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066-290-014
0 66�; 29- 4� " A4 L. xENNEBECK F � $ 13739 Ferguson Dr,lot-28, PPCC#4,.Magali Permit#1866-83B,P,E,M(new single. famil _) 66.29-14 92-1247--B,E GUTEIRREZ, Ray• & She'ry1 13739 -Ferguson Dr, Magalia 1 cont: Suome Const addition/sf B06-2705 _ 066-290-014' MISCELLANEOUS HVAC Change Ou HVAC CHANGE OUT 13739 FERGUSON GREMILLION, RICHARD & MICH LE I f Q N N2 fW4 cfli7"coi v c� l ani ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2705 Issued: 11/27/2006 Address: 13739 FERGUSON DR MAGALIA APN: 066-290-014 Permit Subtype: HVAC Change Out Owner: GREMILLION, RICHARD & MICHELE Applicant: KLEENAIR HEATING AND AIR COND Description: HVAC CHANGE OUT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149• Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412. Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 a _ J PERMITS BECOME NULL AND -VOD 1 YEAR FRO 1:ME ,9 COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy �i . P.O. Box 2233 Orangevale, CA 95662 ,, Energy Analysis & Comfort Solutions, Inc. Phone: (916) 698-4185 ' ` Project Information Sheet Fax: (866) 246-5814 www.EACSWeb.com Job Site Contact: Phone: Heat Equip: True Make: CARRIER Heat Capacity: 36 Model: 50X203631 Efficiency: 80.00 Serial: Configuration: Package Time Out: Cool Equip: True Condensor Make: Cool Capacity: 36 Model: SEER: 13.00 Serial: EER: 11.00 Evap Coil Make: Configuration: Package Model: Serial: i est Kesuits: Date: Duct Test: Equip CFM: Tester: New or Exist: CFM Leakage: Time In: TXV Installed: % Leakage: Time Out: High EER: Test Pressure: Signature: CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Michele Gremillion Project Title 13739 Ferguson Drive Magalia Ca 95854 Project Address Aaron Willson 916-922-3995 Documentation Author Telephone 11/16/2006 Date Building Permit # Plan Check / Date Prescriptive 11 Compliance Method (Prescriptive) Climate Zone Field Check /Date Enforcement Agency Use Only nAlternative Component Package Method: (check one) C X D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 1400 ft2 Average Ceiling Height: 8 ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) N/A ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) N/A ft2 Building Type: Single Family Detach Project Type: Alteration (If adding fenestration fill out WS -4R, Fenestration. Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: 1 Number of Dwelling Units: 1 Floor Construction Type: Floor Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). FIRadiant Barrier (required in climate zones 2 4 8-15) OPAQUESURFACES INCLUDING OPAQUE DOORS Componen t Type (Wall, Roof, Floor, Slab Edge, Frame Type (Wood or Cavity Insulation R -Value Continuous Insulation R -Value AssemblyUfactor (for wood, metal frame and mass assemblies) Joint Appendix IV Reference Roof Radiant Barrier Installed (Yes/No) Location/Comments (attic, garage, typical, etc.) i) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed Prescriptive value to show equivalence to R -values. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Michele Gremillion 13739 Ferguson Drive 11/16/2006 Date FENESTRATION PROD l TS _ -FA TOR AND SHGC FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New Construction, Additions and Alterations Fenestration Minimum Distribution Type and Capacity (furnace, Efficiency #/Type/Pos. Duct or Piping Thermostat Configuration heat pump, broiler, etc.) (AFUE or HSPF) (ducts, attic, etc.) R-Valnp (Front, Left, Rear, Right, Skylight) Orientation (N, S, E. W) Area (ft2) U -factor 2 U -factor Source 3 SHGC 4 SHGC Source 5 Exterior Shading/Overhangs 6, 7 Check Box if WS -3R is 36 kBTU 13.00 SEER Attic 4.20 Pro rammable Package 36 kBTU 11.00 EER El EJ El EJ 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A. 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -31R. 5) Indicate source either from NFRC or Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. Heating Equipment Type Minimum Distribution Type and Capacity (furnace, Efficiency and Location Duct or Piping Thermostat Configuration heat pump, broiler, etc.) (AFUE or HSPF) (ducts, attic, etc.) R-Valnp Tvnp 1Snlit or Parkanpl Heat Pump 80.00 HSPF Attic 4.20 Pro rammable D-6- 36 kBTU 13.00 SEER Attic 4.20 Pro rammable Package Cooling Equipment Type and Capacity Minimum (A/C, heat pump, evap Efficiency Duct Location Thermostat Configuration (SEER or EER) (attic. etc.) Duct R -Value Tvoe ISnlit or Packaael Heat Pump 13.00 SEER Attic 4.20 Pro rammable Package 36 kBTU 11.00 EER CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R Michele Gremillion 13739 Ferguson Drive 11/16/2006 ProjectTitle Date SEALED DUCTS and TXVs (or Alternative Measures) A slgnea tr-4K t-orm must be provided to the building department for each home for which the following are required. Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required.) TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR OR Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. For additions and alterations, duct systems that are not documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATFR HFATIN(. SvsT1=nnc ❑ Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling Number in System unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No Standby Loss (%) 1 water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the cnhmittal- Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units. svgtpms cprvinn cinnln rl...ell:.. r.....: a.. Water Heater Type/ Distribution Type Number in System Rated Input (kW or Tank Capacity ' Energy Factor or Standby Tank Thermal Eff. 1 Loss (%) 1 External Standby Loss (%) 1 Tank External Insulation SVStpmA cprvinn mnlfinln rl...oll:.,.....:a.. Water Heater Type/ FuelType Distribution Type Number in System Rated Input '(kW or Btu/hr) Tank Capacity Energy Factor or Thermal Eff. 1 Standby Loss (%) 1 Tank External Insulation 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btulhr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated Input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pine Insulation (kitchen lines > 314 Inches) All hot water pipes from the heating source to the kitchen fixtures that are'/. inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R Michele Gremillion ProjectTitle 1657 Silica Avenue 11/16/2006 i Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) , Indicate which special features are part of this project. The list below represents special features relevant to the Prescriptive and Performance Method. SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms (if applicable) Description ❑ Metal Framed Walls CF -1R Radiant Barriers CF -1R Exterior Shades WS -4R N/A; Performance Calculation r 1 CF -6R part 5 of 12 Cool Roof Required. Attach CRRC Label to Form ❑ Dedicated Performance Calulation Hydronic Heating Required; Attach Run to Forms. ❑ Combined Performance Calulation Hydronic System Required; Attach Run to Forms. Gas Cooling N/A; Performance Calculation Requir Buried Ducts N/A; Indicate on building plans. Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heater See Table 5-13 or use Performance Calculation and attach Run to Forms ❑ Central Water Performance Calculation and attach Run Heating System to Forms. ❑ Non-NAECA Large CF -1 R Water Heater Indirect Water Heater See Table 5-13 or usePerformance Calculation and attach Run to Forms ❑ Instantaneous Gas See Table 5-13 or use Performance Water Heater Calculation and attach Run to Forms ❑ Solar Water Heating See Table 5-13 or use Performance S stem _ Calculation and attach Run to Forms Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms (if applicable) Description Duct Sealing CF -6R part 4 of 12 Refrigerant Charge CF -6R part 5 of 12 Thermostatic Expansion Valve I CF -6R part 6 of 12 i INSTALLATION CERTIFICATE 13739 Ferguson Drive Site Address Iia (Page 3 of 12) Ca 95854 Permit Number: I uk-w An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC, SYSTEMS: HpatiAn Fnuinmant CF -6R Equip. (pkg. Type heat CEC Certified Mfg. Name, Model, and Serial No. # of Identical Systems Efficiency (AFUE, etc)1 >(CF -1R value) Duct Location Duct or Piping R -Value Heating Load (kBtulhr) Heating Capacity (kBtulhr) Packa a CARRIER 1 80.00 HSPF Attic 4 36 Heat Pump 50X203631 11.00 EER I Cnnli I n Fnninmant Equip. (pkg. Type heat pump) CEC Certified Mfg. Name, Model, and Serial No. # of Identical Systems Efficiency (AFUE, etc)1 >(CF -1R value) Duct Location Duct or Piping R -Value Cooling Load (kBtulhr) Cooling Capacity (kBtulhr) Package 1 13.00 SEER Attic 4 36 Heat Pump 11.00 EER Coill I 1. > syrhbol reads greater than or equal to what Is indicated on the CF -1 R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. II, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. COPY Lure and Date O: Building Department HERS Rater (if applicable) Building Owner at Occupancy Kleen Air Installing Subcontractor (Co. Name) 5019-40 OR General Contractor (Co. Name) OR Owner INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R 13739 Ferguson Drive Magalia Ca 95854 Site Address Permit Number: aINSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department W40IA-LrK GIJIVINLIANGt 5TATEMENl The building was: _E71 Tested at Final , El Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ©Remove at least one supply and one return register, and verify that the spaces bewtween the register boot and the interior finishing wall are properly sealed. ElIf the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the FJair 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 J DUCT LEAKAGE REDUCTION Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured F" Values 1 Enter Tested Leakage Flow in CFM: _ 5 C 2 Fan Flow: Calculated (Nominal: _E1 Cooling Heating) or Measured If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating 1 3 Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in: [100 x [ (Line #1) I (Line #2)]] Pass Fail ALTERATIONS: Duct System and/or HVAC Equipment Chan a -Out `M t • -``+ 4 Enter Tested Leakage Flow In CFM from Pre -Test of Existing Duct System Prior to Duct wgxr System Alteration and/or Equipment Change -Out. r 5 Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct N 5V..�r • j System for Duct System Alteration and/or Equipment Change -Out. JS 6 Enter Reduction in Leakage for Altered Duct System '{ 4 [ (Line #4) Minus (Line #5)] - (Only If Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in 1100 x [ (Line # 5) I Line # 2)]] El Pass Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out 9 Pass if Leakage Percentage < 15% [100 x [ (Line # 5)1 iff� Line # 2)]] 13 -q sa t, ` Pass Fail 10 Pass if Leakage to Outside Percentage < 10% [100 x [ (Line # 7) / Line # 2)11 I Pass Fail 11 Pass if Leakage Reduction Percentage > 60% [100 x r (Line # 6) I Line #-E] Atli Pass Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass Fail Pass if One of Lines # 9 through # 12 pass �.{ ' - .z:, ,/ Pass HFail U1, Me unuers,gnea, venry 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 Engergy Efficiency I Signat'bre Date 7 /0Ity Kleen Air Installing Subcontractor (Co. Name) OR 5019-40 General Contractor (Co. Name1 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Isise Ferguson Drive Ma alia Ca 95854 Site Address Permit Number: filo — Q-1 0C F171'THERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermnstatir- Prnanainn tent— are ;., . Access is provided for inspection. The procedure shall F Yes F–] No consist of visual verification that the TXV is installed on F the system and Installation of the specific equipment F shall be verified. F Yes is a Pass ��j Pass Fail U REFRIGERANT CHARGE MEASUREMENT PROCEDURE Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity Btulhr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55oF and above): Procedures for Determining Refrigerant Charge using the Standard Method are available in RACM, Appendix RD2. Note: The system should be installed and charged in accordance with the manufacturer's specifications before starting this Measured Tpmnpraturae Supply (evaporator leaving) air dry-bulb temperature (Tsupply, db) F Target Temperature Split (from Table RD3) F Return (evaporator entering) air dry-bulb temperature (Treturn, db) F Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F F Return (evaporator entering) air wet -bulb temperature (Treturn, wb) F Evaporator saturation temperature (Tevaporator, sat) F Suction line temperature (Tsuction, db) F Condenser (entering) air dry-bulb temperature (Tcondenser, db) F Superheat Charge Method Calrulahnne f— apfri# f`h r ., Actual Superheat = Tsuction, db - Tevaporator, sat F Target Temperature Split (from Table RD3) F Target Superheat (from Table RD -2) F Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F F Actual Superheat - Target Superheat (System passes if between -5 and +57) F Temperature Split Method Calculations for Adequate Airflow Split Method Calculation is not necessary if Adpnuatp eirflnw r ariir iP Actual Temperature Split = T return, db Tsupply, db F Target Temperature Split (from Table RD3) F Actual Temperature Split Target Temperature Split (System passes if between - 3°F and +3°F F or, upon remeasurement, if between -3°F and -100°F) 5019-40 INSTALLATION CERTIFICATE (Page 6 of 12) CF -6R 13739 Ferguson Drive Magalia Ca 95854 Site Address Permit Number: Standard Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. Yes No System Passes Alternate Charge Measurement Procedure (outdoor air dry-bulb below 55 oF) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is 55 of or above, installer shall use the Standard Charge Measure Procedure: Procedures for Determining Refrigerant Charge using the Alternate Method are available in RACM, Appendix RD3. Actual liquid line length: ft Manufacturer's Standard liquid line length: I I ft Difference (Actual - Standard): ft Manufacturer's correction (ounces per foot) x difference in length = ounces (+ = add) (- = remove) Measured Airflow Method for Adequate Airflow Verification available in RACM Appendix Calculated Airflow: Cooling Capacity (Btu/hr) X 0.033 (cfm/Btu-hr) CFM Measured Airflow i9 CFM (Measured airflow must be greater than the calculated Alternate Charge Measurement Summary: System shall pass both refrigerant charge and adequate airflow calculation criteria from the same measurements. If corrective actions were taken, both criteria must be remeasured and recalculated. 