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HomeMy WebLinkAbout041-420-042` 41-42-42 SHOP CONV TO APT & POOL USED COMM. 7/11/89 SQ �J I i f Alvin D. Rogers N/S,pri.rd.,app.2000'W.ofIClark Rd- 3Q0 N.of Clear Creek Cemetary Rd.,. Permit #3951-77B,P,E,M(ne%w.ysiipngle family) " r Permit #4055-78.," 41-42-42 Permit #2228-81B,P,.E(new pr'.swimming pool) t �. �' -- 42 ��31g9 -r DALE ROGERS J 3751 W. Branch Lane, ORoville PErm_t#70-88B,P,E,M(addition/SF) 41-42-42 3625-89B t i ROGERS, Dale 3751 -West Branch -Lane, Oroville Contr: Don George.'Inc • pl (reroof/SF) 1041-42-0-042 92-2868B ROGERS, Dale 3751'W Branch Ln, Oroville woodstove/detached shop / B07-0511 041-420-042 MISCELLANEOUS HVAC Change Out CHANGE OUT 2 (TWO) EX HVAC 3751 W BRANCH LN ROGERS, ALVIN DALE & JOSETT B08-0315 SCA f j4" 041-420-042 MISCELLANEOUS /'Re -Roof REROOF W/COMP (12 SQ) 3751 BRANCH LN . ROGERS, ALVIN DALE & JOSETTE 041-- 4"0 042 '`Mr,y�,ti ` '.r� 92, ]8.3 'r. t RODE RS;' Dale r ,.1. ,� '3751 ,W'Branch rirp ille,.... L .Orov _ A—ee' m lLparnii . 5. had, .tractor: ,.. r 04,1-4-zd-6)42 401, ' �'4 4; Alvin D. Rogers N/S,pri.rd.,app.2000'W.ofIClark Rd- 3Q0 N.of Clear Creek Cemetary Rd.,. Permit #3951-77B,P,E,M(ne%w.ysiipngle family) " r Permit #4055-78.," 41-42-42 Permit #2228-81B,P,.E(new pr'.swimming pool) t �. �' -- 42 ��31g9 -r DALE ROGERS J 3751 W. Branch Lane, ORoville PErm_t#70-88B,P,E,M(addition/SF) 41-42-42 3625-89B t i ROGERS, Dale 3751 -West Branch -Lane, Oroville Contr: Don George.'Inc • pl (reroof/SF) 1041-42-0-042 92-2868B ROGERS, Dale 3751'W Branch Ln, Oroville woodstove/detached shop / B07-0511 041-420-042 MISCELLANEOUS HVAC Change Out CHANGE OUT 2 (TWO) EX HVAC 3751 W BRANCH LN ROGERS, ALVIN DALE & JOSETT B08-0315 SCA f j4" 041-420-042 MISCELLANEOUS /'Re -Roof REROOF W/COMP (12 SQ) 3751 BRANCH LN . ROGERS, ALVIN DALE & JOSETTE 041-- 4"0 042 '`Mr,y�,ti ` '.r� 92, ]8.3 'r. t RODE RS;' Dale r ,.1. ,� '3751 ,W'Branch rirp ille,.... L .Orov _ A—ee' m lLparnii . 5. had, .tractor: ,.. r 04,1-4-zd-6)42 401, ' �'4 4; BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-•2140 Website: www.buttecounty.net/dds Permit No: B07-0511 Issued: 03/16/2007 Address: 3751 W BRANCH LN Area: CTE VALLEY Owner: ROGERS, ALVIN DALE 1APN: 041-420-042 Applicant: SECO HEATING AND AIMap Page: i Permit Type: HVAC Change Out Description: CHANGE OUT 2 (TWO) EX HVAC i AREA 3 Flood Zone: None SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROV�,D BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior '135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I NR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 1 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 - Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final RCT FINAL 1 801 i .M.0 ` *Project final is a Certlllcate of uccupancy for (Kesiaennal unly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy tCOUNTY OF BUTTE' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 :,ounty Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Roc, FrzS g 0-1 - OS I I OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addre3s and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleEse contact the Building Inspector as indicated below. I r-phI A r(A�HlgG i12 A t U r Ar <E -7S -t A r�( Ppip rznv(!f_n ccC0 F/a� ry:�xti�i k Date 0 InspectA6EOR mr CAR f)(foT&Z REV 4/05 Phone # ��– /J Z �— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 J-; • ... - '.. '.COUNTY OF BUTTE ..................... . c_ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE K/)� �� r Ii D 7- 05 OWNER PERMIT Mr) A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of M work is completE•d. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. } yr(fAt6 . i. I '2 %r Date ? �2G Inspector 1"'(("",iz REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 i a 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: 3751 W BRANCH LN Owner: Permit No: B07-0511 APN: 041-420-042 ROGERS, ALVIN DALE & JOSE Issued Date: 03/16/2007 By KEJ Permit type: MISCELLANEOUS 3751 WEST BRANCH LN Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 03/15/2008 Description: CHANGE OUT 2 (TWO) EX HVAC Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: SECO HEATING AND AIR SECO HEATING AND AIR Building Garage RemdUAddn 4320 ANTHONY CT, SUITE 1 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 ROCKLIN, CA 95677 (916)652-6755 (916)652-6755 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $110.00 Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B2196 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SECO HEATING AND AIR 788807 / C20 C38 / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is innd effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil than five hundred 03/16/2007 penalty of not more dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are 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.). 111;�J 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: L action 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; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the PREFERRED EMPL( WKN1275722 05/01/2007 Cartier: Policy Number: Exp. Date: Contractors License Law.). (This section need not a completed if the permit is or one hundreddollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 03/16/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. 03/16/2007 XK� 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 I Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, or in any way connected with o,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co o enter the above mentioned property for inspection purposes. I hereby certify that I am the pro er or am authori to on th , r9perly owners behalf. CONSTRUCTION LENDING AGENCY f�v�, Vo g/J 03/16/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner 1:1 Contractor OR. DAgent for Owner%gent for Contractor FILE COPY Lenders Address City State Zip 'CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder or Installer Name 375.1 W. BRANCH LN unit 2 SECO-Heating & Air Conditioning Builder or Installer Contact Telephone Kevin Coulter P itt (Additions or Alterations) Number 816652-6755 II HERS Rater Steve Vasa - CC2004262 Telephone Sample Ciro Number 2 a 7 916.682-8730 Compliance Metho escri five Climate Zone 11 Certifying Signature Date Sample House Number 3-17-07 2 Firm Capitol Energy Cons nts HERS Provider CalCerts Street Address: 1709 Adonis Way eitti-/state/Zip: Sacramento CA 95864 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ 0 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify- that the new distribution system is fully ducted and correct tape is used before a CF4R mai- be released on ever}- tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -GR has been received for the sample and tested buildings. ® The installer has provided a copy of CF -GR (Installation Certificate). ® New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). © New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive.duct tape to seal leaks at duct connections.). ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACK Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results CFM Measured " Values 1 Enter FM Tested.Leaka a ow n C: $ Fl i "=� w{ ,'ter-3t;`..;'�sz2'_ 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ eating or ✓ ❑ Measured Enter Total Fan Flow in CFM: ✓ ✓ 3 Pass if Leakage Percentage < G% [ 100 x [^_(Line # 1) / (Line #. 2)1] ❑ Pass O Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out _ Enter Tested Leakage Flow in CFM from CF -GR: Pre -Test of Existing Duct System Prior to d hange-Out Duct System Alteration and/or Equipment Change-Out- Enter Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System =>e - s2q for Duct S) -stem AlterationEquipment and/or ui ment Ch e-CJut Y S - Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus (Line #'5)] G (Drily ifApplicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage < 6% 8 100 x [_(Line # 5) / Line # 2) El 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)]] P ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > GO% [ 100 x [-(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual Inspection ❑Pass ❑Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection `= `'=`= = '' ❑ Fail Pass if One of Lines # 9 through # 12 pass -<=,1> ® Pass Fail Residential Compliance Forms December 2005 �!y:s:t:em Passes CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address 3751 W. BRANCH LN unit 2 Builder Name SECO Heating & Air Conditioning Telephone Builder Contact Kevin Coulter916 P1anNumber 652-6755 Cooling Capacity HERS Rater Steve Vasa - CC2004262 Telephone Sample Gro Number 2 of 7 916682-8730 Compliance Method (Prescriptive) Climate Zone „ Certifying Signature Date Sample House Number 3-17-07 2 Firm Capitol Energy Consultants HERS Provider CaiCerts Street Address. 1709 Adonis Way City/State/-Zip: Sacramento CA 95864 a.oples EO: DUii.uJ&x, nLKa PKUVIDEK AND BUMDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: v" 13 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certih, that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ ❑x The installer has provided a copy of CF -GR (Installation Certificate). P kg Unit — TXV Exempt ,-'13 THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in R4CM, Appendix Rf.. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refrieerant Charee for Split Sedem Snare rnnr,,,o Cc Apme w4knirt Th astatic Expansion Valves Outdoor Unit Serial # Location ✓ ✓ Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Date of Verification ✓ 0 Yes O No visual verification that the TXV is installed on the system and ❑ ❑ installation of the specific equipment shall be verified. Yes is a pass 1 Pass 1 Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Reauired Refrieerant Charee for Split Sedem Snare rnnr,,,o Cc Apme w4knirt Th astatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard a h4easurement Note: The system should be installed • ch-- in r an the manufacturer's specifications and installer verification shall be documented on CF -GR before s ed o oor air dn--bulb is below 55 OF rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACK Appendix RD2. ✓ ❑ Yes 0 No A copy of CF -GR (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Farms April 2005 P.O.HD070325 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Project Title JIM DAVIS Dat e 3-16-07r1% # Building Permit rr Zl b Project Address 3751 W. BRANCH LN unit 2 OROVILLE, CA Plan Check /Date Documentation Author Kevin Coulter Telephone 916 652-6755 :Field Check /Date Compliance Method (Prescriptive) Climate Zone 11 Enforcement A encs- Use Only - Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM) GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft' - Average Ceiling Height: 8' ft Check Applicable Bates Building Type: (check one or more) [y] Single Family= Multifamily EDAddition. 0 Alteration (If adding fenestration fill -out WS4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations in the RCM) • Maximum Allowed Total Fenestration Area fe (from WS4R) • Maximum Allowed West Facing Fenestration Area ft' (from WS4R) • Number of Stories: Number of Dwelling Units: • Floor Construction Type: 1 SM Slab/Raised Floor (circle one or both) • Front Orientation: North / South / East / West: All Orientations (input front orientation in degrees from True North and circle one). ❑ RADIANT BARRIER (check box if required in climate zones 2.4 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors Frame Type Cavity (Wood or Insulation Metal) R -Value AssemW U - factor (for wood, Continuous metal frame and Insulation mass R -Value assemblies Joust Appendix IV Reference ,Roof Radiant Barrier Installed' Yes or No Location Comments (attic, garage, typical, etc. is 1) See Joint Appendix IV in Section IV.2, IV.3, and IV.4, which is the basis for the U -factor criterion. U -factors cannot exceed prescriptive value to show equivalence to R -values. 2) Tlus column is for the Inspector to verify installation of roof radiant barrier. Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -IR Project Title Date JIM DAVIS s-�s-o7 FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ 13 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS4R — must be included for New Construction, Additions, and Alterations. Fenestration #/Type/Pos. (Front, Orien- Left, Rear, Right, tation, Area U -factor Skti li t N, S, E, W' ft' U -factor' Source' SHGC' Exterior Shading/Overhangs6,7 SHGC ✓ box if WS -311 is Sources included Distribution Type and Location Duct or Piping Thermostat Configuration ducts, attic, otc R -Value Ty (split or acka c Furnace -package 80% 13 PKCrA1C 13 Atyc R6 Programmable Package O O ❑ 1) Skylights are now inclu( A in West -Acing fens nation area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. Sce j151(f)3C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A. 3) Indicate source either from NFRC or Table 11 CrA, d) Enter values in this column from NFRC or from Standards Default Table 11 GB or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC, Table 116B or WS -311 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.1 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity furnace, brat pump, boiler, etc Minimum Efficiency AFLIE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration ducts, attic, otc R -Value Ty (split or acka c Furnace -package 80% Attic R6 Programmable Package PKCrA1C 16111.5 Atyc R6 Programmable Package Cooling Equipment Type and Capacity (A/C, heat pump, evap. coop Minimum Efficiency (SEER or EER Distribution Type and Location ducts, attic, rte. Duct or Piping R -Value Thermostat T} Configuration lit or package) PKCrA1C 16111.5 Atyc R6 Programmable Package Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R Project Title Date JIM DAVIS 1 3-1"7 SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following are required. ❑X Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification re ed El readily accessible (climate zones 2 and 8-15 only) (Installer (Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification r uired. A :f ❑ IAlternative to Sealed Ducts and Refrigerant Charge fM- s (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C Footnotes 7-14. OR ❑ I No ducts installed. ❑ New ducts from exis Lng space cond6oning conditioningequipment, not exceeding 40tt. in length. ❑ For additions and alterations, duct systems that are not documented to have been previously- sealed as confirmed ❑ through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) ❑ and duct insulation requirements of Package D. WF ATE, HEATING SYSTEMS ❑ Check box if system meets criteria of a '`Standard" System. Standard -system is one gas-fired water heater per dwelling Tank Capacity (gallons) unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water IIeating table, Table 5-4 in Chapter 5 in the Residential Standby f Loss % Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of '`Standard" system, and does not comph' with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ 1 Check box to verify- that a time control is required for a recirculating system pump for a system serving multiple units Systems serving sin a dwellin9 units (See PhiTable 54, Alternative Water Heating Systems for recirculation requirements) Water Heater Type/Fuel Type Rated' ution (kw or -stem Btu hr Tank Capacity (gallons) Energy Factor' or Thermal Efficiency Standby Loss/o) Tank External Insulation R -Value Standby f Loss % Tank Insulation R -Value SI'Stem SerVing mUlhple dwelling Units (See Residential Manual Section 533) Water Heater Type Distribution Type Number in.% -stem Rated Input' (kW or Btu hr)(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby f Loss % Tank Insulation R -Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu hrl list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/ inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -IR Project Title - Date JIM DAVIS 3-16-07 ,rLg-jA.L VLATUKES KLVUIKllVG BUILDING OFFICAL or HERS RATER VERIFICATION Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method. tlnecx Apprrcabre boxes Measure 100% of ducts in crawlspace/basement Buried ducts Diagnostic supply duct location, surface area, and R -value Duct increased R -value Duct leakage Ducts in attic with radiant barriers Less than 12 ft. of dud outside conditioned space Non-standard duct location Supply registers within two ft of floor Air retarding wrap Cool roof Exterior shades High thermal mass Inter -zone ventilation Metal framed walls Non -default vent heights Quality insulation installation Radiant barrier Reduced infiltration (blower door). May also require mechanical ventilation. Solar gain targeting (for sunspaces) Sunspace with interzone surfaces Vent area greater than 10% Adequate air flow Air conditioner size Air handler fan power High EER Hydronic heating systems Mechanical ventilation Refrigerant charge Thermostatic expansion valve (TXV) Pkg Unit - TXV Exempt Zonalcontrol Combined hydronic High EF for existing water heaters Non-NAECA water heater Non-standard water heaters (wh/unit) Water heater distribution credits Residenlial Compliance Forms December 2005 OfficialBuilding Verificaton of HERS Rater . Special Features verification '. I• ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Measure 100% of ducts in crawlspace/basement Buried ducts Diagnostic supply duct location, surface area, and R -value Duct increased R -value Duct leakage Ducts in attic with radiant barriers Less than 12 ft. of dud outside conditioned space Non-standard duct location Supply registers within two ft of floor Air retarding wrap Cool roof Exterior shades High thermal mass Inter -zone ventilation Metal framed walls Non -default vent heights Quality insulation installation Radiant barrier Reduced infiltration (blower door). May also require mechanical ventilation. Solar gain targeting (for sunspaces) Sunspace with interzone surfaces Vent area greater than 10% Adequate air flow Air conditioner size Air handler fan power High EER Hydronic heating systems Mechanical ventilation Refrigerant charge Thermostatic expansion valve (TXV) Pkg Unit - TXV Exempt Zonalcontrol Combined hydronic High EF for existing water heaters Non-NAECA water heater Non-standard water heaters (wh/unit) Water heater distribution credits Residenlial Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date JIM DAVIS I 3-16-07 Special Remarks 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 design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (Der Business and Wnfeecinns rnde) 11nrumpntatinn Authnr Name: JIM DAVIS Name: Kevin Coulter IdleHOMEOWNER Title ssSECO Heating & Air Conditioning Address_ss: 3751 W. BRANCH LN : Address: 4320 Anthony Ct., Ste 1 OROVILLE, CA Rocklin, CA 95677 Telephone: 530 342-6804 Telephone: 916 652-6755 License »: License »: (if applicable) 788807 3-16-07 (signature) (date) (signature) (date) Enforcement Agency Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Eevnit Number 3751 W. BRANCH LN unit 2 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) Auer completion of final inspection, a copy- must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat um CEC Certified Mfr. a of Name and Model Identical Number Si-stems(LCF-1R Ellicienci' t ('RTE, cam) value) Duct Location (atti, etc) Duct or Piping R-valuc Heating Load (Btu hr) Heating Capacity (Btu hr Fumace-package TRANE 1 80% Attic R6 L� Attic 4 TON Same C 0 Cooling Equipment Equip TypeName (pkg. heat um CFC Caxti iicd Mfr. and Model Number z of Identical Svstcros(.-CF-IR Et2icicncc ' (SEER or EER) value) Duct Location attic, etc Duct R -value Cooling Load to hr Cooling Capacity (Btu hr) PKG-A/C Trane 1 16/11.5 Attic IN t.�,� 4 TON Same 1. > sti-mbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 911, the undersigned, verify- that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CFAR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part G), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating & Air Conditioning s Signature: 2„ � 1 = Date: 3-16-07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms .4pril 2005 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Eqmit Numr 3751 W. BRANCH LN unit 2 24 g INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ MTested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: © Remove at least one supply and one return register, and verifi- that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to vent}- that the connection points are properly sealed. ® Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ ❑ DUCT LEAKAGE REDUCTION Proceduresforlield verification and diagnostic testing of ail distribution suviems are ava sable in RArM Annpw. it trr•d NEW CONSTRUCTION: Duct Pressurization Test Results (CFM a 25 Pa) Measured Values 1 I Enter Tested Leakage Flow in CFM:- FMFan FanFlow: Calculated (Nominal: ✓ 1;!�Cooling(✓AHeating) r ✓ ❑ Measured Z 2 If Fan Flow is Calculated as 400 of n/ton x numlbetQLtoas 21.7 cfm/(kBtu/hr) x Heating Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: i 00 x ine # 1 / Line # 2 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Chane-Out Enter Reduction in Leakage for Altered Duct System 6 ine # 4 Minus(Line # 5 – Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ �/ 8 Entire New Duct System -Pass if Leakage Percentage <60/ofor Final. IM $1 Pass ❑Fail 100 x [—(Line # 5 / Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change- ✓ V/ Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 150/6 [100 x [ (Line # 5) / (Line # 2)1] 9 , Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100x �— (Line # 7) / (Line # 2)1] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [ 100 x [_(Line # 6) / (Line # 4)fl 11 and Verification by Smoke Test and Visual Inspection ❑ Pass O Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Fail Pass if One of Lines # 9 through # 12 pass MPass TI Fail ✓ ©I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requiremen r compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SCO Heating & Air Conditioning Signature: '��-��— Date: 3-16-07 Copies to: BU1LDLYG DEPAWYMENT, HERS RATER (W APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site AddressPermit Num r 3751 W. BRANCH LN unit 2 X21 C) ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) P kg Unit - TXV Exempt Procedures for field verification of thennostatie expansion valves are available in R4CM, .4ppendix R1. ✓ ✓ Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on ✓ ❑ Yes ❑ No the system and installation of the specific equipment ❑ ❑ shall be verified. Yes is a pass I Pass 1 Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermnstatic F.xnansinn Valves Outdoor Unit Serial # db —rator, Location Target Temperature Split (from Table RD3) Outdoor Unit Make JT Actual Superheat — Target Superheat (System passes if between -5 and +5°F) Outdoor Unit Model OF Cooling Capacity Btu/l�r Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Char>se Measurement Procedure (outdoor air dn,-bulb 55°F and above)' Procedures f or Determining Refrigerant Charge using the :Standard Method are available in R401, .4ppendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air do -bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Tretum, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db)it °F Condenser (entering) air pera a CARMr, db) °F Sunerheat Chame Method Ca=atiotMor'1' efris�nt r-hMe Actual Superheat = Tsucti db —rator, OF Target Temperature Split (from Table RD3) Target Superheat (from Table RD -2) JT Actual Superheat — Target Superheat (System passes if between -5 and +5°F) Temperature Split Method Calculations for Adequate Airflow Knlit Afethrrl (:nirutntinn ie nra ",neer y it'4rto—to dirt—,, —,4;t ie t -L -.- Actual Temperature Split = T return, db T5-upply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +30F or, upon remeasurement, if between -3°F and -100°F OF Residential Compliance Forms .4pril 2005 I INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R Site Address 3751 W. BRANCH LN unit 2 [P it Number Z�ql Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ 17 Yes ❑ No I System Passes Alternate Charge Measurement Procedure (outdoor air did --bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is 55 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures far Determining Refrigerant Charge using the Alternate Method are available in R4CM, .4ppendix RD3. Weigh -In Charging Method for Refrigerant Charge Actual liquid line length: Manufacturer's Standard liquid line length: Ift Difference (Actual — Standard): Manufacturer's correction (ounces per foot) x difference in length = ounces (- = remove) deasured Airflow Method for jAdete werifi 'on able in R4CM, .4p ndix RD2.6 Calculated Airflow: Cooling 3 fmBtu-hr) = CFM Measured Airflow is CFM (Measured airtlow must be greater than the calculated airflow). Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ 113 Yes ❑ No I System Passes Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating l£ Air Conditioning Signature: , �' ��- Date: 3-16-07 Copies to: BUILDING DEPAW MENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms .4pril 2005 INSTALLATION CERTIFICATE (Page S of 12) CF -6R Site Address P t Numbe 3751 W. BRANCH LN unit 2 �Vol ✓O FAN WATT DRAW Procedures far measuring the air handler watt drmv are available in R4i M .1 errd * RE3.2. ✓ Method For Fan Watt Draw Measurement ❑ 1 RE3.2.1 Portable Watt Meter Measurement ❑ 1 RE3.2.2 I Utility Revenue Meter Measurement Measured Fan Watt Draw ✓ ❑ Yes Measured Fan Flow enter total Im from airflow verification Cooling capacities of installed systems are:9 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. is of Watts/cfm ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the cicetrieal input for the installed systems must be!9 to electrical input in the CFAR. ✓ ✓ ❑ ❑ ✓ ❑ Yes ❑ No Measured f alt/c dr is ower than the fan wattle fm aw d ted ' - ❑ ❑ Fail Yes is a pass Pass ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures or measuring the airflow are available in R4CMAppendix RE3.1. ✓ Method For Airflow Measurement ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4. l .2 Diagnostic Fan FlowUsing Plenum Pressure Matching ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ❑ No Duct design exists on plans Watts elm Watts/cfm Measured Airflow: I Total cfm Rated Tons efm/ton I I cfm/ton ✓ ❑ Yes ❑ No Measured airflow is greater J&an the criteria in Table RE -2 ✓ ✓ Yes is a pass Pass Fail ✓ ❑ MAXIMUM COOLING CAP ITY Procedures for determinin maximum linL1ci ble in R4CM .4 endix RF3. 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑ Yes ❑ No Cooling capacities of installed systems are:9 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the cicetrieal input for the installed systems must be!9 to electrical input in the CFAR. ✓ ✓ ❑ ❑ Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass Pass Fail ✓❑O HIGH EER AIR CONDITIONER Procedures or ver' ication are available in R4i M Appendix R1. 