ✓ P Inspector tT��` REV 4/05 Phone # '' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds AIR -ART HEATING & AIR CONDITIO AIR -ART HEATING & AIR C( Building Garage Remdl/Addn 1407 ALMOND STREET 1407 ALMOND STREET CHICO, CA 95928 CHICO, CA 95928 (530) 895-1420 (530) 895-1420 Other Porch/Patio Total . FEE INFORMATION' . DBM Heat Pump (Package Unit) $55.00 - LICENSED CONTRACTOR'S DECLARATION. Contractor (Name) State Contractors License No. / Class / Expires AIR -ART HEATING & AIR CONE 335302 / C20 C43 / 10/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 5/1/2007 Contractors Signature Date I Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements F are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2879 OWNER/ BUILDER DECLARATION. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 272-0000097 Exp. Date:10/1/2007 (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 5/1/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. N, CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip ❑ I AM EXEMPT under Section B. & P.C. for this reason: l 5/1/2007 Owners Signature Date E. I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 5/1/2007 Owner ❑ Contractor OR DAgent for Owner DAgent for Contractor INSPECTOR COPY PROJECT INFORMATION Site Address: 1166 STANLEY AVE Owner: Permit NO: B07-0947 APN: 039-370-016 GALLO DAVID E, Permit type: MISCELLANEOUS 1166 STANLEY AVE Issued Date: 5/1/2007 By GLB Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 4/30/2008 Description: HVAC REPLACEMENT (530) 393-0461 Occupancy: Zoning: SRI AIR -ART HEATING & AIR CONDITIO AIR -ART HEATING & AIR C( Building Garage Remdl/Addn 1407 ALMOND STREET 1407 ALMOND STREET CHICO, CA 95928 CHICO, CA 95928 (530) 895-1420 (530) 895-1420 Other Porch/Patio Total . FEE INFORMATION' . DBM Heat Pump (Package Unit) $55.00 - LICENSED CONTRACTOR'S DECLARATION. Contractor (Name) State Contractors License No. / Class / Expires AIR -ART HEATING & AIR CONE 335302 / C20 C43 / 10/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 5/1/2007 Contractors Signature Date I Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements F are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2879 OWNER/ BUILDER DECLARATION. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 272-0000097 Exp. Date:10/1/2007 (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 5/1/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. N, CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip ❑ I AM EXEMPT under Section B. & P.C. for this reason: l 5/1/2007 Owners Signature Date E. I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 5/1/2007 Owner ❑ Contractor OR DAgent for Owner DAgent for Contractor INSPECTOR COPY May 1.7 2097 0: 19f1M HP LASERJET 3339 p.2 Date: 5/4107 Job #: 07233 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8 CF -4R Project Address 1166 Stanley Avenue, Chico Builder or Installer Name Air -Art Heating & Air Conditioning Builder or Installer Contact Telephone Air -Art Heating WAir Conditioning (530) 895-1420 Plan/Permit (Additions or Alterations) Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample GE2M Number 1 Compliance Method (Prescriptive) Climate Zone 11 Certifying Signator Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 %-Wes to: zumvER, ITERS PROVIDER AND BUILDING DEPARTMENT .PIERS RATER COMPLIANCE STATEMENT The house was: ✓ ® Tested ✓ O Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the house identified on this form complies with the diagnostic tested com�ppliance requirements as checked ✓ on this 4�orm. The HERS rater must check and verify that the new distribution system is f y ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for thesample and tested buildings. m The installer has provided a copy of CF -6R (Installation Certificate). ❑ New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). D New ducts with cloth backed, rubber adbesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). . ✓ m MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEVE' CONSTRUCTION: Duct Pressurizarion Test Results (CFM @ 25 Pa) Measured MN�011 Values 1 Enter Tested Leakage Flow in CFVI:2Fan Flow: Calculated (Nominal. ✓ ® Cooling ✓ O Heating) or ✓ ❑ Measured Total Fan Flow in t FM: 1 200Eater r 3 Pass if Leakage Percentage < 61/16 [ 100 x L_(Line # 1) / 1.2Mine # 2)]] ❑ Pass D Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 3 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior toy Duct System Alteration and/or Equipment Change -Out., Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct S stem Alteration and/or Equipment Change -Out. 