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040-212-002
0 040 4 0 2.1 ,2 - 002 " 91 36''5 Z ZINNIELMartinINNIEL,.MARTIN _ 52-70B. CONTR: AGR I ELECTRIC' 50-70E 9428.,GOODSPE.ED, DURHAM _ UNDRGR ELEC/SF- 2133 Goodspeed Ave., Durham. CONTR: J. ystrom & Sons, P.O. Box N . 3g1, Durham I� �! r� (convert po ch to living room) `^V 040-212-00206-0477 a _ �o e T-0 w CITRANO, HELEN M 9425 GOODSPEED ST, DURHAM CONT: OWNERA HVAC C/O B07-2351, 040-212-002 MISCELLANEOUS` Water Heater C/O. r� REPLACE WATER HEATER. -- 9425 GOODSPEED-ST ; CITRANO, HELEN M 3 m � a I � 1 13 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9425 GOODSPEED ST Owner: Permit No: B07-2351 APN: 040-212-002 CITRANO, HELEN M Issued Date: 11/19/2007 By KCG Permit type: MISCELLANEOUS P O BOX 294 Subtype: Water Heater C/O DURHAM, CA 95938 Expiration Date: 11/18/2008 Description: REPLACE WATER HEATER (530) 342-8965 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: CONRADS PLUMBING CITRANO, HELEN M Building Garage Remdl/Addn 954 E LASSEN AVE P O BOX 294 CHICO, CA 95973 DURHAM, CA 95938 Other Porch/Patio Total (530) 893-1124 (530) 342-8965 FEE INFORMATION DBP Water Heater (qty) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5344 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 CONRADS PLUMBING 670692 / C36 / 05/31/2009 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 Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License 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: I HAVE the work himself or herself or through his or her own employees, provided that such improvements 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 by17811 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 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 Carrier. State Fund policy Number: 1442472 Exp. Date:05/0112008 Contractors License Law.). (This section nee not be completed if the permit is oris or on�dreddodollars ($100) or ess. r D 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 1-11 42 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' 11/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those caner s Signature Date pro Wo '. X 11/19/2007 1 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 Sig tune 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 HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND pancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. pter the abo ntioned property for inspection purposes. I hereby certify that I am the Iver a uth riz to act on the property owners behalf. sermittee[SIGN] CONSTRUCTION LENDING AGENCY 11/19/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forP Print Date the performance of the work for which this permit is issued. (3097 civ. code) 4Owner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's 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 OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name/ • l I .QAN� U First Name EHLFil'� Mailing Address Pct BOX 2q 4 - City D(_t RHA M SIMLA Ziql�5i 3b Phon 5.+O_? �5 't Fax _ E-mail CONTRACTOR Name COO P_4P5 R _L jL4 a L KX, Address RO 9O -K -7715 City Gfll� State City Phonb3,) O'3 _ 112,1 Fa' 53L) cc,;49 3-- I i ?4 E-mail Lic. # ;, -704RZ Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City City State State Zip Phone Fax Fax E-mail State License Number APPLICANT INFORMATION Name!5A� Address City I Yes State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. BIN # PROJECT LOCATION API Property Addres 42,5 City DUCZ+4AM CAS ctc�a�1�'j 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 O/R_ SCOPE,� OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. r + e,� C �t a Butte County Department of Development Services 1�! o T (_• S 7 County Center Drive, Oroville; CA 95965 r (530) 538-7601 vnn,v.buttec0imty neVdds �oua<y V RESIDENTIAL APN: Permit No. Owner. 