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HomeMy WebLinkAbout040-214-027G.W. DEADMOND 40-214 RAW g10518S 9374 Holland Avenue, Durham Permit#3848-84B,P,E,M(new single famil3� 040-214-027 GIBBS, DEBRA 06-2200 9374 HOLLAND AVE, DURHAM ` Cont: LINDSEY STANSELL �J ` HVAC(ROOF MOUNT) "r B07-2289: z 040-214-027 MISCELLANEOUS Water Heater C/O i REPLACE WATER HEATER 9374 HOLLAND AVE CUNNINGHAM, THOMAS B08-1914 040-214-027 MISCELLANEOUS Re -Roof REROOF 24 SQ.'S COMP 9374 HOLLAND AVE CUNNWGHAM, THOMAS I i i i r;l rA f, I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds DBMSC Re -Roofing FEE INFORMATION $147.50 'r LICENSED; CONTRACTOR'S*DECLARATION Contractor (Name) State Contractors License No. / Class / Expires AAACE ROOFING 845894 / C39 / 09/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY hat I am licensed under provisions of Chapter 9 (commencing with ecti 7000) of Division 3 of the siness and Professions Code, and my license is in full force and e X 09/18/2008 Contractor's Signature Date COMPENSATIOWDECLARATION 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: 713,00' Exp. Date:01/01/2009 (This section nee not be competed if the permit is for one undred dollars ($100) or ess. ❑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' Compensa!,On L of fomi agree tha(j(I should become subject to the workers' compensation pro S s Section 3700 of th or Code, I shall forthwith comply with those provisions. X 09/18/2008 signa[ure r% Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Total Charged: $147.50 Fees Paid: Balance Due: $0.00 Receipt No: 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 Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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.). ❑ I AM EXEMPT under Section B. 8 P.C. for this ix 09/18/2008 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of ny sidewalk, street, or sub dewalk. I hereby authorize representatives of Butte County to enter lh b nlioned property r inspection purposes. I hereby certify that I am the property owne Qr a r' tan th roparty owners behalf. r/1 _ 09/18/2008 ❑ Owner IHI Contractor OR Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 9374 HOLLAND AVE Owner: Permit No: B08-1914 APN: 040-214-027 CUNNINGHAM, THOMAS Permit type: MISCELLANEOUS 9374 HOLLAND AVE Issued Date: 09/18/2008 By TMP Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 09/18/2009 Description: REROOF 24 SQ.'S COMP (530) 896-0428 Occupancy: Zoning: R1 0( Contractor Applicant: Square Footage: AAACE ROOFING AAACE ROOFING Building Garage Remdl/Addn P O BOX 1798 P O BOX 1798 PARADISE, CA 95967 PARADISE, CA 95967 Other Porch/Patio Total (530) 872-4090 (530) 872-4090 DBMSC Re -Roofing FEE INFORMATION $147.50 'r LICENSED; CONTRACTOR'S*DECLARATION Contractor (Name) State Contractors License No. / Class / Expires AAACE ROOFING 845894 / C39 / 09/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY hat I am licensed under provisions of Chapter 9 (commencing with ecti 7000) of Division 3 of the siness and Professions Code, and my license is in full force and e X 09/18/2008 Contractor's Signature Date COMPENSATIOWDECLARATION 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: 713,00' Exp. Date:01/01/2009 (This section nee not be competed if the permit is for one undred dollars ($100) or ess. ❑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' Compensa!,On L of fomi agree tha(j(I should become subject to the workers' compensation pro S s Section 3700 of th or Code, I shall forthwith comply with those provisions. X 09/18/2008 signa[ure r% Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Total Charged: $147.50 Fees Paid: Balance Due: $0.00 Receipt No: 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 Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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.). ❑ I AM EXEMPT under Section B. 8 P.C. for this ix 09/18/2008 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of ny sidewalk, street, or sub dewalk. I hereby authorize representatives of Butte County to enter lh b nlioned property r inspection purposes. I hereby certify that I am the property owne Qr a r' tan th roparty owners behalf. r/1 _ 09/18/2008 ❑ Owner IHI Contractor OR Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION" NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ] A FEE WILL BE REQUIRED AT TIME OFAPPLICATION� V ` I `qI � Website: www.buttecounty.netdds BIN # PLEASE PRINT CLEARLY "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 First Name Mailing Address 3 i# e/%y city State elf . Zip Phone .. 0#26- 61 Fax E -mai APPLICANT INFORMATION CONTRACTOR Name Cl -t2 Address P6 9ox ! ') q W City �� ` Fax State Zip S9d 7 Phone S g7a-'/01 Fax � 5 � E-mail E-mail Lic. # ys g 9 State LicensENumberE] Class C -3 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address _ city Fax State Zip Phone Fax E-mail State LicensENumberE] APPLICANT INFORMATION Name f . Address City State Zip Phone Fax E-mail PP CANT SIGNA U E X PROJECT LOCATION AP# - 0 77 Property Address OL 7_1 City uurk M �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. 0/0 �IaWo r i&i�,-A J ek- 'L)Q-W 30 rC et f^ C Sq FT- Living Garage Open Cov ❑ Structure Built without Permits w ❑ Proposed Change of Occupancy (Note previous use): For office use onl : Zoning Flood Zone I SRA I Yes No Occ. I Type Const. 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: 9374 HOLLAND AVE Owner: Permit No: B07-2289 APN: 040-214-027 CUNNINGHAM, THOMAS Issued Date: 11/07/2007 By KCG Permit type: MISCELLANEOUS 9374 HOLLAND AVE Subtype: Water Heater C/O DURHAM, CA 95938 Expiration Date: 11/06/2008 Description: REPLACE WATER HEATER (530) 896-0428 Occupancy: Zoning: RI 0( Contractor Applicant: Square Footage: JD PLUMBING JD PLUMBING Building Garage Remdl/Addn P O BOX 6056 P O BOX 6056 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530) 899-6989 (530) 899-6989 FEE INFORMATION DBP Water Heater (qty) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5235 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 JD PLUMBING 701456 / C36 C10 A / 08/31/2008 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 11/07/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C actors 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 WORKERS' COMPENSATION DECLARATION 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 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.). ❑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 Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or once hundred dollars ($100) orTe—ss-.T— ElI 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 11/07/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/07/2007 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 State laws relating to building Signatur Date WARNI G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of peril. 