1 ✓ El Yes ❑ No I EER values of installed systems match the CF -1 R 2 ✓ W Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓ © Yes ❑ No Time Delay Relay Verified (If Required) Yes to 1 and 2, and 3 (If Required) is a pass Pass Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating & Air Conditioning Signature:�� Date: 3-16-07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) .CF -4R Project Address Builder or Installer Name 3751 W. BRANCH LN unit 1 SECO Heating & Air Conditioning Builder or Installer Contact Telephone Kevin Coulter Plan/Permit (Additions or Alterations) Number, 9,6652-6755 - , - HERS Rater Steve Vasa - CC2004262 Telephone Sample Gro Number ,of7 616-682-8730 Compliance Method five Climate Zone 11 Certifying Signature Date Sample House Number 3-17-07 1 Finn Capitol Energy Consu ntS HERS Provider CalCerts Street Address: 1709 Adonis Way City/State/Zip: Sacramento CA 95864 Uoples to: BUIMPER, ItMEN MUVWEK AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ ® Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verif that the new distribution system is billy ducted and correct tape is used before a CFAR may be releaser! on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. 0 The installer has provided a copy of CF -6R (Installation Certificate). ® New ducts are fulls- ducted (i.e., does not use building cavities as plenums or'platform returns in lieu of ducts). O New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACK Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test R Results CFM 25 Pa ( Measured Values - , - I Enter Tested Leakage Flow in CFM: y '' H ANN== 2 Fan Flow: Calculated (Nominal: v" E3 Cooling Heating or ✓ ❑ Measured Enter Total Fan Flow in CFM: 1 2 3 ✓ ✓ 3 Pass if Leakage Percentage < 6% [ 100 x _(Line # 1) / (Line # 2)11 ❑ Pass O Fail. ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in from - CFM om CF 6R: Pre -Test of Existing Duct System g tuig S Prior to 2 , f , Duct , - t m S s e Alteration and/or Equipment Chan quip Change -Out. --- - Vit; Enter Tested Leakage Flow in CFM: Final Test of New Duct S -stem or Altered Duct System for Duct System Alteration and/or Equipment Change -Out Enter Reduction in Leakage for Altered Duct System[_(Line # 4 Minus_(Line # 5 (Only if Applicable) ,,..,. '' 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% 8 100 x [-(Line # 5)/ Line # 2) ®Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out. ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x (Line # 5) / (Line # 2)]] (�• O Pas Fai 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [_(Line # 7) / (Line # 2)]] ❑ pass ❑ Fail Pass if Leakage Reduction Percentage > 601/6 [100 x [_(Line # 6) / (Line # 4)]] 11 and Verification by Smoke Test and Visual Inspection Q pass 13 Fail Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ion- -= Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass PasJ ❑ Fail Residential Compliance Forms December 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF4R Project Address 3751 W. BRANCH LN unit 1 BuilderName SECO Heating S Air Conditioning Builder Contact Telephone Kevin Coulter Plan Number 9,6652755 Cooling Capacity HERS Rater Steve Vasa - CC2004262 Telephone Sample Gro Number tofu 916-682-8730 Compliance Method (Prescriptive) Climate Zone 11 Certifi-ing Signature Date Sample House Number 3-17-07 1 Firm Capitol Energy Consultants HERS Provider CalCerts Street Address: 1709 Adonis Way City/State/Zip: Sacramento CA 95864 Loples to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓❑ Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certi6- that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ 0 The installer has provided a copy of CF -GR (Installation Certificate). P kg Unit — TXV Exempt ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RL ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for S lit Sys -tem Space Coolin Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location ✓ ✓ Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Date of Verification ✓ ❑ Yes ❑ No visual verification that the TXV is installed on the system and ❑ ❑ installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for S lit Sys -tem Space Coolin Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard ChMe Measurement outd bulb °F Note: The system should be installed • ch in r the manufacturer's specifications and installer verification shall be documented on CF -GR before g s o oor air dry-bulb is below 55 T rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACK Appendix RD2. ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 P.O.HD070325 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Project Title JIM DAVIS Date 3-16-07 Building Permit # Project Address 3751 W. BRANCH LN unit 1� OROVILLE, CA Plan Check /Date Documentation Author Kevin Coulter Telephone 916 652-6755 :Field Check /Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 8-14 in the Residential Compliance Manual (RCM) GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft' - Average Ceiling Height: 8ft Check Applimbin Bans Building Type: (check one or more) FX -fl Single Family Ej Multifamily F� Addition FX1 Alteration (If adding fenestration fill -out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations in the RCM) • Maximum Allowed Total Fenestration Area fe (from WS -4R) • Maximum Allowed West Facing Fenestration Area W (from WS -4R) • Number of Stories: —I -�—Number of Dwelling Units: I • Floor Construction Type: u Va Sk,o Slab/Raised Floor (circle one or both) • Front Orientation: North /South / East / West: All Orientations (input front orientation in degrees from True North and circle one). ❑ RADIANT BARRIER (check box if required in climate zones 2 4 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component T) pe (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Assembly U- factor (for wood, Cavity Continuous metal frame and Insulation Insulation mass R -Value R -Value assemblies Joint Appendix IV Reference .Roof.Radiant Barrier --Installed' Yes orNo Location Comments (attic, garage, tti- ical, etc. aw 1) See Joint Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. 2) This column is for the Inspector to verify installation of roof radiant barrier. Residenlial Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Project Title Date � JIM DAVIS s-�s-o� FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSIIEET WS -41Z — must be included for New Construction, Additions, and Alterations. Fenestration #/ T}pe/Pos. (Front, Orien- Left, Rear, Right, tation, Area U -factor Skylight) N, S, E, Wt 8' U -factor' Source3 SHGC" Exterior Shading/Overhangs 6, 7 SHGC ✓ box if WS -311 is Source' included Distribution Type and Location ducts, attic e4: 13 Fkanace-package 13 Attic 13 Attic (tib 'L Prograrmnawe Package 13 13 ❑ 1) Skylights are now include in West -Icing fen la ion area if the s1c11ights are tilted to the west or tilted in any direction when the pitch is less than 1:12. Sec j 151(t)3C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 1 I G -A. 3) Indicate source either from NFRC or Table 11 G -A, 4) Enter values in this column from NFRC or from Standards Default Table '1.1 GB or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC, Table 116B or WS -3R () Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior. Shading devices_ 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity 2urnaer, heat pump, boiler, etc. Minimum Efficiency AFLIE or HSP Distribution Type and Location ducts, attic e4: Met or Piping Thermostat Configuration R -Value. Ty(split or package) Fkanace-package 80% Attic R& 4. 'Z Programmable Package Attic (tib 'L Prograrmnawe Package Cooling Equipment Type and Capacity (A/C, heat pump, evap. cool" Minimum Efficiency (SEER or EER) Distribution Type and Location (ducts, attic, etc Duct or Piping R -Value Thermostat Ty Configuration lit or package) PKGA/C 18.05112 Attic (tib 'L Prograrmnawe Package Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Title ge 3 of 5) CF -IR Date I JIM DAVIS 1 3-16-07 SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following are required. ❑X Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification required-) El readily accessible (climate zones 2 and 8-15 only) O (Installer (Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR ❑ No ducts installed ❑ New ducts from existing space conditioning equipment not exceeding 40ft. in IengtlL O For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed ❑ through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section I50(m) 13 and duct insulation requirements of Package D. WATER HEATING SYSTEMS 13 Check box if system meets criteria of a -Standard" sy stem. Standard system is one gas-fired water heater per dwelling Tank Capacity (gallons) unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. O Check box -when using Preapproved Alternative Water IIeating table, Table 5-4 in Chapter 5 in the Residential Standby Loss M Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 13 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. D 1 Check box to verity that a time control is required for a recirculating system pump for a system serving multiple units Systems serving sin a dwellirig units (See Table 54, Alternative Water Heating Svstems for recirculation requirements) Water Heater TV /Fuel Type Rated Input' ution (lrw or Vern Btu hr) Tank Capacity (gallons) Energy Factor' or Thermal Efficiency Standby' Loss/o Tank External Insulation R -Value Standby Loss M Tank External Insulation . R -Value System serving multiple dwelling units (See Residential Manual Section 533) Water Heater Type Distribution Type Number in System Rated Input' (kW or Btu hr)(gallons) Tank Capacity Energy Factor' or Thermal Efficiency Standby Loss M Tank External Insulation . R -Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu hr), electric resistance, and heat pump water heaters, list Energy. Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu hr� list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies, Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/e inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 0) 2 B. Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R Project Title Date JIM DAVIS 1 3-1x-07 SPECIAL FEATURES REQUIRING BUILDING OFFICAL or HERS RATER VERIFICATION Indicate which special features are parts of this project. The list below only represents special features relevant to the prescriptive method. L% necxtippncaDie poses) Category Building Official Verification of Special Features HERS Rater Verification HERS Rater Diagnostic Testing Measure Ducts ❑ )' :.... 100% of ducts in crawlspace/basement ❑ Y Buried ducts ❑ Y Diagnostic supply duct location, surface area, and R -value ❑ ' ::Y_ ::'a > Duct increased R -value Y Duct leakage ❑ Ducts in attic with radiant barriers ❑ Y Less than 12 ft. of dud outside conditioned space ❑ Y Non-standard dud location ❑ "cYi =` .. ': Supply registers within two ft of floor 13 Envelope ❑ ::Y?:.<:;.:i< Air retarding wrap ❑ . ;Y::'r;..' .: Cool roof ❑ Y:: ;; Exterior shades ❑ ;::?':Y::.=`<`::`r`: High thermal mass ❑ `t. Y:;':;'.::;:.4 Inter -zone ventilation 13Y :: :: ':: Metal framed walls ❑ ?`:Y`.=':> :c Non -default vent heights ❑ Y Quality insulation installation ❑ ?Y .::::": Radiant barrier ❑ Y Reduced infiltration (blower door). May also require mechanical ventilation. ❑ `.::;:Y `:?:: Solar gain targeting (for sunspaces) ❑ Y":.:::;;::;; Sunspace with interzone surfaces ❑ .; ................... Vent area greater than 10% HVAC Equipment ❑ Y Adequate airflow ❑ Y Air conditioner size ❑ Y Air handler fan power ❑ Y High EER ❑ Hydronic heating systems ❑ Y Mechanical ventilation ❑ Y Refrigerant charge ❑ Y Thermostatic expansion valve (TXV) Pkg Unit - TXV Exempt ❑ Y::::::::: ;:: Zonal control Water Heater 11Y2::'%;:::=i: Combined hydronic 13::::1!.:`..:`:.:: High EF for existing water heaters ❑ �!'::::'.';: Non-NAECA water heater ❑ `:' Y::::';; ;.`. Non-standard water heaters (wh/unit) ❑ Water heater distribution credits Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date JIM DAVIS 3-16-07 Special Remarks 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 design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (Der Business and Professions Code) Documpntatinn Author Name: JIM DAVIS Name: Kevin Coulter Title Firm: HOMEOWNER Title Firm: SECO Heating & Air Conditioning Address: 3751 W. BRANCH LN Address:4320 Anthony Ct., Ste 1 OROVILLE, CA Rocklin, CA 95677 Telephone_ 530 342-6804 Telephone: 916652-6755 License »: License »: (if applicable) 788807 3-16-07 (signature) (date) (signature) (date) Enforcement Agency Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address(t 3751 W. BRANCH LN unit 1 Cv l An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (rhe information provided on this form is required) After completion of final inspection, a copy- must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (Pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical SvStems li[ticicne)� ('�� etc.) eCF-1R value) Duct Location attic, etc Duct or Piping R -value Heating Load to hr Heating Capacity (Btu hr Fumace-package TRANE 1 80% attic: � � 2. 