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HomeMy WebLinkAbout042-600-044O 042-60'=0-04"4 93130F4'=BPEM WILLIAMS, JAMES.& MARILYN .. 2495.STREAMSIDE CT, CHICO LOT 9A CONTR: JAY•ALLSPAUGH ,/ % / NEW' SF 9 -3 , 04`2-600-:.0411 04-3116 f -I' -:BIN, EL.ISER E 2495 STREANSIDE CT, CHICO Cont: SI{ER.AT(J'N SERVICES i REPAIR CAR DNMAGE E E . � e �� i�%r�;�,.,�c BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO43116 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/26/2004 APN• 042-600-044-000 the Business and Professions Code, and my license is in full force and effect. YX? License Class: �_ License Number: Y Site Address: 2495 STREAMSIDE CT CHI Date: Contract ory'&j9=7gf_A1,Z :, Map Index: Description: repair car damage OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LEBIN ELISER E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 69$ TEAL ST signed statement that he or she is licensed pursuant to the provisions of FOSTER CITY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 94404 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SHERATON SERVICES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1170 E LASSEN AVENUE provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-342-2562 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SHERATON SERVICES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed yursuant to the Contractors' State License Law.). 1170 E LASSEN AVENUE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 530-342-2562 Date: Owner: License #: 733676 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S;;�_& /moo U,60 Total Square Ft: 0 S. F. Policy #: r2 6, Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to ^, become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I ^ G r /� _/0 Applicant: / c. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of n i compensation, as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrUor I hereby affirm that there is a construction lending agency for the Resolution to work indicated bove fo hic ees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: D^te�--�� vv Address: PERMIT EXPIRES ON: W D to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repror tatives of Butte County to enter upon the above mentioned property for inspection purposes. S Print Name: (l 0 N V 7,4' Signature: /0' — G Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor r0 0 0 BUTTE COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES ON BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREMENTS ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 ° OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY* OWNER Last Name �_ ., rrst Name !�► Address �Q S f City r State... Zip r� Phone Fax E-mail CONTRACTOR Name Address yG 1—A uc City & C) St Zip r� Phone 3y 2 _ 2 f 6 Fax E-mail Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLI CANT NAME Name Flood Zone Address SRA C d No State 75 Phone �i Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP CqV 6 BIN # LOCATION o o o Property Address C'rty r s Street 1 ;:-.4Ue WORKER'S COMPENSATION Policy Number Carrier LC hiring anyone other than license contractors, a certificate of worker's ompensation must be shown at the time of permlt issuance. LENDING AGENCY Name Address Description or cope of Work: Sq. Footage D Structure Built without Permits El 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. Received by. Amount I ^Bldg Receipt #: Date: /6/2 1/6 `I SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes( ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets.and installation inst, (B) Marriage line info, (C)"Floor Plan'(D) "Re down or fid plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). 12. Hazardous Material Form (for Commercial Buildings only). 1 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 7 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 1 2.• Impact Fees. 7 3. California Department of Forestry plan approval (if required). 4. NPDES Form. 7 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 7 6. Contractor's license information. (Number, Name Style, Classification). 7 7. Worker's Compensation Carrier and Policy Number. 8. Owner -Builder Verification (if required). 1 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 3 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). F you have questions or would like additional information regarding this process, contact a Permit kpplication Assistant at (530)538-7541. EXPIRATION OF APPLICATION pplications for which a permit has not been issued will expire one year after date of application. In order to renew action n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS eiunos can oniy be made upon written request by the person who paid the fee. The request must be made within two gars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan Zeck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION FORMSSUILDING F0RMS\BId9ADP1SubRomts.doc .,f)' Ingram and Shelton Realtors Larry Featherton 3100 Cohasset Road Chico, CA 95926 1397 TELEPHONE: 19161 538-7541 FAX: (916) 538-2140 March 24, 1994 RE: Information Request A.P. # 042-600-044 and 045 James and Marilyn Williams 2495 and 2491 Streamside Ct. Chico, Ca 95926 Dear Mr. Featherton, In response to your letter of March 21, 1994, I have reviewed file records for A.P. # 042- 600-044 and 042-600-045. Our records indicate that at the time of final, September 27, 1993, the dwelling units met the F.E.M.A. Flood requirements that are enforceable under the building permit process and were in effect at that time of building permit application. Regarding permit records for A.P. # 042-600-044 and 045, at 2495 and 2491 Streamside Court, our records show we issued Permit # 93-1304 (042-600-044) for a single family residence, and 93-1305 (042-600-045) for a single family residence. The work on both homes received final inspection and approval on September 27, 1993, as stated above. For an investigative fee of $46.00 per hour (1/2 hour minimum), a written chronological record of building permit, code