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064-210-054
AP 64-21-54� G.M. MCKEEVER - /' 255 Lafayette Circle, lot 62, PP¢# 14, Magalia' contr: Fisci Bros,- Paradise Permit# 2961-74B,P,E (n�_�v garage) AP 64-21-54 G.M. Mc KE --`VER 255 Lafayette Circle, lot 62, PP# 14, Magalia contr: Fisci Bros, Paradise Permit# 3168-74B,P-,'E,�M.- (new single famil7-7�- 064-210-054' 06-2179 ROACH 14693 LAFAYETTE CIR, MAGALIA Cont: DEL JOHNSON AC HEAT PUMP 'e • 2O-� t t } v } BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. -FIDATE ( NAME I DEPT i 41 0 ,I 13 Af 0064-210-054 06-2179 * 1 ROACH � ' 14693 LAFAYETTE CAR, MAGALIA NOTES ,; • Cont: DEL JOHNSON AC - HEAT PUMP RESIDENTIAL APN: Permit No. t Owner. Site Address- Contractor. Type of Permit ' z 4 { • t f SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LEITER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE • �C t 4 • i DATE JOB FINALED• I v `� i 3i i SIGNATURE: _ CHECKED BY I r { SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LEITER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE • �C t 4 • i DATE JOB FINALED• I v `� i 3i i SIGNATURE: _ CHECKED BY I +=OK 0 = Not OK ' MANUFACTURED HOMES DATE I Lj PERMANENT FOUNDATION SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctri-Test; Fall/CIO-Concrete 4 Wtr; Loctn Test-Easeinent Needed -Regulator 5 Elec Loctn-CImcs-Gmd Amp -Concrete 6 Yard Gas; Loctn Test -Wrap Nat D or LPD Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Une 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers•Cimcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr& Sewer Connected-C!O to Grade 12 Gas and Electricity Tagged 13 Tie Downs D Foundation 14 Exit`s. 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers MISCELLANEOUS - DECK S-COVERS'CARPORTS•GARAGES 1 Zoning-�Setbadcs-Easements 2 Figs; SailsSz-OpthSpacing•CnnctrsSteel 3 Decks, Girders/Joists-Dd6ng-Brcing Stairs-DuardlHandrails 4 Wood Awn; Posts-Beams-Rtirs-CnnctmShthg: Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice4Decai-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-FWars Tnisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1 Setbacks -Easements _ 2 Soils;• CompactionStrudure Stability 3 Pool Structure; Steel-Cnnclas Thickness Dead Men-tJning 4 Elec Rcptds/Ung; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed - 7•Elec Bonding; Metal w!5'-Crdtng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcitng Eqp-Pool Ightg Bows-Enci4s-p!dboards4nsuitn-to Main Conduit . 9 Health Dept Applin - .10 Plmb; Cir Test Wtr Supply Test 11 U Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide = Not RESIDENTIAL (Single & Duplex) oATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Flg Dptii 4 Fig Parches/Decks; Soils -Steel Ftg Dpth ' 5 Stemwalls Wain; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Biockouts Wrapped 6a Hold Downs and Special Anchrs ' 7 Stab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DW V; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz. Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12- Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupport4nsultn 14 GirdersSills-SillsBoltsJoists Vnts-Cripples 15 Acc & VnUtn ' 16 Insulation _{ �+ mss` da IF DATE "FRAMING F. 17 Sills Proper Materials & Anchrs 18 walls Studs -Nailing Spacing &Braces-platesSound r 19 Bearing Waits over Girder3:4 flr Nailing 20 Draft Stop in Walls (rat proof] M 21 Fire Stops,'F-urred Ceilings -Stairs -Chasers -Tubs 22 Headers & BeaihsSi &"Bearuig" ' Z3 Hangers-Posf'Caps-Anehrs-C6ncbis - 24,Ceiling Joisf4U& Ties-Purl"oof Brac TrussShthg 25 Frpic Ties or Type A Flue=F " Ic Throat Cimc 26 Attic A&r Sz &-Rini pitch -Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Fit & Dimensions 28 Garage Fire Prtchi Framing -RC Channel 29 Prprty Line Firewall & Opn�s" . 