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 peril. I hereby acknowledge thatt is issuance of this pea ril 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 p rty owner or am authorized to act on the property owner's behalf. e 11/07/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for arne of Peraiffee [SIGN] Print Date the performance of the work for which this peril is issued. (3097 civ. code) Owner ® Contractor OR: E]Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip iy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE 4:(530) 538-7541 FAX#: (530) 538-2140 A FEE WILL BE'REOUIRED AT TIME OF.APPLICATION Website: w. Tw.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Cu n n � �r•n First Name. Mailing Address 13+14 H-oI art \\ City kcLm State C lip. Phone 2g Fax E-mail CONTRACTOR Named P (� rib i r. Address 6 - 0_ X 605� ....; City C h 1 C o State Zip S9Z Phone TQC% 6 Fax... E-mail IJ c. #/�i 6 Class C_ _ 3 APPLICANT SIGNATURE X PROJECT LOCATION API 040 - Property Address % 3 -. / /o City u�tiuv� . PERMIT NO. BIN # WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: .iZe act ✓1a �crra/ Q.s Q f er- % ea ler Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address �. City 1. No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X PROJECT LOCATION API 040 - Property Address % 3 -. / /o City u�tiuv� . PERMIT NO. BIN # WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: .iZe act ✓1a �crra/ Q.s Q f er- % ea ler Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' Flood Zone Address wt.F S oM rrZ R -C 7-0 2 City 1. No State Trp Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API 040 - Property Address % 3 -. / /o City u�tiuv� . PERMIT NO. BIN # WORKER'S COMPENSATION . Policy Number Carrier If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: .iZe act ✓1a �crra/ Q.s Q f er- % ea ler 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 Yes 1. No Occ. Type Const. )U SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDIITC$NS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE I DATE JOB FINAL.ED- SIGNATURE: " 040-214-027 06-22.00 r rgIBBS,'DEBRA NOTES 9374,HOLLAND AVE, DURHAM r __•._, __ . - Cont: LINDSEY STANSELL UVAC(ROOF MOUNT)" RESIDENTIAL APN: Permit No. _ i i Owner t Site Address: Contractor_ Type of Permit y 1 ' } i )U SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDIITC$NS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE I DATE JOB FINAL.ED- SIGNATURE: 1{ A� r a )U SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED T SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDIITC$NS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE I DATE JOB FINAL.ED- SIGNATURE: = Not RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Rood -Slope 53 Wtr Htr. Vent-Acc4;mbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test & Anclrr•14all PrtcEn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 55 DWV-. Test Fittings & Anchr•Nail Prfctn 4 Fig Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, Fust fir Tub Ace 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DW V; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE IM E C H A N'1 C A L 13 Plenums & Duds; Cunt-MaterialSupport• risultn 61 AC Duds Insulfn & Support 14 GirdersSilis-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & Vntitn 63 Condensate Drain & Ovrflw. Sz & Grade ' 16 Insulation 64 Furnace -Vent Acc-Comb Air RkWent 115 Outlet 65 Attic Ace & Pidiin If Furnace In attic ae DATE jFrRAMING 17 Sills Proper Materials & Anchm DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & S1deLt Prtdn4andmgs 19 Bearing Walls ovet G'urdersfir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof)• 68 Furnace Vnts-Cimc-Comb, Air•Cnnctr 21 Fire Stops; Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtdn 22 Headers & Beams -Si &-Bearing• 69 Bedroom Exiting 23 Han§dd-P•osf,Caps-Anchrr�. nctns 70 GFl A Bath Fxtrs & Tub Ace -Spa 24 Ceiling Joisf-Rfb' Tres-Purt'�-Roof Brac-TnrssShthg 71 GFI Arc Fault 25 Frple Ties or hype A Fliie=FrPle Throat Cimc 72 Elec True & Subpnl, Breaker Szs & Labels 26 Attic Acre Sz SRirui PitonkraR Stap-Ins Baffles 73 Stairs, Guard(Handrails _ 27 Bdrm Wndws or E)Udng Doors -SIH tit & Dimensions 74 Frplc or Stove. Clrnc-Hearth 28 Gatage Fire Prf cbi Friur6g4C Charinel 75 Elec Outlets at Wood Pnl. Int & Ext 29 Prprty Line Firewall & Opngs' . 76 Ktchn, Fxtr & AppinC Gmd-Air-Gap-Cooking Cfmc 30 Ext Doors -One 3 --Check Garage 3r4 Story. 2 Exrfs 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Rrm4.and'utg-Fire Prtcb 78 Garage Fire Dobr, Swing -Landing -closure 32 Plywd on Roof Wrhng-Me Vrrts4Ww O'U'" s 79 AC Dud In Garage -Damper. 33 Siding -Nailing Veneer • 80 Wtr Htr Vnts-Clmc-Com Air Cnnctr-PRV; abv fit 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrftr Ace Mech Prtdn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtLfiSkyLts-Plastic . 81 Pimb; Elec & Mech Eqp listed for Lodn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GR) Romex Prtctn 37 Brace InVExt Wall pnls 83 lnsultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrdn-Post Caps 39 Infiltration- Walls Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters El Yes ENo �� °� �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dsennd, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE JELECTRICAL 40 Fxtr & Tmsfrrnr Clrne-Ins Pnctn 41 Elec: Rcptcls Spacing-Lts & Switches at Doors 92 Vntttn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtdn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspdns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd•GO to grade -HD Apprvl 46 2 Appinc Cires In Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz . ECU or ❑AL AC Wire Sz DCU DAL 98 Address Posted ga or 99 Fire Sprinkler 48 Range Clic pa ❑ CU or DAL Oven Circ Q, D Cu or DAL Insulated Neutral ❑Yes QNo ard4 o' mss` 49 Service -Riser Cndc rs & Gmd Main Dscmct 50 Eqp Clinics pnts-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr LtSpa Lt 52 Smoke Detector =OK , O = Not OK MANUFACTURED HOMES DATE i Li PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr, Loctn Test-Easeinent Needed -Regulator 5 Elec Loctn-Clmcs-Gmd -Amp-Concrete 6 Yard Gas; Locin-Test Wrap ':Hat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnncir 9 Elec MH Cntnty Test-Crossovers-Breakers-Ctmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers d MISCELLANEOUS" DECKS'COVERS-CARP0RTS`GARAGES 1 Zoning4Setbadts-Easements 2 Figs; SoitsSx-DpthSpacing-0nnctmSteel 3 Decks, Girders/Jolsts-0cldng-Brcing Stairs-Guard/Handrails 4 Wood Awn; Pasts-Beams-RMs-CnnctmShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-t ncisrs 6 Carports; Wndws-Doors 7 Electric 8 Frtng; Sills-AnchrsSluds-Rtirs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Root; Shthg-Roofing 11 Ekt; Steps -Doors -1 andungs 12 Braced Wall pnls o'f Drawing 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Step,[-Cnnctns-Thickness Dead Men-Uning 4 Elec RcptdslLting; Distance -GR 5 Elec Pool Lting;15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/S Crdtng Eqp-Pool Ightg Bares-Epcls4s-p p1boards4nsultn-to Main Conduit 9 health Dept Apprvl . 