56K YCZ036F1 MOB Cooling Equipment Equip Type (pkg. heat um CEC C:xtified Mfr. Name and Model Number of Identical Sv8terna?CF-1R Etlicienry I (SEER or EER) value) Duct Location attic, etc Duct R -value Cooling Load (Btu hr) Cooling Capacity (Btu hr) PKG-A/C Trane 1 16.05/12 Attic 18 a•2 3 TON Same 1. > symbol gads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. -"' 911, the undersigned, veriij- that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CFAR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating 8t Air Conditioning Signature: ) Date: 3-16-07 Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Addresst Num�er 3751 W. BRANCH LN unit 1 /U q 6 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ RTested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: © Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, insTect the connection points between the air handler and the supply and return Plenums to verify that the connection points are properly sealed. ® Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ ❑ DUCT LEAKAGE REDUCTION iQroceduresJurfield veri fication and diaenostfc testing of air distribution systenn are available in RACM_ Anneniffr RC43 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) MeasuredValues 1 Enter Tested Leakage Flow in CFM- FMFan FanFlow: Calculated (Nominal: ✓ ❑ Cooling IUVeatingV ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number r as 21.7 cfm/(kBtu/hr) x Heating eL Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: ® pass ® Fail 100 x—(Line # 1 / Line # 2)11 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out - Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System. Alteration and/or Equipment Change -Out. 29 Enter Tested Leakage Flow in CFM from Final Test of New Duct Sy stem or Altered Duct 5 System for Duct System Alteration and/or Equipment Chan a -Out. V 6_(Line Enter Reduction in Leakage for Altered Duct System # 4 Minus_(Line # 5 – Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ �/ 8 Entire New Duct System - Pass if Leakage Percentage < 6% for Final. IN Pass ❑ Fail r 100 x ine # 5 / Line # 2)11 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)11 19, ❑pass Fa' 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [ 100 x L # 6) / (Line # 4)]] 11 _(Line 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 as Fail Pass if One of Lines # 9 through # 12 pass \L49PassA1 Fail ✓ DI, the undersigned, verity that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating & Air Conditioning Signature: �� ����,— Date: 3-16-07 Copies to: BUILDING DEPAR7'iviENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address 3751 W. BRANCH LN unit 1 P(51o j ✓ ❑ THERMOSTATIC EXPANSION VALVE (TXv) Pkg Unit - TXV Exempt Procedures for,Teld verification of thermostatic expansionn valves are available in R4CM, Appendix RL ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Access is provided for inspection. The procedure shall Outdoor Unit Model consist of visual verification that the TXV is installed on ✓ ❑ Yes ❑ No the system and installation of the specific equipment ❑ ❑ Return (evaporator entering) air wet -bulb temperature (Treturn, wb) shall be verified. OF Yes is a pass I Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Return (evaporator entering) air dry-bulb temperature (Treturn, db) M AFT Btullu Cooling Capacity Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Date of Verification OF Evaporator saturation temperature (Tevaporator, sat) Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charee Measurement Procedure (outdoor air dna-bulb 55°F and above): Procedures fur Determining Refrigerant Charge using the Standard Adethod are available in R4CM, .Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. Measured Temoeratures Supply (evaporator leaving) air dray -bulb temperature (Tsupply, db) db — v orator, OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) Target Superheat (from Table RD -2) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF Evaporator saturation temperature (Tevaporator, sat) T Suction line tcmperaturc (Tsuction, db) OF Condenser (entering) air per a Qoftr, db) °F Superheat Charee Method Cal latiol"L n� t c tie Actual Superheat = Tsucti db — v orator, OF °F Target Superheat (from Table RD -2) OF OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF T Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary ifAdeauate.4irflow credit is taken Actual Temperature Split = T return, db Tsuppl}y, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F or, upon remeasurement, if between -30F and -100'F OF Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R Site Address 3751 W. BRANCH LN unit 1bIer tM b Standard Charge Measurement Summar-: System shall pass both refrigerant charge and adequate airtlow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. ✓ 10Yes ❑ No I System Passes Alternate Charge Measurement Procedure (outdoor air dn.--bulb below 55 °F) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dn-=bulb is 55 OF or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the alternate Method are available in R4CM, Appendix RD3. Weigh -In Charging Method for Refrieerant Charee Actual liquid line length: Ift Manufacturer's Standard liquid line length: g Difference (Actual —Standard): ft Manufacturer's correction (ounces per foot) x difference in length = ounces (- = remove) Measured Airflow Method for :Adefte "7W. able in R4CM, Ap ndix RDZ6 Calculated Airtlow: Cooling CapfmBtu-hr) = CFM Measured Airflow is CFM (Measured airflow must be greater than the calculated airtlow). Alternate Charge Measurement Summar-: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. 1 ✓ 1 ❑ Yes 1 ❑ No I Svstem Passes I Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating & Air Conditioning Signature:„ �' Gg�- Date: 3-16-07 Copies to: BUILDING DEPAKI'iMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 r INSTALLATION CERTIFICATE (Page S of 12) CF -6R Site Address P lit Number 3751 W. BRANCH LN unit 1 � Zt g L ✓❑ FAN WATT DRAW Procedures far measuring the air handler Pratt drmv are available in R4CM, 4ppend. RE3.l. ✓ Method For Fan Watt Draw Measurement P__j RE3.2.1 Portable Watt Meter Measurement. ❑ 1 RE3.2.2 Utility- Revenue Meter Measurement Measured Fan Watt Draw ✓ ❑Yes Measured Fan Flow enter total Am from airflow verification Cooling capacities of installed systems are < to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 is of Watts/cf n ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1 R, then thc electrical input for the installed systems must be 5 to electrical input in the CF -1R. ✓ ✓ ❑ ❑ Yes to 1, 2, and 3, and Yes to either 4 or 5 is a pass ✓ ❑ Yes ❑ No Measuredf fan watt/cfm attic drf is ower than the aur d ted - ❑ ❑ I Fail Yes is a pass Pass ✓ 13ADEQUATE AIRFLOW VERIFICATION Procedures or measuring the airflow are available in P,4CA1,4ppendix RE3.1. ✓ Method For Airflow Measurement ❑ RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood ❑ RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching ❑ RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement ❑ Yes ❑ No Duct design exists on vlans Watts cfm Watts/cfm Measured Airflow: I Total cfm Rated Tons cfmhon I ctm/ton ✓ ❑ Yes ❑ No Measured airtlow is greater tpn the criteria in Table RE -2 ✓ ✓ ❑ ❑ Yes is a pass Pass I Fail ✓ ❑ MAXIMUM COOLING CAP ITY Procedures for determinin maximum linUcC2ble in R4CM, .4 endix RF3. 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2 ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑Yes ❑ No Cooling capacities of installed systems are < to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1 R, then thc electrical input for the installed systems must be 5 to electrical input in the CF -1R. ✓ ✓ ❑ ❑ Yes to 1, 2, and 3, and Yes to either 4 or 5 is a pass I Pass Fail ✓ X HIGH EER AIR CONDITIONER Procedures or ver* ication are available in R4C M .4 endix R1 1 ✓ El Yes ❑No I EER values of installed systems match the CF -1R 2 ✓ O Yes ❑ No For split system, indoor coil is matched to outdoor coil ✓ ✓ 3 ✓ © Yes ❑ No Time Delay Relay Verified (If Required) Q Yes to 1 and 2; and 3 (If Required) is a pass Pass I Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner SECO Heating & Air Conditioning Signature: j�„� — Date: 3-16-07 Copies to: BUILDING 'ARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Oroville, Callfgrnla 95k65 - Telephone: 916/538.7541 APPLICATION AND PERMIT ASSESS RR L UM 0 1-4ZO-042 ZONIN ARMH 3 BUILDING PERMIT OWNER DALE ROGERS TELEPHONE k2 _ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DS 1WESTBRANCH LANE OROVILLE 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3751LLE WEST BRANCH LANE OROVI95965 Permit rm I t fee $ 45.00-1 PLUMBING PERMIT Filing Fee 15.00 j Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE i SF ❑ Duplex F-1 Mobilehome❑ Other DET SHOP I SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New[X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: WWDSTOVB _ 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 60ovORLESS 18.50 200A OR LESS Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS, ACC. SLOGS. // NON-RESID NFW CONSTR BRANCH CIRCUITS @ 5.00 APPARATUS 6\ (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES L_ 764 FIXED APNS. Ex. Occup. OUTLETS 1PRESID.IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 d I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 Ventilation pennit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner a Contractor ElAgent 1:1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 45• OO r I I HAz 1 11 FEES I IMP I FLOOD I CDF PARCEL I PD I NO ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work work indicated a ' ve for which fees have Keen paid. IR TO SOF BLIC WORKS By Date PE6iMl EXPIR S Date " � - Receipt No. 122/+79 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i 7 County Center Drive - Oro:AIle,,Cgllfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 041-420-042 ZONING - ARMH 3 BUILDING PERMIT OWNER DALE ROGERS TELEPHONE 3LI SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3751 WEST BRANCH LANE OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is I,buu LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3751WEST BRANCH LANE OROVILLE 95965 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET SHOP SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New[J Addition [I Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: WOODSTOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N) OR ADDN5. ACC. BLDGS. / 3.64 sq.ft. NON•RESID R BRANCH CIRCMULT'_OUT LETITS @ 5.00 /POWER APPARATUS e (POWER OUTLET CIR. EX. Occup( p OUTLETS OR FIXTURES 20 15, AL 60 16, FIXED APLNS.Icense Ex. Occup. OUTLETS P(RESID 1REA.J I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j ;I/"I shall not employ any person in any manner so as to become subject w' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz at said County i consequence of the granting of this permit. X Date �� J� r Signature pp �]Q Contractor ❑ Agent ❑ An OSHA permit :s required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ E+► CONST TYPE TOTAL FEE $ 45.00 DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the unty Code and/or sions of the Butte fe work indicate a for which fees F ELIC B P MI EXP\ S Date applicable provi- resolutions to do have been paid. WORKS 2� Date Receipt No. 122479 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF -BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -'builder" building permit has been applied for in your name and bearing your' signature. -Please complete and .return..this. information at. your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.' No building permit will be:issued until this verification is'received. 1. I personally plan to provide the major labor and materials for.construction of the proposed .property improvement (yes or no) 2. I (have/have not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the.major work: Name:. Address. City Phone _. -: Contractors :License. No. 5. I will provide some of the work but I have contracted (hired) the following persons to.provide the work indicated: Name Address - Phone - Type of Work Signed: Property Owner Social Security ArRber Date g' j 9oL NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 7r CORRECTION NOTICE•:. w` OWNER J 7 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, "a please contact this office immediately. Z/ I P �� �s J� �.a r." °i . c f;f 7 P .(/ d Ins ector Date REV 10/92/ j ,a BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N .� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. moi- �ZD- Qf2 ZONING Atzrn" -3 OWNER qtr e06(Ef-5 PHONE NO. 3`F2- 130= OWNER'S ADDRESS r,S I W FSS 'B e AkXk4 L*PC:,, OYLO LOCATION OF BUILDING , it 0 k USE OF BUILDING H AY, TeACTDv- SMeA6F- SIZE OF STRUCTURE X _ 48G SO. FT. TYPE OF CONSTRUCTION: WOOD 'i="C-- STO06 WOOD FRAME STEEL CONCRETE OTHER (Specify) _ S'f1? UG?11�E TYPE OF SIDING ROOF COVERING FLOOR TYPE T PU Li (30.0 O YJ[ e I ESTIMATED COST OF CONSTRUCTION" C1ci55 C roe-ttr' or cvo�}v •-a?...�«1 $ 1nn�- AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � / / FRONT 5777D SIDES REAR A0 AG.Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 9 /,7 - Jog Permit Fee - $50.00 Receipt No. 123 2(,a:Z Signature of Owner The above described AG Building is exempt from a building permit. FLOOJ PARCn P.D. ROOFIIJ(d ISSU Manager Building Divisio By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant 7tr wr rc1T ` • lr's °tQ1` ,,L, �S ..: i .•. - COUNTY OF BUTTE -PARTMFNT�F PUBLIC WO .- BUILDING DIVISION 7 COUNTY CENTER DRIVE'. OROVILI�IFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION_ DATA SHEET OWNER k 66CWZ:5 A. P. No. 6y- /",z 6 Proposed Building Use 4 6 6X /Vl_ Building Inspector Date Z At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............ .:........................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... - 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 1& Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for to Building Ins ecus p required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ......................... .......................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Alvin Dale & Josette Rey Rogers 37.51 West Branch Lane Oroville, CA 95965 RE: Building Code Violations 37.51 W. Branch Land' Oroville, CA 95965 Dear Mr. & Mrs. Rogers: �1"`/ L July 15, 1991 V A.P. #41-42-42 We sent you a warning letter dated Augdst 1.5, 1989 notifying you that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist.. (1) Failure to obtain permits, inspections and approval to. convert storage to single family dwelling in violation of the 1985 Uniform 'Building ' Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 30.5(a) Inspections Required (c) ,Section 502 Change in Use Requires conformance to Code Butte County Code Section 24-96 allows only one (1) living unit in an ARMH3 zone, The above violation shall be corrected or abated by obtaining the necessary permits from this office to convert the building to an approved use within the zone within thirty (30) days of the date of this letter. (2) Butte County Code Section 24-96 does not allow a residential swimming pool to be used for lessons and instructions in an ARMH3 zone. The above violation shall be corrected or abated by ceasing and desisting operation of a swimming school. 