Loading...
HomeMy WebLinkAbout066-490-020- �� " 66_.49_20 39 HAROLD WELBORN F-,AA ® /n6713 Indian Drive,,MagaliaPermit#528-85B,P,E,M(new single family) 066-490=020 43 t,;«,� •';06-0038',. I.:;;' 6713']Nll]%1:\TDR, MACAI 14o-t WOODS CO> y ":%` v;,°►i��"` i �; 1 - • 1 .J ;4t r r'• f I � f 1 � f 1 y , 11 IT I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060038 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/09/2006 APN: 066-490-020-000 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. Site Address: 6713 INDIAN DR MAG License Class : License Number: Map Index: Date: Contractor: Description: wood stove OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DAUM THAD V permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 1331 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 PARADISE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DAUM THAD V Code: The Contractors' State License Law does not apply to an P O BOX 1331 owner of property who builds or improves thereon, and who does PARADISE, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have' the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I that in the of the work for which this is certify performance permit issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: l =�7� • - O e V Applicant: WARNING: Failure to secure workers' compensation coverage is. unlawful, and shall subject an employer to criminal penalties and one "A 1 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is ereby issued/ der t appllca provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolution o do work in Gated ove for ich fees have been paid. performance of work which permit (Sec BY ^ Date: Name: / PERMIT EXPIRES ON: Address: (Date)' ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pur o s. t" � Signature: Print Name: ' C> b Date; Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name First Name Address (o t -T . City V.� Slate X00. Zip S� S Phon 53b �� —�f Ia Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name (7?Ar tv Address SRA City No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEt=R Name (7?Ar tv Address SRA City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name (7?Ar tv Address SRA City No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street �S Vim, SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\Fr)RMC\RI III nimr-, FOP MR\RIrinAnnlCnhRnmt.q dnn PERMIT NO. BP a.6.0a BIN # PROJECT LOCATION AP#D�G2-0 Property Address City Cross Street �S Vim, Sheriff SMIP WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or 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. Paoe 1 of 2 REV 8-12-05 o� Received bye„ Amount: V - 01 Bldg SRA Receipt #: Sheriff SMIP Date: Other Total Paoe 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND 1N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form O 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541, EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An `.`owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing and issuing your building permit. No building permit will be issued until this verification is received. \1. I personally plan to provide the or labor and material for construction of this \ P �J s proposed property improvement: YES [ ] NO [ ]. 2. I HAVE [ ✓] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME. ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: - I - � - U (o NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 1. ,, '•@` i. • •'. „ , 3 - r,� '.�/ yt �} PERMIT NO. 528-6B P` E M rr PERMIT EXPIRES CJ L ' �• OWNER HAROLD WELBORN' • CONTR. owner y Y ASSESSOR PARCEL 66-49-20 j sc 'LOCATION 6713 Indian Drive, Magalia A. •I'� fFICECOP e. � ;AS r ti. s ,r±` • '� by .._ - t�,5.. ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ` • " i Temp. Gas Service t � 1 , • '•; Called PG&E . ':JOB FINALED (Date) Signature J=bK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready j MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 q'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. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ti r = OK s s = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE FLOOR Plans OK except #'s It Date FRAMING (Continued) Zoning requirements -Setbacks -Ease is 4e�operty Line Firewall & Openings Ftg., Main; Soils -Steel -Flet. - / Za�1" Ftg. Depth Ott. Doors -One 3' -Check Garage -3rd story, 2 exits , Garage; Soils -Steel- // Ftg. Depth irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. Depth PI wood on Roof Overhang -Attic Vents -Rafter Outriggers walls, Main; St - lockouts -Wrapped -Slab iding-Nailing-Veneer .-Szemw-alls, Garage; S eI;; 1'6ckouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers-Fireplace Ftg Steel 54,-&IaYing Area -Glass Protection -Skylights -Plastic A. V.: Fall -Fittings -Test -2 way C/O -Sewer Test _55. -Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors r Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground & ; Clearance -Material -Support -Ins. ills -Anchor Bolts-Joists-Vents-Cri pl s Card -BI Date Card -BI Date Card -BI I IDate Card -BI Date Card -BI ate Card -BI Date Card- Dat�Card-BI Date Date FINAL (Plans) OK except p's Card -B Dat Card -BI Date Date P MBING (Per it) except Ext. Steps -Door & Sidelight Protection -Landings 57: "Smoke Detector 14. Wer Ht.; -Act om istion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Water Pipe Test cho Nail P V. ttngs & Anchors- ai tect�n doom Exiting 17. Shower_ an; Test, First Floor -rub ccess Sa-F•L & Bath Fixtures & Tub Access 18. Tes4lub & Shower, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels as Pipe; Size &Anchors Stairs & Rails s-Hearfh ood Panel; Int. & Ext. Card -B Da Card -BI Date Kit. Fix[. & Appliance; Grnd.-Air Gap -cooking Clearance Card -BI - Date Card -BI Date 6 Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's68. OW'Uarage Fire Door; Swing -Landing -Closer . Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection • Wtr. Htr.; Vents-ClearZaecr Com it -Con or- .- I Garage; Above Floor-Mech. Protection 2 -Iec. Receptacles Spacing -Lights & Switches at Doors 2t --Size Boxes & No. of Conductors -Stapled p Elec. & Mech. Equip. Listed for Lqcation omex Installed Close to Edge of Studs & C. E . Receptacles in Garage; (G.F -Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners and & Insulation -Foam -Looked in Attic ❑Yes 7 eult - ost Caps ,QS/,£Appliance Circuits in Kitchen & Conductor Size _2& -ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI aAe-Fdn. Vents & Crawl Hole r -Drainage & Wood -Earth Clearance Looked under Floor 1ffYes Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes❑No/ 75. Following instld.: Drive es ❑ No; Walks es E] No: Planters . ❑Yes EMo 28. Service -Riser Conductors & r nd-Main Disconnect 7 - inish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7 es-Brkr. & Cond. Size -115V Outlet 89—elothesCloset Light -Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-CI rance to Opn S.• 9. JN.Jer Well; Disconnect, Electrical, Plumbing x erior Elec. Trim; G.F.I. Receptacle -Underground Card B -I t Dat Card -BI Date tilation throughout House K. Glass Protection C rections from Previous Inspections s Test -Meters Tagged; Gas -Electric Card B -I Date Card -BI Date Date MECHANIC (Permit) OK except k's 3 A . Ducts; Insulation & Support vlatgr & Sewer Connected -C/O to Grade -HD Approval (SVKYent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates Condensate Drai Overflow; Size & Grade 34. Furnace -V , Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date r and -BI Date Card-BWA DateG, Card -BI Date Card -BI Date .-a — Card -BI Date Card -BI Date Card -BI Date Card -BI Date �c Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: Sills; Proper Material & Anchors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furre eilin s -Stairs -Chases -Tub --/ J�nHeader & Bea ze earing gers t -Anchors-Connectors Cfng. Joist ies-Purlin-Roof Brac. —44--.f`1r Tce-Ties or Type A Flue -Fireplace Throat 45.. Ati ss; Size & Romex Protection -Draft Stop -I s. B es 46/­Bdf�m. Windows or Exiting Doors -Sill Hgt. & Dimensions �. _wage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) ,a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5343541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE T 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 correction of work is completed. If you have any question pertaining to this matter need additional explanation, please contact this office immediately. I— /1 Inspector _ .a / Date ___ s COUNTY OF BUTTE ; s` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. k 411 ��"� v / InspeAe _ Y Date_ __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A Inspector'_ Date— Iv- yv( Inspector'_ Date— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57 CORRECTION NOTICE 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. 