10 •Plmb; Cir Test Wtr Supply Test 11 U Niche , 12 Endsr; Fencing -Alarms 13 Bogdmg, Diving board or Slide BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP062200 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/13/2006 APN: 040-214-027-000 the Business and Professions Code, and my license is in full force and effect. G� effenseCla "—/0 License Number: /61(("Site Address: 9374 HOLLAND AVE DUR Date: O Contractor: Map Index: Description: NEW ROOF MOUNT GAS HVAC p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: GIBBS DEBRA to its issuance, also requires the applicant. for such permit to rile a 9374 HOLLAND AVE signed statement that he or she is licensed pursuant to the provisions of DURHAM, 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 95938 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).): O 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: LINDSEY STANSELL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 187 such work himself or herself or through his or her own employees, FOREST RANCH, CA provided that such improvements are not intended or offered for 95942 sale. If however, the building or improvements are sold within one year 'of completion, the owner -builder will have the burden of 530-864-7594 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:. LINDSEY STANSELL not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed PO BOX 187 pursuant to the Contractors' State License 'Law.). FOREST RANCH, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95942 530-864-7594 Date: Owner: License #: 284616 r 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. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurances carrier and policy number are: Carrier:y,/ .© Total Square Ft: 0 S. F. Policy #:� _�� /ll�%— Valuation: $0.00 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 f Section 3700 of the Labor Code, I shall forthwith compi ith th's^e provisions. v 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 for in Section 3706 of the Labor provided code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i here) issued under the applicable provisions of the Bufte County Code anrl/nr I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.)B Resoluti ork-indicate bove-for_which_fees have—been—pail . I s - ) performance Name: y Date•' J v EXPIRES I v Address: PERMIT 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 8 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 a orized age t of the owner. I agree to comply with all coGnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offi ' rm or a f Butte County. I hereby authorize replies tatives of B e County to enter upon the above m Ironed property for inspection purposes. Print Name: Signature: Date: 13 Owner Contractor 13 Agent for Owner 0 Agent for Contractor Ca10ERTS - Certificate Page 1 of 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4111 9374+ Holland Ave. - Durham, CA 95938 Lindsey Stansell Elec. & HVAC / 284616 Project Address Contractor Name / License No. 040-027-000 Contractor G6ntact Telephone Permit Number Michael Hughes 530-828-4031 41052 HERS RateV Telephone Sample Group Number 4fL September 15 2006 CC14-1798381634 Certifying Signature— Date Certificate Number Firm: ike's HERS Rating HERS Provider:CaICERTS Street Address: 14485 Holmwood Dr. City/State/Zip:Magalia / CA / 95954 Copies to: Homeowner, HERS Provider and Building Department This CF -4R has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the dtag4ostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has bee received for the. sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is Installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal0 Cooling 0 Heating) or Q Measured Enter Total Fan Flow in CFM: 1200 3 if N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. na 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 64 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 5] - (Only if Applicable) 7 1 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x'( Line 5'/'Line 2 )]: 5.33% Q Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered..Duct..System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: ElPass ElFail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass ❑Pass ❑Fail hqs://www.calcerts.com/cf4r_print_certificate.cf n?lots=41052&cert type_id=1&Reques... 9/18/2006 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project itle: Date: © CaICERTS 2005 Enforcement Agency se Only P oJect eS 71 62,_' II a e Zone: Building Permit # D O-- —Oc —vUv Documentation Author:— Telephone: Plan Check Date Company Na e: S � Field Check Date IMP RTANT: This CF -1R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 ❑ An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. Check here if the gaft duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines) -5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2, 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV, if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AhM EER 12 condenser will be installed with TXV(RCA) AND added duct insulation (R-4 wrap on existing ducts, R-8 new ducts) in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 ANi2 EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AbM EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 hes stem being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ hiss stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 ❑ his system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section - HERS Rater verification 22 line 15 is checked, HERS verification is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ lif line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 R If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 ' toecaon o - see next page J Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title: g3 � D11 Do, ate: © CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when anHVAC-onalteration is made to an existing home Use one form for each system being altered. This is system #_L_ of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/ tion and meet or exceed efficiencies/R-values. 28 Configuration: ❑ Split system . ackagg Unit 29 ❑ Air Handler ❑Gas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 ❑ Outdoor Condensing Unit ❑A/C ❑Heatpumpfficienc SEER/HSPF: EER d re d : 32 ❑ Cooling or heating coil ❑A/C ❑Heatpump ❑Hydronic 33 0--- Ducts IZ —Vocation: .4 Length (ft): /JR -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: ^ Name: Address: Company Name: City/State/Zip:Address: Phone: City/State/Zip: Phone, Signature: Signature: Enforcement Agency (Building De artment Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application.Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample grouD shall not be released until all testing and verification is com feted and Dassed for the entire Qrouo. W.