violation, and enforcement activities on a given parcel may be obtained. This does not include any field inspection time, is informational only, and does not act as a guarantee or warranty of the current condition of the existing structures. Should you have any questions concerning this matter, please contact this office at the above number. Sincerely, Scott Rutherford Supervisor, Building Inspection Building Division Fax Cover Sheet Date 3 y 9 Time To Individual Phone Fax 89) From 14cc- J Phone Fax # of pages being sent (including this cover sheet) 2 Message BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Building Division Fax Cover Sheet Date 3 y 9 Time To Individual Phone Fax 89) From 14cc- J Phone Fax # of pages being sent (including this cover sheet) 2 Message MAR -21-94 MON 13:02 INGRAM & SHELTON REALTY FAX NO. 9168913641 rr CA t r v rr S Es(lullst►ed Igyp FAX # 32 r- 7o: / �i/-- _ 1 1 I � • II � � ► roti �'" �, rror7t: UjU- , i Ingram & Sheitun rax it 9m) Uu-1-3(54.1 . Nrtl»ljer of uayes, 111cludina coven 1 3100 Il,,,J . Chlov, CM 96920 9 10) 091-1631 • r -AX (910) 091-3041 P. 01 y R S DE TIAL 42-60-0-044 93-1304 BP 0JAMES & MARILYN WILLIAMS, CHICO LOT 9A ' l2495 STREgISIDE CT � CONTR' JAYLLSPAUGH . NEW SF 11� lq-3 Y� d�� � ��f� Com• ��-�'�- Q L J't LL t= 9NM i - ,�, G 4?. /��5� G t �r k OFFICE COPY t Address L�I �'f12A AA,�,'►a� l I GAS _� Date Meter By f ELECTRIC �y"-7•��rr�'� a Meter By Date"7 J JOB FINALED (Date) �• Z % . �� Sign#tpre V=OK ' O = Not OK -= Not AgplReady Read Not y • MOBILE HOMES MISCELLANEOUS ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P L" ft. / /"Net. or/ PV ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 1 Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Pians)OK except #'a 1. Zoning Requirements -Setbacks -Easements '• 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 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-Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNQERFLOOR (Plans) OK except #'s Hing -Setbacks -Easements- lood-Slope F ., Main; Soils-Elec. Gr .-/ ' Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grad " Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors . Slab; Steel -Wrapped kc, qs e. �T 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall-Fitting-TpaV2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING Permit OK except #'s 1§^ater Htr.; Vent -Access -Combustion Air -Baffle 1,/Water Pipe; Test & Anchor -Nail Protection . D.W.V.; Test -Fittings & Anchor -Nail Protection --19.--Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors BZY2 Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection YZ c. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. (§(Equip. Ground made up w/Meth. Fastners-Bond Gas & Water W2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. 4:/ ga. t7>or±AI-(Oyyen Circ. / / ga. Cu or Al. Insulated Neutral g1(es ❑ No Service -Riser Conductors & Ground -Main Disconnect .44 -Equip. Clearances Panels -Motors -Meth. Equip. 32—elothes Closet Light -Shower Light -Spa Light Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. F.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plana OK except #'s Ud.ySils, Proper Material & Anchors Wells Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Wells over Girders & Floor Nailing . Pratt Stop in Walls (rat proof) Fie Stops; Furred Ceilings- tairs-Chases-Tub JAUPfleaders & Beam -Size & ari v Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cino. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. !&.9feplace T pe AFlue-Fireplace Throat clearance Attic A as; Romex Protection` raft Stop -Ins. Baff lea 4Cgrm. wrian0&ws or Exiting Doors -Sill Hot. & Dimon Ions S,afaga Fire Protection Framing c _o.j 40,Aroperty Line Firewall & Openings 54,0t. Doors -One 3' -Check Garage -3rd Story2 Exits .43 -,,Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection --g4_pfywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneerl ii WStucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 54'-'diezing Area -Glass Protection-Skvliahts-Plastic _ j�-fig. Insulation -Walls -Ceilings 60. Infiltration -Wails -Windows Q5/ Date/Initials FINA Plana OK except #'a f) t. Steps -Door & Sidelight Protection -Landings 6f. Smoke Detector .63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection _ Bedroom Exiting 65!6F.I. & Bath Fixtures & Tub Access -Spa 66 ec. Trim & Subpanel; Breaker Sizes & Labels X67 --Stabs & Rails •68--mapface or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. 7 . Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 . Elec. Outlets & Receptacles at Kit. Counter 7 : Garage Fire Door, Swing -Landing -Closer ±j.:_C Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. IyGarage; Above floor -Mach. Protection XVPib., Elec. & Mach. Equip. Listed for Location 76_.z4e-c. Receptacles in Garage; (G.F.I.)-Romex Protection 7-7-,lnsulation-Foam-Looked in Attic 0 Yes 7&_EGard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth ,-Clearance Looked under Floor O Yes 80✓Following instld.; Drive O Yes O No; Walks O Yes 13 No; Planters 13 Yes 13 No 8� Stucco; Brown -Finish BS-ft:C. Unit; Disconnect, Electrical, Plumbing WVents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 9�er Well; Disconnect, Electrical, Plumbing 8,5 -Exterior Elec. Trim; G.F.I. Receptacle -Underground QB, -Ventilation Throughout House 8gelass Protection 88!Co ectio s from Previous Inspections G1 82. as T -Meters Tag - Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval VE nergy Compliance Certificate -Other Certificates Commonts at Final: COUNTY OF BUTTE - DEPARTMENT OF PURKS 7 County Center Drive - Oroville,'Cal,ifornia 95965 - Telep one: 916, 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 042-600-044 ZONING SR BUILDING PERMIT OWNER Jim Williams TELEPHONE 345-3036 SO. FT. OCC. BUILDING VALUATION 1 339 R 72 306.00 OWNER'S MAILING ADDRESS 311 W. Legion, Chico 95926 413 7,434.00 CONTRACTOR'S NAME JayAlls au h TELEPHONE 894-2082 (�M 25 COV. 325.00 CONTRACTOR'S MAILING ADDRESS #4 Mione WaV, Chico Fireplace i A 1,500.00 CONSTRUCTION LENDER Butte Community Bank UNKNOWN81,565.00 Total Valuation VV JJ $ (7 JJ Filing Fee g $ 15.00 LENDER'S MAILING ADDRESS Paradise Permit Fee $ 51p6.