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HomeMy WebLinkAbout066-420-01766-42-17 Richard Southern S/S Indian Dr., 250'N.of Ishi Dr., -gal a, lot 12 contr: Charles Todd, Paradise Perm't�#5108-76B,P,E(new single family) Q 4 31' A.M41 Y „ AY66-42-17 Contr: Franks Ref. 1 <. Permit #$6231-76M(mech/5108-76)SF IN B07-0469 066-420-017 MISCELLANEOUS HVAC Change Out HVAC CHANGE OUT 6754 INDIAN DR013•x1.07 MCCUSKER, BOB & CINDY FAMILY A 1 ��1 � . _ �. �� �� � �� _ _� .7,6�D,3 BUTTE,'COUNTY DEPARTMENT OF DEVELOPMENT 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: B07-0469 Issued: 03/09/2007 Address: 6754 INDIAN DR Area: MAGALIA Owner: MCCUSKER, BOB & CINAPN: 066-420-017 Applicant: FRANK'S AIR CONDITI(Map Page: Permit Type: HVAC Change Out Description: HVAC CHANGE OUT AREA 3 Flood Zone: None SRA Area: Yes SE 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 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final J 802 Mobile Home Final 1 802 Ins ection Type I IVR I INSP 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 Setbacks 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: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final 14, "PROJECT FINAL 801(1:z/.60, -rrujrct anal is a %-cru n:acc ui vccupancy iur kncsiycnual vinyl 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 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6754 INDIAN DR Owner: permit No: B07-0469 APN: 066-420-017 MCCUSKER, BOB & CINDY FA Issued Date: 03/09/2007 By GLB Permit type: MISCELLANEOUS 15732 COUTOLENC RD Subtype: HVAC Change Out MAGALIA, CA 95954 Expiration Date: 03/08/2008 Description: HVAC CHANGE OUT Occupancy: Zoning: RT -1 Contractor Applicant: Square Footage: FRANK'S AIR CONDITIONING AND FRANK'S AIR CONDITIONIN Building Garage RemdUAddn 5655 ALMOND STREET 5655 ALMOND STREET PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 877-8881 (530) 877-8881 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2122 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 FRANK'S AIR CONDITIONING 1343346 / C20 / 02/29/2008 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) 1 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. 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 03/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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 Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is for one hundred 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 X 03/09/2007 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 Owner's Signature Date provisions. X 03/09/2007 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. 1 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 CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. 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 owner's behalf. CONSTRUCTION LENDING AGENCY 03/09/2007 Name of Permittee [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) 11 Owner El Contractor OR; Agent for Owner 11 Agent for Contractor INSPECTOR COPY Lender's Address City State zip Mar 16 2007 8:21AM HP LASERJET 3330 P,4 Date: 319107 Job #: 07127 iNSTALL.ATiON CERTIFICATE (Page 4 of 12j Site Address Pemrit Number 6754 Indian Drive, Magalia INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE. STATi;11ENT The building was: ✓ OTcsled al Final ✓ ❑ Tested al. 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 finislting wall are properly sealed. ❑ if the house rough -in chict leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply ;Ind return plenums to venft that the connection points are properly sealed. ❑ Inspect aff Joints to ensure that no clodr backed ribber adhesive duct tape is used on neiv duds. ✓ ❑� DUCT LEAKAGE REDUCTION Proctidures for rcdrl veriTe«tion and diaznostie testing of air distribution swstcnts are available in RA CM. AvveitdLv RC4.3 NEW CONSTRUCTION: Duct Prossurir;Tion Tcsl Results (CFM,,e4 25 Pa) Measured Values 1 Enter Tcslcd Lcakagc Flow in CFM: Fan Flow: Calculated (Nominal: ✓ la Cooling; ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Fto�a is Calculated as 400 cOtvton x number of tons or as 21.7 cfnV(kBtufltr) x Healing 1.200 Capacity in Thousands of BwAir, enter total calculated or measured fail flow in CFM here: ✓ ✓ _ Pass if Leakage Percentage < 6%for Final or < 4% at Rough -in without air handle: ❑ Pass ❑ Fail [1(111 x l (Linc # 11 ! 