—i— (113 In na - - - -- - -- f age z of z This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com ;Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Titl Date: ©2005 CaICERTS C�' Enforcement Agency Use Only Project Address: C imate Zone: Building Perms # �/ V'" UJ Installing ontractor: Telephone: Pian Check Date Compan ame:Feld Check Date S c cam.. IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Copies to: Homeowner, HERS Rater, an Bu,71cling Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed a ui ment must match type/location and meet or exceed efficiencies/R-values from CF -1 R. Equipment T e Manufacturer Model Number Efficiency Load" Capacity— a acitFurnace Furnace AFUE Heat Exchanger N/A Heat Pump fan coil N/A Hydronic fan coil N/A Other FAU Describe Package gas/AC S AFUE SEER d� (P Package heatpump r, HSPF SEER EER' A/C Condenser SEER Heatpump Condenser HSPF SEER Indoor DX coil EER* Hydronic coil Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documentation to verify EER. In some cases the specific furnace may need to be verified in order to achieve a specific EER. Ih some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER. } Loads are sensible for cooling. I Capacities are sensible at design conditions for cooling and adjusted altitude, downflow, etc. output for heating. XV: ❑ If TXV is required by the CF -1 R form (line 23 on CF -1 R -ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) t - ❑ For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. I, the undersigned, verify that the equipment listed above is: 1) the actual equipment installed in the home; 2) equal to or more efficient than required by the Certificate of Compliance (CF -1 R -ALT Form); and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (Appliance Efficiency Standards), where applicable. I, the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for ompliance and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements pecified in S tion 150(m) of the 2005 Building Energy Efficiency Standards. i ned (Installer):/X Date: otes: Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com , Installation Certificate Prescriptive Method - HVAC -only Alteration C-F--6R-ALT Proct Tit S Dat: ©2005 CaICERTS IMPORTANT: This CF -6R form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system #--L— of _J_ systems altered in this house. Copies to: Homeowner, HERS Rater, and Building Department Duct Leakage test Results If duct testing is required per CF -1 R -ALT form Step 1 - Pre-test: Leakage of the system before any alterations. This test isoptional and is only used for the 60% reduction option 1 Pre-test leakage I ICFM25 2 1 Line 1 x 0.4 Itarget for 60% reduction Step 2 - Determine Total System Fan Flow: Use any of these methods. Use values forequipment after alterations. 3 Cooling: Condenser tonnage: tons x 400 CFM/ton = CFM 4 Heating: Furnace output: Btuh x.0217 CFM/Btuh = CFM 5 6 Measured: (refer to ACM Manual Appendix RE, section 4.1) = CFM Measurement method: ❑ flow hood ❑ plenum pressure matching ❑ flow grid 7 Totals stem fan flow value to be used: I JCFM may use highest of lines 3, 4, or 5. Step 3 - Determine Targets: Ba Total System fan flow (line 7 from above) x 0.06 = FM25 = 6% leakage target (new duct systems) Bb Total System fan flow (line 7 from above) x 0.15 = ICFM25 = 15% leakage target 9 Total System fan flow line 7 from above x 0.10 = ICFM25 = 10% leakage to outside target Step 4 - Alterations: Must be consistent with the CF -1 R form. new connections with approved materials. 10�Ifaadldaivng 11t constructed portions of the system can have unducted buildingcavities to conveysystem air. 12 or replacing more than 40 feet of duct, insulate new ducts per package D for that climate zone Step 5 - Final Leakage (regular duct leakage test, for 15% total and 60% reduction) 13 leakage = CFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.1 4a ❑ If line 13 is less than line 8a house passes the 6% leakage requirement, Go to Step 9. 4b ❑ If line 13 is less than line 8b house passes the 15% leakage requirement. Go to Step 9. 15 ❑ If line 13 is less than line 2 house passes the 60% reduction requirement, continue. 16 ❑ If either of lines 14a, 14b or 15 are checked, HERS verification is required. Sampling can be used. 17 ❑ If line 15 is checked, but not 14a or 14b, Smoke Test and Visual Inspection of Accessible Duct Sealing is re uired. Go to Step 8 Step 6 - Leakage to Outside: Similar to a regular duct blaster test but the house is pressurized to 25 pascals at the same time. 18 leakage = ICFM25 refer to 2005 ACM appendix RC, Sections RC 4.3.3 19 ❑ If line 18 is less than line 9 house passes the 10% leakage to outside requirement. 20 ❑ If line 19 passes, HERS verification is required. Sampling can be used. Step 7 - If the house does not pass any of lines 14, 15 or 19. 21 ❑ Smoke Test and Visual inspection of Accessible Duct Sealing is required. See Step 8. 22 ❑ linstall required label per ACM Appendix RC Sections RC.4.3.5. Step 8 - Smoke Test and Visual Verification See 2005 Residential ACM Appendix RC Sections RC 4.3.5-7 23 ❑ Perform smoke test per ACM Appendix RC Sections RC 4.3.6. 24 ❑ Perform Visual Inspection and reair of excessively damaged ducts per ACM Appendix RC Sections RC 4.3.7. 25 ❑ Seal register boots to surrounding material per ACM Appendix RC, Sections RC 4.3.7. HERS Verification 26 ❑ If line 14 is checked. 15% leakage to be verified by HERS rater. Sampling is allowed. 27 ❑ If line 15 is checked. 60% leakage reduction to be verified by HERS rater (post test only) AND Smoke Test and Visual Verification to be performed by HERS Rater. Sampling is allowed. 28 ❑ If line 19 Is checked. 10% leakage to outside to be verified by HERS rater. Sampling is allowed. 29 ❑ If none of lines 14, 15 or 19 are checked Smoke Test and fix all accessable leakes. No sampling allowed. Sampling - Only if house passes on lines 14, 15 or 19. 30 ❑ 1.) Homeowner chooses to be put into a group of homes for random third party HERS sampling. 2.) Homeowner, installer and rater must sign the three -party agreement. 3. All above tests must be completed by the installer or their representative, not the third party rater. No Sampling - House does not pass by lines 14, 15 or 19; OR homeowner chooses not to be part of a sample group 31 ❑ 1.) House to be tested by a third party HERS rater selected by installer. 2.) Homeowner, installer and rater must sign the three -party agreement. 3.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR all above tests may be performed solely by the third party rater. 32 ❑ 1.) House to be tested by third party HERS rater selected by homeowner. 