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042-370-005
c A. P. 42-37-55, ST. CLAIR CONSTRUCTION CO. 940 Mathews Drive � Lot_ 5 Chic. Permit 1264-741,P,E,M (New single fam.� A. 42=37=5 _ •Iohn.Eckalbar. 940 Mathews Dr; Chico ' Permit YA. 2434-82B;P.,E(new pri; swim• pool) 1 �• contr,:, Leisure, Time VzWft,Paradis6 ' �I i 42-37-05 2762-90B j ROONEY, Richard ' 940 Matthews Dr, Chico Av ;+ Contr: , Sierra Roofing '(reroof/sf) ti .., B06 2821.: ��. • ..�..�-'042 370: 005 s MISCELLANEOUS':' HVAC .Change Out , HVAC CHANGE OUT �t 49707 40 MATHEWS DR ; ' } ;,`;HUNT; SHANE`A &,PEGGI O y , ' � -:� -4�' Wit+ *.'; ;•�.� �t,.,�, .k j r r • , M W. ERSi C,�yu N CStuA of 64-'r) BUTTE COUNTY •. DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD • 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: B06-2821 Issued: 12/11/2006 Address: 940 MATHEWS DR CHICO APN: 042-370-005 Permit Subtype: HVAC Change Owner: HUNT, SHANE A & PEGGI O Applicant: KLEENAIR HEATING AND AIR COND Description: HVAC CHANGE OUT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 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 Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 b C_ 4-3-0-1 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 P.O. Box 2233 Orangevale, CA 95662 0 U_ L U 0 0 U LU 0 3 w x t - a C. v a� 0 N 1A N T o� 0 LO Q c a a Y Contractor: Energy Analysis & Comfort Solutions, Inc. Phone: (916) 698-4185 l Project Information Sheet Fax: (866) 246-5814www.EACSWeb.com Name: Kleen Air Job Site Contact: Address: 1657 Silica Avenue Phone: City: Sacramento Phone: 916-922-3995 Permit #: Build Dept: County: Utility: # of Stories: Conditioned SF Heat Equip: True Make: Heat Capacity: 60 Model: Efficiency: 80.00 Serial: Configuration: Package Serial: EER: Cool Equip: True Condensor Make: Cool Capacity: 36 Model: SEER: 13.00 Serial: EER: 11.00 Time Out: High EER: Test Pressure: Evap Coil Make: Configuration: Package Model: Serial: i est Kesuits• Date Duct Test: Equip CFM: Tester: New or Exist: CFM Leakage: Time In: TXV Installed: % Leakage: Time Out: High EER: Test Pressure: Signature: Notes: CERTIFICATE OF COMPLIANCE: RESIDENTIAL SHANE HUNT Project Title 940 MATHEWS DRIVE CHICO CA 95926 Project Address Aaron Willson 916-922-3995 Documentation Author Telephone (Page 1 of 5) 12/7/2006 Date Building Permit # Plan Check / Date CF -1 R Prescriptive 11 Field Check /Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only nAlternative Component Package Method: (check one) C X 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 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 1500 ft2 Average Ceiling Height: 8 ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) N/A ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) NIA ft2 Building Type: Single Family Detach Project Type: 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.) Number of Stories: 1 Number of Dwelling Units: 1 Floor Construction Type: Slab Floor Orientation: E = 090 North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). Radiant Barrier (required in climate zones 2, 4, 8-15) Componen t Type (Wall, Roof, Floor, Slab Edge, Frame Type (Wood or CavityContinuous Insulation R -Value Insulation R -Value AssemblyUfactor (for wood, metal frame and mass assemblies) Joint Appendix IV Reference Roof Radiant Barrier Installed (Yes/No) Location/Comments (attic, garage, typical, etc.) 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the LI -factor criterion. LI -factors can not exceed prescriptive value to show equivalence to R -values. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R SHANE HUNT 940 MATHEWS DRIVE 12/7/2006 Date FENESTRATION PRODUCTS - UI -FACTOR AND SHGC FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS4R -must be included for New Construction, Additions and Alterations Fenestration Minimum Distribution Type and Capacity (furnace, Efficiency #ITypelPos. Duct or Piping Thermostat Configuration heat pump, broiler, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value (Front, Left, Orientation Furnace 1 80.00 AFUE I Attic 1 4.20 Procirannnnable Exterior Rear, Right, Skylight) (N, S. E, W) 1 Area (ft2) U -factor 2 U -factor Source 3 SHGC 4 SHGC Source 6 Shading/Overhangs 6, 7 Check Box if WS -3R is El El 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A. 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table 116B. 