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Home My WebLink About065-080-010FA /I J POWELL, Horace 280-69B 255=69P fo5- og- r 26 - 9 11 w/s Skyway, 3rd house so. Morfords Sore; O CONTR: Chamberlain Con t., P.O.:"Box 534, .(hew single family)3 -'71 I =j i j - i FA /I J POWELL, Horace 280-69B 255=69P fo5- og- r 26 - 9 11 w/s Skyway, 3rd house so. Morfords Sore; O CONTR: Chamberlain Con t., P.O.:"Box 534, .(hew single family)3 -'71 I =j i j - �I � i BUTTE COUNTY DEPARTMENT OF DEVkLOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B07-1186 Issued: 05/31/2007 Address: 15209 Area: MAGALIA Owner: KING, ROBERT APN: 065-080-010 Applicant: DEL JOHNSON AC & HFMap Page: Permit Type: Mechanical Description: NEW FURNACE, DUCTWORK, GAS PIPIN AREA 3 Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Ins ection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Set 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Public Works Final 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 S. rruleu r mai As a t,eruncate of uccupancy for Ixesiaenaaruniy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15209 Owner: Permit No: B07-1186 APN: 065-080-010 KING, ROBERT Issued Date: 05/31/2007 By TMP Permit type: MISCELLANEOUS 902 DEL PASO BLVD #21 Subtype: Mechanical SACRAMENTO, CA 95815 Expiration Date: 05/30/2008 Description: NEW FURNACE, DUCTWORK, GA, Occupancy: Zoning: TM1 Contractor Applicant: Square Footage: DEL JOHNSON AC & HEATING INC DEL JOHNSON AC & HEATH Building Garage Remdl/Addn 1147 WAGSTAFF RD 1147 WAGSTAFF RD PARADISE, CA 95969 PARADISE, CA 95969 (530)877-4564 (530)877-4564 Other Porch/Patio Total FEE INFORMATION DBM Duct Work Only $58.00 DBM Furnaces (FAU, Floor) $58.00 DBP Other Plumbing/Gas Inspect $115.98 Total Charged: $231.98 Fees Paid: $231.98 Balance Due: $0.00 Receipt No: B3301 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DEL JOHNSON AC & HEATING 373198 / C20 / 04/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 05/31/2007 penally [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 Labor ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the properly who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the AMGUARD INSURAI DEWC60'551 10/01/2007 Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not a completed if the permit is or one hull red dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 05/31/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date - provisions. X 05/31/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 05/31/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner 1-1 Contractor OR; E]Agent for Owner ❑Agent for Contractor INSPECTOR COPY Lender's Address City State zip .7 C] Date: 5/31/07 Job #: 07293 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address 15209 Skyway, Magalia Builder or Installer Name Del Johnson Heating and Air Builder or Installer Contact Telephone Del Johnson Heating and Air (530) 877-4564 Plan/Permit (Additions or Alterations) Number HERS Rater Telephone Mery Martin (530) 894-8466 Sample Group Number Values Compliance Method (Prescriptive) Climate Zone 11 Certifying Signature % Date Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ m 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 -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. la The installer has provided a copy of CF -6R (Installation Certificate). ❑ New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New ducts with cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.). ✓ m MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Measured Duct Pressurization Test Results (CFM @ 25 Pa) Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured i �A ✓ ✓ Enter Total Fan Flow in CFM: 3 Pass if Leakage Percentage < 6% [ 100 x L(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct System Alteration and/or Equipment Chan e -Out. )71 Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% ❑ Pass ❑ Fail 8 100 x Line # 5 / Line # 2)11 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [100 x [_(Line # 5) / (Line # 2)]] �� ass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [_(Line # 7) / (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x _(Line # 6) / (Line # 4)1] ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑ Fail Residential Compliance Forms December 2005 • • • Date: 5/31/07 Job #: 07293 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project Address Builder Name Del Johnson Heating and Po 15209 Skyway, Magalia ✓ Builder Contact Telephone Plan Number Del Johnson Heating and Air (530) 877-4564 Cooling Capacity HERS Rater Telephone Sample Group Number Mery Martin 530) 894-8466 Compliance Method Pr ri five Climate Zone 11 Certifying Signature C Date llffv�___v (� Sample House Number - r, Firm- Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDINU MrAKI Ivicix HERS RATER COMPLIANCE STATEMENT The house was: ✓0 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. ✓ 0 The installer has provided a copy of CF -6R (Installation Certificate). ✓ D THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Ai ,I: ,.... 1r De...,:rura Dof nor—t t'hnroe fuer Rnlit Svstem Space Cooling Systems without Thermostatic Expansion Valves C11 Ca On iv1 i outdoor Unit Serial # - - --- - - Location ✓ ✓ Outdoor Unit Model Cooling Capacity Access is provided for inspection. The procedure shall consist of Date of Verification ✓ 0 Yes ❑ No visual verification that the TXV is installed on the system and El installation of the specific equipment shall be verified. Yes is a pass Pass Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Ai ,I: ,.... 1r De...,:rura Dof nor—t t'hnroe fuer Rnlit Svstem Space Cooling Systems without Thermostatic Expansion Valves C11 Ca On iv1 i outdoor Unit Serial # - - --- - - Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 T and above): Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 T rater shall use the Alternative Charge Measure Procedure Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. ✓ ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms April 2005 Date: 5/31/07 Job #: 07293 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R 16 Site Address Permit Number 15209 Skyway, Magalia 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). C] HVAC SYSTEMS: Heating Equipment Equip Type -(pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiencyi (AFUE, etc.) >_CF-111value) Duct Location attic, etc. Duct or Piping R -value Heating Load Btu/hr Heating Capacity Btu/hr J io11 7,k 9v f Cooling Equipment Equip Type (pkg. heat um CEC Certified Mfr. . Name and Model Number # of Identical S stems>_CF-1R Efficiency i (SEER or EER) value) Duct Location attic, etc. Duct R -value Cooling Load Btu/hr Cooling Capacity Btu/hr 1. > symbol reads greater than or equal to what is indicated on the CF -!R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ElI I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 Date: 5/31/07 Job #: 07293 INSTALLATION CERTIFICATE (Page 4 of 12) I Site Address Permit Number • 15209 Skyway, Magalia INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE • r� LJ INSTALLER COMPLIANCE STATEMENT The building was: ✓ ElTested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts. ✓ 13 DUCT LEAKAGE REDUCTION Procedures for fleld veri ication and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating ZD G Cavacitv in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in without air handle: ❑Pass ❑Fail 100 x Line # 1 / Line # 2 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Chan a -Out. / Enter Reduction in Leakage for Altered Duct System 6 Line # 4 Minus Line ## 5 —(Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% for Final. ❑ Pass 11 Fail 8 100 x Line # 5 / Line # 2 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)]] ! . ZS Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line #.7) / (Line # 2)1] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage > 60% [100 x F(Line # 6) / (Line # 4)1] ❑ Pass ❑ Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 throu h # 12 pass ❑ Pass ❑Fail ✓ ❑I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date: Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms December 2005 Date: 5/31/07 Job #: 07293 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R • Site Address Permit Number 15209 Skyway, Magalia ✓ 0 THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RACM, Appendix RI. ✓ ✓ Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on ✓ 10 Yes ❑ No the system and installation of the specific equipment ❑ ❑ shall be verified. Yes is a pass I Pass I Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thpr nctntir Fvnnncinn Vnlvt>c Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Treturn, db) Outdoor Unit Make OF Outdoor Unit Model Cooling Capacity Btu/hr Date of Verification OF Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) • Standard Charge Measurement Procedure (outdoor air dry-bulb 55°F and above): Procedures for Determining Refrigerant Charge using the Standard Method are available in RA CM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. is Measured Temperatures Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Treturn, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) °F