040-212-002 06-0477 CITRANO, HELEN M` Site Address: 9425 GOODSPEED ST, DURHAM p CONT: OWNER' Contractor. HVAC C/O_,,, Type of Permit: � S i t , I - ti { s 1 i t t 1 I r r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB—STANDARD HOUSING LETTER ENCROACHMENT PERMIT _ REINSPECTION FEE PAID ENV HLTH CLEARANCE c s{ DATE JOB FINALED: (� SIGNATURE: OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch, 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID EC K S'C O V E R S`C A R P O R T S `G ARA G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel' 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Encisrs; Conduit-Entries-Terminals4-fisted 7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Encis rs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl . 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide o. s` Pool Drawing I OK Not OK RESIDENTIAL (Single & Duplex), DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Fig Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wra pped 57 Test Tub & Shwr, 2nd flr - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped• 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test , 10 UF, Gas Pipe; Sz Anchrs-Sz Test IIJ Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts.foists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 C,mmdensate Drain & Ovrtlw, Sz & Grade 16, Insulation Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c er o' , mac` v` o' o` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & Side Lt Prtctn-Landings 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Wi dth-Hdrm-Rise-Run-Lan din g -Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters 0 Yes ❑ 14o 87 Stucco Brown -Finish 0 o'er e`er 88 AC Unit Dscnnct, Elec-Plmb 89 Vr is abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnc% Elec, Plmb 40 Fxtr & Tmsfrmr Clmcans Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI nergy Cmpinc Cert-0ther Certs 47 Subfeed Wire Sz 93 ❑ CU or FAL 98 Address Posted AC Wire Sz 93 ❑ CU or ❑AL 99. Fire Sprinkler 48 Range Circ 9a El cu orQAL Oven Circ 9a QCU or QAL ' Insulated Neutral 0 Yes ❑ No °:" 41 e` 49 Service -Riser Cndctrs & Grnd Main Dscrnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE i r a ^v pCo OWNER PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at �e'< 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. F{� 7 Date �^ y Inspector rte ` r ("e, PA, REV 4/05 Phone # U FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R ermit Number 9425 Goodspeed St Durham CA 95938 Site Address P An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type k . heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency i (AFLiE, etc.) 2CF-IR value)(attic, Duct Location etc. Duct or Piping R -value Heating Load Btu/hr Heating Capacity Btu/hr Package AC + Gap Pavne 1 1 80,0% Crawlspac - --4- 72600 90000 Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number >I of Identical Systems Efficiencyi (SEER or EER) (2CF-IR value} Duct Location attic etc. Duct R -value Cooling Load (Btom(Btu/hr) Cooling Capacity Package AC + Gas Pavne 1 10.0 Crawlspac D 4 36000 36000 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. V rX—I I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co e) caner Sherton Service Signatu e: 1�y Date: 03/09/07 Copies to: 114BING DEPARTMENT, HERS RATER " APPLICABLE) BUILDING OWNER AT OCCUPANCY 13UTTE COUNTY MAR 2 9_i R0110 ng&— $i12nce Forms April 2005 SUMCES INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number 9425 Goodspeed St Durham CA 95938 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ EJC .-ested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: X Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. X Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used X New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑ DUCT LEAKAGE REDUCTION Procedures or field verification and diagnostic testing of air distribution systems are available in R4CM. Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured " Date: 03/09/07 Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: +/ IX Cooling V ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating 1953 Capacity in Thousands of Btu/hr output, enter total calculated or measured fan flow in CFM hen ✓ ✓ 3 Pass if Leakage Percentages 6% for Final or S 4% at Rough -in: 100 x Line # 1 / ine # 2)11 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Chan a -Out. 233 Enter Reduction in Leakage for Altered Duct System 6 r ine # 4 Minus(Line # 5 — Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage :5 6% for Final 13 Pass ❑Fail 8 100 x ine # 5 / Line # 2 TEST OR VERIFICATION STANDARDS,: For Altered Duct System and/or HVAC Equipment Change- ✓ ✓ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage S 15% [ 100 x [ 233 (Line # 5) / _ 1953_ (Line # 2)]] 11.9 FX Pass ❑ Fail 10 Pass if Leakage to Outside Percentage S 10% [100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [ 100 x r(Line # 6) / (Line # 4)]] 11 ❑Pass ❑Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 4 through # 12 pass FX_ Pass ❑ Fail ✓ EI, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. N) O w er Sherton Service Signatur y, Date: 03/09/07 Copies to: BUILI4MG DEPARTMENT, ITERS RATER (Iii APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number 9425 Goodspeed St Durham CA 95938 ✓ CX THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of th ermostatic expansion valves are available in R,ACM; Appendix RI. ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # 2205G41811 Access is provided for inspection. The procedure shall Side Outdoor Unit Make consist of visual verification that the TXV is installed on ✓ X Yes ❑ No the system and installation of the specific equipment Ex- ❑ 36000 Btu/hr Date of Verification shall be verified. Date of Refrigerant Gauge Calibration 02/16/07 (must be checked monthly) Yes is a pass 1 Pass 1 Fail ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # 2205G41811 Location Side Outdoor Unit Make Pape Outdoor Unit Model PYl PNB036090ABAA Cooling Capacity 36000 Btu/hr Date of Verification 03/08/07 Date of Refrigerant Gauge Calibration 02/16/07 (must be checked monthly) Date of Thermocouple Calibration 02/15/07 (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above): Procedures for Determining Refrigerant Charge using the StandardMethod are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Tretorn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) °F Condenser (entering) air dry-bulb temperature (Tcondenser, db) °F Superheat CharF4e Method Calculations for RefrijZerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) °F Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary ifAdequate Airflow credit is taken Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F O. Residential Compliance Forms April 2005 C ERTI FIC,ATE. 0 F FIELD VER I.FICAT[ON & DIAGNOSTIC TESTING (Pate 1 of 9) CF4R P roject Address 5778 Bonnie Ln Paradise CA 95969 B ui Ider Na me Builder Contact Installing Contractor Sherton Service Telephone Plan Number HERS Rater Home Enalas s Telephone 760-768-3228 SampleGroup Number 1 I C,orrfplianceMeihod(Prescri ive) ClimatsZone 11 Certi fyi ng Signalure (Electronically signed) 03/09/07 Dat, Sample House Number 11 Firm Enalasys Corp 2 HERO P rovider CBPCA -Street Address: 250 Cam illo Ave Vol CityAtatelZip: Calexico CA 92231 Copiesto: BUTLDER, HERS PROVIDER ANDBUTLDTN(3 DEPARTMENT HERS RATER COIVIPLIAN'CI, STATEMENT TFrr h) use was: V ❑ Tes led +' XJ Appm red as part o Fsample Leslin&, bu l was not Leslcd As the HERS rater providinig diagnostic testi ng and field verification t certify that the house identified on this form complies with theadiagnocrticteaV�dco Irancz requirementsascheclmd,/on this trorm. The HERS rater must checkand verif that the new distribution system is fully ducted and correct tape is usedbefore a CF -4R maybe released on every tested buildingg TheHEM rater must not release the CR4R until a proper 1y completed a nd signed CF -6R has been recei ved for tri a sample and total buildings. ❑ The instalbr hasprovided a copy ofCF-6R (Inebil3tbn Certificate). ❑ NeveDiwibution system is fully ducted (i.e., does not usebuilding cavities asplenurns or platform returns in lieu ofducts). ❑ New systems where cloth baelmd, rubber