178 Enter Reduction in Leakage for Altered Duct System L_(Line # 4) Minus 17R (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) d Vol Entire New Duct System - Pass if Leakage Percentage < 6% 8 100 x 178 Line # 5 / 1.200 Line # 2)11 O Pass ❑ Fail TEST OR VEMPICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x1( 78 (Line # 5) / 1,200 (Line # 2)]] 14.88 Gd Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [_ (Line # 7) / 1,200 (Line # 2 )]) 0 Pass 13 Fail Pass if Leakage Reduction Percentage > 60% [ 100 x L_(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual inspection D Pass O Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass m Pass D Fail Residential Compliance Forms December 2005 May 17 2007 9:19AM HP LASERJET 3330 p.3 Data. -FId/n7 Ink 9: n79Qq CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of S) CF 4R Project Address 1166 Stanley Avenue, Chico Location Builder Name -Art Heating & Air Condition Builder Contact Air -Art Heating & Air Conditioning Telephone (530) 895-142 Plan Number HERS Rater Mery Martin Telephone 530 894-846 Sample GroupNumber Date of Verification Co fiance Method (Prescriptive) ✓ Climate Zone 11 Certifying Signature Alk. P 5� Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 installation of the specific equipment shall be verified. City�State("Lip: Chico, Ca. 95926 OP—D — 23--A ray z2zr%z rrcvvwnn PmD HUJL-DUgG UhrAK1'iM1N;1NT HERS RATER COMPLIANCE STATEMENT The house was: ✓® Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ ED The installer has provided a copy of CF -6R (Installation Certificate). ✓ ® THERMOSTATIC EXPANSION VALVE (TXV) Procedures forfreld verification of thermostatic expansion valves are available in RACM, Appendix Rl. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Char a for Split System Space.Cooliniz Systems without Thermostatic Expansion Valves Outdoor Unit Serial Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Date of Verification ✓ 0 Yes D No visual verification that the TXV is installed on the system and ❑ ❑ installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Char a for Split System Space.Cooliniz Systems without Thermostatic Expansion Valves Outdoor Unit Serial Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btwbr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration F (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 T and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charize using the Standard Method are available in RACM, Appendix RD2. ✓ U Yes O No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge Residential Compliance Forms April 2005 May 17 2007 8:15RM HP LRSERJET 3330 + p-1 r Date: 514107 Job #: 07233 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF'4R Project Address Builder or Installer Name 1166 Stanley Avenue, Chico Air -Art Heating & Air Conditioning Air -Art Healing &Air Conditioning (530) 895-1420 Builder or installer Contact Telephone Plan/Perniit (Additions or Alterations) Number NERS Rater + Mery Martin Telephone S Ie Group Number (530) 894-8466 Certifying Sign . %,nmate cone 11 Date Sample House Number Firm . /7 Energy Calculation Services HERS Provider CHEERS Street Address: 674 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 o les to: BUILDER, HERS PROVIDER AND BUILDING IDEPARTMENP HERS RATER COMPLIANCE STATEMENT The house was: V ® Tested J O Approved as part of sarnple testing, but was not tested As the HERS rater providing diagnostic testing and field verification I certify that the house identified on this form complies with tdistribution he diagnostic tested compliance requirements as checked ✓ on this Norm. The HERS rater must check and verify that the new rater must not release the stem is CF 4R ducted prop re ly Come is pleted and signed CF -6R. has be released receiv d fon or t��sample and tested buildings. 0 The installer has provided a copy of CF4R (Installation Certificate). D New ducts are fully ducted (i.e., does not use building cavities as plenums or platfonn returns in lieu of ducts). ® New ducts with cloth backed, rubber adhesive duct tane is inctalind .,,air ,..