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 258.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 809.75 PLUMBING PERMIT Filing Fee 15.00 2495 Streamside Ct., Chico Each Trap 8 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. 9A SUBDIVISION NAME Walnut Manor PARCEL MAP 118-60/61 Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF [X Duplex [I Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 11 5.00 5.00 Building sewer 11 15.00 15.00 Mobile Home I S I G JW= @ 15.00 TYPE OF WORK New Addition[] Remodel❑ Utilities Installation❑ Other❑ Describe work: New 3 Bedroom Single Family _ Permit Fee $89,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare un r -penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License ,do. �p^�E/ Ey CIaSSIflCatlOn __ty [] a b \" ,p � ❑ 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.81 OR ADDNS. ACC. BLDGS. X 3.60sq.ft. 61,50 NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. 20 76d Ex. Occup(ouTLETs OR FIXTURES Ex. Occup. OUTLETS ED APPIR ESID IRE A.� I 3.00 Temporary service 1 15.00 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ 110-00 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 Co sent to Self -Insure. all 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 Filing Fee 15.00 Heating 119.001 9.00 Cooling g 1 16.50 16.50 Hood 1 6.50 .50 Ventilation 4 4.50 18.00 permit Fee $ 65.00 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 ag said County i conse u nce of the ranting of this permit X Date � � signo re DF plicDnt - wner ❑ Conirac r�-�'ATjent An OSHA permit is raqu' ed for excavati ns over 5'0" deep and demolition or construct- ion of structures 3 s ries in height.' Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 occ CONST TYPE T TAL FEE $ $1,113.75 HAz 0FEES I FLO CDF PAR PO HO ISSUE This permit is hereby Issued under P Y� sions of the Butte County Code work indicated above for which C 10 By PERMIT EXPIRES Date the applicable PP � and/or resolutions fees have been W RKS D to rovi- p � to do paid. ovver Receipt No C� �f 140401 758.75// WHITE-D.P.W.. YELLO -ASSESSOR, PINK- NSPECTOR. ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENTOF4PLOPMENTS RVIC S -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLR, C'ALIFb NIA95965 -TELEPHONE (916) 538-7541 1. r PERMIT APPLICATrON DATA SHEET t OWNER c Proposed Building Use Building Inspector `.,,- Date V/O,/ 5" At time of permit 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 . .................. Statement of Intent for Non -Heated and A/C Buildings . ................. . �- Engineered truss details and layout in duplicate (required prior to plan check). .... 6 1OZ93 9. Mobil home data and manufacture 's ' stallation instructions, 2 sets. ........... Fees of $ ��'.................................... 1. Impact fees as shown on attached schedule. ............................. . 1 . California Department of Forestry plan approval/fees........ . 13. Flood elevation letter (100 year flood) by California Engineer ................... 75.-F4. Sanitation and plot plan approval Health Department . ............ . City of Chico plumbing permit . ......................................... . Plot plan and business license approval from City of Biggs/Gridley. AT Planning approval for (A) Use: (B) Parking: 1�sContact Land Development.a bout (A) Improvements (B) Drainage. .......... . 9. Driveway permit (construction approval required prior to occupancy) . ........... . Irelnpection request 20. Pre -inspection for required. .. to Building Inspector (Date) 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 _)....... P2K Recorded copy of Agricultural Acknowledgement Statement. .S.@e..........:.... 3 1-2z> 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. .........c ............ . . .... . . . . . .. . . . . . . 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. ^r When ou issue the permit, process as follows: Mail to owner. Mail to contractor. rf Telephone )Y5-- 3036 and hold for pickup at f t si g a_ office. ,. Deliver with inspector. Other Parcel Creation / Acreage Applicant •� Date /l!� % > Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent t'" Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: iss checked above). 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 /2�4– Date Plans approved by Date OZI Sets of plans on hold in File cabinet AP folder �cTT,6� ,� Copy - Department of Public Works 2,00T2 ; TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit t7, -3 has been issued for the above property. si ature date 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 CORRECTION NOTICE Li Dmf- S/ OWNER 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. Sic J'4 N �,� ,a r ' q.� e % 1 r�S J 1,�ia�v • . ,�h f�-ta l.�s� •aFP Date Inspector REV 10/92 COUNTY OF, BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES • 1 1469 Humboldt Road, Chico, CA - (916) 891-2751 r 7 County Center Drive, Oroville, CA - (916) 538-7541 w 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4�,``: OWNER ' PERMIT NO. • .;.3 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. a • w n' t. • is f' _ J i A :Date Z7 Inspector REV 10/92 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, NFradise, CA - (91'6)' 872-6-307:- _ �C/ORRECTION NOTICE W� //J3or- OWNER 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. S ��a.•r r-.c�sSe.s Wce l g� e4 l �•.�,tf 6 Loc *ev, Ac 5 -IL-0— Date 3 7 Inspector REV 10/92 15�f a' COUNTY OF BUTTE - DEPARTMENT OF PUBY.IC WORKS - BUILDING DIVISION 7 COUNTY ME= DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE ( 916) 5387541 /,tij /,/,t /// .0'" POSED BUILDING USE /✓d � 342 s/1- A.P. NO. DATE. REC- DATE REC !� School. Distric Fees elk// Guo (paid at District Office) .. She=-fif Fees V ly c ' ' aG. i ..... . (paid at Building Department) Z5. i Residential .......... Z C, unit amt. Commercial(per sq.ft.) Z sq.ft. amt. 3. Urban Area Fees C k1 / °C. (paid at Building Department Residential (per unit) ir units amt. Commerical(per sq.ft.) g 4 sq.ft. amt. Re=eation District Fees (paid at District Office) -.