adF=iws duct Laps is ins Lai led, mastic arwd draw bands am wed in combination with cloth backed, rubber adhesive duct tape to ecal Icahn at duel conncelions. V' r MYKrWl M RPQUTRT?MLNTS FOR DUCT LEAKAGE REDUOTTON OOMPLTANOE CR1EzDTT P,aoedwes�6, fell ue,;�Gcab'oe a,od d;rraasl;e Ye 91 ofa;r d,'sy;bxr;o,e sya;encs a,e aLai 7a61e iR RA CX Appe,od,'x R CQ.3. D ucl Diagnos lie Leakage Testing Res ul Is NEW OONSTRUOTTOH: Duct P mssur i2ation Test Results {CFA? Q 25 Pa) Measured Val ues I Enter Te77eel Leakage P low in CFM: -,t*�" Pan Fbw: Cslculated(Nomina1: V ❑ Cool ingV ❑ Heating) or V ❑ Measured 2 Enter Total Fan Flow in CFM: 1367 Vol 3 Pasa ifLedhgePercentage5 6% - [ 144 x [-(Li ne W 1)1 (LineW2)]] ❑ Pass ❑ Fail ALTIERAT'TONS: Duct System and/or HVAC Equipment Ch ange-Out E neer Tested Lesinge F bw i n CFM from CF -6R: Pre -Test of Ex tori ng D wet System P riot b �� 4 Duct System Alteration and/or Equipment ChangerOut. '� �r t� 4, Enter Tested LeakmgsFlow in CPM: Final Test of New Duct System or Altered Duct System 5169 for Duct System AIbe.rationand/or ' umentChan Out. Enter Reduction in Leainge for Altered Due! System [ _(Line -N 4) Minus {Line It 5)] b (Only if Applicable) 7 Enter Tested Leakage Flow in CFM toOut?ide (On ly if Applicable) S E nti re. Near Duct System - Pass i f Leal�ge Percentage 5 604 ❑Past ❑Fail 144x • (Line* 5 1 Line*2 T= OR VE.RTFTCATTON STANDARDS! For Altered Duct System and/or HVAC Equipment Oban%e-Out ve Use one of the follows four Teat or Verification St and ardsfor co lianoe: Pass if LeakagsPercentage 5 15% [140 r ( � 169 (Lineit5)1 1367 (Linei,'2)]] 12.4 9 pass ❑ Fail 14 Pass if Lealage.to0utsidePercentstge 5 10% f 100x [-(Li ne W 7)1 (Li neW2)]] ❑ Pass ❑ Fail Paas: if Uak4geRedurtbn PercentageZ 60% [1442: [ (Line N6)1 (Line*4)]] ❑ Pass El FailandVerificstion by 8 molce7wit a nd Visual Inspection 12 Pass if •kaline.of all Acc*zsibleLeAw and Verification b. Smob?, 7est and Visual I nspection ,-4--s= ':* ❑ Pass ❑ Fail Pass if One of Lines #:R through # 12 pass I,yw� .. 7' D( Pass 11 Fail Reffde&ini G2r*p. &PL --e Forges APd12WS OLLAT[F[OATL OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of -S) CF4R P rojeet Addressa 5778 Bonnie Ln Paradise CA 95969 E ui Ider Na me BullderContact Installing Contractor Sherton Service Telephone Plan Numbez HER -3 Rater Home Enalas s Telephone 760-768-3228 Sam le Group Number 1 I ComplianceMethod Prescr iptive Clima%Zone 11 Cerci fyi ng -Signature03/09/07 (Electronically signed) Date Sample House Number 11 F it m Enalasys Corp 2 HERS Provider CBPCA .Street Address: 250 Camillo Ave CityAtstetZip: Calexico CA 92231 Copiesto: BUTLDER, TTLRS PROVIDER ANDBUMDTNO DEPARTMENT FIEFS RATER COMPLIANCL STATLMENT TTha Fr, use was: / ❑ Tes Led %K XJ Appm tied as part o Psamplo fling, bu t was not tested As 1heHEM rater providing dngnostictesti ngand fi, Id verification I certify fhatThe house identified on this form complies with the diagnostic Leslrrd compl lance requi rements as checlmd +r on th is Corm. The HERS rater must che*__ a nd veri fy that the neer distribution system is ful ly ducted and correct tape is used before a CF -4R may be released on every tested buildi ng. 7heHER3 rater must not releas✓ the CR4R until a proper ly completed a nd signed U -6R has been recd ved for t rT ee sample and tslF,'d bui Idings. ❑ The inskalle.r hasprovided a copy ofCF-6R (lnsfsllatbn Certificate). ❑ NekwDiwibution system is fully du,cted(i.e, does not use building cavities as plenums or platform returns in lieu ofducts'). ❑ New systcrra whom elfllh backed, rubber adF=iYo duct lap- is ire Lal led, mastic and draw bands am wed in ournbinalion with cloth backed, rubber adhesisr. duct tape to seal leaks al duct cannxlions. ,{ r MTNTMUM REQUrREMENTS FOR DUC rLEAKAGEREDUC770N (30MPLTANCL CREDIT PmoedKres far fe14 vw_•;fGeafio a &A d diagAovic lesf;,ea of air disi.;b3dio a sywlenes are available A RA CR Appa.PA,t R C4 3. 