„,4 14.,,-1 U.,.,,, MAY -15-22'27 11:27 AM AIR ART 532 895 1422 P-23 i 1 INSTALLATION CERTIFICATE (Mtge 3 of 13) CF -6K 1 1196 Stanley Avenue, Chico An it-stollaation rrnrti_il"lte is requied to be posted at the building ate or m --Is available for all approriato inn- votitt. (Tbp int_fottttetim 9mvided oni this fonm io mgtuired) After oomplotion of 61W in"ectiotL a oopy must be provided to ttw building department (up:rt reTwst) ar_1 t1:e building owner a!occupanay, per Section IN103(a). HVAC SYSTEMS: Rio g111ia Ftp Type ileal tun CPC C4et4-e0d Mfil Namoand Modal Numbs M of identical System, 111sei@" , (AF'UE.eta.) a(T-IRvehm Duet l.ocadon eeo. Don of piping Rwaluo Heating Lead HhAr Heating Capacity ll 4u Furnace Bryant 3S) W36M 1 92 Crawlspac 4.2 59000 Rgwp Type beat CFC Codified N%. Nam and Modal Number B of identical Sydow Iffi`lanq, (SEER or EER) 97-IRvatao) Duct Lowden a ' Bee Duet Realm Cc6iuts Load 0+4u C661in6 Capacity tWbr AC Split Bryant IMANA036 1 13 Crewlspec 4.2 99000 1. > symbol mods greater dean ar equal t9 pkat is Aidlnosed or des CP -IR value. Include both SEER and EER if compliance credit for high BER air conditioner iR claimed. V ®11, tlw undersigned, verity that equipment listed above is: 1) is ttut actual equipment installed, 2) equivalent to or mora of cient than that spaafiod in the ocrtitkatc of oompliame (Form CF- I R) submitted for oompliance with the Eneru Efficiency Ssandards for residential beildirW, and a) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance efficiency Regulations or Part 6), whore applicable. Installing Subcontractor (Co. Name) OR Creueral Contractor (Co, Name) OR 9wvm signature. nate: Copies to: BUILDING DEPARTMENT, HERB RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Rwddanflal Crepliarry arsw.o April 2005 MAY -1572007 11:28 AM AIR ART 53b 895 1420 P_04 HiSTAILLA TE Date: 5/4/07 sob d: 07233 a of 12 CF -6R I I W Stanley Avenue, Chloo Ptirroit Number INSTALLER COMPLIANCE STATEMENT FOR !DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building wee: d MTOMW at Finial V 13 Tosw at Roush -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: O Renove at [east ono supply and one return register, and verify that the spaces between the register boat and the interior finishing well an properly emled: ® If the house mugh-in duct leakage teat was conducted without an air handler installed, inspect the connection points between die air handler and the supply and mum plenums to verity that the connection points ars properly scaled. 10 Inspect alt joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. 0' ® DUCT LEAKAGE REDUCTION pmarwArma lbs AW uadllG.mstla:e and Ara=aefir A itsae ate& A%offinAnn .euemme army nvado le ha ft AnW Ann Ahr i rAl NEW CONUMUCTION: Duct Presaaizet{on Test R.e.%Wts (CFM @ 25 Pa) Measured values 1 Enter Tested Leakage Flow in CFM: Fan Blow: Calculated (Nominal: ® Cooling V 13 Heating) or V O Measured 2 If Fan Flow is Calculated as 400 cfn ton x number of two or as 21,7 olio !(kl 1uft) x Heating 1.200 Camcity in Tho ••- 's of EtulY eraax total calculated or meammd fbn flow in CFM hem: ✓ ✓ 3100 Pass if Leekage Parceatage < 6% for Final or < 4% at though -in without air handle: ®Pass O Fail x (Line N 1/ 1.200 (Line a 2 AL'i'VRATIONS: Dort $ ate= ead/or HVAC Equipment Clan Oast 4 Enter Tested Leakage flow in CFM from Prep -Test of Existing Duct System Prw to Duct 41"5 System Alteration and/or Equipment Chaenge-Out. Enter Tested Leakage Flow in CFM from %&I 'fest of New Duet System or Altered Duct 178 5 S� stem for DWt S slate AIWWon an1/ar F u —eflt -o-Out. Bator Reduction in Leakage for Altered Duct %y%Wn 6 1415 'Lissy 9 4 Minus 178 Linc 9 5)) — (Only if A licable tf 7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable) Entire New Duct System - Pass if Leakage Percentage a 6% for Final. O Pass O Fail 8 100 x tate q 5 Line 0 2 TEST OR VERIFICATION STANDARDS: For Altervd Duct System and/or HVAC Equipment Chante ✓ ✓ Out Use one of the following four Test or Verification Standards fart• cow ileac®: 9 Pass if leakage Percentage < 15% 1100 x (flea (Line N S) / 12M (Lint N 2)11 14.83 ® Pass O Fail l0 Pass if Loakagc W Outside Percentage < 104'e [ 100 ni �_ (Line 117) / 1 NIn (Line d 3)11 O Pass O Fail Peas if Leakage Reduction Percentage > 60%,1100 x L (Line N 6) / 41g (Line 0 4)11 11 and Verification b Smoke Test and Visual In, etion ® Pass O Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual I tion 0 Pass O Fail Pass if One.of Lines 0 9 thro 0 12 ss ® Pass O Fait V ®I, the umdmsignad, verily dash the abm d,agImstic test results were perf ted in c onformame with the requiremetns f v caanpliance credit. I, the undersigned, also certify that the newly installed or tetrofit Air -Distribution System Ducts, Plern'uns and Fens comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards- Instaling Subcontractor (Co. Name) OR Oencral Contractor (Co. Name) OR Owner �9rgul4ure: _� Rata: - Colles to BUILDING DEPARTMENT, HERB RATER (1F APPLICABLE) BUILDING OWNER AT OCCUPANCY ResidiwAriol Compharnv!