Superheat Charge Method Calculations for Refrigerant Charge Actual Superheat = Tsuction, db — Tevaporator, sat OF Target Superheat (from Table RD -2) OF Actual Superheat — Target Superheat (System passes if between -5 and +5°F) OF Temperature Split Method Calculations for Adequate Airflow .Cnlit Mathnd Cnlrulntinn is not nernccnni iTAdenunta Airilnw credit is tnkan Actual Temperature Split = T return, db Tsupply, db OF Target Temperature Split (from Table RD3) OF Actual Temperature Split Target Temperature Split (System passes if between - of 3°F and +3°F or, upon remeasurement, if between -3°F and -100°F Residential Compliance Forms April 2005 v BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 15209 Owner: . Permit No: B07-1186 APN: 065-080-010 KING, ROBERT Issued Date: 05/31/2007 By TMP Permit type: MISCELLANEOUS 902 DEL PASO BLVD #21 Subtype: Mechanical SACRAMENTO, CA 95815 Expiration Date: 05/30/2008 Description: NEW FURNACE, DUCTWORK, GA; Occupancy: Zoning: TMI Contractor Applicant: Square Footage: DEL JOHNSON AC & HEATING INC DEL JOHNSON AC & HEATH Building Garage Remdl/Addn 1147 WAGSTAFF RD 1147 WAGSTAFF RD PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 877-4564 (530) 877-4564 FEE INFORMATION DBM Duct Work Only $58.00 DBM Furnaces (FAU, Floor) $58.00 DBP Other Plumbing/Gas Inspect $115.98 Total Charged: $231.98 Fees Paid: $231.98 Balance Due: $0.00 Receipt No: B3301 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DEL JOHNSON AC & HEATING 373198 / C20 / 04/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for d effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 05/31/2007 [$500]; Please check one of the following: Contractors SI ature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ® ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: AMGUARD INSURAIpolicy Number: DEWC600551 Exp, Date:10/01/2007 Contractor's License Law.). (This section need not be completed if the permit is or one hundre dollars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 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' X 05/31/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. 05/31/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro y owner or api authorized to act on !Dgfroperty owners behalf. CONSTRUCTION LENDING AGENCY �/ X.!,jSdX)05/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of , ermi ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner E-Mtractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City - State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530)5'18-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT T11VE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY----- OWNER LEARLY** APPLICANT SIGNATURE PROJECT LOCATION API Property Address City ,41-/�" PERMIT NO. BIN # . WORKER'S COMPENSATION Policy Number Cara4leo .CJ$U If hiring anyone other than license contractors, a certifrcafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V 1_57i¢LL 61496!> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Name Al'/x) czefe'USD•v Firsl 8 Mailing Address City City/Q Stag , Zi Phone PhonN Fax E-mail E-mail APPLICANT SIGNATURE PROJECT LOCATION API Property Address City ,41-/�" PERMIT NO. BIN # . WORKER'S COMPENSATION Policy Number Cara4leo .CJ$U If hiring anyone other than license contractors, a certifrcafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V 1_57i¢LL 61496!> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name czefe'USD•v Address Address 7 IZIffl Occ. City/Q Zip St� Z � 9 PhonN _ �S—� C/ Fax E-mail Lic. # .' 3 j Q d Class ,f �3 APPLICANT SIGNATURE PROJECT LOCATION API Property Address City ,41-/�" PERMIT NO. BIN # . WORKER'S COMPENSATION Policy Number Cara4leo .CJ$U If hiring anyone other than license contractors, a certifrcafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V 1_57i¢LL 61496!> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Address I Yes City Occ. State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE PROJECT LOCATION API Property Address City ,41-/�" PERMIT NO. BIN # . WORKER'S COMPENSATION Policy Number Cara4leo .CJ$U If hiring anyone other than license contractors, a certifrcafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V 1_57i¢LL 61496!> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Address I Yes City Occ. State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION API Property Address City ,41-/�" PERMIT NO. BIN # . WORKER'S COMPENSATION Policy Number Cara4leo .CJ$U If hiring anyone other than license contractors, a certifrcafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V 1_57i¢LL 61496!> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. i . IS �� p NOTES RESIDENTIAL 065-080-010 04-069 PERMIT NO. — KING; ROBERT _ •`5209 SKYWAY, MAGALIA CONT: UNKNOWN ADD & REMODEL/SF r L� S y iX r�'t 'r SPECIAL CONDITIONS CHECKED ,rs BY ,►� SRA ,t FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ_ . =t SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Ey :k ' 1 L47 l l { r� JOB FINALED (Date) �\ Signature J=OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Pool Lighting; 15 Volts-GFI 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, Distance-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- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 32r .. _ -- J=OK 0 = NotOKRESIDENTIAL - =Not AAppplicable . = Not Ready PLUMBING (Permit) OK except #'s Insulation -Walls -Ceilings Date N RFLOOR (Plans) OK except #'s 18. 1. ing-Setbacks- Easements- Flood -Slope �ZI t' 3. tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 20. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 21. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 22. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 23. 6a. Hold Downs and Special Anchors 69. 7. Sla , Steel -Wrapped 70. 8. ers-Fire lace Ftg.-Steel 71. Card Date Card B-1 D.W.V ; Fall -Fitting -Test -2 Way C/O -Sewer Test ELECTRICAL (Permit) OK except #'s 10. Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Fixture & Transformer Clearance -Ins. Protection 12. Water Pipe; Test -Anchors -Regulator -Service Test Electric Underground r ] , �-14irders-Sills-Anchor 13. Ple�ns & Ducts; Clearance -Material -Support -Ins. Bolts-Joists-Vents-Crippies Size Boxes & No. of Conductors Stapled 15. Access & Ventilation Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (Single & Duplex) Dat PLUMBING (Permit) OK except #'s Insulation -Walls -Ceilings 17. Water Htr.; Vent -Access -Combustion Air Baffle nfiltration-Wall -Wi dows Card B-1 Date Card B-1 Card B-1 Date Card B-1 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection t / 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access (k 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card E71 1 Date Card B-1 Date % 71. Card Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 24. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Receptacles at Kit. Counter 26. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 27. 28. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water k 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Plb.; Elec. & Mech. Equip. Listed for Location 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No Elec. Receptacles in Garage (F.F.I.)-Romex Protection 32. Service -Riser Conductors & Ground Main Disconnect Insulation -Foam -Looked in Attic 3 ui . Clea ace Panels-Motors-Mech. Equip. Guard Rails & Deck Construction -Post Caps 34 lothe loset Light- ower Light -Spa Light -3 5. Smoke Detector Clearance Looked under Floor O Yes _ 83. D e Card B-1 W165- Date Card B-1 Da Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 86. 36. 37. 38. A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade 87. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 56flet 88. 40. Attic Access & Platform if Furnace in Attic Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 6. eaders & Beams -Size & Bearing Date Card B-1 Date Card B-1 Date / FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance A9 p( 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitino Doors -Sill Ht. & Dimensions J9 IX 52. Garage Fire Protection Framing -RC Channel inly. 53. Prooertv Line Firewall & Ooeninas ✓ 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55 Stairs; Width- Headroom -Rise-Run- Land inq-Fire Protection A9 TQC \-86. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer i 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts i / 61. Brace Interior/Exterior Wall Panels V1 6 Insulation -Walls -Ceilings Da D e nfiltration-Wall -Wi dows Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes D No/Walks O Yes D No/Planters D Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: APA=VV40 Certificate of Conformance Certificate 044 3 95 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wooli products identified below and marked with a collective mark of Engineered Wood Systems (EWS) were man- ufactured in accordance with the specifications indicated below. O ANSI Standard A190.1-1992, for Structural Glued Laminated Timber n O Job Name Job Location Customer's Order No. 16 Mtges Order No. Signature 11 A A 1'�-10Title QUALITY CONTROL Company ROSBORO LUMBER CO. Address SPRINGFIELD, OREGON Date IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) is subject to regular audit by Engineered Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with bdequate sampling to verify the quality of glulam constru-;tion and the adequacy of glue bond. by 4t Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS -A RELATED CORPORATION OF APA -THE ENGINEERED WOOD AS6Oc1AriON BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (53Q 538-7541 FAX#: (530)538-2140 WEBSITE www.buttecounty.neAdds 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. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or 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.). 14— 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 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 is issued. ❑ 1 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 #: 14LL I certify that in the performance of the work for which this permit is / issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: no i`7 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP041769 Issued Date: 09/21/2004 APN:065-080-010-000 Site Address: 15209 SKYWAY MAG Map Index: Description: ADDITION(309) Owner: KING,ROBERT & JUDITH 902 DEL PASO BLVD #21 SACRAMENTO, CA 95815-3525 Applicant: KING,ROBERT & JUDITH Contractor: License #: Architect: Engineer: Total Square Ft: 309 S. F. Valuation: $20,085.00 Census Code: F61 Rleil q G �,q I? CONSTRUCTION LENDING AGENCY This permit is hereby issued un l applicabie provisions of the Bette Cr,;,nty Coda ?nr:�cr I hereby affirm that there is a construction lending agency for the Res I tions t do work indicat d ab ve for which fees have been paid. /y performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY� _,/� Date: / PERMIT EXPIRES ON: `7 �OS ! (J_ 15 Address: - (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 itis unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represepAives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: % I Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041769 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN: 065-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 15209 SKYWAY MAG Map Index: Date: Contractor: Description: ADDITION(309) 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: KING,ROBERT & JUDITH permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 902 DEL PASO BLVD signed statement that he or she is licensed pursuant to the provisions of #21 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 SACRAMENTO, CA 95815-3525 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•- KING,ROBERT & JUDITH 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.). 12k 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' -• 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: License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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: Total Square Ft: 309 S.F. Valuation: $20,085.00 Census Code: Policy #: 1 14[L I certify that in the performance of the work for which this permit is f7 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: � —� (�% / Applicant: WARNING: Failure to secure workers' compensation coverage ione unlawful, and shall subject an employer to criminal penalties and e hundred thousand dollars ($100,000), in addition to the cost of Q� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �n / n CONSTRUCTION LENDING AGENCY This permit is hereby issued un he applicable provisions of the Butte County Code 2nr0er I hereby affirm that there is a construction lending agency for the Resolutions t 91do work indicat tl a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) I Name: By: Date: PERMIT EXPIRES Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized 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 represee Ives o Butte County to enter/upon the above mentioned property for inspection purposes. Print Name: _I �–� ��/ /f% (� Signature: Date: 5 -Owner ❑ Contractor 0Agent for Owner EI Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 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 OF APPLICATION OWNER Name Address /-FO-0 City�i� Stat �j� Z p Phon13 3& e b ax 91 (0 q> E-mail n ARCHITECT/ENGIN R CONTRACTOR Name Address Address Citya,t City Phone �� SCl State Zip Phone Carrier Fax E-mail Lot # Lic. # Class n ARCHITECT/ENGIN R Name 14 Address Address Property Address Citya,t State CIS Zip Phone �� SCl x E-mail State Li Number 0 APPLICANT NAME LOCATION Address Flood Zo a Property Address SRA es No Occ. ME 1., %�j' For office use onl LOCATION Zoning Flood Zo a Property Address SRA es No Occ. Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Name Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. B 1 :6:1 Description or Sc a Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ount: <,! %, l S Bldg Receipt MLO.,�(gl 3 Sheriff SMIP Other Date: , /✓(� �._ 14' Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 LOCATION Al fi _ �v O l0 Property Address Cross Street �- WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Sc a Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ount: <,! %, l S Bldg Receipt MLO.,�(gl 3 Sheriff SMIP Other Date: , /✓(� �._ 14' Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. o 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! , ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ .5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO'GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for -truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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 b the engineer. eer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ � 11. Sanitation and:site plan approval from the Environmental Health Department. If you have questions or would like -additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541., _ . OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: � ✓l �f ASSESSOR PARCEL NU R0 5% ' �v O V Proposed Building Use: Q `h o'1 / r C 1'ti'ly dLe ( Counter Technician. Date: Itoms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. -®- 4. Engineered truss details and layouts in duplicate. No faxes! ,.8.. 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner --v ❑ 14. Hazardous Material Form j;W► 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑Erosion Control Plan Required........................................................................ ........ �ees as shown on the attached Schedule of Fees Due Sheet .............................. i5� 22. City of Chico,Plumbing permit ............................ " . ................ REs�r T, Ta cc F (.1We4- 23. California Department of Fores y plan approvalpaid. Sent byA.:4'Y sit 24. Planning approval (A) Use: T(B)Parking: (C) Parcel CF eck:V;Ls/oq Oil ❑ 25. Contact Land Development a o t _ Improvem nts, _ Dr ina .. 26. NPDES Form--.rylLll....... QLU1i9(..(471g�.H...................... p • 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑, 29. Contractor's license information. (Number, Name Style, ssification)................... . Worker's Compensation Carrier and Policy Number ................................... .. 31. Owner Builder Verification (_ Given too ner, ailed to owner)&.:l.S .0.... Letter of Signature authorization... it!l..v i.i�.:........................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informe of the above items a d requirements for obtaining a building permit. Applicant: c` Date: (9 -/�-0y 1. Index permit application for the above items n be ed: Plan heck Letter 2. AdditioSireuired / Z O [`e Contractowner, was advised of th a ove data by ne, ❑mail, ❑counter, by Date: 7 Contractown�(�was advised of the ove data by phone, ❑ mail, ❑ counte by -> Date: Plans reviewed by: l Y �G Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ISO__ OL4,Yellow: Building Division I TO: Building Department FROM: Environmental Health SU ECT: Sanitation Clearance Owner �/ Plan Approve - Sewage Disposal/\ Cleapncp for welling. Other[ Hold final for: Final clearance O.K. for: NOTE: Plot Plan Attached Floor Flan Attschad sent to 8.0. �i %� d... .�r )C Cp Q:�:;I-�l o Loca on AP# a a Su Public Private Well ori/ 1 7, I��,,>,nn s/1 � . ) 0 tri / D 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE 0-d. d l ni C f e iliy 10. B DING PERMIT FEES --- alance Due..................... $ ---Additional Fees Due..,!qq+'!^.o9$ Revised Plan Checking Fee.... $ //�� c� P 2. SCHOOL DISTRICT FEESTCA, �G-J Iry Url(' (paid at School District Office) (form aVilable, after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units A.P. # tY J / DATE 0 -o RECEIPT # DATE REC. Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) 7. SRA �FIRE INSPECTION AND PLAN CHECK FEE aid at Building Division) 152�� 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ X277 �,-% ?