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HomeMy WebLinkAbout021-030-009021-030-009 02-193 WILD GOOSE CLUB CABIN #5 CONT: GEORGE& SONS RP RE -ROOF Cly .� .��.—.,_. �y�. -,.� -S+r g � w<w-..:...Iir �rcSylFa< '4+tP _ C.'; c •cv.a+sio"':-,...Y,y� .v +�C`'^ ?t`m . 021-030-009t` 02-1935 f WILD GOOSE CLUB CABIN #5 CONT: GEORGE SONS ROOFING RE -ROOF ►. , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT too) / e? ;�r ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAWNG ADDRESS !� I CONSTRUCTION LENDER J LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I CARIN #5f Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE ' SF ❑ Duplex ❑ Mobilehome ❑ Other 1 SPECIFY 3 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 i Main Service eoov LEss 200A GORR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is i ,full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensedl contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason I WORKERS' COMPENSATION DECLARATION I 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 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 parformance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'compensation insurance carrier and p6ficy number are: Carrier '� ��1 -< e-,* . , %I--. ..� Main Service 200A TO 1000A 46,00 NEW CONST. DWELL1NG OCCUP. s0 OR ADONS. 8 ACC. BLOB. 3.5¢FT: N cDNs MULTI.OUTLET NON RESID. @7.50 8 PSINGLE OUTLET OWER APPARATUCIR.S OUTLET OR FDm1RES 20 Q 1'0° Ex. Occup. BZ so Ex. Occup.OUTLETSED A pE�ID•°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number —7I ?. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply'with' those provisions. c X _. i . 1 .rr i Date �% / / y lC"�i Signature 'of Applicant - ❑ Owner d❑'Contractor ❑ Agent An OSHA permit i`s required for excavations over 60" deep and demolition or constructionX of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD I CDF 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. - B11-1 } I y J 1_ V'Date PERMIT EXPIRES ON 711 we ReceiptNo. 360560 SSS M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541_ PER I�N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-030-009 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME r-Fn`Pr-E 8, SONS ROOFING TELEPHONE CONTRACTORS MAKING ADDRESS 1090 WIRIEMN RD., GROVILLE, GA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1560 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is I full forceand effect. _7 License Class L_— 3 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 46.00 NEW CONST. DWEWOCCUP. OR ADDNS. ( DY;NG CCU ACC. erns. SO 3.5¢FT: NOµq°ESIDT' ANCH.RCi' @7.50 POWFA APPARATUS a SINGLE ovrL cIR. Ex. Occup. OUTLET OR FD(TURES 20 @''0° BAL @ .SO Ex. Occup. ourEiEis R6 D.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 1plgrformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for hich this permit is issued. My workers' campens tipn insurance carrier and p lic number are: Carrier4.A- MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensate n provisions of section 3700 of the Labor Code, I shall forthwith comp it those provisions. X Date S/ D Signature f A i t - ❑Owner Contractor 13 Agent An OSHA ermit is r quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been �. CDS PERMIT EXPIRES O 0 I AtL) provisions to do work paid. , �_ e U 0-27— ReceiptNo. 360560 $99 -nn WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i { F�Fi� FFa .: t ;; .f.' b , f if f I 11 'iij •�f � i # Y` Z .�i1..f `ft GN fjk. � ty t.� _ • "si ;� Nh. i�ri } ij�., w{j .I� y s. �.Ay � J t: A 'i u k �js1N" { F�Fi� FFa � • �: •�f � i # Y` Z .�i1..f `ft GN Certificate of Compliance: Residential (Part 1 of 2) . CF -1 R MACHADO RESIDENCE 6/17/2002 Project Title Date WILD GOOSE GUN CLUB BUTTE COUNTY Project Address Laughlin & Spence (530) 671-1008 Documentation Author Telephone Computer Performance 11 � 2- Bu5ermV/a y Plan Check / Date Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: Total Conditioned Slab Area: Building Type: (check one or more) ® Single Family Detached ❑ Single" Family Attached ❑ Multi -Family 1, 536 fe 0 ft2 Average Ceiling Height: 8,0 ft ❑ Addition ❑ Existing Building ® Existing Plus Addition Front Orientation: (North) 0 deq Number of Dwelling Units: 1.00 Number of Stories: 1 Component Floor Construction Type: ❑ Slab Floor ® Raised Floor Const. Frame Assembly Location/Comments Type U -Value (attic, garage, typical, etc.) R-19 Floor (F. 1 9.2x8.16) Wood 0.036 Exterior Floor/ Over Crawlspace (w/R-6 Credit) R-38 Roof (R.382(4.24) Wood 0.025 Exterior Roof . R-13 Wall (W.132(4.16) Wood 0.085 Exterior Wall Solid Wood Door None 0.387 Exterior Door FENESTRATION Chne inn rinvirnc Type Orientation Area Fenestration Exterior Overhang Side Fins S U -Factor SHGC Shading Yes / No Yes / No Skylight 24.0 0.52 0.65 None ❑ X❑ ❑ X❑ Right (West) 18.0 0.52 0.65 Bug Screen X❑ ❑ ❑ Q Rear (South) 70.0 0.52 0.65 Bbg Screen ❑ X❑ ❑ X❑ Front (North) 30.0 0.75 0.88 Bug Screen X❑ ❑ ❑ 0 Left (East) 6.0 0.75 0.88 Bug Screen a ❑ ❑ o Right (West) 22.0 0.75 0.88 Bug Screen ❑ a ❑ a Left (East) 24.0 0.75 0.88 Bug Screen ❑ X❑ ❑ X❑ ❑ ❑ ❑ ❑ ❑❑ El 1:1 El El F-1 ❑ ❑ El'.0 Run Initiation Time: 06/17102 10:09:28 Run Code:M2A33376$ Q N- . T . EnerqWm 3.1 By EnergySoff User Number. 3245 Job NjifiWii 021131; "a, ate ,rfids;r ^ l�"- l* . :11af •10 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R MACHADO RESIDENCE 6/17/2002 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Equipment Minimum Distribution Heating. Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location/ pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments rp_ntral FiimFiCp 80% AFUE Ducts in Attic 42 Setback HVAC System Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc.) Duct Thermostat Location / R -Value Type Comments 10.0 SEER Ducts in Attic 47 Setback HVAC System WATER HEATING SYSTEMS Rated 1 Tank Energy Factl External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value Standard Gas 30 gal Small Gas Standard 1- 33 500 30 0.58 n/a n/a 1 For small gas storage (rated inputs of less than or equal to 75,1x)0 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS 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. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions code) Documentation Author Name: Name: R. Hutton Title/Firfrt: Laughlin and Spence Tide/Firm: Laughlin & Spence Address: 1008 Live oak Blvd. Address: 1008 live Oak Blvd. Yuba City, CA 95991 Yuba City, CA 95991 Telephone: 53o-671 -1 oo8 Telephone: 530 671-1008 Li #: (signs ) (date)(signatur (date) Enfo ement Agency Name: Title/Firm: Address: Telephone: IEnercvPro 3.1 By EnemvSoft User Number. 3245 Job Number. 021131 Paoe:2 of 10 1 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (7 may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures '6150(.): Minimum R-19 ceiling insulation. ® §150(b): Loose fill insulation manufacturers labeled R -Value. f X§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). �1150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permfinch. §118: Insulation specked or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration field fabricated) have label products (except with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration cert cation. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. E] §150(f): Special infittration barrier installed to comply with Section 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. t� ® §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA t� §1500: Setback thermostat on all applicable heating and/or cooling systems. a§1506: Pipe and Tank 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 R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 extemal insulation or R-16 combined internal/external insulation_ 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number. 3245 Job Number. 021131 Page:3 of 10 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (7 may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. 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. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) X❑ I150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 63; ducts insulated to a minimum installed level of RA.2 or enclosed entirety in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181 A, or UL181 B. If mastic or tape is used to seal openings greater than 114 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 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. / 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive (/ duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. 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. ❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2 System is installed with at least 36" of pipe between fitter and heater. for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between fitter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. JA §115: Gas fined central furnaces, pool heaters, spa heaters or household cooling appliances have no '(Exception: continuously burning pilot light Non -electrical cooking appliances with pilot < 150 Btu/hr) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measures §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumenshratt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 IumensMatt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 . By EnergySoft User Number: 3245 Job Number: 021131 Page:4 of 10 Computer Method Summary (Part 1 of 3) C -2R MACHADO RESIDENCE Project Title 611712002 Date NII n GOORE G' IN Cl I.IR BUTTE CQUNTY Project Address Building Permit # L aurlhlin & Sppn (530) 671-1008 Docuu entation Author .. Telephone Plan check/Date —Comntiter PPrformanre Compliance Method (Packaoe or Computer) 11 Field Check/Date Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Existing+Addition Budget Adjustment Space Heating 14.93 14.39 0.55 Ratio F: 916 / 1536 = 0.596 Space Cooling 13.56 26.12 -12.56 Budget Adj: 0.596 X ( 76.58 - 54.36) = 13.25" Domestic Hot Water 15.51 13.93 1.57 The budget shown to the left has been increased using Totals 13.25 + 44.00 = 57.25 54.44 2.81 this Budget Adjustment based upon Existing building information shown on the C -2R which follows this form. GENERAL INFORMATION Slab Floor Conditioned Floor Area: 1,536 Floor Construction Type: XX Raised Floor Building Type: Single Fam Detached Building Front Orientation: (North) 0 deg Total Fenestration Area: 12.6% Number of Dwelling Units: 1.00 Total Conditioned Volume: 12,288 Number of Stories: 1 Slab Floor Area: 0 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVA(: Siem 1 1197AA7AA _tan_ ronditinnaci SPthark 2 n/a Solar OPAQUE SURFACES Act Gains Type Area U -Fac. Azm. Tift Y / N Form 3 Reference Location / Comments Computer Method Summary (Part 2 of 3) C -2R MACHADO RESIDENCE 6/17/2002 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments J_ 2 Wight Skylight Front Front (Nowt) Morth) 5 Skylight Front (North) 4 Window Right (West) 5 Window . Rear (,South) 5 Window Rear (South) 7 8 Window Window Front Left (North) (East) 5 10 11 Window Window Window Front Right Right (North) West) (West) 12 Window Right (West) 13 Window Left (Fast) 8_o 8.0 0.520 0.520 0.65 0.65 n 0 _91 SKYLIGHT NEW 23 SKYLIGHT NEW ADDITION ADDITION 8.0 0.520 0.65 0 23 SKYLIGHT NEW ADDITION 12.0 0.520 0.65. 