0 Yes ❑ No System Passes Signature, Dre Kleen Air Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department 5019-40 HERS Rater (if applicable) Building Owner at Occupancy INSTALLATION CERTIFICATE 13739 Ferguson Drive Site Address M FAN WATT DRAW Prnradurae fnr mane ,A— •t.e ;. I -.•i..-.-...•• A_. -.-.-- Method For Fan Watt r)raw M -6 --nm (Page 8 of 12) CF -6R Ca 95854 Permit Number: (11 n _ -1 DEE c RE3.2. Procedures for field verification and diagnostic testing of adequate airflow are available In RACM, Appendix RE4.1 Method For Airflow Measurement Yes No Duct design exists on plans RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: cfm/ton Yes No Measured airflow is greater than the criteria In Table RE -2 Pass Fail MAXIMUM COOLING CAPACITY Procedures for determinina maximum rnnunn 1— 14 r •„ �.e �., u ti 1 Yes NO I Adequate airflow verified (see adequate airflow credit) RE3.2.1 Portable Watt Meter Measurement Utility Revenue Meter Measurement Refrigerant charge or TXV RE3.2.2 Measured Fan watt Draw: Enter results of Wattslcfm Measured Fan Flow (Enter total cfm from airflow verification) 4 Enter results of Wattslcfm ❑Yes TO NO indicated on the Performance's CF -1R and RF -3. Calculated fan watUcfm Is.equal to or lower than the fan watUcfm draw documented in CFAR ❑ Yes Is a pass Pass ❑ Fail If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be:5 to electrical input in the CF -1R. ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available In RACM, Appendix RE4.1 Method For Airflow Measurement Yes No Duct design exists on plans RE4.1.1 Diagnostic Fan Flow Using Flow Capture Hood RE4.1.2 Diagnostic Fan Flow Using Plenum Pressure Matching RE4.1.3 Diagnostic Fan Flow Using Flow Grid Measurement Measured Airflow: cfm/ton Yes No Measured airflow is greater than the criteria In Table RE -2 Pass Fail MAXIMUM COOLING CAPACITY Procedures for determinina maximum rnnunn 1— 14 r •„ �.e �., u ti 1 Yes NO I Adequate airflow verified (see adequate airflow credit) 2 Yes No Refrigerant charge or TXV 3 Yes No Duct Leakage reduction credit verified 4 Yes No Cooling capacities of installed systems are 5 to maximum cooling capacity indicated on the Performance's CF -1R and RF -3. 5 ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -1R, then the electrical input for the installed systems must be:5 to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a pass HIGH EER AIR CONDITIONER Procedures for verification are available in RACM, Appendix RI. 1 lYes No EER values of installed systems match the CF -1R 2 IYes I No For split system, indoor coil is matched to outdoor coil 3 Yes No Time Delay Relay Verified (If Required) Yes to 1 and 2; and 3 (If Required) is a pass r Tests Signature Date (� Perfnrmed COPY TO: Building Department, HERS Rater, Building Owner at Occupancy Kleen Air ❑ ❑ Pass Fail Pass Fail Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) 5019-40 Dec 08 06 08:49a Patricia Siedentopf 916-973-1145 p.3 Ca1CLRTS - Certificate Page 2 of 7 N1 iCN �'LE C-�, Rom i (lio�t CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pace 1 of 8) CF -4R 13739 Fer usan Drive - 14acalla, Ca 95854 Kleen Air / 481974 _ prole" Addre= Contractor Name / License NO 8062705 Contractor Contact Telephone Permit Number Patricia Siedento f - 916-410-5340 47553 5 R ter r j'% Telephone Samp)e Group Number December 7, 2006 CC14-179A3$6L36 1nyStpnature �'� Date CerrincafeNuRmber Energy Analysis and Comfort ([tions, HERS Provider:t:a10ERT5, Inc, Firm: Inc Street Address: PO Box 2233 City/State/Zip:Orancevale / CA / 95662 Copies to• Homelowner. HERS Provider and Budding Department This CF -4R has been registered with the CaICERTS@ registry In accordance with the Title 24 & Title 20 of the CCR. C_aICERTS® is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was nested R Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and held verification, I certify that the house identified an this form camplies wim the diagnostic tested compliance requ:rements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape Is used before a CF -411 may be released on every tested bulkiino. The HERS rater must not release the CF -4R until a properiy completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system Is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used In combination w!th doth backed, rubber adhesive duct tate to seal leaks at duct connections. o nnurn�■e r. u,r� CA0 ft"f`T 1 ■:AIfAf3C 0Fr11rrTTf9N rnVADI TANrF e2FnT1re NEW CONSTRUCTION Duct Pressurization Test Resultz (CFM 4 25 Pa) Measured Values 1 NIA 2 Fan Flow: Calculated (Nominal '•.•' Cooling •: r Heating) or - Measured Not Tested Enter Total Fan Flow In CFM: 9 N/A N/A ALTERATIONS: Duct System and/or HVAC Equipment Chan e -Out 4 Enter Tested Leakage Flow In CRA `ran CF -6R: Fm -Teat of Existing Duo: System Prior to Dud Not Tested System Alteration and/or Equipment Change -out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System cr Alteled Duct System for Not Tested Dud System Alteration and/or Equipment Change -Out. 6 Enter Reduction In Leakage for Altered Duct System Not Tested [Une 4 - Line 5 - (Only If Applicable) 7 jEnter Tested Leakage Row In CFM to Outside (Only If Applicable) Not Tested 8 Entire New Dud System - Pass If Leakage Percentage < 6% ( 100 x ( Line 5 / Una 2 1): Not Tested �4 Qpass ❑Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change-�0utr use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <0 15% ( 100 x ( Une 5 / Une 2 )): Not Testedpass r ❑Fail 10 Pass It Leakage to Outside Percentage <= 10% ( 100 x ( Line 7 / Une 2 }}: Not Tested :jT pass U Fail 11 Pass If Leakage Reduction Percentage >- 60% ( 100 x ( Une 6 / Une 4 )} Not Tested 11 pass [:]Fail and Verification by Smoke Test and Viseel Inspection 12 Pass If Sealing of all Accessible Leaks and verification by Snwke Test and visual Inspection r�-77 -I J pass ' Fall Pass if 0neot Lines #9 through #12 pass E]Pass ❑Fail httos://www.calcerts.comicf4r_print_certif)cate.cfm?lots=0,47559,47554,• 7555,47553.47558,475... 12/8/2006 k � . 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: 13739 FERGUSON DR Owner: Permit NO: B06-2705 APN: 066-290-014 GREMILLION, RICHARD & MI Issued Date: 11/27/2006 By KCG Permit type: MISCELLANEOUS 13739 FERGUSON DR Subtype: HVAC Change Out MAGALI.A, CA 95954 Expiration Date: 11/27/2007 Description: HVAC CHANGE OUT (530) 873-2477 Occupancy: Zoning:RTI Contractor Applicant: Square Footage: KLEENAIR HEATING AND AIR COND KLEENAIR HEATING AND A' Building Garage Remdl/Addn 1657 SILICA AVENUE 1657 SILICA AVENUE SACRAMENTO, CA 95815 SACRAMENTO, CA 95815 Other Porch/Patio Total (916) 922-3995 (916) 922-3995 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B966 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License KLEENAIR HEATING AND AIR 1481974 / C20 C38 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pu-suant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Co or'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 WORKERS' PENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 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. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-0017793 Exp. Date:10/0112007 Contractors License Law.). (This section nee not a completed if the permit is or one hun red dollars ($100) or less.) ❑ 1 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 11/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date rovisions. 