7rWti 7-0 3 2-z!:/h U,IXA-L Inspector_ Date_ ` • - STANDARD STRUCTURAL PEST -CONTROL INSPECTIONREPORT (WOOD-DESTROYING PESTS OR ORGANISMS) This is an inspection report only - not a Notice of Completion. 'ADDRESS OF BLDG. NO. STREET CITY PROPERTY ,. DATE OF INSPEC�yTION INSPECTED 67t: than 'Drive CO. CODE �t�� 4- .��-►$5 Affix stamp here on Board copy only -MID VALLEY TERMITE •INSPECTION SERVICE L ,A LICENSED PEST 'CONTROLP. O. Box 771 - Magalia, CA 95954 • uOPERATOR IS AN EXPERT IN (916)`873-1888 HIS FIELD. ANY QUESTIONS RELATIVE TO THIS REPORT SHOULD BE REFERRED TO HIM., FIRM LICENSE NO. 5621 CO. REPORT, NO. 5-421.STAMP NO. 290I?;Q7i. Inspection Ordered by (Name and Address) Harold Welborn.. 6272 Reads Rd.,Paradise" CA 95969 Report Sent to (Name and Address) Above ' Owner's Name and Address Abr>,yp Name and Address of a Partv in Interest Abilwo Original Report Supplemental Report E] Limited Report E] Reinspection Report Ej No. of Pages: YES CODE SEE'DIAGRAM BELOW • YES CODE I SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW YES CODE J.SEE DIAGRAM BELOW S-Subterroneon Termites B -Beetles -Other Wood Pests Z-Dompwood Termites EM -Excessive Moisture Condition K -Dry -Wood Termites FG-Foulty Grade Levels SL -Shower Leaks IA -Inaccessible Areas F -Fungus or Dry Rot EC -Earth -wood Contacts CD -Cellulose Debris FI -Further Inspection Recom. • 1 . a�oa i nv%.l unc k5oll conal7lons, accesslDIIITy, eTC.) Dry AntiARf!AR� 1~f�A 2. Was.Stall.Shower water tested? . ia.A„ v• Did floor coverings indicate leaks? N.A. '} 3. FOUNDATIONS (Type, Relation to Grade, etc.) [nt•Y•pRt1g ? 4. PORCHES... STEPS'... PATIOS_ N.,A. y 5. VENTILATION (Amount,"Relation to Grade, etc.) 6. ABUTMENTS ... Stucco walls, columns, arches, etc. N,.Ai 7. ATTIC SPACES (accessibility, insulation, etc.) fwA• 8. GARAGES (Type, -accessibility, etc.) N.A� 9. OTHER 1 DIAGRAM AND EXPLANATION OF FINDINGS•(This report is limited to structure or structures shown on diagram.) General Description i,'t�tTirtAnt" A+'► n+s� �► Ytr�/far rt�+10tvin'tt is nn Inspection Tag Posted (location) ! xe" K` strk Awnl,� ckh o Other Inspection Tags Certain areas are recognized by the industry as inaccessible and/or for other reasons not inspected. These include but are not limited to: inaccessible and/or, insulated attics or portions thereof, attics with less than 18'' clear crawl space, the interior,of hollow walls; spaces between a floor or porch deck and the ceiling below; areas where there is no access without defacing or tearing out lumber, masonry or finished work; areas -behind stoves, refrigerators or beneath floor coverings, furnishings; areas where encumbrances. and storage, conditions or locks- make inspection' impracfical; and areas or timbers around eaves that would require use of an extension ladder' Slab floor construction has become more prevalent in recent•years. Floor coverings may conceal cracks in the slab that will allow infestations to enter. Infestations in the walls may be concealed by plaster so that a diligent inspection may not uncover the true condition. These areas -are not practicable to inspect because of health hozzards, damage to the structure; or inconvenience. They were not inspected unless described f in this report. We recommend further inspection if there is'any question•'about the above noted areas. Re: Structural Pest Control Act, Article6, Section 8516 (b),' paragraph 1990 (j). Amended, effective March 1, 1974. Pretreat fcnndatian and pier footings with benezen+e herachloride to control- subterraneantermites. r • Inspected by e&;.A .. , ,.., ... License No. yea.,. F _ Signature ' ^ter ,, r, .0 YOU ARE ENTITLED TOOBTAIN COPIES OF ALL REPORTS AND COMPLETION NOTICES ON THIS PROPERTY FILED WITH THE BOARD DURING THE PRECEDING TWO YEARS UPON PAYMENT OF A $2.00 SEARCH FEE TO: STRUCTURAL PEST CONTROL BOARD, 1430 HOWE AVE., SACRAMENTO, CA. 95825. .. Standard Notice of Work Completed and Not Completed NOTICE - All recommendations may not have been completed - See below - Recommendations not completed. This form is prescribed by the Structural Pest Control Board, with whom a copy must be filed by licensee within 5 working days after completion of work under a contract. THIS IS A NOTICEOFCOMPLETION ONLY, NOT AN INSPECTION REPORT. ADDRESS OF BLDG. NO. STREET: CITY: �_Paradise DATE OF COMPLETION: PROPERTY INSPECTED: r S 6713 Indian Drive. CO. CODE (4) �,��`�85 MTD1%tii+,1,1'Y TERTaTE INSPECTION SERVICE AFFIX STAMP TO P •Q f Box 771 BOARD COPY ONLY Magalia -CA 95954 8?3-1889 and 891-1888 FIRM LICENSE NUMBER: 7i, COMPLETION STAMP NUMBER: 7RQ% T1 Notice of Completion .: old Welborn, 6272- Regis Rd. , Paradise, CA 95969 - - ........................................•--.........------..........--•--..._.......__------------------- Sent To and Date: ...... _ g.`.$5 ............... Owner's Name and Address:..Harold Welborn b...--•--••------•...............••-•-----••-------•--...----••-------•--.........._..............-•----•-••-----......_.....----•------........._.._._......_.............._.. Copies Sent To:._�Pe ---......--•------------------------•-----•--._......------•---......----•-----••----......--••----....__......--•-••------.._.................._.....---..__......__..... This is to certify that the following recomm nd tions on the above designated property, as outlineT NDARD INSPECTION REPORT NO. ........ 5..44 ................ dated .......... 7 - ........................... REGISTRATION STAMP N0.._-- 2d9�i8 �L ..................., have been and/or have not been completed. Recommendations completed that are in actor ance with the Structural Pest Control Board's Rules and Regulations: .................... Pretreat. foundation and .pi.er footings with benezene hexachloride to control subterranean termites. --------------------------------------------------------•---•--...--••----••------•-----••-----.....-----....•••--••-----•----•--------•--....•-----••------•-------..__......--•-----••---•••----...----•-•-----.......•--•--......---- Recommendations completed that are considered secondary measures under Section 1992 of the Structural Pest Control Board's Rulesand Regulations: .................................................................................................................................................................................................. ........................................................................................•------......----.......---.............------.._.....-----•-------•--......---------...........----....__.........._.....-----......--•------.. ..................................................................•---......__....--••--•-----......------......_......---.............._......---.....-----•-•------....__............_..--•--...---••----_....----........------•----- .................................................................•--......--•--•--•---------....----......-•----•--•-------•----...........-----•-••---•----••-----.............._.._..-----......--••------•--•------....-------------- Cost: $ ?5.-00 Inspection Fee: ; None Other: ; Total: S • 00 Recommendationsnot completed by this firm: ........................................................................................................................................ ..............................................................•---••---.....__....._.._...------..........------••------••----••----------.....__...---•---•--......--••--......._...._...........----......_---........................ •-----•-------------•--..........-----------...--•-•------........__.........-----..............----......................................----....__......_..-•----...__......---------•----....-•--•--•--._........----...........----- ..................................................