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Widdi-Hilrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Owhng-Attic Vnts-Rftr Outrgrs 33 Sid -mg -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . ` 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsultn Walls -Ceilings F 39 Infiltration-Walls-Wndws ya DATE ELECTRICAL R . 40 Fxtr & Tmsfmir Cirnc4ns Prtctri 41 Elec Rcptcts Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 1 47 Subfeed Wire Sz V Elm or Om - AC Wire Sz Q, or AL ' OCU 48 Range Circ pa CU or AL Oven Circ pa Q CU orAL Insulated Neutral QYes HNo 49 Service -Riser Cndctrs & Gmd Main Dscnnct -. 50 Eqp Clmrs pnts-Motors-Meth Eqp p 51 Clothes Closet UShwr LI -Spa Lt 52 Smoke Detector 4 uAiE PLUMBING 53 Wtr Htr; Vent-Arc•Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV, Test Fittings &Anchr.Hail Prfctn 56 Shwr Pan; Test, First fir Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler, Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet 65 Attic Acc & Pitfrin if Furnace in attic o60 v�,g DATE IFINAL 66 Ext Steps -Door & SideU Prtctn-landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air•Cnnctr In Garage; abv4lr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frpic or Stove, Cunt -Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Dud in Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnncbr-PRY; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcis in Garage (GFQ Romex Pitkin 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Dyes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb. Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas•EIec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 96 Address Posted 99 Fire Sprinkler Ca10ERTS - Certificate https://www.calcerts.com/cf4r_print_certificate.cfm?lots=410888tcert ... CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 14693 lafayette cir - magalia, CA 95954 del johnsoon a/c & htg. Inc. / 373198 Project Address Contractor Name / License No. 06-2179 Contractor Contact Telephone Permit Number JohnAey 0a 530-518-1109 41088 HE Telephone September 18, 2006 C ifying Sigtu nare Date irm: Revilak's HERS Rater Street Address: PO Box 1609 Sample Group Number CC14-1798381670 Certificate Number HERS Provider:Ca10ERTS City/State/Zip:Magalia / CA / 95954 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was R Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -411 may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal d Cooling 0 Heating) or 0 Measured Enter Total Fan Flow in CFM: 1000 3 Pass .. 6eak..y... e....... ag (Line , i Line 2 .,. N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Dud System Prior to Dud System Alteration and/or Equipment Change -Out. 132 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Dud System for Dud System Alteration and/or Equipment Change -Out. 122 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 5] - (Only if Applicable) 10 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / line 2 )]: 12.20% 0 Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )j: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection El Pass El Fall 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass 0 Pass ❑ Fail 1 of 1 9/18/2006 3:10 PM INSTALLATION CERTIFICATE (Passe 3 of 12) CF -6R 1q. f4 Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type heat. um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (AFUE. etc.) ?CF-iRvalue(attic,etc. Duct Duct Location ]huct or Piping R -value Heating Load hdhr Heating Capacity tuft) 7-7 C,1. x 63 Cooking Equipment Equip Type (Pkg. heat um CEC Certified Mfr. # of Name and Model Identical Number S Effie (SEER or EER) R&IRvalue Duct Location attic etc. Duct R -value Cooling Load Cooling Capacity (Btufhr C,1. x 63 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 011, the undersigned, verify that equipment listed above is: I) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Ffflciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Effli iency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: '46"? "V w Date: - Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 INSTALLATION CERTIFICATE (Page 4 of 12) r Site Address Permit Number INSTALLER INSTALLER COMPLIANCE STATLFMENT The budding was: ✓ ®Tested at Final ✓ ❑ Tested at Rough -in FOR DUCT LEAKAGE INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: M Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. Q If the house rough -in dad leakage test was conducted without an air handier installed, inspect the connection points between the air handler and the supply and return plenums to verify flint the connection points are property seated. ® Inspect all joints to ensure that no cloth backed rubber adhesive dud tape is used m New Distribution system is folly dulled (Le., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ 13 DUCT LEAKAGE REDUCTION Procedures for field verh7cadon and dZzenas9w test ofair d k&ffinfion srm&wa are a►wilnMe in RA CM Aenmzffr RrAA NEW CONSTRUCTION: Contractor (Co. Name) OR Owner Duct Pressurization Test Results (CFM 8 25 Pa) Measured Date: '19-04 Values 1 Enter Tested Leakage Flow in CFM:X IS -- -`? Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 of ati on x number of tons or as 2L7 cfm/(kBdr/br) x Heating o ' in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass ifLeakage P 6% for Final or:5 4-A at Rough -in: ❑ Pass ❑ Fail 100 x I ALTERATIONS: Duct System and/or HVAC went Change -Out Enter Tested Leakage Flaw in CFM from Pm -Test of Existing Dad System Prior to Duct 4 System Alteration and/or Equipment C hmW-,Out. Enter Tested Leakage Flow in CFM from Final Test of New Dura System or Altered Duct 5 .Systemfor Duct Alteration and/or % Z Z x 6 Enter Reduction in Leakage for Altered Duct System x ine # 4 Minus____ffke # — if livable -/ = 7 Enter Tested Lealag'e Flow in CFM to Outside (Only if Applicable) ✓ Entire New Duct System -Pass ifLeakege Percentage 5 6% for Firma 8 100 x ane # / Line # 2 13 Pass ❑Fail TEST OR VERMCATiON STANDARDS: For Altered Duet System and/or HVAC EquWment Change. ✓ Out Use one of the foRowing four Test or Verification Standards for _ ce: 9 Pass ifLeakage Percentage <-15% [100 x j �(Lim # 5) / /00- (Line # 2)]] Z Z 2 ®Pass ❑Farb 10 Pass if Leakage bo Outside Pie 510% (100 x [,_(Line # 7) / (Line # 2)]j ❑ Pass 0 Fail Pass ifLeakage Reduction Percentage 2600A [100 x f . (Line # 6) / (Line #4)]] 11 and Verification Smoke Test and Nusrat 'on ❑ k ❑Fail 12 Pass if SaWmg of all Accessible Leaks and Verification by Smoke Test and Visual ° `'= - _ _ = ❑ Pass ❑ Fail Pass if One of Lines # 9 # 12 Paw ❑ Pass ❑ Fail Ul, the undersigned, verify that the above diagnostic test results were perforated in cue with fire tequ for compliance erediL I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2tg15 Building Ere W Eden y staridards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner 4 Signature: Q K Date: '19-04 Copies to: BUILDING DEPARTMENT, HERS RATER (IIF APHJCABLE) BURRING OWNER AT OCCUPANCY Residential Complimrpe Fomas September 2005 FROM : DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Sep. 18 2006 06:49AM P1 DEL JOHNSON AIR CONDITIONING tic IiEA'1'ING 5800 ROAF) 1'ARAD1. 1=:, CA 959b9 PHONE(530)877-4564 FAX(530)t377-2435 FACSIMILE TRANSMITI'AL SHEET TO: PROM: PAX NUMEM Al. NO, OF MAGES PHONE NUMBER: SEND'Y.K'S RElFL•RL' JMR P..R: ❑ Jw-- (JACENT OR REVIEW ❑ PLE...ASP. CO3\4ML:NT ❑ PLEASE REPLY ❑ PLEASE RECYCLE r NOTES/COMM.RNTS; i' Par ��- D 2 l79 I FROM DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Sep. 18 2006 06:51AM P1 INSTA J A77ON CE CATS fflage 4 of 2 CF -6R Site Addttas PermitNumba INSPAL• ER CO CE STAIMMT FOR DUCT LEAFAGE WrAIJARCODOWMCBMITAMINT The bW1ding vans,: -'QTested at PhW 1 a Temd at Rougt is IPWALL1 t VISUAL VISPE=001 AT FINAL WAGE- 8 Raaaove at teast oaa sup* aaod we taelaon aegastas, and vaft mat mespaco bet - P the boot and the mh:iav v>'an ate pno =b SCOWL �l Ifadae bonne tvagb-in duct tam test was avoawtod ait6aat an air ham inafallediaaapa t the ewaamtiou pohtta betas the air handler and the supply and moan ploums to vt: * matt the aawcfm Pam we ptaagtedy ada. a htWOd aan job= to Gann tba no ctom barbed a�gbba adboaalm dm tape is used CLNew DbUIn ion systam is fbW doderd (iay doer act van baA ft ca d ies aspics ms or, I tfi t N tt>1ms is Han of datets). V 13 DDCr LRAKAdGB WWUCfXW wr••�..