11/27/2006 I hereby certify that I have read this application and state that the above information is coned. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si at re Date AR NG: FAILURE TO SE R ORKERS' 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 ND HALL SUBJECT AN P OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE DRED THOUSAND DOL RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the rcperty owner m authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 11/27/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Pe ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ low Agent for Owner Agent for Contractor ❑ Contractor OR. El FILE COPY Lender's Address City Stat eZip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND' SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name-- first N Mailin dre DR, City / • Stater( City Phony., O - 87 - Sl'7 FaxC�- E-mail APPLICANT INFORMATION CONTRACTOR Name /I/ " eN Address Address City City State State Zip gs.��s Phone _ 3 9�� Fax E-mail State License Number Lic.#i���9 ,� CIas� ao APPLICANT INFORMATION ARCHITECT/ENGINEER Name � � Address State i1 (, City ,phone /Gc g - 3 9 SS" State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name ��iMeS T IV� " Address /� J,.. y �, • /r c A � � City sQa, �e State i1 (, Zip ,phone /Gc g - 3 9 SS" Fax E-mail Subdivision Name APPLICANT SIGNATURE X 0 0 For office use only: Zoning Property Address 13 >_? o _D Flood Zone Cross S reet Vr / "_ f -DR 1'i,e SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJEC//T''��LOCAT/ON AP#� O --VI Property Address 13 >_? o _D City 17Wa oi A' Cross S reet Vr / "_ f -DR 1'i,e Sheriff WORKER'S COMPENSATION Policy Number D D Carrier S a Xe /-T uNl( 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 11 Description/or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �J Received by�y ' Amount: �O r Bldg SRA Receipt #: W W Sheriff SMIP IDate: Other -_1 � Total RESIDENTIAL `�-- 66-29-14 — 92-1247 B GUTEIRREZ, Ray & Sheryl 13739 Ferguson Dr, cont: Suome Const Magalia addition/sf X577 3 r ' 1 i I s r JOB FINALE Signature .a J=OK O=Not OK_ =N Applicable 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/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"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. Exits; Insp.-Sketch '1� 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Dpte DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable RESIDENTIAL (; = Not Ready Date UN RFLOOR (Plans) OK except #'s Hing -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elee.QG"4,/j " Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wra pped if Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. S b; Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P'eKlms & Ducts; Clearance -Material -Support -Ins. G' tiers -Sills -Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date �t -Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's --------- 16. r Htr.: Vent -Access -Combustion Air -Baffle --- -------- 17. —----------------- - - Water Pipe; Test & or -Nail Protection ------ -- _- 18. ---------------------- D.W.V.; Test- Ings & Anchor -Nail Protection ------ 19. ------- - ------------------- Shower an: Test. First Floor -Tub Access 20. Te 21. as Pi & Shower. Second Floor -Tub Access Size & Anchors - -------------------- ----------------------- - Date - — -Card B_1 C Date Card B-1 - ------------ -- ------------------ - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. -Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 2 a Boxes & No. of Conductors Stapled -- ---- - ------------------ -- - omex Installed Close to Edge of Studs & C.J. 26. ----------------- Equip.Ground made_up w/Mech. Fastners-Bond Gas & Water -------- - - - - ------------------------------- 27. 2 Appliance Circuts in Kitchen_ & Conductor Size!GFI 22. Subfeed Wire Size r r ga Cu or AI-A.C. Wire Size / / ga - ---- --- - Cu or -Al------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. - - Insulated Neutral ❑ Yes- -- - ❑ No --------------------- 30. Service -R ser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---- ------------------------------------- -- 33. Smoke Detector --------- --t-1-1-1- --- - ----------------------------------------- Date- f�L Card B_1 _ Date Card B-1 Date Card B-1 Date Card B -1 - Date ME HANICAL (Permit) OK except k's A.C. Ducts Insulation & Support --- --------- --------------------- - ---------------------- ,.,35. Vent Fan: Exhaust above insulation ----------- ........... -------- --------------------------------------------------------- -V-'Condensate Drain & Overflow: Size & Grade ----. - -------------------------- - e-31-Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- - ---- - - ---------------------------------------------------- 'R Attic Access _& Platform if Furnance in Attic - -------------------------------------------------------------- ---:6 7- -- --------------- -- --- --------- - - -- --------------------------------------- --- -- - - Date /!/� Card B-1 C I/ Date Card B-1 ---- ----`------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except ti's 39.,8i1s. Proper Material & Anchors --- - 4 ales Studs -Nailing, Spacing & Bracing -Plates -Sound -- ai. Bearing Walls over Girders & Floor Nailing ------------ ............. -- ----------------------------------------------------------- raft Stop in Walls (rat proof) -- ------ - -- ---- --- --------------- ---------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub Headers &Beam -Size & Bearing "Ingle & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 4Z-Preplace Ties or Type A Flue -Fireplace Throat clearance ld7�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions -- a Fire Protection Framing ___---- erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits rT STa_?s: Width -Headroom -Rise -Run -Landing -Fire Protection S4 �-lywood on Roof Overhang -Attic Vents -Rafter Outriggers 53 Siding -Nailing Veneer _-________—Mesh Drip Screed -Fd. Vents Underflr. Access _ Glazing Area -Glass Protection -Skylights -Plastic r Walls: Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Ji1 Date- �` /! /,� Card B_t-� �� Date Card B-1 Date Card B-1 Date Card B-1 Date FI (Plans) OK except ti's JK Ext. Steps -Door & Sidelight Protecti n -Landings 62. Smoke Detector fi, F_..:_..�ace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------- ---------------- ..-ia4�82t7room Exiting ------- Bath Fixtures & Tub Access -Spa Flet. Trim & Subpanel; Breaker Sizes & Labels ------------------------------ ai s &Rails ------------------------------------- — aa emplace or Stove: Clearances -Hearth Outlets at Wood Panel; Int. & Ext. -- ----- - -- ---Appli-a—nce-; —Grn—d.-Air Gap -Cooking ap Cookin9 Cle_ar_a nce--------------------- ec. Outlets & Receptacles at Kit. Counter --------------------- 9 -- 9 -- Fire Door; Swin Landin Closer --------------------------------------- — C -Duct in Garage -Damper itr.: Vents -Clearance -Comb. Air-Connector-P.R.V. ------------ I arage: _Above Floor-Mech. Protection - -- ---- ------------- Elec. & Mech. Equip. Listed for Location ---------- --------- -------------- - Z6_-_Efec-Receptacles in Garage: (G.F.I.)