91 4 Xf,&O PDO;1l,"e-4WOO / AD110r&O _*_0_1 4 "ql UVV14111_161a_r l � : r ✓✓-v �2C Gijo tv 2GCo �� S &L 5' 'a -L C Letter to Alvin Dale & Josette Rey Rogers RE: Building Code Violations (A.Pc #41-42-42) Page 2 July 1.5, 1991 Unless the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you. have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Yours very truly, William Chef f Directorof Public Works d9nes .4 J. F. cjandv JFG:dms J.F. Glander Manager, Building Inspection ccs Building Inspector �v 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY 114IL I am over the age of 18 and not a party to this cause. I am a resident of and employed in. the county where the mailing occurred. My business address is Butte County Department of Public Works #7 County Center Drive California. Oroville, CA 9.5965 I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United. States mail with postage fully prepaid on 15th. of July 19 91 and addressed as follows: Alvin Dale & Josette Rey Rogers 3751 West Branch Lane Oroville, CA 95965 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 7/15/91 at Oroville , California. liJ = Go LPA I'& G , J G �•t / S� G:, /� H -J . �f �s -7 L — i� August 15, 1989 Alvin Dale and Josette Rogers: 3751 W. Branch Lane Oroville, CA 95965 RE: Building and Zoning Violations A.P. #41-42-42 3751 W. Branch Lane Oroville, CA 95965 Dear Mr. Dale and Ms. Rogers: This is'a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: 1) Use of residential swimming pool for instruction and essons for students.is in violation of ARMH 3 Zoning and Health, epartment requirements for a public pool. _ 2) Upper floor of the shop building converted into an apartment is in violation of Building and Zoning requirements. Since permits and inspections are required for the above work, please contact this office within 10 days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made, until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If vol- untary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:daj cc: Assessor Building Inspector Planning Department �alth Department Yours very truly, William Cheff Director of Public Works Od9Wt dgned 4 J, F. J. F..Glander Chief Building Inspector ,~ , 'i � ' /,, ,� `v/ � �- �� � c� va cs` DEPT. OF PUEJLIC WORKS ` .1UN 3 0.1992 6 F -- W.M.6-ilm � r 0 r J r 4 r I File No. BUTTE COUNTY (5 -,or Action 1, 2, 3) Public Works Dept, (For Information I/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub, & Pcl. Maps Permits Addr. zFOFI OATE / TIME °M �OF PHONE AREA CODE NUMBER EXTENSION j §ellaG 61�`Yy�y i�SIR �TELEONED I.E�ASECAl1h�" ' ����'YJY�et'��'F�t�i�«s n� ���*�i �r,��✓1G�av��9'�u� I�c �. �'� ^�'�� sasMa r : §WANTSkTQlSE ME- om mw`i i"'"+3''SJ-F �tro?y✓; RETURNED YDUR(CALL� SPECIAL ATfENTIDN i �'Y.7i �dhW:.^> NOTES i i r! 'k Jeff Madden, Code Enforcement Officer J.F. Glander I Citation May 13, 1992 r Attached are copies of correspondence for the following owner and location: ,j Alvin Dale & Josette Rey Rogers--A.P. #41-42-42 Would you please issue citation so these violations may be resolved. it Should you have any questions, please contact this office. A. RT:dms J.F. Glander Manager, Building Inspection Alvin Dale and Josette Rogers: 3751 W. Branch Lane Oroville, CA 95965 RE: Building and Zoning Violations 3751 W. Branch Lane Oroville, CA 95965 Dear Mr. Dale and Ms. Rogers: Sate countil L A N D O F N A T U R A L W E A L T H A N D 6 E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM- 7 ILLIAM7 COUNTY CENTER DRIVE ! OROVILLE. CALIFORNIA Telephone: (916) 538-7541 August 15, 1989 Q/ 1 RONALD D. McELR Deputy Directgr 64 1t i f 01 A.P. #41-42-42 0 G 15 / V,0A This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: 1) Use of residential swimming pool for instruction and lessons for students is in violation of ARMH 3 Zoning and Health Department requirements for a public pool. 2) Upper floor of the shop building converted into'an apartment is in violation of Building and Zoning requirements. Since permits and inspections are required for the above. work, please contact this office within 10 days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County. has entered into a Code Enforcement Program that '"seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such•compliance is not obtained. If vol- untary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:daj cc: Assessor Building Inspector Planning Department Health Department Yours very truly, William Cheff Director of Public Works J. . Glander �. ' o f Rilildi ns Insnector � ...fn�� • �. ��� � { ` COUNTY OF ,BUTTE - DEPARTMENT OF PUBLIC WORKS . �i 7 County Center Drive - Oroville,.C41ifornia 95965-,Telephone:.916/538-7541 APPLICATION AND PERMIT rr> PERMIT NO ASSESSOR PARCEL NUMB R 4 ZONING BUILDING PERMIT OWNER ( f I DALE ROGE TELEPHONE 34-6804 SO. FT. OCC, BUILDING VALUATION 45 built -up 4500.00 OWMAILING ADDRESS 3751 WEST BRANCH LANE OROVILLE, CA. 95965 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ 50.50 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3751 WEST BRANCH LANE OROVILLE CA. Permit fee $ 60.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF.] Duplex❑ Mobilehome❑ Other ♦ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.002 TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other® Describe work: _ RF—ROOF WITH RRILT—UP. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 10.00 I00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. 45 7 9 A A Classification 1'-19 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.—,'Business and Professions Code for this reason NEW CONST. 1 DWELLING oCCUP.ad\ yzQsgft OR A.D.S. ACC. BLDGS. I NEW CONSTRMULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. 20 0 50t Ex. Occu 3AL@30 p OUTLETS OR FIXTURES 200030 FIXED PR Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation F: permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue X DateCONST against said County in consequence of the granting of this permit. _ _A l/�ilit �r �.�.,, OCT . 23 , 1989 � �— Signature of Applicant — OWner ❑ contractor 0 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ 60.50 F HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which feps have been paid. DIRECTO rOF PUBLIC�WORKS By Z,1_14 '� _ Date PERMIT EXPIRES Date /�.� /rf% f• /` �/ , Receipt No. ••.. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville!011/tdr.nig 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERIIAt,T b. _ / ASSESSOR PARCEL NUMB R it I _ — ZONING BUILDING PERMIT OWNER ADDRESS TELEPHONE 342-6804 SQ. FT. OCC. BUILDING VALUATION 45 built-up 4500.00 OWNER'S MAILIING 3751 WEST BRANCH LANE OROVILLE CA. 95965 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 50.50 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3751 WEST BRANCH LANE OROVILLE CA. Permit fee $ 60.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTW 10.00 e TYPE OF WORK New Addition [I Remodel❑ Utilities❑ Installation❑ Other Describe work: _ RR—ROOF WTTH RTTTT.T—TTP- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. -1►5 (1h Classification C -3,A ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGCONSoccuP.� A New l, k1h¢sgft CONSTR. ODUTLET MULTI -OUTLET NON.RESID BRANCH CIRC ITS I; 2.50 ea /POWER APPARATUS e ISINGLEOUTLETCIR. Ex. OCcup(OUTLETS OR FIXTURES 20®SOQ 1.20050C FIXED Ex. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws'relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. X OCT . 23 1989 Signature of Applicant Owner ❑ &-tntractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 -stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ FEE ALSCHE 60.50 HAz CUA PARK PAR Po HD Issue This permit is hereby issued under sions of the Butte County. Code and/or work Ind' ated above for which f DIREC F PU I B PE MIT EXPIRES Date the applicable provi- Date resolutions to do have been paid. ORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RF i y t. i i Y PERMIT NO: 2228 -RIR PTF .PERMIT EXPIRES f , OWNER Dale Rogers CONTR. owner ASSESSOR PARCEL 41-42-42 LOCATION 3751 West Da.nch Lane, N/S pri.rd., app.2000'W.of Clark Rd.,300'N.of Clear Creek Cemetary Rd., Oroville l 0 �I Temp: Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALE[ Signature y . = OK - Not OK = Not Applicable = Not Ready RESIDENTIAL �Singl.p and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) - 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec..Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headrogm-Rise-Run-Landing-Fire Protection 4. Ftg., Forches & Decks; Soils -Steel- / /" Ftg. Depth 5. StemwF-lls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof OLerhang-Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V : Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pope; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 1 Gir s-Sil -Anc r Bolts-Jois -Ve ts-Cripples Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Da a Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Dae Card -BI Date PLUMBING (Permit) OK except q's 14,#Watt.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 .ate- Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Tes- Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Gate and -BI Date _ 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -cooking Clearance Card -BI Date Gate Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Ranex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Ecuip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Suofeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. RFnge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive El Yes ED No; Walks EJ Yes EJ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Gothes Closet L• ht -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 72 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date !=dIM Date 81. Ventilation throughout House Card B -I Date and -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) 0 except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. dent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38 39. 40. _41 Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ 42 43 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4E. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4n. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) = OK Not OK = Not Applicable MOBILEHOMES = Not Ready _ , MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements—Setbacks!-Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5, Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 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/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTT- DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL N MBER — �Z- 4-Z Zja/j ILDI G PERMIT ow ER aiz oc C-iL��S TE EPHON 2- oyoq- SQ. FT. OCC. BUILDING VALUATION I `�� � OW[JER'S M 1I LINGV �JI^ 1/ /TSV Il!U LM . OPWI LLC /�� /� I A' CONTRACTOR'SNAME I, IIpJ ii/V IV �� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER d OAJ UNKNOWN Total Valuation $ 1. 2.D.�t% Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ „Ov ARCHITECT OR OR ENGINEER f) C- '-' s ��Et_L.t7�2 LICE s ND. Plan Checking Fee $ BOO Penalty $ ARCHITECT OR N INEER'S MAILING ADDRESS YUDA e 17Y C4_q 5Ra I Permit fee $ 7 , 0c) B UlLDI�G' ADD ESS 3377 T g fJC:�,,-�� ,,�r��� PLUMBING PERMIT FiIingFee 10.00 S p� • �. Are�! f VV . OrCL,FD ?jpp/ Each Trap 2.00 Repair drainage or vent piping 5.00 of U-A1`Z- SIL e-eMETAOY I?D. 1. LL& Water piping t� LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 501MA4106 �pOV SPE -CI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel[] Utilities❑ installation ❑ Other E] Describe work: Permit Fee $ 5-v& Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V ORMain service 100 AMP ORSLESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.01 OR ADDNS. ACC. BLDGS. 2� sq ft r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businesss0 and Professions Code and my license is in full force and effect. License No. Classification 10 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW NO N.RESID BRANCH CIRCTS 2.50 ea CONSTR. MULTI -OUTLET NEW CONSTR. 1POWER APPARATUS 6% NON.RESID. SINGLE OUTLET CIR, @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. Occup.FIXED TS (RESAPPLINIS. OR �OUT LETS (R ESI D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring pool W 7.50 , SV Permit Fee $ Contractor . MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. alais abiilree lit es, j dgmen se costs, and ainst andeex expensesharmless which may in any way of Butte acc accrue agains said County i- consequence of a granting of this permit. X �-,/ Date — '- Signature of Applicant - Owner Contractor ❑ Agent ❑ lid An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 186-150 OCCUP. GROUP TYPE of CONST. 1PARCE11 PD/ HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do' fees have been paid. WORKS Date Receipt No. , 537` WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 COUNTYtOF BUTTE - DEPARTMENT OF PUBLIC WORKS:,- BUILDINGsDIVISION 7 COUNTY CTELEPHONE: 916/534-4541 , FRI-- fl PERMIT APPLICATION DATA SHEET Permit No. / OWNER AL� �D�� A. P. No. 44/` `� z` 4/Z y Proposed Building Use ��� SG, 1111-llwlgJ6 A00 L_ Permit Fee Based Upon: '� Complete Contract Price `-DPW Valuation Other (Explain) / Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , Letter of signature authorization. ` 10. Sanitation approval from - t Health Dept. $ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif,) , 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ��' Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following, data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) f' 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date le Plans approved by Date Other: Copy—DPW To.