• w waAmmmj a w==vjcgoucmw t ter comphum�� Lem aduo axtify fiat the newly mstetted ormbo& Ab4%str9Evb= 9ystem Duan, Plus and Fees comply sAth MandamW r&pbwmzbdied is Sleetioo 150 (W) of the 2005 Buil qg goat® aBdgwy spa. m=Uft8QbQQWuCbr(MNa=)0RC1camW // Gbntraactor (Gh Naame) Oil Owa>la -OWSo '2n 3� h ,Q yjt sign�a� o K lDulm �, i8 --v 6 COON ft 8MLWfGWWA=FAWn >a 1kA2% a (W AMJC&" 3UMaM owAT t CCVPanrCY li"ldt,6dC xWAb eFar,vr Sarpwembar7al(!S FROM : DEL JOHNSON AIR CONDITIONING PHONE NO. : 5308772435 Sep. 18 2086 06:52AM P2 CaICL;I'tTS - Certificate I088&cert._... CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -414 14693 Lafayette cir - magalia, CA 95954 del johnsoon a/c & htg. inc. / 373198 Project Address (gnrractnr Name / License No. Contractor Contact Telephone John Revila 530-518-1109 HER a Telephone September 18 2006 dying signature Date irm: Revilak's HERS Rater Street Address: PO Box 1609 06-2179 Permit Number 41088 Sample Group Number CC14-1798381670 Certificate Number HERS Provider:CaICERTS City/State/Zip:Magalia / CA / 95954 Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CaICERTS® registry In accordance with the Title 24 & Title 20 of the CCR. CaICERT'S(D is an approved HERS provider by the California. Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 2 Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested Compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -6R has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drsawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. L-ImiNimuM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Resets (CFM 0 25 Pa) Measured Values 1 N/A 2 Fan Flow: Calculated (Nominal O Cooling 0 Heating) or C Measured Enter Total Fan Flow in CFM: 1000 3 6"e-14- Fw_-2-H' N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 132 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 122 6 Enter Reduction In Leakage for Altered Duct System (Line 4 - Line 51 - (Only if Applicable) 10 7 Enter Tested Leakage Flow in CFM to Outside (Only If Applicable) 8 Entire New Dud System - Pass If Leakage Percentage < 6% 1 100 x ( Line 5 / Line 2 )): ❑ Pass ❑ Pall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or I4VAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 1S% [ 100 x ( Line 5 / Line 2 )]: 12.20% Pass ❑Fall 10 Pass It Leakage to Outside Peroentage <= 1.0% [ .100 x ( Line 7 / Line 2 )): Q Pass ❑ Fall 11 Pass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection❑a Pass El Fall Pass if One o1 Lines 49 through 412 pass 0 Pays ❑ Fall I of 1 9/ 18/2006 3 I &.PM :1" BUTTE COUNTY PERMIT*NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) a l� OFFICE #: (530) 538-7541 ►PNl Q�4'1Q�Q5`i QOO' PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF 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 the Business and Professions Code, and my license is in full force and effect. —7 C License Class :c.22��License Number: Dale: gw� Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($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 Code: The Contractors' Slate 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, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a'contraclor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain 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: Policy #: 'DI/6.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicanf. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor rode, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY Fff rm that there is a construction lending agency for the e of the work for which this permit Is Issued (Sec 3097 Clv.) �_... -d pale: UVI -- ANCE, OR IF WORK IS DONE IN VIOLATTY OR STATE LA Site Address: 14693 rRe Map Index: Description: REPLACE HEAT PUMP Owner: RO 93IAHMFAYETDE CR 146 MAGALIA, CA 6B95q•8654 .. Applicant: DEL JOHNSON AC & HEATING INC. 1147 WAGSTAFF RD PARADISE, CA 95969 (530)877-4501�`` Contractor: DEL JOHNSON AC & HEATING INC 1147 WAGSTAFF RD PBBAr�RADS 456 E, C4 95969 0)�7 License #: 373199 Architect: Engineer. T0141Aqufff . V 761. h? n oQ Census Cod 61 This permit is hereby issued under the applicable provisions of the Butte County Code andlor ReAitino do work i di A�abr which fees have been paid. By: Date: (� PERMIT EXPIRES 0'N: Address: (0 e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety -Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not, applicable' to the scheduled construction of this project. ❑ Attached are copies of the required E,P.A. notification forms. Thereby 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 io alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County, to enter upon the''above'mentioned property for inspection purpos Print Name: 7�L aQ�.LJsa Signature Date: "Owner: ❑ Agent for Owner 0 Agent for Contractor ""'^^-• ®Contractor. 9 R r Ruildino Permit 01'-16-04 oq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISS 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 the Business and Professions Code, and my license is in full force and effect. 373 I l License Class :C—`1� �—y� License Number: J Date: q: lk pL Contractor: &/ •�D .eeW,0 44 - OWNER -BUILDER OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($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 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, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a'contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 is issued. 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: Policy #: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: l _0 Applicant. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor -ode, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Clv.) lf)nnt; *,Pink i PERMIT NO. 1, d Dale- uur 1 ONCE, OR IF WORK IS DONE IN VIOLAT1pgFgKfgW&TY OR STATE LAWS. Site Address: 14693 L Map Index: Description: REPLACE HEAT PUMP owner: ROACH MILLARD G 14693 LAFAYETTE CR MA�GGALIA, CA Applicant: DEL JOHNSON AC & HEATING INC. 1147 WAGSTAFF RD PARADISE, CA^95969 (530) 877�A5��i . •.�,.., Contractor: DEL I!iOHNSON AC & HEATING INC ` 1147 WAGSTAFF RD PARADISE, CA 95969 (5$0)X77-4564. License #: 373195 t � 4 ivchlect: Evagineen square fill. Q S.F. V#IW�11A11�poo - Census Codit _ ••t , . en,�r.t-'+.,•ems ,..»,. ., This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resoluti n to do work//id}}�at��e��d ab ve for which fees have been paid. , Date: w � A I PERMIT EXPIRES ON: Address (D e) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, - handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not. applicable to the scheduled construction of this project. - e ❑ Attached are copies of the required E,PA.• notification forms. i i w 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 documeht of Butte County. I hereby authorize, representatives of Butte County to enter upon'tho'above6entioned property for inspection purpos Print NameJ��� Na' '' r Signature <, Date'..t P i "fl`nuvrinr. .. Zl�ntractor C3 Agent for Owner ❑Agent for Contractor a r a,iiwin Pormit 01.16-04 00 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIOM: OROVILLE: (530) 538-7636 • CHICO: (530) 891-283.4 OFFICE #: (530) 538.7541 .4 FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name First Name O.4c //-Z-!:! Address CityStal l Zip��' !a-7_3 ^ 2�0 Fax E-mail CONTRACTOR ARCHITECTIENGINEER Name Address City ,D1S� State Subdivision Name Map Bock ZiV��G Phone 0 54S&_ Faxg' 7 Z zl* 35 E-maill iC. Q asses - APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name Address Occ. city Subdivision Name Map Bock State Zip Phone Date Approved: Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Address Occ. City Subdivision Name Map Bock State Zip Phone Date Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Bock Page Lot # Planner Date Approved: UV= ?