-Romex Protection nsulati - -Foam-Looked in Attic ❑Yes _73-' =r Rails & Deck Construction -Post Caps ------------------- -------------- 77�Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 8 ollowing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------------------------------- — 'j'1—.Stucco: ----- +if£� Unit: Disconnect. Electrical, Plumbing . - - -- - --- -- --------------------------- ---- 48-Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings A4 Warar Well; Disconnect, Electrical, Plumbing c6�xterior Elec. Trim; G.F.I. Receptacle -Underground _ ------ L----------------------------- istY Ventilation Throughout House - - -- - ----- ----------------------------------- Glass Protection ------ ....- - -------- -- - Corrections from Previous Inspections - - - - - - - -- -- - - - ---- -------------------------------- s38_Gas Test -Meters Tagged; Gas -Electric �36'VPater & Sewer Connected -C/O to Grade -HD Approval .Energy ComplianceCertificate-Other Certificates ------- — -------l - --- ---- Date ? 1 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: ENERGY INSTALLATION CERTIFICATE Building Owner e a j krrcY-- Building Permit # Building Location >?�7 j-r;P(o�/SD,U iy�4��,g<i,g Cil��sy DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material e!�54-9Z -Thickness(inches) CEILING Batt or Blanket Type cz,¢- Thickness(inches)__ 1/' Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL- - Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name, Thermal Resistance(R Value)—/3 _ Brand Name Thermal Resistance(R Value). 30 Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name . Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, ---.- Jis consistent with approved building -department -plans and -attachments and con - for s with requirements of Chapter 2-53 of State of California Energy Requirement �Ul1M/ FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGMA OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, az� shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) zo- z, SIGNATUR OF BUILIJING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATUREOF HVAC CONTRACTOR/OWNER 7 STATE CONTRACTOR'S LICENSE NO. % -07- -1a DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, Californla,-95965 -'Telephone: 916/538.7541 92-1247 APPLICATION ANDPERMIT ASSESSOR'PA-RCEL NUMBER 066-220-014 ZONING RT 1 BUILDING PERMIT OWNER p SHERYL UTI Z THLEPHONH=SQ.,FT.OCC. 873-6581R BUILDINGVALUATIQNRAY 10 368 OWNER'S MAILIG ADDRESS 13739 FERGUSON CONTRACTOR'S NAME CONSTRUCTIONSUOMI TELEPHONE 872-3870 CONTRACTOR'S MAILING ADDRESS P.O. BOX 3070 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 10,368 LENDER'S MAILING ADDRESS P.Q. BOX 40 STOCKTON 95210 Filing Fee $ 15,00 Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 56.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13739 FERGUSON MAGALIA Permit fee $ 203.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 28 SUBDIVISION NAME 1 PARCEL MAP 1,7,F— % Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20GATO 1000A) CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ['l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. /�� License Ao. 570 ✓ Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCuP.aq OR ADDNS. ACC. BLDGS. _37.50 3.64sq.ft. 7.0 NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( p\ OUTLETS OR FIXTURES 20 764 FIXED APPLNS. Ex. Occup. OUTLETS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid County in co sequence of the granting of this permit. X Date Signature of plicant — OwnerElContractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.OF Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 g6c c i3 CO TTYP V TOTAL FEE $ 264-.75 rlAz DFEES IMP FLOOD CDF PARC PDHD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat above r which fees have been paid. PUBLIC WORKS By Date 9 p M EXPIR S Date �ir _ / Receipt No. 7 WHITE -O. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTME.NT OF PU_,6L'1I ,,WORKS - BUILDING DIVIS"ION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA��965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET. .-t.-Permit No. P OWNER A. P. No. Proposed Building Use �� Rim AAO;Buil ing Inspector C5 -J Date 4y^ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted . .................................... _ j'�� �• Plot plans in duplicate/triplic�o ate signed by preparer of plans........ SCOO — 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation +� instructions...................................................... . 10. Fees of $ R- 11. Chico Urban Area fees paid ....................................... arkfees paid 7���- School District fees paid .............. 5-'1 4. Sanitation approval from Health Department x� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. .Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. i� 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... -- 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date—a/��/� Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pr' r too_erj,itissua ce: (Circle new item not checked above).1. Index permit for above item o.-/. - 0 2. Additional items required: ke1z�z /'7��5 Conv4l,tor, designer, owner, was advised of above required data by phone_nail_counter by date Contractor, designer, owner, was advised of above required data by_phone_mailunter by date Plans checked by Date Plans approved by 7,Date Sets of plans on hold in File cabinet AP folder Copy—DPW Z. TO Building Department c FROM: Environmental Health SUBJECT: Sanitation Clearance ' O er Location AP# Plan Approved for: Hold final for: Final clearance O.K. for: Clearance f Sewage Disposal mobile h her Water Supply Water Supply Water Supply �A4 rL 2 Z� Sanitarian V ate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965- Telephone: 916.'538-7541 _ APPLICATION AND PERMIT ASSESSOR •PARC L NUMBER d(p(o 0 - 01q -000 ZONING F_- BUILDING PERMIT ow TELEPHONE X73-(�8/ SO. FT. OCC. BUILDING VALUATION Z /l 36 , OWNER'S MAILING ADDRESSS[+� CO'RACTORNAME cr TELEPHONE 7? -3970 CONTRACTOR'S MAILING ADDRESS - D _-&070 Fireplace CONSTRUCTION LENDER Uf NKNOWN Total Valuation is 0 3,6 Filing Fee $ 15.00 LENDER'S M ILING ADDRESS Q.tJ L SaD/ Permit Fee $ %2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 J`O Energy Plan Checking Fee $ '•L� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDRESS Permit fee $ PLUMBING PERMIT I Fee 15.00 ( Each Trap 5.00 Solar or heat pump water hea 20.00 LOT NO. `O SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water he or vent 7.00 USE OF STRUCTURE SF Z Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syst 1 - 5 outlets 5.00 Building seydir 15.00 Mobile me S I G I W @ 15.00 TYPE OF WORK New ❑ Additionp Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ F,4g11_y iZnp_r _ P rmlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI _ 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ^�q�/ l� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. S%O & Classification 8 F1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) , ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCc P.e OR ACDNS. (ACC. BLDGS. 