- Building Department From: Ravironmental Health Subject Sanitation Clearance Locat' Plan approved for: sewage disposal water supply Hold final. � fo3 Final clew ani-,** O.K. for: Clearance , for bedroom mobile homeo. Clearance.' or iiddition of Other water supply water supply COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION 'Attention Property Owner: Phone: 916-534-4541 4 An "owner -builder" building permit has been applied for in your'nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan,to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to .provide portions of this work, but I have hired the following person to coordinate, supervise, 'and provide.the major work: Name Address City Phone Contractors License No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner rp�8_a� Social Security number — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be'completed and returned to our office before we are permitted to issue the permit. f.�r. iF eount* 4 _ utk OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Alvin D. Rogers ADDRESS: Rt. 1, BOX 178E CITY & STATE: Oroville. CA. 95965 IMPORTANT: Sept. 23, 1977 SEE INSTRUCTIONS DATE OF CLAIM: p ON REVERSE SIDE SUBMIT CLANK TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Due to a clerical -error, overcharged $2.00 on Permit Appin. 41-42-33 $2.)0 > - . TOTAL $2.00 I, the undersigned, declare under penalty of perjury that the services or articles .claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis ._ ............................... day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above.have been performed or de- livered and that there is a Budget AppropHationD or Specific Board Approval O (Checkone)\(or the same. Dated this .................................... day of ............................. 19....... at .............................. , Calif...................................................................................... Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM .............................. ................................................. ...... :...... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST.' s INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head " will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. ❑ B.I.N. RE EST FOR I Lo ation: S Owner: 17IJ414 Complaint: BLDG. Form Frame Stucco Fireplace Bond Beam Corrections Final PLLIMBIN( Rough Top Out Gas Piping Temp. Gas Sewer Piping Water Piping Corrections Final ote: OIL 4LContractor or Tenant: ELECTR M.H.I. Rough Corrections Temp. Service Final Service Underground OTHER fAk -M-WC SPECIAL Job Status Permit Renewal Verify Utilities Special I nsp. Housing Corrections READY /.,.Mmj Final FOR INSP.ON119 . J. °' r ..,,a,r-- UC Mri CIv I yr PUDLII, YYUfiF� �.. 7 County Center Drivel rive Urr ie, California 95965 v Telepho :534 541 y. APPLICAT N A .0 PERMIT I tdai!inc Address C no n tr ac:- S le Telephone No. relephone No. A. F. No — 33 1 Zoning & Planning Feer W.C. Saretatlon Fire Dept. Fire Zone Use Permit Parking Pparcel arcel EOA ?fans Declar n Map 160' R/W I Improvements Bldg. Plons Rec'j Parcel Approval Plans Approval NEI'! [5� ADDITION F1 I1TII ITIFC rl r)TWI=M M _ BUILDING S0. FT. OCC_ BUILDING VALUATION. Fireplace Total Valuation Permit Fee Plan Checking Fee &/ rPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee j ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP R n O LESS Main service EA. ADD'L 100 AMP - Single Family Q Duplex ® Mobil Home ® Others,® Main service Ov" e00v 100 AMP OR LESS Main service EA. ADO'L 100 AMP I / cL NEW CONST. ( DWELLING O OR ADONS. ACC. eLDGS. _ NEW CONSTR. (MULTI-OUT'L T I NON.RESID. BRANCH CIRCUITS, - -� NEW CONSTR. POWER A PARATUS & NON -RES (SINGLE E IR. CON4RACTORS LICENSE LAW I aj­ iicensec, under the provisions of 1ph4er 9, Div. 3, of t State of California Business & Profes I n /Code under, a na a Style of: I �1 v Ex. Oc up(ouTLE FIXTURES Ex. Occup. ( OUT D AS R R ernporary service Mobile Home Faciliti License No_Misc. Classification Wiring Y R1i am exerrp frorn dIs Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware ct the provisions of Section 3700 of the California Labor Codes - A � I MECHAfVICAI PERMIT FILING FEE Heatino oequ„ lrs every emp oyer to be Insured against Ilablllty for 'Norkmien's Compensation. 1 have placed on file with the County of Butte a certificate of �,,,orkmen"s Compensation Insurance. I certif} 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 Workmen's Compensation Laws of Ca! iforni a. I certify tha: I have rear_' this application and state that the above Information^orrect. 1 agree to comply to all County Ordinances and State Fay. relating to building construction, and hereby authorize reres. ntatives of the County of Butte to enter upon the aoove menfir�n operty for in ection purposes. `J --_-ate7-7 _:grca re of Pe,iteee or Agent Receiot No. ��% ( {` / Ye!'c;w-Assessor _ Pink -Inspector — Goldenrod -Applicant. Cooli Ventilation Hood Permit Fee $3.00 1.50 1.50 1.50 1.50 1.50 .30 5. 00 - 2.00 @ $3.00 5.00 2.50 25.00 1.00 10.00 15.00 6.25 FEE FEE TR @ FEE $3.00 2.00 TOTAL PERMIT FEE 16 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date _ Date '�� ��, ua PERMIT NO. 3951-77B,P,E,M' PERMITEXPIRES %/�/ OWNER ALVIN D. ROGERS CONTR. owner LOCATION (A.P. 41-42-33port NAD pri. rd, app 20001 W of Clark Rd, 3001 N of Clear Creek Cemetary Rd, Oro. 6d A - Temp. Power Called PG&E Temp. Elec. Sery Called PG&E Temp. Gas Serv. Called PG&E JOB t000� --f FINALED- S (Date) (Signaturej/'-%,_ COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor c Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor ./A- AaxGV.P pry Stemwall Siding To out Slab Roof SheathingWater Piping Piers �-� , Roofing - Sewer Garage Fdn. Vents '' Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical y handica e.1 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio'FIREPLACE Final LIKI / t L__, I V 10 Footings Footing c ELI=C--- - Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco 77 Final Subpanels Mesh O MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole ` Finish Ducts 4 Underground Interior Lath Ventilation _ P _ —t_., _ I Permanprd uoor closer Final t Q t v 1//S!v I Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping in 9 DA TE REMARKS OR CORRECTIONS_ 2 7% gx$)c!�v ��9�)toP,�dz", - ti Eek �LCLZL 2 o C� L & t3A (NOTE: An entry must`be made on this form each time you visit the job site.) 20— . RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRgNT ENERGY NS RVQ�,�ON REGULATIONS AT% (location) BUILDING PERMIT NO. 3 2,/ — 7 % A:: P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls AfIA Floors Walls Ceiling/Roof Ducts Circulate g Pipes APPROVED HEATER .APPROVED WTR.HTR.� GLAZING: -fie Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV IC,S CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED' IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE A$) SUBMITTED. Insulation Applicator Name Signature of ( se print) Insulation Applicator S14te Contractors Lice e No. —Z�& General Contractor/Owner Name k (p ease pr14) Signature of General Contractor/Owner n St to Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. v • PERMIT NO. 4055-77 B,P,E PERMIT EXPIRES OWNER Alvin D. Rogers CONTR. owner LOCATION (A.P. 4.1-42-33 (port. of) � n/s private road app. 2000' W. of Clark Rd., 300' N. of.Clear Creek Cemetery Rd., Paradise r,. t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signatur ) 4 jt -- 'COIUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � � 3 BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding ot To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Provir ehysically handicap dde of ex. Conformance structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Framing Test Water Hit. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service _ Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------------•---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLA�TMN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of Public Works — Building Division 1,, ELECTRICAL- INSPECTION LIation..................................`..'::..,......................_............................... ........................................_.....,.............er Contractor............................................................................................. .................................................................................................................. Approval................................................... Date ............................... Building Inspector (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT f Ignature of Permitee or Agent ��� BY Date �eipt No. /Ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Gal denrod-Applicant Bui ding permit expires Date T-3,- %� BUILDING Owner. _S SQ. FT. OCC. BUIL ING VALUATION Mailing Address ( ZIE T ho e o Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checkin gFee&/oenalt Telephone No. Permit Fee $ Building Address ' PLUM13ING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Do Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 pr d A. P. No. 1+� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W Sa 'on Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcel De lavation arcs Ni 60' R/W Im rovem nts P Law sprinkler ystem 2.00 Bldg. Plans c'd Parcel pproval Plan Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE f PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 j� NEW CONST. DWELLING OCC OR ADDNS. (ACG. BLDGS. 2¢sgft NEW CONSTR. MULTI -OU L NON•RESIO. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 11 NON.RESID. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: f Ex. Occup(OUTLETS OR FIXTURES)50 @25Q 100 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1911olamexempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of . Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 County of Butte to enter upon the above-mentioned property for in ion purposes. X ate -9 — A7777 TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Ignature of Permitee or Agent ��� BY Date �eipt No. /Ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Gal denrod-Applicant Bui ding permit expires Date T-3,- %� COUNTY OF BUTTE —` DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT au UIUIILe rep eselltatives W the County of Butte to enter upon the above-mentioned property forin pection purposes. X ao Date Signature of Permitee orAgn % Receipt No. ___/ , IG Q O ' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Olf-PUBLIC WORKS By Date -'-7 - 7 ::y B ing permit expires Date q`"� 7— 27 BUILDING to Owner Pk SQ. FT. OCC. BUILDING VALUATION Mailing Address�. `11 �-' e ,_ Tel hone No. ©4 0 Contractor Fireplace © Qn Total Valuation - Mailing Address Permit Fee 197— Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address fin f PLUMBING No. @ $FEE PERMIT FILING FEE •$3.00 '- t� t C) C) Each Trap11q 1.50 .,16 Repair drainage or vent piping 1.50 /1n �J ofV i L, 12o 6v s Zo 1 1 ► }• - Water piping 1.50 Each gas water heater or vent 1.50 r //_ , /�_ 3� �6Q? i A. P. No. i '7 J Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 � �� F7es C. Sanitation FireD/eept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration rae I Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Pa c' I pprov Plans oval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ `— �- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. // DWELLING O OR ADDNS. t ACC. BLDGS 20sgft ' NEW CONSTR. MULTI -O L NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETs OR FIXTURES)@L 01 BAL�1 Ex. Occup.( OU TLETS((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li nse No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ '72 IM WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I h ve placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE ' r PERMIT FILING FEE $3.00 c) ° Heating Cooling Ventilation �- Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 4 da Z20 VC5t{�$ '— TOTAL PERMIT FEE $IV au UIUIILe rep eselltatives W the County of Butte to enter upon the above-mentioned property forin pection purposes. X ao Date Signature of Permitee orAgn % Receipt No. ___/ , IG Q O ' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Olf-PUBLIC WORKS By Date -'-7 - 7 ::y B ing permit expires Date q`"� 7— 27 .t A i G --b �'S f OWNER 0 Zoning se Proposed hMIP APPLICATION WORK SHEET Permit No. A.P. No. /-4-7.5 ' 3 77 J Approved Not approved Permit fee based upon: 1. Complete contract'price., 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: ISuring plan checking process; the following data or information must be submitted prior to permit issuance: 1. Index permit for items abovoiand in addition a 'WidtAng 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: ` 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Before permit issuance, all of the 1,15111ow� items must be signed or marked NA: 1. Zoning use 2! Legal parcel 3. Envir. Health Plans Sett A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other a Date Received 1. All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate.------------------------- 3. Complete plans in duplicate/triplicate. _____________________ 4. Complete engineered plans and calcs.------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. __________________________ 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- ` 10. Contractors license information. 11. Parcel declaration, recorded copy. __________________________ 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information.