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 3.2.4 in the Residential Manual. Heating Equipment Type Minimum Distribution Type and Capacity (furnace, Efficiency and Location Duct or Piping Thermostat Configuration heat pump, broiler, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value Tvne (Snlir or Packanel Furnace 1 80.00 AFUE I Attic 1 4.20 Procirannnnable Package 60 kBTU 13.00 SEER Attic 4.20 Pro rammable Package Cooling Equipment Type and Capacity Minimum (A/C, heat pump, evap Efficiency Duct Location Thermostat Configuration (SEER or EER) (attic. etc.l Duct R -Value Tvoe (Split or Packaoel A/C 13.00 SEER Attic 4.20 Pro rammable Package 36 kBTU 11.00 EER CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R SHANE HUNT 940 MATHEWS DRIVE 12/7/2006 ProjectTitle Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must ha nrnvidPd to the huilrfinn 4n rtm t fnr -h h- fnr hir k the f -11-..i— ter., --;—A )R 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 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 and 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. WATFR HFATINr. CVCTFMS ❑ Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and B-15 only) ❑ (Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and B-15 only) (Installer testing and certification and HERS Rater field verification required.) )R 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 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 and 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. WATFR HFATINr. CVCTFMS ❑ Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling Number in System 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 Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No Standby Loss (%) 1 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 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the hmittal Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units. Svstems servinn cinnhm dwPllinn nnitc Water Heater Type/ Fuel Tvoe Distribution Type Number in System Rated Input (kW or Tank Capacity (aallons) Energy Factor or Thermal Eff. 1 Standby Loss (%) 1 Tank External Insulation SVAtPmC ca"inn muMinln At-11inn ..niter Water Heater Type/ Fuel Tvoe Distribution Type Number in System Rated Input (kW or Btu/hr) Tank Capacity Energy Factor or Thermal Eff. 1 Standby Loss (%) 1 Tank External Insulation 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''/. inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R SHANE HUNT 1657 Silica Avenue ProjectTitle 12/7/2006 Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below represents special features relevant to the Prescriptive and Performance Method. SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms (if applicable) Description Required Forms (if applicable) Metal Framed Walls CFAR Radiant Barriers CFAR Exterior Shades WS -4R N/A; Performance Calculation Refrigerant Charge CF -6R part 5 of 12 Cool Roof Required. Attach CRRC Label to Form ❑ Dedicated Performance Calulation Hydronic Heating Required; Attach Run to Forms. ❑ Combined Performance Calulation Hydronic System Required; Attach Run to Forms. Gas Cooling N/A; Performance Calculation Requir Buried Ducts N/A; Indicate on building plans. Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heater See Table 5-13 or use Performance Calculation and attach Run to Forms Central Water Performance Calculation and attach Run Heating S stem to Forms. E Non-NAECA Large CF -1R Water Heater Indirect Water Heater See Table 5-13 or usePerformance Calculation and attach Run to Forms ❑ Instantaneous Gas See Table 5-13 or use Performance Water Heater Calculation and attach Run to Forms ❑ Solar Water Heating See Table 5-13 or use Performance S stem Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms (if applicable) Description Duct Sealing CF -6R part 4 of 12 Refrigerant Charge CF -6R part 5 of 12 Thermostatic Expansion Valve CF -6R part 6 of 12 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R SHANE HUNT ProjectTitle COMPLIANCE STATEMENT 940 MATHEWS DRIVE 12/7/2006 Date 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 (per Business and Professions Code) Documentation Author Name: Aaron Willson Name: Aaron Willson Title/Firm: Kleen Air Title/Firm: Kleen Air Address: 1657 Silica Avenue Sacramento Ca 95815 Address: 1657 Silica Avenue Sacramento Ca 95815 Telephone: 916-922-3995 Telephone: 916-922-3995 License #: 481974 X X Si nature and Date Signature and Date Enforcement Agency Name: Comments: Title/Firm: Address: Telephone: X Signature / Stamp and Date .s, INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R 940 MATHEWS DRIVE CHICO CA 95926 Site Address Permit Number: B06-2821 An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: I-lne4inn Fnuimm�n4 