3.6Qsq.tt. NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS IPRESID 1REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 2 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood J 6.50 I Ventilatio I ee Permit $ Co actor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County i consequence of the granting of this permit. X Date g pp ❑ Contractor I rl Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL F E S 2 W,7S_ HAz DFEES IMP FLOG C6 PARCEL PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date lin Receipt No. •l �T WHITE-D.P.W., YELLOW -ASSESSOR, PI x -INSPECTOR, 6OLDENROO-APPLICANT ���� ( �.;i�'*+.M'i."'�'+.L�tF'�Vi"'br��.,yi.r(+:""�.,,,F,.�"�*7.r.....w.�wr+y,.<yw,p_•�er+ti�++.sew•r�";fS�dl�yCyr���'�'�"��''•�rtOS�i*i�"v"�.F'�%��.'�t:}.,�'�fifitA�44-�y`tr?LEq":e+T"^'�`fr+'X'^�rirti.:svvk•.r� � IF BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P.-Number (04 2 7 � / Building Department No. School District 1491l/61 rSc City County Q� Jurisdiction Property `Owner _A,4�, 'C?0T_1 riW4___ Project Location/Address /.3735 APS $Qjo J Subdivision swf4lo CC U,r 1 T- f - Lot Number -ze�, Residential Development: a 1�i14Sq. Footage l fz-- # of Living MHI Addition (Group R) Units Commercial/Industrial: 0 Sq. Footage ` New Addition (Including Exterior Roofed Areas) ding Department Representative Date (Floor Plans reviewed by.School District Personnel) District Id No. 4A A � t -40 I Q /IA li alt School District certifies that i (ApplicanI Name) (Phone Number) PC) &I -�3 o -lo - (Street Address) ". Q (City) (State) (Zip Code) 1% has complied with the re uirements of Resolution No. by the ayment of r representing, square feet. C_ chool District Representative ate PAID BY CHECK NO. REMARKS: BANK NO If this project is reviewed under PAID BY CASH CEQA, this project may be subject to '. additional school white -applicant, yellow-buildinge:tle:pa.nt3nlentAtipihk- hoot cdl strict SCHOOL.FEE (8/88) A, o V Ir 'Dale gnalu, e �AfaT n oc HEALTH 0 ENVIR MAY 1 1992 r\ 14, - 3- Oi RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER AL44 GENERAL Zoning requirements: (sideyards Valuation. .Plans signed by designer. 8/91 Bldg. PerNO # a Z C% 7 A.P. # O Plan Checker and number of permitted living units) roper description of work on application.. 0 Ztem:son=dat��sheet. , Health, Developer Fees, License law, etc). LOT d� fomplete parcel size and dimensions._ 2 Setbacks,'sideyards, easements, etc. Flood hazard. FAU f fZ Rtti l �� .. • E�'®SS �6� ��AE'��?'' *.ov��---,,.� OOR PLA omplete to scale plan with dimensions. E' Required windows for light and ventilation (Sec. 1205). 61 ---Required room sizes, ceiling heights (Sec. 1207). STRUCTURAL DETAILS k Standard bracing -or engineered design (Table 25V) e. nusu dation plan complete enough to construct building. or construction details complete enough to construct building. rl�evations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. 91-- i ronl7r -t -=' - -i 't ---r u ry. 14Rafter ties or bearing ridge beam. dum es. 1 tud heights. of s - n. 1 ri�_�eci a 1 � PC'ti � F-GQ-HIFC+� 8/91 RESIDENTIA-L PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR , j- a-... G�a� dei:-ei. :I:—{-C---� Proper roof pitch for roof convering•(Chapter 32). Roof covering type - (fire hazard). Y 7 ). I Attic access and ventilation (Sec. 3205). P -.'Underfloor access and ventilation (Sec. 2516). Flashing at all,exterior openings. C&v7/4 $ 7z- 35 70 2 /iib 611 3 �✓ld 7 � s W T4 411, C)( O Wr/OA r - Y V C"t-i£S r< (d)5rL7Pa C^/;", K/t£ yo v 6 0 •/U� Zv 1151 TO: Building Department FROM: Driveway Permit Section RE: Driveway Clearance Zarr, /l erne bec� erg v5evi Or. 4W'—'z `l - '/// owner loc tion i AP# Driveway permit number i signature has been issued for the above property. 3- < I -�fo date PERMIT NO. 1866-83B,P,EiM PERMIT EXPIRES OWNER L. KENNEBECK CONTR. owner ASSESSOR PARCEL 6629-14 LOCATION__ 13739 Ferguson Dr,lot 28, PPCC#4, Magalia ' OFFICE COPY- Address - �_ - ' ••- ' GAS 1 j r i Meter Bye` !!Date ELECTRIC ,tom j -Meter By- - OFFICE COPY T. Address 'e AA__ Ti y I ELECTRIC I Meter By N6fD,te��/� I Temp-uas-servrce Cal led PG JOB FINALE[ ignature .J = OK 0 Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. •Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit , 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 . Not OK Not Applicable RESIDENTIAL (Single and Duplex( Not Ready Date UNDERF OR Plans OK except#'s Date FRAIy)�Continued) 1. oni grequirements-Setbacksments 4 P�Line Firewall & Openings 2.411g., Main; Soils-Steel-Elec. - / Ftg. Depth 49r' -Ext. Doors -One 3' -Check Garage -3rd story, 2 -exits 3. ., Garage; Soils -Steel- / tg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. Depth 51 yyaeod'on Roof Overhang -Attic Vents -Rafter Outriggers 5. m IIs, Main; Steel-Blockouls-Wrapped-Slab 52 -Siding -Nailing -Veneer 6 tills, Garage; Steel-Blockouts-Wrapped-Sla 53. SJWG dMesh-Drip Screed-Fdn. Vents-Underflr. Access 7. iers-Fireplace Fig. -Steel 54' 55. Glazing Area -Glass Protect ion-Skylights-Plast ic Shear Walls; Nailing -Bolts D.W.V.: Fall -Fittings -Test -2 way C/O a 't 't. -Pipe; Size -Anchors / 1 ater Pipe; Test -Anchors r-Sery a -Test f4-Heotric; Underground 1 . Plenums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ate Card- Date/-/ _( Card -BI Date Date Card -BI Date FINA Ian) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 5 Ex eps-Door & Sidelight Protection -Landings 5 mo elector __ rit--tl�a12PFfL; Vent-Access-Combustiop Air 5 • rnace; Vents -Clearance -Comb. Air -Connector - In e; Above Floor -Ducts -Meth. Protection 1 mer Pipe; Test & Anchors -Nail Protection 1�.W.V.; Test-Fttngs & Anchors -Nail Protection 5 - e o Exiting Shower Pan; Test, First Floor -Tub Access 6 ath Fixtures & Tub Access 18. Test Tub Shower, 2nd Floor -Tub Access 6 1 fm & Subpanel; Breaker Sizes -Labels __ 19. G Pipe; Size & Anchors 62. 6 trs Rails place or Stove; Clearances -Hearth Card -B J DaleCard-BI Date Ele utlets at Wood Panel; Int. &Ext. 65 ixt. & Appliance; Grnd.-Air Ga -Cooki Clearance Card -BI Date Card -BI Date 60FIElpr.. Outlets & Receptacles at Kit. Date ELECTRI AL Permit OK except #'s 67. Garage Fire Door; Swing- Land in -Closer ge-Damper 20.ixt &Transformer Clearance -Ins. Protection 69 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Insiefage; Above Floor-Mech. Protection 21. JerReceptacles Spacing -Lights &Switches at Doors 7 Inc. & Mech. Equip. Listed for Location _ 22. iS z Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; (G.F.I.)-Ro ex Protec. 23.om Installed Close to Edge of Studs & C.J. 24. quipyGround made up w/Mech. Fasteners -Bond Gas & Water 72. Ins on- - ooked in Attic es -- 25. pliance Circuits in Kitchen &Conductor Size 73A -Guard Rails & Deck Construction -Post Caps - _ _ - 215_ SLI; a -4�ireze / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl 1 o15� ��rainage & Wood -Earth Clea ran e Looked under Floor Yes es 27. _ Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drty es ❑ No; Walks [j Yes ❑ No; Planters EI Yes LnNo 28. Service -Riser Conductors & Ground -Main Disconnect 7wn-Finish --- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, , Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _-_ 30. Clothes Closet Light -Shower Light - 78, nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ------ 7 ' onnect, Electrical, Plumbing Card B I Date -�- %%Card -BI _ Date Card B -I Date Card -BI Date 80 xte 'or Elec. `G.F.I. Receptacle -Underground 81 entil ti hroughout House 82. as rotection Dale MECHANICAL (Permit) OK except #'s 83 _ ections from Previous Inspections 84. est -Meters Tagged; Gas-Elec 31._ _ 3 33. 