270 90 SLIDER NEW ADDITION 30.0 0.520 0.65 180 90 SLIDER NEW ADDITION 40.0 0.520 0"750 0.65 0.88 180 90 SGD NEW ADDITION 24.0 6.0 6.0 0.750 0.750 0.88 0.88 0 90 _ 0 _ 0 SLIDER 90 SLIDER _90 SLIDER EXISTING EXISTING EXISTING 10.0 12.0 0.750 0.750 0.88 0.88 270 270 _ 0 SLIDER 90 SLIDER EXISTING EXISTING 6.0 94.0 0.520 0.750 0.65 0.88 270 90 90 SLIDER NEW _90 SLIDER EXISTING EXISTING INTERIOR AND EXTERIOR SHADING # Exterior Shade Type SHGC 1 None 1.00 2 None 1.00 3 None 1.00 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 12 Bug Screen 0.76 13 Bug Screen 0.76 Window Overhang Left Fin Right Fin Hgt. Wd. Len. Hgt. LExd. REA. Dist. Len. Hgt. Dist. Len. Hgt. EnenrvPro 3.1 By EnenrvSoft User Number. 3245 Job Number: 021131 Paae:6 of 10 1 4.0 1.0 1.0 2.0 2.0 3.0 6.0 1.0 1.0 2.0 2.0 4.0 2.0 3.0 6.0 1.0 4.0 1.0 2.0 3.0 1.0 1.0 2.0 2.0 6.0 1.0 1.0 2.0 2.0 2.0 EnenrvPro 3.1 By EnenrvSoft User Number. 3245 Job Number: 021131 Paae:6 of 10 1 Computer Method Summary (Part 3 of 3) C -2R MACHADO RESIDENCE 6/17/2002 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN -Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Eq*ment Minimum Distribution Type Type (fumace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPFxducts/attic, etc.) R -Value Type Comments Central Furnace 8096 AFtlE Ducts in Attic 4.2 Setback HVAC System Pipe Hydronic Piping pipe Insul. System Name Length Diameter Thick. Cooling. Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) . (SEER) (attic, etc) R -Value Type Comments Split Air Conditioner 10 n SFFR Ducts in Attic 42 Sett)ack HVAC System WATER HEATING SYSTEMS Rated' Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) Efficiency Loss M Ext. �1T'rT:%c'�cTi 1 For small gas storage (rated input <= 75000 Btuthr), electric resistance and heat pump crater heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Bkft), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS Run Initiation Time: 06/17/02 10:08:28 Run Code: 1024333768 EnergyPro 3.1 ' By EnergySoft User Number. 3245 Job Number 021131 Page:? of 10 Computer Method Summary (Part 1 of 3) C -2R MACHADO RESIDENCE Project Title 6/17/900 Date WII n GQDSF GIJN CLI IR 131111E COUNTY Project Address Building Permit # I auahlin & Sptama (530)671-1 008 530)671-1008 DocuiKentation Author Telephone PlanCheck/Date CompiApr Performanr-e Compliance Method (Package or Computer) 11 Climate Zone Field Check/Date Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 15.20 19.03 -3.82 Space Cooling 16.43 37.38 -20.95 Domestic Hot Water 22.72 20.17 2.55 Totals 54.36 76.58 -22.22 GENERAL INFORMATION Slab Floor Conditioned Floor Area: 916 Floor Construction Type: OX ' Raised Floor Building Type: Single Fam. Detached Building Front Orientation: (North) 0 deg Total Fenestration Area: 18.4% Number of Dwelling Units: 1.00 Total Conditioned Volume: 7,328 Number of Stories: 1 Slab Floor Area: 0 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVA(' gWpm 91 R 719 1 M r:nnditinnpd Sathank _2 n/a Solar OPAQUE SURFACES Act Gains Type Area U -Fac. Azm. Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary (Part 2 of 3) C -2R MACHADO RESIDENCE 6/17/2002 Project Title Date FENESTRATION SURFACES # Type Area U- Factor SHGC Act. Azm. Glazing Type Tilt Location/ Comments J- Window Front (North) 24 n 0 750 n A8 n An St IDFR EXISTING 2 Window Left (East) 6.0 0.750 0.88 90 90 SLIDER EXISTING 3 Window Front (North) 6.0 0.750 0.88 0 90 SLIDER EXISTING 4 Window Right (Vest) 10.0 0.750 0.88 270 90 SLIDER EXISTING 5 Window Right (West) 12.0 0.750 0.88 270 90 SLIDER EXISTING 5 Window Right (West) 12.0 0.750 0.88 270 90 SLIDER EXISTING Z Window Rear (,South) 24.0 0"750 0.88 180 90 SLIDER EXISTING 8 Window Rear (South) 9.0 0.750 0.88 180 90 SLIDER EXISTING 3 Window Left (East) 18.0 0.750 0.88 _ 0 0 SLIDER EXISTING 1Q Window Rear (Smith„) 24.0 0.750 0.88 180 _ 0 SLIDER EXISTING 11 Window Left (East) 24.0 0.750 0.88 90 _ 90 SLIDER EXISTING INTERIOR AND EXTERIOR SHADING EnergyPro 3.1 By EnergySoft User Number: 3245 Job Number: 021131 Page:9 of 10 1 Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA. Dist. Len. Hgt. Dist Len Hgt 1 Bug Screen 0.76 4.0 6.0 1.0 1.0 2.0 2.0 2 Bug Screen 0.76 2.0 3.0 6.0 1.0 4.0 1.0 3 Bug Screen 0.76 2.0 3.0 1.0 1.0 2.0 2.0 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 2.0 6.0 1.0 1.0 2.0 2.0 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 3.0 6.0 1.0 1.0 2.0 2.0 10 Bug Screen '0.76 4.0 6.0 1.0 1.0 2.0 2.0 11 Bug Screen 0.76 EnergyPro 3.1 By EnergySoft User Number: 3245 Job Number: 021131 Page:9 of 10 1 Computer Method Summary (Part 3 of 3) C -2R MACHADO RESIDENCE 6/17/2002 Protect Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation S Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location / pump, etc.) (AFUE/HSPFxducts/attic, etc.) R -Value Type Comments Central Furnace 78% AEUE Ducts in Attic 4"2 Setback HVAC System Pipe Hydronic Piping pipe Insul. System Name Length Diameter . Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value. Type Comments Split Air Conditioner 10.0 SEER Ducts in Aftic 42 Setback HVAC Salem WATER HEATING SYSTEMS Rated' Tank Energy Fact' Tank Insul. Water Heater Water Heater Distribution # in Input Cap. 1 or Recovery Standby R -Value System Name Type Type Syst (Btu/hr) (gal) Efficiency Loss (%) Ext Standard Gas 30 gal Small Gas Standard �_ 33-500 30 0.58 Na n/a For small gas storage (rated input — 75100 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. I EnergyPro 3.1 By EnergySoft _ User Number: 3245 Job Number: 021131 P.—in „r in Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX August 21, 2002 Pasquale Construction 2720 Pepper Street Sutter, CA 95982 Assessor Parcel Number: 021-030-009 Building Permit Number: 02-1670 Wild Goose Club -Machado Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Please show the new gas water heater on the plans. 2.1 Please show the new HVAC equipment on the plans. The AC unit will need to be elevated to 1 foot above the BFE. 3. If the furnace is in the attic, please provide a truss detail that allows for this load. 4. The floor must be a minimum of 1 foot above the BFE. The flood elevation certificate does not reflect this requirement. Please provide a new certificate. 5. This addition and remodel appears to be a substantial improvement. (more than 50% of the value as it is now) Therefore, the entire structure, old and new, will be required to be at an elevation of 1 foot above the BFE. 6. All building materials up to 1 foot above the BFE must be flood resistant. ST UCTURAL COMMENTS: Provide adequate support for the 7.5 kip and 8.9 kip A2 truss reactions and the 3.2 kip A I A truss reactions. This parcel is in an area of highly expansive soil. Have your engineer address the soil conditions on the plans and in the calculations. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. L Linda Simpson 6illo Hunt, P. . Plans Examiner Plan Check Engineer Cc: Gary Laughlin, P.E. 1 of 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��� /PEIy�N0. (Rev)2/96) ` APPLICATION AND PERMIT I � ASSESSOR PARCEL NUMBER 021-030-016 ZONING.BUILDING Ito PERMIT OWNER TELEPHONE SQ`. FT. OCC. BUILDING VALUATION 62O R 33 480.00 . OWNERS MAILING ADDRESS 300 0 2 100.00 CONTRACTOR'S NAME TELEPHONE 96 C 1;248.00 5,000.00 CONTRACTORS MAULING ADDRESS 2720 PEPPER S.T-, SU= CA 99989 -Remodel CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $46-898- In ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $362.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESSEnergy 74 CHEROKEE CANAL RD. GRIDLEY Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 7.00 28.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 19 00 Each as water heater or vent 15.00 19 00 TYPE OF WORK New ❑ Addition IN Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GREAT ROOM ADDITION, EXTENDING MASTER BW & BATH, NEW DECK & UPGRADE HVAC Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.0015.0 Mobile Home S G W @20.00 PERMIT FEE $ 108.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AOR'ss' 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.PSING License Class OWNER-BUILDER�LARA Lic. No. �;�( ri �• P ION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt under Sec. Business and Professions Code for this reason Main Service TO lCCLI000A 46.00 NEW CONST. O ,%NG OCCUP. SO 1YY OR ADONS. ( a ACC. BLDS. 3.5QFT. INON_RESID. T.MULTI.CUIR 97.50 OUTLET OWELER APPARATUS 8 CIS. zo @ 100 Ex. Occup. OUTLET OR FIXTURESBAL @ .so Ex. Occup. 0 EDA°Pa-.)0ER,._ 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 41.70 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shallforthwith comply with those provision !` X ate ,� - ,�� ° V Si atur of je - Owner ❑ Contractor ❑ Agent A OS A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. -f./ MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 1 4.50 4.50 PERMIT FEE $ 94-90 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONSTOTYPE OT L FEE$ 891not DF P under the applicable provisions ThisNE of tand/or Resolutions to do work in es have been paid. ._ By Date �r PERMIT EXPIRES ON Date ReceiptNo. 354134 $827.48 0ffs 41 WHITE-D.D.S.-B.D. CANARY -ASSES R -P1NK4NSZT0R GOLD OD -APPLICANT Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT APPLICATION AND PERMIT 6 c a" /44%0 ASSESSOR PARCEL NUMBER GC).' 1 , C) "O_ 'A' BUILDING PERMIT OWNER 1 owNi31S AWUIj(y1 �`/1 t�-YUI.xJL/�"'1, 1G CONSTRUCTION LENDER \ � taLENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENONEEAS MAILING ADDRESS BUILDING ADDRESS n, / /�) 6 i LICENSE NO. LAT NO. I SUBON570N's NAME PARCEL MAP USEOFSTRUCTURE 319, Ac SFV Duplex ❑ Mobilehome ❑ Other I New ❑ Addition Describe Work: l TYPE OF WORK ❑ UtlGties 4 installation ❑ Other ❑ T" S l I w VW V" � �b►� ei SRA O 4+%v�r �{ece.�pi' 35a Nom Az be... SO. FT OCC. BUILDING VALUATION .lam Total Valuation Is PERMIT FEE S /06- — ELECTRICAL PERMIT .Filing Fee r $ poi ORLEss 20.00 Permit Fee b , 5 Plan Checking Fee - 6 3.5CFST,O. GUNS,Ntw / NONRESID.` MULTFOUTLEr BRANCH CIRCurTS / Energy Plan Checking Fee b CoolingI 3 Hood b Ventilation PERMIT FEE b PLUMBING PERMIT j iling Fee 20.00 Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.001Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 15.00 '—' Building sewer 15.00 Mobile Home I S I G W 1 1 @20.00 EX. Occup. ounFr OR FDRUREs PERMIT FEE S /06- — ELECTRICAL PERMIT Fling Feel 20.00 Main Service poi ORLEss 23.00 Main Service — TO I—A 46.00 NEW CONST: OR ADDNS. ( DINELLM DOC P. & Ace. Bins. 3.5CFST,O. GUNS,Ntw / NONRESID.