2.) All above tests may be completed by the installer or their representative, and then verified by a third party rater. OR, all above tests may be performed solely by the third party rater. version 03-iu-06 Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP062200 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: 09/13/2006 APN: 040-214-027-000 the Business and Professions Code, and my license is in full force and effect. ,y///n /O / License Number: / `� Licen4w! Site Address: 9374 HOLLAND AVE DUR Date:ntractor: Map Index: Description: NEW ROOF MOUNT GAS HVAC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair.any structure, prior Owner: GIBBS DEBRA to its issuance, also requires the applicant for such permit to file a 9374 HOLLAND AVE signed statement that he or she is licensed pursuant to the provisions of DURHAM, 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 95938 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).): O 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: LINDSEY STANSELL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 187 such work himself or herself or through his or her own employees, FOREST RANCH, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95942 year of completion, the owner -builder will have the burden of 530-864-7594 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:. LIN DSEY STANSELL and who contracts for such projects with a contractor(s) licensed PO BOX 187 pursuant to the Contractors' State License Law.). FOREST RANCH, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95942 530-864-7594 Date: Owner: License #: 284616 WORKERS' COMPENSATION DECLARATION 1 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: 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 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 pro isions f Section 3700 of the Labor Code, I shall forthwith compl ith th se 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 permit -i. here/ issued under the applicable provisions of the Butte.County Code antVor 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 ork indicate bove for which fees have been pai Name: By: Date: �O PERMIT EXPIRES I v 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. 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 age t of the owner. I agree to comply with all coGnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offi ' rm or rm or e�f Butte County. l hereby County. I hereby authorize rep es tatives of B e County to enter upon the above m tioned property for inspection purposes. Print Name: Signature: Date: 0 Owner Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMA•,_ ��F _ ✓ / ni .., . 4 J _ . EW c %r Zip Phone E-mail State Lice a Number Fax E-mail Type Const. CO •. i � I .., . 4 J City State Zip Phone E-mail State Lice a Number Fax E-mail Type Const. Subdivision Name 11 ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail State Lice a Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office use only: Zoning Prope Flood Zone Cross Str SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc PERMIT NO. \1W TB P BIN # PROJECT LOCATION Prope t Cross Str SRA WORKER'S COMPENSATION Policy Number `O Carrier 2= 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 escription or Scope of Work: Sq FT- Living Gag Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications fog 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. Page 1 of 2 REV 8-25-06 Recei ed by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date L Other Total ------------- Page 1 of 2 REV 8-25-06 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 IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) 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 (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. Cl 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. A FEE WILL BE REQUIRED AT TIME OF APPLICATION. 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 KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTIC C/-? 7 0 /V'i'� -,/ 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. () "�Xa-�z S-- &-,I - '-)� Inspector COUNTY OF BUTTE / DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. 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 niajt4,)or need additional explanation, please contact this office immediately. Inspector Date i ' '-�`' 3848-84B, P, E,M PERMIT NO. �j / PERMIT EXPIRES / J /N OWNER G.W. DEADMOND CONTR. owner ASSESSOR PARCEL 40-214-18port LOCATION 9374 Holland Avenue, Durham + '0' FICE COPY �- P =f Addresst �� � x {�.:� •"} �:"' C} ...777 GAS LMe lDateTRlt a-By`"� !(Date' k \ G� • tiiL Temp. Power Pole_ Called PG&E _ T Temp. Elec. Service t Called PG&E_ Temp. Gas Service _ Called PG&E_ Y JOB FINALED (Dat, Signature V = OK 0 = Not OK -`` Ready Not Applicable * _ No[ RESIDENTIAL (Single and Duplex) Date UNDERP60R Plans OK except #'s Date FRAMING (Continued) o 'ng req uirements-Setb s -Easements 4tr property Line Firewall & Openings , Main; Soils -Steel- Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth *r50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ftg:, Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7 le S emwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers=�ireplec -feel $A!Glazing Area -Glass Protection -Skylights -Plastic D. .: Fafl-FitLings- st way C/O -Sewer Tes _65--6hear Walls; Nailing -Bolts hors 1 Water Pipe; Test -Anchors -Regulator Service Tes _ 4tov &D 11,k7 11. Electric; Underground C learance-Materi al -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI DaW ICa -BI to Card -BI j Date d Card -BI Date Date F L tans) OK exce t k' Card -BI Date Card -BI Date Date MBING (Permit) OK except q's . EA. Steps -Door & Sidelight Protection -Landings 5 Smoke Detector (t ter Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; Test & Anchors -Nail Protection W. V. Test-Fttngs & Anchors -Nail Protection W'Bedroom Exiting IV—Shower Pan; Test, First Floor -Tub Access •F.I. &Bath Fixtures &Tub Access - Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors Stairs & Rails .68r Fireplace or Stove; Clearances -Hearth -404--Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date ) V Card -BI Date Kit. Fixt. lien Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date �8" Elec. Outlets &Receptacles at Kit. Counter Date ECTRICAL Permit OK except p's 6 Garage Fire Door; Swing -Landing -Closer e-6Br-A.C. Duct in Garage -Damper XW,Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights &Switches at Doors K. Size Boxes No. of Conductors -Stapled Plb., Elec. & Mech. Equip. Listed for Location te"Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7P.rlhsulet ion- Foam -Looked in Attic C:) Yes Guard Rails & Deck Construction -Post Caps W. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-BoC-a 95el4 Appliance Circuits in Kitchen & Conductor Size -.29-Subfeed Wire S' e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7&.�+dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance oked under Floor El Yes 27. Range Circ. /(,0/ ga. C r AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑ es Foollowing instld.: Drive 12"7es ❑ No; Walks Yes ❑ No; Planters El Yes 164eo ..qg;—Stucco; Brown -Finish 74.