-UK SUBMITTAL REQUIREMENTS K:IFORMSIBUILDiNG FOR.MSZ)dgApplSubRgmts.doc Page I of 2 PROJECT LOCATION AP# Q a COS _ Property Address Cily , Cross Street WORKER'S Carrier It 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: 444 r 914 Sq FT- Living Garage Open Coy 13 Structure Built without Perm is D 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 Received by: Amount: .SRA Receipt #: Sheriff SMIP Date: — Other REV 8-12-05 k H 0 r DECEIVE® SEP 0 8 2006 COUNTY OF BUTTE PUBLIC kNORKS DEPT. n V... A BUILDING DIVISION RECORD RESEARCH REPORT TO: Coldwell Banker Ponderosa DATE: 12/18/96 7020 Skyway ' Paradise CA 95969 (Attn: Debbie Finey) Phone: 877-6244 Fax: The following research was done for: A.P. # ADDRESS OWNER'S NAME 064-210-054 14693 Lafayette Circle, Magalia Glynn & Ruth McKeever PERMIT # TYPE OF PERMIT DATE ISSUED FINALED 74-2961 New Garage & Add'1 Living Area 8/19/74 3/27/75 (Garage -480 Sq Ft/Living Area -192 Sq Ft) 74-3982 Add'l Ele for #74-2961 9/26/74 3/27/75 74-3168 New Single Family (1072 Sq Ft) 8/19/74 3/27/75 Additionally, the following violations or complaints exist on this parcel: (Violations that have been resolved will not be shown.) VIOLATION DATE Building Division Representative Fees Paid: $23.00 Receipt #: 209499 DATE FROM: Name: Coldwell Banker Ponderosa Address: 7020 Skyway Paradise, CA 95969 Attn: Debbie Finney Phone: (.916) 877-6244 Fax: (_916) 2,77-5460 T O: Wolfe County Building Division ` 7 County Center Drive Oroville, CA 95965 Phone (916) 538-7541 Fax (916) 538-2140 SUBJ: Request for Building Permit Information Request you research the building permit records for the following parcel: A.P. # ADDRESS OWNER'S NAME 0Y o210-059, 1416 �3 9(c Please research any building permits applied for, issued and finaled on this property. I understand a'research fee of $23.00 (minimum) is required by the Building Division. . Research and report time in excess of 30 minutes will be billed at $46.00/hour in 30 minute intervals. (Butte County Ordinance #3075, effective 7/12/93, requires payment of this fee.) Please 19 --Mail ❑ Fax report to me at address/Fax # above. Atch: Check for $23.00 (Payable to Butte County Treasurer) i� ature of Requester RECEIVED DEC 18 1996 BUTTE COUNTY BUILDING DIVISION ka, Z� 7 PERM11T NO. 2961-74B _ P • F E M , i QMH UTIL. `PERMIT NO. . r. PERMIT EXPIRES - i)WNER G.M. ZcKeever 'CONTR. Fiscl Bros, Paradise V a :LOCATION (A.P. 64-21-54 ) " 255 Lafayette Circle, lot 62, PP#14, �• Magalia . r 7 � . Temp. Power Pole 9 Called PG&E Temp. Elea Serv. a ` Called PG&tE r } Temp. Gas Serv. Called PG&E ate' r *b • r JOB FINALE[ sf , . �1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall % % Soil Piping Forms - 9 3 - 7 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidincl a To out Slab Roof Sheathing Water Pipin T Piers Roofing Sewer Garage Fdn. Vents------------ Fixtures Footings Garage Vents Water Htr. StemwalI Slab Prov. for physically handicapped - Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test -Temp. Gas Slab FinalSanitation Patio REPLA E Final Footings Footing :_--"` EL RICAL MasonryWalls Throat Bough Reinf. Steel Final Fixtures t, Bond Beam FIRE S15RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatin ` Service ,.✓ Brown Cooling Temp. Pole C Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final a"a- h /9 DATE REMARKS OR CORR CTIONS u e d �` C 01v LLX4 1, IL ` � t � /� I- / �� i �i�j d u-e� ✓l.* CP� �r�¢ l �J e.� fi-v, 9 '1 4Y y c3 CAP , (, , � s � f /- 0 v , �Q �`ol C lj-Cl ,U C— G QA) AS -CJ' 6) X9-,6 e df �i�I� �e ./� �v e.Li y ,S C.� 1 "�h t/� 04 e �t u S I i s C3� 1,,,w T-� 11 S !� �-� �-- v Sj�h e �. T A-0o.G f Q> -vt -e,� (aJ� � a J U�� PERMIT NO. 3168-74P , E ,M P E 1 M MH UTIL. PERMIT NO. PERMIT EXPIRES L—H-7S- OWNER G-M_ McKeever CONTR. Fisci Bros., Paradise LOCATION (A.P'. 