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028-030-021
Q � 28-03-21 8-03-0-021 93-1276 P,E V�ILL OSE 696 L014ER 0 CUT RD, OROVILL MHU .Q U ►�C/ t ELEC GAS COMPACTIO EST REQ SUPPO STRUCT REQ 028-030-021 94-1111P,E(MH) NOYO INVESTMENT CO. -4k -9 l 696 LOWER HONCUT RD . , OROVILLE,I9 UTILITIES /. ELECTRIC GAS LINE COMPACTION TEST RE /(% SUPPORT � STRUCT REQ . O 023-030-021,- ✓ilVT a%ut .94 1112B u NOYO INVESTMENT CO. 696 LOWER HONCUT RD.., OROVILLE DECK & RAMPS/MH) `f �' 028-030-021 PERMIT#94-1932 NOYO INVESTMENT CO 696 LOWE)2 HONQUT RD., OROVILL MOBILEHOME INSTALLATION 028-030-021 06-1407 CAVERLY,ROBERT 696 LOWER HONCUT RD, HONCUT Cont: AAA PUMP &WELL /� ELEC(AG WELL) ✓ �y�o 7 6 lIU -0li 028-030-021 06-1847 CAVERLY,ROBERT 696 LOWER HONCUT RD, OROVILLE Cont: PITZER CONST NSF/DECKS(OPEN,COV) �_ n � n .� . �� � � Ll i ''� `• SITE PLAN REVIEW APPLICATION Date: " 5b_0kn AP# Permit Number (if applicable) 1 Bin Number APPLICANT INFORMATION Parcel Size: n l c1q, i ea ca-e-3 Owners Name: \\ Owners Address: Telephone No.: Site Address: Proposed Use: Zone: �5 Residential GP: pr G New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer g S ❑ Multi-family Von -residential NrNew Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: Brief Explanationds' sue: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approve. Conditionally Approved ❑Resolve Problems Prior to Approval Resolved By Date 1 2006 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Mme: Map Date of Recording: Lot: Page: 3 2006 /�777'j � e IV .50 !�a �o� 01 Date: September 18, 2008 To: Building Inspection Department Job Number: 028-030-021 Re: Pitzer-New residence, 696 Lower Honcut Rd, Oroville, CA 95965 Attached please find the following compliance support documentation: • Form MF -1R: Mandatory measures checklist — Residential Form CF -1R: Certificate of Compliance, Computer Method Summary (MICROPAS 7.1) HVAC sizing: ASHRAE method heating and cooling load calculations Heating Heat Required Efficiency (min. Btuh) (AFUE) Home: 83,779 92% Total Sensible Cooling Cooling Cooling Efficiency (min. Btuh) (min. Btuh) (SEER) 62,064 51,720 14.0 Heating and cooling system(s) must meet the loads and efficiencies listed above. A 30% safety factor has been included in the minimum heating load and a 20% safety factor is included in the minimum cooling load to account for the added capacity required when using a setback thermostat. Ducts are to be insulated to minimum R-6.0. Due to high glazing percentage HERS verified EER verification is required. Floor Area: 3,373 sq. ft. Space Heating: Gas Furnace (AFUE>=92%) Space Cooling: Air Conditioner (SEER 14)/(EER 12) Water Heating: 75gal Propane storage tank (Recovery Efficiency = 80%) w/ recirc. Radiant Barrier: No Envelope requirements are as follows: Walls: R-19 Roof: R-38/SIP R22 Floor: R-30 Windows: Vinyl/Wood, double pane with low -e glass (U-value<=0.34, SHGC<=0.27) Skylights: Vinyl/Wood, double pane with low -e glass (U-value<=0.40, SHGC<=0.30) Compliance Margin (Performance Method): 0.32 The contractor is responsible for ensuring that all appropriate items in the Mandatory Features form (MF -1) are incorporated into the building. Form MF -1 follows on the next page. Please contact me if you have any questions regarding these calculations IAN T. O'BRIEN ENERGY & ENGINEERING CONSULTANT PHONE: (530) 272-1505 13481 IDAHO MARYLAND RD. FAX: (530) 274-7351 NEVADA CITY, CA 95959 EMAIL: obr986@sbcglobal.net MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... Pitzer Date..09/18/08 11:23:36 Project Address........ 696 LOWER HONCUT RD ******* --------------------- OROVILLE CA *v7.30* I I Documentation Author... Ian O'Brien ******* I Building Permit # I Ian O'Brien Title 24 Energy Calculations I I 19584 View Forever Ln. I Plan Check / Date I Grass Valley, CA 95945 I I 530-575-1656 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7:30 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM MF -1R •User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling _XX_ 150(b): Loose fill insulation manufacturer's labeled R -Value _XX_ *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) _XX_ *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor _XX_ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox _XX_ b. Outside air intake with damper and control, flue damper and control _XX_ 2. No continuous burning gas pilot lights allowed _XX_ 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual _XX_ 150(g): Vapor barriers mandatory in Climate Zones 14,16 only _XX_ 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch _XX_ 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form _XX_ 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage _XX_ 2. Fenestration products (except field -fabricated) have -MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 ----------------------------------- Project Title.......... Pitzer Date..09/18/08 11:23:36 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM MF -1R User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES n/a 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(1): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value _XX_ 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A _XX 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A —XX _ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space _XX_ 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation _XX_ *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 60.4, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure System that meets the applicable requirements of UL 181, _XX_ XX De- En- sign- force er ment XX XX XX _XX_ XX _XX_ 'MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title.. ..... Pitzer Date..09/18/08 11:23:36 ----------------- MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM MF -1R User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run ------------------------------------------------------------------------------- UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used _XX_ 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts XX 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands _XX_ 4. Exhaust fan systems have back draft or automatic dampers _XX_ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers _XX_ 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material _XX_ 7. Flexible ducts cannot have porous inner cores _XX_ 114: Pool and Spa Heating Systems and Equipment 1. A.thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light _XX_ 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. _XX_ 3. Pool system has directional inlets and a circulation pump time switch _XX_ 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) _XX_ 118(1): Cool Roof material meets specified criteria _XX_ RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz _XX_ *MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 Project Title.......... Pitzer Date..09/18/08 11:23:36 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM MF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast _XX_ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires _XX_ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option _XX_ 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option _XX_ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals _XX_ 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) _XX_ 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 _XX_ 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) _XX_ CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 ------------- Project Title.......... Pitzer Date..09/18/08 11:16:52 Project Address........ 696 LOWER HONCUT RD ******* --------------------- OROVILLE CA *v7.30* I I Documentation Author... Ian O'Brien ******* I Building Permit # I Ian O'Brien Title 24 Energy Calculations I I 19584 View Forever Ln. I Plan Check / Date i Grass Valley, CA 95945 I I 530-575-1656 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS7 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kTDV/sf-yr) - Design Design -------------------- Margin = _ --------------------------------- = Space Heating.......... 40.99 34.42 6.57 = - Space Cooling.......... 33.32 36.33 -3.01 = = Water Heating.......... 14.29 17.53 -3.24 = _ - = Total -------- 88.60 ---------------- 88.28 0.32 = _ *** Building complies with Computer Performance _ *** HERS Verification Required for Compliance GENERAL INFORMATION HERS Verification.......... Required Conditioned Floor Area..... 3373 sf Building Type .............. Single Family Detached Construction Type ......... New Fuel Type ................. Propane Building Front Orientation. Front Facing 45 deg (NE) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 3 37298 cf 0 sf 27.6 a of floor area 0.34 Btu/hr-sf-F 0.26 11.1 ft `CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title .. Pitzer Date..09/18/08 11:16:52 ----------------------- MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I i User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION OPAQUE SURFACES Floor # of # of Cond- Thermo- Vent Vent Verified Appendix Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type -------------- (sf) ----- (cf) ------ Units ----- le ----- ioned ----- Type -------- (ft) ----- (sf) Housewrap ------- ---------- HOUSE Azm --- Tilt ---- --- Reference --------- Comments -------------- ------------ HOUSE ----- Residence 1042 13520 0.30 1.2 Yes Setback 2.0 Standard No LEFT BD Wood 294 0.074 19 0 45 90 Yes Residence 1333 13330 0.40 1.6 Yes Setback 2.0 Standard No RIGHT BD 90 Yes None FRONT DOOR 6 Wall Wood 77 Residence 998 10448 0.30 1.2 Yes Setback 2.0 Standard No OPAQUE SURFACES FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------ ----- ----- ----- --- ------------ ------------------------ HOUSE 1 Wind Front (NE) 27.0 0.3300.270 45 90 None 2A1/Vinyl/Wood operable 11 Wind Front (NE) 12.0 0.330 0.270 45 90 None 2A2/Vinyl/Wood Fixed Low 12 Wind Front (NE) 12.0 0.330 0.270 45 90 None 2A3/Vinyl/Wood Fixed Low U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) ---- or ----- R-val ----- R-val ----- Azm --- Tilt ---- --- Reference --------- Comments -------------- ------------ HOUSE ----- 2 Wall Wood 294 0.074 19 0 45 90 Yes IV.9 A5 Front 4 Door None 48 0.330 0 0 45 90 Yes None FRONT DOOR 6 Wall Wood 77 0.074 19 0 135 90 Yes IV.9 A5 Left 8 Wall Wood 255 0.074 19 0 225 90 Yes IV.9 A5 BACK 11 Wall Wood 77 0.074 19 0 315 90 Yes IV.9 A5 RIGHT 14 Roof Wood 1026 0.043 22 0 n/a 0 Yes IV.3 A2 SIP ROOF 16 Floor Wood 1042 0.028 30 0 n/a 0 No IV.20 A7 RAISED FLOOR LEFT BD 1 Wall Wood 555 0.074 19 0 45 90 Yes IV.9 A5 Front 5 Wall Wood 185 0.074 19 0 135 90 Yes IV.9 A5 Left 7 Wall Wood 392 0.074 19 0 225 90 Yes IV.9 A5 BACK 13 Roof Wood 998 0.025 38 0 n/a 0 Yes IV.1 A18 ROOF 15 Floor Wood 1333 0.028 30 0 n/a 0 No IV.20 A7 RAISED FLOOR RIGHT BD 3 Wall Wood 424 0.074 19 0 45 90 Yes IV.9 A5 Front 9 Wall Wood 338 0.074 19 0 225 90 Yes IV.9 A5 BACK 10 Wall Wood 213 0.074 19 0 315 90 Yes IV.9 A5 RIGHT 12 Roof Wood 1333 0.025 38 0 n/a 0 Yes IV.1 A18 ROOF 17 Floor Wood 998 0.028 30 0 n/a O No IV.20 A7 RAISED FLOOR FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------ ----- ----- ----- --- ------------ ------------------------ HOUSE 1 Wind Front (NE) 27.0 0.3300.270 45 90 None 2A1/Vinyl/Wood operable 11 Wind Front (NE) 12.0 0.330 0.270 45 90 None 2A2/Vinyl/Wood Fixed Low 12 Wind Front (NE) 12.0 0.330 0.270 45 90 None 2A3/Vinyl/Wood Fixed Low `CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title ......... Pitzer Date..09/18/08 11:16:52 ----------- MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run ------------------------------------------------------------------------------- FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------ 14 Door Left (SE) ----- 24.0 ----- 0.340 ----- 0.250 --- 135 ---- 90 -------- None ------------------------ 2B2/Vinyl/wood door Low 15 Wind Left (SE) 22.0 0.330 0.270 135 90 None 2B3/Vinyl/Wood operable 22 Wind Back (SW) 59.0 0.330 0.270 225 90 None 2C1/Vinyl/Wood operable 23 Wind Back (SW) 59.0 0.330 0.270 225 90 None 2C2/Vinyl/Wood operable 28 Wind Back (SW) 10.0 0.330 0.270 225 90 None 2C3/Vinyl/wood Fixed Low 29 Wind Back (SW) 10.0 0.330 0.270 225 90 None 2C4/Vinyl/Wood Fixed Low 31 Wind Right (NW) 22.0 0.330 0.270 315 90 None 2D1/Vinyl/Wood operable 32 Door Right (NW) 24.0 0.340 0.250 315 90 None 2D2/Vinyl/Wood door Low 33 Skyl Horz 8.0 0.400 0.300 45 0 None SL1/Vinyl/Wood Skylight 34 Skyl Horz 8.0 0.400 0.300 45 0 None SL2/Vinyl/Wood Skylight LEFT BD 2 Wind Front (NE) 5.0 0.330 0.270 45 90 None lAl/Vinyl/Wood operable 3 Door Front (NE) 24.0 0.340 0.250 45 90 None lA2/Vinyl/Wood door Low 4 Door Front (NE) 24.0 0.340 0.250 45 90 None lA3/Vinyl/Wood door Low 5 Door Front (NE) 24.0 0.340 0.250 45 90 None 1A4/Vinyl/Wood door Low 6 Wind Front (NE) 30.0 0.330 0.270 45 90 None 1A5/Vinyl/Wood operable 13 Wind Left (SE) 15.0 0.330 0.270 135 90 None 1B1/Vinyl/Wood operable 16 Door Back (SW) 80.0 0.340 0.250 225 90 None 1C1/Vinyl/Wood door Low 17 Door Back (SW) 64.0 0.340 0.250 225 90 None 1C2/Vinyl/Wood door Low 18 Wind Back (SW) 7.0 0.330 0.270 225 90 None 1C3/Vinyl/Wood operable 19 Wind Back (SW) 7.0 0.330 0.270 225 90 None 1C4/Vinyl/Wood operable 20 Wind Back (SW) 48.0 0.330 0.270 225 90 None 105/Vinyl/Wood operable 21 Door Back (SW) 64.0 0.340 0.250 225 90 None 106/Vinyl/Wood door Low RIGHT BD 7 Wind Front (NE) 12.0 0.330 0.270 45 90 None 3A1/Vinyl/Wood operable 8 Wind Front (NE) 12.0 0.330 0.270 45 90 None 3A2/Vinyl/Wood operable 9 Door Front (NE) 24.0 0.340 0.250 45 90 None 3A3/Vinyl/Wood door Low 10 Door Front (NE) 24.0 0.340 0.250 45 90 None 3A4/Vinyl/Wood door Low 24 Door Back (SW) 64.0 0.340 0.250 225 90 None 3C1/Vinyl/Wood door Low 25 Wind Back (SW) 7.0 0.330 0.270 225 90 None 3C2/Vinyl/Wood operable 26 Wind Back (SW) 7.0 0.330 0.270 225 90 None 3C3/Vinyl/Wood operable 27 Door Back (SW) 80.0 0.340 0.250 225 90 None 3C4/Vinyl/Wood door Low 30 Wind Right (NW) 12.0 0.330 0.270 315 90 None 3D1/Vinyl/Wood operable OVERHANGS ---Window--- ------------Overhang------------ Area Left Right Surface ----------- ----- (sf) Width ----- Height ------ Depth ----- Height Extension ------ --------- Extension --------- HOUSE 1 Window 27.0 6.0 4.5 6 2 n/a n/a 11 Window 12.0 2.0 6.0 9.5 5.0 n/a n/a 12 Window 12.0 2.0 6.0 9.5 5.0 n/a n/a "CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title. ... . Pitzer Date..09/18/08 11:16:52 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- OVERHANGS ---Window---------------Overhang------------ HVAC SYSTEMS ------------ Verified Number Area Verified Verified ILeft Maximum System Right Surface (sf) Width Height Depth Height Extension Extension --------- ----------- 14 Door ----- 24.0 ----- 3.0 ------ 8.0 ----- 6 ------ 1.5 --------- n/a n/a 15 Window 22.0 4.0 5.5 6 1.5 n/a n/a 22 window 59.0 6.0 10.0 2 1.5 n/a n/a 23 Window 59.0 6.0 10.0 2 1.5 n/a n/a 28 Window 10.0 6.0 3.5 2 1.5 n/a n/a 29 Window 10.0 6.0 3.5 2 1.5 n/a n/a 31 Window 22.0 4.0 5.5 6 1.5 n/a n/a 32 Door 24.0 3.0 8.0 6 1.5 n/a n/a LEFT BD 3 Door 24.0 3.0 8.0 4 1.5 n/a n/a 4 Door 24.0 3.0 8.0 4 1.5 n/a n/a 5 Door 24.0 3.0 8.0 4 1.5 n/a n/a 6 Window 30.0 6.0 5.0 4 1.5 n/a n/a 13 Window 15.0 6.0 2.5 2 1.5 n/a n/a 16 Door 80.0 10.0 8.0 2 1.5 n/a n/a 17 Door 64.0 8.0 8.0 2 1.5 n/a n/a 18 Window 7.0 3.0 2.5 2 1.5 n/a n/a 19 Window 7.0 3.0 2.5 2 1.5 n/a n/a 20 Window 48.0 8.0 6.0 4 1.5 n/a n/a 21 Door 64.0 8.0 6.0 4 1.5 n/a n/a RIGHT BD 7 window 12.0 3.0 4.0 5.5 1.0 n/a n/a 8 Window 12.0 3.0 4.0 5.5 1.0 n/a n/a 9 Door 24.0 3.0 8.0 4 1.5 n/a n/a 10 Door 24.0 3.0 8.0 4 1.5 n/a n/a 24 Door 64.0 8.0 8.0 4.0 1.5 n/a n/a 25 Window 7.0 3.0 2.5 2 1.5 n/a n/a 26 Window 7.0 3.0 2.5 2 1.5 n/a n/a 27 Door 80.0 10.0 8.0 2 1.5 n/a n/a 30 Window 12.0 6.0 2.0 2 1.5 n/a n/a HVAC SYSTEMS ------------ Verified Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems Efficiency EER ----- or TXV ------------- Airflow -------- Draw -------- Capacity -------- ------------ HOUSE ------- ----------- Furnace .30 0.920 AFUE n/a n/a n/a n/a n/a ACSplit .30 14.00 SEER 12.0 No No No No LEFT BD Furnace .40 0.920 AFUE n/a n/a n/a n/a n/a ACSplit .40 14.00 SEER 12.0 No No No No 'CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 ------------------------------------ Project Title.......... Pitzer Date..09/18/08 11:16:52 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- HVAC SYSTEMS ------------ Verified HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) ----------------------------------------------------- HOUSE Furnace 20541 n/a n/a n/a ACSplit n/a 17658 21310 n/a LEFT BD Furnace 24460 n/a n/a n/a ACSplit n/a 19450 23472 n/a RIGHT BD Furnace 19444 n/a n/a n/a ACSplit n/a 14612 17634 n/a ----------------------------------------------------- Total 64444 51720 62415 n/a Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts ------------------------------------------------------- HOUSE Furnace Crawlspace R-6 No No No ACSplit Crawlspace R-6 No No No LEFT BD Furnace Crawlspace R-6 No No No ACSplit Crawlspace R-6 No No No Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type ------------ Systems ------- Efficiency EER ----------- ----- or TXV ------------- Airflow -------- Draw -------- Capacity -------- RIGHT BD Furnace .30 0.920 AFUE n/a n/a n/a n/a n/a ACSplit .30 14.00 SEER 12.0 No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) ----------------------------------------------------- HOUSE Furnace 20541 n/a n/a n/a ACSplit n/a 17658 21310 n/a LEFT BD Furnace 24460 n/a n/a n/a ACSplit n/a 19450 23472 n/a RIGHT BD Furnace 19444 n/a n/a n/a ACSplit n/a 14612 17634 n/a ----------------------------------------------------- Total 64444 51720 62415 n/a Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts ------------------------------------------------------- HOUSE Furnace Crawlspace R-6 No No No ACSplit Crawlspace R-6 No No No LEFT BD Furnace Crawlspace R-6 No No No ACSplit Crawlspace R-6 No No No `CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 Project Title. .... Pitzer Date..09/18/08 11:16:52 -------------------- MICROPAS7 v7.30 File -2803021A Wth-CTZllS05 Program -FORM CF -1R I User#-MP2420 User -Ian O'Brien.Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- DUCT SYSTEMS WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Large Gas Recirc/Demand 1 n/a 75 R-0 WATER HEATING SYSTEMS DETAIL Standby Internal Tank Recovery Rated Loss Insulation Pilot System Efficiency Input Fraction R -value Light -------------------------------------------------------------------- 1 Large 0.80 n/a 0.03 R- n/a 0 SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates HERS verified EER. This building incorporates Ducts in a Crawlspace or Basement Location. All supply registers must be within 2 ft of floor. This building incorporates a non-standard Water Heating System. HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate. *** This building incorporates HERS verified EER. Verified Verified Verified System Duct Duct Duct Surface Buried Type ------------- Location ----------- R -value ------- Leakage ------- Area -------- Ducts --------- RIGHT BD Furnace Crawlspace R-6 No No No ACSplit Crawlspace R-6 No No No WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Large Gas Recirc/Demand 1 n/a 75 R-0 WATER HEATING SYSTEMS DETAIL Standby Internal Tank Recovery Rated Loss Insulation Pilot System Efficiency Input Fraction R -value Light -------------------------------------------------------------------- 1 Large 0.80 n/a 0.03 R- n/a 0 SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates HERS verified EER. This building incorporates Ducts in a Crawlspace or Basement Location. All supply registers must be within 2 ft of floor. This building incorporates a non-standard Water Heating System. HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate. *** This building incorporates HERS verified EER. "CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R ' Page 7 Project Title . Pitzer Date..09/18/08 11:16:52 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM CF -1R I User*-MP2420. User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- REMARKS 3 ZONES 1HVAC CONT W/ VAV BOXES COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER Name.... Bob Pitzer Company. Pitzer Construction Address. 724 DEERBROOKE TRAIL AUBURN, CA 95603 Phone... 530-305-7272 License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Ian O'Brien Company. Ian O'Brien Title 24 Energy Calc Address. 19584 View Forever Ln. Grass Valley, CA 95 Phone... 530-575-1656 Signed.. (date) RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS -5R Page 1 Project Title Title.......... Pitzer Date..09/18/08 11:16:52 MICROPAS7 v7.30 File -2803021A Wth-CTZ11S05 Program -FORM MF -1R I User#-MP2420 User -Ian O'Brien Title 24 Ener Run -Final run I ------------------------------------------------------------------------------- At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. KITCHEN LIGHTING SCHEDULE ------------------------- High High Efficacy Efficacy Other Luminaire Type (Yes/No) -------- Watts Quantity --------------- Watts -------- Watts -------- --------------- CFL-1 Yes 26 x 5 = 130 or MR -16 No 55 x 2 = or 110 Total A= 130 B= -------- -------- 110 -------- -------- Complies if A >= B Yes _XX_ No Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets - Section 130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used) Permanently or Remotely Installed Ballasts - Section 130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturerIs catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) - Section 130(c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or 2. For tracks equipped with an integral current limiter, the higher of - The wattage (or VA) rating of an approved integral current limiter controlling the track system or - 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter, the higher of - 45 watts per linear foot of the track or - The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting (less than 90 volts) - Section 130(c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory -installed label Other Lighting - Section 130(c) 5 (Lighting systems that are not addressed in Sections 130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing lab reports. 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: 696 LOWER HONCUT RD Owner: Permit No: 06-1847 APN: 028-030-021 Robert Caverly Issued Date: 10/03/2006 By KEJ Permit type: RESIDENTIAL 10123 Lupine Lane Subtype: SFD-Custom/Model Auburn„ CA 95603 Expiration Date: 10/03/2007 Description: NSF/DECKS(OPEN,COV) (530) 887-0123 Occupancy: R-3 Zoning: A-5 Contractor . Applicant: Square Footage: PITZER CONST Robert Pitzer Building Garage Remdl/Addn 724 Deerbrooke Trail 3,373 Auburn, CA 95603 Other Porch/Patio Total (530) 823-6657 784 85 4,242 FEE INFORMATION Dwelling - Custom, Model $2,254.99 Fund 10 BLDG $1,613.31 SMTP - Residential $22.84 Total Charged: $3,891.14 Fees Paid: $3,891.14 Balance Due: $0.00 Receipt No: B366 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License PITZER CONST / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000)Af Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fy a e ct. 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 peril subjects X 10/03/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date / (� VV ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 8-w Carrie 'ir Policy Number: Li xp. Date: ] ! vim/ if for Contractor's License Law.). (This section need no a completed the permit s one and e d llars ($100) or as .) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/03/2006 compen tion provisi sof Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pro; X 10/03/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 heretivacknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use oro 3ancy f anWtrdewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count toe ter a abinspection purposes. I hereby certify that I am the r aperty owners behalf. CONSTRUCTION LENDING AGENCYgrope 10/03/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Ndtne of Permittee [SIGN] PriRf Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Kcontractor OR DAgent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip 10 ?WTMENr C,c T0 TFo 0 0 coUN1� A�QLIC WORDS Department of Public Works C o u n t y J. Michael Crump, Director Shawn H. O'Brien, Assistant Director March 12, 2007 Robert J. & Cynthia L Caverly 10123 Lupine Lane Auburn, CA 95603 o f B u t t e LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 RE: Grading in FEMA Designated Floodway and building construction APN 028-030-021, Situs: 696 Lower Honcut Rd. Dear Mr. and Mrs. Caverly: On July 5, 2006, we notified you that your grading in a flood plain required a Counter permit, pursuant to Article IV of Chapter 26 of the Butte County Code. Your Civil Engineer, Gary Laughlin, has provided some information on the flooding issues, created when you graded in a flood plain without the necessary permit, primarily the location of your fill and the reduction in flood storage volume. In order for us to be able to approve a permit for the placement of the fill, your Civil Engineer's plans will need to demonstrate compliance with Butte County Code. The most important issues are: no increase in flood plain elevation on neighboring properties and no loss in flood plain storage capacity. We are confident hat your Civil Engineer can provide construction plans that resolve these issues. We have been working with your building contractor, Robert Pitzer, to keep your building construction on schedule. Allowing for normal construction inspection, but no final approval until you have resolved the above mentioned flood plain problems. If you should have any questions concerning this matter, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m. at (530) 538-7266. Sinc ely, Stuart Edell, P.E. Manager, Land Development Division cc: Robert Pitzer, 724 Deerbrooke Trail, Auburn, CA 95603 Gary E. Laughlin, Laughlin and Spence, 1008 Live Oak Blvd, Yuba City, CA 95991 Supervisor Bill Connelly Scott Rutherford, Chief Building Official Mike Crump, Director of Public Works (File 302) 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 REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY"" OWNER INFORMATION Last Name ust Name Address I ,, IQ L6oe, city - P bvrni stat Zip�5ko PhoneS3 d -r O1 � ��F Fax E-mail 0(0,11 , AC0 CONTRACTOR Name 17rezri Address 7 ee r�r 'x Te / L Citylll_ ,. vy'" r� Stat ZilcinO'3 Phone Fax Q C. y Fj6p. C Lic. # um r 0(0,11 , AC0 ARISIGNATURE s r For office u e o ly: A. ARCHITECT/ENGINEER Name 17rezri ( Address �-- ZE C� r� city e' Phone Stjte Z' Phorg O 1ORI Date Approved: Fax E-mail State License Nu ber 2-71276, ARISIGNATURE s r For office u e o ly: A. APPLICANT INFORMATION Name - r Address SRA CWU6116143 o IT d Phone Wr �� Fax E-mail rjW—$2.3-6&,x;7 ARISIGNATURE s r For office u e o ly: A. Zoning Property AddressoC'ty p �2 SCG R Flood Zone n I SRA Yes o Occ.pe Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT .. BP BIN # f\ 9 PROJECT LOCATION Property AddressoC'ty p �2 SCG R vl �ze, Cross Stre t aujK Z62 WORKER'S COMPENSATION. Policy Numb . t hp Carrier ( �� �G 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 h log C Address Description or Scope of Work: G1 '' C� Sq FT- Living'3V3 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. Receiv d by: Amount: l!/ Bldg SRA Receipt #: Sheriff �J�� SMIP Date: �. Other ( Total County of Butte October 3, 2006 Department of Development Services, Building Division 7 County Center Drive Oroville, California 95965 To whom it may concern, Address = 696 Lower Honcut Road, Honcut, California APN # = 028-030-021 The Mobil home that was on site and is part of your records was removed as a condition of the original purchase. It was removed by the actual owner sometime during the month of September 2004. (See attached Exhibit "A") from owner detailing removal and associated expense. Fred Holmes / From Holmstead Farms: (530) 743-3269 Sincerely, Robert Caverly (Owner) 6516 LowCr HOncut Rd. Expenses incurred in rcmoving trailer and cleanigg home siteas requested by buyer_ Tractor- 3 hours at S 80.00 an hour = Labor- MDVWg trailer do Clean up 30 yard debris box Additional bail to dump site Total lie a �Il � X240.00 $350.00 $345.00 1-92Q I $944:20 Butte County Department of Development Services BUILDING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile 8-16-06 Mr. Robert Caverly 724 Deerbrooke Trail Auburn CA 95603 RE: Request for a Building Permit APN Number: 028-030-021 In order to continue processing and/or issue the above -referenced permit, we need the following information: ®Permit application signed and completed where indicated with all copies returned. ® Plot plans, % sets, signed by preparer of plans. ® Complete plans and calcs, 1/4 sets, signed by preparer of plans. ❑ Engineered plans and calcs, 3/4 sets, with wet signature on plans. COPY F-1HazardousMaterial Form. ❑ Statement of Intent for Non -Heated and A/C Buildings. ❑ Engineered truss details and layout in duplicate. ❑ Mobile home data and manufacturer's installation instructions, 2 sets. ❑ Fees of . , payable to: Butte County Treasurer. ❑ Impact fees paid. ❑ California Department of Forestry plan approval/fees. ® FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. ® Sanitation and plot plan approval from Chico Environmental Health Department. ❑ City of Chico plumbing permit. ❑ Plot plan and business license approval from City of Biggs/Gridley. ❑ Planning approval for use and parcel check. ❑ Land Development (a) Improvements (b) Drainage. ❑ Contractor's license information (No. Name, Style, Class) or exemption statement. ❑ Owner -Builder Verification Form ❑ Recorded copy of Agricultural Acknowledgment Statement ❑ Letter of signature authorization ❑ Copy of recorded deed of parcel creation and 60' right of way to a public road ❑ Letter of intent on building use. ❑ Mobile home utility clearance ❑ Documentation of legal access. ❑ Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements ❑ Existing violations/expired permits resolved. ❑ Plan check list data and revisions. ❑ 10 set(s) of plans in accordance with changes marked in red. ❑ Copy of recorded 60' right of way to a public road. ® Do to the fact that there is a flood zone on your parcel (flood zone A) the Building Department cannot issue your Agricultural Exempt Building Permit. You can still build your structure, however it will need to be permitted and inspected. Please see above for more information regarding the requirements for your structure. Should you have any questions concerning the above, please call (530) 538-7541 and ask for the Permit Center. Sincerely, Tammie Powell Permit Technician o�V pSTMENr ° Q,VTTF O 1 O I o c p c ° Abet/C WOP�a Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Description:nJ� Project Location and/or Parcel Number: � 70 2/ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more thanone acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions prov+rlPrl by law Signed: Title: -- lgc than 1 Acre NPDES & SWPPP Compliance Certification Butte Couii y.Department o.f Develop171ent Sel-vices °��TrF0 . 7 County Center Drive ° ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the 'plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within'one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: n Applicant Name: Building site address: 4-6hft1V)_ #j*C6f7—V APN: 29-030-2J Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the a - ced building permit application and my signature below: A& SIGNATURE OF APP IC DATE PpgTmENT Department. ®f P b1�c Works C o. u n t o f B u t t e 0 7 County Center Drive 0 Oroville, CA 95965 o J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 p 5 �trc w°F� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 02g 030- OZI Building permit # Owners Name: Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: 04/-'w F] Not a County maintained road JK Existing driveway conforms to County S-31 standard [� Other Approved by Printed Name 1�0144 Title /-; Date / 3 CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. BUTTE C�}UNTY DEVELOPMENT FEE CERTIFICATION FORM EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s)Building Permit NumberO"l Property Owner (s) l Project Location /Address6,jt,�?J� (/� Subdivision Name Assessable Sq. Ftge E 3 7_3 / Type of Residential Development (check one) V/ New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date i sued ) verified b Building Department Comments: ___Z/jj,tr' _Alaa& V261,,Ilzv� -ITwilding Department Representative Date XFRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: &e=a ye/- ADDlicant Name Phone Number //1 / LS t/=Wf- TP Mailing A dress ►mss Gp, yid City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: WMA Lip • f BUTTE COUNTY SCHOOLS IMPACT,.FEE CERTIFICATION FORM { (One form per Building) School DistrictQ Building Departmerit No. A.P. Number f-=-621 Jurisdiction: = City Property Owner Property Location OCounty 09a, o 13 r -/x47 Subdivision Lot No. Residential Development Q Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # :........................................................................................ *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage, t New Additionfr �, (Including Exterior t -- Roofed Areas) c � , Buil ing Department kei5resentakive ; ) Date; Identification No. 070058 (r^ F I Y) School District certifies that LL (Applicant) t (Stree ddress) (Phone Number) (City) + ,; f V (SState) + (Zip Code) �/ has complied with the,requirements of#Resolution No. I V �� by payment of $ 7j o 7 . D7 representing 5,1 3-7 3 square feet. rB 2926L MITIGATION f yam. OnIIIA— So 0 D to School District Representative Date Paid by Check # Remarks: Motfa : You may Probst the Imposition or the fees Identified above by submitting a written pragst to the Dfsb ct, In compliance with Government Code Section 66020(a), within 90 days from the dab fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing oft Butte County Schools Impact Fee Certification Farm, the School WS&W is notified by the applicable Local Planning Agency that this project is being rwAswed under the California Emdromaental Quality Act (CEQA), this project may be subject to additional school lies to fully midgets Its bnpaet an the school dlsbWs schools. White (school district), Yellow (building department), Pink (applicant) teelorm.xb (3M5W r, TO: Building Division = Development Services BUTTE COUNTY E.H. USE ONLY Plot Plan Attached Floor Plan Attaded Sent to BD/DS / FROM: Environmental Health AUG 15 2006 S ECT: Sani tion Clearance vEVE1,OPMENT ) gEFtVIC, s _ PL�4ALi Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Publig _Private Well Environmental Health Specialist Date Building Clearance 9/2005 ..:n1 y: K.tT. �.. `sx,.^�.�-:j`-✓: .g . �,-Y .w -.. ,,,.:- '�u,,-�,�i.` .s.-t�"�••-:"r-�-�,r1�.F;»+«��..r:^.w �y::T..;,�+i.'.*"t:. -►'1. .. _. .r u�, .- ti' , � , y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V �� 1 1A ASSESSOR PARCEL NUMBER Proposed Building Use: N �� Permit Technician: Date: U `7 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order toaapply. '�? 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 1 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! - 5. Letter from Engineer or Architect for truss design review -,1 -I U 0,[,�wed b �"b 6. Energy compliance design and supporting documentation i d icate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 1 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form t) 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other m g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ roville, a p licab ❑" 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by Cl 17. Soils Report and/or Engineered Foundation required ........................................... ❑ / Erosion Control Plan Required........................................................................ l Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forest la #�ppproval ❑ paid. Sent by: 23. Planning approval for (A) Use:`�6jParking: (C) Parcel Check:...... , ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 25. Fire Marshall Review (commercial projects only). Sent by: �11 26. NPDES Form............................................................................................. - 77 Encroachment Permit for driveway from the Public Works Dept ........................... 3 0 0 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... i 36. Other: r of 'I n-Mnt ❑ 37. Other: When issued Telephone and hold for �kup. I have bebn inform. of the aboitettis.aTd.rirqu'rements for obtaining a building permit. Applicant: Date: 1. Index permit alp a atilt fo� a abovt item nmbered: Plan Check Letter 2. 'onal items required ontractor esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: on c or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, design _r, ow dvised ofthe datab phone, ❑ mail, ❑ co to Date: Plans reviewed by: 'Date: ;21 Plans approved by: Date: Structural reviewed by: Date: Structural approved 0. Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner CAVERLY, ROBERT APN No: 028-030-021 Permit Type: Subtype: App Date: 8/1/2006 Permit No: BP 06-1847 Permit Desc: 1 1-1 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,758.32 Plan Check portion of Permit Fee $1,503.33 $2,254.99 Balance of Building Permit Fee 2 FEMAeX Yes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NUN-Kt1-UNUAt3Lt portion of tees due at application $1,613.31 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,613.31 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $2,277.83 RE� E T chi 1 4 Balance of Building Permit Fees (from No. 1 above) $2,254.99 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) $22,84 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* 1per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 ,, SFD ,, MFD ,r MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 °� R-1 8897.09 7491.04 8582.40 R-2 8390.09 6984.04 8075.40 R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,997 MASTER PLAN 771 Comanche Creek $8,341 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 New Construction, vacant 774 Lindo Channel $8,267 land, on 1 acre or less - 775 SUDAD Ditch $7,211 Enter 1 or less acre value 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Union High School 092 �tv�l -tci ov Oroville 12a RECREATION DISTRICT FEES* At the time of permit application, I v' 'ed thAaboo fes are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. F—le X Applicant: Date: Pursuant to Governme code Section 66 0, ou arUerebp notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the imp/S�� of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 August 28, 2006 Lana Adler Contract Planner Butte County Department of Development Services 7 County Center Drive Oroville, California 95965 Lana, In response to your letter dated August 22°d 2006, Subject: Building Permit 06-1847 (APN 028-030-021): Residence/Lodge. You requested me / owner (Robert Caverly) to clarify the intent of use of the building. intent for- a pr p sed building / resid ej�c)nal friends to reside, whileg the for and my 103 of the 106 acres of the property is a Department of Fish and Game Easement. This entails / restricts us to no agriculture / harvesting, no live stock, no building or removing of timber. is again strictly or pial use / pleasure. Although I personally seasonally I -will not be selline memberships and or operatine anv tvne of comm establishment tt WAAMOj aks AqAU�Lo 6L In regards to the design of the residence, which came from the plans of an existing residence in u� District 10 is to allow family and -friends while visiting individual privacy. The master bedrooms are at each end for my wife / myself and would allow for other adult family members to utilize the other master at the opposite end of the house. The vision for the other two bedrooms would be for my kids, friends and or relatives to have their own privacy as well. In summary, the design allows us to enjoy the great room / kitchen and have separate / private quarters in which to dwell. Any consideration in this matter would be greatly appreciated. Please feel free to contact me at my home in Auburn at (530) 887-0123 and or by cell at (530) 401-4868. Enclosures: Respectfully, C4tXO_)4 Robert Caver y Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-5366 Facsimile ADMINISTRATION * BUILDING * PLANNING August 22, 2006 Robert Caverly 10123 Lupine Lane Auburn, CA 95603 Robert Pitzer Pitzer Construction 724 Deerbrooke Trail Auburn, CA 95603 Subject: Building Permit 06-1847 (APN 028-030-021); Residence/Lodge Dear Mr. Caverly and Mr. Pitzer, The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requests a description of the type of building and the use of the said building for review for compliance with Butte County Zoning Code. The building permit application states this permit is for a new residence; however, the building plans indicate a lodge. While reviewing the plans, it does appear that this building is more typical of a lodge/motel. In reviewing the Butte County Zoning Code, the following definition is provided for motel, "24-305.290 Motel. "Motel" means a group of attached or detached buildings containing individual sleeping units where a majority of such units open individually and directly to the outside, and where a garage is attached to, or a parking space is conveniently located to, each unit, and for the temporary use by automobile tourists or transients, and shall include tourist courts, motor courts, automobile courts, automobile camps and motor lodges. A unit of a motel having kitchen facilities shall constitute a dwelling unit and shall be subject to all of the provisions and requirements of this chapter governing dwelling units for the zoning district in which the establishment is located." To clarify the intent of the use of this building, please provide us with a written description of what the building will be used for. This will provide us with additional information to review the allowed uses of the Agricultural zoning and verify if this is a compatible use. Attached, please find a copy of the Agricultural zoning which states the allowed uses within the zone. One single- family dwelling is allowed as a use permitted in the zone. An accessory use allows for "....seasonal hunting and fishing camps, including those which accommodate recreational vehicles and travel trailers, providing that said recreational vehicles and travel trailers shall not be used for year-round occupancy, recreational uses not requiring permanent improvements and not interfering materially with agricultural operations, including hunting, fishing, camping, hiking, riding and similar uses..." Should you have further questions please contact the Planning Division between the hours of 7:30 a.m. and 4:30 p.m. Monday through Friday at (530) 538-7601. Sin ely, ana Adler Contract Planner 24-90 A-5 through A-160 (Agricultural) Zones. Chapter 24 ZONING* Article III. Zone Districts* 24-90 A-5 through A-160 (Agricultural) Zones. The following permitted uses, uses requiring a use permit, and uses requiring an administrative permit shall apply to all zones A-5 through A-160. Uses that are unique to a particular zone and site requirements for each zone will be listed separately. (a) Uses permitted: (1) One (1) single-family dwelling or modular home per parcel. Page 1 of 2 (2) Agricultural uses, including the keeping of animals, subject to the animal maintenance requirements of sections 24-255 through 24-255.15, inclusive, of this Code, the growing and harvesting of forestry products, and aquaculture. (3) Mining, quarrying, and commercial excavation which is exempt from a mining permit and reclamation plan pursuant to chapter 13 of the Butte County Code. Oil and gas wells including reinjection wells for natural gas. (4) The erection, construction, alteration or maintenance of gas, electric, water or communication transmission facilities. (5) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural workers and their families employed by the owner or operator of the premises or owners or operators of other agricultural lands pursuant to section 17021.6 of the California Health and Safety Code and subject to state permits. (6) The use of a single-family residence as a small family day care home, licensed family care home, foster home, or group home for mentally disordered or otherwise handicapped persons or neglected children. Said homes shall serve six (6) or fewer persons and shall be subject to all applicable state regulations and limitations. (b) Accessory uses: (1) Those uses normally associated with a single-family residence use and are in conjunction with or incidental to the residential use, including but not limited to a garage, workshop, shed, garden, private swimming pool, private tennis court, gazebo, spa, etc. (2) A guest house as defined by section 24-305.175. (3) Buildings and uses accessory to the permitted uses, including agricultural processing plants, airstrips used for crop dusting or seeding, barns and other storage or shop buildings, seasonal hunting and fishing camps, including those which accommodate recreational vehicles and travel trailers, providing that said recreational vehicles and travel trailers shall not be used for year- round occupancy, recreational uses not requiring permanent improvements and not interfering materially with agricultural operations, including hunting, fishing, camping, hiking, riding and similar uses, the processing and sale of firewood and wood products grown on site. (c) Uses requiring use permits. The following uses are permitted subject to a use permit: (1) Public or quasi -public uses. (2) Public tasting rooms in conjunction with a winery, provided that such tasting room be considered accessory to the on-site winery. (3) Kennels, feed stores, public or riding stables, and academies. (4) Outdoor commercial recreational facilities on sites not less than five (5) acres. (5) Wood lots and wood processing plants selling and processing wood not grown on site. Mining and commercial excavation requiring a mining permit and reclamation plan pursuant to chapter 13 of the Butte County Code. (6) Private airports or air strips that are not accessory to an agricultural use. (7) The segregation of a homesite pursuant to section 24-285, the segregation of an agricultural http://municipalcodes.lexisnexis.com/codes/butteco/ DATA/CHAPTER24/Article III Z... 8/22/2006 24-90 A-5 through A-160 (Agricultural) Zones. processing site pursuant to section 24-290. (d) Uses requiring a minor use permit. The following uses may be permitted pursuant to the requirements of section 24-41: (1) Large family day care facilities subject to the requirements of section 24-265. (2) Bed and breakfast home. (e) Uses requiring an administrative permit. The following uses may be permitted subject to the requirements of section 24-40: (1) Home occupations pursuant to section 24-270. (2) Temporary uses as listed in section 24-300. (3) A temporary mobile home subject to the requirements of sections 24-295 and 24-295.10. (Ord. No. 3176, § 1(Exh. A), 1-24-95; Ord. No. 3321, § 1, 2-11-97; Ord. No. 3495, § 1, 3-9-99) << previous I next >> Page 2 of 2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT - 24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061407 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/13/2006 APN: 028-030-021-000 the Business and Professions Code, and my license is in full force and effect. License Class : C- 5 7 License Number. Site Address: 696 LOWER HONCUT RD HON Date: G 15 Contractor: /"/¢ Au/"1,0Ql ,e,el >1 Map Index: Description: ELECTRIC SERVICE FOR AG WELL p OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CAVERLY, ROBERT AND CYNTHIA 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 10123 LUPINE LANE 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 AUBURN, CA. she is exempt therefrom and the basis for the alleged exemption. Any 95603 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).): 530-401-4868 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: AAA PUMP AND WELL DRILLING owner of property who builds or Improves thereon, and who does such work himself or herself or through his or.her own employees, provided that such Improvements are not intended or offered for PO BOX 3263 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of YUBA CITY, CA. proving that he or she did not build or improve for the purpose of 95992 sale.). 530-713-2078 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: AAA PUMP AND WELL DRILLING ❑ 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 3263 Date: Owner: YUBA CITY, CA. 95992 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-713-2078 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 839021 is issued. O 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 Architect: insurance carrier and policy number are: Engineer: Carrier. Policy #: l7 /V ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. �~ issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 ? ,y and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall /J forthwith comply with those provisions. / Date: Applicant: _ 6 WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit js-hereby issued der the plicabl ovisions of the Butte Counly Code and/or I hereby affirm that there Is a construction lending agency for the is issued 3097 Civ.) Resoluti s to. do work Indi ted above for whi ees have been paid. / performance of the work for which this permit (Sec By: Date: Name: r PERMIT XPIRES ON: a 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 1 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 reprAseptatives of Butte County toeenteer pon the above mentioned property for inspection purposes. Print Name: �f�Re�G P /T�` Signature:o,/ Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 028-030-021 06-1407 V °rT`- NOTES CAVERLY, ROBERT 696.LOWER HONCUT RD, HONCUT DE Cont: AAA PUMP & WELL ELEC(AG WELL) APN: Permit No. .j Owner. 1 `. Site Address: Contractor. Type of Permit: t 1 K +.OFFICE COPY Address a � GASDate l Meter By «. ` ELECTRIC Dat [� j Meter By i SPECIAL CONDITIONS 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 t S " � DATE JOB FINALED: ' k SIGNATURE: • � i I ,r = OK MANUFACTURED HOMES DATE U PERMANENT FOUNDATION U SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn Test; FaII/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cimcs-Gmd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr& Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers 00 o`s u� Asa MISCELLANEOUS - DECKS -COVERS -CARPORTS -GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSz43pthSpacing-CnnctrsSteei 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctmShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Fnng; Sills-AnchrsStuds4blrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls *41 ve # d Drawing 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 Lung; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Banding; Metal w/5'-Crcitng Egp-Htr 8 Elec Grndng; Eqp w/5',Crcitng Eqp-Pool Ightg Boxes-Enclsrs-pniboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 0 = Not OK RESIDENTIAL ---FU (Single & Duplex) DATE NDERFLOOR DATE PLUMBING •i coning-zemacxs-Easements-Fiooaslope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Biockouts-Wrapped 6 Stemwails Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12. Efec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts -Joists -Vats -Cripples 15 Ace & VnUtn 16 Insulation 90 0•s} DATE I FRAMING 17 Sills Proper Materials & Anchrs 18 Wells Studs-Nailirig Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof)' 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsS &' Bearlog p Hangers -Post Caps-Anchrs-�Cnnctns 24 Ceiling Joisti-RRi Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue -Fr Ic Throat Clmc 26 Attic Acc; Sz &'RMx .Pitcln-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DoorsSill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic VntsWr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Ace 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W alts -Ceilings 39 Infiltration -Walls -W ndws DATE JELEETRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ya ❑ CU or ❑ AL AC Wire Sz ❑ CU or ❑AL 48 Range Clic w ❑ CU or ❑ AL Oven Circ ya ❑ CU or El AL Insulated Neutral ❑Yes EJ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector dye•, o•� vl o' 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti S Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz`& Anchrs 59 Fire Sprinkler, Test 60 Yard Gas:Pipfng DATE IMECHAN'LCAL 61 AC Ducts Insultri & Support 62 Vent Fan,.Exhaast abv Insulin 63 Condensate Drain & Ovrflw, 5z & Grade 64 Furnace -Vent Acc-Comb Air Rtm/Vent 115 Outlet 65 Attic Ace & Pltfrm If Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Efec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Efec Outlets at Wood Pnl, Int & Ext 76 K r- in, Fxtr & Appinc; Gmd Air -Gap -Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls'In Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts'abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 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. BP061407 B. C. Building Permit 01.16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/13/2006 APN: 028-030-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: C- 5 7 License Number: gba Site Address: 696 LOWER HONCUT RD HON Date: io-�o Contractor: o",` t �U/'��%����``/� Map Index: Description: ELECTRIC SERVICE FOR AG WELL p OWNER -BUILDER DECLARATION I hereby affirm under penally 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: CAVERLY, ROBERT AND CYNTHIA 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 10123 LUPINE LANE 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 AUBURN, CA. she is exempt therefrom and the basis for the alleged exemption. Any 95603 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).): 530-401-4868 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: AAA PUMP AND WELL DRILLING owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 3263 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of YUBA CITY, CA. proving that he or she did not build or improve for the purpose of 95992 sale.). 530-713-2078 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: AAA PUMP AND WELL DRILLING ❑ I am Exempt under Article 3 of the Business and Professions Code PO BOX 3263 Date: Owner: YUBA CITY, CA. 95992 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 530_713_2078 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 839021 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: JJ / u,tl d f�T� Carrier:�s4C Policy #: e-,�) iU ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date: - — — 6 �0 1 Applicant: 6 WARNING: Failure to secure workers' compensation coverage Is I unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit hereby issued nder the pllcabl ovisions of the butte County Code and/or I hereby affirm that there is a construction lending agency for the for this is issued 3097 Civ.) Resoluti s to do work indi ated above for whi ees have been paid. ` / 5 performance of the work which permit (Sec . BY -� , Date: Name: PERMIT EXPIRES ON: Address: Date O 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. O 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 repr6septatives of Butte County to enterAion the above mentioned property for inspection purposes. Print Name: e 144r� Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01.16-04 pg 1 W 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** fid Fo office use only: OWNER INFORMATION Last NamVf / e irst Nam 2 Address SRA I Cityu l,R� !