-6 -� Sq. Fig. Amt. �--s 10. OTHER 1 At time of permit application, was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changing a la checking process. APPLICANT V DATE Pursuant to Government Code Section 66020,O"ec hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the pr fromthe imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) wY • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District W L o�� '- l ,y "t 1 Building Department No. �l / / -76 A.P. Number 0 Uf�b-'�DyVJuris/diction: City County Property Owner U Property Location/Address U Subdivision Lot No. k .........................:.:..................................:...................................... Residential Development Q Q Sq. Footage ✓ D No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ................................................................................................ _... R Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative / Date District Identification No. ��%' Of 9A ' School District certifies that (Applicant) 0 (Street Address) (Phone Number) has complied with the requirements of Resolution No. Representative Paid by Check # square feet. Remarks: " (state► (zip code) by payment of $ r 2926 $ r FULL MRIGATION $ Date ,J —OW NoMoe: You nary protest the Imposition of the fees IdsntI ied above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the dab fess are pail. Failure to submit a timely written protest will prohibit you from ehNbnping the Imposition of the fees In any court action. K, subsequent to the School District Representative signing this Bulb County Schools Impact Fee certification Form, the School Dls# % Is uAIR by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Amt (CEQA). this project may be subject to additional school fees to fully n tlpate He Impact on On sch"schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm Sep 20 04 09:12a OWNER SUII,DER VERIFICATION AtUntion Property Owner: An °`ownerb", d ' building p=it has been applied for in your name and bearing your signature: Please CmVIde and retum this infommation at your earliest opportunity to avoid uYm =sexy delay is proms 'and issuing Your building permit No building pemait will be issued unta this verification is received. 1. I personally .plan to provide tha major labor and materials for construction of the proposed proPry improvement : YES _ NO 2. T IIAVE HAVE NOV. "fid an application fDr a bud ' 3. T have co 'th the fo p=nit for the proposed work - a (firm) to pm -vide the proposed construction: i�IANfE: _ S d v C- d��,2.v . •� c1�rr�%AWIMAWWW-• .. O a y Y ?M2 CONTRALTOWSl KAMM: 1l. PHONE: ' • nr• . r M" r u .. • e: r 1 e . . a t ..n�a �E "- -e a t r a NIJU L SECURITY N)ilMM: NOTE: ThisO wn-er-Stul'&r VerrWadoniregr�d by Secton 19831 and 19932 of theC nrnt" SeaUh an Sufev WP rAft L_ T -e_ j p.5 0 PROJECT PROCESSING RECORD Applicant: Ikj Gi �4Ct Owner: A.P. O I Permit #: Work Description: Date 1�- t3 Description of Step or Status prb V..dA t,,c i 5� wx 's, -I D e/"�-L& CAW T - thug 20 04 08: 28e P • 2 August 12, 2004 Robert King 15209 Skyway Magalia, CA 95954 Department of Development Serviceso Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530)538-2140 FAX Assessor Parcel Number: 065-080-010 Building Permit Number: 04-1769 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM, Your complete and clear response will expedite`tlie re -check and approval of this project. NON TR QIURAL COMMENTS: Provide dimensions for windows in the office. The existing family room is no longer provided with the required light and ventilation as it no longer has an exterior wall. In order to comply with light and ventilation requirements of the building code any room may be considered as a portion of an adjoining room when one half the area of the common wall is open and unobstructed and provides an opening of not less than one tenth of the flocr area of the interior room or 25 square feet, which ever is greater. You do not meet the requirement for one half the area of the wall to be open and unobstructed. Please revise plans to meet this.requirement. 3. Please revise the energy calculations for the addition alone. The existing square footage may not be included. Minimum wall insulation is R-13 and minimum duct insulation is 4.2. you may revise•calculation for "existing plus addition" but you must model entir G house and submit floor plan with all windows noted. /to yA40-vj Provide elevation views for east and west orientations of the building. 5. Correct electrical floor plan per floor plan on sheet L. Provide location, method and attachment for braced wall panels. Provide schedule if using different of panels. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter.staffwill answer any questions concerning the Data Sheet. 1 of 2 qug 20 04 08:28a O'� Martha Christy Plans Examiner Cc: Tula Hagee 2 of 2 p.3 F RAN REVIEW RESPONSAOre In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be alic response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate you response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME •Il n �/.�� DATE: ASSESSORS PARCEL NUMBER PERMIT NUMBER &4.� m4 RESPONSE FOR PLAN CHECK LETTER DATED: �sT 12� 26ab� PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: '- 1 PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLAN CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS.- COMMENTS: • tL�� h� lu 11 lJ PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: .4 Sal 4�Na�irr-- 1 COMMENTS: 110P� PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: A CO '� � • i wolf COMMENTS _ _ RESPONSE FOR PLAN CHE ETTER DATED sdl U*; PLAN CHECK ITEM N RESPONSE BY: COMMENTS: G S m PLAN CHECK ITEM IRESPONSE BY: LOCATION ON PLAN fZ LOCATION ON PLANSICALCS: PLAN CHECK ITEM N CHECK ITEM N RESPONSE BY: RESPONSE BY: LOCATION ON PLANS/CALCS: TION ON PLANS/CALCS: PLAN CHECK ITEM N RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM N RESPONSES LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM N RESPONSES LOCATION ON PLANS/ CALCS: COMMENTS: PLAN CHECK ITEM N CHECK ITEM N RESPONSE BY: RESPONSE BY: LOCATION ON PLANS/CALCS: TION ON PLANS/CALCS: August 12, 2004 Robert King 15209 Skyway Magalia, CA 95954 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor -Parcel Number: 065-080-010 Building Permit Number: 04-1769 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: Provide dimensions for windows in the office. The existing family room is no longer provided with the required light and ventilation as it no longer has an exterior wall. In order to comply with light and ventilation requirements of the building code any room may be considered as a portion of an adjoining room when one half the area of the common wall is open and unobstructed and provides an opening of not less than one tenth of the floor area of the interior room or 25 square feet, which ever is greater. You do not meet the requirement for one half the area 1105 of the wall to be open and unobstructed. Please revise plans to meet this requirement. Please revise the energy calculations for the addition alone. The existing square footage may not be included. Minimum wall insulation is R-13 and minimum duct insulation is 4.2. you may revise calculation for "existing plus addition" but you must model entire house and submit floor plan with all windows noted. Provide elevation views for east and west orientations of the building. ,:R! Correct electrical floor plan per floor plan on sheet 1. A Provide location, method and attachment for braced wall panels. Provide schedule if using different types of panels. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. 1 of 2 Martha Christy Plans Examiner Cc: Tula Hagee 2 of 2 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACSIMILE COVER SHEET Date:. C12 (0 0 To:Lb�,2ArlckllKi n ol From: 114mmien, Subj ect: "-PI a a CJ h e i e e, (, e -o -t ? Number of pages (including thi's cover sheet): �3 Fax Number: t7' -7. - If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: Review and respond accordingly. For your information only. Sincerely, CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLAAEOUS ONLY Owner: Building Permit Number: d q — -7b I Plans Examiner: Mar' a Christy . A. P. Number: n10 ` 0a 0 0 Q) GENERAL: 1. Zoning requirements — (number of permitted living units). 2. Plans signed by the designer. 3. Proper description of work on the application. 4. Existing violations on the property. 5. Recorded notice of violation. 6. Building permit valuation. PLOT PLAN: A' Complete parcel size and dimensions. t� Setbacks, side yard, easements, etc. 3. Other buildings or structures. 4. Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on Parcel Map: Noise ❑ SRA ❑ , Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑. 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. 8. Building or utilities across lot lines .(Lot merger approval by Butte County Land Development.) FLOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).2 ( 2.J 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). ra ykvi U ROOM he F e Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. a minimum net °' clear openable height dimension shall be 24". The minimum. net clear openable width dimension shall be 20". --n "/,9 , When windows are provided as a means of escape or rescue,.they shall.have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). 4. Skylights (Uniform Building Code section 2409 & 2603.7). 5. Glazing in Hazardous locations (Uniform Building Code section 2406). -6. Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). 