------------------------------------ ___________________________ _______14. 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- _ -7 16. Parcel map, recording data. _________________________________ 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other By . c� Date 7 t /Y/7 Bldg. Inspector. 7 % LlJ J J / % r {� 0 tc- �. _,. '-- / S S_ ` T- - 'i.P_ L-, %�p2 1� Gu ` CL C ISuring plan checking process; the following data or information must be submitted prior to permit issuance: 1. Index permit for items abovoiand in addition a 'WidtAng 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: ` 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Before permit issuance, all of the 1,15111ow� items must be signed or marked NA: 1. Zoning use 2! Legal parcel 3. Envir. Health Plans Sett A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other September 20, 1977 77-182G ADOPT MT TIONS OF CONDITIONS FOR .ROBERT ALEXANDER TENTATIVE PARCEL MAP, AP 1= 2-33 TWO PARCELS, 1350 FEET WEST OF CLARK ROAD TO PROPERTY LINE, 410 FEET NORTH OF CLEAR CREEK CEMETERY ROAD, EAST OF.PENTZ, MAGALIA. NEGATE HEARING DATE_ OF OCTOBER 4, 1977 AT 10:00 A.M.. Clay Castleberry, Public Works Director, set out the mitigations of the conditions for Robert E. Alexander tentative parcel map, AP 41-42-33,., two parcels.,..1350 feet west of Clark Road to property line,. 410 feet north of Clear Creek Cemetery -Road, east of Pentz, Paradise. Mr. -Alexander -is in agreement.with.the mitigations of the conditions. On motion of.Supervisor Winston, seconded by Supervisor. Moseley and carried', the hearing on October 4, 1977 at 10:00 a.m. was.negated:and the mitigation conditions were approved as follows:. 2. Place statement "No evidence of Domestic Water" on map; 5. Make finding that 60-f6ot frontage to -lot -41-42-34 is adequate. since. additional five feet would.be in creek area. 6. Make finding that pressure tank domestic well water systems provide minimum fire safety as no swimming pools are proposed. 8. Make finding that existing access along parcel l adequate since this one division proposed makes all remaining parcels in immediate area. undividable by zoning. Area beyond is Butte College property.. 13. Allow six months for neighbors to select street name subject to.County Coordinator's approval and post name sign. 14. Grade driveway wye to allow vehicle turnaround. and building permits.authorized to be issued. 77-1821 ADMINISTRATIVE OFFICER TO IMPLEMENT INTERGOVERNMENTAL BOARD OF ELECTRONIC' DATA PROCESSING SUGGESTIONS AND RECOMMENDATIONS On motion of Supervisor Madigan, seconded by Supervisor Winston and carried, the suggestions and recommendations of the Intergovernmental Board of Electronic Data Processing study are to be implemented by the Administrative Officer. 77-1822 PUBLIC HEARING: YORK E. BOURGEOIS - ENVIRONMENTAL IMPACT REPORT AND USE PERMIT TO ALLOW 15 DUPLEXES ON.PROPERTY ZONED "A -R" (AGRICULTURAL - RESIDENTIAL) LOCATED ON THE EAST.SIDE OF PENTZ-MAGALIA HWY., APPROX..'400. _FEET SOUTH OF PEARSON ROAD, IDENTIFIED AS AP 54-23-103,.PARADISE The public hearing on the York E. Bourgeois environmental impact report and use permit to allow 15 duplexes on property zoned "A -R" (agricul- tural -residential) located on the east side of Pentz-Magalia Hwy.,.approximately 400 feet south of Pearson Road, identified as AP 54-23-103, Paradise was . held at this time. Hearing open to the public. Appearing: No-one. Hearing closed to the public and confined .to the Board. V ' . o Robert Almmamdw RES Wit. li-lo 9-71 Rt. 1, DM .1 ash #3931d Orav lls, C4n . ps"S (AP 41 -MO , iDmw Mt. Alamdor 9 With ra&wem-m to the abma eubjmt md yoc P 0 stmt a dvaIlL-g, on this, property, m esawt .isse the requite pomit at this tim .fcm the following reams: 1. Thme is ®may camvtzmzM ®two-eatory bulldinS an the rem ofYour p 7 Ubleb, Is baftS umd for ling ewers on the second leml. Ths xonis r. Wkich is ®3, dose not peadt two (2) lid units on. the prqmrty. This t story buildin also vmm constructed withmt pemits and. ion.. tS a frmthis office and tho eaelth Deft. . 2. We hme not rmelved saitatim cl a fsm the Butte minty. Bealth for the livina. umit. We ha a an applIcatics by M. hers(#3931-77) .to ewammet amts dvallIM am yaw property vhich caoat be issued until a parcel map is appvov" and recm%W ora - the Wised division aid until saltation clears=® is raceiaid. Is additim. to th® D 'yam hme also emmmted a yaw Prqwty a t car image and a mall con to building without pmAts amd i tious fzm this offo Would you plaase - cwt tbU offfte within tee (10) days of the date ®f this letter advimm as to your Latentims with regmd. to all. of the ebma itea. Tomo VWY truly, Clete C8ztl Dimtor of Pylic Worms JP'�sded Assistant Dimator cc: tal Health, Pare Lse Prise Buildios Inspector ,: tf . ' PERMIT NO. — PERMIT EXPIRES., 00 h, OWNER CONTR. owner. r ASSESSOR PARCEL 41-47-47 LOCATION '1751 W_ Rranrh T.ana, nrnvi Ile .f ,t n I i Temp. Power Pole Called PG&E �t Temp. Elec. Service Called PG&E . i Temp. Gas Service Called PG&E JOB FINALED (Date) r Signature i 1. J tf . ' PERMIT NO. — PERMIT EXPIRES., 00 h, OWNER CONTR. owner. r ASSESSOR PARCEL 41-47-47 LOCATION '1751 W_ Rranrh T.ana, nrnvi Ile .f ,t n I i Temp. Power Pole Called PG&E �t Temp. Elec. Service Called PG&E . i Temp. Gas Service Called PG&E JOB FINALED (Date) r Signature i = OK = NotOK RESIDENTIAL (Single and Duplex) ' = Not Applicable Rpady Date' UN FLOOR (Plans) OK except #'s DAte FRAMING (Continued) U."ZogjAg requirements -Setbacks -Easements. Handers -Post Caps -Anchors -Connectors tg., Main; Soils-Steel-Elec. Grnd.-// /" Ftg. Depth . Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. g., Garage; Soils -Steel-/ /" Ftg. Depth . Fi ace Ties or Type A Flue -Fireplace Throat ­4--Ftg: fiches & Decks; Soils -Steel-/ /"Ftg. Depth . Attic cress; Size & Romex Protection -Draft Stop -Ins. Baffles emwalls, Main; Steel-Blockouts-Wrapped rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped a Fire Protection Framing 7. Slab; Steel -Wrapped .16 9 frgperty Line Firewall & Openings 8. Piers --Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test air h- Headroom -Rise-Run- Land ing-Fire Protection 10. Gas Pipe; Size -Anchors y don Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test ailing Veneer 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. Qu Mesh -Drip Screed -Fd. Vents-Underfir. Access lazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58.Insulation-Walls-Clg. /PJ4,1,i W70 59. Infiltration-Walls-Wndws Card -B ;5 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B Date and -81 Date Card- Date Card -81 Date Date PLU G (Permit) OK ex . Wat -Ht. Vent -Access Comb 'ion Air Date FIN (Plans) OK except #'s ate pe; Test & Anchors -Nail Protection. Ext. eps-Door & Sidelight Protection -Landings V.; Test-Fttngs & Anchors -Nail Protection 1. ke Detector hower Pan; Test, First Floor -Tub Access urna e; Vents -Clearance -Comb. Air -Connector - In Above Floor -Ducts -Meth. Protection 20. Te Gb & Shower, 2nd Floor -Tub Access Pltas Pipe; Size & Anchors . Bgdroom Exiting (�4!G�'& Bath Fixtures .& Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date �& Rails Card -131 Date Card -131 Date --6A• F-4ep#ace or Stove; Clearances -Hearth Date FLECTWCAL (Permit) OK except #'s ec. Outlets at Wood Panel; Int. & Ext. l_xture & Transformer Clearance -Ins. Protection _ . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Eler Receptacles Spacing -Lights & Switches at Doors d Eiec-'Outlets & Receptacles at Kit. Counter i oxes & No. of Conductors -Stapled Fire Door; Swing -Landing -Closer mex Installed Close to Edge of Studs & C.J. C ct in Garage -Damper quip. Ground made up w/Mech. Fasteners -Bond Gas &Water Zk*Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In age; Above Floor-Mech. Protection pp lance Circuits in Kitchen & Co ductor Size Ib., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size/ / ga. Cu o AI A.C. Wire Size / /ga. Cu or Al eceptacles in Garage; (G.F.1.)-Romex Protec. _?.9. 0 --- e_Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu br AI. Insulated Neutral Yes No nsuIation-Foam-Looked in Attic ❑ Yes --_Z_f-6M3rCrRAils & Deck Construction -Post Caps er a -Riser Conductors & Ground -Main Disconnect -98-Fdn-Pleats & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes qu' : Clearances Panels-Motors-Mech. Equip. 42 -Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive Q Yes ; Walks 0 No; Planters O Y ❑ No 80. Stuc n - Card -B1 Date Card -B1 DateC. it; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date ents Above Roof; PIbg.-Appliance-Firep I. -Clearance to O figs. Date MECHANICAL (Permit) OK except #'s. W Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation &Support . E or Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation . Vepli1ation throughout House 35. Co sate Drain & Overflow; Size & Grade ft-16lawPeotection urn ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet ctio from Previous Inpections ttic Access & Platform if Furnace in AtticGa st eters Tagged; Gas -Electric at 'Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -BIW Date - . Card -131 Date Date FR G (Plans) OK except #'s S' roper Material & Anchors Card-RDate Card -B1 Date W Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: ,ArBgaY1'ng Walls over Girders & Floor Nailing r Stop in Walls (rat proof) . ire ops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) = OK 0:; Not OK Not Not Ready MOBILE HOMES MISCELLANEOUS , Date' MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -81 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade-HDApproval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 . 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER r )-6� 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 matter, or need additional explanation, please contact this office immediately. 7 '.2- V Inspector/ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538,7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 17lJ c� )WNER� 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 matter, or need additional explanation, please contact this office immediately. A 0 r_ Inspector Date f' i s �� '�Jr .{viii � � '�--•,.,t-•' !w ' � Y. A 0 r_ Inspector Date f' F 8 N k;• Mt a, Y P, iy It °a!' 7 A .a 1.0t;AT1oN DESCRIPTION OF INSMATIUN Rt+C,I: Matcrin[ _ '!•Irick+aesa (iuchets}�� FXTEIMIR WALL HaterinI F bergl.asss 1'laickn.�rs(inclat7�_'________�_ CFILI[it" Bat.t or 111anket Type. Fiber loss 'I'llickiwF's(inclaes) _ .��.1' Looe Fill Type F:i ber lass Plir+i+n:uu Tlalcknc-s�(Lach+�as)�_ -� Area -overed(ft. ) 11.038, 6+.1•;VATED M ,a t v r i a IF i. beT-gl_Z_ s I L s c k•+r. s s (inches)_ FLOOR, OR, S!.Ali hf::ter[al ` 'C1+ickneNs(ineheas)� _.�_ Widtill (incheas) -� FOUNDATION WALL Material Thic koe:as(inches)- A. P. No. Brand Nance _ Thettnni Iteoietancc (It Vaable)^_�` Brand Nnme Certai.riTeed' Thelmal Re©istrance(R Vaa'iue) Brnnd Nnme Certaiti7'oed Thermal Reaaintance(R Value) Brnnd Name Ce.rtai.nTeed Number of DnbsWt,• per bag --L)_Tlb. Thermal Rcoistanve(R Value) -- ,--- Brand Name_ CertainTeed Thermal Resiataancie(R Value) --~ Brand Nance _ '1'Itetanl Resiastaancea(R Vaalme.) Brand Name _ Thermal Resistmice(R Valtte) -- L l+orcl�y c•.crtify that the nl)ove insula tt.on wns 1.ngt:nl.led_ in the above bui ldl:ni 4.n con-foumince ori.th div. Stnte of California raaerry Regaairementaa. 11.lulki.11::: IuSUldt.ioti Co., Inc. ' '378907 _ I: ! t:.i t +13lE /0iti'IMl':R StKI-E C011TRACTOR rS LICENSE EMU, lt,r,A1'lP:t . 1('* INSTALLATION MILICKI'OMt . m 1 's,::rr lea Ccirr.iiy. the .above itintilntinn and all required it -arras ng aalaown on tI+L 1�t.ililtng Depnt'tment approved pines and nttnchn+et+tra ltnve been irantnlle.d ns requlre(I b;r glia Stasto of California Energy Requirements. A1.1 r-julpment, davices mid raneerials are of the quality prescribed or nre- spe..ifically approved by the Stzte of California. o 3� P�'lfft9 IdfPPi•:/��dMRlt (['LC"sC >rinl'� -�-^ ---� .-- .—"'-'- I- ) _.. S'T'ATE CUNCRA1 TOR'S LICENSP: tlU, Mk: CWTERA.C'1TURIONIZER 1)A'1'F -- 1'lI1S C1:lt11.r1C/1'Ir, Af11S'! 111 ()v FILE WITH THE BUILDING DEPA.RTREfff PRIOR TO FINAL M M.S PIS:CT.l ;aM! APPROVAL .A!dD A COPY SHALL 17E POSTED WITHIN THE BUILDING . Jaa++unry t%jej ._. ': �ii a�'w.�r'�,'��'�+,�'`'"°`�'na..�°".r�;,.�nt.� �ri��'Swvc?•'.,x ��:3S��,zn�- _;r-;a..;.�,,,-_r..,.:,,...�..._� _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSMN 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541O�TIT APPLICATION AN6 PERMIT ASS SSO.R PA,R EL NUM R ZO '" BUILDING PERMIT o��WVEIZ TE PHo SO. FT. OCC. BUILDING VALUATION OW E 'S MAILING A OR 5 C RACT R'S NA 4 TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace COrjSTJ1RUCTION LENDER VNKNOWN Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESSFiling Permit Fee $ AR ITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 1 Energy Plan Checking Fee $ ARCHITE OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ®v r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 5fl Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 -.5 outlets 5.00 Building sewer 5.00 Mobile Home S FG I W 0.00ea TYPE OF WORK New ❑ Addition fVT Remodel ❑ yt%i �I' ies Installation ❑ Other ❑ Describe work: / f'J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 100 AMP OR LE Main service 6101 OR LESSRAMP 10.00 Main service EA. ADD'L 100 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification [I]�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 04for sale. (Sec. 7044) -1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OC'/x¢sgft OR ADDNS. ACC,BLDGS.I NEW CON5TR U TI-OUTL2,50 ea NON-RESID .BRA CH CIRCI POWER APPARAand (SINGLE OUTLET. Ex. OCCUp(OUTLETS OR FIXTURES SAL930 ewLO 30 FIXED APPLNS D IEA.? 2.00 Ex. Occup. OUTLETS (RESIR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; 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. LIa shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 _ Ventilation Permit Fe ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequence of the granting of this permit. X / �" Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep a d m I'tion or construct- ion of structures over 3 t ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FE $ COUP. CONST.TYP!S oL v� PLo PAR ! PD —r HD• Is9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �+ By -'` PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �'�/ .. l� / 675 Receipt No. _ WNITL-a. P. W.. YlLLOW-A9e L990 R. PINK -INSPECTOR. GO DCN -A L TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance er Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.R. for,: Clearance for bedroom mobile home. NOTE: Other Water Supply. Water Supply Sa i urian Date FJ''y'">a`Y3'�.