••-----...._...._..._......-----..__........------......................._..------................-------•-•...........-----•--.....__.....---...---.................................. Estimated Cost: ; Remarks: ..----••------------------------------------------••---.....__......----....---...--••-•------...------.._..............__....--••--------.....---••------.........---••-------........_.....__...----..............----................ •-•---••----------------------••-------•--...-----.._.......--•---.._.....----..........----......----..............------•---••----------...._...-----....._..._----.........----••--••--•-•-----....-•---......--•-................... ....................................................................................................•-.........._.........--••-----•---•---...---•-------••--••------..........--•---••----...-•----•-----.....................---_..._ •...........................................................•---........--------------•---------........-----•-----•--••----........---...------._..__...._....----.._...._..._..._...------•-••--------...._....................._..... ..........................................................................••-----.............----------..............--•-----........----....---.....---...---.....-•-•--••------••----......__.................._..................... ..................................................................••------••---.....--•-••-----•--••-•-•-----------•--...---........._.......--...........__.......-•----..........__.......---......_.__........_-----•---.....:...... ............................................................................•------...__.....----•------...---••---............---._._......__...._...................---...._......__...................._......................._..... Signature -- � -------� _ If you have questions regarding the work as outlined above, you should first contact the licensee noted above. If satisfaction is not obtained you may contact the Structural Pest Control Board at: Los Angeles -213-620.2420 Sacramento -916-920.6323 San Francisco -415-557-9114 You are entitled to obtain copies of all reports and completion notices on this property filed with the Board during the preceding two years upon payment of a $2.00 search fee to: The Structural Pest Control Board, 1430 Howe Ave., Sacramento, California, 95825. Owner: Permit No. ENERGY C.E R T IF ICAT ION 6713 Indian Drive, Magalia, CA t LOCATION A. P. No. DESCRIPTION OF INSULATION ROOF Material N/A Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglas Brand Name CertainTeed Thickness (inches) Thermal Resistance(R Value) R-11 CEILING Batt or Blankot 'Cype Brand Name Tlrickness(inches), Thermal Resistance(R Value) Loose }Fill Type TnsulSafe III Brand Name CertainTee F:in:i.mum 'I'hicknes(Inclres) $r' Number of BagsWt. per bag25 _lb. Aria covered(ft. ) 108$ Thermal Resistance(R Value) R-24 FT -001t, ELEVATED Material N/A Brand Name TliIckness(Inches) Thet-rnal Resisthnce(R Value) FLOOR, SLAB Material N/A Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL pt MaterialI� Brand Name Gt �l, 7 �� Y` Thickness(inches) Thermal Resis ance(R Value) Delivered 1 hot water eater blanket & 337 -ft. R-11 I hereby certify that the above insulation was installed in the above building in co nce with the State a�ifor la Energy Requirements. / jrH ns Insu ion Co., Inc. #378407 STATE CONTRACTOR'S LICENSE NO. 1/1-/ 1 6/6/85 SIGftA" OF INSTALLATION APPLICATOR DATE f� I hereby certify the above insulation and all required items as -shown on the Building Department approved plans and attachments have been installed as required by the State of California Encrgy Requirements. All equipment, devices and materials are o;l: the quality prescribed or are spec i f i.cal.ly approved by the State of Call.f:ornia. c� f-, L i2sd 6zJ ? B 9 FNAMi;/OWNS (Pleaseprint) STATE CONTRACTOR'S LICENSR NO. SIGNATU.E 0 QE CONTRACTOR OWN',R 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. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND PERMIT PERMIT NO. cc J ASSESSOR PARCEL NUMBER.ZONI +9 — Z O — BUILDING PERMIT OWNER / n cc _gQW a)G Q977- TEL PHONE SO. FT. OCC, BUILDING VALUATI N' 7�/ OWNER'S MAILING ADDRESS 5 ON7 ACTOR5NAME &ME— TELEPHONE s CONTRACTOR'S MAILING ADDRESS E Fireplace CONSTRUC,TDION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAIN91NGG ADDRESS /tJ0 14 Permit Fee $ , ,096 is. ( LICENSE No. 3 o- Plan Checking Fee $ 00 $ AR CHITEC OR ENGINEER'S MAILING ADDRESS 0 I✓ Permit fee v BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 JO,00 Solar Water Heater 20.00 Water piping 5.00 1<100 LOT. 88 SUBDIVISION NAME u M S PARCEL MAP Each qas water heater or vent ✓ 5.00 0 Gas piping system 1 - 5 outlets 5.00 ,DO �,( USE OF STRUCTURE SF L251 Duplex❑ Mobilehome❑ Other T SPECIFY Building sewer 5.00 ,00 Mobile Home S G W 10.00e TYPE OF WORK New% Addition[] Reodel❑ Utilities[]Installation❑ Other ❑ Describe work: a �� Permit Fee $ 40, oo Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 140119d Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ACCLBLDGS. fCUP &\ / 21/20sgft 5,20 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. �/�L� �/f Q License No. w✓, � '7 Classification i ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CQN5TNON.RESID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. Ex. Occu P(ouTLETs OR FIXTURES 20@50C sAL®30,t FIXED APPLNS, OR EX. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ q ZO Contractor J S 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. R(' 1 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 Filing Fee 10.00 Heating /oap (,,pp Cooling Hood 3.00 ,@p Ventilation Permit Fee $ /9, ©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 again sl id County, in cons que a of th granting of this per t. �( ` g Date Signature of Applicant — Owner Contractor Agent An OSHA permit,is required for ex avati n ver 5' 'deep and demolition or construct- ion of structures e 3 stories in ight. Mobile Home Installation Fee $ 30,00 TOTAL PERMIT FEE a , ' occuP GROUP TYPE OP�NST. PARC Po j� K sco This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date 3– 3i �� �6 Receipt No. WHITE-D.P.W., YEL -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT y 5904 Retura to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT, OFFIC14L IiE85" FOR RESIDENTIAL DEVELOPMENT v i l P VOUNTY-CA1,t:: El f Ftrti0Or9Aa %EpUf aTli? , Section 26-8.1 of the Butte County Code requires this acknowledgPage �t� r be recorded prior to issuance of a building permit. �lt The property described herein is adjacent to land or within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from FFF 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 83, as shown -on that certain Map entitled, UNIT NO. 4", which Map was filed in the office of Butte, State of California, August 29, 1974 51, 52 and 53. Date: 2/28/85 State of ('A ) County of Bu ) "INDIAN MEADOWS SUBDIVISION of the Recorder of the County in Book -43 of Maps, at pages Nor oR/G/No ppgRFO oCUM Nr PROPERTY OWNERS: % Harold L. Welborn On this the 28:th day of February , 19$a_, before SS. me, the undersigned Notary Public, personally appeared NOTARY PUBLIC Butte County State of California PAy Commission Expirus Mar. 22, 1985 Harold L. Welborn--------------------------- L2�1 Personally known to me. / / Proved to me on the basis of satisfactory evidence. -to be the person(s) whose name(s)- is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NotaryPublic Present A.P. No. 66-49-020-0 Butte County Department of Development Services. N O T E S 7 County Center Drive, Oro ville, CA 95965 (530) 518-7601 v"m.buttecountyneUdds •�Our+�y RESIDENTIAL r APN: b°' r/©2t% Permit 40. 0,6 4DOSA Owner: DA007 0r • / T H -AD Site Address Contractor. Type of Permit: } 4 1 1 ' �Y H CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE VV 1, 0 000 7 DATE JOB FINALED: 1 6 SIGNATURE: �I +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE D E C K S`C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsStee I 3 Decks, GirderslJoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Be ams-Rftrs-Cnnctns-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements ' 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Encisrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide °.� 0\\C OS 0\s• s` Pool Drawing = OK 0 = Nol RESIDENTIAL (Single. & Duplex) I DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel -Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test ii Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support _ 14 Girders Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` S` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctris 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters DYes [_]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ya ❑ CU or D AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or DAL Oven Circ ga ❑ CU or DAL Insulated Neutral ❑Yes DNo 4e 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 41 s` 09� 0 - le 0 , RESIDENTIAL ENERGY PLAN - CHEC r �. K/INaP.�CSI0N SUMMARY _ i P a Ener Climmte Zone Perm, No.. r Fioo�" Area Zf Compliance Path: Package CDA ❑ B L7 C Po int Sys tem,+ C] Budget C) Other N MIS R -VALUE, DESCRIPTION REQ`D , INSTALLED ITEMS (1) INSULA; .._ Roof /Ce i _ w ZZ o=2 Wall C.� S lab Floor P r ime ter Raised loo (2) INFILTRATION: P, (A) A Vapor barrier is re uire c1 dna a zones, 1, 1 q. ( (B) All m. anufactured windows and 1ir1i � ass doors shall g g n aneet the � 1972 ANSI Air In f iltiation Standards and steal l be cert,if ied and labeled. ----� (C) All swi n in door S _ s and wic�dows leading to unconditioned B g tion d e areas - shall be fully weatherstrip,p , • UT. -COUNTY ©` 'Tight,the above standard features pus'o• ,� [. (D) Ccantinuous� . w . 4P infiltrat ion barrier x # ��x E Electrical outlet plate gasket T (F) Ai-to-4ir heat exchanger .. P,P , (3 )GLAZ ING : i (A) Location Area Glazing %Floor Area Slgl double Triple` Total (�''�• ''Bldg North' • r � East South C�West -�-�-- I Skylights ------ (B) S. adi Shading CoefficientDescription ® East South C] West y Q Skylights (C) South overhang ' Length of ro'ection f Descri g P J ' tion P ® �D) Moveable instilat ion Area ft De Cript,ion (E) Thermal L mass ----- ® Type-AreaFt 2 HC= R� MC= Location ® T pe - �' Ty 'Are Ft. H.0 R � me Location Type - Atea Ft . HC= . Rte' . tion 13T 4 � e Lo c a � Area a HC ..�..: R= : MC= Wcatioa TYPe Area Ft , HC= R j MCa Location 13t �'P Area Ft , 11C Rte; MC 16catio n' `..a -..w.. -,w _ dr I �..n:w...�,.., (] 4 FACTORY BUILT FT ( ) MASONRY AND _._,. .. REPLACES shal]:; be equipped with tight f itong closeable meta, ox glass doors covering the entire pena.ng; of the firebox a combus ion air intake 'equ3.poo .with a r eadily z, accessible,,penable, and: tight f it ti dapnper' to drdrawairroaa the a • outside of the building, and a tight fitting flue damper with *a Nko r�? readily accessiblecontrol. �d. *1 (5) HEATING VE4 NTI DATING . AIR; CONDITIONING SYSTEM ' tx, OHeat ing{ Central Gas Furnace brand and model., number SE a" btu. /hr , (heating capacity): r Heat Pum ... ..._ and and model number ACOP: "93tu/hr w. (heating co p Ac ity at 47 ° F Q Active Solar •type (liquid or air) collector brand a.nd kYI f t 2 model,, num be r solar frace .on collector area, collector., Y orientation collector tilt rated y -intercept sated slope Other: 1 {describe) (B Cooling Electric Air Conditioner brand and model raupnber ) (seasonal MR) Btu /her (cooling capacity at 95°F) Electric `Beat P- Pump A EER Btu/hr (cooling capacity at 95° F;) Other (describe) (� (.C) A T40 ,_ ,y STTFi AGE E�tNiOSTAT which', controls the sup Plementax :heat ®n 7 its second stage, shall be required red for heat pumps;. q (D) AN AUTOMATIC.SETBACK shall be provided for all thereto tats, exce p t - ,f those controlling heat,pumps,, ( 1) E AN INTERMITTENT,, IGNITIONDEVICE shat , be provided for all: gas f ired fan type.. central furnaces, gas-fired fan tp�. -a1,1 f"�nznac:esad ., t • . gas cooking app]ianees 'k y - (F) BACKDRAFT DAMPERS shall be provided for all fan systetns exhausting air, to the outs -We. t _ ( G ( DUCT CONSTRUCTION INS. All transverse ( & ULATION - duct, plenum, and,,,, fitting, oints shall be sealed with or E pres s ure sena it ive tape mastic to prevent, a' it loss s anal sh'al1, be insulated to conform ' to the'provisions of Sect Section 1005 0 f the UMC, 15,7 6 Ed it ion, , 7/8:13 2 .. i , )fJ