� StateC� Zipq�.00 3 Phone O _ Fax 3 lo F E-mail Planner fid Fo office use only: CONTRACTOR Name /7/7 �u Address SRA I City I No State Zip'9JXy Phon 9S� Fax 73_595�� E-mail Planner Lic.1639,<9/ Class I fid Fo office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA I City I No State Zip Phone Map Book Fax E-mail Planner State License Number fid Fo office use only: APPLICANT INFORMATION Name Flood Zone Address SRA I City I No State Zip Phone Map Book Fax E-mail Planner fid Fo office use only: Zoning Proper�.y drgss Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. f L(D BIN # PROJECT LOCATION Proper�.y drgss Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 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. Received by: Amount: Gq-�' # Recei t : p 1 �-7 "'OG Date,( 3 --- Bldg SRA Sheriff SMIP Total 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 IN 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 en ineer. ❑ 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 ❑ 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 c . RESIDENTIAL 028-030-021 94-1111P,E(MH) NOYO INVESTMENT CO. 696 LOWER HONCUT.RD., OROVILLE UTILITIES FOR COM MH FOR DUCK CLUB e 1. OFFICE COPY Address GAS ! ' By Dat ELECTR ' Meter By Date JOBFINALED(Datal Signature V=OK 0 = Not OK' NotNoApplica Ready ble MOBILE HOMES Date/Initials MJDBILFHOME UTILITIES (Plans) OK except #'s Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements S ; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sew r,'Location-Test-Fell-C/0 Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ata , ocation-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftra -Connectors ; 5e*flectricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors - 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test MISCELLANEOUS Date/Initials MOBI HOME INSTALLATION (Plans) OK except #'s I. ` . ZoDing Requirements -Setbacks Easements ' Z2L— otings -Spacing-Marriage Line as; M Test-Demand-Valve—Connector r ty; MH Test -Crossovers -Breakers -Clearances s rai Test -Fall -Flex Connector ater; MH To and Sewer Connected -C/0 to Grade -HD Approval a d Electricity Tagged i nap -Sketch ,Cert. of Occupancy �1 7f' P 1 Yi • i .I V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except 8'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Mein; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Teat -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16.'Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastness -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except M's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above Insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING(Plans) except Plana OK t B's ( P 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walla over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purl in=roof Brac-Truss-Shthng: Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggere 55. Siding-Nalling Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ' 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap-Ccoking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive O Yes 13 No; Walks 13 Yes O No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Flnal: V COUNTY OF BUTTE - DEPARTMENT OF Gf-VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419q l PERMIT4NO. - / l APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-030-021 ZONING A5 BUILDING PERMIT L ) -,/ OWNER NOYO INVESTMENT CO TELEPHONE S0, FT, OCC. BUILDING VALbAfION OWNER'S MAILING ADDRESS 3470 IOWA CITY RD MARYSVILLE, 95901 CONTRACTOR'S NAME HR OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ `48.88` LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 L. HONCUT RD PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeXX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TTFG t / ` 20'CO 40.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] X Installation ❑ Other ❑ Describe Work: DW@N .� PERMIT FEE g 60.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800VORLESS ) 200A OR LESS 23.00 Main Service ( 200ATO1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) SO. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )(I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RES ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ 1.50 Ex. Occup' ( FIXED APPLNS. OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's 'I compensation lawg of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor Aq nn MECHANICAL PERMIT Filing Ree 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse ce of the ran5 of C rmit. X C Date Signature of Xfplicant Owner ❑ Contractor ❑ Agent / An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. '� D. FEES '� IMP �-- FLOOD XAIIA cDF PARCEL ro IID UE ke This permit is hereby issued under the applicable of the B tte County ode and/or Resolutions indic e e for h►ch fees have been BYVl-/W 179.� PERMIT EXPIRES ON YW Da tel provisions to do work paid. Date `g—L l Receipt No. 162489 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PF, -"L- i! B.H. USE ONL • Plot Plan A04W Floor Phu Nnached• Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ntjy\,(Z-., LA4, Owner Location APS / Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for '"' bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: S 7V Environmental Health Specialist Date 8/92 COUNTYO,F BUTTE - DEPARTMENT Q` Do'ELO-P, M6TSERVICES - BUILDING DIVISION V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 / PERMIT AP.I- ICAT ON DATA SHEET 0 OWNER h ��YI C' o. Proposed Building Use uilding Inspector Date �2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... :4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ........ rs .............. 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... -�- 10. 11. Fees of $ .................. .................. Impact fees as shown on attached schedule. ......... 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year floodl by CI fornia Engineer.. . Sarttation and plot plan approval r0 v r ealth Department. ; ........... 15. 16 (' City of Chico plumbing permit. ................ ` .l............ Plot plan and business license approval from City of Biggs/Gridley. in approval for A Use: L7. PlannB Parking: . ........� -� 18 Contact Land Development_ about (A) Improvements (B) Drainage? .......... I 9 'Driveway permit (construction approval required prior to occupancy) 20. Pre -i 2c'�ieFt Ybir .. .Freanspection requ� r?sp required., .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .......... . 22. Certificate of Workmans Compensation Insurance . ............. ............ 23. Owner -Builder Verification (Given to owner , Mail to owner #.. . NV 24. Recorded copy of Agricultural Acknowledgement Statement. ..... 25. Letter of signature authorization . ........................................ �- 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. .;....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ........ :...... 31. Existing violations/expired permits . ...................................... 32. Plan check list. '... C k 4/JQ S .34. When you issue the permit, process as follows: ;_ Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage C Applicant Mail to contractor. - office. Deliver with inspector. Date `FI2 I Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date- j Copy, of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted t it ' nce: (Circle new item not checked above). 1. Index permikor above items No. 11W faiLIZ 2. Additional items required: i ,Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, own V was advised of above requi a data y _ phone _ mail Counter by _ Date ,- Plans checked by Date ans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building_ Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 pl oprovide the major labor and materials for construction of the proposed property improvement (Yes or no)e—f 2. I (have/have not) vP 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 City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City 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: 2=11117 Property Owner �� Social Security Number Date &'®'� 2-c,�. NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. l VVV r i I a ^ � dr�PG i� Q�Ii .5 ,r .r IV r APPROVED i Butte County Environmental Heal /Date Signature I �I t1 1I I MIDDLE HONCUT ALL STRUCTURES JE N.LEQUIPMENT INCLUDWIG AR OF LL F ASENiS. OVERHANGS SHALL P, � gACK CF�. PROP. T � �: SIDE AND FT. FFXI ►!EAR PROPERI LINES AND 6 - SHALL BE I --T. FR0M DAO Q EQUIP ENT EXCEPT 4R OF 'STRUSANDFOR A Z F . EAVEHANG. T.17 N.R. 4 E. M D. E =5 L loo 50 5K `10/'507.75AC MUST be cifioatiis u lavILIl to G set of plans ands and it un P �h►s same without P the Sob c t all time' ratio�� a on of Public .� kr ;t °n ohanges °r alt r�alce any from 1e Vep -� Written perm15slon �0tks, C�untY °f $offs �eN, ray re a�a .R. ONCUT RAI .` Z 1 N 1.4 0 PG °rt e\E nNaL'Ns oveVSGS. �rrn's�mevAend od t �ee\1 1 I \ O� 16 I 12 CST BE 886 -4 -1 -IA ;'OAC I� f DANVILLE TRACT M .0. R . 8K 3 PG. 17 TOWN OF HONCUT M.O.R. BK. 7 PG. 85 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive, Oroville Phone: 916-538-7541 RE:NOYO INVESTMENT CO DATE: A.P.--4L 28-030-021 With reference to the above subject: Attached is - SERVICES, BUILDING DIVISION CA 95965 5/3/94 Application for permit Mobilehome Utilities Installation Sheet . Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation'instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. -Sanitation and plot plan approval OROVTT,T,R Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. _XX Planning approval for USE Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. XX Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: THE PROPOSED BUILDING LIES WITHIN A DESIGNATED FEMA FLOOD ZONE. A REGISTERED CIVIL ENGINEER IS 10 FXUVIDE A BENCH MARK NEAK THE UUILDiNG SO FIELD INSFEGIUR CAN DETERMINE THAT THE FLOOR LEVEL IS AT OR ABOVE THE 100 YEAR FLOOD LEVEL. Should you have any questions concerning the above, please contact of this office. MCV:ahb BART LEAGUE Y rs very tr ly, Mic ael C. ieira, C.B.O. Man ger, Building Inspection COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) G 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 Addres `-- City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City 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 -- Social Security Num r <� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT 94 — 1 8 1 5 7 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included 94-0181571 Rec Fee 6.00 within an area zoned for agricultural purposes, and residents I Cash 6. 00 Recorded I of this property may be subject to inconveniences or i Official Records I discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and County of I Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, i Recorder I pruning, and harvesting which occasionally generate 112 : 01 p m 25 -Apr -94 I P U B L XX 1 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: County of Butte L , State of Califomia,_descnbcd as follows: All that portion lying Easterly of the Easterly boundary line of the Western Pacific Railroad of Parcel a. eta said parcel is shown on that certain map entitled, "SAWL DANVILLE ESTATE", wnich map was filed in the office of the Recorder of the County of Butte. State of California. in Book 3 of Maps, at page 17, said parcel being in Section -19. Township 17 North, Range 4 East, M.D.B. b M. Date: Z�J PROPERY OWNERS: State of California ) County of ( LLWC ) On -Z01 Ll before me,personally appeared appeared perg nal y knomm+o-me-(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my haAd and official seal. Cynthia A Costa ;, LetSignature 1 oeal: A.P. # Comm. #975761 NARY PUBLIC-CALIFORNI SUTTER COUNTY a / END OF ®OCUMEN f f' `1 _tll� 1 9d >f .. �� .. ...= - ,. ;i„� `�. �z. ���;' RESIDENTIAL PLAN CRE�KING'GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER N b YO C-AJr GENERAL l! Z.ning requirements: (sideyards and number ya1-uation. P signed by designer. Proper description of work on application. ny-violations on property. Bldg. Permit # q / - 11 1 1 A. P. # -(9 O -,0'2-1 Plan Checker of permitted living units). 8/91 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. Recorded notice of violation. PLOT PLAN �CompPlete parcel size and dimensions. :2 Setbacks, sideyards, easements, etc. r ui ings or structures. fills, drainage. "IFFlood a pehazard. 7 r���L*jtL�%2 �� cil conditions on creation map, ustible, and foundations). rr�o Lydd setback. (noise, CDF, fire sprinklers, non-comb- ies across lot lines (Record form). FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. 9. Fireplace construction details and calcs if necessary. 10. Rafter ties or bearing ridge beam. 11. Garage door or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection required. RESIDENTIAL' ftA,N :' CRECKING GUIDE ' MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer (Chapter 30). 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof convering (Chapter 32). 6. Roof covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three-story dwellings (sec. 3303 & see Mezannines 1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. 14. Noise requirements on duplexes. 15. Energy design.'f� 16. Flashing at all exterior openings. 17. CDF responsible area requirements. COUNTY OF BUTTE - DEPARTMENT OF,,DEVELbPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-030-021 A5 ZONING BUILDING PERMIT OWNER NOYO INVESTMENT CO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3470 IOWA CITY RD MARYSVILLE 95901 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 T- 14ONCIIT RD PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome MX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition IJRemodel O Utilities O Installation] Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification j0 I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.000 BAL. Ex. Occu FIXED APPINS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 k Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. to I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in onsequence the granting f t i permit. X Date � Sign re of Applican - O Own r Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 10700 Energy Inspection Fee $ OCCCONST. TYPE TOTAL FEE $ 143.00 HAZ. L D. FE IMP �- FA 00 A CDF PARCEL PD �- HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d above for which fees have been paid. By Date �y PERMIT EXPIRES ON -117 �� 9 (De rel Receipt No. 167090 WHITE-D.U.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE; OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 4 PERMIT N0. Address or location of mobilehome tvq `o � �L 7� ��C4► 1 / D✓ Owner's name/Ulp , Owner's address. i a*7 0 Insignia or hud number—, Manufacturer's name iTIE'�Tcx,-��aal7 Serial number of V. N. rn 7 S5� Year of manufactur cial Approving'Instal,lytion IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOO-B�IILLEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE .,PUIL•D6IG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center`Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 Date Inspector REV 10/42e a ,�. J-';COUNTYOF BUTTE -DEPARTMENT OF 13tVe�OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER /VG Proposed Building Use PERMIT APPLICATION DATA SHEET P. n o. 01 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4, Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and gupporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........... pp i / [�` Impact fees as shown on attached schedule. .. C�khC2�l .��►ty ...�F' ;rj .. �/Qi 12. California Department of Forestry plan approval/fees.................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. �Freanspedion request 20. Pre -inspection for - required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification -(Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. �t 28. Mobilehome utility clearance.........................................../9 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date --C' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Count _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r J COUNTY OF BUTTE — DEPARTHM OF DEVEIDRGMT SERVICES — Wn DING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE.(916) 538-7541 OWNER WD l n i/ eS n1 C I A.P. # PROPOSED BUILDING USE A / DATE REC. # DATE REC 't/ 1. SCHOOL DISTRICT FEES 1"Q Uyl r O YI 444 (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential...... / _x N Q =$ 14 0 6 4 unit amt. Commercial (sgft)_ x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building'Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND TLAN CHECK = $89.00...... (paid at Building Department) 7. O'T'HER 8. O'T'HER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE AP # �21�-Qe - OWNER /Vto /+ Q PERMIT It MH UT IL . CLEARANCE DATE INSPECTOR T ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YES NO YES NO J � 4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: � o C Cv t— mm !/j`/G �6,f e fl > L d 2. Installer's Name:S 3. Is the site currently under permit? Yes a . No (If yes,. furnish permit number ) OR Is the site an existing site? Yes No FYI (If yes, furnish two plot plans.) 4. Will.the mobilehome be located at least 5 ft—away from -septic tank and leach fields and clear of all setbacks and easements? Yes FT No F-1 (If no, clarify 1 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ---------•---- �i> n Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes Fn ' No 7 (If yes, identify the load and size. (Load) 1,-2. o (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/14 r (in.) 10. What is the type of gas service? ------=-----------. Natural FT LPG 1. 7X 11. What is the gas pipe length from meter or tank to the a 0 Ca mobilehome?--------------------------------------------- (ft. * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on 43 natural gas or less than 50 ft. on LPG.) 6U FrE COUNTY NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPrQQN DEPARTMENT � APPROVED004� MOBILEHOME SUPPORT DATA Flec- >If other than single wide, Mobilehome Mfr. �U)00CI. furnish Setup Model No. Year � C / �I` Width �� 7 (ft.) Box Length�(ft.) Tagalong or Expando Size — ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE T.inn 1 _ Line 1 • Main Beams o Line 2 :e:2 e2 Main Beams �-i.ine w Tag or Triple Line 1 Piers: Line 1 Openings: Size-Min.