1.200 (Linc # 2111 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 Syslcm Alleral.ion and/orEquipmcntChangc-Out. Enler Tested Lrrkage Flow in CFM from Final Test of New Duct System or Altered Drrcl S�-stcrn for Dttcl. $yslcnl Allcralion and'or Equi mcnl. Ctlan c -Out.. Enter Reduction in Lcakagc for Altered Duct Svstcm 6 I (Linc # a) Minus (Linc # 5)] — (OnIN. if Applicable) 7 Enter Tested Leakage Flow in CFM to Oulsidc (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Percentage < 6% for Final. ❑ Pass ❑ Fail 't 100 x L (-ine # 5) it.200 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 Stsurdards for compliance: y Pass if Lcakagc Percentage < 15%o f100 x j (Line # 5) / 1 200 (Line # 2)11 ❑ Pass ❑ Fail 10 Pass if Lcakagc to Outside Pcr-ccnlage < 10% [100 x I (Linc # 7) /1 9nn (Linc # 2)]] ❑ Pass ❑ Fail Pass if Lcakagc Reduction Pcrcenlage % Mar 16 2007 8:21RM HP LASERJET 3330 P,3 Date: 319/07 Job #: 07127 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site AddressPermit Number 6754 Indian Drive, 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 firuil inspection, a coPy must be provided to the building depa.rlmcllt (upon ncgttcst) arxt the building owner at occupancy, per Scction 10-103(a). HVAC SYSTEMS: Heating Equipment Equip T}ype (pkg. licit pump) CEC Certified Mfr. Nantc and Nlodel Number ^ of Identical Systems Eftisieucy t (:IFLTE, etc.) (?CF -1R value) Dnct I,rtcatitin (attic. etc.) Duct or Heating, Heating Piping Load Capacity R -value (Rttvlu) (Btu'ld) HP Package Bryant 604ANX036044 1 Bryant604ANX036044 Attic 13 Attic 36000 Cooling Equipment E(lllip Type ( ke. heal utll ) C;EC Ceiiilied Ifni. Nanrc and Model Number vi of Idenlicat SN. -Stems Elyi0, licy I (SKER or IiKR) (�(:P-1R valuz) Dud Location (attic: etc.) Duel R-valua CooluIq Loud 13adlu) Cooling Capacily (13htAlr) HP Package Bryant604ANX036044 13 Attic 36000 1. > symbol reads greGle than or equal to wha11S indicated on the CF -1/1 value. include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ Ell 1, the undersigned, verify Ulat equipment listed above is: 1) is We actual equipnleilt installed, 2) equivalent to or more efficient. than that specified in the certificate of con-lplianzce (Form CF -IR) submitted for compliance Avith the L7iergv LJ7iciencv Staijdards for residential buildings, alid 3) equipment that meets or exceeds the appropriate requirements for manufactured de-ices (from the . f ppliance F,jf cienct Regulations or Part 6), whereapplicable. Installing Subconfi-actor (Co. Name) OR Gcncnl Contractor (C arae) OR Owner f/4NO RE IGERATION AND HEATS Oft Sigt>< a Date: v - - Copies to: UILDING DEP E , ETERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliculce Fo •nis April 2005 Mar 16 2007 8:21RM HP LASERJET 3330 P,2 Date: 3/9/07 Job #: 07127 CERTIFICATE OF FiELD VERIFICATION &_ DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Project Address Builder or installer Name 6754 Indian Drive, Magalia Franks Refrigeration and Heating Builder or Installer Contact Telephone P1anrPernn t (Additions or Alienations) Number Franks Refrigeration and Heating (530) 877-8B81 HERS Rater Telephone Sample GroupNumber Mery Martin (530) 894-8466 Com pliance Method (Prcscri ptive) Climate Zonc 11 f:Ylp�b, fJ!I+M Ni I.Nfr,�N1lN Cett.ifi•ingSignahu�e �� "�,— LNa:U=AbHynMmIF.:=lC.O=lnUY. Date Cal_::00+,: J: i081J;JS O+tli' SarnpleT-TouseNumber