Equip. Type (pkg. heat CEC Certified Mfg. Name, Model, and Serial No. # of Identical Systems Efficiency (AFUE, etc)l >(CF -1R value) Duct Location Duct or Piping R -Value Heating Load (kBtulhr) Heating Capacity (kBtulhr) Package KENMORE 1 80.00 AFUE Attic 4 60 Furnace PGF33606OK00A 11.00 EER Cnnlinn Fniiinmpnt Equip. Type (pkg. heat pump) CEC Certified Mfg. Name, Model, and Serial No. # of Identical Systems Efficiency (AFUE, etc)l >(CF -1R value) Duct Location Duct or Piping R -Value Cooling Load (kBtulhr) Cooling Capacity (kBtulhr) Package 1 13.00 SEER Attic 4 36 AIC 11.00 EER Coil 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. II, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) 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. Gds Signature and Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Kleen Air Installing Subcontractor (Co. Name) 5019-52 OR General Contractor (Co. Name) OR Owner INSTALLATION 'CERTIFICATE (Page 4 of 12) CF -6R 940 MATHEWS DRIVE CHICO CA 95926 Site Address Permit Number: B06-2821 INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder. HERS Rater, Building Owner at Occupancy and Building Department INSTALLER COMPLIANCE STATEMENT The building was: F-1 Tested at Final El Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ElRemove at least one supply and one return register, and verify that the spaces bewtween the register boot and the interior finishing wall are properly sealed. ElIf the house rough -in duct leakage test was conducted without an air handler installed, Inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ElInspect all joints to ensure that no cloth backed rubber adhesive duct tape is used DUCT LEAKAGE REDUCTION Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3 CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: El Cooling El Heating) or Measured If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfml(kBtu/hr) x Heating 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in: [100 x [ #1) J El Pass D Fail (Line (Line #2)]] ALTERATIONS: Duct System and/or HVAC Equipment Chan a -Out 4 Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct / F System Alteration andlor Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct C vy ' System for Duct System Alteration and/or E ui Chan q P ment Change -Out. A f -�°.a.xn 6 Enter Reduction in Leakage for Altered Duct System 7411 + rµ t [ (Line #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 or < 4% at Rough -in [100 x [ (Line # 5) / Line # 2)]] El Pass r_1 Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out 9 Pass if Leakage Percentage < 15% [100 x [ (Line # 5) I Line # 2)]] 0 Pass El Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x r (Line # 7) I Line # 2)]] Pass E] Fail 1 11 Pass if Leakage Reduction Percentage > 60% [100 x f /'e 5 8 (Line # 6) / 74,/9 Line # / jp © Pass E] Fail 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection `"` Pass Fail Pass if One of Lines # 9 through ass g P 12 # [-aLi ? Cy''^"� Lte urc:,, Pass Fail u - --••--•-•�••----•••, •,, ---- a.... 1 110911-16 mbr rebunb were pertormea to contormance with the requirements for compliance credit. I, the undersigned, also certifythat 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 Engergy Efficiency C r r_:,j 4 C r f.�t ri �'' d,t �. • th.� / — - Kleen Air Signature Date Installing Subcontractor (Co. Name) OR 5019-52 General Cnntractor lCn. Namnl INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R 940 MATHEWS DRIVE CHICO CA 95926 Site Address Permit Number: B06-2821 THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. Access is provided for inspection. The procedure shall Location 0 Yes D No consist of visual verification that the TXV is installed on Outdoor Unit Make F the system and installation of the specific equipment Cooling Capacity shall be verified. Date of Verification F Yes is a Pass El Pass El Fail REFRIGERANT CHARGE MEASUREMENT PROCEDURE Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make F Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification F Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55oF and above): Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. Note: The system should be installed and charged In accordance with the manufacturer's specifications before starting this Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) F Return (evaporator entering) air dry-bulb temperature (Treturn, db) F Return (evaporator entering) air wet -bulb temperature (Treturn, wb) F Evaporator saturation temperature (Tevaporator, sat) F Suction line