------------Size-Min. ----------------- "x Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max. ------- ' " With Width Over --------- Line -2 Piers: Siie-Min.------------ Spacing-Max - -----------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Line'3 Piers: (Under Bearing Wall Only) Size -Min------------------- .,x „ Spacing -Max .--------------- ,- From Ends -Max .------------- Size -Min .------------ Spacing-Max.--------- From Ends-Max.------- Size -Min.--- ------- Location (From Front) Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ , n SDacing-Max.--------------- , n From Ends -Max .------------- .,x1. .,x I ..Y .k „x .11 - ,.x .. „x „x „ ',1Mx` f-. r rte. rt`. r•'_;: 7. �,�. , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM . '(One Form Per Building) 0 /113 School District_�{�`0 __.1/_�—h a QWYI _ S_ _ Building Department No. A.P. Number _� Q ' Jurisdiction � _ J CityIXCounty Property Owner a�_v�.Sm C' rt Co i Property Location/Address _ p �, 4._. i r V Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living M I Addition (Group R) Units t'Commercial/Industrial Building Department epresentative Ident .a (14 i _ _I (Street Addr 1 � V (city) [_I = Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) 5 0-0-0-- - - LI-1016ol District certifies that I, has complied with the requireme is of Resolution No representing _ _ g square feet. School biRrict Represent tive (Including Exterior Roofed Areas) Date . J -- (Applicant) (Phone Number) • (State) (Zip Code) by payment of $ Paid by Check Numbr; ��-_ _ Remarks: Bank Number Paid by Cash ' n If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) .t, �V qC F� Lu 0 or FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS r 0 PAPERWORK BURDEN DISCLOSURE NOTICE GENERAL -'Phis information is provided pursuant to Public Law 96-511, (The Paperwork Reduction Act of 1980, as amended), dated December 11, 1980, to allow the public to participate more fully and meaningfully in the Federal paperwork review process. AUTHORITY - Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFR 1320 DISCLOSURE OF BURDEN - Public reporting burden for the collection of information entitled "Post -Construction Elevation Certificate/Flood proofing Certificate" (FEMA Form 81-31 and 81-65) is estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the forms. Send comments regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden, to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, S.W. 20472; and to the Office of Management and Budget, Paperwork Reduction Project (3067-0077), Washington, D.C. 20503. y ELEVATION CERTIFICATE O.M.B. -0077 Expires May y 31 31,, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING WNER'S NAME POLICY NUMBER HWO LJ06SY0A1dJTS STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER P�vne at OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY _ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): I. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX;E1 RM ZONE 6. BASE FLOOD ELEVATION At? (in At nes, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFEGVD '29 Other (describe on back) 8. For Zones A or V, where no BFL Is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I 1 01.0 feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation Of[ I 1 10191.10 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I 1 I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W .0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W .0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ,❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) E?`No 1:1L 4. Elevation reference mark used appears on FIRM: Yes No (�SeeeIInstructions on Page 4) U 5. The reference level elevation is based on: ❑ actual construction construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) A C 3. The elevation of the lowest grade immediately adjacent to the building is: I I I lap" -A feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I I,U feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement APAP, M FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must stijWeT :-r t_ered 1 certify that the information in Sections 8 and C on this certificate represents my best efforts to " r e chi e. 1 understand that any false statement may be punishable by fine or imprisonment under 18 Uq,S **tio 'yG; CERTIFIER' AME - � �/ �_ / LICENSE NUMBER (or A�jix S I) TITLE C/pMPP N NAM clo ADDRESS CITYOD G IP LAC &: �Z . 46`✓t / 49,44,9— Z� SIGNATURE � DATE � PHONE Copies should be ma f this Cer icate for: 1) community official, 2) Insurance agent/company, and 3)/building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION .: .�i: .;:>i�::'�+. 4. ::;:::: �:?:'•'� BASE• ADJACENT:. •' "�'� " REFERENCE .'::: •:::. '; s";:. BASE FLOOD FLOOD REFERENCE ADJACENT GRADE } LEVEL ELEVATION:,,ri: ELEVATION LEVEL GRADE -1;°::`is'!�.,.{G(ii.''.i:.::,i�4'.• .':� ADJACENT:' GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 THE NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that the community "obtain the elevation of the lowest floor (including basement) of all new and substantially improved structures, and maintain a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement. The Elevation Certificate is also required to properly rate post -FIRM structures, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), for flood insurance in FIRM Zones Al -A30, AE, AO, AH, A (with Base Flood Elevations [BFE's)), Vl-V30, VE, and V (with BFE's). In addition, the Elevation Certificate is also needed for pre -FIRM structures being rated under post -FIRM flood insurance rules. Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper flood insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). Only a LOMA or LOMB from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal requirement for a lending institution to require the purchase of flood insurance. Note that the lending institution may still require flood insurance. This certificate is only used to certify the elevation of the reference level of a building. If a non-residential building is being floodproofed, then a Floodproofing Certificate must be completed in addition to certifying the building's elevation. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE's), V1 -V30, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may also provide the information on this certification. SECTION A Property Information The Elevation Certificate identifies the building, its owner and its location. Provide the building owner's name(s), the building's complete street address, and lot and block number. If the property address is a rural route or PO box number, provide a legal description or an abbreviated location description based on distance from a reference point. SECTION B Flood Insurance Rate Map Information In order to properly complete the Elevation Certificate, it is necessary to locate the building on the appropriate FIRM, and record the appropriate information. To obtain a FIRM, contact the community or call 1-800-333-1363. The Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when construction of the building was started. Items 1 - 6. Using the FIRM Index and the appropriate FIRM panel for the community, record the community number, panel (or page) number, suffix, and Index date. From the appropriate FIRM panel, locate the property and record the zone and the BFE (or flood depth number) at the building site. BFE's are shown on a FIRM for Zones Al -A30, AE, AH, V1 -V30, and VE; flood depth numbers are shown for Zone AO. Item 7. Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the upper right corner of the title block of the FIRM. Item 8. In A or V Zones where BFE's are not provided on the FIRM, the community may have established BFE's based on data from other sources.. For subdivisions and other development greater than 50 lots or 5 acres, establishment of BFE's is required by community floodplain management ordinance. When this is the case, complete this item. Page 3 INSTRUCTIONS The following 8 diagrams contain descriptions of various types of buildings. Compare the features of your building with those shown in the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C, Item 1) and complete the Certificate. The reference level floor is that level of the building used for underwriting purposes. NOTE: In all A Zones, the reference level Is the top of the lowest floor; In V Zones the reference level is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition. DIAGRAM NUMBER 1 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSE, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor is not below ground level (grade) on all sides'. This includes "walkout" basements, where at least one side is at or above grade. (Not illustrated) HIGHER FLOORS (IF ANY) ' ' 1 ' ' 1 ' ' 1 1 i FIRST FLOOR GRADE REFERENCE LEVEL (TOP OF FLOOR) DIAGRAM NUMBER 3 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level is not below ground level (grade) on all sides'. This includes "walkout" basements, where at least one side is at or above grade. HIGHER FLOORS HIGHER FLOORS (IFANY) (IFANY) I I I I I I I I I I 1 I I I I 1 1 UPPER LEVEL GRADE GRADE INTERMEDIATE LEVEL LOWER LEVEL REFERENCE LEVEL TOP OF FLOOR DIAGRAM NUMBER 2 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor or basement (including an underground garage') is below ground level (grade) on all sides'. HIGHER FLOORS ' (IFANY) FIRST FLOOR GRADE BASEMENT (INCLUDING UNDERGROUND GARAGE) REFERENCE LEVEL [T -O,01 BASEMENT FLOOR') DIAGRAM NUMBER 4 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level (or intermediate level) is below ground level (grade) on all sides'. HIGHER FLOORS HIGHER FLOORS (IF ANY) (IF ANY) I I 1 I I 1 1 I I I I I I 1 I 1 I UPPER LEVEL GRADE GRADE INTERMEDIATE LEVEL LOWER LEVEL REFERENCE LEVEL (TOP OF BASEMENT FLOOR-) Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office, garage, workshop, etc. Page 5 SECTION C Building Elevation Information Item 1. The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level. Choose the diagram that best represents this building, record the diagram number, and use the indicated reference level to measure the elevation as requested in Items 2a -d. Item 2. Depending on the property location's FIRM Zone, complete Item 2a, 2b, 2c, or 2d. Use the reference level shown in the appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate, for all A Zones, the elevation should be measured at the top of the reference level floor. For all V Zones, the elevation should be measured at the bottom of the lowest horizontal structural member of the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest tenth of a foot, or alternatively, unless prohibited by state or local ordinance, the reference level elevation may be "rounded down" to the nearest whole foot ("rounding up" is prohibited). Item 2(a). For structures located in FIRM Zones Al -A30, AE, AH, and A (with BFE's), record the elevation (to the nearest tenth of a foot) of the top of the floor identified as the reference level in the applicable diagram. Item 2(b). For structures located in FIRM Zones V1 430, VE, and V (with BFE's), record the elevation (to the nearest tenth of a foot) of the bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram . Item 2(c). For structures located in FIRM Zone A (without BFE's), record the height (to the nearest tenth of a foot) of the top of the floor indicated as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. Item 2(d). For structures located in FIRM Zone AO, the FIRM will show the base flood depth. For locations in FIRM Zone AO record the height (to the nearest tenth of a foot) of the top of the floor identified as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. For post -FIRM buildings, the community's floodplain management ordinance requires that this value equal or exceed the base flood depth provided on the FIRM. For those few communities where this base flood depth is not available, the community will need to determine if the lowest floor is elevated in accordance with their floodplain management ordinance. Item 3. Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring the elevations is different than that used on the FIRM, then convert the elevations in Items 2a -d to the datum used on the FIRM, and show the conversion equation under the Comments section on Page 2. Item 4. Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be used for elevation determinations. In areas experiencing ground subsidence, the most recently adjusted reference mark elevations must be used for reference level elevation determinations. Item 5. Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings. Construction drawings should only be used if the building does not yet have the reference level floor in place, in which case the Elevation Certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be needed once construction is complete. Item 6. Record the elevation measurement of the lowest grade adjacent to the building (to the nearest tenth of a foot). Adjacent grade is defined as the elevation of the ground, sidewalk, patio, deck support, or basement entryway immediately next to the structure. This measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMR. SECTION D Community Information Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the NFIR Otherwise, completion of this section is not required. Item 1. The community's floodplain management ordinance requires elevation of the building's "lowest floor" above the BFE. For the vast majority of building types, the reference level and the lowest floor will be the same. If the community determines that there is a discrepancy, record the elevation of the lowest floor. Item 2. Enter date. These terms are defined by local ordinance SECTION E Certification Complete as indicated. The Elevation Certificate may only be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE's), V1 -V30, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also sign this certification. In the case of Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may sign this certification. Certification is normally to the information provided in Sections B and C. If the certifier is unable.to certify to the selection of reference level diagram 6, 7 or 8 (Section C, Item 1), e.g., because of difficulty in obtaining construction or building use information needed to determine the Distinguishing Feature(s), the certifier must list the Feature(s) excluded from the certification under Comments on Page 2. The diagram number used for the Reference level must still be entered in Section C, Item 1. Page 4 r ' • Note: In all A Zones, the reference level Is the top of the lowest floor; In V Zones the reference level is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition. DIAGRAM NUMBER 5 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For all zones, the area below the elevated floor is open, with no obstruction to the flow of flood waters (open wood lattice work or readily removable insect screening is permissible). HIGHER FLOORS (IF ANY) i DIAGRAM NUMBER 7 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, SOLID NON -BREAKAWAY WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For all zones, the area below the elevated floor is enclosed, either partially or fully, by solid ao-breakaway walls, 4r contains equipment servicing the building. For V Zones only, the area is enclosed, either partially or fully, by solid breakaway walls" having an enclosed area greater than 300 square feet. For A Zones only, with an area enclosed by solid walls having proper openings,— and used only for parking, building access, or limited storage, use Diagram Number 8 to determine the reference level. HIGHER FLOORS (IFANY) i ELEVATED ENCLOSEDAREA FIRST FLOOR REFERENCE LEVEL GRADE DIAGRAM NUMBER 6 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For V Zones only, the area below the elevated floor is enclosed, either partially or fully, by solid breakaway walls." When enclosed area is greater than 300 square feet or contains equipment servicing the building, use Diagram Number 7; this will result in a higher insurance rate. The enclosed area can be used for parking, building access or limited storage. HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 8 ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED SPACE, INCLUDING CRAWL SPACE. Distinguishing Feature - For A Zones only, the area below the first floor is enclosed by solid or partial perimeter walls, is unfinished, and contains no equipment servicing the structure. The area can be used for parking, building access, or limited storage. HIGHER FLOORS (IF ANY) Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office, garage, workshop, etc. Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or supporting foundation. An area so enclosed is not secure against forceable entry. If the area below the lowest floor is fully enclosed, then a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. If neither of these criteria are met, then the reference level is the lowest grade adjacent to the structure. Page 6 *U.S. GODERMAENTPRIN UO OFFICE.: 1-- 517-751 - 130212 A5 593-117A 5/90 IPAIUUL.C- hVrv\iV l —101 2 2.11 810 _ 1 66AC' N I r 0� a 7 qe ROAD ' 1460AC. JZ0 AC. OAC_ - } - r26S74 130+.93 Ild J38r.J . Q 9a 507.7saG 7 2 2g a' 4, 3 � 2 9 LOT 76 4. }R1 U7AC AC rr �I 40AC 40 AC 4oltC V� 0o N (r235.94� (jzZ439) w l� �� t_ � Z91 Jt `n 7 c, h 23 33 32 67.38 aC LOWER ONG ' 735.r8 i3vj4 f7 210 k �L A, 4-Wll r:C 1 Q t7 T a .Ids 9Lti. Z TSBE872-4 E -L 0 2i V LLJ PM 4 n' 9$. 9Ac=� rosac �_ V 9-03 t.. u I �� N CLT SE.886-4-1-iA 17OaG. 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' 'Ei`Ay� `!•�' }?L; s i ^'��•�"�J ki�v ,`,�-,`.•^4 y'; r evr�jj <. Y" ': +� p •Altty AA'a 'j} � e <.i. �. y ii J �i.S%'� •sNli�Pr ..' 1'�•�,,. II ,.t{ ''��'• .pa 7. ;4'tlFkr �`'f1! r d S Y J w .•a F T r R S L 4 Yi M i r i�xita •$f4• a � JK 64 r. rx ' y'R ': ►4 � v • DESCRIPTION OF STUDY AREA 5 121°35' EXPLANATION LOCATION OF CROSS SECTIONS AND NUMBER LOCATION OF HIGH-WATER DATA -COLLECTION SITES LEVEES The City of Live Oak is located 4.2 miles southwest of bridge site. 0 1000 2000 3000 4000 5000 FEET CONTOUR INTERVAL 5 FEET NATIONAL GEODETIC VERTICAL DATUM OF 1929 -23 19 Concrete box V. culver*t 0.1 if. 24 T� '`\ 9 9A /1, O.r t NE GATE POST N, A V r, See insert -eek • .j :4 ........... it Ifoncut Creek at State Highway 70 near Live Oak.' z 0 a w J W NORTH EAST 95 GATE POST 90 85 80 75 70 65 CHARACTERISTICS OF FLOODFLOW CROSS SECTIONS 1 a 15 60 59 14,000 ID,uuu 18,000 20,000 26,000 DISTANCE, IN FEET, FROM MOUTH OF HONCUT CREEK FIGURE 6. --Profiles of Honcut Creek in vicinity of State Highway 70 bridge site. Location of cross sections are shown in figure 1. - - U y VA TOP OF. MAIN PROJECT LEVEE ON LEFT BANK BRIDGE SOFFIT HWM 12-23- 4 HWM 1-24-80 .