0 uct Diagncc tic Loa kage Tea Ling Res u Is NEW CONSTRUCTION: Duct P resaur i2stion Test Results (CFM @ 25 Pa) Measured Val ues I Enter Tested Leskage F lour in CFM: Pan Fbw: Calculated(Komi na1: v' ❑ Ctaoling•r ❑ Heating)or ✓ ❑ Measured 1367 2 En�.r Total Fan Flow in CFM: 3 Pav if LeakagePercentage:g 6% f 144.8 [_(Li ne It 1) / (Lineil2)]] ❑ Pass ❑ Fail ALTERATIONS! Duct Sylern audtor TTVAC Equiprneut Cbauge-0ut Envr Tested Leakage Fbw in CFM from CF -6R: Pre -Test of Ex inti ngDudSymm Prior b 4 D"System A Iteration a nd/or Equipment Cha nge-Out. E nier Tested Leakage F bw i n CFM: Fival Test of New Duct System or Altered Duct System 169 5 for Duci3 AIteration and/or 11quipmentChan erOut. Enser Reduction in Leakage for Altered Duca System f (Lineal 4) Min us (LineW 5)] 6 (Only if Appl icable) 7 En ter TestedLealmgeFbw inCPM toOut;ide(On ly if Applicable) S EniireNew Dud System -Paw ifLeakage Percentage56% ❑ Pass ❑ Psi l 1441 (LineW5) / Line*2 TEST OR VERMCATTON STANDARDS: For Altered DuctSpstern and/or HVAC: Equiprnest Chan%e-Out V., ve Use oue of the follows four Test or Verlfleatiou Staudardsfor com Hance: S� Pass ifLeakage Percentage 3 15% f 144 x [___j_69 (Li neJY5) / 1367 (Li neW2)]] 12.4 Pass ❑ Fail 14 Pass if Leakage to0utside.Percentage :5 10% f 104.8 f (Lia& 9 7) / (Li neW2)]] ❑ Pass ❑ Fail I I Pan ifLeaksgeReductbn Percentage260% [100.8 [_(Li ne W 6) 1 (Li neN4)]] ❑ peas ❑pail and Verification by 3moke7estandVisual In tion 12 Pass ifSealinkofaII Accessible Leaks and Ver ificationby Smoke Test and Visual I nepection ❑ Pass ❑ %iI Pass if Oue of Lines ;V P through # 12 pass IX Pass ❑ paid ?cid wd Gxgpua,eee For.-ts April 2WS �: e€ BUTTE COUNTYI PERMIT NO. _O DEPARTMENT F DEVELOPMENT SERVICES BUILDING PERMIT I BP060477 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/01/2006 APN: 040-212-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9425 GOODS15EED ST DUR Date: Contractor: Map Index: . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: replace HVAC 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: CITRANO HELEN M 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 P O BOX 294 the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 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 95938 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CITRANO HELEN M owner of property who builds or improves thereon, and who does P O BOX 294 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for DURHAM, CA sale. If however, the building or improvements are sold within one 9593$ 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, Contractor: SHERATON SERVICES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1170 E LASSEN AVENUE ❑ 1 am Exempt under Article 3 of The Business and Professions Code CHICO, CA 95973 y i viz Owner ' 530-342-2562 Date, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 733676 ❑ 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. Architect:; ❑ 1 have and will maintain workers' compensation insurance, as Engineer g 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 1 certify that in the performance of the work for which this permit.is Census Code: 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' �J compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: L Applicant: 2 �� 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 is y i d unde applic ble provisions of the Butte County Code and/or 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.) Resoluti to do w indicat above for hich fees have been paid. �r Name: BY Date: PERMIT EXPIRES ON: Address: (Date) ❑ 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. 1 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 pu po es L p� � �• � Print Name: {G:C�I � ��� ! Signature: J E. 2;0611 % Date: calowner ❑ Contractor ❑ Agent for Owner' ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 f' IIT), BUTTE COUNTY �o o DEPARTMENT OF DEVELOPMENT SERVICES 0 i ° BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o —' 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0= =--=Q 0 OFFICE #: (530) 538-7541 COA FEE WILL BE REO UIRED AT TIME OF APPLICA TION UN Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY' OWNER INFORMATION Last Namt�/ 7.