temperature (Tsuction, db) F Condenser (entering) air dry-bulb temperature (Tcondenser, db) F Superheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db - Tevaporator, sat F Target Superheat (from Table RD -2) F Actual Superheat - Target Superheat (System passes if between -5 and +5°F) F Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary if Adequate Airflow credit is taken Actual Temperature Split = T return, db Tsupply, db F Target Temperature Split (from Table R03) F Actual Temperature Split Target Temperature Split (System passes if between - 3'17 and +3°F or, upon remeasurement, if between -3°F and -100°F) F 5019-52 INSTALLATION CERTIFICATE 940 MATHEWS DRIVE Site Address CHICO (Page 6 of 12) CF -6R CA 95926 Permit Number: B06-2821 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. Yes No System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 oF) 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 for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3. M Actual liquid line length: ft Manufacturer's Standard liquid line length: ft Difference (Actual - Standard): ft Manufacturer's correction (ounces per foot) x difference in length = ounces (+ = add) (- = remove) easured Airflow Method for Adequate Airflow Verification available in RACM, Appendix Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfm/Btu-hr) CFM Measured Airflow is---- CFM (Measured airflow must be greater than the calculated 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. Yes ❑ No System Passes Signature. Date COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Kleen Air Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner 5019-52 INSTALLATION CERTIFICATE (Page 8 of 12) CF -6R 940 MATHEWS DRIVE CHICO CA 95926 Site Address Permit Number: B06-2821 FAN WATT DRAW Procedures for measuring the air handler watt draw are available in RACM, A Method For Fan Watt Draw Measurement RE3.2. RE3.2.1 Portable Watt Meter Measurement RE3.2.2 Utility Revenue Meter Measurement Measured Fan watt Draw: Enter results of Measured Fan Flow (Enter total cfm from airflow verification) Enter results of Calculated fan watt/cfm is equal to or lower than the fan watt/cfm draw ❑ Yes E]Nodocumented In CF -1R ❑ ❑ Yes is a pass Pass Fail ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available in RACM, Appendix RE4.1. Method For Airflow Measurement Yes I I No RE4.1.1 RE4.1.2 RE4.1.3 Duct design exists on plans Diagnostic Fan Flow Using Flow Capture Hood Diagnostic Fan Flow Using Plenum Pressure Matching Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: cfm/ton Yes No Refrigerant charge or TXV Yes No Measured airflow is greater than the criteria In Table RE -2 I I Pass I Fail MAXIMUM COOLING CAPACITY Procedures for determining maximum cooling load capacity are available in RACM, Appendix RF3. 1 Yes No Adequate airflow verified (see adequate airflow credit) 2 Yes No Refrigerant charge or TXV 3 Yes HNo 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. If the cooling capacities of installed systems are > than maximum cooling 5 El Yes ❑ No capacity in the CF -1 R, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass ❑ ❑ Pass Fail HIGH EER AIR CONDITIONER Procedures for verification are available in RACM, Appendix RI. 1 Yes No EER values of installed systems match the CF -1R E]❑ 2 Yes No For split system, indoor coil is matched to outdoor coil 3 lYes I No Time Delay Relay Verified (If Required) Pass Fail Yes to 1 and 2; and 3 (If Required) is a pass Tests Perfnrmed Signature / Date COPY TO: Building Department, HERS Rater, Building Owner at Occupancy Kleen Air Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) 5019-52 ,Feb 14 07 06:03a Patricia Siedentopf 916-973-1145 p.4 CalCERTS -Certificate Page 3 of 7 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pace 1 of 81 CF -4R 940 MATHEWS DRIVI ; CHICO, CA 95926 Kleen Air 1481974 Project Address C40 Wader Name/ Lkense Ab. B06-2821 Convactor Contact Telephone Permit Number tr eia Sisdanto 916-410-5340 54247 Telephone Sample Group Number Feb— y 6, 2007 CC14-1798394934 tD 5 nawre Date CertRcete Number Firm: Energy Analysis and Comfort Solutioiks, Inc. HERS Provider:CaICERTS, Inc. Street Address: PO Box :2233 City/State/Zip:Orangavale / CA 195662 Copies to: Momooxrner.HERS Provider and Bya4ins>t_r%--rtment This CF -4R has been registered with the CaICERTSa registry In accordance with the Title 24 & Title 20 of the CCR. HERS RATER COMPLIANCE STATEMENT The house was OTested EApproved as part ct sample testing, but Has not tested. As the HERS rater providing diagnostic