7. All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). 8. GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). 9. Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). 10. Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). 11. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). 12. Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). 13. Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). 14. Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 CO 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). RUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC sectio�p 23� 20.4.1.) Braced wall lines must be continuous throughout the structure. i-OCce4-10✓1 Me-+*7<XA� R fac-kme'^*- - -5 eiAU'& 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 8. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). . 12. Stud heights. 13. High expansive soil - special foundation design required. 14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. J If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total / net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. SCELLANEOUS ITEMS: 1. Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). 6. Foam insulation - protection. 7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 8. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). 9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. Attic access and ventilation (Uniform Building Code section 1505). 43. Sound requirements. /� 3,Energy design compliance and supporting documentation. �(�]CDF responsible area requirements. S BUILI G PERMIT REQUIREMENTS: 1. SRA. 2. ❑ Flood elevation certificate.0 l(T 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing letter. 9 Page 2 of 2 • SITE PLAN REVIEW APPLICATION Date: VWG__� AP# Ci to — 0/ 0 Permit Number (if applicable) �� 742 _ Q t `/V7 APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No Situs Address Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home "OU _1'7Residential Accessory Permanent Second Dwelling l 7 ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family w Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ' ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑- Resolve Problems Prior to Approval Site P an Stamped Approved By �GC Date Page 1 of 5 ALL ITEMS CHECKED APPLY T'O THE PROPERTY Parcel Is In: OF Snow Load Area: oZS00 � j004� ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) � ® Expansive Soils (Test for expansive soils and if verified proper foundation design required) 'id SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ' • Flood Zone: X • Flood Panel No.: to- 0-0 ? L 6 '�DOL Index Date:-' ❑ Sacramento River Reclamation District (Approval must be obtained from the Ca ifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------- —------------- ------- —------ --------- —------------ -------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Tm Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for enc chments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Su vision Map Front 20)1 Side i Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for enc chments into SRA setbacks. Page 2 of 5 �7 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road. ❑ Thermalito Impact ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement 0 North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: ' Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required , .❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with C ty Stand ds for Deed C eation: ❑ No El Yes Comments: all- ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment. ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be' submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control planfor the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Paae 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc r Page 5 of 5 TABLE OF CONTENTS TOC Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Pro'ect Address 15209 SKYWAY ******* MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 TABLE OF CONTENTS Report Page FORM CF -1R ................ Building Permit Plan Check Date Field Check/ Date Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 ******* Project Address........ 15209 SKYWAY MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 11 Climate Zone........... Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION �fQ 1 Conditioned Floor Area..... Building Type .............. Construction Type Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... .9 ' sf netached /'Addition Alone Front Facing 90 deg (E) 0.3 1 Slab On Grade 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING SHELL INSULATION Component Frame Building Permit Plan Check Date Field Check/ Date Climate Zone........... Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION �fQ 1 Conditioned Floor Area..... Building Type .............. Construction Type Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... .9 ' sf netached /'Addition Alone Front Facing 90 deg (E) 0.3 1 Slab On Grade 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments Wall NoneR-0 R-0 0.151 Wall Wood R-11 R-0 R-11 0.098 Wall Wood 1 R-0 R-21 0.059 S1abEdge None R-0 R-0 F2=0.760 S1abEdge None R-0 R-0 F2=0.510 Roof Wood R-19 R-0 R-19 0.051 FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins Window Left (S) 4.0 0.350 0.400 Standard Standard Yes Window Left (S) 10.0 0.350 0.400 Standard Standard Yes Window Left (S) 8.0 0.350 0.400 Standard Standard Yes Window Back (W) 10.0 0.350 0.400 Standard Standard Yes Door Back (W) 20.0 0.350 0.420 Standard Standard Yes Window Back (W) 20.0 0.350 0.400 Standard Standard Yes Window Back (W) 20.0 0.350 0.400 Standard Standard Yes Window Right (N) 8.0 0.350 0.400 Standard Standard Yes CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 SLAB SURFACES Area Slab Type (sf) Standard Slab 929 HVAC SYSTEMS ACCA Manual Thermostat D Type No Setback n/a Setback *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS Refrigerant Tested Equipment Minimum Charge and Duct Duct Duct Type Efficiency Airflow Location R -value Leakage HPSplit 6.60 HSPF n/a Attic R-2.1 No NoCooling 10.00 SEER No None R-n/a n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ACCA Manual Thermostat D Type No Setback n/a Setback *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24; Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... JOHN RANDALL Company. JOHN RANDALL & ASSOCIATES Address. 5439 BLACK OLIVE DR. PARADISE, CA 95.969 Phone... (530) 877-5912 License. Signed.. e ORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. date DOCUMENTATION AUTHOR Name.... ROBERT A. MANGRUM Company. Paradise Mechanical Address. 5655 Almond Street Paradise, CA 95969 Phone... 530-877-8882 Signed.----f1�/ date MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Project Address........ 15209 SKYWAY ******* Documentation Author... Climate Zone........... Compliance Method...... MAGALIA, CA ROBERT A. MANGRUM Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 11 MICROPAS6 v6.01 for *v6.01* ******* 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). Design- Enforce- er / ment *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Building Permit Plan C Hec Date Fie 1 d Chec Date 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). Design- Enforce- er / ment *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance / with ASHRAE, SMACNA or ACOA. ✓ 150(1): Setback thermostat on all applicable heating and/or cooling systems. ✓ 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 pilot light (Exception: Non -electrical cooking appliances / with pilot < 150 Btu/hr). ,/ LIGHTING MEASURES Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible / lighting control panel at an entrance to the kitchen. ✓ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 ******* Project Address........ 15209 SKYWAY MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 MICROPAS6 ENERGY USE Building Permit Plan Check Date Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 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 Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 929 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 0.3 1 ReducedYear Slab On Grade 1 7432 cf 929 sf 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE Residence 929 7432 0.30 Yes Setback Vent MICROPAS6 ENERGY USE SUMMARY Height Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 19.29 21.14 -1.85 Space Cooling.......... 8.08 6.00 2.08 Total 27.37 27.14 0.23 *** Water Heating not calculated *** 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 Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 929 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 0.3 1 ReducedYear Slab On Grade 1 7432 cf 929 sf 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE Residence 929 7432 0.30 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 2.0 Standard No COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments HOUSE - New 1 Wall 62 0.151 0 180 90 No MASSWALL 2 Wall 48 0.098 11 180 90 Yes W.11.2X4.16 3 Wall 56 0.059 21 180 90 Yes W.21.2X6.16 4 Wall 250 0.059 21 270 90 Yes W.21.2X6.16 5 Wall 62 0.151 0 0 90 No MASSWALL 6 Wall 62 0.098 11 0 90 Yes W.11.2X4.16 7 Wall 56 0.059 21 0 90 Yes W.21.2X6.16 10 Roof 620 0.051 19 n/a 0 No R.19.2X8.16 11 Roof 309 0.051 19 n/a 0 Yes R.19.2X8.16 PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - New 8 S1abEdge 40 0.760 R-0 No 9 S1abEdge 47 0.510 R-0 No FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC HOUSE - New 1 Window Left (S) 4.