Finn Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 TCin`/State/Zip: Chico, Ca. 95926 Copies to: BiTiLDER, HERS PROVTDE•R AND BITiLDiNG DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ ❑ Tested ✓ ❑ Approved as part. of sample teslinl , but was not tested As tike HERS rater providing diagnostic lesling and field verification. T certify that. the house identified on (bis form complies willi the diagnostic tested compliance requirements as checked ✓ on this t`onn, The HERS rater must check and verify that die new dislnibulion s�N-skin is fully ductal and correct. laps is used before a CF -4R may be released on evern• Icsled building. The HERS river mint not release the CF -4R until a property completed and signed CF -611 has been received for the sample and tested buildutgs. ❑ 'Tlic utstaller ltas provided a cope of CF -GR (Installation Ccrtilicate). ❑ 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, nnbber adhesive duct tape is installed; mastic and draw bands are used in combinalion n•ith cloth backed, ribber adhesive duct tape to seal leaks at duct connections.). ✓ ® MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification ;:rod diagnostic testing of air distribution systerns are available in RACM, Appendix RC -4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRLCTION: Duct. Pressurization Test Results (CFNI :&-, 25 Pa) Measured Values I Enter Tested Leakagc Float in CFM: Fart Float : Calculated (Nominal: ✓ m Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 Enter Total Fan Flow in CFM: 1,200 3 Pass if Leakage Percentage < 6% [ 100 x [-(Line # 1) / 1,20 (Line i12)]] ❑ Pass ❑ Fail ALTERATIONS: Duct Svstenr and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFkf from CF -GR: 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 for Duct Svstent Alleralion anchor Equipment, pment, Cliau e -Out. 178 Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus 17.8_(Luie # 5)1 6 (Ont' if Applicable) 7 Enter Tested Leakage Flow in CFNi to Outside (Only if Applicable) ✓ ✓ Entire New Duct System - Pass if Leakage Pcrccnlagc < 6%, ❑ t ass ❑Fail S [U)0 x 178 (Linc H 5) / 1.200 Linc # 2) TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following, fou r Test or Verification Standards for corn rliance: Pass if Leakage Percentage < 15",% [100 x 17j a (Line # 5) / 1,200 (Line # 2)1] 14.83 12 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage < 10"% [100 x [ (Line # 7) / 1,200 (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reductiuu Perceulabe % 60% [100 x [ (Line # 6) i (Lure # 4)]] ❑ Pass ❑ Fail 1 l and Verification by Sutolcc 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 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 Site Address: 6754 INDIAN DR APN: 066-420-017 Permit type: MISCELLANEOUS Subtype: HVAC Change Out Description: HVAC CHANGE OUT FRANK'S AIR CONDITIONING AND 5655 ALMOND STREET PARADISE, CA 95969 (530)877-8881 PROJECT INFORMATION Owner: MCCUSKER, BOB & CINDY F. 15732 COUTOLENC RD MAGALIA, CA 95954 Applicant: FRANK'S AIR CONDITIONIN 5655 ALMOND STREET PARADISE, CA 95969 (530)877-8881 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires FRANK'S AIR CONDITIONING 1343346 / C20 / 02/29/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forcaewV effect. Signature 03/09/2007 Date I WORKERS' COMPENSATION DECLARATION I 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I,V I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by V -y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and Rolicy number are; ©69 Cartier: ' Policy Number: Exp. Date: (This s cti n nee not a completed if the permit i or ne hundred dollars ($100�r less. ❑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 X 03/09/2007 Sign re Date WA NTNG: FAILURE TOS URE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Permit No: B07-0469 Issued Date: 03/09/2007 By GLB Expiration Date: 03/08/2008 Occupancy: Zoning: RT -1 Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total $55.