testing and field vertlicaticn, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater most check and verify that the new distribution system Is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a prooerly completed and signed CF -6R has been recelved for the sample and tested buildings. the Installer has oroviclod a copy of the CF••6R (Installation Certificate). . New Distribution system•. Is fully ducted (I e., does not use building cavities ds plenums or platform returns In lieu of ducts). New systems where cloth bactaed, rubber adhesive duct tape is UCsralled, .mastic and drawbands are used in combination with Ciotti rubber adhesIvc duct taoe to s' 1 leaks at duct connections. TNTMIIY 0FnBTDFYIFN7r4 FrIP 0111tT I FAVAMF 00nilf"11-M J rnsaoi rAWre relenrT. NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 jEnto fested bealaw Ron in eFM- N/A 2 Fan Flew: Calculated (Nominal �; 'Caollng '-.!Heating) or'.-' Measured 1200 Enter Total Fan Flow la CFM: 9 N/A 11/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Dud System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Testof New Duct System or Altered Dud .System for 83 Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduttbn In Leakage for Atterad Duct System . [Line 4 - Line 5] - (Only If Applicable) 7 jEnter Tested Leakage Flow in CFM to Outslde (Only If Applicable) 8 Entire New Duct Sysum - Pass if Leakage Percentace < 5% t 100 x (Line 5 C3 pass C3Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change-:3ut, use one of the following four Test or Verification Standards for compliance! 9 Pass If Leakage Percetltage <= 15% [ 100 x ( Line 5 / Line 2 )]: 6.9D% 10Pass ElFail 10 Pass if Leakage to Outside Percentage � = 10% [ 100 x (Line 7 J Line 2 )]: ❑ P053 U Fall 11 Pass if Leakage Reduction Percentage := 60% [ 100 x ( Line 6 /Line 4 )] r''1 ❑Fall and Varificatlan by Snake Test and Visual Inspection L—+Pass 12 Pats If Sealino of all Ancassible Leaks and Verification by Smoke Test and Visual Inspection ' ❑ Paas ❑ Fa0 Pass If One of Lines 09 through *12 pass 0 Pass ❑ Fail https://www.calcens.com/certificate print.cf n?lots,54348,54347,54352,54353,54351,5... 2/13!200 i ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 940 MATHEWS DR Owner: permit No: B06-2821 APN: 042-370-005 HUNT, SHANE A & PEGGI O Issued Date: 12/11/2006 By KCG Permit type: MISCELLANEOUS 940 MATHEWS DR Subtype: HVAC Change Out CHICO, CA 95926 Expiration Date: 12/11/2007 Description: HVAC CHANGE OUT (530) 345-5287 Occupancy: Zoning: AR R Contractor Applicant: Square Footage: KLEENAIR HEATING AND AIR COND KLEENAIR HEATING AND A: Building Garage RemdUAddn 1657 SILICA AVENUE 1657 SILICA AVENUE SACRAMENTO, CA 95815 SACRAMENTO, CA 95815 Other Porch/Patio Total (916) 922-3995 (916) 922-3995 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1148 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License KLEENAIR HEATING AND AIR 1481974 / C20 C38 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is i ull force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 12/11/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Signature Date 4�2❑ k7W1_s0RKERVCOMPENSATION 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-0017793 Exp. Date:10/01/2007 Contractor's License Law.). (This section need not be completed if the permit is for one undtF red dollars ($100) or less. ❑IAM EXEMPT under Section B. P.C. for this reason: ❑& I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/11/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date ovisions. X 12/11/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Sig t re Date G: FAILURE TOS E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, FU flJDHALL construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless ButteCounty, its officers, agents and employees from any and all claims and liability for personal SUBJECT AN PLOWER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE injury, including death, and property damage caused by, arising out of, or in any way connected with ED THOUSAND DOLLARS E100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) 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 use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the roperty owner or am a zed to act on the property owners behalf. CONSTRUCTION LENDING AGENCY - �— !11/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me o Permittee NJ Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ontractor OR. Agent for Owner MAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND' SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name uN Address firstyatn aN e - Mailing Address 642 �2YIa e s .DiPjv City 6-0 State �� Zip Phone /_�.3D 3^�� Fax E-mail Fax CONTRACTOR Name Address City �tcR�tMei>//o State Gr/,7d Zip Phone9/� Fax E-mail Lic. #��,/9' CI s 0 APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityS-a Cha ^1���o Address Zip City Fax State Zip Phone Date Approved: Fax E-mail State License Number APPLICANT INFORMATION Name -��o •��7 Address .