>wru Derembw 2005 PLAY -15-2007 ti:29 AM AYR ART 530 895 3420 P.05 • Bata: 8/41/07 Job 09293 INSTALLATION CERTIFICATE S of 12 CF -6R Site Ad&eas Ptatnit Number 1 I Stanley Avenue, Chloe 0 'd HEIR1 OST ATIC EXPANSION VALVE (TXV) Rracadu +es jar flaU w art/laadon of tharmostatic eupuatdaa aadras are available Ino RA CU, AppatdrlU Al V d © REFlUGERANT CHARGE MFASU1REMFIgT Verification for Required Refiigsrrnt Charge and Adequate Airfi®w for Split System Space Cooling Systsas without Thermostatic Baoansion Valvas Outer Unit Serial p Locstia=a ®uw0or Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification 12ato of Refrigerant Gauge Catibmion must be checked monthly) ®ate of Themtocoupie Calibration I (roust be ch@dwd dilly) Standard Cbtartre Ikieworeereent Procedure (outdoor gir .da. -ha 150F jWd °.�lw Proree6 mj for Desermining Rejrlgerant Charge using dee Standard Method are available in RACM. Appendix R02. Note: The system should be Installed and charged In aocos+dmam with the imnufactuncr's specifications before stetting this preoedwe. Measures! Te rnDeratures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) °F Return (evayorstor este ftn air dry-bulb tentpsrature (Treturn, db) Aetoroa Is provided for trtapsetiasa. 73sa pracasdure ahoL' RettuM (e vapdfator entering) air wet -bulb temperature ('datum, wb) Bvaporator saturation temperature (Te nape rater, sat) °F Suction line temperature (Tsuction, db) consist of visual verification that the TXV Is installed on Condenser (entering) air airy -bulb temperature (Tcondenser, db) "P ® Yes D No the system and installation of the specific equipment M ❑ shall be vadfied. I Yes is a Pass pass Fail © REFlUGERANT CHARGE MFASU1REMFIgT Verification for Required Refiigsrrnt Charge and Adequate Airfi®w for Split System Space Cooling Systsas without Thermostatic Baoansion Valvas Outer Unit Serial p Locstia=a ®uw0or Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification 12ato of Refrigerant Gauge Catibmion must be checked monthly) ®ate of Themtocoupie Calibration I (roust be ch@dwd dilly) Standard Cbtartre Ikieworeereent Procedure (outdoor gir .da. -ha 150F jWd °.�lw Proree6 mj for Desermining Rejrlgerant Charge using dee Standard Method are available in RACM. Appendix R02. Note: The system should be Installed and charged In aocos+dmam with the imnufactuncr's specifications before stetting this preoedwe. Measures! Te rnDeratures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) °F Return (evayorstor este ftn air dry-bulb tentpsrature (Treturn, db) °f RettuM (e vapdfator entering) air wet -bulb temperature ('datum, wb) Bvaporator saturation temperature (Te nape rater, sat) °F Suction line temperature (Tsuction, db) Condenser (entering) air airy -bulb temperature (Tcondenser, db) "P ! edwat Charae Method Calculations for Refrigerant Charize Actual Sup -heat .. Tsuction, db - Tevepomor. sat OF target Superheat (ftwrt Table RD=2) OF Actual Superheat -'target Superheat (System passes if between -3 and +56P) OF Temperature Split Method Calculations for Adequate Airflow SQlit Method Calculation is not necessary ifAei'eottate Airflow reedit is taA rn Actual Tetmpet wre Split = T mum, db Tsupply. db °F Ibrgeat Tsmparsture Split (fly Table AD3) "F Actual Tc ilwatute Split Target Temperature Split (System passes if betwo m - °F !°F a.•sd'3°P �. L rrauasa• if wr.:ate -3°6t and -lCo°P Residential Compliance Rnrnis Aprll 215 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT'INFORMATION Site Address: 1166 STANLEY AVE Owner: Permit No: B07-0947 - APN: 039-370-016 GALLO DAVID E, Issued Date: 5/1/2007 By GLB Permit type: MISCELLANEOUS 1166 STANLEY AVE Subtype: HVAC Change Out CHICO, CA 95928 Expiration Date: 4/30/2008 Description: HVAC REPLACEMENT (530) 393-0461 Occupancy: Zoning: SRI Contractor Applicant: Square Footage: AIR -ART HEATING & AIR CONDITIO AIR -ART HEATING & AIR C( Building Garage Remdl/Addn 1407 ALMOND STREET 1407 ALMOND STREET CHICO, CA 95928 CHICO, CA 95928 (530)895-1420 (530)895-1420 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2879 LICENSED CONTRACTOR'S DECLARATION. OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License AIR -ART HEATING & AIR CONE 335302 / C20 C43 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENOF PERJURY that I am licensed under provisions of Chapter 9 (commenci g w' Sec'on 7000) f 'visio 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full rce� d ffe of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 5/1/2007 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the - Carrier: State Fund Policy Number: 272-00 Exp. DateaO/1/2007 Contractors License Law.). (This section nee not be completed if the permit is or one hun re dollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 5/1/2007 compensation provisions o Section 3700 of the Labor Code, I shall forthwith comply with those pr on . Owners Signature Date X 5/1/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its off cera, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County a ter lhQQ??????bbb���000000���yyyyyya ntioned property for inspection purposes. I hereby certify that I am the o er ortho izedact on the property owners behalf. CONSTRUCTION LENDING AGENCY- ' 5/1/200 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee ISIGNr Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip v ,i �OT�.