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 2 Window Left (S) 10.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 3 Window Left (S) 8.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 4 Window Back (W) 10.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 5 Door Back (W) 20.0 0.350 0.420 270 90 Standard/0.76 Standard/0.68 6 Window Back (W) 20.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 7 Window Back (W) 20.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 8 Window Right (N) 8.0 0.350 0.400 0 90 Standard/0.76 Standard/0.68 OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Surface HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Door 6 Window 7 Window 8 Window Area Left Rght (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 4.0 2.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 10.0 5.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 8.0 4.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 10.0 2.5 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 8.0 6.6 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 5.0 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 5.0 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 8.0 4.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 929 HVAC SYSTEMS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff HOUSE HPSplit 6.60 HSPF n/a Attic R-2.1 No No 0.712 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** *** Items in this section should be documented on the plans, installed to manufacturer and CEC specifications, and *** *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS HVAC SIZING Page 10 HVAC Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Pro'ect � Add e 15209 SKYWAY ******* r ss........ MAGALIA, CA *v6.01* Documentation Author..-. ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 929 sf 7432 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar... Glazing Conduction............ Glazing Solar ................. Infiltration...... ............. Internal Gain ................. Ducts ......................... Sensible Load ................. Latent Load ................... 90 deg (E) Heating Cooling (Btuh) (Btuh) 6115 1819 Building Permit 79 Plan Check Date Field Check/ Date Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 929 sf 7432 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar... Glazing Conduction............ Glazing Solar ................. Infiltration...... ............. Internal Gain ................. Ducts ......................... Sensible Load ................. Latent Load ................... 90 deg (E) Heating Cooling (Btuh) (Btuh) 6115 1819 1400 735 n/a 2529 4227 1275 n/a 630 1174 0 12917 6989 n/a 1398 Minimum Total Load 12917 8387 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. TABLE OF.CONTENTS TOC Project Title.......... KING ADDITION Date..05/18/04 15:40:12 ******* Project Address........ 15209 SKYWAY MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 1 Climate Zone........... 1 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 Building Permit Plan Check Date Fie C ec Date Climate Zone........... 1 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 ******* Project Address........ 15209 SKYWAY MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Building Permit Paradise Mechanical 5655 Almond Street Plan Check Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 929 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 0.3 1 Slab On Grade 10.8 0 of floor area 0.35 Btu/hr-sf-F 0.4 8 ft Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments Wall None R-0 R-0 R-0 0.151 Wall Wood R-11 R-0 R-11 0.098 Wall Wood R-21 R-0 R-21 0.059 SlabEdge None R-0 R-0 F2=0.760 SlabEdge None R-0 R-0 F2=0.510 Roof. Wood R-19 R-0 R-19 0.051 FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins Window Left (S) 4.0 0.350 0.400 Standard Standard Yes Window Left (S) 10.0 0.350 0.400 Standard Standard Yes Window Left (S) 8.0 0.350 0.400 Standard Standard Yes Window Back (W) 10.0 0.350 0.400 Standard Standard Yes Door Back (W) 20.0 0.350 0.420 Standard Standard Yes Window Back (W) 20.0 0.350 0.400 Standard Standard Yes Window Back (W) 20.0 0.350 0.400 Standard Standard Yes Window Right (N) 8.0 0.350 0.400 Standard Standard Yes CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 Equipment Minimum Type Efficiency HPSplit 6.60 HSPF NoCooling 10.00 SEER SLAB SURFACES Area Slab Type (sf) Standard Slab 929 HVAC SYSTEMS Refrigerant Tested Charge and Duct Duct Duct Airflow Location R -value Leakage n/a Attic R-2.1 No No None R-n/a n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ACCA Manual Thermostat D Type No Setback n/a Setback *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... JOHN RANDALL Company. JOHN RANDALL & ASSOCIATES Address. 5439 BLACK OLIVE DR. PARADISE, CA 95969 Phone... (530)77-5912 License. N ORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate DOCUMENTATION AUTHOR Name.... ROBERT A. MANGRUM Company. Paradise Mechanical Address. 5655 Almond Street Phone. Paradise, CA 95969 530-877-8882 ate 7 C---/ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Project Address........ 15209 SKYWAY ******* Documentation Author.. Climate Zone........... Compliance Method...... MAGALIA, CA ROBERT A. MANGRUM Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 11 MICROPAS6 v6.01 for *v6.01* ******* 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. Building -79 Permit Plan Check Date Field Check/ Date 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.301, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality / standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. AA 150(f) Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. Nle 150(e): Installation of Fireplaces, Decorative Gas Appliances —7 ` and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. ✓ 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. ✓ *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 Us.er-Paradise Mechanical Run-RANDAL35 TITLE 24 1721 pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room. or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures / are IC (insulation cover) approved. / COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Pt Add 152 09 SKYWAY ******* ro�ec ress........ MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 MICROPAS6 ENERGY USE Building —79 Permit Plan Check Date Field Check/ Date Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 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 Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage..:...... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Volume Zone Type (sf) (cf) 929 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 0.3 1 ReducedYear Slab On Grade 1 7432 cf 929 sf 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING ZONE INFORMATION # of Dwell Cond- Thermostat Units itioned Type HOUSE Residence 929 7432 0.30 Yes Setback Vent MICROPAS6 ENERGY USE SUMMARY Height Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 19.29 21.14 -1.85 Space Cooling.......... 8.08 6.00 2.08 Total 27.37 27.14 0.23 *** Water Heating not calculated *** 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 Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage..:...... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Volume Zone Type (sf) (cf) 929 sf Single Family Detached Addition Alone Front Facing 90 deg (E) 0.3 1 ReducedYear Slab On Grade 1 7432 cf 929 sf 10.8 % of floor area 0.35 Btu/hr-sf-F 0.4 8 ft BUILDING ZONE INFORMATION # of Dwell Cond- Thermostat Units itioned Type HOUSE Residence 929 7432 0.30 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 2.0 Standard No COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 OPAQUE SURFACES Orientation HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Door 6 Window 7 Window 8 Window Surface HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Door 6 Window 7 ' Window 8 Window FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC Left (S) Area U- Insul Act 90 Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt 180 Gains Reference Comments HOUSE - New (S) 8.0 0.350 0.400 180 90 1 Wall 62 0.151 0 180 90 No MASSWALL 2 Wall 48 0.098 11 180 90 Yes W.11.2X4.16 3 Wall 56 0.059 21 180 90 Yes W.21.2X6.16 4 Wall 250 0.059 21 270 90 Yes W.21.2X6.16 5 Wall 62 0.151 0 0 90 No MASSWALL 6 Wall 62 0.098 11 0 90 Yes W.11.2X4.16 7 Wall 56 0.059 21 0 90 Yes W.21.2X6.16 10 Roof 620 0.051 19 n/a 0 No R.19.2X8.16 11 Roof 309 0.051 19 n/a 0 Yes R.19.2X8.16 PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - New 8 SlabEdge 40 0.760 R-0 No 9 SlabEdge 47 0.510 R-0 No Orientation HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Door 6 Window 7 Window 8 Window Surface HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Door 6 Window 7 ' Window 8 Window FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC Left (S) 4.