«�"j,�Vi'—�(G'���r 1^ "�I J ,� _ �_av y �`t'�'�f'} r+^` ru `�Y 7�r a�.�c; �'� y �� J.. `div �,✓J COUNTY OF BUTTE - DE4PAiRTMENT1OF, PUBLIC WORKS —BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEVPn LIW�F�JJIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ---- J/ Permit No. OWNER l0a �� �- F (S A. P. No. - Proposed Building Use c Building Inspector Date < At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. w h Energy Design Compliance Statement. . . . . . chool District "Fees Paid" Stamp on Floor Plan. 7atement o� of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. _etter of signature authorize, Ion. 1 60 O0. Sanitation approval from U / < Health Dept. 11. planning approval for (A) Use: (B) Parking:- arking: 12. 12. :,ertificate of Workmen's Compensation Insurance. 13. :,ontractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec, Pre -Inspection for______ ___ _._ Required- Building Ins request to (Dat ) pector i1 i 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of 21. - 22, — _ When you issue the permit, process as follows: Mail to owner; MaiI to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applican Date Copy of plans sent Health Dept.; Fire Dept„ Other Date The following data must be submitted�prjor to permit issuance: (Circle new item not checked above). 1, Index permit for above items No. 2. Additional items required: _ . Contractor, design e owne was advised of above required data by_ one__rnail_counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—count &pat date Q Plats checked by D e Plans approved by e �5ets of plans on hold in File cabinet AP folder Copy—DPN' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916E538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)i signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Addregs City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. dc�Er2S --,y-c62; 9:'20 R, - 7c? JOB: 10246 MAT THIS DESIGN HAS BEEN TOP -CHORD 2X4 FIR -LARCH. *1 BOT CHORD 2X4 FIR -LARCH #1 WEBS 2X4 FIR -LARCH STANDARD TC BC CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH SI REQUIREMENTS OF I.C.B.0. RESEARCH REPORT #12949. ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND TOP TO BOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION. SEE DRAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS." IT IS THE RESPONSIBILITY OF THE BUILDING DESIGNER AND TRUSS TO FABRICATOR TO REVIEW THIS DRAWING PRIOR TO CUTTING LUMBER TO PU VERIFY THAT ALL DATA, INCLUDING DIMENSIONS AND LOADS, CONFORM TO -THE ARCHITECTURAL PLANS/SPECIFICATIONS AND FABRICATOR'S - TRUSS LAYOUT. + Bottom chord checked for 10 PSF live load. Provide for horizontal movement at one support. 3x5 5X7 5X7 20-0-0 120-0 18" O.H. W Le 6-3-8 9-2-0 9-2-0 40-0-0 OVER 2 SW R-1222# V- 3.5D" PLATE TYPE --ALPINE SEON--156240 FURNISH R COPY OF THIS DESIGN TO 0 0 0 0 0 0 ALPIN*. E MP DRTRN T * i SHALLENOTGBEERESPONSIBLEERED CFOR INC. I TRUSSESINUSHAN LING, WARNING IN HANDLING, OEVIRTION FROM THESE SPECIFICATIONS DR FMIY DEVIATION FROM BRRCING.SEE-BYT-76-,(BRRCIN o THIS DESIGN DR MY FAILURE TO BUILD THE TRIES IN CONFORMANCE COMMENTARY FND RECOMMENDRTID O O O [= WITH THE-OURLITT CONTROL MANURL' BY TPI. ALPINE CONNECTORS THIS DESIGN FOR ADDITIONAL [= O O O ARE MANUFACTURED FROM 20 GAUGE GALVANIZED STEEL UNLESS NENT BRACING REQUIREMENTS. U o I� LP I N OTHERWISE SHOWN, MEETING REGUIREMENTS OF ASTM R446 GRACE A. SHOWN, TOP CHORD SHALL BE LI C= [� APPLY CUNNECTORS TD BOTH FACES AT EACH JOINT RID LOCATE AS WITH PROPERLY ATTACHED PLYI D TRUSS O SHOWN. BEARING WIDTHS ARE 4' NDMINFL UNLESS OTHERWISE SHOWN. DESIGN STRNOFRDS CONFORM WITH APPLICABLE PROVISIONS OF- BOTTOM CHORD WITH RIGID CEII AS SPECIFIED ON DESIGN. I -NDS AND *TPI (PCT). DESIGN WITH FIRE RETARDANT TI #--TPI - TRUSS PLATE INSTITUTE, NDS • NATIONAL OCSIGN SPECIFICRTION FOR WOOD CON RESIDENTIAL PLAN CHECKING GUIDE �,. �` 7/85 (S.F., DUPLEX«& MIS,C, ONLY) F. Bldg. Permit OWNER BOERS A.P. # /ErZ GENERAL 1.7'.n." requirements: (sideyards 2.Va ,ation. 3. ns signed by designer. 4.1#nergy Design and Compliance. ations on property. and number of permitted living units). 1. mplete parcel size and dimensions. 2. ,Setbacks, sideyards, easements, etc. 341 Ot er buildings or structures. ,Pfzd7ng, fills, drainage. 5. Flood hazard. 6w—S'p�2 ial conditions,on creation map or compliance document. FLOOR PLAN 1 VCoxplete to scale plan with dimensions. 24,1equired windows for light and ventilation (Sec. 1205). 3 �quired windows for second exit (Sec. 1204). 4., skylights (Chapter 34. & Sec,. 5207) . 5 1. Auman impact glass (Sec. 5406). 64/, required room sizes, ceiling heights (Sec. 1207). 7. G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8 Vight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.. 9. cations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. e firewall, door size, and closer (Sec. 503(d)(3)). 1'0''.,exterior exit door (Sec. 3304(e)).. 1 place and wood stove location. 13e detectors (Sec. 1210). STRUCTURAL DETAILS l.eFoundation plan complete enough;.:to construct building. 2! F-�o°r.construction details complete enough:to construct building. 3. aations and wall construction details complete enough to construct building. 4. woof construction details complete enough to construct building. 5v -7F4 -p ce construction details and calcs if necessary. 6t/ Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR -1,---E-xprosure I plywood on exposed locations and overhangs. Z:---S-tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3.... 44&4.4rail details (Sec. 1711 & 3306(j)). c or stone veneer (Chapter 30). 5 6. Pterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). 7."-`t fTe�ies or bearing ridge beam. _.1 RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONVD) . age door or porch header sizes. 9@Adequate bracing. W —.—LiXin area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1L.P�- xits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 14/Attic access and ventilation (Sec. 3205). 1—tfiderfloor access and ventilation (Sec. 2516). 14v--Weed--stoves, clearances, alcoves & 1 -hour shafts. 1_51�esiy&stion air for fuel burning appliances. " 1se requirements on duplexes. 1' � soils - special foundation design. 187—"Reta ning walls requiring design. shape, size or split level house requiring lateral design. 0 FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "Ar' (Additions) Owner' PO rs6 S Climate Zone Permit # �O! Floor Area / Z - The fallowing data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include.room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA 0 CEILING WALL FLOOR SLAB GLAZING SHADING ZONE 11 R-30 �� err R• 19 . R-11 R-7 U-.65 (Dual) SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient R- 8 R- R- R - U -.6 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS.REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON.BACK OF THIS SHEET. OTHER 12/85, *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity).% '3 ❑ Heat Pump (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 954F) . ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13 * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.•S.E. chart or other approved system (form 465) 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. SIGNATURE OF BUILD G DESIGNER OR APPLICANT t 5 a � �� ��a � � r r ;- 1 d 1 =Ir• - I Halo - Of i, 1 H r F 1 i,.t((.. '-A.. �K.1 �✓R T : o}� p�. r; y w S,IStsit, " it t q jyj : J11111,1111, -*AF"C 1,P MCRO-CCUt 0 R PIT WC -,-C UC RAMfAMW IN. fpq WOO 'r w0#0 Wrte r TO Of ftivix "Ov'' toio.ran Ole forfho b6st In PA AIR AL J9 IL P lAt 77, Ik 7 '10 ItI. .,i4 IN, Zi� A 1'7 �;jj!�,� '.- I � ��V, :% It $ix IN IN, 4_1 It IN l"T . j ILI IN ;40 llj� Joe 4 IN, w NOTr-:--:AR Mafc,�Nlah hip siwl! Nei,: Qp (Divd PradfclA c 6 in, w4h- 6. to bo 42 fermodiote ra for f!m SpeOvieu fj�e in L, Sot of IQ (jucti; folbenotovor 9; 443PO echqn1ool Codes and M A', NqGoiyof Eaoe.,pj,.,ql; cod' rks and sw0fln-Otons MU9T bb on (Woll f;mPs an4 if is unjawf,41,40 Ow �,-Ilrtnoos or nft,;�rcs+irms on some w;f h6uf 14 42� -4 IS Rfen permission from f he Dopqrfmorit of gubl, 1 work$A Coupfl-jol buffe, a >e 1.2 TR 540 IN v r 0, 67W . SrOPIO 0 K 0 0 Pt S.HtO N sf Ouf to be Se 1q� in �a, Of dra' In OS per wCO Coun."Y 0001th DePt. R6- ga r(�, ON 11,4 jt�` MM i APKICAULL- e� re, $ 0' ARECLE 6, 69 A,41A Y ro Prf 0, T,I AA 0 ......... The Bldg,!; Sof N M 0 rood,pe4iffing a,MdA f y'2 -ff buf �onfirel� u� �4 oil e IN Nj, – t - —.1" 11 1 , I I 411 44 IN fAM IT r �X4 S7 A Y, 44 ............ 'N" qA. -1 ,i.- . -IN 4 _IN; N� 87 1+ %�I� , , e� IN 6(l IN i�p It N. . 4,, z # IV 44 W A"L A ilk N IN, Ij 'IT Al 'LnI I _4 tS ;iN It Nit 4 Iq IN oj T SW ON, y a it 1, F", IN IN- NIN 41 N� It I �A— .4 IN. 4" It IT I It, 1j, OA , it Y. A jQL �j ii� (0 .;, 116. V 1 4,1 1 1 L T";x -4 4 ID OT t _ It Ni, "wo. ® N j IN IN tr. IN J 7 L It, _2 0 vN, tl IN. Vo. ij , I 'I, I , , , "I � L �' 'I Ur, V . –77) I IN V.W 701, "'."A 1/4 i;4 it, J., It, IN, Ole It 71' g, 3 Lj '84 t. IN, it A , - !, �' V ��, 'L L , I t), ! L ;;� �.W P ­ I - I - - 7" 'Ott yir it r 0 Ni A i, ir, '7� 'Y -Ok 0': A, j, It' 7L il*Akm No 14 L; A X 4 L "91 p� Ni, A" V NI IN 0�4, 7'j" Nit f,r ,t IA, L'N Mr t N JI N. 7, 4 OX71 tip % r 'p I NNN WON Ni IN ii� -4 `ON1L it q I'j q;L, It 1.q It )ING" tz; �,T -I I 1, IW, jr' j," 5T, A L__ oy,_51 Lit 'T it I J, I I it Ob 'A -n ly r �jt� , 4'�` ;, L �j, r' " _', : " . _' �4 . , I � It' cv P IN , L" L �; , I " % , ; I , 1, 1 .1 1 1 iIt', I , -1 !'i � � 71 Ni , � ii, , �� L� N . " - :1 NIL A!, it, 01 It it I It qi 4kL oi N 44, Uq. 1 4"1 L 61 AUQuU'l k= .4:L ;IkLl iL .9 s.xn, 4r .b . 4M k;"o.f4wN 'N we .M.ef4u•4Mu4! '4 k+9{'�ykyw.'...k,F Aw a.rwu +.wMr"k�W � +rV•MWI4Wafwt ..•+.4+Ir•id W'A 4" w I t `II84� THIS OWGi PREPAREDFROM COMP!!*ER INPUT Cl.(�A.DS •& DIMENSIOtSI SUBMITTED BY TRUSS MFR. r 1'ti"f1P CORD ?X4 F YR-LARCN dlTC X"LOC. L -R: 0.00 7.29 15.80 22..71 3k1.00 c7' OT CHORD 2X4 FIR -LARCH ,#1 � 'WEBS 2X4, FIR LARCH, STANDARD BC X -LOC L-A 3. t 7.29 15 SO 22.71. !26.85 30il'a tin' CONNECTOR PLATESMUST 6.E 'INSTALLED IN ACCORDANCE WITH SINGLE CUT WEB8C:1,4'.7 .2L ENDS,:2,6 4 R:EOUIR..MENTS OF ;I.Ciao0. RESEAR4.H REPORT' X2349. E g ALL PL'ATE5 ARE TO BE CENTERED THE JOINT LEFT TO RIGHT /tiNO BOTTOM'CHORb' N_CKED EOR 1 C E 8 P5F `L I1�E: LOAD. Co ,ON 'COP TO BOTTOM, SXGEPT WHEN LOCATED BY CIRCLE OR DIhIENSIOt�. ALL TSP CHORD' 'SPLICES OCCURRING BET4IEEN m a''' SEE DRAWING b E.LOCATIONS,oN TYPICAL 30I"NTS..`'' 130;FOR PLAT PANEL POINTS ARE TO BE, LOCATEb. AT APPROXIMATELY Ln 1/4 OF PANEL LENGTH FROM PANEL POINT (WITMIN 12°1_ANb C' 4 BEARING LOCATIONS MUST BE Mr'�RKED ON TIiU55 'Bil TRUSS �FA$R�,.GATOR JNSURE SHOULD NOT OCCUR Ihi 'PANELS NEXT TO A PA NEL PoINT 'SPLICE. TO PRoPER.` ERFCTIONi TOP C ORD SHALL. 8E LATERA'LL,Y BRAGEO WI7 PP.OPERLV CONNECTED' NOTE: PLATCS ARE DES"IGNEb..i 11ITH ON FACTOR OF ;8.52, A b UftATf PURLINS SPACED ,AT A! MAXIMUM OF".24w,O,,C.H a_ ti a , f t m p • ` n w a . x� � � 4 4 as �a Xs`Owa .»�D� �� � lio iL �tJ NI�N MPY PL�'� TYPEiLriNE ..-tn�c�itu .SrGN nir t4tg b' w pNTMCTOR Tna�rTtC1N" c n rnrrinrwrwr�ew iwsrw�irir'riwi I DESIGN CRIT t1b ,LL r� l `1 TC bL ® ■:,ate TIM, - .JOB. TH PAR OM C LYVIS, TE R', I N V S DWG. E"—Ir F WRF77, 6MPU R ur:,(Z0Al �z -"tll L� lflUilt.,Y! I L24S-T ULTIRO-21 I . , li i, -� A CAVII T. P CHORD ZX4 FIR, -LARCH Tc *i-L'O'C R4, 0 85 30:il 7 "ap DAVO, V1090k" IdT CHORD UAFIR-LARCH #1 - Akgt, 2X4 'FIR LARCH STANDARD., - ;, ' W' 1 8 5, 3if, Art B XN- L 5 gi 'WC OURXACY..,, 5L, Im TES L Lt 0, IN"ACCORD ANCE' WITH ONNE"CTOR PLAT' MUST E-INSTA 8 1 NGLt C WEB *"4 Vo* 2 "E DS sl 6 C) , -TH REQ-�UIRE ENTS OF 1, Cil RESEARCH: REPORT,, *t4kq IVE,Ld AD. - + BOTTOM CHORD- lrl�E.CkEb' 00 14�'00: Lt ES 7,.AR'E' BE ON THE, loiNT, LEFT TO RIGHT AND ALL , PLAT TO C 8'N T E R'E D TOP To 9OTTOM', EXCEPT wHEN LOCATED V'.cmtt OR' DIMENSION, ' N' C E N ALL TOO CHORD SO L 1 C tS� OCC.URR.I:., G 0� T14 t E,�� DRAWIVZ'l'30 FORilPLATE� 'LOCATIONS ON' T PICAL',jOINTS i St. Yl PANE v LOCATED AT APPA L P - , I �01,!.MATELV POINTS ARE I'd BE Lora il - ..",% I I � 4 1/4 9F PANEL LENGTH FRO PANEL POINT (WITHIN 121 AND MARKED �ON. nuts �y Tkutt 0 EAR I. "N G. LOCATIONS, MUS7-ct�E M FABRICATOR U to A pAkai POINT I ' SHOULD OT OCCUR IN PANELS NeXT :SP_: TCX INSURE PROPER tR& TOP dilokb SHALL 'se LAMALLY ,MAC'EU'�QTH, ,'PROPERLY CdWtTEO,� S- ld"N't, 0 WITH A. DURATION, FACTOR OF 0. 92.,'�, NOTE PLATES ARE DO' PURLINS SPACED AT A, MAXIMUM OF C UY W. H.C.S. 3/1/88 (Note) ktr'U- e co ec'ii to. piqVi&i. co=6d, 3 K11 5 4 2X4 q.no 2X % i .5x3 SX10 5x 4, 0 b c 430'-0-0;�,;o ER P P i'; RmltoU W,4 JAN, OL MM, TY0"a Wtm�-, ��hki l7h UA I ti 000W hhOV fiP tWflt ftl: P T ftNYn I rorr.tthm tnWt4hdt0q- sm X 6 0 bd �z -"tll L� lflUilt.,Y! I L24S-T ULTIRO-21 I . , li i, -� A CAVII DESIGN GRIT-(--;- 0gr :ac OLI,� J DAVO, V1090k" E t73 yg OURXACY..,, 5L, PTICK4AW 2'