� P -21-80 HWM _1-14- EWS. PWS 1-12-80 _ _ _ / NWM 12-26-� M 1,1A,16Y7 HW PWS 12L26-79 6�O • GNp.N PWS 8:13-80 PWS WATER SURFACE AT TIME OF SURVEY HWM HIGH WATER ELEVATION -- �— ESTIMATED PROFILE 60 59 14,000 ID,uuu 18,000 20,000 26,000 DISTANCE, IN FEET, FROM MOUTH OF HONCUT CREEK FIGURE 6. --Profiles of Honcut Creek in vicinity of State Highway 70 bridge site. Location of cross sections are shown in figure 1. 200 25,000 r z 20,000 O U W w a w 15,000 W LL U m U z 10,000 PROBABILITY OF EXCEEDENCE, IN PERCENT 100 50 20 10 5 2 1 PERIOD OF RECORD USED IN ANALYSIS, 1960-80 WATER YEARS., FLOOD OF JANUARY 12,1980 —7 BEGINNING OF OVERBANK FLOW 01 1 1 1 1 1.01 1.1 2 5 10 20 50 100 RECURRENCE INTERVAL, IN YEARS FIGURE 9. --Frequency relation of annual maximum discharge for Honcut Creek at State Highway 70 crossing. i • A FLOODFLOW CHARACTERISTICS OF HONCUT CREEK NEAR LIVE OAK, CALIF. i The extent of backwater caused by the present bridge at cross section 6 may be determined by comparing water -surface elevations for similar flows in tables 6 and 7. A summary of the effects of backwater at the bridge site for j various flow conditions is given in table 9. Backwater caused by the present bridge does not occur until flows of Honcut Creek exceed 3,000 ft3/s. The maximum amount of backwater at the approach section (cross section 6) was 0.5 ft (discharge 25,000 ft3/s), assuming no effect from flows on the Feather River. For flows on the Feather River similar to those observed in 1980, the TABLE 6. - Computed elevations of water surface at cross sections in study reach for present bridge and channel conditions i Elevation, in feet (NGVD), at cross section, assuming no effect �t Discharge of flows on the Feather River i (ft3/s) �t 1 2 .3 4 5 6 7 8 9 9A t 1,000 72.5 72.8 72.8 72.9 -- 73.1 73.8 74.6 75.7 75.7 3,000 75.1 75.2 75.3 75.3 -- 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 76.6 -- 76.9 77.2 77.6 78.6- 78.6 10,000 78.4 78.5 78.5 78.4 -- 78.7 79.0 79.3 80.0 80.0 15,000 79.3 79.5 79.5 79.4 -- 79.9 80.2 80.4 81.1 81.1 20,000 80.1 80.3 80.4 80.1 -- 80.8 81.2 81.4 82.1 82.1 i 25,000 80.7 81.0 81.1 80.8 -- 81.6 82.0 82.2 83.0 82.9 i r! Elevation, in feet (NGVD), at cross section, for flow conditions on the Discharge Feather River that occurred during floods in January and February 1980 (ft3/s) i 1 2 3 4 5 6 7 8 9 9A j i 1,000 . 78.2 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 y' 3,000 78.7 78.7 78.7 78.7 -- 78.7 78.7 78.7 78.9 78..9 5,000 79.0 79.0 79.0 79.0 -- 79.1 79.1 79.2 79.4 79.4 10,000 80.6 80.6 80.6 80.6 -- 80.7 80.8 80.9 81.2 81.2 i 15,000 81.7 81.7 81.8 81.7 -- 82.0 82.1 82.1 82.4 82.4 r 20,000 82.3 82.4 82.4 82.2 -- 82.6 82.7 82.8 83.2 83.2 25,000 83.0 83.1 83.1 83.0 -- 83.5 83.6 83.7 84.2 84.2 i :j s• 8 . 7 HYDRAULIC C}IARACTERISTICS OF THE BRIDGES 25 effects of backwater at cross section 6 caused by the bridges was 0.1 ft (discharge 25,000 ft3/s). The reduction in backwater during high stages on the Feather River is related to ponding effects and resulting higher stages at the downstream side of the bridges (cross section 4) even though flows of Honcut Creek have not increased. During extremely high stages on the Feather �' 1 River, such as those observed during the flood of December 24, 1964, all backwater caused by flows on Honcut Creek was apparently eliminated, and a nearly level water -surface profile in the downstream part of the study reach was observed (fig. 6) . ': `• TABLE 7. - Computed elevations of water surface at cross sections in study reach assuming all bridges and roadway embankment removed Elevation, in feet (NGVD), at cross section, assuming no effect Discharge of flows on the Feather River (ft3/s) 1 2 3 4 5 6 7 8 9 9A 1,000 72.5 72.8 72.8 -- 73.0 73.3 73.9 74.7 75.7 75.7 3,000 75.1 75.2 75.3 -- 75.4 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 -- 76.6 76.6 77.0 77.5 78.6 78.6 10,000 78.4 78.5 . 78.5 -- 78.5 78.5 78.8 79.2 79.9 79.9 15,000 79.3 79.5 79.5 -- 79.5 79.5 79.9 80.2 81.0 81.0 20,000 80.1 80.3 80.4 -- 80.4 80.4 80.8 81.1 81.9 81.8 25,000 80.7 81.0 81.1 -- 81.1 81.1 81.6 81.9 82.7 82.6 Discharge (ft3/s) Elevation, in feet (NGVD), at cross section, for flow conditions on the Feather River that occurred during floods in January and February 1980 1 2 3 4 5 6 7 8 9 9A 1,000 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 78.2 3,000 78.7 78.7 78.7 -- 78.7 78.7 78.7 78.7 78.9 78.9 5,000 79.0 79.0 79.0 -- 79.0 79.0 79.1 79.1 79.4 79.4 10,000 80.6 80.6 80.6 -- 80.6 80.6 80.7 80.8 81.0 81.0 15,000 81.7 81.8 81.8 -- 81.8 81.8 81.9 82.0 82.3 82.3 20,000 82.3 82.4 82.4 -- 82.4 82.4 82.5 82.7 83.1 83.1 25,000 83.0 83.1 83.1 -- 83.1 83.1 83.3 83.5 83.9 83.9 4 26 FLOODFLOW CHARACTERISTICS OF 11ONCu'r CREEK NEAR LIVE OAK, CALIF. TABLE 8. - Computed elevations -of water surface at cross sections in study reach assuming bridge 1 is removed no Elevation, in feet (NGVD), at cross section, assuming no effect Discharge of flows on the Feather River (ft3/s) 1 2 3 4 5 6 7 8 9 9A 1,000 72.5 72.8 72.8 73.0 -- 73.1 73.8 74.6 75.7 75.7 3,000 75.1 75.2 75.3 75.3 -- 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 76.6 -- 76.8 77.1 77.5 78.6 78.6 10,000 78.4 78.5 78.5 78.4 -- 78.8 79.0 79.3 80.0 80.0 15,000 79.3 79.4 79.5 79.3 -- 79.9 80.2 80.4 81.1 81.1 20;000 80.1 80.3 80.4 80.1 -- 80.9 81.3 81.5 82.2 82.1 25,000 80.7 81.0 81.1 80.7 -- 81.7 82.1 82.3 83.0 83.0 Elevation, in feet (NGVD), at cross section, for flow conditions on the Discharge (ft3/s) Feather River that occurred during floods in January and February 1980 1 2 3 4 5 6 7 8 9'' 9A 1,000 78.2 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 3,000 78.7 78.7 78.3 78.7 -- 78.7 78.7 78.7 78.9 78.9 5;000 79.0 79.0 79.0 79.0 -- 79.1 79.2 79.2 79.5 79:5 10,000 80.6 80.6 80.6 80.5 -- 80.7 80.9 81.0 81.2 81.2 15,000 81.7 81.8 81.8 81.6 -- 82.0 82.2 82.3 82.6 82.6 20,000 82.3 82.4 82.4 82.2 -- 82.7 83.1 83.2 83.6 83.6 25,000 83.0 83.1 83.1 82.9 -- 83.5 84.2 84.2 84.6 84.6 no + lily PdW&F ) 143.3U� 4V�NCY MAN'c� < a FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS c auTTE coUN1�ENT BUILDING ®EPAR� A. I'AI'ERWORK BURDEN DISCLOSURE NOTICE GENERAL- This information is provided pursuant to Public Law 96-511, (The Paperwork Reduction Actof 1980, as amended), dated December 11, 1980, to allow the public to participate more fully and meaningfully in the Federal paperwork review process. AUTHORITY - Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFR 1320 DISCLOSURE OF BURDEN Public reporting burden for the collection of information entitle Nd "Post -Construction Elevation Certificate/Flood proof ing Certificate" (FEMA Form 81-31 and 81-65) is estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the forms. Send comments regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden, to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, S.W. 20472; and to the Office of Management and Budget, Paperwork Reduction Project (3067-0077), Washington, U.C. 20503. ELEVATION CERTIFICATE O.M.B. No 3067.0077 ExpiresMay31, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING WNER'S NAME POLICY NUMBER HZED1-4c�twt�, — t�tn�� � uUES�M�atTS STREET ADDRESS (Including Apt., Unit, Sui/tefand/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 4�C ill" OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): ZIP 1 1. COMMUNITY NUMBER t::;L NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 040017D O* +�'(in Anes, use depth) � 7 _J�(f 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD'29 60ther (describe on back) 8. For Zones A or V, where no BFL Is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: WJ.PJ feet NGVD (or other FIRM datum–see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM Zones Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation Oil I 1 18191, feet NGVD (or other FIRM datum–see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I.0 feet NGVD (or other FIRM datum–see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LU.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is Ll—l.LJ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No [I Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: QrNGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) I. Elevation reference mark used appears on FIRM: ❑ Yes l?No (See Instructions on Page 4) i. The reference level elevation is based on: 11U actual construction construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) A The elevation of the lowest grade immediately adjacent to the building is: ( I I I�II� feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: l I I I I I.0 feet NGVD (or other FIRM datum–see Section B, Item 7). ?. Date of the start of construction or substantial improvement - 14 APAP FEMA Form 81-31) MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must sti�irtlisce 1 certify that the information in Sections B and C on this certificate represents my best efforts 1 understand that any false statement may be punishable by fine or imprisonment under 18 l CERTIFIER;$,AIAME � f // �_' / LICENSE NUMBER (or A4ix S I) ---" '-" "—'-- C./7 � {,'�TJI/V/ � •� a` TITLE C MP N �7 M �4�,��F �'fvl �4 ' ADDRESS CITY j ZIP SIGNATURE � ATE � PHONE Copies should be ma f this Cer icate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE R_FF ERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION Y i; :i: ;: i.; <z:'?�':.`•i�::;: i�;::'�:'• :+•fir BASE '•'' '"'• .ADJACENT.:° d: REFERENCE •+ •:: BASE FLOOD FLOOD GRADE '''Itis LEVEL ELEVATION REFERENCE AQIACENT ;�`;t ELEVATION LEVEL GRADE � �I;: :; is •."i :':j.:; .:'.'i:::: i.:.`: •i.:: :. ...r. ADJACENT.. GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 THE NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that the community "obtain the elevation of the lowest floor (including basement) of all new and substantially improved structures, and maintain a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement. The Elevation Certificate is also required to properly rate post -FIRM structures, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), for flood insurance in FIRM Zones Al -A30, AE, AO, AH, A (with Base Flood Elevations [BFE's]), V1 -V30, VE, and V (with BFE's). In addition, the Elevation Certificate is also needed for pre -FIRM structures being rated under post -FIRM flood insurance rules. Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper flood insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Only a LOMA or LOMR from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal requirement for a lending institution to require the purchase of flood insurance. Note that the lending institution may stili require flood insurance. This certificate is only used to certify the elevation of the reference level of a building. if a non-residential building is being floodproofed, then a Floodproofing Certificate must be completed in addition to certifying the building's elevation. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE's), V1 -V30, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may also provide the information on this certification. SECTION A Property Information The Elevation Certificate identifies the building, its owner and its location. Provide the building owner's name(s), the building's complete street address, and lot and block number. If the property address is a rural route or PO box number, provide a legal description or an abbreviated location description based on distance from a reference point. SECTION B Flood Insurance Rate Map Information In order to properly complete the Elevation Certificate, it is necessary to locate the building on the appropriate FIRM, and record the appropriate information. To obtain a FIRM, contact the community or call 1-800-333-1363. The Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when construction of the building was started. Items 1 - 6. Using the FIRM Index and the appropriate FIRM panel for the community, record the community number, panel (or page) number, suffix, and Index date. From the appropriate FIRM panel, locate the property and record the zone and the BFE (or flood depth number) at the building site. BFE's are shown on a FIRM for Zones Al -A30, AE, AH, V1 -V30, and VE; flood depth numbers are shown for Zone AO. Item 7. Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the upper right corner of the title block of the FIRM. Item 8. In A or V Zones where BFE's are not provided on the FIRM, the community may have established BFE's based on data from other sources. For subdivisions and other development greater than 50 lots or 5 acres, establishment of BFE's is required by community floodplain management ordinance. When this is the case, complete this item. Page 3 SECTION C Building Elevation Information Item 1. The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level. Choose the diagram that best represents this building, record the diagram number, and use the indicated reference level to measure the elevation as requested in Items 2a -d. Item 2. Depending on the property location's FIRM Zone, complete Item 2a, 2b, 2c, or 2d. Use the reference level shown in the appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate, for all A Zones, the elevation should be measured at the top of the reference level floor. For all V Zones, the elevation should be measured at the bottom of the lowest horizontal structural member of the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest tenth of a foot, or alternatively, unless prohibited by state or local ordinance, the reference level elevation may be "rounded down" to the nearest whole foot ("rounding up" is prohibited). Item 2(a). For structures located in FIRM Zones Al -A30, AE, AH, and A (with BFE's), record the elevation (to the nearest tenth of a foot) of the top of the floor identified as the reference level in the applicable diagram. Item 2(b). For structures located in FIRM Zones V1 430, VE, and V (with BFE's), record the elevation (to the nearest tenth of a foot) of the bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram . Item 2(c). For structures located in FIRM Zone A (without BFE's), record the height (to the nearest tenth of a foot) of the top of the floor indicated as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. Item 2(d). For structures located in FIRM Zone AO, the FIRM will show the base flood depth. For locations in FIRM Zone AO record the height (to th2 nearest tenth of a foot) of the top of the floor identified as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. For post -FIRM buildings, the community's floodplain management ordinance requires that this value equal or exceed the base flood depth provided on the FIRM. For those few communities where this base flood depth is not available, the community will need to determine if the lowest floor is elevated in accordance with their floodplain management ordinance. Item 3. Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring the elevations is different than that used on the FIRM, then convert the elevations in Items 2a -d to the datum used on the FIRM, and show the conversion equation under the Comments section on Page 2. Item 4. Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be used for elevation determinations. In areas experiencing ground subsidence, the most recently adjusted reference mark elevations must be used for reference level elevation determinations. Item 5. Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings. Construction drawings should only be used if the building does not yet have the reference level floor in place, in which case the Elevation Certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be needed once construction is complete. Item 6. Record the elevation measurement of the lowest grade adjacent to the building (to the nearest tenth of a foot). Adjacent grade is defined as the elevation of the ground, sidewalk, patio, deck support, or basement entryway immediately next to the structure. This measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMR. SECTION D Community Information Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the NFIR Otherwise, completion of this section is not required. Item 1. The community's floodplain management ordinance requires elevation of the building's "lowest floor" above the BFE. For the vast majority of building types, the reference level and the lowest floor will be the same. If the community determines that there is a discrepancy, record the elevation of the lowest floor. Item 2. Enter date. These terms are defined by local ordinance SECTION E Certification Complete as indicated. The Elevation Certificate may only be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE's), V1 -V30, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also sign this certification. In the case of Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may sign this certification. Certification is normally to the information provided in Sections B and C. If the certifier is unable to certify to the selection of reference level diagram 6, 7 or 8 (Section C, Item 1), e.g., because of difficulty in obtaining construction or building use information needed to determine the Distinguishing Feature(s), the certifier. must list the Feature(s) excluded from the certification under Comments on Page 2. The diagram number used for the Reference level must still be entered in Section C, Item 1. Page 4 i INSTRUCTIONS The following 8 diagrams contain descriptions of various types of buildings. Compare the features of your building with those shown in the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C, Item 1) and complete the Certificate. The reference level floor is that level of the building used for underwriting purposes. NOTE: In all A Zones, the reference level is the top of the lowest floor; in V Zones the reference level is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest floor definition. DIAGRAM NUMBER 1 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSE, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor is not below ground level (grade) on all sides'. This includes "walkout" basements, where at least one side is at or above grade. (Not