�i � C��Ju��'`� � CityS-a Cha ^1���o State C T sem) � Zip Phone /?16 -9aa �99s' Fax E-mail APPLICANT SIGNATURE Ix �_U V For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. MW BIN # PROJECT LOCATION AP# 370- rope ert Address a 44 ear .D,�, v Cit , t�`'Li/ca Cross Street WORKER'S COMPENSATION Policy Number 00 i77 92 -aoa Carrier Q Xe �-N If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: }� !/.�C c fid.,• Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ts 00 I [Received by: t6 . Amount: A Bldg 11 Receipt #: -61 Ito Sheriff SMIP II Date:�2- l �' 6 �C IS t notal } � `• ' f42-37-0�5 it C i' � ' � _.. � • �.� '.'tea; _ •' -,i` .f ► V� �, 2762-90B j ROONEY, Richard, + ' 940 Matthews Dr, Chico ` •'�:; : Contr : Sierra Roofing' (reroof/sf) ay.' y,Y r.,.rw-4r•- w,. - '�'!> t..y •. .w«.. .+',',�... �-+..it`.w9.�,`; � ,*� L_ , .. .. ,r;. � S' � �� h ?'� .. _ F '� ` ' � _ _ � • �;• r re ,{„/ tiJ • Rt r a reo'. �� a T // IY 1 r '. . j 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �t PERMIT NO. ^ /�� ASSES OR PAR,f�L NUMB E ZONIN 9 ti BUILDING PERMIT OWNER Ridwa TELEP o E 343-3613 SQ. FT. OCC. BUILDING VALUATION 21 OWNER'S MAILING ADDRESS 95 North IBI street Sen Niteo Gb. CONTRACTOR•SNAME Sierra WJ CO TELEPHONE 342-1963 CONTRACTOR'S MAILING ADDRESS }7O Box 22, Mico Ck Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 - LENDER'S MAILING ADDRESS Permit Fee I $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Planthecking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty rw $ ��BUUILDIN+GG A..D,DrR�E,SS /�� 9XI Ritthaa Drive, NCO. Orr. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each'T ap 2.00 Sola at'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 q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: ) _ 91 miiaf'ps ifi built tin rerrof . Permit Fee _7 $ Contractor ;' `? ELECTRICAL PERMIT Filing Fee 10.00 T Main service 600V OR LESS 10.00 100 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 Business and Professions Code and my license is in full force nand effect. License No. 4 Classification C 39 ❑ 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.&) '/zQsgft OR ADDNS. ACC. BLDGS. NEWCONSTR MULTI -OUTLET 2,50 ea NON -R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050c SALO 30 FIXED APPLNS Ex. Occup. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 15.00 g Permit Fee_ $,.,. Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑j 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 cr this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 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 accrueagainst said C uunnty%in consequepice of the granting of this permit. // A/Lc, _J) k ,This A Date Signature of Applicant — Owner El(<,Ooniroctor El Agent Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -f ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE ALSCH HAz J,CLIA PARK ELD PAR PD HD IssuE permit ;`s hereby issued under the applicable provi- sions of the`Butte County Code and/or resolutions to do indicated above'forwhich fees have been paid. p DIREC O 'OF PUBLaC WORKS / _ B �+� Date irh Y� - - - -- fY/ (� /6'1 PERMIT EXPIRES Date !� n Receipt No. M 9 '� WNITE-D.P.W.. YELLOW -AS 350R, PINK -INSPECTOR. GOLDENROD -APPLICANT P COUNTY" OF BUTTE DEPARTMENT OF PUBLIC -WORKS 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 CORRECTION NOTICE ;2-- "PC) 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, please contact this office immediately. (� lam+ / T K ®ln � �-�G ✓r cry n C it i9 �" s` fG T/1I,7N S bcd,eoQ fl- a cl l 1 Date (— 3- yam- Inspector 01-<e!7 REV 11/91 t + COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8912751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 r OWNER CORRECTION NOTICE ,2— PERMI 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. S�oiOe r tot C ' ` ! O dot r— (� �P S 1Ci f11� G � 4) � "s! �1 /•Z. ` "'�U a �», R rd 17% "° %pr - IV e4 a N'—' Date Z J( '2 Inspector . O ( sa w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. S PA L NUMBE a ASSEOR ZONIN BUILDING PERMIT OWNER Richard Gone TELEP o E 343-3613 SO. FT. OCC. BUILDING VALUATION 21 - 00 OWNER'S MAILING ADDRESS 85 Porth IBI street San Riteo Ca. CONTRACTOR'S NAME TELEPHONE 342-1863 CONTRACTOR' MAILING ADDRESS Chico,PO Box 252. CA. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 2R 50 ARCHITECT OR ENGINEER LICENSE No. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 940 %tthews Drive Chico CA. Permit fee $ 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 q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T S TGW_ O.00e TYPE OF WORK New ❑ Addition ❑ Remodei ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ 21 squares Of built Ip reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I—, 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. 299844 Classification C 39 El 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. DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. ,/zQsgft NEW MULTI -OUTLET NON•RESIESIDD. BRANCH .CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 30 BAL& 900930 Ex. Occup. OUTLETS ((RESID )FIXED APPLNS. 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. ❑ 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 g Hood 3.00 Ventilation. permit Fee $ 48 50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws:relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque ce of the granting of this permit. X Date Signature of Applicant — Owner ❑ tiontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overrl33[ stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL FEE TOTAL HAz CUA PARK ELD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work in 'cated above for which fees DIR O F PUB C PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. RKS ate Receipt No. 2(11713 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • PERMIT NO. ' • 2434-82B,P,E PERMIT EXPIRES O r�5 /YS OWNER John Eckalbar PA�� CONTR. Leisure Time QWZ9, Chico ASSESSOR PARCEL 42-37-5 LOCATION 940 Mathews Drive, Chico y T E e, 4 F l 1 ' ,S j 1 >" Temp. Power Pole Called PG&E Temp. Elec. Service —/ Called PG&E. y Temp. Gas Service Cal led PG& / a JOB FINALED (Date) Cf Signature_ J OK O - Not OK Not Applicable �k - Not Ready MOBIL'EHOMES 0 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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.—Rig:-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 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ -POOLS (Plans) OK except N's Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 4. oils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearanceslec.; Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector c.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector ec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval lec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged lec.; Grounding; Equip. w/5'—,Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane Iboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. alth Department Approval 1 . Plumb; Cir. Test— ter Supply Test Card B -I Date Card -BI Date Card -BI -2_. Dateper--Gerd-BI Date Card B -I Date Card -BI Date Card -BI Date L Card -BI Date = OK _ = Not OK = Not Applicable = Not Ready RESIDENTIAL (iSinglp and Duplex) , Date UNDERFLOOR Plans OK except #'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 -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 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 Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date---- Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card-Bl Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test 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 Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 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 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes [I No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except p'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_ _33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86• Energy Compliance Certificate -Other Certificates 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 Date FRAMING(Plans) OK except Ws 36. Proper Material & Anchors Comments at Final: _ 37. 38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541?- APPLICAT,ION AND PERMIT "'111 ASSESSOR PARCEL NUMBER - ZON G UILDING PERMIT OWNER o b TELEPHIONE SQ. FT. OCC.1 BUILDING VALUATION �/ NE 'S MAILING ADDRESS rO NTRA TOR'S NAME /yis EPHONE CONTRACTOR'S MAILING'ADDRESS _§=�-::54&I'!q` � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ OO QQ Filing Fee $ 10.00_ LENDER'S MAILING ADDRESS Permit Fee $ Q (� A. I�oEC OR, ENGINEER LICENSE NO. Plan Checking Feed ; ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping ,p LOT NO. SUBDIVISION NAME /I/•r14.41,eC S PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCT E `` SF�Duplex❑ Mobilehome❑ Other%�G� SPECT FYI-' Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ , p V Contractor C ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.51) OR ADDNS. 