- 5. Drainage Dis -6 ' c- Fees (Contact Land Development) ......................... 6. : Other 7. Other - - :ime of permit application, I was advised the above fees are required to be paid pr -17' :ssuaace of the permit. .Tl a DATE D / ��� 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR tairway details: landings, rise and run, head clearance, handrails I Sec. 3306). uardrail details (Sec. 1711 & 3306(j). ick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). oper roof pitch for roof convering (Chapter 32). of,covering tape - (fire hazard). am insulation - protection. " halls and stairways. ving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). erfloor access and ventilation (Sec. 2516). f.Noise bustion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. rgy design.- shing at all exterior openings. responsible area requirements. MI 7 I r RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 2PW 9W, eR. I CO., GENERAL ping requirements: (sideyards and number Valuation. c3:7;PTans signed by designer. Proper description of work on application. Existing violations on property. Bldg. Permit # A.P. # — v' Plan Checker -/ of permitted living units). 6 8/91 ems -on -data sheet. N.C.., fees, -Health, Developer Fees; License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. rading, fills, drainage. Flood hazard. Special conditions on creation map, stible, and foundations). U & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. r Required windows for light and ventilation (Sec. 1205). /Required windows for second exit (Sec. 1204). /11kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). . quired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures', switches, receptacles, and exterior receptacles for main- �zenance of mechanical equipment. Lo ations of water heater, heating and cooling equipment, other electrical r gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). i!� 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. 3 Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. DETAILS Standard bracing or engineered design (Table 25V) --Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. ;Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct building oof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. --'Retaining walls requiring design. --Special Inspection required. page 1 CF -1R` ;ERTIFICATE OF COMPLIANCE: RESIDENTIAL -- ---- --=-=---= 05/26/93 D JONES LOT 9A Date........ ?roject Title.......... --------------------- Project Address........ , CHICO.CA Building Permit # i Documentation Author... BOB METZGER O.D.S. Company••••••••••••••••BOB METZGER 0 D S Plan —Check/ Date ; Telephone .............. 865-9688 or 342-9688 MICRO by EnercomP, Inc. ; Field Check/ Date Compliance Method...... 11 -------------------- Climate Zone........... ---------------- ------------------ MICROPAS4 v4.01 File-DJ1339EB Nth-CTZ11892 Program -FORM CF -IR IR Ueerb-Mp1000 Use OB METZGER 0 D S Run -1339e (BASE CASE) --_---' -------------- ----------------- GENERAL INFORMATION Conditioned Floor Area..... 1339 of Building Type .............. Single Family Detached Construction Type ......... Building Front Orientation. Front Facing 70 deg (E) i Number of Dwelling Units... 1 i Number of Stories.......... 1 Floor Construction Type.... Slab On Grade (Package D) BUILDING SHELL INSULATION ------- Component Insulation Assembly Type R -value U -Value Location/Comments ----------------- ------------------- Nall - - -R13 0.088 UNCOND., COND. Door R-_0 0.330 S1abEdge R-0 0.720 S1abEdge R-0 0.900 Roof R-38 0.029 ATTIC Orientation Window Front (E) Window Right (N) Door Back (N) Skylight Front (E) THERMAL MASS -------- Area Thickness + - Exposed (a(80 (in) Location/ ---menta Tye ------- ----------------- - S1abOnGrade No 825 3.5 514 3.5 S1abOnGrade Yea HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value - -- Type ------------ ------- ------ ------- Furnace- 0:780 AFUE Attic R-5.6 Setback pCSplit 11.50 SEEK Attic R-5.6 Setback WATER HEATING SYSTEMS ------------ - Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value -------------- -- - - -- Standard - 1 O.fi40 EF 40 R- 16 !Storage—G48- SPECIAL Storage — - G_as SPECIAL FEATURE!S/REMARKS ------------------------ WDOS. U -VALUE = ..65 (VIKING MODEL 3000 OR EQUIV.) - COMPLIANCE STATEMENT the building features and performance This certificate of compliance Lists specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to th implement thea. responsibility. When bthisen scertificate igned by eoflncompliance dividual wiis overall' design submitted for a single building plan to be built in multiple Special Features/ any shading feature that is varied is indicated in the Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... D JONES Name.... Company - company. Address. MANZANITA AVE. Address. CHICO, CA. phone... Phone... 895-1022 Over- License. U=-- 0 of Interior-- Exterior------ Signed.. FTypeng j Area- (sf) Value Panes Shading Shading Fins/ -----_ ---- 4 - 15.0 0.650 2 None None Yee Yes Metal Metal 75.0 0.650 2 None None None Yes Metal 80.0 0.650 2 None None None Metal 24.0 0.660 2• None THERMAL MASS -------- Area Thickness + - Exposed (a(80 (in) Location/ ---menta Tye ------- ----------------- - S1abOnGrade No 825 3.5 514 3.5 S1abOnGrade Yea HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value - -- Type ------------ ------- ------ ------- Furnace- 0:780 AFUE Attic R-5.6 Setback pCSplit 11.50 SEEK Attic R-5.6 Setback WATER HEATING SYSTEMS ------------ - Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value -------------- -- - - -- Standard - 1 O.fi40 EF 40 R- 16 !Storage—G48- SPECIAL Storage — - G_as SPECIAL FEATURE!S/REMARKS ------------------------ WDOS. U -VALUE = ..65 (VIKING MODEL 3000 OR EQUIV.) - COMPLIANCE STATEMENT the building features and performance This certificate of compliance Lists specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to th implement thea. responsibility. When bthisen scertificate igned by eoflncompliance dividual wiis overall' design submitted for a single building plan to be built in multiple Special Features/ any shading feature that is varied is indicated in the Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... D JONES Name.... Company - company. Address. MANZANITA AVE. Address. CHICO, CA. phone... Phone... 