` MULTFOUTLEr BRANCH CIRCurTS / I @7.50 EX. Occup. ounFr OR FDRUREs 2Oe' '.00 BAILSO EX. OCCU OFUEO APPLNS. OR UTLETS ES10. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 3.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingI Hood 6.501 Ventilation PERMIT FEE S J /V Mobile Home Installation Fee b Energy Inspection Fee b OCC CONST. TYPE TO AL FEE $ FEES I 0 CDF q HD I ISM 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 m.,a r ...-� .r. �... 1 :. � � .. , _.-. .,.. .r ..^ . +,.—��r �.. 1. -.^+.rte .-y..-.r/. - ... v. .. t _ ter.,..... ,-.. .. ..y.'.^r,rq,. .. ,•��---r-t.. ®2 /� Z V E.H. USE ONLY LL Flat Alan AttecMd Sam to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ti A) Nk 4 0_1 -11 oj,off ' Owner Location APA Plan Approved for: Sewage Disposal `, Water Suply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: N 0 S Environmental Health Specialist 8/96 _ -I1 Z Date COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone `530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ` �/ �`'� s ASSESSOR PARCEL NUMBER �� • G� U ' �l Proposed Building Use: ) g� Counter Technician: Date: Y/1 6e— Items required in order to apply for a permit. All boxes MUST be checked OR mar NA in order to apply. L. Plot 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. 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. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be Inde and returned to the plan review line-up when required items are received. Dat rN8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ......... :...................... Q �— ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other 09- 04. ining items needed to issue the permit. (May require additional plan review upon receipt of th following items.) .Fees as shown on the attached Schedule of Fees Due Sheet .................................. r... ❑ JZ. Statement of Intent for Non -heated and A/C Buildings ................................. .. . •16. Sanitation and plot plan approval from the Environmental Health Department in �� ❑ 1 City of Chico Plumbing permit ........................................... .................... California Department of Forestry plan approval ❑ paid. ..................... 19. Planning approval for (A) Use: O K (B)Parking: ar Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ raina a ............................. ❑ 21. Encroachment Permit for driveway from the Public Works ept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. K ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization....................................................................." ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ..........................`.:......... ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. tle/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued"Telephone , and hold for pickup. I have been informed of the items and r quirements for obtaining a uilding permit. Annlicant✓L.oZ�Date: 1. Index permit ayplication for the above items numbered: AT101` 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by, / . Date: Z( 02 Structural approved by: Date: R13 -;42 2 Note transfer by: _ Date: Ye ow: B ilding Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OE FEES DUE OWNER. ` PROPOS BUILDING USE J `� `��" )� 1. BUILDING PERMIT FEES 0� --Balance Due ........................................................ $ n 0 --Additional Fees Due ............................................ $ -Additional Fees Due .....................................:...... $ --Revised Plan Checking Fee ........... ...........:...... 2. SCHOOL DISTRICT FEES (paid at District Office) 3. - SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. ' URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. —x—=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) n A.P.#U21'U��-OI'� DATE (' v RECEIPT # DATE REC. *D'DL- ow- 10. OTHER At time of per . 't appli ation w 9' vised he above fees are required to be paid prior to issuance of the building permit. These fees may be changed durin th planhe king p ocess. A DATE d— .1,9<1— O Pursuant to Governmet Code Section 66620, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your projec . You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) y��.rf n. r7. s-wY �.^1n-��„t•.. ,... .....w -....,i .�.y---]•., ti. .. ..i-n•.+�.,-. ..•-i•,r.. _� •-�. .� ...'C...-.... � �%�-t�: , - ... —. .n .y. M1 . f BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Bullding)k School District VC S J Building Department No. A.P. Number '�� ' (� % Jurisdiction: City County Property Owner. t Property. Location/Address Subdivision Lot No. .......... Residential Development Sq. Footage( No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # s *(No foundation inspection) ....................................................................................................... Commercial/Industrial � � y Sq. Footage y'.$artw_t*New 3 d ",s';iliicdltlon,,fT �t:.. �,x4 !.. '] J_.:: -`t :;;• , 4 {Including. Exterior . - :- 1 Roofed Areas) C) / _ y-- Building Depaff�ment Representative Date (Floor Plans reviewed by School District Personnel) istri t Identification. No. . C�186 \ �1 School District certifies that ODBCC3y r -ti (Applicant) AStreet Address) (Phone Number) ICityl .:, (State) (Zip Code) '•, has complied with the requirements of Resolution No. by payment of $ pnal, representing lY to square feet. AB MG $ FULL MITIGATION $ ' Paid by'Check # Remarks: � _ t• r• � - �q -V � y ;. • Date 4 � S Notice: You may protest the imposition of the feesIdentified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 9O days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 schooLdistrict's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm A August 21, 2002 Pasquale Construction 2720 Pepper Street Sutter, CA 95982 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965- (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 021-030-009 Building Permit Number: 02-1670 Wild Goose Club -Machado Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS:.�5k Please show the new gas water heater on the plans. Please show the new HVAC equipment on the plans. The AC unit will need to be elevated to 1 foot . above the BFE. se_Co If the furnace is in the attic, please provide a truss detail that allows for this load. WT l The floor must be a minimum of 1 foot above the BFE. The flood elevation certificate doei not reflect this requirement. Please provide a new certificate. *L -W &A_+. This addition and remodel appears to be a substantial improvement. (more than 50% of the value as it is now) Therefore, the entirstructure, old and new, will be required to be at an elevation of 1 foot above the BFE. GX-G� (w Oz� C"* VL -1 . foto IN A11 building materials up to 1 foot above the BFE must be flood resistant. - dx oto C91.' 1x " STRUCTURAL COMMENTS: 1. Provide adequate support for the 7.5 kip and 8.9 kip A2 truss reactions and the 3.2 kip A 1 A truss reactions. Ss -e-- A Do<P ax 2. This parcel is in an area of highly expansive soil. Have your engineer address the soil conditions on the plans and in the calculations. C,�p> ti:: If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data.Sheet. L Linda Simpson ilo Hunt, P. . Plans Examiner Plan Check Engineer Cc: Gary Laughlin, P.E. 1 of 1 PLAN REVIEW RESPONSE FORM lit order to expedite the review of your plans, please Complete tlto followinS information and t+etttrn � this form is not Complett, as to all Corr+adon I " temA we will not be able to accept your re -submittal review. fora yoW response to every item roqueaW in our plan Cor> Wdon letter. M "By shed`. is not considered a valid response. �� to each item aad the loon where the i &nnadon an be found on the plana/calco.Ili 6 ATTACH THIS FORM TO A DOPY OR YOUR PLAN REVIEW OWNERS NMAE LETTER AND RETURN WrTH REMED O GATE: ''.... _ ASSESSO RS PARCEL NUMBER PERMIT NUMBER O2i G� p Bp o1 C c2— ^ �� 4 I RESPONSE FOR PLAN CHECK LETTER DATED: rLAN CHECK ITEM N RESPONSE BY: LOCATION ON PLANS QA- :K REM M N S -W-4- s �s 4. LUCATION ON PLANStCALCS: LOCATION ON PLANSICALCS: . rLAN REVIEW RESPONSE FORM fir to expedite the revieov of yourplans--please lete tho folio • _. arm is not complete, as to all oorrecdi •.► on comp � information and return thu � ase to every item we will not be able to accept your re-mbmit� � revi:h Yft M, 1p° mY Mitm ted in our pian correction letter. -By o&eW la not considered a valid Stan Tlt� and , s.,ase to each item and the loon where tha e W& madon n be found an the plana/calco. - Pled i i ATTACH THIS FORM TO A DOPY OR YOUR pWU REVIEW LETTER AND RETURN WITH RlVZgED MID OWNERS NAME DATE: M �Z. _ ASSESSORS PARCEL NUMBER PERMIT NUMBER °I o 2. RESPONSE FOR PIAN CHECK LETTER DATED: 2e 2�®2 M :GK ITEM N Gl TS: r ITEM N .SPONSE BY: -- _ LOCATION ON PLJWSICALCS: :.�r• r�_ BY. rt. OCATION ON PLANWQALCS. N ON 1.0 LAUGHLIN and SPENCE PROJECT CIVIL ENGINEERS and SURVEYORS BY DAT4��&2 1008 LTVE, OAK BOULEVARD (530) 671-1008 cr- YUBA CITY, CA 95991 fax (530) 671-0822 JOB NO. . .................. ............................. . ........................................................................................ ............................ ....... . ......................................... ........... ............. . ..................................................................... ... .......... .. ..... .......... .......... . ... . ... ...... * ........... I 12 Fix fo "' °LAUGHLIN and SPENCE ♦ CIVEL ENGINEERS and SURVEYORS ♦ 1008 LIVE OAK BOULEVARD (530)671-1008 YUBA CffY, CA 95991 fix(530)671-0822 3/6' RYYQ LE/1 e D OFSTOOK OOR . .MISTS 11I PROJEC "���C'�� BY ice— DATE J6B NO. �( EMSM* IP OPO°ED PROPOSED FLOOR FRAMING PLAN PR{%POiED FRI f- SNOVW SW ED LAUGHLIN and SPENCE CML, ENGINEERS and SURVEYORS 1008 UNE OAK BOUT-EVARD(530) 671.1008 YUBA CI1Y, CA 95991 6u (530) 671-0822 PROJECT BY DATE( JOR NO_ � •�� y o � O ~ D ■ 4 A � A ♦s � ye LAUGHLIN and SPENCE CIVM ENGINEERS and SURVEYORS j A 1008 LNE OAR BOULEVARD (530) 671-1008 YUBA CTTY. CA 95991 6u (530) 671-0822 ps yb PROJECT WILAT-3) `�'G BY / G✓�-- DATL�i JOB N10. 6F;)- — 11--3-1 11--3-` SHEET S OF Water closet clearances (Uniform Plumbing Code 408.5). .)hOSboa.rr compartment minimum 1024 sq. in & 30'• circle (Uniform Plumbing Code 412.7). ,!Bearing walls shall be supported on masonr} or concrete foundations that shall be of sufficient size to support RU loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1, fBr&ced aa11 panels shall start at not more than 8 feet from each end of a braced wall line. Braced uaD panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall Dolt exceed 34 feet on anter in both the longitudinal and transverse dircWmu (UBC section 2320.4.1) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building Code. This must include the designer's - vet" stamp, signature. that do not complc With the Uniform Building registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. (Uniform Building Code Table 18-I-C�. 