34. _ . Ducts; Insulation & Support Vent Fan; Exhaust above Insulation _ Condensate Drain _& Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 6, W ter & Sewer Connected -C/0 to Grade -HD Approval nergy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI -/� Date_��'o t Card -BI _ Date Card -BI Date Card -BI Date Card -BIC Date Card -BI Date Card- I Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI tans) OK except #'s Co ments at.Final:/ 36. i Proper Material & Anchors _ - 37. Wa _Studs -Nailing, Spacing & Bracing -Plates -Sound _3_8. ng Walls over Girders &Floor Nailing_ _ 39._�D_rsA Stop in Walls (rat proof) - _ ` - 13 __ 40. i�"F rr cps; Furred Ceilings -Stairs -Chases -Tub �41. fle'Fl aXrr & Beam -Size & Bearing _ 42. r;IT ers-Post Caps -Anchors- nectors 43. Ing. ist-Rftr. Ties -Pur -Roof Brac.-Truss-Shthng.-Rfnq. 44. Fi ace Ties or Type AFlue-Fireplace. Throat 45. ttic Access_: Size & Romex Protection -Draft Stop -Ins. Baffles _- 4 4_ v �m. Windows or_Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) - RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE.CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION RLQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ?sNERGY CONSERVATION REGULATIONS AT —I'R7RQ Ferguson Dr (location) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS .PER APPROVED PLANS: (Check each item or write H/A if not applicable) INSULATION: Slab Edge n/a Fdn. Walls n/a Floors R-11 Walls R-11 Ceiling/Roof. Ducts 1/ iii Circulating Pipes n/a APPROVED HEATER APPROVED WATER HEATER✓ GLAZING: Single Glazed. mow Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. _ WEATHERSTRIPPED DRS. avk& BACK UAMPERED FANS n/a INTERMITTENT IGNITION DEVICES n/ a CERT. APPPLIANCES n/a I DECLARE THAT ALL REQUIRED ITEMS AS NOTED'ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICIiOLSON INSULATION, INC (please print) Signature of Insulation Applicator State Contractors License No. General Contractor/Owner Name (please print) Signature of e `/�� '' 3 '."y'�� General Contractor/Owner Date State Contractors License No. 399479 THIS CERTIFICATE 'MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL RE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS T 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53413541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance 'exist at the above address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this matter, r need additio�Jnal explanation, please contact this office immediately. Inspector / /� �/ii `" Date--?��` COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville - Phone: 534-4541' Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3 73 51 BUILDING OR PROPERTY DDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r r s 4 Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. ASSESS R PARC LUMBER .- MBUILDING ZO NG PERM JT 14 OWNERryry Gi TELEPHONE SQ. FT. OCC. BUILDIN ALUATION OWNER'S MAILING ADDR ESS 3--to I CON RAC OR'S NAM TELEPHONE „rCONTRACTOR'S VF OQM ;replace MAILING ADDRESS fOD C TRU TION ER t -S �` S UNKNOWN Total Valuation $ FilingFee $ �• L NDER'S MAI LING ADDRESS d,t -&e Permit Fee $ ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /3 L) tr PLUMBING PERMIT Filing Fee 10.00 Each Trap Q 2.00 -:akaftWater Heater IE — pal 2A.00 d,Q� -a Water piping 5.00 ^ LOT NO. SUB (VISION NAME �C ARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building g sewer 5.00 ^ Mobile Home JSJGJW.J 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 0, pip Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP OR1 OR LESS10.00 (? Main service EA. ADD'L 100 AMP 2.50 OR ADDNSNEW CONS. ` T (DWELBI G &/ 21/4sgftgb CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWNON.RESID R.BRANCH CIRCTITS 2.50 ea, NEw CONSTR POWER APPARATUS 9' NON-RESID. SINGLE OUTLET CIR. Ex. Occu BAL@30 P�o OR FIXTURES 9AL®aoe FIXED APPLNS FIXED TS (RES. OR EX. OCCUp. OUTLETS (RESID•) EA,) 2.00 Temporary service 10.00 o,O0 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 7 -?,p WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating t 60 Coolingt ov Hood 3.00 Ventilation DD Permit Fee $ O Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence f the granting of this permit. %� Date 7 Signature Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures a r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �S- P7 OCCUP ouP _ 3 TYPE OF CONST. PA PD No 193U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P01 T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - 7—/'-1? �- Z' Receipt No. V ROT— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Return -to DPW AGRICULTURAL STATEMENT OF ACMOWLEDGEMENT FOR RESIDENJ IA17 LEVELOPMENT r_Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. v JUN ?, J ...: • CLEIi4C:�REGO�E�R �� . The property described herein is adjacent to land or included FEE within an area zoned for agricultural purposes, and residents of 93-19644 this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited •to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or,discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date:- -(r State of SS. County ofcc. ) On this the 14W day of (14,j2_ , 19 e3 before me, the undersigned Nota l� Public, personally appeared OFFICIAL SEAL known to me to be the person(s) whose name(s) yRe-, MARY RENDLEMAN subscribed to the within instrument and acknowledged o.. NOTARY PUBLIC -CALIFORNIA that 7ii��> executed the 'same for the purposes BUTTE COUNTY therein contained. My comm. expires APR 24, 1987 IN WITNESS WHEREOF, I hereunto _set my hand and official seal. Nqtary Public Present A.P. NO. Recorded at the request of OROVILLE TITLE COMPANY s Order No. 64 +04_26 Return to pill Tac Statement To; r.._ .&.. Mrd, VQ.rnon..13..---Kennaback.. f .939 ... Kam.s&ck...Court--------------------------------------- _=Y— aa.e-, Cad.lfo. rnia.-----94.087.....--- I , II rI^10 R D S ;;,,- ,•f-; ''!IIF SROViLLE -i i irLr_ CUtm ' b Nov a 9 os AM 19�� LHiH i Ll!s:riGER COUilTY kU`W;UE i FEE 13221 GRANT DEED (Corporation) For value received LARWIN DEVELOPMENTS, INC., a California corporation GRANT........ to VERNON B. KENNEBECK and CARMEN M. KENNEBECK, Qpp husband and wife, as Joint Tenants all that real property situate in the County of Butte , State of California, described as follows: See Exhibit "A11 attached hereto. Y�I OOCUME:FTARY TRANSFER TAX S-•....(..A�]d� ..........X.........COMPUTED ON FULL VALUE OF PROPERTY CONVEYED. oFHCLAL SEAL j� .....ON COMPUTED ON FULL V1LUE LESS LIENS AND rti LEU +�' �� ENCUMBRANCES REMAINING Al TIME Of SALE. co • '� `dOTARY PUBLIC . CAUFORNIHJ)p i BUTTE COUNTY /oi- 4a 'Oroville Title Co. _................... _................................................ ..... ...... roa�� MY COMM.._ MISSION EX%RES MARCH T. 07474 Slortatur• of Deeloront or Agent dstermtning tax. Firm Nom• <u' _ . WITNESS WHEREOF, said corporation has executed these presents by its officers thereunto duly authorized, this. 6th day of November 919.72 ...... ` • 'e T By.m...... ..... .... .. . �....f .... . O c resident STATE OF CALIFORNIA l w jN 77 y.... .......... �� . .:........... ss. B .