895-1022 License. Signed.. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed..- (date) 5 ♦ �j BOB METZGER O.D.S. BOB METZGER 0 D 8 113 E WALKER ORLAND, CA. 95963 865-9688 or 342-9688 �j-Zlo-97j ` C. �P P Dov Project Title... ..,r... D JONES LOT 9, C� _ „ ` Date ........ 05/26/93: Project AddaVas........ �A49" 5- ,4,¢- ' C_bl('C o-------------- CHICO.CA Documentation Author... 808 METZGER O.D.9. ; Building Permit I ; iCompany ................ BOB METZGER 0 D S Telephone .............. 865-9688 or 342-9688 Plan Check Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date ;; Climate Zone........... 11 ------------------ - MICROPAS4 v4.01 File-DJ1339EB Wth-CTZllS92 Program -PORN C -2R User#-MP1000 User -BOB METZGER 0 0 S Run -1339e (BASE CASE) , - ------------------ = MICROPAS4 ENERGY USE SUMMARY = - ---------------------------- -�.�. = Energy Use Standard Proposed Compliance (kBtu/af-yr) Design Design Margin N - Space Heating.......... ---16.88 - ---19.27-- ----2.39 - kZO = Space Cooling.......... 11.96 10.32 1.63- = i t�(� = Water Heating.......... - 15-31- 12.21 -- 3_10 Total 44.14 ' 41.80 2.34 va _ sss Building complies with Computer Performance sx# Surface HOUSE 1 Wall 2 Wall a 3 Wall 4 Door '.5 Wall ,6 Wall •7 Wall 8 Wall 11 Rnnf GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type........... 1339 of Single Family Detached New Front Facing 70 deg (E) 1 1 FullYear Floor Construction Type.... Slab On Grade (Package D) Number of Building Zones... 1 Conditioned Volume .......... 10800 cf Footprint Area ............. 1339 of Ground Floor Area.......... 1339 of Slab -On -Grade Area......... 1339 s4 Glazing Percentage......... 14.5 % of FA Average Ceiling Height..... 8.1 ft OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ (of) value R-val Azu Tilt Gains Reference Comments -- ------ ----- ----- -- --- -------------7-------------------�, 47 0.088 R-13 70 90 Yes W.13.2X4.16 159 0.088 R-13 70 90 Yes W.13.ZX4.16 UNCOND- 408 0.088 R-13 340 90 Yes W.13.2X4.16 20 0.330 R-0 160 90 Yes None 127 0.088 R-13 250 90 Yes W.13.2X4.16 112 0.088 R-13 250 90 Yes W.13.ZX4.16 45 0.088 R-13 160 90 Yee W.13.ZX4.16 336 0.088 R-13 160 90 Yes W.13.2X4.16 COND. 1339 0.029 R-38 0 0 Yes R.38.2X12.16 ATTIC ----------------- Length F2 Insul Surface (ft) Factor R-val Location/Comments HOUSE 9 S1abEdge 104 0.720 R-0 10 S1abEdge 39 0.900 R-0 FENESTRATION SURFACES SC SC Interior Area A of Frame Open U- Act Glass Int Shade Surface- (sf) Panes Type Type value Azm Tilt Only Shade Description HOUSE 1 Window 15.0 2 Netal Slider 0.66 70 90 0.65 0.75 None 2 Window 15.0 2 Metal Slider 0.65 340 90 0.66 0.75 None I 3 Window 15.0 2 Metal Slider 0.65 340 90 0.65 0.75 None 4 Window 15.0 2 Metal Slider 0.65 340 90 0.65 0.75 None 6 Window 15.0 2 Metal Slider 0.65 340 90 0.65 0.76 None 6 Window 15.0 2 Metal Slider 0.65 340 90 0.65 0.75 None 7 Door 40.0 2. Metal Slider 0.65 250 90 0.65 0.75 None 8 Door 40.0 2 Metal Slider 0.65 250 90 0.65 0.75 None 9 Skylight 12.0 2 Metal Fixed 0.65 70 90 0.65 0.75 None 10 Skylight 12.0 2 Metal Fixed .0.66 70 90 0.65 .0.75 Hone OVERHANGS AND SIDE FINS ---Window-- ----- -------------------- ------Overhang----- Left Fin--- -' Right Fin -- Surface---- Area Hght- Wdth- Dpth Hght Left Rght Ext- Ext- Ext- i Dpth Hght Ext- Dpth Hght; a� HOUSE 1 Window -(of) 15.0 5.0 3.0 .2.6 .8 1.5 4 1.5 16 2 n/a n/a n/a 2 Window 15.0 5.0 3.0 2.5 .8 20 22 n/a n/a n/a n/a n/a n/a 3 Window 15.0.6.0 3.0 2.5 .8 20 22 n/a n/a n/a n/a n/a n/a ! 4 Window 16.0 5.0 3.0 2.6 .8 20 22 n/a n/a n/a n/a n/a n/a 6 Window 15.0 5.0 3.0 2.5 .8 20 22 n/a n/a n/a n/a n/a n/a 6 Window 15.0 5.0 3.0 2.5 .8 20 22 n/a n/a n/a n/a n/a n/e 7 Door 40.0 6.7 6 1.8 2 7 5 n/a n/a n/a n/a n/a n/a 8 Door 40.0 6.7 6 1.8 2.5 4 7 4 6 2.5 n/a n/a n/a THERMAL MASS Area Thick ------------ Heat Conduct- Surface Mass Type ------ (sf) (in) ----- Cap ivity R -value --------------------- -------------------------- Location/Comments --------------- HOUSE 1 SlabOnOrade 825 3.5 28.0 0.98 R-2.0 2 SlabOnGrade 514 3.5 28.0 0.98 R-0.0 HVAC SYSTEMS Minimus(- - Duct Duct Duct System Type ---------------- Efficiency ------------ Location R-value Efficiency ------------- ---------------- HOUSE Furnace 0.780 AFUE Attic R-5.6 0.837 ACSplit 11.50 SEER Attic R-5.6 0.823 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System -------------- Factor (gal) R -value ------ -- i a�.. en - neo ----_-- ---------- Ctandnrd- 1 0.640 40 R-16 o 'Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGE 1b= Q 3 - , 8 8'6 7 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County 'Code' requires this acknowledgement be recorded 1• prior to issuance of a building permit. - - `- - Rec Fee 5.00 Cash 5.00 PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, -and harvesting which occasionally generate•dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents �within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that zeal property situate in the County of Butte, State of California, described as follows: ' Lots 9A and 90, as shown on that certain Map entitled, "WALNUT MANOR SUBDIVISION", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on July 25, 1990, In Book 118 of Maps, at pages 60 and 61. A Certificate of Correction was recorded August 31, 1990, under Butte County Recorder's Serial No. 90- 37673 and recorded on September 11, 1990, under Butte County Recorder's Serial No. 90-38903 and recorded on June 18, 1991, under Butte County Recorder's Serial No. 91-24433. Subject to Covenants, Conditions and Restrictions, recorded August 10, 1990, under Butte County Recorder's Serial No. 