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's 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); Please check one of the following: ❑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 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 year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 03/09/2007 Date 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 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 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 use or occupancy of any sidewalk, street, or subsidawalk. I hereby authorize representatives of Butte Coun ter the above mentioned property for inspection purposes. I hereby certify that I am the pr rty o er or am thoriz o act on the property owner's behalf. /.ti..i,.,�� 03/09/2007 Owner PN46ontractor OR; DAgent for Owner Agent for Contractor FILE COPY Ir BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Address �^ Last NameCU5 Q First me Zi Mailing Address '7 S _ / VAL. Fax g, -/� City MOLL I Stat Class � s� Phone ..Cq1Fax .- �, E mail E-mail --� State License Number CONTRACTOR Address �^ City ac� c Stat Zi Phone 7'� 1 Fax g, -/� E-mail _0L Lic. # Class � APPLICANT SIGNATURE PROJECT LOCATION Property Address � acs City MA 4a C I PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier Plf—hiring anyone other than license contractors, a certificate of worker's ompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E mail Open Cov State License Number APPLICANT SIGNATURE PROJECT LOCATION Property Address � acs City MA 4a C I PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier Plf—hiring anyone other than license contractors, a certificate of worker's ompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail Open Cov APPLICANT SIGNATURE PROJECT LOCATION Property Address � acs City MA 4a C I PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier Plf—hiring anyone other than license contractors, a certificate of worker's ompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ©t'I, Sq FT- Living Garage Open Cov O Structure Built without Permits Proposed Change of Occupancy (Note previous use): ^I el(_�`i 16., �tq VV f, 11 Temp!Gas Serv. Called PG&E JIB _✓ "'FINALED • � •' 1 r * 1 jaJ � r I V 5108 � PERMIT NO. -.7.6B�, P,.E ` y _ PERMIT EXPIRES . OWNER ___ Richard Southern ,CONTR. Charles Todd, Paradise LOCATION (A.P. 66-42-17 � S/S Indian.Dr., 250'N.of Ishi Dr., lot 12, Maga., Y im#1 ,Pt L. i Y �r wi icf . f• J' yTbk`�t R Temp. Power Pole Called PG&E A 0n Temp. Elec. Serv. Called PG&E 11 Temp!Gas Serv. Called PG&E JIB _✓ "'FINALED u COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 4l, BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall ?e'- �i�— "� Soil Piping Forms Parapets —= 1st Floor —.6 ^ _ Main Wirg. Restroom Finish 2nd Floor Footings Windows --/ 7,7 6 3rd r Stemwall SidingJ90-61T ou If-/ Slab Roof Sheathln' IL 0 T Water in Piers • 7 & Roofing --/7,71, i3d:,l Sewer Garage Fdn. Vents 7'' 7 0 A,4 7' Fixtures 2, — 7--9 — —7 Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically �� handica ed Conformance of ex. structure Appliances / �i 2✓— 7 Gas Piping & Test Temp. Gas --= Slab Final Sanitation Patio FIREPLACE Final Footings Footing: Z� `7 ELECTRICAL 'Masonry Walls Throat, Rough la Reinf. Steel Final Fixtures Z, ' Z 0—&--) Bond Beam FIRE SPRINKLERS; Motors Framing %/ 77 5 Test Water Htr. -� Z Stucco Final Subpanels Mesh %/— J7` 7 MECHANICAL Grd. Fault Prot. Z 7ol— -2j¢ -- Scratch Heating "2:, z w-7 J. Service Brown f --j `7 Cooling --2Jq —7 Temp. Pole ------ — —-- Finish' Ducts Underground 4� Interior Lath Ventilation Permanent L Door Closer C- Final - —, Final 77 DATE REMARKS OR CORRECTIONS 1/-4� 4 P/Z 7" fib N w z'dd� ze, l� J�—"7C �li.P 178ouC eK crC.; %306 9 /� • s �- �7 7 (NOTE: An entry must be made on this form each time you visit the job site.) •IjERS.ETU` COMPANY LICEN91ED CONTRACTOR Insulation - Weatherstripping - Accoustical Tile P. 0. Box 3506 Chico, California Phone 342-4764 �J �- Date — T� - J (Purchaser) (No. and Street) (City and State) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: .Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Thickness/Type�� �.. R Value CEILINGS Batts: Manufacturer I�f Thickness f R Value Blown: Manufacturer N —'—�— Thickness / o. ags � Wt./Bag ./ Sq. Ft. Covered R Value f FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches"" FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY I LE DATE IN ULION C TRACTOR AE(IL0 LICENSE NUMBER��BY IT -DATE 12 SAVE ENERGY - INSULATE! (DATE) ACCEPTED H RSETH COMPANY (Authorized Representative) COUNTY OF BUTTE — ,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT 04 BUILDING Ownerr_L�k� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Building Address WA — r A. P. No. �% (f✓ Z Zoning & Planning FW San)�on Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements B I d ans Recd I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name License Nov';(,//,:(/ ClassificationL ' I am exempt from the Contractors License Laws of the Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADO'L 100 AMP NEW CONST. (DWELLING OR ADDNS. OCCUP. & ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI.OUTLET BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 .50ea Ex. OCCUp(OUTLETS OR FIXTURESBA ) CL@1 1 EX. OCCU FIXED APPLNS. OR P•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am.aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability fK,iworkmen's orkmen's Compensation. have placed on file with the County of Butte a certificate of Cooling Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for i ection purposes. X Date ��//, Signature of Pe i'tee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink-Insp — Goldenrod -Applicant FEE FEE @ FEE $3.00 2.00 TOTAL PERMIT FEE I $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for h fees have been paid. E OR 0 P LIC WORKS t By, Date / `-/*J permit expires Date _S'e1� S /0 7 COUNTY OF BUTTE �P�,RTMENT OF PUBLIC WORKS 7 County Center Drive �`''Utoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X )51 _;4c Date Signatuurre of Permitee or Agent Receipt N./S,;1025 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF LIC WORKS BY �Date_f_—/7-2& ' F—i 7 —77 uilding permit expires Date BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 1(0 O$>CeN eek Fireplace �/� Contractor / Total Valuation MOM4ailing Address �� 2 Permit Fee ,Z Plan Checking Fee &/orPenalty °`' is elep one No. 6e)313 Permit Fee $ L Q i Building AddressS' ! A.,D��N �� 0��" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.00 (3 P i4 -G' ! Each Trap 1.50 -,&Z Repair drainage or vent piping 1.50 Water piping 1.50 0 // 1A 4A) �pa ,,c,cS �rJb ,(� % l Z Each gas water heater or vent 1.50 A. P. No. '— ._ Fees W. C. S ation I FireDept. FireZone Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Use Permit Building sewer 5.00 EQA Parr,ng Parcel Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A roval Plansproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i°°V OR o AMP OR o LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. LING 0 OR ADDNS. ( DWEACCLBLDGS.0 21tsgft NEW CONSTR. MULTI -OU L T NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style f' epT CY Ex. Occup(OUTLETS OR FIXTURES)@Z9¢ 104 EX. OCCU FIXED APPLNS. OR p•(0 WETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. / 7)�,LL I q6 7 Classification -- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X )51 _;4c Date Signatuurre of Permitee or Agent Receipt N./S,;1025 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF LIC WORKS BY �Date_f_—/7-2& ' F—i 7 —77 uilding permit expires Date