•-A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. •.7A --Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House A�AGlass Protection 8 rrections from Previous Inspections 28. Service -Riser Conductors Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light Card B-1 ` Date ;Lej til Card -BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's as Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval r Energy Compliance Certificate -Other Certificates Car -BI Date Card -BI Date Car -BI Date Card -BI Date Car -BI Date Card -BI Date Co ent at Final: 31. A.C. Ducts; Insulation & Support 932. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI rNDate� j Card -BI Date Card -BI Date Card -BI Date Date FR ING Plans OK except Sills; Proper Material & n o- b?"Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilin s -Stairs -Chase 6ti Header & Beam -Size & Bearing Y Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh h q.-Rfng_.__ -Fireplace Ties or Type A Fl=:Vlace Throat 45. Attic Access; Size &e ect Draft Stop -Ins. Baffles 4 arm. Windows or Exiling Doors -Sill Hgt. & Dimensions 49/Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures , 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors. 7. Utility Clearance 7. Elec. Card -BI Card -BI Date, Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK'except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector ' 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy , 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Owner: LOCAT Permit No. ENERGY C E R T I F ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberqlass Minimum Thickness (Inches) 202" Area covered(ft.2) 1,209 FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 64" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) ?W/- If, --- A.P: No. Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Brand Name Thermal Resistance(R Value) Brand Name Manville Number of Bags 25 Wt. per bag 33 lb. Thermal Resistance(R Value) R3O Brand Name Owens=Corning Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION COMPANY #432518 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. P—) March 19, 1985 SICMTURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME /OWNS)k'— Please print) STATE CONTRACTOR'S LICENSE -NG. �6! r.,. - r ...o SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 1 R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t + 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATIU.N AND' PERMIT PER IT NQ. ASSESSOR PARCEL N MBE ZONIN BUILDING PERMIT OWNER TELEPHONE �,` 3� �� SO. FT. OCC. BUILDING VA O KZ 00 OWNE'S MAILING AD ESS d'3 2 _3 a0 fid. 00 CQNXRACTO NAty]�� _ � TELEPHONE / O v- L A (0 -f ,v CON/TRACTOR'S MAILING ADDRESS Fireplace C DNS UCT ON LE DER UNKNOWN Total Valuation $q6. ffM X10,00 Filing Fee $ LEND 5 MAILIN AD R 5 �'d Permit Fee $ 228 ARCHITE OR ENGINEERLICENSE NO. Plan Checking Fee $ -"--�$ • V� ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3 67, UD BUILDING ADDRESS n 93 tib , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 , Ub LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 , 00 Gas piping system 1 - 5 outlets 5.00 _1,0'0 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer I 5.00 I So Mobile Home TS TG W 110.00e TYPE OF WORK New [d Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ zjf Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS10.00 10,aD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWEL CUP.& OR ADONS. ACC. 1 2/20sgft CONTRACTORS LICENSE LAW I declar 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. *Z/� 7--S ,i Classification jJ ❑ 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 NEWCON5TR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEw CONSTR.POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OccuP(oXTs OR FIXTURES 20e50t BALO 30 FIXEEDD APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare //under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling /0.00 Hood 3.00 3, (Nj Ventilation 3160 permit Fee $ 2, UD Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, ments, costs, and expenses which may in any way accrue against said u yin copse ence of the granting of this permit. X iZ—Z s� 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 $ s01 00 TOTAL PERMIT F $ 60 , OCCUP. GROUP TYPE OF CONST, �V I I PARC L PD NDI ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PEWT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 31 (o / 9 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FORM • RESIDENTIAL ENERGY PLANCHECK/INSPECTION SUMMARY Owner gi&!f.g .001d t/, 0 Climate Zone Permit No. SOW ' 8¢ Floor Area /200 Compliance path: Package ❑ A ❑ B ❑ C 4Point System ❑ Budget W other MIN R -VALUE DESCRIPTION REQ'D Ft. INSTALLED ITEMS (1) INSULATION: I Roof/Ceiling A n -S O Q Wall 104e -/40r ❑ Slab Floor Perimeter ® Raised Floor ,p_/1 - Area (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ® (C) All swinging doors and windows leading to unconditioned areas - Area shall be fully weatherstripped. HC= Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger Type (3) GLAZING:. - Area (A) Location HC= Area Glazing %Floor Area Single Double Triple MC= Total Bldg ® North East G8.3 S. % ® South /p it M West /9 /, b 'r ❑ Skylights MC= (B) Shading Shading Coefficient Description 7/83 East South West Skylights (C) South Overhang Length of projection _�ft. Description / (D) Moveable insulation: Area ftz Description (E) Thermal mass /Jt)7— CSC.* 0-�_ a0dVov Type e - Area Ft. HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type_ - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location 7/83 i FORM I ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible,. openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. C *1'(5) HEATING, VENTILATING; AIR CONDITIONING -SYSTEM (A).' -Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump. ;� 0 SE '(brand and -model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar .type (liquid or air) Collector brand and ft2 model number solar fraction collector area' collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) �.] Other 1//q9, C 00416;01 (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic'to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 (6) DOMESTIC WATER SYSTEM (A) Gas Only (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup ❑ *2 Gallons (tank size) Active Solar FORM 1 Gallons (brand and model number) (collector brand and model number) (rated y -intercept). (rated slope) (solar fraction) .(backup heater type, brand and model number) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d), �} (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). (collector area) ft °1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 2? 