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Home My WebLink AboutB17-1764 039-270-115I I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : 530 538.4365 (Cut off time for inspections is 3pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax:530.538.7785 www.ButteCounty.net/dds Permit No: B 17-1764 Issued: 8/9/2017 APN: 039-270-115 Address: 9460 PERKINS RD, DAYTON Owner: MCNULTY JOY L ETAL Permit Type: ELECTRIC PANEL RES Description: PANEL C/O RES - 200 AMP AREA 5 SRA Area: No Front: Centerline of Road: Rear: SRA: Street: AG: Interior Total Setback from Centerline of Road: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING i' Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Eufer Ground 216 Masonry Grout 120 Setbacks 131 Do Not Pour Concrete Until Above are Signed ----------_-- Ga, OFFICE COPY ` U j Bldg Permit: Un(' " She -Address:- Ung Und GAS By: Date �,- Electric By: Date: — Do lr__.......-.:wr-aneatning or Slab Until Above Signed ShearwallB.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 505 Pool Fencing/Alarms/Barriers 1 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Piping House 403 Gas Test House 404 Shower Pan/Tub Test 408 Do Not Insulate Until Above Signed Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkler Test or Final 702 Swimming Pools Inspection Type IVR INSP DATE T -Bar Ceiling 145 Stucco Lath 142 Swimming Pools Setbacks 131 Pool Plumbing Test 504 Gas Test 404 Pre-Gunite 506 Pre -Deck 505 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 131 Blockin nde inin 612 Tiedown/Soft Set System 611 Permanent Foundation System 613 Underground Electric 218 Sewer 407 Underground Water 417 Manometer Test 605 Continuity Test 602 Skirtin Ste s/Landin s 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Final 538.7681 Fire De artment/CDF 538.6226 Env. Health Final 538.7281 Sewer District Final "PROJECT FINAL -��• rrolecc rmai is a t ernncare of uccupancy ror (xesiaennai uniy) 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 - •, r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ' 24 HOUR INSPECTION (IVR)#:530.538.4365 OFFICE #: 530.538.7601 FAX#:530.538.7785 r - www.ButteCounty.net/dds t PROJECT INFORMATION! •t Site Address: 9460 PERKINS RD , Owner: Permit NO: B 17-1764 " M APN: 039-270-115 CNULTY JOY L ETAL Permit type: MECH ELECTRIC PLUMB 9460 PERKINS RD Subtype: ELECTRIC PANEL RES CHICO; CA 95928 Description: PANEL C/O RES - 200 AMP mtractor Applicant: D AND D ELECTRIC D AND D ELECTRIC Issued Date: 8/9/2017 By JMD Expiration Date: 8/9/2018 Occupancy: Zoning: A40 Square Footage: 00 Lender's Name & Address City State Zip [j77-1. FEE INFORMATION Total Fees: $156.00 Fees Paid: $156.00 Balance Due: (None) Job Value: $2,050.00 BuilBing I GafJige Remd1YAddn P O OBX 663 P O OBX 663 COLUSA, CA 95932 COLUSA, CA 95932 • Other Porch/Patio Total .5306199288 - -5306199288 0 0 0 —1, -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 Contractors' Slate License Law for D AND D ELECTRIC 847415 / C10 / 11/30/2017 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, , I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter g improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit file a signed statement that or she is licensed pursuant to the provisions of the Contractors' (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license h ense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ' Stale License in full force and effect. Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. X - - _ 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).): Contractors Signature Date F 1, as owner of the property, or my employees with wages as their sole compensation, will' do U all of or(, portions of the work, and the structure is not intended or offered for sale ' t:.`WORKERS' .COMPENSATION`DECLARATION DECLARATION --y, '" (Section 7044, Business and Professions Code: The Contractors State License Law does not • apply to an owner of property who, through employees' or personal effort, builds or improves the I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: property, provided that the 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 have and will maintain a certificate of consent to self -insure for workers' burden of proving that it was not built or ' ❑I compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ®, I, as owner of theroe - p p Ry, am exclusively contracting with licensed Contractors to the project (Section 7044, Business and.Professions Code: The Contractors Stale ❑construct I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code• for the performance of the work for which this permit is issued. My workers' . License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License compensation insurance carrier and policy number are: Law.). _ Carrier. FYFMp7 Policy Number:' Exp. Date: ❑ I am exempt from licensure under the Contractors' State License Law for the following areason: I certify that, in the performance of the work for which this permit is issued, l 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owner's Signature Date X:`- `t' `, PERMIT APPLICANT -DECLARATION ` Signature Date By my signature below, I certify to each of the following: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS I am (_) a California licensed contractor or U the property owner' or U authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owner's behalf". I have read this construction permit application and the information I have provided is AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN correct. ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN, I agree to comply with all applicable city and county ordinances and state laws relating SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. + to building construction. I authorize representatives of this city or county to enter the above -identified property } , CONSTRUCTION' LEN DING AGENCY DECLARATION ., for inspection purposes. California Licensed Contractor, Property Owner* or 'Authorized Agent": 'requires separate verification form 'requires separate I hereby affirm under penalty of perjury that there is a construction lending agency for the authorization form performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's. Name and Address X .. , ki . of DnrrniNnc rClr Nl Print Date Lender's Name & Address City State Zip [j77-1. FEE INFORMATION Total Fees: $156.00 Fees Paid: $156.00 Balance Due: (None) Job Value: $2,050.00 Butte County Department of Development Services FORM NO PERMITCENTER DBP -18 7 County Center Drive, Oroville, CA 95965 Main Phone 530.538.7601 Fax 530.538.7785 wwnv.buttecounty.net/dds ELECTRIC SERVICE OUESTIONAIRE In order to insure that you get timely assistance and the type of permit you need, we request that all applicants for electrical service upgrades, retags, 2"d services, etc. -answer the following questions: 1. What is the service for? 2. Are there any structures on the parcel? tiG 3. Will this be for commercial use? 4. Is this a mobile/modular home? If yes, will the service be on a pole for the mobile? eve 5. Is this a 2nd service. on the parcel? .A/C) 6. Have you contacted PG&E? .v v 7. What size (amps) is the service? � ego O 8. Is this a 3 phase service? 