90-34029, and amended March 15, 1991, under Butte County Recorder's Serial No. 91-9893. Date: L) State of ) SS. County of ) 3 On this the undersigned Notary PROPERTY OWNERS: r i day of 19 , before me, the Public, -personally appeared n Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WHEREOF, I hereunto set my hand and official seal. -Present A.P. No. 60- Notary Public WITNESS 93-0188671 The property described herein is adjacent to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not- limited to herbicides, pesticides, Candace J. Grubbs I .and fertilizers;. and from the pursuit Recorder I of agricultural operations including, 11:29am 12 -May -93 1 Rec Fee 5.00 Cash 5.00 PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, -and harvesting which occasionally generate•dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents �within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that zeal property situate in the County of Butte, State of California, described as follows: ' Lots 9A and 90, as shown on that certain Map entitled, "WALNUT MANOR SUBDIVISION", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on July 25, 1990, In Book 118 of Maps, at pages 60 and 61. A Certificate of Correction was recorded August 31, 1990, under Butte County Recorder's Serial No. 90- 37673 and recorded on September 11, 1990, under Butte County Recorder's Serial No. 90-38903 and recorded on June 18, 1991, under Butte County Recorder's Serial No. 91-24433. Subject to Covenants, Conditions and Restrictions, recorded August 10, 1990, under Butte County Recorder's Serial No. 90-34029, and amended March 15, 1991, under Butte County Recorder's Serial No. 91-9893. Date: L) State of ) SS. County of ) 3 On this the undersigned Notary PROPERTY OWNERS: r i day of 19 , before me, the Public, -personally appeared n Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WHEREOF, I hereunto set my hand and official seal. -Present A.P. No. 60- Notary Public WITNESS p } STATE OF CALIFORNIA '" }ss. COUNTY OF c EOn efore me, vVv personally appeared personally known to me (or proved E to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within LL instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their si ture(s) on the instrument the person(s) or the entity upon behalf of which the e I@uttnnnuunaluuuNuuutaunmuuuumuamunamny person(s) acted, exe to a instrument. OFFICIAL SEAL 973603 ®� W.J. GOLLING WITNESS my h fficial ate. ("� NOTARY PUBLIC - CALIFORNIA N -to .� COUNTY OF BUTTE 53 Signature _ My Commission Expires Sept. 20,19M 'END 01F his ar��-ial notarial seal) BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) q2 - � 0 Property Owner 44 Project Location/Address �Srr�'/c?/k �i f�CT Co- Subdivision ,f Subdivision Lot Number(s) �' f Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) =Non -Residential to Residential Total Number of Dwelling Units 01d al Comment: BuTf(Cj g Department Representative Date Chico Area Recreation and Park District(CARD) certifies that licant Maine)— e w Atie. eet Addr s) 1A eco ity) (State) (Phone Number (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ j Distribution: White --Applicant Yellow --Butte Co. Building Dept. ' Pink --CARD Goldenrod --City of Chico Building Dept. park. fee ( form .revised 11/90 CARS Representative Date PAID BY CHECK N0. REMARKS: BANK N0. 11-.35 PAID BY CASH RECEIPT NO.M/4 t �3a Distribution: White --Applicant Yellow --Butte Co. Building Dept. ' Pink --CARD Goldenrod --City of Chico Building Dept. park. fee ( form .revised 11/90 i��'r,,,.'t• ..' �'... _ - rt' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) r School District CHS Building Department No. A.P. Number l z� y� r Jurisdiction 0 City County Property Owner �`�� ���/d i'►+ ,J Property Location/Address / S!ite__Ae4 .r C J Subdivison 4-1 /8�1 b Lot No. Residential Development 0 = Sq. Footage /33 5 ' No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Bu ii ding De� partment Representative Date (Floor Plans reviewed by School District Personnel) e District Identification No. g,,_%y 06 School District certifies that (Street Addre A M geQ (Applicant) r (Phone Numbe O'ki C G C'kl�l 9S 9.D_ 6 (City) (State) (Zip Code) " has complied with the requirements of Resolution No. - a 5a �3 by payment of $ representing 133,9 squar0eet.;,. School District Representative Paid by Check Number " Bank Number Paid by Cash Remarks: / <d � 2a Date Y &,r33s - If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project '. th is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to {' additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building -department), Pink (school district) feeform.wkf (4/92) e CITY OF CHICO APPLICATION PERMIT DATE OF APPLICATION COUNTY AP. NO. PERMIT NO. PROJECT ADORE 441 MAIN STREET/P.O. BOX 3420 PHONE (918) 895-4891 A S. a-C_J — y 3 41.2-46 y -4- 2 / TSE AMS/a� LOT BLOCK SUBDIVISION ZONING ,. OCCUPANCY RES. UNITS MASTER PLAN PLAN NO. 2 Cl- . 9g A AJ VT No tP ovWtY — _ ..r. OWNER: tJILt PHONE: VALUATION USE/VAR. NO. STORIES TYPE CONST. BLDG. USE PARKING SPACE AREA SO. FT. +rr OWNER'S ADDRESS: LESSEE: PHONE: BLDG. USE/DESCRIPTION OF WORK* LESSEE'S ADDRESS: -7250-Al-GO CONTRACTOR: CITY 8USINE JA LIC. NO. CONTMCE�. PHONE OOOAAIILLR OlFSOOpNtENGINEER LICENSE: ARCHREC -S ENGINEER'S OR DESIQ ER•S i100RESS PHONE: 'AN OSHA PE IT IS REWIRED FOR EXCAVATIONS OVER 5•e' DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT. LICENSED CONTRACTORS DECLARATIONPROCESSING ml that I am licensed under the provisions of Chapter 9 (oommencing with PLUMBING PERMIT OTY. FEE SUMMARY OF FEES Acct. Nos. FIXTURE TRAP BUILDING P/C 10478 S.!