- /vlFirst Name li r Address city Stated p Ziv �%� P ,.) 9- E-mail . S� e1rn.�J��ev��c -mail CONTRACTOR Name���i� j�A-Tliti/ /g -/P COr�lO�r�U.0/.tJG Address 70 LA5d� lVe City /CCU Sta(e W Zipq �3 P''3V)3�i�J2 FNax E-mail . S� e1rn.�J��ev��c Lic. #',331o7(a Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State . Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name UUJstJ�F' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 412 For office use only: Zoning Property Address 6eeOZP4E'�V Flood Zone Cross Street SRA I Yes I No Occ. Type Const.. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPfi�6 d BIN # PROJECT LOCATION AP# 0 L/O — l� Property Address 6eeOZP4E'�V City Cross Street WORKER'S -COMPENSATION - Policy Number 15,6,3 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 FT- Living Garage Open Cov ❑ 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 requir6d. 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. Received by: Amount: Bldg 07 SRA Receipt#,,:II �2ar) Sheriff L4 SMIP Other Date: (mob V -- ,= t Total �Iff,k':7,+9i�;�;. a '.� :�F�!`;� _¢+i•'-?Y�'ll`t.�4'^.'iziiY`'4k`If1:�`"fficd'fs&�ii:✓,§,fir-�'iwiti�!'"4*�...("rc;E" �vx .>.i":ss��lt'"��•ajR�`i Eck" "''n +�,.,:�-;`a �. _ 0 0-21-2-002 91-36Z5,. I NN I EL , MARTIN CONTR: AGRI ELECTRIC . - 9425 GOODSPEED, DURHAM UNDRGR ELEC/SF i r OFFICE COPY Address GAS _ Meter By Date ELECTRIC Meter BY J Date r OFFICE COPY Address GAS _ Meter By Date ELECTRIC Meter BY J Date w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSRMIT O. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AT PERMIT ,r A58 S90R PARCEL NUMBER ZONING " BUILDING PERMIT OWNER Martin Z nn TELEPHONE 342-3341 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9425fis eel rham CONTRACTOR'S NA ME TELEPHONE 342-4203 CONTRACTOR'S MAILING ADDRESS Chico 928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 04 e Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.001, Each qas water heater or vent 7.00 USE OF STRUCTURE SF[J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JSFG W @ 15.00 TYPE OF WORK New l I Addition ❑ Remodel ❑ Utilities fi Installation❑ Other ❑ Describe work: D.M.D. Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 18.50 + 200A OR LESS Main service 200ATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I`LA'11 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and 9ffect. License .Jo. �%� Classification CJ© ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST./ DWELLING OCCUP.&` 3.66 OR ACDNS. sq.f[. C ACC. SLOGS. / NEW CONST R.ULTI.OUT LET NON•RESID• BRANCH CIRC ITS @ 5.00 /POWER APPARATUS sl (POW OUTLET CIR. I Ex. OCcU OUTLETS OR FIXTURES 20 76d p(A FIXED APLNS. Ex. Occup. UTLETS PIRESIO.)REAY I 3.00 O Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15+00 Permit Fee $ 48.50 — 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 agains�/s4, d County in c�equence of the granting of this permit. X 7� ��� Z Date i0 /i- q� Signature of Applicant - owner g pp ❑ Contractor ❑ Agentrk An OSHA permit is required for excavations over 5'0" deep and demolition or construct - on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $48 50 • HAz 0FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicatedabove for which fees have been paid. D R OF PUBLIC WORKS By �.r Date 10-/4-71 PE MIT EXPIRES Date ' Receipt No. 100924 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE DEPARTMENT OF PU15LIC WPFK ,m Memorial Way, cmm -Ph«E 891-275131 7County Center Drive, o_Ile - Phone: 2&7541 l/ 747 Elliott Road, Paradise- Phone: 872-6 07 CORRECTION NOTICE \ƒ 36,/V 2- 9| SER PERMIT NO. A. ■ routine inspecnindieiamk the following violations o County Ordinance _. at the above address and should becorrected. Please notify this office when correction of work icompleted. Ifyou have _,question pertaining tothis matter, or need additional _plakie,a e_ contact this office b_da%R. F\i511wG w«de�&rA \/ \� Date— 0 -3) -q Inspector "o _� �/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT 0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.