9. Are you doing any other work? A4!* If you need additional room -to answer these questions, please use the area below or the back of this page: Thank you.-. Page I of I Revised 7.20.2015 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : 530.538.4365 (Cut off time for inspections is 3pm) Development Services cannot guarantee inspections on the date requested Office: 530.538.7601 Fax: 530.538.7785 www.ButteCounty.net/dds Permit No: B17-1886 Issued: 8/18/2017 APN: 009-202-009 Address: 546 KENTUCKY ST, GRIDLEY Owner: BECKER FAMILY TRUST Permit Type: RE -ROOF COMMERCIAL Description: PARTIAL REROOF (20SQ) r, AREA I Flood Zone: None SRA Area: No SETBACKS for Zoning, AG, SRA, PW Front: Centerline of Road: Rear: SRA: Street: AG: Interior Total Setback from Centerline of Road: i ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 131 Foundations / Footings 111 Pier/Column Footings 122 Eufer Ground 216 Masonry Grout 120 131 Pool Plumbing Test Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test Underground/floor 404 Gas Piping Underground/floor 403 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 ±612 Tiedown/Soft Set System i 611 Permanent Foundation System Do Not Install Floor Sheathing or Slab Until Above Signed Shearwall/B.W.P.-Interior 134 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Manometer Test 605 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 153 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 4 -Way Rough Framing 128 Gas Pi2ing House 403 Gas Test House 404 Shower Pan/Tub Test 408 Do Not Insulate Until Above Signed Permit Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Fire Sprinkler Test or Final 702 Swimmin Pools Setbacks Inspection Type IVR INSP DATE T -Bar Ceiling 145 Stucco Lath :142 Swimmin Pools Setbacks 131 Pool Plumbing Test 504 Gas Test 404 Pre-Gunite 1506 Pre -Deck : 505 Pool Fencin Alarms/Bamers 503 Pre -Plaster 507 Manufactured Homes Setbacks 1131 BlockingfUnderpining ±612 Tiedown/Soft Set System i 611 Permanent Foundation System :613 Under2round Electric 218 Sewer 407 Underground Water :417 Manometer Test 605 Continuity Test ' 602 Skirting/Steps/Landings i610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: ' Length x Width: Insignia: FlilaIs 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 i r I i � G £� `F Butte County Department' of Development Services PERMIT CENTER - "" 7 County Center Drive, Orovilie, CA 95965 ° Main Phoric (530){ 538-7601,Fax (,5J30) 538-7785 CIY/:W 41NT 3(DMC-3 ..',Yww. UU rtc'counry.66t/ULL� - 1 ,, Re-Roofing.and,.the;2008iCalifornia,Residential.Energy C:omplianJce - � Re uirements-for Cool Roofs- ' - Important,information you need,to-,know,BEFORE obtaining a - re=ro"of�permitl • The .Cali(omia Energy-Commi4sion (CEC) has adopled,new�requi ements for re r roofing prrijecls. Beginning January1 '2010 when more;than+60% of therdAerior surface of the roof or mire than.1,000 sq ft; of .wr roof is repWdd; whichever is less;'ttie~roofingYproduct must meet,thefotlowingiprescript%ve requirements for. Cool Rodfs: i 1 ' L For roof slopes of greater-tham2':12: 1. Roofing,products,,with a;density of less.Efhan 91bslsq ft.y(i e. Asphalt shingles) shall •have a; mirnmum 3 year ,aged solarreflectance ot;0 20 and a minimum thertnal<emitt6nb6:b 0 rpt ;;or a SolanReflectance lndez(SRI)•Of 1.6 -',2. Roofing products with a density,of,6lbs/sq ft or more (i, e. Concrete ,clay tile's or;slate).,tshall have a ininir`num 3=yearf aged so la�;re96btance-,of"0:15 and a,minimum tF eimal emittanceyof 0.75,or`a 1,4f'Of - Alternatives,t'AheZool Roofrequirementrn be,one''oftheJollowing: 1. Insulation with'a thermal resistance of at'l6-a9i3O':85hcft-.