� BUTTE COUNTY PERMIT 0 o DEPARTMENT OF DEVELOPMENT SERVICES NO. ° ° BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 6� c -=°- c A FEE WILL BE REQUIRED AT TIME OF APPLICATION V C' y Website: www.buttecounty.net/dds BIN # 0UN**PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name G t; 6 First Name Mailing Address 11/� S AJQ" l' City�l CG Y1 \ State CA Zlp 95-9z 9 Phone 3q_5 - D'i Fax E-mail CONTRACTOR Name 1 Address D 7 City CV, State CA ZipC. ;, Phone 8�6 _ l qZa Fax 331 i.5- E-mail Ak&-A'RT @_,SbC,6,L06AL_ _ Ale i Lic. # y520/)I Class C D AP.PLJCAt4TSiGNATURE LU YU 1a sa 2 PROJECT LOCA TION API Property Address City WORKER'S COMPENSATION Policy Number Z-7 -1)0q7-Oq Carrier S. A� e* If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 44_ E �0 S14 A CC' A \ _ v� C Dvl U Sq FT- Living Garage Open Cov ❑ Structure Built without Per ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name !"'� knVc� J =Addi*ess SRA City I No State Zip Phone Fax E-mail State License Number AP.PLJCAt4TSiGNATURE LU YU 1a sa 2 PROJECT LOCA TION API Property Address City WORKER'S COMPENSATION Policy Number Z-7 -1)0q7-Oq Carrier S. A� e* If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 44_ E �0 S14 A CC' A \ _ v� C Dvl U Sq FT- Living Garage Open Cov ❑ Structure Built without Per ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name !"'� knVc� J Address SRA City I No State Zip Phone Fax E-mail AP.PLJCAt4TSiGNATURE LU YU 1a sa 2 PROJECT LOCA TION API Property Address City WORKER'S COMPENSATION Policy Number Z-7 -1)0q7-Oq Carrier S. A� e* If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 44_ E �0 S14 A CC' A \ _ v� C Dvl U Sq FT- Living Garage Open Cov ❑ Structure Built without Per ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. I I _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Counly Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN -b PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 1 'TELE NE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS- 1ff;�. "YY CONT-RACTOR'S ''N``AME i v.A.T`` 1 TELEPHONE ..S CONTRACTOR 5 MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1(],00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty ...___ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS t P ' p., }, -i PLUMBING PERMIT9 Filin Fee 10.00 1" Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [A. Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 M i Ie^I�lome S G W1 10.00 e +' s , C TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit F $ 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Ir� Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.6 OR ADDNS. ( ACC. BLDGS. 2I/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR LTI_OUTLET NON-RESID BRUANCH CIRC ITS 2,50 ea NEW CONSTR. (POWER APPARATUS &jj NON -RES,D. (SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES SA3o♦ FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque ce of the granting of this permit. _ �- X r �f Date Signature of Ap icant — Owner ❑ Contractor ❑ Agent 71work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ;A '43, �Ar OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD IssuE,. L� This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC - - BY -'' :-1 .4k PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f _ " Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • `�;. COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 . CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT 4 PUP.LIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 = Telephone 916/534-4541 APPLICATION AND PERMIT 10,E ASSESSOR P RCEL NUMBER BUILDING PERMIT TEL5'P OWNER 4 EL�'P NE SO. FT. OCC. BUILDING VALUATION OWNE, 's AILING AD RESS ` L� CON ACTOR"NAME _ 01 TELEPHONE -43 ` CONTRACTOR'S MAILING ADDRESS Fireplace -CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $.. 