=0=) of DMsion 3 of the Business and Professions Code, and my license Is In tun force and effect. BUILDING SEWER License Class Lb. Number WATER HEATER AND/OR VENT GRADING PLAN CHECK 10-476 Date Contractor GAS SYSTEM SS APPLICATION # 31487 OWNER -BUILDER DECLARATION INSTAL. ALTER REPAIR WATER PIPE 1 hereby affirm that I am exempt from the Contractor's License Law for the following . ANTI-SYPHON/BACKFLOW PREVENTOR OFFSITE IMPR. P/C 10-474 reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, after, Improve, demolish, or repair any stricture, prior to ib Issuance, SEWER MAIN EXTENSION ENERGY P/C EST. (EST.) 10.476 also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 [commencing with genion 7000) of Division 3 of the Business and Professions Code) or that he is exempt TOTAL PLUMBING FEES therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by G, D TOTAL FEES PAYABLE AT arty eppncarlt for a permit subjects the applicant to e civil penalty of not more than five TIME OF APPLICATION hundred dollars (S500).1: PROCESSING ❑ I, as owner of the property, or my employees with wages es their sole compensation, ELECTRICAL PERMIT OTY. FEE will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business SERVICE/SUBPANEL and Professions Code: The Contractor's License Law does not appy to an owner of prop- erty Who builds or Improves thereon, and who does such work himself or through his own employees, that such Improvements are not Intended or offered for sate. If, how- CIRCUITS BUILDING PERMIT 10.425 provided ever, the building or lrnprov~ Is sold within one year of completion, the owner -builder will have the burden o1 that he did not build or Improve for the of sale.) RECEPT SWITCH, OTHER OUTLET PLUMBING PERMIT 10-425 u proving purpose `�r1tI, as owner of the property, am exclusively contracting with licensed contractors to L 4ict the project (Sec. 7044, Business and Professions Code: The Contractor's POWER APPARATUS ELECTRICAL PERMIT 10-425 APPLIANCE MECHANICAL PERMIT 10.425 License Law does not apply to an owner of property who builds or improves thereon, and SIGNS GRADING PERMIT 10425 who contraM for such projects witha ctor(s) licensed pursuant to the Contractors NEW RESIDENTIAL .025X License Law.J. TEMP POWER STREET FACILITY IMPROVEMENT FE 29-485 ❑ 1 em exempt under Sec. B. & P. C. to this reaso SEWER TRUNK LINE 30486 TOTAL ELECTRICAL FEES SEWER WPCP 31-487 WORKE SAZOMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self -Insure, or a certificate of PROCESSING SEWER MAIN 32-M Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). _ MECHANICAL PERMIT OTY. FEE PARK FEE 41478 MtL. no Policy No. Company MECH EXHAUST - HOOD/DUCT PARK FEES Z 44478 ❑ Certified copy Is hereby famished. VENT FAN SINGLE DUCT ❑ Certified copy Is filed with the city building Inspection division. COOLING STORM DRAIN 26.493 Date Applicant HEATING IN -LIEU (STREET) 25.497 CERTIFICATE OF EXEMPTION FROM WORKERS' WOODSTOVE COMPENSATION INSURANCE ALLEY IMPR. 25498 section need not be completed if the permit Is for one hundred dollars ($100) or ENG. INSP. FEES 10474 leads I certify that in the performance o1 the ork for which Ods it is Issued, I shelf not PLAN MAINTENANCE FEE 10481 employ any In anY manner so atubject W ^roeCq�fy9nsetion Laws of la, TOTAL MECHANICAL FEES SUPP. PLAN CHECK FEE 10476 oet6�=J�� �.... NOTICE TO APPLICANT: If.afterma ttdsceroneateofExertwllon,youaha,ldbeoome DEPT. APPROVALS REQ.: OTHER: subject to the Workers' Comperm provisions of the Labor Code. you must forthwith comply with such provisions or this permit shag be deemed revoked. ❑ HEALTH ❑ PLANNING ❑ ARB ❑ ENG. ❑ SCHOOL ❑ FIRE CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a oonstrudion lending aggency for the performance of the won* for which this permit is Issued (Sec. 3097, Civ. C.). ❑ OTHER � Lender's Name APPROVE THIS APPICAJO BECI AES A PEWT TOTAL FEES PAYABLE A 30 W, 2 12-2, Uo ddre Lenders Address I certify that I have read this application and state that the above Information Is cored. X WHEN VALIDATED. TIME OF PERMIT ISSUANCE ❑ CASH kO CHECK I agree to comply with all city and county ordinances and state laws relating to building this city to Me SIGN RE OF APPLICANT OR AGENT c"tructbn, and hereby authorize representatives of enter upon above- mentioned property t Inspection purposes. OW CONTRACTOR ❑ AGENT ❑ BY: VAUDATIO 12/921M THIS PERMIT EXPIRES WITHIN 180 DAYS FROM THE VALIDATION DATE SHOULD WORK NOT BE COMMENCED 1000U11117MIP rnf3v c�eturn to DPW AGRICULTURAL STATEN OF ACXNOWLEDGE`�►`IT FOR RESID&NTIAL DEVELOP.' ViT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent 93-0 1.886 1 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 for -agricultural purposes, and residents Recorded 1 Co�M of this property may be subject to incon- Official Records 1 8u/1D/"�eaR veniences or discomfor-t arising from the County of i MAY 1 use - of agricultural chemicals, including, Butte 2 1993 but not limited to herbicides,. pesticides, Candace J. Grubbs I and: fertilizers; and from the pursuit Recorder 1 of agricultural operations including, 11:29am 12 -stay. -93 I PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate - dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience for discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State• of California, described as follows• Lots 9A and 98, as shown on that certain Map entitled, "WALNUT MANOR SUBDIVISION", which Map was recorded In the Office of the Recorder atthe.County of Butte, State of Caidfomla, on July 25, 1990, In Book 118 of Maps, at pages 60 and 61. A Certificate of Correction was recorded August 31, 1990, under Butte County Recorder's Serial No. 90- 37673 and recorded on September 11, 1990, under Butte County Recorder's Serial No. 90-38903 and recorded on June 18, 1991, under Butte County Recorder's Serial No. 91-24433. Subject to Covenants, Conditions and Restrictions, recorded August 10, 1990, under Butte County Recorders- Serial No. 90-34029, and amended March 15, 1991, under Butte County. Recorder's Serial No. 91-9893. Date: .5 V PROPERTY OWNMS : .- l i a. - IQ before me, the STATE OF CALIFORNIA I Q }ss. COUNTY OF } On re me, t9 GYl m personalty appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within N iz instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/hedtheir si ture(s) on the instrumentthe person(s) or the entity upon behalf of which the CD _ waminllau ,�, person(s) acted, e e t e instrument. OFFI�CIAALL 3SEAL w > ' WITNESS my h ifiClal W.J_ GOLUNG y NOTARY PUBLIC - CALIFORNIA N COUNTY OF BUTTE LJ/9 Signature _ Env Commission E.upfres Sept 20, 1956 1 \ ..:rr.:ar.Doan¢.:a;:••-i••:;v:::.