°F/Btu or at lea_ st % inch air -space is added to,the roof. deckfover an attic;'o� 2. Wexisting ducts:in the-atticare insulated.and sealed according to CEC Regulations §151(010,; or 3. Buildings with atll,east R-30 ceiling insulation; or 4. Ifthe building with a radian'tbarrierin the attic meeting the requirements of §151(1)2 ; or 5.- Buildings with no ducts-inthe,,,attic; or 6. If in climate Zone s,10, ,11, 13, and 14, R-3•or.,geeat&roof deck insulation above vented attic. 7. Roof area's covered by integrated photovoltaic. panels and building integtated solar panels and. existing roof areas -that have a thermal mass over the "fo membrane with a weight of at least 25 Ibift2 are exempted forthis requirement. A Certificate of Compliance Energy Form '!CF -1R' -ALT.' must be completed and submitted with the, permits application. The "CF -1R -ALT' 'form must be signed by the documentation Author and the Building. Designer ji:e. . Contractor or Home Owner). At Final Inspection an. Installation Certificate Form "CF- R -ENV -01" must be completed by the installing contractor and submitted to the owner and the building department. ' ♦y - .. - I ter• J , .. ` i ' �. - y Roofing products that are used for cmpitarm with the energy standards are required to' be tested ;arid labeled by the Cool Roof Rating Council (CRRC). The rooting products manufacturer must have its roofing product tested for solar rune and therms! eminence,` and be listed in the CRRC's Rated Product Directory (see hftalwwav oaotrnofs.om and be labeled accorcgng to CRRC procedures. Below is an example of an approved CRRC product label. bcSolar Initial Weathered . Reflectance 0.00 Fending. -Thermal Emiitance 0.00 FendingCRatod ProductID NumberCOOL RLicxnsed Sow M Number ` — — RA'1'IIVG COUN(E. � — — Classi@radon PrcdBotion Lina. Ccd Roof RftV Coat 4 r Wp a= fasa mad ws otaandidow. and nd be tlf far deteswIf — seasonal eae�q pedo»aanee. U MIA effect of sot>Gatauoa wA � +I anm►vaw l� 7iresa catioga sacra deee»szatod i1i `cvi9i t� eppliaa0le ��8 Camaptoteftm !' I Ahad ed are the CF -1R -ALT and the Cl` -S ENV -01 forms for your use. Or you can visit the Callfomia Energy- - Commlesions webpage at: www•enerr &aov for more i dbm Mm ; . Ik k (Niue on'ds4w%& r-01'(K:)/8UIL0INGM EMTE FORMSIFwM 2010fln ilogressibW fear announcemwi ? 014XI-10 ]t JS . ` • - ` y, Butte County Department of Development Services pp f` PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 Main Phone' (530) 538-7601 Fax,(530) 538-7785 or�riowrw SE—al' - .www:builccourity:nct/ddb ' FORM. NO DPI -3 COOL REROOF INFORMATIOWSHEET , ' �� t. ��.� �`• �• msµ- �-7 /e t� � ` �E! riQl � �' ~ - •, a.+ 1, .. .��.. Project Address: �i KyGK S°f r°u �• Slope of Roof:. ►I/ol # of Existing Layers _�_ Existing Roofing=MaterialC- 4%r r•r,o, r. �u ♦r,�• ..nee ... Composition ❑ .. Tile ,o` Shake ❑ _.. .. , t WoodShingle.. o BuiIL up '.. ❑ Bdumen �,_ ❑ ...: Metal __, _ _ `_ ❑ _, •Other c Tear off existing o Overlay o;�? "New Sheathing i -o _, .. The California Energy Commission (CEC) has adopted new requlrements';for re-r•oofing.projects. r ' Beginning.,JanUjrV,1, 2010. when more than;50% of,the exterior surface of the�roof or more thanA,000-sq. ft of roof isreplaced, whichever is less, tl%new,roofing area must meet he:roofingprodud; Cool Roor requirements 6f_§.1,52(b)1,Hi. j152(b)1Hii;•;or. 152(b)1Hiii For roof alopes of greater lhan.2 12 Roofing produclswllh'a denslry ok ` sahan 5ttislsq ft-(i.er ';-Roofing:,products;wilh a denslty_of51bs/sq fL or:inore(.e: Asphalt shingles) shall have a minlinum 3 -year aged solar Concrete,, day tiles or slate) shall have a minimum 3 -year O reledance of 0`10'and a.. minimum Ifiermal "e`'mltlareoe of aged solarreflectance of 0.15 and a minirnum.thermalr 0.75, or,a,Sotar.;Rehectance,lndex'(SRI) of 16. ' O= emillance of'0.75,•ora.SRl of 10.