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS A iifl l��- � PLUMBING PERMIT Filin Fee 10.00 FilingFee Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFLA Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 i t ome S G W '" `` 10.00 e O TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe work: — Permit F $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2!2¢Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness f and Professions Code and my license is in full force and effect. License No. Classification (] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID. BRANCH CIRC ITS NEWCONSTR./POWER APPARATUS &1 NON .RESID. (SINGLE OUTLET CIR. / ExC . OCCUp(OUTLETS OR FIXTURES SAL@3 0 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate 'of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque ce of the granting of this permit. X �� Date - Signature of Ap cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTALPERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD S E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965' . Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has.been applied for in your name and bearing your signature. a s Please complete and return this information in the envelppe.provided at your earliest opportunity to avoid unnecessary delay in processing.and issuing your build- ing permit. No building permit will be issued 'until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) ••y— signgd an application for a building permit rfor the propo d work. 3. I have contracted with the following person (_firm) to provide the proposed 'construction: Name Address- City Phone Contractors 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 Contractors 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 S igned : Property Owner - Social Security numbdi Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before_ we are permitted to issue the permit. FRONIUS IG GRID -TIED INVERTERS FOR PHOTOVOLTAIC SYSTEMS Light Weight At 26 lbs, the FRONIUS IG inverters are the lightest grid -connected inverters making them easy and cost effective to install. Flexible The wide voltage range of 150-500 V allows you to use different types of modules and system configuration possibilities. Lower Cost Integrated UL approved DC & AC disconnects which reduce installation time and complexity - often eliminating the need for additional disconnects. LCD Display User-friendly and comes standard with every FRONIUS IG; tracks more than 20 critical system performance parameters. Plug -and -Play Expansion slots in the inverter allow you to easily upgrade the inverter with data communication options. Reliable Fronius has been in business for over 60 years and has more than 125,000 FRONIUS IG inverters installed worldwide. Warranty Standard 7 -Year Warranty (10 -Year Extended Warranty available). GUM COUNTY - BUILDING DEPARTMENT POWERING YOUR FUTUREAPP ROVED VED I x h _ 8 Ma DC Input Data , FRONIUS IG 2000 J A FRONIUS IG 3000 FRONIUS IG 2500 -LV Recommended PV power 1500 — 2500 Wp 2500 — 3300 Wp / 1300 — 3000 W DC Input Data , FRONIUS IG 2000 J A FRONIUS IG 3000 FRONIUS IG 2500 -LV Recommended PV power 1500 — 2500 Wp 2500 — 3300 Wp / 1300 — 3000 W Max. DC 'input voltage 500 V 500 V 500 V Operatin2 DC voltage range 150 — 450 V 150 — 450 V 150 — 450 V Max. usable DC input current 13.6 A 18A 16.9 A AC Output Data FRONIUS IG 2000 FRONIUS IG 3000 FRONIUS IG 2500 -LV Maximum output power 040' C _; 2000 W 2700 W 2350 W Nominal AC output voltage 240 V 240 V 208 V Utility AC voltage range 212 — 264 V 240 V +10% / -12% 183 - 227 V Nominal AC current 7.5 A 10.4 A 10.4 A Maximum AC current 3.35 A 11.25 A 11.25 A Maximum utility back feed current 0 A 0 A 0 A Operating frequency range 58.3 — 60.5 Hz 60 Hz nom Total Harmonic Distortion THD <5% Power Factor 1 General Data FRONIUS IG 2000 FRONIUS IG 3000 FRONIUS IG 2500 -LV Max. efficiency 95.2% S5.2% 94.4% Consumption In stand-by < 0.15 W (night) Consumption during operation 7 W Enclosure NEMA 3R Size (Ixwxh 18.5x16.5x3.8Inches 470x4l$x223mm Weight 26 lbs. 11.8 kg) Ambient temperature range -5 to 122 'F -20 to +50 'C) Cooling controlled forced ventilaton Integrated AC and DC disconnects standard UL approved DC i AC disconnects Protections FRONIUS IG 2000 FRONIUS IG 3000 FRONIUS IG 2500 -LV Ground fault protection Internal GFDI; in accordance with UL 1741 DC reverse Polarity protection Internal diode IslandIng protection Internal; in accordance with UL 1741 Over temperature Output power derating Surge protection Internal DC i AC protection, Tested to 6 IN Compliance Safety UL 1741 EMI FCC Part 15; Class A & B Anti-Islanding protection UL 1741 Ground fault