illustrated) HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 3 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level is not below ground level (grade) on all sides'. This includes "walkout" basements, where at least one side is at or above grade. HIGHER FLOORS HIGHER FLOORS (IFANY) (IF ANY) 1 I I 1 1 I 1 I I 1 1 1 I 1 I 1 1 UPPER LEVEL GRADE GRADE INTERMEDIATE LEVEL LOWER LEVEL REFERENCE LEVEL TOP OF FLOOR DIAGRAM NUMBER 2 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor or basement (including an underground garage') is below ground level (grade) on all sides'. ' HIGHER FLOORS (IFANY) ; ' ' 1 i 1 , 1 , FIRST FLOOR GRADE BASEMENTINCLUDING UNDERGROUND GARAGE) REFERENCE LEVEL (TDP OF BASEMENT FLOOR') DIAGRAM NUMBER 4 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level (or intermediate, level) is below ground level (grade) on all sides'. HIGHER FLOORS HIGHER FLOORS (IF ANY) (IF ANY) I 1 1 1 1 1 1 1 1 1 I I 1 1 1 I I UPPER LEVEL GRADE GRADE INTERMEDIATE LEVEL LOWER LEVEL REFERENCE LEVEL (TOP OF BASEMENT FLOOR') Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office, garage, workshop, etc. Page 5 - Note: In all A Zones, the reference level Is the top of the lowest floor; In V Zones the reference level Is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition. DIAGRAM NUMBER 5 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Dlslingulshing Feature - For all zones, the area below the elevated floor is open, with no obstruction to the flow of flood waters (open wood lattice work or readily removable insect screening is permissible). HIGHER FLOORS (IF ANY) i i ELEVATED REFERENCE FIRST FLOOR LEVEL DIAGRAM NUMBER 7 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, SOLID NON -BREAKAWAY WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For all zones, the area below the elevated floor is enclosed, either partially or fully, by solid mm -breakaway walls, 2r contains equipment servicing the building. For V Zones only, the area is enclosed, either partially or fully, by solid breakaway walls— having an enclosed area greater than 300 square feet. For A Zones only, with an area enclosed by solid walls having proper openings,— and used only for parking, building access, or limited storage, use Diagram Number 8 to determine the reference level. HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 6 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For V Zones only, the area below the elevated floor is enclosed, either partially or fully, by solid breakaway walls." When enclosed area is greater than 300 square feet or contains equipment servicing the building, use Diagram Number 7; this will result in a higher insurance rate. The enclosed area can be used for parking, building access or limited storage. HIGHER FLOORS (IF ANY) ELEVATED REFERENCE FIRST FLOOR LEVEL •,.� �'3Yi. t;qt ::IK ENCLOSED AREA DIAGRAM NUMBER 8 ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED SPACE, INCLUDING CRAWL SPACE. Distinguishing Feature - For A Zones only, the area below the first floor is enclosed by solid or partial perimeter walls, is unfinished, and contains no equipment servicing the structure. The area can be used for parking, building access, or limited storage. HIGHER FLOORS (IF ANY) Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office, garage, workshop, etc. Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or supporting foundation. An area so enclosed is not secure against forceable entry. "' If the area below the lowest floor is fully enclosed, then a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. If neither of these criteria are met, then the reference level is the lowest grade adjacent to the structure. Page 6 6 va. 00v7.aAMFWT rRUM1100MCA.. _130:12a 5 593.117A 5/90 ,\m .b MIOOLE ) / . Well I S 91? Well 'ONCUT CA Well 0 114- 1%11 10, ol 1�7 ICBM 89 HONCU r., 8 LOWER 20 ~ v �� -well 94 71 ct 0 ct zz _. ji '1HO ncirti� ROAD --- 1 --i-- M — — — — — — — — — — — Creek South 21 All�P :S,uC �3' li*,�,�,v�;���,��,-�-��,,,�..:,;"��!s-�J.��!i,, -L Wl� RA7 is 1.uL MY I -KIN, Prepared in cooperatl6n -wilth the CALIFORNIA DEPARTMENT 017 TRANSPORTATION DESCRIPTION OF STUDY AREA 5 121°35' EXPLANATION I LOCATION OF CROSS SECTIONS AND NUMBER LOCATION OF HIGH-WATER DATA-COLLECTION SITES ^— — LEVEES 14 s.. ; The City of Live Oak Is located 4.2 miles m..southwest of bridge site. s ' i Z ZVE: i 0 1000 2000 3000 4000 5000 FEET i f �. CONTOUR INTERVAL 5 FEET NATIONAL GEODETIC VERTICAL DATUM OF 1929 23 Concrete box is` 1 Vii/ P`k. ,C culvert IT ,� 24 9 9A Q. NE GATE POST :�: :.k See insert �, ,,+,,: :::: awr+.::�:++:Mee i1 \. „ i!ionc►it Creek at State Highway 70 near Live Oak. NORTH EAST 95 GATE POST 90 85 80 75 70 65 CIIARACTERISTICS OF FLOODFLOW CROSS SECTIONS 1 7 0• 15 60 59 14,000 i o,000 18,000 20,000 26,000 DISTANCE, IN FEET, FROM MOUTH OF HONCUT CREEK FIGURE 6. --Profiles of Honcut Creek in vicinity of State Highway 70 bridge site. Location of cross sections are shown in figure 1. - - o V VA TOP OF MAIN PROJECT LEVEE ON LEFT BANK BRIDGE SOFFIT HWM 12-23- 4 HWM 1-24-00 P —21-80 HWM 1-14— _ PWS 1-14-80 PWS 1-12-80 — — — HWM 12-26-� M 1'14'16 rl - HW — — — PWS 12_26-79 9�0 L GHPNNEL - 8-13-g0 PWS WATER SURFACE AT TIME OF SURVEY HWM HIGH WATER ELEVATION — --� ESTIMATED PROFILE 60 59 14,000 i o,000 18,000 20,000 26,000 DISTANCE, IN FEET, FROM MOUTH OF HONCUT CREEK FIGURE 6. --Profiles of Honcut Creek in vicinity of State Highway 70 bridge site. Location of cross sections are shown in figure 1. PROBABILITY OF EXCEEDENCE, IN PERCENT 200 100 50 20 10 5 2 1 25,000 Z 20,000 O U W N Q W CL W -15,000 W LL v m U 2 10,000 W 0 Q Q 2 U N CfVIl1 0 BEGINNING OF OVERBANK FLOW 0 1.01 1.1 2 5 10 20 50 100 RECURRENCE INTERVAL, IN YEARS FIGURE 9. --Frequency relation of annual maximum discharge for Honcut Creek at State Highway 70 crossing. _24 FLOODFLOW CHARACTERISTICS OF HONCUT CREEK NEAR LIVE OAK, CALIF. The extent of backwater caused by the present bridge at cross section 6 may be determined by comparing water -surface elevations for similar flows in tables 6 and 7. A summary of the effects of backwater at the bridge site for various flow conditions is given in table 9. Backwater. caused by the present bridge does not occur until flows of Honcut Creek exeed 3,000 ft3/s. The maximum amount of backwater at the approach section (cross section 6) was 0.5 ft (discharge' 25,000 ft3/s), assuming no effect from flows on the Feather River. For flows on the Feather River similar to those observed in 1980, the TABLE 6. - Computed elevations of water surface at cross sections in study reach for present bridge and channel conditions Discharge (ft3/s) Elevation, in feet (NGVD), at cross section, assuming no effect of flows on the Feather River 1 2 .3 4 5 6 7 '8 9 9A 1,000 72.5 72.8 72.8 72.9 -- 73.1 73.8 74.6 75.7 75.7 3,000 75.1 75.2 75.3 75.3 -- 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 76.6 -- 76.9 77.2 77.6 78.6. 78.6 10,000 78.4 78.5 78.5 78.4 -- 78.7 79.0 79.3 80.0 80.0 15,000 79.3 79.5 79.5 79.4 -- 79.9 80.2 80.4 81.1 81.1 20,000 80.1 80.3 80.4 80.1 -- 80.8 81.2 81.4 82.1 82.1 25,000 80.7 81.0 81.1 80.8 -- 81.6 82.0 82.2 83.0 82.9 Elevation, in feet (NGVD), at cross section, for flow conditions on the Discharge Feather River that occurred during floods in January and February 1980 (ft3/s) 1 2 3 4 5 6 7 8 9 9A 11000 . 78.2 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 3,000 78.7 78.7 78.7 78.7 -- 78.7 78.7 78.7 78.9 78.9 5,000 79.0 79.0 79.0 79.0 -- 79.1 79.1 79.2 79.4 79.4 10,000 80.6 80.6 80.6 80.6 -- 80.7 80.8 80.9 81.2 81.2 15,000 81.7 81.7 81.8 81.7 -- 82.0 82.1 82.1 82.4 82.4 20,000 82.3 82.4 82.4 82.2 -- 82.6 82.7 82.8 83.2 83.2 25,000 83.0 83.1 83.1 83.0 -- 83.5 83.6 .83.7 84.2 84.2 HYDRAULIC CHARACTERISTICS OF THE BRIDGES 25 effects of backwater at cross section 6 caused by the bridges was 0.1 ft (discharge 25,000 ft3/s). The reduction in backwater during high stages on the Feather River is related to ponding effects and resulting higher stages at the downstream side of the bridges (cross section 4) even though flows of Honcut Creek have not increased. During extremely high stages on the Feather River, such as those observed during the flood of December 24, 1964, all backwater caused by flows on Honcut Creek was apparently eliminated, and a nearly level water -surface profile in the downstream part of the study reach' was observed (fig. 6). TABLE 7. - Computed elevations of water surface at cross sections in stud reach assuming all bridges and roadway embankment removed Elevation, in feet (NGVD), at cross section, assuming no effect Discharge of flows on the Feather River (ft3/s) 1 2 3 4 5 6 7 8 9 9A 1,000 72.5 72.8 72.8 -- 73.0 73.3 73.9 74.7 75.7 75.7 3,000 75.1 75.2 75.3 -- 75.4 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 -- 76.6 76.6 77.0 77.5 78.6 78.6 10,000 78.4 78.5 78.5 -- 78.5 78.5 78.8 79.2 79.9 79.9 15,000 79.3 79.5 79.5 -- 79.5 79.5 79.9 80.2 81.0 81.0 20,000 80.1 80.3 80.4 -- 80.4 80.4 80.8 81.1 81.9 81.8 25,000 80.7 81.0 81.1. -- 81.1 81.1 81.6 81.9 82.7 82.6 Elevation, in.feet (NGVD), at cross.section, for flow conditions on the Discharge Feather River that occurred during floods in January and February 1980 (ft3/s) 1 2 3 4 5 6 7 8 9 9A 11000 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 78.2 3,000 78.7 78.7 78.7' -- 78.7 78.7 78.7 78.7 78.9 78.9 5,000 79.0 79.0 79.0 -- 79.0 79.0 79.1 79.1 79.4 79.4 10,000 80.6 80.6 80.6 -- 80.6 80.6 80.7 80.8 81.0 81.0 15,000 81.7 81.8 81.8 -- 81.8 81.8 81.9 82.0 82.3 82.3 20,000 82.3 82.4 82.4 -- 82.4 82.4 82.5 82.7 83.1 83.1 25,000 83.0 83.1 83.1 -- 83.1 83.1 83.3 83.5 83.9 83.9 26 FLOODFLOW CHARACTERISTICS OF IiONCu'T CREEK NEAR LIVE OAK, CALIF. TABLE 8. - Computed elevations -of water surface at cross sections in studv reach assuming bridge 1 is removed Elevation, in feet (NGVD), at cross section, assuming no effect Discharge of flows on the Feather River (ft3/s) - -- - 1 2 3 4 5 6 7 8 9 9A 1,000 72.5 72.8 72.8 73.0 -- 73.1 73.8 74.6 75.7 75.7 3,000 75.1 75.2 75.3 75.3 -- 75.5 76.0 76.6 77.8 77.8 5,000 76.4 76.5 76.6 76.6 -- 76.8 77.1 77.5 78.6 78.6 10,000 78.4 78.5 78.5 78.4 -- 78.8 79.0 79.3 80.0 80.0 15,000 79.3 79.4 "" 79.5 79.3 -- 79.9 80.2 80.4 81.1 81.1 20,000 80.1 80.3 80.4 80.1 -- 80.9 81.3 81.5 82.2 82.1 25,000 80.7 81.0 81.1 80.7 =- 81.7 82.1 82.3 83.0 83.0 Elevation, in feet (NGVD), at cross section, for flow conditions on the Discharge Feather River that occurred during floods in January and February 1980 (ft3/s) 1 2 3 4 5 6 7 8 9- 9A 1,000 78.2 78.2 78.2 78.2 -- 78.2 78.2 78.2 78.2 78.2 3,000 78.7 78.7 78.7 78.7 -- 78.7 78.7 78.7 78.9 78.9 5,000 79.0 79.0 79.0 79.0 -- 79.1 79.2 79.2 79.5 79.5 10,000 80.6 80.6 80.6 80.5 -- 80.7 80.9 81.0 81.2 81.2 15,000 81.7 81.8 81.8. 81.6 -- 82.0 82.2 82.3 82.6 82.6 20,000 82.3 82.4 82.4 82.2 -- 82.7 83.1 83.2 83.6 83.6 25,000 83.0 83.1 83.1 82.9 -- 83.5 84.2 84.2 84.6 .84.6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 94)-- ll ASSESSOR PARCEL NUMBER 028-030-021 A5 ZONING BUILDING PERMIT OWNER NOYO INVESTMENT CO TELEPHONE SQ. FT. OCC. BUILDING VALUATION 00 OWNER'S MAILING ADDRESS 3470 IOWA CITY RD MARYSVILLE, 95901 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 L. HONCUT RD PERMIT FEE $ 62.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome XK Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition QK Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: DECK & RAMPS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 S0. FT. NEW CONST. MULTI -OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification AI, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) B SINGLE OUTLET CIO. Ex. Occup. ( OUTLET OR FIXTURES ) 82l @ 1.0000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cott in conse�nce of the granting of this permit. Date y' Signature ofnt �Owne Contractor CI pplica An OSHA permit is required for excavations over 5"0" deep and demolition- or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE I TOTAL FEE 562.00 L HAZ• I D. FEES I IMP I F100D A I COF I PARCEL I PD HO ISSUE This permit is hereby issued udder the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON (Gare/ Receipt No. 162489 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y OF BUTTE - DEPART OF VELOPMENT SERVICES - BUILDING DIVISION -0 v e, Cai�if Telephdine (916) 538-7541 7 County Center Drive ro ill ornia 95965 PERMIT NO. APPLICATION AND 'PERMIT ASSESSOR PARCEL NU MBER �Nfl 4G BUILDING PERMIT SQ. FT.' OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS S470 INA C'I'rv"A MARYA�L'L CONTRACTOR'S NAM - E' fELEPHONE OWNER CONTRACTOR`$ MAILING ADDRESS Fireplace CONSTRUCTi6N LENDER NONE UNKNOWN Total Valuation iling Fee $ 20.00 UENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee s 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 L. HONIXT RD PERMIT FEE $ 62,00 OROVIUE PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SfUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF C) Duplex Q Mobilehome XK Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New C3 Addition Q_K Remodel 1:1 Utilities 0 Installation Q Other Q Describe Work:'\, DECK & RAMor- PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 'OV ORR LESS Main Service 200A 0 LESS ) 2 3.00 Main Service 1200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. ) CONTRACTORS LICE&NSE I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Prof essions-Code and my license is in full force and effect. License No. Classification h L ki, as the owner, or my employees with wages as their sole compensation, will do the Work, and the structure is not intended or offeied for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Q I am exempt under Sec. Business and Professions Code Iforthis reason' NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL. 1@ .50 OFIXED APPLNS. OR Ex. Occup. UTLETS (RESID.) EA. 1_ 5.00 Temporary SeXce 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $100.00 (valuation) or less. Cl I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure ' I )Nshall not employ any person in any manner so asto become subject to the Worker'. Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker' ompensation provisions of the Labor Code, you must forthwith comply with suq�h-orovisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Noe Cooling 0-*% Hood 6.50 Ventilation Contractor I ��eTtlffythat I have read this application and state thatthe above information is correct. I agree t6 comply to all Butte County Ordinances and California State'Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei 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 expem4es which may in any way accrue against said Cont in:�nsepg(rn_ce of the granting of this permit. r— 7- Date 44w� An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in �eight. \Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE JT4fA�±�E§,$ H.7 IXFEES JJFKW V'FW.OD PARCEL This pe is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work dicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Da te) M ReceiptNo. 162489 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT —s � QOP3TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Y� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 5 � � � a ASSESSOR PARCEL NUMBER ,028-030-021 ZONING BUILDING PERMIT OWNER NOYO INVESrDM CO NV t, TELEPHONE « SO. FT. OCC. BUILDING VALUATION b 72.00 OWNER'S MAILING ADDRESS 3470 IOWA CITY 6 MARYSVILLE, 95901 CONTRACTOR'S NAME MMER N�i' TELEPHONE CONTRACTOR'S_ MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN 1� � ' Total Valuation $ Fee $ 20.00 LENDER'S MAILING ADDRESSFiling • fi Permit Fee $ 19, ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 L. HONCUT RD PERMIT FEE $ 62.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 , Water piping 15.00 LOT NO. SUBDIVISION'S NAME " PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome )ff[ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @ZO.00 TYPE OF WORK New O AdditionPERMIT ❑i Remodel ❑ Utilities O Installation ❑ Other ❑ Describe Work: DECK & RAMPS,, FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200ATOI000A ) 46.00 NEW LLI R ADDNS.T- ( O & ACC BLOSUP ) 3.50 F°; ".7 CONTRACTORS LICENSE L�+AW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ki, as the owner, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @'.50 Ex. Occup FIXED APPLNS. OR . OUTLETS (RESID.) EA. ) 5.00 Temporary SeKce 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Nshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said onseR nce of the granting of this permit. NF-7e ate t Signature of-.ApplicantO Owners Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPErI TOTAL,FEE,S,;-("62 cis HAZE D�FEES l IMP ��f /F1QOD CUF PARCEL PO HD ISSUE 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. By Date 1 I PERMIT EXPIRES ON (Dote) 162489 Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -Z,C,O,TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION R 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. - 1.. APPLICATION AND PERMIT C) 4) -., 'J J ASSESSOR PARCEL NUMBER -028-0042 i- ZONING �� BUILDING PERMIT OWNER.4' IM 00. TELEPHONE SQ. FT. OCCBUILDING VALUATION 96 OWN ERS MAILING ADDRESS 3470 IOWA CITY 9D !f►ARYSVIUE,' 95901 �M�S(� CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERNONE- UNKNOWN 5,` •� Total Valuation S , Filing Fee $ 20.00 LEN DEWS MAILING ADDRESS :�.. .f.' ' Permit Fee $ 9.00 ARCHITECT OR ENGINEER NONE w LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 696 L. HONCIN RD PERMIT FEE $ 52.00 OROVILU PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME "' PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑� Remodel ❑ Utilities ❑ Installation O Other C1 Describe Work: DECK` & RAM,r - PERMIT FEE 1$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ADONS. ( & ACC. BLDS. I 3.50 Sr.-FD " CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) r ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages a: their sole compensation, will do the work, and the structure is not intended or cffered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS 1 7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXED APPLNS. OR OUTLETS (RESID.) EA. ) 5.00 Temporary Svviiice 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION IMSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. )1k,11 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code,. you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co ty in conseq ence of the granting of this permit. X ) Date 4(, "7 ec ' 1f Signature of -Applicant - ❑ Owne.r,••f Contractor ❑ Agent 4 An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy In Fee $ OCC CONST. TYPE TOTAL FE& HAZ- I D FEES IMP / FOO 0 COF PARCEL PD HD ISSUE 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. By Date PERMIT EXPIRES ON (Date) Receipt No. 162489 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF.BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / V c /7 1/,�LS t IK C' P1 A. P. No. Proposed Building Use Building Inspector Date Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sem signed by preparer of plans. //�� IZ-3, Complete plans 4 sets, signed by preparer of plans. '"../.