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 Left (S) 10.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 Left (S) 8.0 0.350 0.400 180 90 Standard/0.76 Standard/0.68 Back (W) 10.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 Back (W) 20.0 0.350 0.420 270 90 Standard/0.76 Standard/0.68 Back (W) 20.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 Back (W) 20.0 0.350 0.400 270 90 Standard/0.76 Standard/0.68 Right (N) 8.0 0.350 0.400 0 90 Standard/0.76 Standard/0.68 n/a n/a n/a OVERHANGS AND SIDE FINS n/a n/a 20.0 Window- 4.0 Overhang 9.0 Left Fin Right Fin - Area n/a n/a n/a n/a Left Rght 4.0 2.0 (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 4.0 2.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 10.0 5.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 8.0 4.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 10.0 2.5 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 8.0 6.6 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 5.0 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 20.0 5.0 4.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a 8.0 4.0 2.0 2.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... KING ADDITION Date..05/18/04 15:40:12 MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 929 HVAC SYSTEMS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff HOUSE HPSplit 6.60 HSPF n/a Attic R-2.1 No No 0.712 NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. REMARKS HVAC SIZING Page 10 HVAC Project Title.......... KING ADDITION Date..05/18/04 15:40:12 Project Address 15209 SKYWAY ******* MAGALIA, CA *v6.01* Documentation Author... ROBERT A. MANGRUM ******* Bui ing Permit Paradise Mechanical 5655 Almond Street Plan Check Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RANDAL35 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run-RANDAL35 TITLE 24 1721 GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 929 sf 7432 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar... ................. Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... Minimum Total Load 90 deg (E) Heating Cooling (Btuh) (Btuh) 6115 1819 1400 735 n/a 2529 4227 1275 n/a 630 1174 0 12917 6989 n/a 1398 12917 8387 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. NOTES RESIDENTIAL PERMIT NO. — 065-080-010 Y 04-1897 ' KING, ROBERT 15209 SKYWAY, MAGALIA Cont: GREENE ROOFING t; NEW PRI DET GARAGE r r• r G s r' t� �t4 y: Y` ,S SPECIAL CONDITIONS / CHECKED BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 JOB FINALED (Date) 172.,OV Signature Z2� r' itt SPECIAL CONDITIONS / CHECKED BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 JOB FINALED (Date) 172.,OV Signature Z2� J ='QK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 12. Braced Wall Panels ly If Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ MISCELLANE Date DEC � OVERS, CARPORTS RA (Plans) OK except #'s JJIZAing Requirements -Set -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures orts; Windows -Doors ectric mg.; Sills-Anchors-Studs-Rftrs-Trusses C.AnS'ding; Nailing -Veneer -Stucco -Mesh 1 oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels ly If Date Card B-1 ate Card B-1 Date Card B-1 ate Card B-1 Date POOLS (Plans) OK LKxcept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please 96ntact this office immediately. C . '') V bV l 4'- �7-nj ct sf owv _V L) 03/25/2004 13:46 5303431124 WESTERNWOODS EWP PAGE 01/01 Mani I • • -916-ym 1111 X1 APA__=Vff%V Certificate of Conformance, Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP' Computer Program For Determining Design Stresses AITC 117-93 —Manufacturing -- Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and 9iueline bond quality. w ° 0Q''�. Q'`p�.P U�qr� ��•�M } 5EAL. x *`i♦ �t�1s�1A by �J j Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS to a related corporation of APA — TWE ENGINEERED WOOD ASSOCIATION 7011 South 19th Strout • P.O. Box 11700 - Taooma WA 98411-0700 Telephone; (253) 586.8800 • Fax Numper (253) 565-7285 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041897 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN• 065-080-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 15209 SKYWAY MAG Date: Contractor. Map Index: Description: DET GAR(529) 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: KING,ROBERT &JUDITH permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 902 DEL PASO BLVD signed statement that he or she is licensed pursuant to the provisions of #21 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 SACRAMENTO, CA 95815-3525 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: KING,ROBERT 8r JUDITH 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 Contractor: 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: License #: 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 Architect: is issued. Engineer: ❑ 1 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: Total Square Ft: 529 S. F. Valuation: $12,696.00 Census Code: Policy #: I 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. 9 —.2-1-0 Date: % Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �� 47, CONSTRUCTION LENDING AGENCY This permit is hereby issued under thea livable provisions of the Butte Cnunty C'.odR anftr I hereby affirm that there is a construction lending agency for the Resoluti ns to d work indicated abov fo which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY a Date: (J PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly 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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: / Signature: Date:1511�0-L/ caner ❑ Contractor L3 Agent for Owner ❑ Agent for Contractor " COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET66.Y- Proposed OWNER: / ASSESSOR PARCEL NUMBER Building Use: D54.6Wi eeCounter Technician: TF Date: 40 '"q-/- Q required in order to apply for a permit. AI b xes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations -f0 Wel 4. Engineered truss details and layouts in duplicate. No faxes! �vi�� f'Y(k/Y� G C 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans fall -h duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ Letter of intent for non-residential buildings 1bDetached Accessory Building Form filled out by the owner rnal 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in �hico ❑ Oroville; as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ ❑ 22. City of Chico Plumbing permit................................�.:.................. plan approval aid. Sent by:' ............. 23. California Department of ForeCB)Parking: 24. Planning approval (A) Use: Q(C) Parcel Check: q 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form .......................... .. .... (327. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... '�, ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, al ed to owner) ..................... 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: �. b 39. Other: When issued Telephone and hold for pickup. „ I have been informed of the above items and requirements for obtaining a building permit. Applicant: X1{^/7 / \ Date: 1. Index pef"mit application for the above items nbmffe-red: Plan Check Le er 2. Additional sreouirnad re Contractor, design r, owne6 r as advised of the above data by phone, Cl mail, ❑ counter, b Date: Contractor, designe , e , was advised of the above d to by 0phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: C( , I D Plans approved by: _ �IL� Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. U49 asp v ti fiat Plan Attached rM& Plan Atwcttad • I' Sent to B.D. t-0 w(� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z-�LA K Owner Lo ation AP# Plan Approved for: S w al � Water Sup y: Public Private Well rance for dw ing. Other PD Clran ( •_U I -, I y , IV Hold final for: Final clearance O.K. for: NOTE: Environmen 8/96 Sep :.20 04 09:12a MOM OWNER-BUI ELDER VERIFICATION Attention Property Ovnmw An `towner-bui1CW' building permit has been 2PPlied d for in your name aad bearing your signatzae. Please complete and retam this info=ation at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit. No building peamit will be issued until this verification is received. 1, I personally plan to provide the major labor end materials for construction of the proposed Property improvement : YES `�� ' NO', 2. - I HAVE— HAVE NOT `signed an application for a building permit for the proposed work 3. 1 have contracted with the fob owing person (firm) to provide the proposed oonstrnctition: NAIVE: //.'//i A/9 ADDRESS: 7gt!� eV-, CITY: PHON : E 30 9 �J=CONTRACTOR'S LICEIMNo. 4- I plea to provide portions of this work, but I have hued the following person to coordinate, sq=%ise, and prgvide the major wore NAME: ADDRESS: CITY: PHONE: • •- • 1 •ft • - •R •t � • 1�1 - - fIR' • •1 1 � • err ILII �! ;r• t t • t • C' o•�•t C EL L t " S 0 CML SECURITY NUTYMM-- DATE: NOTE: Tkfs 0wner-3uilder Vf-rcficadOn is required by Sectfou 1983.1 and 19832 of the California Sea&h and Safefy Code. 77izv vertkatian must be completed and p.4 Sep 20 04 09:11a p.2 PROPOSED USE (check only one box) t.:_, sidential Storage Shed — I will be storing t r be used for an other -,("thus building and it will Y pine (no bathroom and no heating or c,,;; 2. fig4rivate Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building orbuildings on the premises are stored or kept." A saraee door is required 3., ❑ Resldential Carpo rt — A covered structure intended for parking of vehicles. Two or more sides must be ertireiy oocn #. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to'a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ Recreation Room ❑ Game Room 0 Shy Q❑ Lib In-law quarters El Bonus Room ❑ Playroom ❑ Den �' ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Studio ❑ Sew� Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room [j Sun Room ❑ Private Office ❑ Workshop ❑ Home Occupancy ❑ Other— Use h. Dcwrmbe npeorWarL - 2 Mum be a M"ed by 6e Buee Coney plww k% Dire Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation_ Additional Information: Plan review will not be started until this form Is completed and received. A Plans Ezandner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above infatuation is true and correct. I oaderstaitd that my changes to the use, or cihazacter of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Oumer's Flame: Please PrintAl (� p% darter's Signature: Date., 2 of 2 Department of Development Services/SBU - TY Building Division UL 0 2 20% 7 County Center Drive Oroville, CA 95965 DEVELOPAMNT (530)538-7541, (530) 538-2140 FAX SERVICES ;'tt '. DETACHED ACCESSORY BUIL G OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signe y the property owner, and returned to the Butte County Building Division. Attached Acce sory Buildings and Additions will be checked for residential use. Exception: Garages and orts. �� ^� Owner: P ne. T��, Mailing Address aZ. d /3 �/,C p C�� 5W1 Site Address: Assessor's Parcel Number: Please answer questions 1-16, and explain this form GENERAL WFORAMATION: 1. Is there a primary dwelling on the o Zone: Tm— Ps 1n!wvers for questions 2-14 in the space provided on page 2 of 2. Is the structure already built, and construction, or under notice of code violation? 3. Will items produced in this bui ' g be offered for sale? 4. Will the public have access t s building? 5. Will any advertising, on or ff site, be associated with the use of this building? SITE CONDITIONS: 6. Is the stnicture foundati n within 5' of septic tank or 10' of leach lines? 7. Is any portion of the s cture located closer than 20' to your front property line?. 8. Do you plan to add driveway or modify existing access to a county maintained road? 9. Will the proposed cture encroach within any recorded easement? CONSTRUCTION ATURES: 10. Will this buil ' g have insulated floor, walls, or ceiling? 11. Will this buil g be heated or cooled? 12. Will this b 'ding have a water closet/toilet? 13. Will this b Iding have a sink? 14. Will this uilding have a water heater? 15. What ((t�pe of floor covering «ill the building have? CQ/}i/C� p 16. What type of mall covering will the building have? OVER 1 of 2 Yes FA No ❑ Yes ❑ No & Yes ❑ No Yes ❑ No Yes ❑ N05 Yes ❑ No [& Yes ❑ No 5 Yes ❑ No (f Yes ❑ No ®' Yes ❑ No a Yes ❑ No & Yes ❑ No Yes ❑ No Yes ❑ No a PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage —-A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A earaee door is EMuired.. 3. ❑ Residential, Carport- A covered structure intended for parkirig of vehicles. Two or more sides must be -entirely open 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the cues below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy Z ❑ Other — Use = 1. Desrnbe type or WorUbop Mm be approved by the Buse Courcy Plwwt4 Division ' Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation- Additional xplanationAdditional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with speck requirements per the use.indicated. _ I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.: O«,m r,-s,Name: Please Print Opener's_ Signature:,_ 5 • . 2 of 2 Date: s MEMORANDUM f TO: �✓ S -4L14 -DI -11y lb/V A�N D FROM: JIM PULLING , ........Z= _ BUTTE COUNTY TREASURER DATE: SUBJECT: CREDIT DEPOSIT CHECK A check deposited by your department has been retumed by the bank and cannot be re -deposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit within the next week. Within the next three (3) working days, please provide all information as to which funds to charge. If we are not provided with the information from you, we will charge the check to a fund we feel is correct. You can then verify the credit deposit when received and if the fund is incorrect, process a transfer with the Auditor's office. This procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. Reminder: There is a $25.00 special handling fee on all returned items. Per County Ordinance #2967. If you have any questions please call me at 538-7576. Also, you may FAX this information to us at 538-7648. ,t ' •--, / Counter Tammie Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 6/18/2004 04-1769 ' 1405777. 4741 065-080-010 IKING, ROBERT L'�t Wednosde Jul U7 1UU4 �, Yi Y M IIP\/PIrll�lPri# ti6"n"CPR llw+ w $0.00 TUA (Therm. Urban Area) BIJILfJshaG[i.ilu $0.00 West Chico Fire Station $0.00 Witness Fees Counter Tammie Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 6/18/2004 04-1769 ' 1405777. 4741 065-080-010 IKING, ROBERT Received From I TULA ELIZABETH HAGEN(AGENT) Total Received JF -• $579.16 Total Fees To Collect Notes: I i Fund 10 (Bldg Permits) I $536.16 SRA Fees (Fire) )0 SHR Fees (Sheriff) $0.00 SMIP $0.00 Copies/Document Sales $0.00 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) Water Tender Btln #� $0.00 West Chico Fire Station $0.00 Witness Fees . $0.00 Recorders Fees (N.O.C) r $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 PERMIT rain !APN LAST NAME FIRST NAME . ' • : CONTRA CTOR_Mj7,9MO MM CITY/CTY STREET NO e- STREET NAME CITY ' USE TYPE 'REMARKS 25 char. max LBE [E:M: (M Mi VALUATION _ a FLOOD _ FEES PAID:- - RECEIPT Q M} APPLIED • FEES 2 IRECEIPT 2 ISSUED FEES 3 RECEIPT 3 FEES 4 __ IRECEIPT4IFINALED PLAN CHECK ACTIVITY Plan Chk-1: �Chkd By-1: =' Return-1: Str Chk-1: Plan 6hk-2:-„Chkd By-2: _ Return-2: Str Chk-2: Plan Chk-3: Chkd By-3:M Approved: Str Aaur: F BUTT:: -for B P �- l N 7 COUNTY JUL 0 2 2PO4 DEVELOPMENT OWNER-BUILDERVERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. r . 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES O NO @L. �2• I HAVE 13 HAVE NOT Mtkgned an application for a building permit for the proposed work. 3. I have contracted wi a following arson (f=) to provide the proposed construction: NAME: Da(i r r ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: :A, CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: , PROPERTYOWNER SOCIAL SECURITY NUMBER: DATE: 73 O D C NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the. California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFOR1tiIATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified.- For pecified.For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to, put their license number on all permits for which they apply. - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should . be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or .more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. - ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not catty out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contmggrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please Complete I e "Owner Builds•.• V er ificzion" or the reverse side of Uhis It) -ilii so ihat we can cuntrrlll that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Healtlr and Safety Code OVER tT•`71 aOO �oioe�i K��►G� �u.THo2r�ze_ ;ce%aL .T b /qCT' ok) /77Y ).,�j "77 6:7" I mm o i.o G- Pe i' -F') -T S° �� s ao ct spy y, /n ,i-6- yl-; 4� c A 9 �'� -T-F yon- CQ�eeS TIoA's i'e. I r;✓a-L s� �02,�� -7 ev 7 C �3- s��3 M"/ ce.Lc. :5/AJCe2eC-y/ Department C o u n t 1 J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538.7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement %LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: O � S Q ffo — 6l b By signing below, I, the project owrier/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 li I _. 77777777-7777�� J� A Jr T[jr MAY2, 12004 DRVVE UNTY CENTER 7" AM 43 7,� 1 1� __ WIX i � � ,, - �� -,� `� 4 7 , — t , d t " ;_� ilt ��:, of �p -4 ..... . 7j F L46 co Jrl J I -T cj I -A— cy') M�._.___ •> i2— J Q) Ln > 'I. Z_ 0 •U • U U till 7751. C5 r 0 00 U �n n T" 'AP PROVIFFID ]Butte coun Enal 1 viro i R re Li J T Ile -I' If L y -I'T (l) I _. 77777777-7777�� J� A Jr T[jr MAY2, 12004 DRVVE UNTY CENTER 7" AM 43 7,� 1 1� __ WIX i � � ,, - �� -,� `� 4 7 , — t , d t " ;_� ilt ��:, of �p -4 ..... . 7j F L46 co Jrl J I -T cj I -A— cy') M�._.___ •> i2— J Q) Ln > 'I. Z_ 0 •U • U U till 7751. C5 r 0 00 U �n n T" 'AP PROVIFFID ]Butte coun Enal 1 viro i R re Li J T Ile -I' If L y -I'T (l) � 75 smod 'I A r: ---- ------ ...... . k 0 A, int ----- ------ -- - E gMRONMENTAL HEALTH l MAY 7 COUNTY CENTER DRIVE 7 - ON, to environmental MAY 2 2004 Ch/co, Califo - -------------- r: ---- ------ ...... . k 0 A, int ----- ------ -- - E gMRONMENTAL HEALTH l MAY 7 COUNTY CENTER DRIVE 7 - ON, to environmental MAY 2 2004 Ch/co, Califo 75 CU V