4. Foundation plans complete enough to construct building 5.. Floor construction details complete enough to construct building. 6.• Elevations and Wall construction details complete enough to construct buildin& 7. , Roof construction details complete enough to construct building. •,g! Fiaeplace construction details and calculations if necessary. ,-49r," Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. 'Stud heights. high expansive soil - special foundation design required. Retaining walls requiring design. 15. , G)Ti= wallboard nailing inspection required. u red With a total 01.1.the area below the lowest floor is fully enclosed, than a med.With the bottom of the openings no inimum of two openings are req �/ net area of at least one square inch for every square foot of area enclos more than one foot above grade. Alternatively. certification may be pro%rided by a registered professional engineer or architect that the design Will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction �S design requirements must be shown on the building plans• and other service facilities shall be /ls1.J Electric, heating, ventilation, plumbing and air conditioning equipment `SCJ designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MOCELLATTOUS ITEMS: Stairway details - landings, rise and run head clearance. handrails (Uniform Building Code sabot 1003). Guardrails (Uniform Building Code section 509). Bride or stone veneer (Uniform Building Code section 1403). ExUrior plaster - weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Foam insulation - protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Taro exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. eig} design compliance and supporting documentation. CDF responsible area requirements. ' UII,DING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire SprinlJers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing )ener. P2ce -- �f 0 / ° RESIDENTIAL PLAN ° REVIEW GUIDE s,,-� a -' `- . a.. - a SINGLE FAMILY, DUPLEXAND n_ .•� MISCE J-ANEOUS ONLY Ov;ner. E? t Building Permit Number: Plans Exa;nirer: L;adra 51.T,:on A. P. Number: GENERAL: �h!Zoning requirements — (number of permitted living units). a<�Plans signed by the designer. Proper description of work on the application- ��xisting violations on the property. Recorded notice of violation. Building permit valuation. LOT PLA. : Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading. fills ands or drainage. Flood hazard. Special conditions on Parcel Map: Noise [j SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement Building or utibdes across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: 1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3) 100.16 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shalt have a minimum net clear operable area of 5.7 square feet The miaimrms net clear openable height dimension shall be 24". The minimum net clear operable width dimension shell be 20". When nindo" s are prodded as a means of escape or rescue, they shall have a finished sill height not mote than 44" above the flcor (Uniform Building Code section 310.4). Skti-lights (Uniform Building Code section 2409 & 2603.7). Glaring in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens. halls. bathrooms and toilet compartatents may have a ailing height of not less than 7 feet measured to the lowest erolection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 fxt in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen. wet bar, and exterior receptacles (NEC 210). Water heaters %% hick depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom clothes closets or in a closet or other confined space opening roto abath or bedroom (Uniform Plumbing Code section 509.0). uel burning equipment shall not be irutalled in a closet, bathroom or.a room readily usable as abedroom. of in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code SOW= 304.3). Garage fire%vall separation - required on garage side including supporting walls and posts (UnifaM DWIft Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes Uniform Building Code section 312.4). Wood stove location - Alcove — UNIC section 205 confined space & 223 unconfined space tit 304.2). Smok.- detectors (Uniform Building Code section 310.9.1). Page 1 of 2 LAUGHLIN and SPENCE CIVEL ENGINEERS and SURVEYORS • 100E IJVE OAK BOULEVARD (530) 671-1008 �'t • Lg YUBA CITY. CA 95991 Ou (530) 671-0822 TO LETTER DATE SUBJECT LXZr�-WaV,9 7�s -S oz e, xy? .,ae 9 i W fr E 10003 (N// s r OF .2 Ei PLEASE REPLY O NO REPLY NECESSARY SIGNED 9/H' PLT SE�a UNCERsace OF FLOOR JOISTS PROPOSED FLOOR FRAMING PLAN T . MOP05ED FRM1V �V Coyy Q ) / PROJECT ✓v LAUGHLIN and SPENCE CrvU ENGINEERS and SURVEYORS BY -� A. LAUGHLIN and SPENCE > > CIVIL ENGINEERS and SURVEYORS 1008 LIVE OAK BOULEVARD (530)671-1008 YUBA Y. CA 95991 6u (530) 671-0822 ♦i ' ye CIT PROJECT BY / DAT�� JOB O. LAUGHLIN and SPENCE > > CIVII. ENGINEERS and SURVEYORS � n 1008 LIVE OAK BOULEVARD (530) 671.1008 YUBA C77Y, CA 95991 [u (530) 671-0822 't•L� PROJECT BY DATE /B4O. SHEET OF FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND' INSTRUCTIONS NEW EDITION NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAPERWORK REDUCTION ACT NOTICE Public reporting burden for the Elevation Certificate is estimated to average 2.25 hours per response. Burden means the time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information unless a valid OMB control number is displayed in the upper right corner of each form. You may send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0077). Do not send completed form(s) to the above address. To obtain or retain benefits under the National Flood Insurance Program (NFIP), you must respond to this collection of information. . PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR-F). The Elevation Certificate is required in order to properly rate ,post -FIRM buildings, which are buildings constructed s publication of the Flood Insurance Rate Map (FIRM), for flood insurance Zones Al -A30, AE, AH, A (with BFE),(, Vl-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, and AR/AO. The Elevation Certificate is not required for pre -FIRM buildings unless the building is being rated under the optional post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement is that the community obtain the elevation .of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to comply with this requirement. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can -amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA.or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA. or LOMR-F request. This. certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed .building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential floodproofed basements in communities .that have been granted an exceptior FEMA, a floodproofing certificate is required t-CUtKAL ur1r_MkZC (;Y NIN►nNt.�EMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE rtant: Read the instructions on paqes 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 _ SECTION A - PROPERTY OWNER INFORMATION Forinsurai NG OWNER' E Pghcyr Nuri BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ";;;Company; E CITY r _ � � STATE � r� l9l `7—L , U PROPERTY DESCRIPTIgqN (Lot and Block Numbers, Tax Parcel Nu er, Legal Descnpbon, OktPt� 21 ^ 21-- U 3 r 1 Co BUILDING USE (e.g., Residenb Non-residential, Addition, Accessory, etc. Use a Comments area, if n scary.) t ���►JTZ/IcL� .. l�vl�Tl -r�S e-� q�P� l t� LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( ##° - Of - ###.#r or ##.#####°) �—J NAD 1927 �_I NAD 1983 USGS Quad Map J__1 Other.. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COM NITY NAME & COMMUNITY NUMBER B2. COUNTY E 63. STATE t5tjtr>✓ crO �m 1 i t3 t T1c B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX 67. FIRM PANEL B8. FLOOD B9..BASE FLOOD ELEVATION(S) NUMBER DATE % EF ECTIVE/REVISED DATE OE(S) (Zone AO, us epth of flooding) 1—J:—�—L--�..—�— .L _ A.._ r-1__� rl.. ._a:__ ie��e�♦ �_._ .. (954 LJ Iv. "CIGaic UMSOUrGe ul L"a [Daae riuuu MIevauul l tore udia ur uase nova aeptn entered in B9.I ,•� lq( tq - I_I FIS Profile 1-1 FIRM 1_1 Community Determined . [.N Other (Describe):y tt1D Limbo. � a B11: Indicate the elevation datum used for the BFE in B9: JLC NGVD 1929 I_I NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I_I Yes I_W No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C' 9ding elevations are based on: I-MConstruction Drawings' I_IBuilding Under Construction' Finished Construction iew Elevation Certificate will be required when construction of the building is complete. JN4ne30. 4t+'t�ucltJo,� C2: wilding Diagram Number -5 (Select the building diagram most similar to the building for which this certificate is being completed -.see pages 6 and 7. If no diagram accurately represents the building, providea sketch or photograph.) C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section Dor Section G, as appropriate, to document the datum conversion. Datum _ Conversion/Comments Elevation reference mark used USGg gM 54 IA, R Does the elevation reference mark used appear on the FIRM? I_I Yes JX No m O a) Top of bottom floor (including basement or enclosure) (d �� ) m n. O b) Top of next higher floor N/k . _ ft (m) '0 t�OFE� O c) Bottom of lowest horizontal.structural member (V zones only) ft.(m) N E O d) Attached garage (top of slab) K*_ ft.(m) E O e) Lowest elevation of machinery and/or equipment w M. .m servicing the building (Describe in a Comments area.) ft.(m) E N& RM IS= s O f) Lowest adjacent (finished) grade (LAG) ��"/ . 47 ft.(m) z' 0 O g) Highest adjacent (finished) grade (HAG) 51 ft.(m) 0 (n O h) No. of permanent openings (flood vents) within 1 ft. a/ACD bove adjacent grade LL_'�� O i) Total area of all permanent openings (flood vents) in C3.h ALL- sq. in. (sq. cm) J CM.IF SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certiFcate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAM UC SE NUM We: 1ado3 ADDRESS 1 � ,� C V' ZI COD ) SIGNATURE ` &,4,4t� DATE TELEPHONE c� x oZ536-42L- -Z o PPMA From A.1 11 '.11 II nn RFF F1/FRRF RIr1F F()R r nt-JTIN1 IATION RFPI Ar..FC Al I PRFVIf11 I.0 Pr1rTIONR IMPORTANT: In these spaces, copy the corresponding information from Section A..For...Insuranee.Company;Use::. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or and/o Bldg. No.) OR P.O. ROUTE AND BOX NO.CITY Foh L' IJbtQ�t'bl {L(� cy Number -GmpZany.NA1C:Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. nnuuc�m� 12 1 Check here if attachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1. through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number G (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketchorphotograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1-1_1..1 ft.