detector and interrupter Com liant with NEC Art. 690 requirements, UL 1741 Miscellaneous Maximum AC over current protection Two -pole, 15 / 20 A circuit breaker AC wire sizing Use maximum AWG 6 194'F (90'C) copper wire DC wire sizing Use maximum AWG 3 194'F 90 'C copper wire AC disconnect 20A DC disconnect 25 A Warranty 7 Years; 10 Year extended warranty available E Fronius USA LLC Solar Electronic Division 5266 Hollister Ave., #117 Santa Barbara, California 93111 E -M24: pv-us@fronius.com www.fronfus-uss.com �RPN; , pis .. N VE ItEEN BRIGHT IDEAS, BRILLIANT TECHNOLOGY . � -;S__ � A It e BUILD II�G DERgRT�! SPRUCEIINEUlyn BUTTE Co' �M�E APPROVED PHOTOVOLTAICMODULES l Producing our own wafers, cells and modules assures that ZN the highest quality components go into everyone of our' ,. panels. And since they are made with String RibbonT"" technology, our panels take advantage of one of the newest,fastest-growing, most environmentally friendly manufacturing processes available in the world. L0 Evergreen Solar is a fully integrated, independent .� v. company. Solar is our only business. Our commitment to".I r"717 the environment is matched only by our commitment to�E[711,11111 xt���:- our customers. If, like us, you want the best in solar, make � � ¢ i � � w� the pure choice ... Evergreen Solar panels. 77 LOU M7_9 e ALI r�L Advanced Technology with Promise for the Future Designed for Demanding Applications • String Ribbonrm polycrystalline solar cells outperform • Aluminum frame with double-wall construction on all thin films and achieve comparable performance to bulk four sides and no protruding screws' offers greater crystalline�technologies while using half as much silicon. mounting flexibility. The proprietary cell fabrication process is among the most 1000V (TOV) backskin for large or high voltage systems. environmentally friendly in the business. High packing density and white backskin for improved module efficiency Predictable, Reliable, Long -Term Performance • Anti -reflective -coated glass for improved power output and • Each module is individually tested to ensure field energy production. performance meets or exceeds specifications. • Sealed junction box never needs maintenance. • Solar cells .are matched to reduce internal losses .and the possibility of hot spots. ' -2% tolerance on peak power rating. • Industry standard EVA (Ethyl Vinyl Acetate) and TedlarTM con- • Factory -installed wires, connectors and bypass diodes. struction protects solar cells from mechanical and • Environmentally -friendly bulk packaging. environmental stress. TBE CO OWDINGRD�P�►TkE Spruce Line 170/180/190_APPr - ,-� 4, 1;111� t-nta. Designed for maximum performance; safe, reliable, versatile an( iitr — .t. 1 ,..•="'__1?1OUNOINb HOLE 7Jj" JUNCTION lox '"-10x A.'1 aml OLT • FOR 1/�" 1 _ AILES 46 r, I easy to install. ELECTRICAL SPECIFICATICIN ES -170 -RL ES -130 -RL ES -1 0 -RL Pp (\M 170 180 199�0 Vp (V) 25.3 25.9 �26. Ip (A) 6.72 6.95 7.12 Voc (V) 32.4 32.6 32.8 Isc (A) 7.55 7.7E 8.05 Eff** 11.4% 12.0% 1X.7% Cells 108 Maximum Series Fuse 15A +�' u Y CLEARR DEVERDGREEN _ ALUMINUM ANODIZED _ UL Rated System Voltage 600V s TUV Rated System Voltage 1000V cam' *At STC (Standard Test Conditions): 1000 W/O, 25* C cell temperature, AM 1.5 spectrum. Minimum Specified Rower * Rating is 2% below Fp, other specifications are +/-10%. CONNECTORC Specifications subject to change without notice. 15 year *1ut limited power warranty. Complete warranty available on 1 i 2DULF DATAAFETV LABEL request or online at www.evergreensolarcom. w 1 **Module Efficiency calculated an Pp and module exterior M, r}�(( w S.i le2]i+ �0ROUNDINGi1OLE dimensions. 9ROUN1UN 0 DItJG HOLE -- •f Weight: 403 Ib (19.2 kg] Dimensions: inches [mm] I.V CHARACTERISTICS* ,:, .TEMPERATURE EFFECTS s �• >s�i,►a Pp=0.51''h !'C Isc 0.05% OC '� E3•T�0 Voc -0.35% t 8 "NOCT 4TC 5 7 4 5AFETY AND QUALITY TESTS 3 i 2 " • IEC 61215 Edition Ce1`tified 1 •,' UL LISTED Class C Fire Rating • 711V Safety Class II Certified o 0 5 10 15 , 20 25 30 35 • t ' G Voltage M I 138 Bartlett Street, Marlboro, MA 01752-3016 USA nEvergreen Solar, GmbH Joachimstaler Strasse 15, 10719 Berlin Germany T: 866.357.2221 or 508.357.2221 F: 508.229.0747 1 www.evergreensolar.com I v I 1110 R I B N T: +49 (30) 8861 4520 Fc +49 (30) 8939633 5 0 L A R S190v1.0u ROOF REVIEW OWNER= Gallo It" Stanley AV Chico., CA have reviewed the roof system for the above mentioned Job, The weight Calc conform with the design criteria specified, they are under the 3 lbs per oq ft required by the CIBC and are approved for the use on this project2TT JACK60N 100 AMP