�:x<.::�.mm�tasemetml9 \\ /l (this area for official notarial seal) the basis evidence. ledged that tained. IN WITLESS eal. Public COMPUTER METHOD SUMMARY rage 1 C -2P. Project Title.......... 1339 A Date........ 03/25/93 Project Address..... --------------------- CHICO.CA Documentation Author... BOB METZGER O.D.S. Building Permit # Company ................ BOB METZGER O.D.S. _ Telephone .............. (916) 865-9688 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, In.c.. Field Check/ Date Climate Zone ............ 11 --------------------- MICROPAS4 v4.01 File-1339RC Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User- BOB METZGER O.D.S.. Run -D. JONES ----------------------------------- :1 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design Design Margin = ---------- - Space Heatin 16.85 16.59 0.26 = = Space Cooling.......... 11.91 11.90 0.01 = = Water Heating.......... 15.31 15.31 0.00 = = Total 44.07 43.80 0.27. _ _ *** Building complies with Computer Performance -GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type .......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Ty.pe.... Number of.Bui.lding Zones.... Conditioned Volume:.... ... Footprint .Area .........:... Ground Floor Area.......... Slab -On -Grade Area.. ...... Gla.=inq Percentage......... Average Ceiling Height..... 1339 sf Single Family'Detached New Front Facing 70 deg (E) 1 1 FullYear Slab On'Grade (Package D) 10800 cf• 1339 sf 1339 sf _ 1339 sf 12.7 % of FA 8.1 ft COMPUTER. METHOD SUnMARY Page 2 C -2 P, Project Title.......... 1339 A Date........ 03/25/93 MICROPAS4 v4.01 File-1339RC Wth-CTZ11S02 Program -FORM C -2R User#-MP0400 User- BOB METZGER O.D.S. Run -D. JONES ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION Floor- # of Vent. Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) --------- .(cf) Units itioned Type --------- -----------------=------ (ft) ------ (sf) --------- -------------- HOUSE Area # of Residence 1339 10800 1.00 Yes . Setback_ 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location./ Surface (sf) value R-val Azm Tilt Gains Reference Comments -------------- ------ ----- ----- --- ---- ----------------- ----------- HOUSE 1 1 Wall 47 0.088 R-13 70 90 Yes ia'.13.2X4.16 2 Wall 159 0.088 R-13 70 90 Yes W.13.2X4.16 UNCOND. 3 Wall 408 0.088 R-13 340 90 Yes W.13.2X4.16 4 Door 20 0.330 R-0 160 90 Yes None 5 Wall 127 0.088 R-13 250 90 Yes W.13.2X4.16- 6 Wall. 112 0.088 R-13 250 90 Yes W.13.2X4.16 7 Wall- 45 0.088 R-13. 160' 90 Yes W.13.2X4.16 8 Wall 336 0.088 R-13 160 90, Yes W.13.2X4.16 COND'. 'll Roof 1339 0.029 R-38 0 0 Yes R.38.2X12.16 ATTIC PERIMETER LOSSES ---------------- Length F2 Insul Surface (ft) Factor . R-va.1 Location/Comments' ------------ --------------------- ---- ----------------- HOUSE 9 S1abEdge 104 0.720 R-0 - 10 SlabEdge 39 0.900 R-0 FENESTRATION SURFACES Sc Sc Interior, Area # of Frame' Open U- Act Glass Int Shade ,{ Surface(sf) ------------ -=---- Panes ----- Type -------- Type ------ value ----- Azm --- Tilt ---- Only ------ Shade ----- Description HOUSE ----------- 1 Window 15.0 2 Metal Slider 0.87 70 90 0.88 0.73 None 2 Window 15.0 2 Metal Slider 0.87 340 90 0.88 0.78 None 3 Window 15.0 2 Metal Slider 0.87 340 90 0.86 0.78 None 4 Window 15.0 2 Metal Slider 0.87 340 90 0.88 0.78 None 5 ,7i rid ou, 1.5.0 2 Metal Slider 0.87 340 90 0.88 0.78 None 8 W nd%w i5.0 2 M et a l ' Slider 0 A7 340 90 0.88 0.78 Norge 7 l;oor 40.0 2 Met.a1 Eli -der 0.77 250 90 0.88 0.78 None COMPUTER-11ETHOD SUMMARY rage 3 C -2R Project Title.......... 1339 A Date........ 03/25/93 MICROPAS4 v4.01 File-1339RC Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User- BOB METZGER O.U.S. Run -D. JONES --------------------------------.----------------------------------------------- THERMAL LASS ------------ Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments --------------- ------ ----- ------------- ----------------------------------- HOUSE 1 S.labOnGrade 825 3.5 .28.0 0.98 R-2.0 2 S1zbOnGrade 514 3.5 28.0 0.98 R-0.0 HVAC SYSTEMS ------------ Minimum Duct Duct Duct. System Type Efficiency Location R -value Efficiency ---=------------------------------------------------------ HOUSE Furnace 0.6j0 AFUE Attic P.-5.6 0.837 AC.Split 11.50 SEER Attic' R-5.6 0.823 WATER HEATING.SYSTEMS --------------------- Number Tank External in* Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- Water Heater to meet minimum CEC Standards R SPECIAL FEATURES/REMARKS ------------------------ Permit No. owner: ENERGY CERT IF ICAT ION 9095 Streamside. Chico, Ca. LOCATION DESCRIPTION OF INSULATION -6o-yl"� A.P. No. ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOS WALL Material FIBERGLASS_ BATTS Brand Name OWENS-CORNING Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13 — CEILING• Batt or Blanket Type FIBERGLASS BATT S Brand Name OWENS-CORNING Thickness(inches)I2" Thermal Resistance(R Value) R38 Loose Fill Type FIBERGLASS Brand Name OWENS-CORNING Minimum Thicknesi(Inches) 16" Number of Bags 16 Wt. per bag Area covered(ft. ) 783 Thermal Resistance(R Value) R38 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thicknese(inches) Brand Name Thermal Resiatance(R Value) Brand Name _ Thermal Resistance(R Value) Brand Name Thermal Reeistance(R Value) I hereby'.,certify that the above insula tion was installed in the above building in conformance with the State of California Energy Requirements, L.OERKE INSULATION CO., INC. FIPI NAMEJOWNER SfG-NA-PR7 OF INSTALCATIOtfPLICATOR 499150 STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of -the quality,,prescribed or are specifically approved by the State of California. c 1 (. IZ FIRM /OWNER (Please print) L STATE CONTRACTORS LICENSE NO. �. ��. ..i' iii,✓ �. L �/ < �— SIPY BTU OF GENERAL CONTRAC R bWWR DATE THIS CERTIFICATE MUST BE ON FILE WITH TIM BUILDING DEPARTMENT PRIOR 7'0 FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.