0, elevation / fb ', heating load ,3/SV&BTU elevation factor /,(j x heating load = maximum outlet capacity gas furnace 3C� BTU Cooling: Summer design temperature 1010, cooling load �BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDIN6 DESIGNER OR APPLICANT 3 j ZONE 11 OWNER ,Dan, POINTS PERMIT NO'. ASSIGNED ACTUAL 1. SLAB - INSULATION c� 2. PAISED FLOOR - R-19 L 3. CEILING - R-30 t� 4. WALL - R-19 5. NORTH GLAZING - 2.4-3.6%Q�l Z 6. EAST GLAZING - 2.5-3.6% SS I �� 7. SOUTH GLAZING - 1.6-3.6% Q•g S. WEST GLAZING - 2.9-3.67 �•� 9. SKYLIGHT - 0-1.37 10. SHADING (Exclude Overhang) I EAST - S� 7.66 U SOUTH - 0.96.19-.42 d WEST - x.13-.36 =� SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 13. •INFILTRATION (Standard=0)(Tight=+12) 0 14. _ THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 'd ' 16. HEAT PU1fP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE 4A-5 WATER HEATER O ATTIC. A00 I OTHER - TOTAL POINTS = -able a 7-1. Sl�an b Floor Poi_ is Table 3-2. Raised Floor Point 7 I -2 30 I Tn^ula- 1 R -Value of Insulation I I R -Value of I +2 ! tiun I I I Insulation 1 Points I Depth, I I 1 0 1 +1 1 +2 ! inches 1 0-2 1 3-4 ! 5-6 I' 7+ 1 0 I 0 1 it I 37-:66 I I I I I I I below 3 I -12 I .83 up I i 0 I -1 I -2 I I I South 1 0- 11 I -5 I -S I -5 i -5 I I 5- 7 1 -6 I 12 - 15 I -5 I -3 I -2 1 -1 I I 8- 12 I -4' I 16 - 19 I -5 I -2 I -1 I 0 I ! 13 - 18 i S0 20 + i -5 i -1 i 0 i +1 j I .lgi+ - I I I I 7/7/83 ' Table 3-3a. Ceiling Insulation R -Value of Insulation I Points 19 I -4 22 I -2 30 I 0 38I +2 49 ( +4 ble 3-4a. Wall Insulation Poln R -Valu. of Insulation I Points 11 1 -7 19 i 0 24 ! +2 30 ( +3 Table 3-5. North -Facing Glazing Pt I I Glazing Type I Total I I Z of Sngl, I Dbl, Trpl, I Floor I U- l U- I U- Azea 1 0.66 ! 0.42- ! 0.41 ( ( 1.10 i 0.65 1 down 0 +4 +4 +4 I 0.1- 1.2 1 +4 ! +4 ! +4 1 1.3- 2.3 ! +1 I fj ! +2 I4- 3.5 I -2 ! 0 ! +1 1 3.7- 4.8 I -4 ! -2 ! -1 ! 4.9- 6.1 I -7 i -4 I -3 I 6.2- 7.3 ! -9 ! -6 ! -5 I 7.4- 8.2 I -12 I -8 ! -7 ! 8.3- 9.7 1 -14 ! -10 ! -8 ! 9.8-10.8 I -17 ! -12 I -10 110.9-12.0 I -19 I -14 I -12 112.1-13.2 I -22 i -16 I -13 113.3-14.5 1 -24 I -18 I -15 I 14.6-15.3 I -27 ! -20 I -17 Table 3-7. South-Facinq Clazin Pt a Table 3-10. Shadln Coefficient Poi T- I I Glazing Type ) i Total i ! I Z of I Sngl, I Dbl, Trpl, I Floor I (U- I (U - 1 (U - I Area ! 1.10) 10.65) 10.41)1 I I 0 1 +3 1 +3 14 3-1 I I u to 1.5 1 +2 I +2 ! +2 ! 6= 3.6 I -1 I 'e'" I o f i 3.7•- 5.2 1 -4 1 -2 I -2 i I 5.3- 6.5 I -6 I -4 I -3 ! 1 6.6- 7.7 I -9 i -6 I -5 I I 7.8- 8.9 I -11 1 -8 1 -7 I I 9.0-10.0 I -13 I -10 .I -9 ! a 1 10.1-11.5 i -17 I -13 1 -11 I T 111.6-13.0 I -21 1 =16 I -14 I I 113.1-14.5 I -25 I -19 1 -16 I I 114.6-16.0 I -28 I -22' i -19 I Table 3-8. West-FaclnR Glazing Pts. I 1 Glazing Type ! I Total I ! Z of I Sng1, I Dbl, I Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 10.65) 10.41)1 I I oints I oints 1 ointsl o +6 +(, +6 I up to 1.3 I +5 I +6 I +6 I I 1.4- 2.2 1 +3 I +4 I +5 1 12..3- 2. I 0 I'72- I +3 I I 2.9- 3.6 1 -3 1 0 1 +1 I I 3.7- 4.2 I -5 1 -2 1 0 1 4.3- 5.0 ( -8 I -4 1 -2 I 5.1- 5.6 I -10 1 -6 ! -4 5.7- 6.2 ! -13 i -8 i -6 1 6.3- 6.9 I -15 I -10 I -7 I 7.0- 7.6 1 -18 I •-12 ! -9 I 7.7- 8.2 1 -2J ! -14 ! -11 1 8.3- 8.8 I -22 1 -16 1 -13 I 8.9- 9.5 I -25 I -18 I -15 I 9.6-0.1 ( -27 -20 I -16 ! 10.2-11.0 I -29 I -23 I -17 ! 11.1-11.8 I -35 I -26 I -21 I 11.9-12.7 I -38 1 -29 I -24' ! 12.8-13.5 I -42 I -32 ! -27 ! 13.6-14.3 I -46 I -35 1 -29 I 14.4-15.2 I -50 I -38 1 -32 I Table 3-9. Skylight Points Table 3-6. gas t -Facing Glazing Pts. I I Glazing Type I I Glazing Type I ! Total I -'--I Total II I Z of Sngl, Dbl, Trpl, I Z of I Sngl, Dbl, Trpl, I Floor 1 U- I U - I U- I I Floor 1 (U - I (U - I (U - I I Area 10.66- 10.42- 10.41 I I Area 11.10) 10.65).1 0.41)1 1 1 1.10 1 0.65 I down I pLints Ipoints I Lints! I o t +4 +4 +,7 I up to 1.3 I -1 1 0 I 0 I 1 up to 1.3 1 +3 1 +4 I +4 1 I 1.4- 2.2 i -3 1 -2 I -1 I I 1.4- 2.4 I +1. ( +2 1 +2 1 I 2.3- 2.8 I -6 I -4 I -3 1 I 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 I -5 I 3.7- 4.6 I -5 i -2 I -1 I I 3.7- 4.2 1 -11 I -8 I -6 I I 4.7- 5.6 I -8 i -4 I -3 I I 4.3- 5.0 I -14 I -10 I -8 I I 5.7- 6.7 1 -10 ( 0 I -5 I I 5.1- 5.6 I -16 1 -12 I -10 ( r -T- 7.7 I -13 I -8 I -7 I 1 5.7- 6.2 I -19 I -14 I -12 7.8- 8.7 I -15 1 -10 I -8 1 I 6.3- 6.9 i -21 I -16 I -13 I 1 8.8- 9.7 I -1.7 1 -12 1 -10 1 I 7.0- 7.6 I -24 I -18 i -15 I I 9.8-11.2 I -21 I.-15 1 -13 1 I 7.7- 8.2 I -26 I -20 I -17 I 111.3-12.7 I -25 I -18 -1 -13 1 I 8.3- 8.8 ( -28 I -22 I -19 I 12.8-14.0 I -28 I -21 1 -18 1 I 8.9- 9.5 I -31 I -24 i -21 I 14.1-15.3 I -32 I -24 1 -20. I I 9.6-10.1 I -33 I -26 -22 I SC by I Orien- I Z Floor Area tation I East i I 3.2-�_ I I 0-3.1 ! to 16.4 up I i 6.3 I 0 -.19 1 0 1 +1 1 +2 I .20-.36 1 0 I 0 1 it I 37-:66 I 0 I 0 ( 0 I .6� i-:82 I 0 -1 I .83 up I i 0 I -1 I -2 I I I South 1 0 1 3.2 i 6.4 18.0 19.E I I to I to I' to I to I up I I 13.1 16.3 17.9 19.5 I 1 0 -.18 1 0 1 +1 ! +2 I +2T__ +22 IT +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 1 43-.6-6 10 -1 I -2 I -2 -3 I .I I 0 1 -2 I -4 I -4 I -6 ' West I .1 1 1.6 13.2 16.4 18.0 I to i to I to I to I up i 1.5 1 3.1 ! 6.3 1 7.9 I ( I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I -7 .58-.82 ! -1 I -3 i .-6 1 -12 1 -15 MP uy I `-'F I -4 I -8 I -16 I I I I I Skylight 1 .1 I .8 11.6 1 3.2 14.0 1 to I to I to I to I to I.7 1`5 ! 3.1 I 3.9 15.2 0-.12 1 0 1 +1 1 +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I '-0 I -6 I - .58-.82 I -1 I -3 I -6 I -11 I -. .83 up I -2 ! -4 I -8 I -16 ( -20 I 1 I I i Table 3-11. Horizontal South Overhane Points Souou th Glazing I Length Out I Area, Z of Floor 1 I from Wall I I I ft r I 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 -1 1 _4 10.6 - 1.0 I -2 I -3 I 11.1 - 1.9 I -1 i -2 2.0 up i 0 i 0 ! Table 3-12. Movable Insulation I Points Moveable Insulation'l I Area, Z of Floor I Points 1 l I 1 I 0- 5.5 i 0 I I 5.6 - 11.5 I +2 1 I 11.6 - 17.5 I 44- 17.6 4 17.6 - 23.5 ! +6 ! I >23.6+ ( +8 I Table 3-13. Infll:latian Control Feat. -res Points ICon:rol Features I Points I T- I i I Standard 1 0 1 1 I I 10.9 air changes per hr I 1 I I I T- I Tight I +12 I I I I 10.6 air changes per hr I' I ; I 1 Table 3-15. Cas Furnace Without RefrlReration Cool_ne Points 1 Neat Pumo I Seasonal Efficiency I Points 1 i (SE), t I � I I I I 71 - 76 I 0 1 1 77 - 82 I +2 1 I 83 - 88 I +4 1 1 89 - 94 I +6 1 I 95 up I i I +8 I I 1 +6 I I 8.4 - Table 3-16. Neat Pumo Points 1 Energy Efflcleney 1 Points i I Patio (EER) 1 I I 7.5 - 1.9 I +3 I I S.0 - 8.3 1 +6 I I 8.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.6 i +15 i I 9.1 - 10.2 I +18 I I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I 1 11.5 - 12.3 1 +27 I I 12.4 - I 13.2 I +30 I I 1 Table 3-17. Cas Furnace With Refriveration CaolinR Points :Refelgeraciad Cas Furnace I I Cooling I SE % I I 1- 77-183- 89- 95 1 1 761 811 881 941 u I 1 8.0 - 8.3 1 01 +21 +-41 +61 +8 1 I 8.4 - 8.7 1 +21 741 +61 +91+10 1 I 9.8 - 9.2 1 +41 +61 +E1+101+12 1 I 9.: - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +31+101+121+141+16 1 1 10.4 - 10.9 i+1G;+121f-14I+16;+1S I 111.0 - 11.5 1+121+141+1614.181+20 1 I I ! I I I - 7/7/83 ZONE 11 TABLE 3-14 (AoAPTEO) INTERIOR THERMAL MASS POINTS MASS DWELLING AREA SQUARE FOOT AREA 1,000 I 1,500 2,000 2,500 I 3,000 I 3,500 1,000 I 4,500 5_,000_ I 511. FT. I A 8 C D A. 8 C 0 A 8 C D A 8 C D A 8 C D 1 A 8 C 0 A 8 C 0 I A 6 C G A" 8 C L 50 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C 0 0 '.00. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 01 0. 0 0 0 1 iSO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 0 2'? 2 01 2 2 2 0 I 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 Z 2 2 2 1 2 2 2 i t 2 1 1 1 253 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 - i ! 300 12 12 10 6 8 8 6 4 6 6 6 1 6 6 4 2 4 4 4 2 4 4 1 2 2 2 2 2 2 2 2 1 2.2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7( 2 2 1 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2I 4 4 2 2( 4 4 2 2 500 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 5 4 4< 4 2 t 4 4 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 6 6 4 6 6 6 4 I 6 6 4 2I 6 6 4 2 1 790 24 24 20 14 18 16 14 10 14 14 12 0 10 10 10 6 10 10 8 6 8 8 ti 4 1 8 6. 6 4 I 6 6 6 41 6 6 6 P. 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 e 6 6 4 I 8 6 6 4I 6 6 6 3 2 2 0 3 900 28 28 74 16 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 1 6 I 0 8 '8 4 8 8 S 4� B 8 6 t i 1,000 30 70 26 18 22 20 20 14 18 18 16 10 14 14 12 8 12 17. 10 6 12 10 10 6 10 10 8 6 I B 8 C 41 ", 8 6 4 i 1,;00 32 28 1D 114 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 11 12 10 6 10 1J .11 10 6 10 c. 10 8 !D e e 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 I 14 14 12 8 14 12 12 8 '12 12 10 6 110 10 8 6 i in In 8 6 i I i 1.300 34 14 32 22 28 26 24 16 22 22 20 12 18 19 16 10 1;, 10 14 8 la 12 12 8 12 12 10 6 12 10 10 61 10 ;0 f 6 I 1,.00 34 34 32 24 28 28 26 18 24 24 20 14 1,10 0 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 ! 12 11 ;G 6; 10 10 10 E 1 1,ioo 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 I8 18 16 10 16 16 14 B 14 14 12 8 117 12 '10 61 ;2 12 1; o i 2,000 ! 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 1 16 16 is GI 14 14 12 B I 2,500 I 34 34 30 22 30 26 18 26 26 24 16 24 24 22. 14 22 22 19 :2 20 2G 18 !:'1 ly 1, 16 :0 3,000 34 32 30 22 30 30 26 18 28 16 24 l6 124 24 22 14 22 22 20 1411 :. :3 12 3,500 I 32 32 30 10 30 30 26 ld �1d 28 24 16 26 24 I 22 It i +4 14 20 14 ' 4,900 32 32 30 20 30 30 26 18!70 18 24 it 5 26 2: If i 4,500 132 32 26 2U 130 30 26 It j 1 k ?� •;6 5,00_ Al 1. 3'1- Concrete Slab: HC•8.93; R-.29; Factor -7.3 t 2. 3 3/4' Thick Common Brick: IIC=7.125; R-.13; Factor -7.3 a) 1. Sk- Concrete Slab: HC -14.106; '*.411; F;:ctor•7.1 C 1. 8' Solid Filled Block: HC•20.63; R-1.93; Factor -6.1 2. 8' Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: IIC=10.164; R-.965; Factor -6.1 D1 1' Thick Concrete/Tile: KC. 2. R-.083; Factor. 3.7 wood stove #33 points -(no back up) casablanca fan + 1 point Table 3-19. Zonally Controlled Electric Resistance Space Heating Points Pointefor this measure w!11? Table 3-20. Solar Water Heating With Cas Backup Paints , I be completed after the CEC I I has approved an Alternative I Component Package for Resistance I I Beat. 1 Table 3-19, Active Solar Space Heating with Cas Points I Net Solar Fraction I Points I 1 (NSF), z I I I I I I o-6 I 0 l 1 7 - 14 I +2 1 I 15 - 23 I +4 1 I 24 - 30 I +6 I I 31 - 39 1 +8 I 40 - 47 1 ; +10 1 I 48 - 55 I 4-12 1 i 56 - 63 I +14 I I 64 - 71 I +18 I 72 up 1 +20 I Y.ultifamil (per unitpoints) Floor Area Net Solar Fraction (NSF), Z per unit, ft2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 r09 -and u 0' +1 +2 +4 +5 +6 +7 +9 All others (per builalnp paints) -4: _ 800-899 900-999 0 0 +5 +4 F +9 +14 +13 +19 +17 +24 +1l +29 +34 +26 +30 1,000-1,199 0 +4 +7 +11 +15 +19 +22 +26 1,20r,l.1-99 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +16 2,000-2,919 0 +2 +3 +5 +7 +8 +110 +11 3,01:0 a..d uo 0 1 +l I.3_ +4 +5 +7_ +S +10 1 i Table 3-21. Other Water Heating Pts. 1 I System Type I Points I t I I I Cas Only 1 0 I I I I I seat P mp i 0 I i I I Solar with Electric I I I Resistance Backup I Neecln6 the Require- I 1 1 menti is Part 2 1 0 1 I E1CCEric. Resistance 1 1 I 0^.11' ; -40 I RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) / Bldg. Permit # 8!r OWNER G Lao � /'�IO�yd A. P. �� !1d—L/y./b% tea•% A. GENERAL il! Zoning requirements (sideyards and parking). rValuation. Signature by R.C.E. or Architect (if required). B. PL PLAN Complete parcel size and dimensions. Q �' Setbackq��'s��� —easements, etc. p %a 3 VOther buildings or structures. Grading, fills, drainage. C. FLOOR PLAN omplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1405).' Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). y� Human impact glass (Sec. 5406). �. Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of equipment. V. f water heater,C nZ S���other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 3'0" exterior exit door (Sec. 3303d). ireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ll. Foundation:plan complete enough to construct building. Floor construction details complete enough to construct building. A' Elevations and wall construction details complete enough to construct A. Roof construction details complete enough to construct building. ,So.' Fireplace construction details and calcs if over one-story in height. .6e Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS .ITEMS TO LOOK OUT FOR . CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). ,5 Exterior plaster - weep screeds (Sec. 4706 & 4708). j! Proper roof pitch for roof covering (Chapter 32). y. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. building. (State law). Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. A. Two (2) exits on three-story dwellings (Sec. 3302). Return to DPW Section 26-8.1 of the be recorded prior to 4.1 115 23 ; ,: E COUNTY -(1A1.!•- .._.. MIDVALLEY TITLE C OFN za r 3+4 r E AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Butte County Code requires this acknowledgement issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: /03 DESCRIPTION.: All that certain real' property situate in the County of Butte, State of California, described as follows: Being Lots:. 4 of -the "Smith Tract" of the Town of Duiham, County of Butte, State of California, as the same, is laid down and numbered on the Official Map thereof, filed as of"record in the office of the Recorder of the County of Butte, State of California. Date: 2� PROPERTY RS: State of On this theZ 40 day of S�c� 19 f , before SS. me, the ersigned/-Votary Public, personally aaaeared County of Otsego -egot a%GRN�A Personally known to me. L/ iA Pl9Cit��unCi 10.1488 Kc PYAu"9x�„ ©� o¢q� to be -the person(s) whose names) os r.; twcO{°�`� �woo 00o the within instrument and acknowl �oeffisea% executed the same for the purpos Me,o IN.,WITNESS WHEREOF, I hereunto Present A. P. No. _ wo - ?N-141-4 Proved to me on the basis of satisfactory evidence. o �-, sub cribed to e ged that . C s herein containe hand and official seal G1 rn i Notary Public ENO OF DOCUMENT ilii ���luli I���Ilile iIOIIN��i ulli�lilli�ill��i ol�llil Iliilil� liilhlii llll�iiiTi��uii il�llii '3 `� `5 _I! I�lili Ilil�llll l ILI I u�.., _ �...r_..m� _. ,.._ .� i 11.1►11