SERVICE DISC PGE METER — 60LAR DISCONNECT -------------------------- 2281 WATT ARRAY /-/-- ----------------- 116 6 Stanley Av Chico WEIGHT CALC EVERGREEN SPRUCE LINE 190 WATT MOD* ES -190 -SL DIMENSIONS 61,8" X 35,9" = 2,218.62 SQ, IN, WEIGHT = 40,1 LSS PSF = 2.60 Cont. Simpson Brace CLUB Attached To Solar Panel With MIOx 3/4" Self -Tapping Within 5" Cont. Simpson Brace CLUB Attached To CC35020 With *10 x 3/4" Self -Tapping Per Channel 12 ) 190 WATT PANELS: EXPANDABLE TO 3042 Watt6 (16 PANELS) LEGEND - - - - - - XF_+1 +_+_ + 12) EVERGREEN MOD*ES 190 RL, 190 Watt PV Modules 3KW FRONIUS IG -3000 Inverter DC >240V AC Not To Exceed 620 V DCWith CEC Approved Internal Meter XX4C X_� - X7_ - Array O Single Pole 20 amp , Breaker r O Array Disconnect Min 600VDC/2OADC r Square "D" P/N HU361R8 r .}, + ------ r O GFI GROUND FAULT INTERUPTER, Outback OSDC_GFP2 r OUse *10 AWG If Run Exceeds 120 Ft. PANELS TO BE BONDED TOGETHER TO START AT 34" FROM THE EAST EDGE OF ROOF � r May 12, 2008 O 2281 WATT TO GROUND PV Array b1��1�/ -1 Use *10 AWG If Run Exceeds 80 Ft, r r O Typical Utility Main Service "81 -Directional" Meter z 9 N/A U4 E To Utility (L Min, *12 AWG 10 O 20 AMP Fusible Disconnect � r Use- 2 or equiv. Square "D" P/N DG323NRB U > (90 C and UV resistant required) (P UJ r r � o Noma 3R UJ DC_G-cFl Min. *12 AWG + o V r i v CV Junction Sox U4 r r O UJ r 6 r O ' V Min *12 AWG r THHN in Conduit or equiv. 0 _r Inverter 3KW FRONIUS *10 X 3/4" Self Tapping From IG -3000 Solar Generator CWB To Solar Panel2 I t DC >240Y AC 0 0 00 00 1-11/2" SQ, Tubing ,Oso" Thickness, Frame 3/4" Shallow Uni-Strut K Simpson CLUB Screwed To Alum Channel 3" x 1/4" Hex Lag, 2 Per Bracket, Typ Screwed To Truss 50 Year 100% COMP SHGLS OVER Rubberized V OSB ROOF Sheathing Silicon, Or Equiv. METAL PURLIN BELOW Typ Roof/Panel Cross Section raver er r 00 r 0 + � 0 0 ' DC r � r ♦ Diac. 0 0 u u r ' 3 x 4u ,250 O o a Alum C nnel r � � 0 O � ' 3 r 0 r , 10 L- - - - - - - - - - - - - - - - - - - - - - - - i r r r Disconnect ' r � r � r � � L- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - ( RI �n� tJ r 1/2" OSB Roof Shtg 07 DEPRT�RQW APPROVED REVISIONS May 12, 2008 z U4 E (L 0 U > > (P UJ � o In UJ U UJ o V t Q i v CV U4 UJ V 0 O� U. 4oY._ ul z (Y - (P ) .r Q) 44 V � o r 0,0 !- May 12, 2008 SCALE= NTS 5Y: D. SCOTT JACKSON JOB: 5HEET E1 OF SHEETS SYSTEM ELECTRICAL SPECIFICATIONS PV Modiules Strings "1" : EVERGREEN ES 190 -RL Short Cirrcuit Current Isc 8.05 ,4 Open Cirrcuit Voltage Voc 32,8 V Operating Current imp 1,12 A Operating Voltage Vmp 261 V PV Arrangement Strings "i" . Number of Strings 1 Modules per String 12 Total Strings per Inverter 1 Total Number of PV Modules 12 Design Environmental Conditions: High Temperature (Deg F) 131 Low Temperature (Deg F) 14 inverter 69stem(s): FRONIUS iGc-3000 Number of inverters 1 Operating Voltage 240 V Operating Current 10.4 A SYSTEM MARKING REQUIREMENTS (NEC/CEC 690,53): Operatincg Currents 10106 ADC Operating Voltage 400,5 VDC Maximum System Voltage 556 VDC Short Circuit Current 10.06 ADC AC System Operating Voltage 240 VAC AC System Operating Current 8,05 A AC ELECTRICAL NOTES 1, THIS PHOTOVOLTAIC INSTALLATION SHALL BE IN ACCORDANCE WITH THE ADDITION OF THE NATIONAL ELECTRICAL CODE (NEC), CALIFORNIA ELECTRICAL CODE (CEC) ,AND LOCAL ELECTRICAL CODES CURRENTLY BEING ENFORCED BY THE AUTHORITY HAVING JURISDICTION (,AHJ). 2, DISCONNECT SWITCHES SHALL BE WIRED SUCH THAT WHEN THE SWITCH IS OPENED THE CONDUCTORS REMAINING LIVE ,ARE CONNECTED TO THE TERMiNAL i"'LARIKED "LINE SIDE" (TYPiC4LL`►r THE UPPER TERMINALS), 3, GROUNDING 4 BONDING CONDUCTORS SHALL BE COPPER MINIMUM 010 AWG, EXPOSED GROUNDING AND BONDING CONDUCTORS SHALL BE UNINSULATED, 4. DC CONDUCTORS SHALL BE COLOR CODED AS FOLLOWS: DC POSITIVE - WHITE, DC NEG,ATiVE - RED. POSITIVE GROUNDED ARRAY 5. AC CONDUCTORS SHALL BE COLOR CODED AS FOLLOWS: PHASE ,A - BLACK, PHASE 8 - RED, PHASE C - BLUE, NEUTRAL - WHITE/GRAY. 6, CONDUIT SIZES INDICATED ARE MINIMUMS iN ,ACCORDANCE WITH APPLICABLE CODES AND MAY BE INCREASED IF REQUIRED, 1, MARKING OF THE PHOTOVOLTAIC SYSTEM DISCONNECT MEANS SHALL BE PROVIDED IN ACCORD,ANCE WITH NEC/CEC 690,11, 8 MARKING OF THE DIRECT CURRENT PHOTOVOLT,AiC PLOWER SOURCE SHALL BE PROVIDED IN ACCORDANCE WITH NEC/CEG 690.53, S. MARKING OF THE INTERACTIVE SYSTEM POINT OF CONNECTION SHALL BE PROVIDED IN ACCORDANCE WITH NEC/CEC 690,54, BUM COUNTY May 12, 2008 a CO �- N Lr) �LO 0 'ccoo 00 4-M Z W 0 `n x 2 0 L) 4- 0-.C. 0 U o W LOrn LO >rn c > o0 wW o �o L cf) tL U) � a c (0 o M car a 1—" 114) '—' Q) Q = v May 12, 2008 SCALE= NTS 51': D IEG J05: SHEET EE -2 OF SHEETS r