`Q N'! ............. . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year floo�J by CVeHealth nia Engineer ............:::: : 14. Sanitation and plot plan approval (Q V I Department. . . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for P�a"�QanO required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 3.2. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted Prior to p�ermit is uanc (Cir le new item not hecked above). ilY1. Index permit for above items Nc 1 A 7 ::18y 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date Plans checked •by.., Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico:. 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/hit) 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 4. I plan to provide portions provide the major work: Name Address Phone City Contractor's License No. of this work, but I have hired the following person to coordinate, supervise, and City 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: . C� Property Owner Social Security Number Dated NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT - PERMIT N0: ASSE RP LNUUMBE , O „� C/ =GNMG BUILDING PERMIT OWNE [_ f T T AJO VQ 1163Ow.74AJLJNG TELEPHONE SO. FT. OCC. .BUILDING VALUATION ADORES!! -- A r y S v' 0 9 d CON CTO SNAME TELEPHONE w CONTRACTOR'S MAILING ADDRESS Fireplace CONS R TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHI C OR ENGINEER rt 'Ce— LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOIN AD ss ' v v t PERMIT FEE $ . Q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar_ or heat pump water heater 23.00 Water piping I15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ASF ❑ Duplex O Mobilehome Other sPECIFr Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New f, Addition Remodel Utilities O Installatio ❑ Other O Describe Work: PERMIT FEE $ " Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( eooV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADONIS. ( & ACC. BLDS. ') so. 3.50 FT.__ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification XI , as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEWCONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 BAL. 1@ .50 Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseg ce of the gran ' g of this permit. X / `C Date Sig ur o li nt, caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rrPE TOTAL FEE $ �y d HAz- 1 D. FEES IMP I F Do I COF I PARCEL PO HD ISSUE 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. BY Date PERMIT EXPIRES ON (Dere) Receipt No. l !� ,.ITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this lob card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on lob site- .02p;-030-021 ite_ j 028J 03_0-021. 94-1112B 1 F-1OYO,-INVESTMENT C0:`-_--.—_ (('au96-L014ER-H0NCUT-RD. ,_.0ROV,ILLE - (;J.DECK r& RAMPS/MH) Expires PERMITTEE MUST CALL FOR INSPECTIONS . INSPECTION I DATE I INSPECTOR Niers Unde Pre -G Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing Rouah Electrical Framing Insulation Shower Pan Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Info ( 24 -Hr Insp ) Oroville 7 County Center Dr. 538-7541 (538-7636) Chico 1469 Humbolt Rd. 891-2751 (891-2751 ) Paradise 747 Elliott Rd. 872-6307 (872-6307) Revised 12/93 RESIDENTIAL 028-030-021 94=1112B NOYO INVESTMENT CO. 696 LOVER HONCUT RD., OROVILLE DECK & RAMPS/MH) JOB FINALED (Date) Signature V=OK O = Not OK = Not Readyable MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/0 Concrete 4.- Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / ./"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/' /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vente-Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16.: Water Htr.; Vent -Access -Combustion Air -Baffle 17.Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'s 22.''Flxture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24.: --,Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. ! / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34.' A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Staire-Chases-Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING `(Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Bmc-Truss-Shthng.-Ring. 47. fireplace Ties or, Type,A Flue -Fireplace Throat clearance 48. Attic Access; Size'eRomex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Eilting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. "Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Pians) OK except #'a 61.' Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb: Air -Connector - In Garage; Above Floor-Ducta-Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec..Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive Cl Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearence to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House k 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer'Connected-C/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: VARIES 0 36" MIN... D p w m 7Q —f O b s v o O 7 a) CD (D o m p i of > ' (n 00 0 M o O C ' o, W �0 o' cf).. 3Fn �m Z 7a v I O -.1 O z W 9o,J II 36" MIN... D p w m 7Q —f O b s v o O 7 a) CD (D o m p i of > ' (n 00 0 M o O C ' o, W �0 o' cf).. c� L L c`. •o ? ,/HW)RWL FREIGHT \,-MAX. O � � roti I -.1 W 9o,J II c� L L c`. •o ? ,/HW)RWL FREIGHT \,-MAX. O � � roti I W 9o,J II N 36"MIN. STAIR - n W I DT14 9 7Q v X T.17 N.R. 4 E. M.D. E (MIDDLE HONCUT cj�j L' Pte`a1A�ti ty� _�^.�-SS!'?u..�. ► `y 1�•\ark '-i11J ".` ., i .. of i9 f15 _:: :�'v :-�.•.. v 3 Xr vc;T• I.FT. Ioo 2 , 16CAG I 13K 24-251. tans an specifcat �onsr armful og P This set of p ,A rapt On CfiP. )Oi1 �1t a;i ti! es and it .SIthou, ?q.: changes o1 Iteration artment of PubliG any fission `• � r• a Dep r�► tten perm OWER HONGUT ;... \611 r _ Al W I - � 4. r .•.r.T...: - �•„dye r��. S 1 • rti ti 16 i • oti CGT' BE 886-4-1- IA � ('OAC. s DANVILLE TRACT M.O. R. 8K. 3 PG. 17A� / TOWN- OF HONCUT M.O.R. BK. 7 PG. BS . T.17 N.R.4 E. M.D. E MIDDLE HONCUT CCffL ALL Olt aver. *, ` y /1,.+r N•l l�ftif t; V ... ,� .;-f '3 p.11..: � ^• e: ` 41CfJ Mf MAD F -Q1 V�+"� a., G, 9K 24-25 -ri is set of plans ant kept on i:'rhe OL' at aet t. any changee Of t;asitten parn''ission t r c;rk51 county CO .vl :esu �'o. .50775AC.. Ispeci nations {vIUST be yes and it is ,ur,awiul eo aeration amen of Pubn same �ct � tie t�ep O LOWER HONCUT .;�.ce I 1 +( N. .�''� tis,_• �� �Jti P� �� ' � � w N GT I . I . i 1 I I 100 T 16CAC 50 cFc.; ti P Q -?a 7 L� 0 '[I ',fl I f •� I 16 • aE 886 -4 -1 -IA I 12 ! 70 -AC. k-, I 4L' DANVILLE' TRACT M.O. R BK. 3 PG. Ij TOWN- OF HONCUT M.O.R. BK. 7 PG. 85 T.17 N*. R. 4 E. M. D. E IMIDDLE HONCUT ct r A St7 LL i Ail 05 -T r mfta Y; 9ND F- I �MEO FWRANG- SK Tl S set et 0 plans �qpt on i-ne job at a!"t til y ►changeq- 0' k V vmlic.fl permission of k 4��q county specllzatjons MOST be les and it is 'Unlawiul 'Zo I e ,iteraltions On sam Depart nt of PubliGwithout tieme LOWER HONCUT Y 9- M F T f 100 16CAC 50 ol 0 O -4 0 I 12 70AC I D - 13E 886-4-1- IA Z --` 7 A l..= DANVILLE. TRACT M.O. R. BK. 3 PG. 17 TOWN- OF HONCUT M.O.R. BK. 7 Pa or. eouw*q J3utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Fred Holmes ADDRESS: 3470 Iowa City Rd. CITY & STATE: Marysville. CA 95901 IMPORTANT: June 3, 1993 SEE INSTRUCTIONS DATE OF CLAIM: - ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT j Owner has decided not to do work. Permit #93-1276 MHU, AP#028-030-021, Receipt #141089, dated 5/6/93. - Total Permit Fees Paid -------------------------------- $128.50 Retain Plumbing Permit Filing Fee ---------- $15.00 Retain Electrical Permit Filing Fee------- 15.00 Total Permit Fees Retained---------------------------- 30.00 TOTAL REFUND DUE--------------------------------------$ 98.50 TOTAL $98 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered�nd that this claim Is true and correct as stated. �� q 1 %/ �../// Dated this ...... t .................... day of ./..I..: ............. 19.G�.ri etrJ f Y� flt\ll.,e....... Calif. + ! •.., Q{!/j/1/(y3�'s�................... Slgneture of Claimant been Performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval ❑ (Check one) for e m I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spec ��e� Dated this ,,,,,,3i'd_„................... day of ......,dune,,,,,,,,,,,, 19...9.3at Oroville Calif. S ........................ ................................................_..................... Department Head or Authorized Deputy Dept. Exp. Code ......444.-002 .................. Code ......... /121.Q.5QQ .................. PAYABLE FROM ....... CQJaSt... J?.e.XXLtt.S..................... .......................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 1p'c,r 2 rr l l' J� C ns �vn 1, e CY- C.-�� cv e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916.538-7541 APPLICATION AND PERMIT PERMIT NO. t 62 ASSESSOR PARCEL NUMBER „t 028-030-021 ZON NG A5 BUILDING PERMIT OWNER JOSE VILLA 743-3269 OR TELEPHONE 741-9350 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3470 IOWA CITY RD MARYSVILLE 95901 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ XX)OIIDX LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ 20,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING PADDRESS 96 LOWER HONCUT RD OROVILLE ermlt fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home FT—@ 15.00 TYPE OF WORK New Ir; Additionl_J Remodel❑ Utilities Installation❑ Other [J Describe work: MHII 500 SQ MTN 2RDRM _ Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification (�J 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ACDNS, l ACG. BLDGS. _37.50 3.64sq.ft. NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS e ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 5AL. 00 46 Ex. OCCUp. OUTLETS FIXEDP(RESIO IKEA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 15-00 Misc. Wiring g 15.00 Permit Fee $ 4R sn — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -El �r y Date s; afore of A ;cant – owner g p ❑ Contractor ❑ Agent An OSHA ion of structures toverr3gstoriesoineheightt;ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 128.50 HAz 10FEES IMP FLOOD A CDF PA7 I PD I HD ISSUE , This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 141089 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Wit) %IOTM3MT3qAq3(] - 3TTU8"q0YT14UOO 140181vic Cli;IKI�', a - 8?01VF3' 8 A -'Jil 0 - 3VIRCIq-TI-1430 YTVIUOC V( L A5ijqqA TIMR3q 0 A M 'k -3 393WWO - r ia:. s,s.� _._. _ (� l_. _ j:.)o oay griblluEl beaoqoiq :5,incuazi lo\h'lf, tifw- c. of L� Jfndua go f;lsb pniwollol es -It bsaivbr> asw I ,noilsoiiq a limiaclo emit A beitimdua need evsd ams ...... ankLIq to isir*qgiq yd bstigia alsa k\q)anslq arisiq to ictisclsia ,+(d banpia .2J92 ME 2n&lq stglqr . ......... '11) glutf. npic :-)w 1114iw 'alse ME 231rii3 bns anslq beiseni ..... .... .. mio:1 IsheisM wobis .1v0v!nsrrw3ob gniboqqua brs sonsilqrnoO ngi29C] ypi ..... ... apnibliwS O\A bns betseil-noW iot Jnolnl to Insfyis 01 �(A)q bqliurrxwil 9J6:)ilqub ni luoysl bns zliaJeb aeuit beiseni e'..z oil--uilpani i4oijulliMpni a)qiulostunsm bns stsb emorighi . ..... . ? to a act5f;lsvoicicls nslq yiJaeio9 to Jn9rnhsqsCI siniol siniotAs� yd (booftisey 00t) ieftel noilsvals bi lsvutqqr. nsiq Jolq bns noilsti .. .......... Jiniiqq pnidML)lq ojidO to 1c) v!i'-t linuil 16-- oiqqF, spng3ii eagniaud bns nGlq :gaU (A) iot lsvoiqqs pninf ..... . aMemjjo-iqrr0(A) foods jngmqolgvsObnsJtont. noiloqqani- ......... . ?klifia2slo : Vp, qMGw .oW) noi%miolni 9ansDil atiol-)sit E)-)r1muanI noitsaneqrnoO ansmAioW to eisoffij Iuo of lism z--- ",,enwo of ngvi;D) noitsol-filev lobliuEl-ler ijfr!;;t&J8 I.,,qnispb9lwonAoA ISIIAIL13ilpA to yqo:) b9bio ..... .. ..... . noilsshodlus faiuIsnpia to is )v, oiidLk, 4:.:1 "J ld(.?il 08 lifts I0IJS913lq3isq IojbQ?b b9biooei to vi 'bliudino Mein' to is saupni 1 1 ........ .. .......... sonsisslo yJiliJu smodelic .... .. .. ...... aasou Isp91 to noilsJnerrtu bv.oq fAio h,)qolaveb noiaivibdua 00a to noijeinsmu spslroil bnr; sais rninos alssm 193,sq (8) bnj alimieq bgiiqxg\enoiJsio;lv pnit. ................. �oj -DI h-- r wc., cff fi is, is :awollot as aaeooiq jimisq iot blod bns 'Iro0,,jlk)0 +IA, _JqaO eii:l AqsO dJl&qH — M92 r 101jolq*a(l 619 Jq9G MISS11 ,rIVIs L-�Aow D o-- exisuaai Jimisq of ioiiq babiniclua ed I L .00 zMSIi 9vol --.-:beiiup '-Vt 'aw, oiodqd Asb boiiup9i eyods to bocivbs ajsw',,j war r cdc-.0 -vti Wou,.:S 4;,,r, avwiqyd a. ab lbaiiupwi bvods to beaivbs 2s -,afvwo elsO qA Isnidso 9li9 rii-bhort no ,i z)hCW 3MV IIA r :gq 00 x n sH .8 P3 a 'ja A n3 .8 W .0 e,q of !nil jr so .St .Er .9 tib al- )Iq .8r z,Iq tl- r I Ilq Do 93 S's VO ES E),q .AS qj Do EU .'VS: )M M -)Cj 'OE Jc ,rit euzai uoy nsdW snodq9h3T_._ noilselo 1931sq epssiM A IE;,M-.%sH to yqo,'j ansa 2nslq to vqoC) srIT iot limigq x9bni . t am9li lsnoijibbA S yd, bgAosd-.3 ansicl 110 alga inerrtisq90 - yqo-:D COUNTY OF BUTTE t -Department of Public Works 7 County Center,Drive, Oroville, CA 95965 Phone: 916-538-7541 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 major labor and materials for construction of the proposed property improvement (yes or no) .2.I (have/have not -) signed an application for a building permit for the proposed wo k. 3.. I have contracted with the following person (firm) to provide the proposed construction: _ Name Address City Phone Contractors License No. 4. .I plan .to provide portions of this work, but I have hired the -following person to coordinate, supervise, and provide the major work: Name `-- Address City Phone Contractors 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 aim- Social Security Ifumber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and - 19832 of the Ca-lifornia Health and Safety Code: This verification must be completed and returned to our office before we are per- mitted to issue the permit. -rvKTI. FC- 18 :. AwORIGIN LOCAMV ��Mj' ��r�•_'��, ,� _,� `� �-. .}fit r I "iG. I R;t7. rS "pi mo. 'D ',TE EA.! FIRE NUMBER FIRE NAME: NO 0 67 MILES MILES N RANGE �E LTOWNSHIP L:�L-7Ds— 3 FFIRE ACRES BURNED MILES MILES DIRECTION ❑ FROM fig IN. NATIONAL FOREST, FIRE DIST., CITY ,& STRE IVIJNO., EC 3 FFIRE CUSE (STARTS IN 0 0 O OR O ONLY) INCIDENT TYPE . ❑ CAMPFIRE I ❑ ARSON OTHER/MISC. 3 FFIRE ACRES BURNED ❑ FALSE ALARM --GO TO (STARTS IN 2 5 OR 8 ONLY) DLANDUSE BLOCK 10 DOMESTICf❑FOREST RESPONSIBILITY RANCH -FARM 4A ❑ DUMP 4B c ❑ ROAD STATE ZONE STATUTORY 0 Cl WILDLAND BURNED OR THREATENED RESPONSIBILITY O0 3 ❑ CDF LOCAL GOVT. CONTRACT ❑ UNPROTECTED V 10 AT ORIGIN) Other than T & Y G f: ❑ STATE 0 ❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.F.S." OCDF LOCAL ZONE (Other than T & Y G) ❑ 0 LOCAL GOVT. CONTRACT ❑ B.I.A. ASSIST OTHER AGENCY (Not City) ❑OTHER FEDERA &/OR CONTENTS FEDERAL ZONE ❑ ASSIST FED. AGENCY (Not Mil.) ❑ OTHER O❑ CDF LOCAL GOVT. CONTRACT OTHER STRUCTURES O❑ MISC. AND OTHER ASSIST CITY, CONTRACT CO., MIL, OTHER _ CUSE (STARTS IN 0 0 O OR O ONLY) DA ❑ LIGHTNING ❑ DEBRIS „ ❑ PLAY W/FIRE . ❑ CAMPFIRE I ❑ ARSON OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT ACRES BURNED Number (STARTS IN 2 5 OR 8 ONLY) DLANDUSE B.O.R. DOMESTICf❑FOREST y INDUSTRY T RANCH -FARM 'RECREATION _ + ❑ DUMP ❑ OTHER INDUSTRY-COMRCL c ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD, - ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC . - . , ❑ OTHER ' F' WILDLAND VEGETATION ?<a7 OTHER TOTAL I:><%s<<z'''`: •'?< I S ACRES OF VEGETATION BURNED DAMAGE 4 2 OR 8 ONLY) ' 7 PROTECTION S DAMAGE ACRES BURNED Number —d o11 m Ne* � 100) 1 2 8/or 8 B.O.R. r OTHER TIMBER 8/OR TOTAL , TOTAL BRUSH YOUNG GROWTH :xf3, GRASS f WILDLAND VEGETATION ?<a7 V PROD. Other than T & Y G f: TOTAL AGRICULTURAL PROD (Other than T & Y G) ........:::::...... DWELLINGS &/OR CONTENTS OTHER STRUCTURES d/OR CONTENTS VEHICLES d CONTENTS OTHER TOTAL I:><%s<<z'''`: •'?< I S ACRES OF VEGETATION BURNED SIZE CLASS ® A .25 ACRE OR LESS B .26-9 ACRES- E] CRES-❑ C 10-99 ACRES ❑ D 100-299 ACRES ❑ E 300-999 ACRES ❑ F, 1000-4999 ACRES ❑ G 5000 ACRES 'OR MORE V t.. DIRECT AGENCY PROTECTION VEG. ACRES BURNED CDF 0 TIMBER 5 B.O.R. r OTHER - •t• TOTAL SIZE CLASS ® A .25 ACRE OR LESS B .26-9 ACRES- E] CRES-❑ C 10-99 ACRES ❑ D 100-299 ACRES ❑ E 300-999 ACRES ❑ F, 1000-4999 ACRES ❑ G 5000 ACRES 'OR MORE V t.. Oj ACRES BURNED STATE ACRES BURNED VEG. 1 B.L.M. TYPE TIMBER B.O.R. WOOD OTHER FED. - •t• LAND , TOTAL BRUSH GRASS f AGRIC. V PROD. CDF TOTAL 8D STATUT. RESPON. OF Oj ACRES BURNED STATE U.S.F.S. B.L.M. • B.IA. B.O.R. OTHER FED. - •t• OTHER , TOTAL ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to head ACRES WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) 10 ' OVER PLEASE COF'7540-130••01 18 91932.936 9-03 1 DOW as r;G. R.U. :!dCl[�k HT NO. EAR r ECORD MO. DATE OUTSIDE O nOR 8 Enter 1ST. CD, Dis atch INSIDEED GO TO 1© 5 LOOKOUT: (if 1ST. or 2ND. report made by LookovA FIRST REPORT TITLE a ! SITE DATE �� O NAME: SECOND REPORT WE NAME: FIRST ATTACK BY CDF 732 FIRE CONTAINED � � � 2 CREW OVERHEAD RECORD CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME RATION HOURS FLT. HRS. CREW NAME RATION HOURS FLT. HRS. I ST. ATK CDF CREWW� PY;_- eo (� rte-; (-o 7�- w/��7#- rt F S CDF OVERHEAD TOTAL - ONFIRES, E 1 2 8 , TOTALSNTER BELOW ........... U.S.F.S. (tnd. Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. d OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL :'.'. ❑ FC -18B (Additional crew activity) ATTACHED 13A MAP ORIGINAL REPORT BY: GVMMtN I5 ' MAP IS: ❑ ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED APPROVED BY: 4 SIGNA RE �] TITLE DTE INT �/� DATE �� Av v � / qp� i Ic wr. Hon cut Ro i vs•�D ux � I I — . I O >. I ' � MAIN ELECT. El : \+ I a M V 1325' —` — - — — — .- — — —. — — — - — — — — — — — — —. — — - —. — — — .— — = - — - — — — — — — —. — — — — — —. --- --- — — — - —. — — —. 41 I � y , y I � � y ,. GA I I y, __6 U. r I I . .. NARKING 8 I I .. .. „v '.FRONT I ENTRANCEOLD . I I t o W I 40 FIELD i POWER POLE i Q' I o� f _. end i vs•�D ux � I I — . I O >. I ' � MAIN ELECT. El : \+ I a M V