64-21-54 ) 255 Lafayette Circle, lot 62, PP#14,: •Magalia r r ( y�y � , 1 tf• Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINAL ED (Date) r i (Signal e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor—� Footings Windows �—' 3rd Floor Stemwall Siding To out /p— 9— o-rr —/ •-7 Roof Sheathing YVaterPiping Z Piers Roofing 4Sewer Garage Fdn. Vents v Fixtures n Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters , Appliances ' Carport Footings Conformance of ex. structure / Gas Piping & Test Temp. Gas Slab Final Sanitatio Patio NREPLAdE Final Footings Footing _- E ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing C l Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish `�—�� Ducts C111— l 7 V Underaround Door Closer _ I Final 1-1.4 - V 17 / ` I '7 I Final /TFAI--J- 5 / rl / / / / DATE W REMARKS OR CORRECTIONS r��• 1- 1 / —'1 � �? �,- u i; I t/ la f 11 Se -ft d /2 Ic��.1,��G -Ti3�.so�( S 41( .-e-vjs�� d1- 3 C)(e 1 o-- U v1 Irk 3 a //S� L, �ir8�� T- J e r J --e- iI C l C-� Cr C— r/ e S e /o-� ?y Cor�ec.Tic�nl Gk �EX�'e��� �X%1Ac�s���1iU / C2 - �� sl/ 49d r�C�o_�j'a�7�� wj K,� C vL. C i rat- le- �Lc o� --- 110 ��2 e l� � � S . S a d�c� 7Zo 4�4 e J001-4 o� C'.l9� jtOLl ELf/d%f12. ._ � Sl7'2. /KS/JB�'irD�! Ile r 41 &4ee -7LO ele- 0, -YC- 620 vkoll� ✓a � v s sv u/� e a Li c%au� 2 �as-�c✓ C`o�r <s'� /�67/ �.a�ay�27-e �✓ COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 XTelephoRe: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ;aborvtioned property for inspection purposes. / Date Signature of Permitee or Agent Receipt No. / �2 5 1 5-1 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 t B Date Permit expires ...... ....... BUILDING Owner C SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor AR 3 Total Valuation Mailing Address3 ' Permit Fee Plan Checking Fee &/or Penalty I5h�nt'No. 77 77 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ( Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 2 — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeSae+4at+en FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 a -O — Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -to -or Oven 1.00 Water H r or Space Heater 1.00 /00 Light fixtures bal di0 Receps., switches & fix outlets L br CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of ifornia Business & Professions Code under the name style Q Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 7 j� License No60� Classification'" Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ U v $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. O I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the ;aborvtioned property for inspection purposes. / Date Signature of Permitee or Agent Receipt No. / �2 5 1 5-1 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 t B Date Permit expires ...... ....... Owner 6,M • me. Mailing Address COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSj/ 7 County Center Drive - OroviIle, California 95965 C� Telephoaie:, 534-4541 APPLICATION AND PERMIT BUILDING E SQ. FT. OCC. BUILDING VALUATION 10'72— 6 _ © 0-0 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 authori representatives of the County of Butte to enter upon the above- ioned property f inspection purposes. r Date Signature of Permitee or Agent Receipt No. Z ::2 2-�1� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ / 3S 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 PU LIC WORKS By Date �r % f' -7 p Bui ding permit expires Date .................. 4...