(m) 1 J(r_Jin:.(cm) I above or 1-1 below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I-1-1 fL(m) �_1—lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1-1 Yes I-1 No I—I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to . the best of my knowledge. Ib 4 5Z RM —67/— I ✓j• Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1.1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) . G2. I_I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. G3. The following information _(Items G4 -G9) is provided for community floodplain management purposes. G7: This permit has been issued for. 1-1 New Construction 1-1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS" 1-1 Check here if attachments FF1UA Frvm A9 a1 .11 11 nn RFPI Ar:FR Al I PPr-viol IR r-nrnnm.q INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The_Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify e'' )n information when elevation information is required for Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with E :UR, AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO. Community officials who are authorized by- law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are intended for use in supporting a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMR-F. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters. SECTION A - PROPERTY OWNER INFORMATION This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the building's complete street address, and the lot and block number. If the building's address is different from the owner's address, enter the address. of the building being certified. If the address is a Waal route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile) home. A map may be attached to this certificate to show the location of the building on the property. A tax map, - FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non-residential, an addition to an existing residential or non-residential building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of Section F if needed. If latitude and longitude data are available, enter them in degrees, minutes, and seconds, or in decimal degrees, taken at the ce- - of the front of the building. Enter arc seconds to two decimal places. Indicate the horizontal datum and the source of . ti surement data (for example, taken with GPS, scaled from a USGS Quad Map, etc.). SECTION B - FLOOD INSURANCE RATE MAP M RAfl INFORMATION Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The inforination for Section B is obtained by reviewing the FIRM panel that includes the building's location. Information about the current FIRM and a pamphlet titled "Guide to Flood Maps" are available from the Federal Emergency Management Agency (FEMA) website at http://www.fema.gov or by calling 1-800-427-4661. If a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area of Section D or Section G, as appropriate. Item Bl: NFT Community Name & Community Number. Enter the complete name of the community in which the building is located and the associated 6 -digit community number. For a building that is in an area that has been annexed by one community but is shown on another community's FIRM, enter the community name and 6 -digit number of the annexing community. For a newly incorporated cornmunity, use the name and 6 -digit number of the new community. Under the NFIP, a "community" is any State .or area or political subdivision thereof, or any Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available on FEMA's website at http://www.fema.gov or by calling 1-800-427-4661. Item B2. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated area of a county, enter ` unincorporated. area." For an independent city, enter "independent city." It. 3. State. Enter the 2 -letter state abbreviation (for example, VA, TX, CA). Instuctions — Page. I Item B4. Map and Panel Number. Enter the 10 -digit number shown on the FIRM panel where the building or manufactured (mobile) home is located. The first six digits will not match the NFIP community number. 1) when the sixth digit is a "C," in which case the FIRM panel is in a countywide format; or 2) when one community has annexed land from another community but the FIRM panel has not been updated to reflect this annexation. If the sixth digit is a "C," it is followed by a four -die -- number. , number. For maps not in countywide format, enter the "community panel number" shown on the FIRM. I Item B5. Sufk Enter the suffix letter shown on the FIRM panel that includes the building's location. Item B6. FIRM Index Date. Enter the effective date or map revised date shown on the FIRM Index. Item.B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM panel. This will be the latest of all_ � dates shown on the map. The current FIRM panel effective date can be determined by calling 1-800427-4661. Item B8. Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the letter"A" or 'Y' are considered Special Flood Hazard Areas. The flood zones are A, AE, Al -A30, V, VE, V1 -V30, AH, AO, AR, AR/A, ARAE, AR/A1-A30, AR/AH, and AR/A0. Each flood zone is defined in the legend of the FIRM panel on which it appears. Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Flood Elevation Table, or FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more than one flood zone in Item B8., list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones Al -A30, AE, AH, V1 -V30, VE, AR, AR/A, AR/AE, AR/Al-A30, AR/AH, and AR/AO; flood depth numbers are shown for Zone A0. Use the AR BFE if the building is located in any of Zones AR/A, ARAE, AR/A1-A30, AR/AH, .or AR/AO. In A or V zones where BFEs are not provided on.the FIRM, the community may have established BFEs or obtained BFE data from other sources. For subdivisions and other developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management ordinance. If the BFE is obtained from another source, enter the BFE in Item B9. Item B10. Indicate the source of the BFE that you entered in Item B9. Item B11. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced. Item B12. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA). Federal flood insurance is prohibited in designated CBRS areas for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS designation. An information sheet explaining CBRS areas may be obtained on FEMA's website at http://www.fema.gov or by calling 1-800-427-4661. SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Complete Section C if the building is located in any of Zones Al -A30, AE, AH, A (with BFE),. VE, Vl-V3b, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO, or if this certificate is being used to support a LONIA or LOMR-F. If the building is located in Zone AO or Zone A (without BFE), complete Section E instead.. Item CL. Indicate whether .the elevations to be entered in this section- are based on construction drawings, a building under construction, or finished construction. For either of the first two choices, apost-construction Elevation Certificate will be . required when construction is complete. .Select "finished construction" only when all machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment have been installed and the grading around the building is completed. Item C2. Select the diagram on pages 6 and 7 that best represents the building. Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C3.a-g. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified, or provide a sketch or photograph of the building and enter all elevations in Items C3.a-g. Item C3. Indicate whether the elevation reference mark (benchmark) used during the field survey is an.elevation mark I.. FIRM. If it is not, indicate the source and.datum for the elevation. Vertical control benchmarks other than those shown on use Instructions — Page 2 FIRM are acceptable for elevation determinations. Show the conversion from the field survey datum used to the datum used for the BFE(s) entered in Item B9. All elevations for the certificate must be referenced to the datum on which the BFE is based. Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For property e• incing ground subsidence, the most recently adjusted reference mark elevations must be used for determining building e ins. However, when subsidence is involved, the BFE should not be adjusted_ Enter elevations in Items C3.a-g to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico). -Items C3.a-d.. Enter the building elevations (excluding the attached garage) indicated by the selected building diagram (Item C2.) in Items C3.a-c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C3.d. (Because elevation for top of attached -garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the -building is located in a V zone on the FIRM, complete Item C3.c. If the flood zone cannot be determined, enter elevations for all of Items C3a-g. For buildings in A zones, elevations a, b, d, and e should be measured at the top of the floor. For buildings in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor (see drawing below). If any item does not apply to the building, enter "NIA "for not applicable. BUILDING ON BUILDING WITH BUILDING ON PILES, SLAB BASEMENT PIERS, OR COLUMNS AZONES V ZONES A ZONES V ZONES + a AZONES� u � r a 4: BASE FLOOD �: ELEVATION C -17 BASE FLOOD ADJACENT ELEVATION GRADE _ 'AGENT Item C3.e. Enter the lowest elevation of machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment in an attached garage or enclosure or on an open utility platform that provides utility services for the building. If the machinery and/or equipment is mounted to a wall, pile, etc., enter the platform elevation of the machinery and/or equipment. Indicate machinery/equipment type in the Comments area of Section G or Section D, as appropriate. If this item does not apply to the building, enter "N/A "for not applicable. Items C31 --g. Adjacent grade is defined as the elevation of the ground, sidewalk, patio slab, or deck support immediately next to the building. For Zone AO, use the natural grade elevation, if available. This measurement must be to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico) if this certificate is being used to support a request fora LOMA or LOMR-F. Items C314. Enter the number of permanent openings (flood vents) in the walls supporting the building that are no higher than 1.0 foot above the adjacent grade. Determine the total area of all such openings in square inches (square cm, in Puerto Rico), and enter the total in Item C31 If the building has no permanent openings (flood vents) within 1.0 foot above adjacent grade, enter "0" (zero) for each of Items C3.h and C31 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized. by law to certify elevation information. Place embossed seal and signature in the box next to elevations in Section C. A flat stamp is acceptable only in states that do not authorize use of an embossed seal over the signature of a professional. You are certifying that the information in Sections A, B, and C on this certificate represents your best efforts to ipl-- .