- - ..............................County of.........................Butt�e----------...---------................... a tox Asst q._ sea► ary r-, On...................................NOvembex....6......................... 19.7..?.... before me,. .........L!; OQ _R . a Notary Public, in and for said ............... Butte ..... ,.......... County and State, personally appeared ..... M.*_.J...... RAmen............... :'., ......%*.........::'and .T.. ... E•---•MBttOX........................ ........ _....... known to me to be the .----•--......---•-VCe........... President and the .... ASS.StSrlt.............. .Secretary of the corporation that executed the within instrument, and also known to me to be the persons who executed it on behalf of such corporation, and acknowledged to me that such corporation executed the same, and further acknowledged to me that su orporati executed the with' instrument pursuant to its by-laws or a resolution of its Board of Directors. March 7 1974 My commission expires ...... _...._ ....................1..........7..................................... ............- . ... ........................................... ................ Notary Public OROVILLE TITLE COMPANY UNINCORPORATED 1 pi 1 ' Y�I OOCUME:FTARY TRANSFER TAX S-•....(..A�]d� ..........X.........COMPUTED ON FULL VALUE OF PROPERTY CONVEYED. oFHCLAL SEAL j� .....ON COMPUTED ON FULL V1LUE LESS LIENS AND rti LEU +�' �� ENCUMBRANCES REMAINING Al TIME Of SALE. co • '� `dOTARY PUBLIC . CAUFORNIHJ)p i BUTTE COUNTY /oi- 4a 'Oroville Title Co. _................... _................................................ ..... ...... roa�� MY COMM.._ MISSION EX%RES MARCH T. 07474 Slortatur• of Deeloront or Agent dstermtning tax. Firm Nom• <u' _ . WITNESS WHEREOF, said corporation has executed these presents by its officers thereunto duly authorized, this. 6th day of November 919.72 ...... ` • 'e T By.m...... ..... .... .. . �....f .... . O c resident STATE OF CALIFORNIA l w jN 77 y.... .......... �� . .:........... ss. B .- - ..............................County of.........................Butt�e----------...---------................... a tox Asst q._ sea► ary r-, On...................................NOvembex....6......................... 19.7..?.... before me,. .........L!; OQ _R . a Notary Public, in and for said ............... Butte ..... ,.......... County and State, personally appeared ..... M.*_.J...... RAmen............... :'., ......%*.........::'and .T.. ... E•---•MBttOX........................ ........ _....... known to me to be the .----•--......---•-VCe........... President and the .... ASS.StSrlt.............. .Secretary of the corporation that executed the within instrument, and also known to me to be the persons who executed it on behalf of such corporation, and acknowledged to me that such corporation executed the same, and further acknowledged to me that su orporati executed the with' instrument pursuant to its by-laws or a resolution of its Board of Directors. March 7 1974 My commission expires ...... _...._ ....................1..........7..................................... ............- . ... ........................................... ................ Notary Public OROVILLE TITLE COMPANY UNINCORPORATED �� �; ',� -,i � A ._;., . All tliat certain real property situated in the County of Butte, State of California, described as follows: '► 1. ..... PARCEL 1: Lot _ 2g_ * as shown on that certain map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNU NO. 411, recorded in the office of the Recorder of the County of Butte, State of California on October 27, 1971, in Book 38 of Maps, at pages 69, 70, 71..,72 and 73. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein and that no damage shall be done to the surface of said land. PARCEL 2: A non-exclusive easement over Lots A, B C, D, E, F, G, H, I, J, -K, L and M-, (the common areas) of said Paradise lines Country Club Estates Unit No. 4 and the lots designated for common and recreational areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI, XII XIII, XIV, XV and Country Club Estates Units No. 1, 21 3 and 4 as described In Parcel 3. Foe title to the real property described in Parcel 2 shall be and is vested in the hereinbelow referred to Association for the common use and enjoyment of the owners of lots in Paradise Pines County Club Estates Unit.No. 4, and in any other tracts heretofore and hereafter annexed, as more fully set out in the said Declaration hereinafter referred to. PARCEL 3: A membership -appurtenant. to the hot deseribed as Parcel 1 hereof, in the Paradise Pines Property Owners Association, a non-profit corporation, the fee owner of the common areas. SUBJECT TO: 1. Covenants, conditions, restrictions, reservations, rights, rights-of-way and easements now of record. This conveyance is made and accepted and said property is hereby granted upon and subject to that certain Declaration of Covenants, Conditions and Restric- tions recorded on September 41 1970, in Book 1632, page 578 of the Official Records of said County, amended by an instrument recorded on October 16, 1970, in Book 1639, page 433 and an instrument recorded on March 16, 1971, in Book 1663, page 348? of the Official -Records of said County and the Declaration of Annexation for Paradise Pines Unit IV, recorded on October 169 1970 in Book 1639, page 437 and the Declaration of Annexation for Paradise Pines Unit VI, recorded on October 16, 1970, in Book 1639, page 440 and the Declaration of Annexation for Paradise Pines Unit VIII, recorded on November 4, 1970, in Book 16429 page 210 and the Declaration of Annexation for Paradise Pines Unit X, recorded December 15 1970, in Book 1649 page 528 and Declaration of Annexation for Paradise lines Unit XI, recorAed on June 10, 1971, in Book 1680, page 206 and the Declaration of Annexation for Paradise Pines Unit XIII, recorded June 28, 1971, in Book 1683, page 399, the Declaration of Imexation for Paradise Pines Unit XII, recorded August 91 1971, in Book 1692, page 306, the Declaration of Annexation for Paradise Pines Unit XIV, recorded August 91 1971, in Book 1692, page 304 the Declaration of Annexation for Paradise Pines Unit XV, recorded September 309 1971, in Book 1704, page 1431 the Declaration of Annexation for Paradise Pines Country Club Estates Unit No. 1, recorded November 18, 1971, in Book 17139 page 605, the Declaration of Annexation for Paradise Pines Country Club Estates Unit No. 2, recorded November 187 1971, in Book 1713, page 607, the Declaration of Annexation for Paradise Pines Country Club Estates Unit No. 3, recorded November 18, 1971, in Book 1713, page 609, the Declaration of.Annexation for Paradise Pines Country Club Estates Unit No. 4, recorded November 18, 1971, in Book 1713, page 6119 all recorded in the Official Records of the Butte County Recorder and the covenants I 'conditions I rights, restrictions, easements, reservations, benefits and burdens therein contained, each and all of which are hereby expressly incorporated by reference as though set out herein in v full. EXHIBIT " A CO li a c� 1110! OE DOCUMENT n CO C.J 'jo