- or chock aftemale,(alt)or check 'iIternato,(aIQ' Note: Manufacturers specification for Cool Roof compliance when required shall:b6iobo ided forinspeclor: Packaging -matenafs w/CRRC labels•must be left on the Job site to demonstrate compliance with the specification {or fhe'coollroof rating if applicable. ALTERNATE (ALT)Altematives•to §152(b)1HI`and §1152(fi)HII Stee/'��to- roof'0ii(dh >3a2) Alternatives to the Cool Roof requirement may be one of lhe�followl s� Building with a(IeasfR•30 oe01 nsolation g !1g `-- -,• ;;„ ilfln climate'zone 1'1', R 3 or -greater insulation 1 aft o W, y, l w(or more);thlck if blown In) • alt o r 'above vented altic:" Existing ducts Insulated willf R=6 and H:E R.S. "" " Bu1Qmg has no HVAC ducts in the:attic - aft o dud tested to verify duds are sealed " , alto ....... tevaporative`cooiing 66t exempt) aft o Building with a radiant barrier In etlicmeeting the requ)rements 'alt o Insulabonover roof deckor at -least 1% inch air -space is 01,§151 f Y _ ", ..._ added to the.roof _deck over: an'.atiic Other Exceptions , • Roofing area covered by building Integrated, photovoltaic panels and solar thermal panels are exempt from Ihe.below Cool Roof criteria. Roof constructions that have Thermal mass over the roof membrane with at least 25 lb/112 Is exempt from the below Cool Roof c rit&W 'Butte County' areas wMh/n Climate lone 11 `per T 24 , Part 6, 2008 CeLfomia'Energy Code: Bangor''Berry Creek. Biggs, Centerville Powerhouse, Cherokee, Chico, Cohasset, Dayton, Oe Sable, Durham, East Biggs, Forest Rench, Gridley, Honcut, Lake OroWle, Lake Wyandotte, Las Pumas, Magalla, Nelson, Nord, Oroville, Orowlie East,, Palermo, Paradise, Pentz, Richardson Springs, •Richvale, sordh Orovlue, Thermalito Thermallto Afterba •Thermatrl'o Forebav,,TlvC+ er.eek Ploivert?bdse arid:th CLIMATE ZONE 16 (ONLY) Cool roof requirements apply ONLY, when, Roofing products with a density of 5lbsisq.ft. or more (i.e. Concrete, day tiles of slate) shall have a minimum•3=year aged solar reflectance of 0.15, and a minimum thermal emiltance of 0.75, or a SRI of, 10: or chock alternate (alt) as applicable. �y INSTRUCTIONS FOR COMMERCIAL PROJECTS - --- +;A!' .8 Commercial roofs on decks with a slope 0(2:12 or Tess must meet -the 2008 Budding Energy Efficiency Standards by being a certified Cad Roof. A copy of the standatrtts. slimed by the anplic.t nisi aaartoarn this opotcartion. +i4 1 Overlays that exceed '100 pounds perasquke must tiefaccompanfed by"e'alculallons performed by a Callfomla�licensed Civil or- Structural Engineer. All overlays must be. approved'by the Building;Offcial'and other requirements listed withln'Appendix Chapter 15, California Building Code, A 6molficatlon from the roolno manufacturer rrrat amorrwrw this application: -The specification should list the fire class of the material, a description of the materials or layers, that must be Installed. the Cool: Roof ,cenlflption (If required because of ft slope of the root), and Installation requirements. . . •"N. •k'. _ - : F. - • Packaging materials w/CRRC labels must be left on the job site to demonstrate compliance with the specilcation.lor the cool roof rating if applicable. r. _ . . agree that the Information provided on this document 'is-accurale.and lrue.