-ret the data available and that you understand. that any false statement may be punishable by fine or imprisonment under Code, Section 1001. Use the Comments area of Section D, on the back of the certificate, to provide datum, elevation, or „-.,er relevant information not specified on the front Instructions — Page 3 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO _ & ZONE A (WITHOUT BFE) Complete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C insta' - t Item El. Select the diagram on pages 6 and 7 that best represents the building; then enter the diagram number. If you -are unsure of the convect diagram, select the diagram that most closely resembles the building, or provide a sketch or photograph. Item E2. Enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the top of the bottom floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). For post -FIRM buildings in Zone AO the community's floodplain management ordinance requires that this value equal or exceed the base flood depth on the FIRM. Buildings in Zone A (without BFE) may qualify for a lower insurance rate if an engineered BFE is developed at the site. Item E3. For Building Diagrams 6-8 with "proper openings" (see page 7), enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above the highest adjacent grade (HAG). Be sure that you have completed Items C3.h and C3.i on the front of the form to show the number of permanent, proper openings (flood vents) within 1 foot above adjacent grade and the total area of the openings. Item E4. For those communities where this base flood depth is not available, the community will need to determine whether the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION Complete as indicated. This section is provided for certification of measurements taken by a property owner or property owner's representative when responding to Sections A, B, C (Items C3.h and C3.i only), and E. The address entered in this section must be the actual mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G - COMMUNITY INFORMATION (OPTIONAL) Complete as ,indicated. The community official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. If the authorized community official completes Sections C, E, or G, complete the appropriate items) and sign this section. Check Item G1: if Section C is completed with elevation data from other documentation, including elevations obtained from the Community Rating System Elevation Software, that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. Indicate the source of the elevation data and the date obtained in the Comments area -of Section G. If you Are both a community official and a licensed ,land surveyor, engineer, or architect authorized by law to certify elevation information, and you performed the actual survey for a building in Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AI-A30, ARAE, AR/AH, or AR/AO, you must also complete Section D. Check Item G2. if information is entered in Section E by the community for a building in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. Check Item G3. if the information in Items G4. -G9. has been completed for community floodplain management purposes to document the as -built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of various building components but does not determine the lowest floor of the building or whether the building, as constructed, complies with the community's floodplain management ordinance. This must be done by the community. Items G4. -G9. provide a way to document these determinations. Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for the building. Item G5. Date Permit Issued. Enter the date the permit was issued for the building. Instructions — Page 4 Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as -built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain rr ­ !ment laws or ordinances. Iteru G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. Item G8. As -built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit,. the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE (or base flood depth) of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. Instructions — Page5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagrarr, number in Item C2. and the elevations in Items C3.a-C3.g. l In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section Q. DIAGRAM t All slab -on -grade single- and multiple -floor buildings (other than split-level) and high-rise buildings, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor is at or above ground level (grade) an at least one side. b a NEXT HIGHER r FLOOR GRADE BOTTOM FLOOR - �T: - ".i • .. Y+ltq OS(determined by existing grade) - DIAGRAM 3 All split-level buildings that are slab -on -grade, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (excluding garage) is at or 'above ground level (grade) on at least one side t r a t t t HIGHER �.'. b FLOORS r NEXT HIGHER RADE BOTTOM FLOOR DOR^-•`�:'. .,; - - —:-,• .•,.-..�- - __ -_ •.., ,...: ?lam ..Yn ig•;�i:.:' 01'. '\;;rte •.. � �:•'f:: '\ti :_ :' �: • 'f;�'',ti :'.i%ai��'L� - 'i?,�_ f g (determined by existing grade) DIAGRAM 2 All single- and multiple-flbor buildings with basement (other than split-level) and high-rise buildings with, basement, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' 1 a ' NEXT HIGHER b FLOOR GRADE BOTTOM FLOOR (BASEMENT) rr 7-7 t. Mg(determined by existing grade) DIAGRAM 4 All split-level buildings (other than slab -on -grade), either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram. 0@ (determined by existing grade) ' A floor that is below grused ound level (grade) on all sides is considered a basement even if the floor is ed for living purposes, or as an office, .garage, workshop, etc.J Instructions — Page 6 DIAGRAM 5 'ill buildings elevated on piers, posts, piles, columns, ,r parallel shear walls. No obstructions below the elevated floor. Distinguishing Feature — For all zones, the area below the elevated floor is open, with no obstruction to flow of flood waters (open lattice work and/or readily removable insect screening is permissible). t NEXT HIGHER t b FLOOR a ELEVATED FLOOR GRADE f g (determined by existing grade) c (For V zones only) DIAGRAM 7 All buildings elevated on full -story foundation walls with a partially or fully enclosed area below the elevated floor. This. includes walkout levels, where at east one side is at or above grade. The principal use A this building is located in the elevated floors of the building. . Distinguishing Feature — For all zones, the area below the elevated floor is enclosed, either partially or fully. In A Zones, the partially or fully enclosed area below the elevated floor is with or without openings— present in the walls of the enclosure. Indicate information about openings in Section C, Building Elevation Information (Survey Required). + r t I � r DIAGRAM 6 All buildings elevated on piers, posts, piles, columns, or parallel shear walls with full or partial enclosure below the elevated floor. Distinguishing Feature — For ail zones, the area below the elevated floor is enclosed, either partially or fully. In A Zones, the partially or fully enclosed area below the elevated floor is with or without openings— present in the walls of the enclosure. Indicate information about openings in Section C. Building Elevation Information (Survey Required). NEXT HIGHER FLOOR O' ELEVATED , O FLOOR GRADE n ..,: ENCLOSURE ;vC k if g ., (determined by existing grade) C (For V zones only) DIAGRAM 8 All buildings elevated on a crawl space with the floor of the crawl space at or above grade on at least one side, with or without an attached garage. Distinguishing Feature — For all zones, the area below the first floor is enclosed by solid or partial perimeter walls. In all A zones, the crawl space is with or without openings" present in the walls of the crawl space. Indicate information about the openings in Section C, Building Elevation Information (Survey Required). a j " An "opening" (flood vent) is defined as a permanent opening in a wall that allows for the free passage of water automatically in both directions without human intervention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not. less than one square inch for every square foot of area enclosed. Each openingmust be on different sides of the enclosed area. If a building has tore than one enclosed area, each area must have openings on exterior walls to allow floodwater to directly enter. The bottom of the openings •st be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered ifessional engineer or architect that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A - window, a door, or a garage door is not considered an opening. Instructions — Page 7. I LAUGHLIly and SPENCE CIVEL ENGMERS and SURVEYORS 1003 WE OAK BOULEVARD (3m)671-1003 •t 49 YUBA CTrY, CA 93991 An (530) 671-0312 TO Lo i cx_v_rt ill LCATr. 1 /1�I/I l� DATE 1 SUBJECT W1L-r->Cpa?cGuu C-Lue (�ZO� YNlaC-.l-k-Acoo C,46 lf,,j Z FL 9. (Sv � ins✓ � �� J � •mss � �� ❑ PLEASE REPLY ❑ NO REPLY NED LAUGE-ELCM COW CIVIL EMCI NEEDS 1008 LIVE OAK BOULEVARD (916) 671-1008 Butte Co.. Bldg.. Dept - 7 County Center . Drive Orcville, Ca 95965 Re.: Raise Cabins at Wild .Goose Gun club, Butte Sink Gentlemen: YUBA CITY, 95991 July. .19, 1968 I have been requested to certify -.the 100 year flood plain at this site for- building permit purposes Z have reviewed the Federal Flood Hazard Maps of this area and they give no flood. plain. elevations. . I contacted Don Neudeck, State of California Water Resources Phone 445-6Z42,. Herb Hereth; Corp of Engineers, Phone 551-2286, John S,ilbeisky Corp of Engineers, Phone 551-1881 and. they indicated that there is. no flood plain information available for this area.. Herb Hereth dial indicate however that a reasonable. assumption of the 100 year flood plain elevation would be pre. - Shasta Dam levels that were. known to earlier area residents. There is a member of this Club (5o years) that has indicated that pre -Shasta Dam flood water levels were approximately three feet above those e.Yperienced. since. construction of the .Dam. In as. much as there is no better, information available, I am recommending that.. new flood. levelbe set three feet above known. post Shasta. Dam flood levelss . S P E C ZEZCALLY Item IISGS Bench Description 54 HJH set 1951 on site at EL 56 ft. Recent High_ CSD -(-L QE p) + S ft. Water level Eh 64 ft.. Estimate 100 year Elood plan. + 3 ft. Eh. 67 'ft. Therefore, Z recommend that the Hugh Chatham, Jamie Mczzato and dial Reney ..cabins at the Wild Goose Gun ,Club fsislr„- floor elev at_ons be set at no less ELL 67 f e_t . II..CS. � 1.,�. L�;�,• fic a re ly �. Gar Lau lin 1 . .. Civ En,�i2�e.