1 ACC. BLDGS. 2� sq ft t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under pprove ions of Chapt. 9, Div. 3 of the Business and Professica ¢I(6a license is in lull force and effect. y License No.. Classif�aT �;C-:� ❑ I, as the owner, or my. employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET 2,50 ea NON -REST D.BRANCH CIRC S NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR, 80 @ a;¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 (FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facili 'es 15.00 Misc. Wirin 7.50 V Permit Fee $ Contractor f MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against al I, Iiabilities, j , nts, costs, and expenses which may in any way accrue Ig a id County i consequence of the granting of this m' Date Signature of Applicant — O4n.,,Contractor ❑ Agent An OSHA permit is required foation: over 5'0" deep and demolition or construct- ion of structures over 3 stories t. Mobile Home Installation Fee $ _ TO AL PERMIT FEE $ /7,5,670 OCCUP. GROUP I TYP OF CO ST. PARCE PD D SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC s. By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - ff-al -ley Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II!Miiiiiii -�ERMFT NO. 1264-74B,P; COUNTY OF BUTTE — DEPARTM�NI' OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping "d -7 Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 61- S Windows 3rd_Floor StemwaI1 6,— - Sidinq To out - - % Slab Roof Sheathing Water Piping-,-,*- Piers _ - Roofing Sewer Garage Fdn. Vents Fixtures Footings - - 7 Garage Vents Water Htr. Stemwall - -Z4 Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & TestFootings structure Temp. Gas Slab N Final NP-'Tv—Q- A -7lo anitation Patio FIREPLACE Final Footings Footing - T 74 ELECTRICAL Masonry Walls Throat - Rough Reinf. Steel Final Fixtures 1 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts 7; Underground Interior Lath Ventilation Permanent Door Closer Final 16 --2-f- 74, Aoz, Final k ° DATE REMARKS OR CORRECTIONS " /L -/a- 7 Y 8r' e44:�,-it,s 416 -ya 2.0 - Za 0� f d ! %�rPo,r z /� L 5'X jp",e,2 Gv�% Pop p /L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Orovi lie, California 95965 TeleRhone: kti4-4541 APPLICATION AND PERMIT autnori representativ s of t oiof Butte to enter upon the above a tinned prop y for i s o urposes. A/Ax r Date —Sign at re r i uetee or Agent Receipt No. � 7 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 OF PUBLIC WORKS By Date -7 ell 44i/Id ing permit expires Date ................. ` .............3 . BUILDING Owner C� �/ D SQ. FT. OCC. BUILDING VALUATION Mailing Address �At?' � Tel one o. Fireplace Contractor v Total Valuation 00 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 Each Trap 1.50 ex) Repair drainage or vent piping 1.50 Water piping 1.50 © Each gas wafer heater or vent 1.50 A. P. No. --s Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans arcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 WPlons Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 160 Main service incl. 1 meter 3 Additional meters, each — 1.00 Sub -panel (12 or less) -(more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 bal�d?o Re 3W_ swilcgii & fix gullet CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi Business & aP,4ion1,s Code u er he name Hood, Ex. Fan orF.A.farn. M or 1.00 Evap. cooler, gar. defp. or At. 1.00 Air conditioner or heat pumstyle Water pumpMobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classificatio Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 rkmen's Compensation. have placed on file with the County of Butte a certificate of WWoorkmen'sCompensation Insurance. I certify that in the performance of the work for which this El 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 Q 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 PiAlding construction, and hereby TOTAL PERMIT FEE $ autnori representativ s of t oiof Butte to enter upon the above a tinned prop y for i s o urposes. A/Ax r Date —Sign at re r i uetee or Agent Receipt No. � 7 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 OF PUBLIC WORKS By Date -7 ell 44i/Id ing permit expires Date ................. ` .............3 .