- _ - - Applicants Signature: �1��ideF�9� Date: Lift.:, - CF- R ENW01- ROOFING MWALLATIONCERTIMATE (Revl w f" rcoft MW CFB"wm l; mlope—Roofing C -me. 4i w l Mm-wZk '% a I Eafo/enw dAPW. tPemdtfiernber / hmom Umn one pw m has mpwrsorforkmem tWlen of OW Rams on M &Wwb, eadr person shag prepare errd a�rr a oar oras appll�ele tb the porBon of oorlsbucrlbn fortv►tfch thayare reapor>a�; a aJy, Me person wlih ddefresponsOW (hroo iftic>Ion shad prepare and attr oerfi a fortlre amara oorrs�cttdm. Ag fa lNamdstary Measraea wkh dtedc boxes rsqube fa ae dledwdfo emcee fee marA* y measwes lteva been met ATTIC ROOF INSULATION ANDIOR ATTIC RADIANT BARRIER tllaferlat: Brand Name: Matelot Brand Name: Tt taknew (etches): Thermal ReststmwValuer o §� talar lttstdettort btt3tetled meet$ ter brsrdafbtg etafes'� O §1 fi W: Nttandetory vapor bw.Im elute W to Cfbneta zone to Descrt on of Roofin Produces CaRCPMdwt a(muftbow a»aWdWPmdtm! Root Rose Prodtut IAMdSoler Aaod8dw Thermal IDN> nben Area Slom Wdaltz Reftatmam P.Wkctemoer emftww ODOg Camp, 0.2 A"i".14 p. Q.'t 1. fie CRR'C Prudrarl to NtasBefrarr M at�bra0 hrxn the (bel t�oo1 tgrdbrg Courx�Pa ttLated Product Qbem'ny e 2 the weJgfddtlaparsqua+e teat Wfhe roollrlgprosAud �►8 d 3. Chackbax NaAe/lgedR6sa �sa3d vaham usbrgfhe agw>$orrt3afow, Iba�ote 4. 4. Nthe egad relfacfenae !s not eta Ar the Cool RbofReaYrg Courtr9e Rr>3iad Prodrr� Oheallny than ase aAo a�Es/ree vakrs (ram nre dbuday and use the equdba (ta2rR7(plbl w— 0.4 to ohiM a cmbAided aged vWw. QCHECICAPP1/CA9LE IFD�►FROM71tER-OFINOPR00,_—RE6]UfR JV): O The roof Brea covered by btdtdtng hdegtated phatovdit o pants and bultdtng Integrated solar thenal parmle are I ffem the ebove Coot Roof or bette. O Root masa am the roof membrane WM a w eW of at least 25 ll W Is atwnpled ttom Be above Cool crea ta. To WlyLAWd RwAppllad CoaffiM the waft fin stDe etpW air acky rnBthtalmm of 20 mRemm go 00v roof smihoa amd meet nthb m perPo a requkeowds In 01Wand Table 1184. Slated theWAmbb coeur O Atunttrutm-Ptg rftd Roof Coattrgl O Comen Iesed Root Coaftng OOiher -I WGRRC-4 Label Attached to CF 8R ffnoCRRGIt MW Is avabbk Ob cwmbwo me/hadcannot bewed and enogwnmftdIs 08W&W to meet DECLARATION 8TATEMOfT • I am* under Penalty of perpoy. und" Ole laws offt State Of Cetfondt the 6Ebmmtlon ptwtded an this tOmt le bus and conemt. • 1 am Qgfbb under DMdon S oft* 8mbom and Pmftdons Code fa accept reepansIlMly for aww&Ldbft or an mdmdnmd leprae of Ota person lmipotelda for conn (rmpmm2te person). • I certify Otat the t1ta tbadaes, nom, �upmpm of rr devtcea lderlBBad on fNe a (Ota trona confwme to all Womble codes and mwddtm and ft &mwdlton is comment va Ota plana and spedftanone qp vmd by Ota mdoroartwd Agency. • I reviewed a copy of Ore CeMeata of Compflsnw (CF -1R) form approved by Ore entoraemwd egerwy aw mefffifies the Lan requbeirtat tar Ota M:tWWUom l ow* tW there **ermerft data eed on the CF -IR Otat appty to the befit have Item met lk ■ t will ensmo that a mondem4 maned mops of tt fe bteWhifficn Ce+uf eb elten be posted, or made eva»ablo wilt the bufiding pemd!(a) Issued tot the buodkS and erode evallabb to the a ihmm d agency for aft applicable lospettlom1 undmefand Nm a alp" copy of Oft bwtalfetkm Cartlflcalb Is requbsd to be fnaluded with the doc uoeradbn Be balder e provides to the bu0dbtg owner at ocmpmlr. �resteil� 8 a GertBtal ConLractm or et t) Re 8 G� RBSpar�lf Perems strt8tut� ' /iris �4,�dH p A CSWl.foertse: � 3' a //�� 04/N�✓•� ✓' "I s M —V A. - k dsWu or. Vs•randm p 01'(K.1/Ht111 1)1N(1M?FPSr•t1: RYWSWorms :!OWAn Piogross/ fintasnUms CeMico- i':FWf -FN"J 01 p1 0(4 Iq NJS