�� .......... Telephone No. $ O� Fireplace -`j' 5-0 , O o Contractor F-) C P.0 S Total Valuation p , Od Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tele hon Permit Fee $ ��O Building Address 5 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z, 00 Each Trap 1.50 12 V0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z / -—SZ Planning Zoning 8 anning Gas piping system 1 - 5 outlets 1.50, Each additional outlet .30 F Sa i ti Fire Dept. Fire Zone Use Permit EQA Parking Parcel Ma 60' R/W ImprovementsLawn Plans I Declaration P Building sewer 5.00 sprinkler system 2.00 Bldg. Plc'd ,v1cAproval PlansAval Permit Fee $ ,j-0$ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , p0 oofl ` �✓!u► -Z(a -7v Main service incl. 1 meter pa Additional meters, each 1.00 Sub -pa el (12 or less) (more th 2) Z/ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Rairge, Cook -t p or Oven 1.00 %ad Water Heater or Space Heater 1.00 ,pa Li9pt fixtureQ io Z 75 Rec s., swildes & fix Alets % , /O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of fornia Business & Professions Code under the name style o ,--�- Ho&r,_Ex. nor F.A. Furn. Motor 1.00 Z OV Evap. cooler4w-disp. or D.W. 1.00 , 90 Air conditioner or heat pump a Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No 15�lp 40 Classification°�� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 7 DL% WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.Oa Heating Q L( dp Cooling Qa Ventilation ZOa Hood 2.00 Permit Fee $ 7 dD 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 authori representatives of the County of Butte to enter upon the above- ioned property f inspection purposes. r Date Signature of Permitee or Agent Receipt No. Z ::2 2-�1� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ / 3S 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 PU LIC WORKS By Date �r % f' -7 p Bui ding permit expires Date .................. 4...�� .......... COUNTY OF BUTTE -r DEeARTMENT OF `PUBLIC WORKS 7 County Center Drive — Oroville, California 95965��/ Tel ephone:' 534-4541 APPLICATION AND PERMIT autnunce r resentatives of the county of t3utte to enter upon the above -men oned property for inspection purposes. !� Date ZG Signature of Permitee or Agent //� Receipt No. 'IZZ ZAP 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 0,9 PUBLIC WORKS BYd%%� v� Date— Building permit expires Date......................................f... BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION B Mailing Address Z p Telephone No. Fireplace Contractor s'C Total Valuation p p t po Mailing Address aPermit Fee Plan Checking Fee &/or Penalty Telephone No.Z-p Permit Fee [ Q Z4 a P [ Building Address — PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z,OD Each Trap 1.50 , s Repair drainage or vent piping 1.50 Water piping 1.50 �iSa Each gas water heater or vent 1.50 A. P. No. _ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F, Wk—TS 1' tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel' Declaration a P 60' R/W Improvements P Lawn sprinkler system 2.00 'flyrov BI g. ans Recd Parce Approval Plans ppal Permit Fee $ Oy s NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 pp E Main service incl. 1 meter 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 bol(610 li DZ! Re ps., swi es & fix o is CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali orNia Business & Profess' Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7,25— $ 7 7 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is orrect. I agree to comply to all County Ordinances and State s relating to building construction, and hereby TOTAL PERMIT FEE $ 7-5 autnunce r resentatives of the county of t3utte to enter upon the above -men oned property for inspection purposes. !� Date ZG Signature of Permitee or Agent //� Receipt No. 'IZZ ZAP 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 0,9 PUBLIC WORKS BYd%%� v� Date— Building permit expires Date......................................f... 1:41�1 Sk Ali I -ft I s-11 �14 3- le 4 cj��, 1-//v j!i4VNA?W 741 141,41 z VIW� �o ;A, -/ eie z le va, Z! F" p e7 6:7 6*4 X�1,4fl`VeY �A -4 -Y,4,P -Z OAJ�5- if L9 (9 /_0 /Va ,f-2,40LrXA AlLr d 4 ON(5: Z�, X S11 t�f 71 _'o 0� S7 41ROVID,5 rWO I S4,YB r-4009. 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