`538.7541 APPLICA!NWAND PERMIT ASSIESSOR PARCIFC—N-UMMIRAZONING 40-212-002 BUILDING PERMIT OWNER Martin Zinniel TELEPHONE 342-3341 SO. FT. OCC. BUILDING VJVUATION OWNER'S MAILING ADDRESS 9425 Goods eed Durham CONTRACTOR'S NAME TELEPHONE 342-4203 CONT ACTOR'S MAILING ADDRESS 11011 Midway, Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 949R Goodspeed, Diirham Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G W@ 15.00 TYPE OF WORK New L i Addition ❑ Remodel ❑ Uti litiesla Installation❑ Other ❑ Describe work: D.U.U.D. EA= Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 1 18.50 8. 200A OR LESS _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code -and my license is in full force and effect. License No. Classification e�V ❑ 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 Main service 20(A TO IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.tf\ 3.6Q sq.ft. OR ACDNS. ACC. BLDGS. // NEW CONSTR ULTI.OUTLET @ 5 00 NON-RESID, BRANCH CIRCUITS) (POWER APPARATUS e) SINGLE OUTLET CIR. 76d Ex. Occup(OUTLETS OR FIXTURESL_0 4FA FIXED APLNS. Ex. Occup. OUTLETS PIRESIO.IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15.00 Permit Fee $ 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. taws 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling LiHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 liabil ies, judgments, costs, and expenses which may in any way accrue agains d unty in c equence of the granting of this permit. X Date /0 /�-�� Signature of Applicant — Owner❑ Contractor EJAgent 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 48.50 HAz 0FEES I IMP I FLOOD I CDF PARCEL I PTD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated36%e e for which fees have been paid. 77D R OF PUBLIC WORKS By . -r Date /a-16-9/ PERMIT EXPIRES Date Lb-/G-y1Z Receipt No. 100994 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � .N ! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIy,ISI , r 7 COUNTY CENTER DRIVE - ORp-?tl!Eti-,_8A _IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET'` e Permit No. OWNER Proposed Building Use A P o. _ Building Inspector O -21Z Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ 11. Chico Urban Area fees paid ....................................... _` 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:Ma Mail to owner. il to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 11-19 �4 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items regttired: Contractor, designer, owner, was advised of above required data by_phone_mail_counter.by— date Contractor, designer, owner, was advised of above required data by—phone _maII—counter'by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder r Copy—DPW ". COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovifje, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -� — Q 7/ ZONING BUILDING PERMIT OWNER Kr) 'v �/� — TELEP r�E�/ 3 SO. FT. OCC. BUILDING VALUATION OWN - 'SM G ORE�SS �D —^(`� l/C-1E6� } CON RAs, ,FSN AME TELEPHONEHON3 CONTRACTOR'S MAILIN ADDRESS //o // M10WAV C141C.o 64 9s3ag Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOI G ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF,k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition jJ Remodel Utilities Installation❑ Other ❑ Describe work:' U L) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions 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 DWELLING OCCUP. �\ 3.6Q sq.ft. NEW OR AODNS. CONST. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET NON.RESIO,BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76d FIXED Ex. OCCUp. OUTLETS (RESID )KEA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 0 Permit Fee $ — 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 became subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over/ 3 Stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCcCONST TYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date / Receipt No. l OQ `� o?-