� • •• -' FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE NEW EDITION ` NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PAPERWORK REDUCTION ACT NOTICE 'Public reporting burden for the Elevation Certificate is estimated to average 2.25 hours per response. Burden means. the time, effort, or. financial resources expended by persons to generate, maintain, retain, disclose, or provide information to the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information unless a valid OMB control number is displayed in the upper right comer of each form. You may send comments regarding the accuracy of the burden estimate and any suggestions for reducing the. burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0077). Do not send completed form(s) to the above address. To obtain or retain benefits under the National Flood Insurance Program (NFIP), you must respond to this collection of information.' . PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or Revision (I OMA or LOMR-F). The Elevation Certificate is required in order to properly rate post -FIRM buildings, which are buildings constructed -- publication of the Flood Insurance Rate Map (FIRM), for flood insurance Zones Al -A30, AE, AH, A (with BFE),(, VI -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, and AR/AO. The Elevation Certificate is not requiied for pre -FIRM buildings unless the building is being rated under the optional post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement is that the community obtain the elevation .of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to comply with this requirement. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can -amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA.or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. This. certificate is used only to certifybuilding elevations. A separate certificate is required for floodproofing. Under the NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed .building isa building that has been designed and constructed.to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of. residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed .basements before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential floodproofed basements in communities .that have been granted an exceptior FEMA, a floodproofing certificate is required: RiSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The_Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify el" )n information when elevation information is required for Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with E a, AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO. Community officials who are authorized by- law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are intended for use in supporting a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMR-F. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters. SECTION A - PROPERTY OWNER INFORMATION This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the building's complete.street address, and the lot and block number. If the building's address is different from the owner's address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile) home. A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non-residential, an addition to an existing residential or non-residential building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of Section F if needed. If latitude and longitude data are available, enter them in degrees, minutes, and seconds, or in decimal degrees, taken at the ce- - of the front of the building. Enter arc seconds to two decimal places. Indicate the horizontal datum and the source of . d surement data. (for example, taken with GPS, scaled from a USGS Quad Map, etc.). SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The information for Section B is obtained by reviewing the FIRM panel that includes the building's location. Information . about the current FIRM and a pamphlet titled "Guide to Flood Maps" are available from the Federal Emergency Management Agency (FEMA) website at http://www.fema.gov or by calling 1-800-427-4661. If a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area of Section D or Section G, as appropriate. Item Bl: NFIP Community Name & Community Number. Enter the complete name of the community in which the building is located and the associated 6 -digit community number. For a building that is in an area that has been annexed by one community but is shown on another community's FIRM, enter the community name' and 6 -digit number of the annexing community. For a newly incorporated community, use the name and 6 -digit number of the new community. Under the NFIP, a "community" is any State .or area or political subdivision thereof, or any Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available on FEMA's website at http://www.fema.gov or by calling 1-800-427-4661. Item B2. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated area of a county, enter `unincorporated. area." For an independent city, enter "independent city." It '3. State. Enter the 2 -letter state abbreviation (for example, VA, TX, CA). Instructions —Page 1. Item B4. Map and Panel Number. Enter the 10 -digit number shown on the FIRM panel where the building or manufactured (mobile) home is located. The first six digits will not match the NFIP community number: 1) when the sixth digit is a "C," in which case the FIRM panel is in a countywide format; or 2) when one community has annexed land from another community but the FIRM panel has not been updated to reflect this annexation. If the sixth digit is a "C," it is followed by a four -dig;' number. For maps not in countywide format, enter the "community panel number" shown on the FIRM. Item B5. Suffix. Enter the suffix letter shown on the FIRM panel that includes the building's location. Item B6. FIRM Index Date. Enter the effective date or map revised date shown on the FIRM Index. Item.B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM panel. This will be the latest of all dates shown on the map. The current FIRM panel effective date can be determined by calling 1-800427-4661. Item B8. Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the letter"A" or "V" are considered Special Flood Hazard Areas. The flood zones are A, AE, Al -A30, V, VE, V1 -V30, AH, AO, AR, AR/A, ARAE, AR/A1-A30, AR/AH, and AR/AO. Each flood zone is defined in the legend of the FIRM panel on which it appears. Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Flood Elevation Table, or FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more than one flood zone in .Item B8., list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones Al -A30, AE, AH, V1 -V30, VE, AR, AR/A, AR/AE, AR/Al-A30, AR/AH, and AR/AO; flood depth numbers are shown for Zone A0. Use the AR BFE if the building is located in any of Zones AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO. In A or V zones where BFEs are not provided on.the FIRM, the community may have established BFEs or obtained BFE data from other sources. For subdivisions and other developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management ordinance. If the BFE is obtained from another source, enter the BFE in Item B9. Item B10. Indicate the source of the BFE that you entered in Item B9. Item B11. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced. Item B12. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA). Federal flood insurance is prohibited in designated CBRS areas for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS designation. An information sheet explaining CBRS areas may be obtained on FEMA's website at http://www.fema.gov or by calling 1-8004274661. SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Complete Section C if the building is located in any of Zones Al -A30, AE, AH, A (with BFE),. VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, or AR/AO, or if this certificate is being used to support a LOMA or LOMR-F. If the building is located in Zone AO or Zone A.(without BFE), complete Section E instead.. Item CL. Indicate whether .the elevations to be entered in this section are based on construction drawings, a building under construction, or finished construction. For either of the first two choices, a post -construction Elevation Certificate will be required when construction is complete. Select "finished construction" only when all machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment have been installed and the grading around the building is completed. Item C2. Select the diagram on pages 6 and 7 that best represents the building. Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C3.a-g. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified, or provide a sketch or photograph of the building and enter all elevations in Items C3.a-g. Item C3. Indicate whether the elevation reference mark (benchmark) used during the field survey is an elevation mark,. FIRM. If it is not, indicate the source and datum for the elevation. Vertical control benchmarks other than those shown on- use Instructions — Page 2 FIRM are acceptable for elevation determinations. Show the conversion from the field survey datum used to the datum used for the BFE(s) entered in Item B9. All elevations for the certificate must be referenced to the datum on which the BFE is based. Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For propert•, e, ' ' incing ground subsidence, the most recently adjusted reference mark elevations must be used for determining building e )ns. However, when subsidence is involved, the BFE should not be adjusted. Enter elevations in Items C3.a-g to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico). Items C3.a-d.. Enter the building elevations (excluding the attached garage) indicated by the selected building diagram (Item C2.) in Items C3.a-c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C3.d. (Because elevation for top of attached -garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the building is located in a V zone on the FIRM, complete Item C3.c. If the flood zone cannot be determined, enter elevations for all of Items C3a-g. For buildings in A zones, elevations a, b, d, and e should be measured at the top of the floor. For buildings in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor (see drawing below). If any item does not apply to the building, enter "NIA "for not applicable. BUILDING ON BUILDING WITH SLAB BASEMENT A ZONES V ZONES a. BASE FLOOD ELEVATION BUILDING ON PILES, PIERS, OR COLUMNS A ZONES V ZONES a A ZONES iYil s �Ca t C '`',-'o' ` *:• BASE FLOOD ADJACENT ELEVATION GRADE Item C3.e. Enter the lowest elevation of machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment in an attached garage or enclosure or on an open utility platform that provides utility services for the building. If the machinery and/or equipment is mounted to a wall, pile, etc., enter the platform elevation of the machinery and/or equipment. Indicate machinery/equipment type in the Comments area of Section G or Section D, as appropriate. If this item does not apply to the building, enter "NIA "for not applicable. Items C31 --g. Adjacent grade is defined as the elevation of the ground, sidewalk, patio slab, or deck support immediately next to the building. For Zone AO, use the natural grade elevation, if available. This measurement must be to the nearest tenth of a+ foot (nearest tenth of a meter, in Puerto Rico) if this certificate is being used to support a request for a LOMA or LOMR-F. Items C314. Enter the number of permanent openings (flood vents) in the walls supporting the building that are no higher than 1.0 foot above the adjacent grade. Determine the total area of all such openings in .square inches (square cm, in Puerto Rico), and enter the total in Item C3.i. If the building has no permanent openings (flood vents) within 1.0 foot above adjacent grade, enter "0" (zero) for each of Items C3.h and C31 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized by law to certify elevation information. Place embossed seal and signature in the box next to elevations in Section C. A flat stamp is acceptable only in states that do not authorize use of an embossed seal over the signature of a professional. You are certifying that the information in Sections A, B, and C on this certificate represents your best efforts to it+- --et the data available and that you understand, that any false statement may be punishable by fine or imprisonment Murder Code, Section 1001. Use the Comments area of Section D, on the back of the certificate, to provide datum, elevation, or , -,er relevant information not specified on the front. Instructions — Page 3 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO & ZONE A (WITHOUT BFE) Complete Section.E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C inste' Item El. Select the diagram on pages 6 and 7 that best represents the building; then enter the diagram number. If you are unsure of the correct diagram, select the diagram that most closely resembles the building, or provide a sketch or photograph. Item E2. Enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the top of the bottom floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). For post -FIRM buildings in Zone AO, the community's floodplain management ordinance requires that this value equal or exceed the base flood depth on the FIRM. Buildings in Zone A (without BFE) may qualify for a lower insurance rate if an engineered BFE is developed at the site. Item E3. For Building Diagrams 6-8 with "proper openings" (see page 7), enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above the highest adjacent grade (HAG). Be sure that you have completed Items C3.h and C3.i on the front of the form to show the number of permanent, proper openings (flood vents) within 1 foot above adjacent grade and the total area of the openings. Item E4. For those communities where this base flood depth is not available, the community will need to determine whether the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION Complete as indicated. This section is provided for certification of measurements taken by a property owner or property owner's representative when responding to Sections A, B, C (Items C3.h and C3.i only), and E. The address entered in this section must be the actual mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G - COMMUNITY INFORMATION (OPTIONAL) Complete as indicated. The community official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. If the authorized community official completes Sections C, E, or G, complete the appropriate itein(s) and sign this section. Check Item G1: if Section C is completed with elevation data from other documentation, including elevations obtained from the Community Rating System Elevation Software, that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. Indicate the source of the elevation data and the date obtained in the Comments area of Section G. If you 'are both a community official and a licensed land surveyor, engineer, or architect authorized by law to certify elevation information, and you performed the actual survey for a building in Zones Al - A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/Al-A30, AR/AE, AR/AH, or AR/AO, you must also complete Section D. Check Item G2. if information is entered in Section E by the community for a building in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. Check Item G3. if the information in Items G4. -G9. has been completed for community floodplain management purposes to document the as -built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of various building components but does not determine the lowest floor of the building or whether the building, as constructed, complies with the community's floodplain management ordinance. This must be done by the community. Items G4. -G9. provide a way to document these determinations. Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for the building. Item G5. Date Permit Issued. Enter the date the permit was issued for the building. Instructions — Page 4 Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as -built lowest floor elevation was issued by the community as evidence that all worlo_ authofized by the floodplain development permit has been completed in accordance with the community's floodplain n- -went laws or ordinances. Itew G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. Item G8. As -built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property andenter the BFE (or base - flood depth) of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. Instructions — Page 5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagrarr` number in Item C2. and the elevations in Items C3.a-C3.g. t In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section Q. DIAGRAM 1 All slab -on -grade single- and multiple -floor buildings (other than split-level) and high-rise buildings, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor is at or above ground level (grade) on at least one side. b a NEXT HIGHER r FLOOR r � GRADE BOTTOM FLOOR fx - f 9 (determined by existing grade) DIAGRAM 3 All split-level buildings that are slab -on -grade, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (excluding garage) is at or above ground level (grade) on at least one side r a r. ' t. ' b HIGHER r FLOORS ' NEXT HIGHER RADEFLOOR BOTTOM LOOR .41 \ , s:zt: 0@ (determined by existing grade) DIAGRAM 2 All single- and multiple -floor buildings with basement (other than split-level) and high-rise buildings with. basement, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' a NEXT HIGHER b FLOOR GRADE BOTTOM FLOOR . (BASEMENT) l �:,7L' .• _ .- '� x ..231.. .. N SJ � 'n}9;2 ��:�':. -F2 +►.Y �+4:,liw�W''lr �!l.Y:ii'�F li v � ' Os(determined by existing grade) DIAGRAM 4 All split-level buildings (other than slab -on -grade), either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram. a r ; b HIGHER GRADE FLOORS NEXT HIGHER BOTTOM FLOOR FLOOR BASEME 0G) (deteimined by existing grade) ' A floor that is below ground level (grade) on all sides is considered a basement even if the floor is used for living purposes, or as an office, garage, workshop, etc. Instructions — Page 6 DIAGRAM 5 SII buildings elevated on piers, posts, piles, columns, ,r parallel shear walls. No obstructions below the elevated floor. Distinguishing Feature — For all zones, the area below the elevated floor is open, with no obstruction to flow of flood waters (open lattice work and/or readily removatle insect screening is permissible). r NEXT HIGHER t b FLOOR t a ELEVATED FLOOR GRADE T, T f g (determined by existing grade) l c (For V zones only) DIAGRAM 7 All buildings elevated on full -story foundation walls with a partially or fully enclosed area below the elevated floor. This includes walkout levels, where at east one side is at or above grade. The principal use if this building is located in the elevated floors of the I building. . Distinguishing Feature — For all zones, the area below the elevated floor is enclosed, either partially or fully. In A Zones, the partially or fully enclosed area below the elevated floor is with or without openings" present in the walls of the enclosure. Indicate information about openings in Section C, Building Elevation Information (Survey Required). DIAGRAM 6 All buildings elevated on piers, posts, piles, columns, or parallel shear walls with full or partial enclosure below the elevated floor. Distinguishing Feature — For all zones, the area below the elevated floor is enclosed, either partially or fully. In A Zones, the partially or fully enclosed area below the elevated floor is with or without openings" present in the walls of the enclosure. Indicate information about openings in Section C, Building Elevation Information (Survey Required). � r . NEXT HIGHER r r FLOOR r O O b ELEVATED FLOOR GRADE y , t7� ENCLOSURE (determined by existing grade) C For V zones only) DIAGRAM 8 All buildings elevated on a crawl space with the floor of the crawl space at or above grade on at least one side, with or without an attached garage. Distinguishing Feature — For all zones, the area below the first floor is enclosed by solid or partial perimeter walls. In all A zones, the crawl space is with or without openings" present in the walls of the crawl space. Indicate information about the openings in Section C, Building Elevation Information (Survey Required). •' An "opening" flood vent) is defined as a permanent opening in a wall that allows for the free passage of water automatically in both directions without human intervention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not less than one square inch for every square foot of area enclosed. Each opening must be on different sides of the enclosed area. If a building has ,note than one enclosed area, each area must have openings on exterior walls to allow floodwater to directly enter. The bottom of the openings •st be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered ifessional engineer or architect that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door, or a garage door is not considered an opening. Instructions — Page 7 LAUGHL.IN and SPENCE CIVEL ENGINEERS and SURVEYORS • LOOS UVE OAK BOULEVARD (530)671-1008 P&. us YUBA CITY. CA 95991 hs(530)671-0= TO Llo LETTER DATE SUBJECT UJILC) �� G(JL) cwa . i�. Cinl=LCA-TQ -lam L5 A foo o ea. -u �1 Fk G&-Tlg J Tern Pt GArr, �t mcg T- '(-� "or f3 et o5u E m7L- t 7L -kg rte- Wtw EUM IDE Lt.-;vo ma 5 l FT A466cJa e. o So • f Q�*,�o N CE 1 �F CAI�F� ❑ PLEASE REPLY ❑ NO REPLY NECESSARY SIGNED LA CI G L L E N &. Cool CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD. (916) 671.-1008 Butte Co.. Bldg.. Dept.. 7 County Cen.t.er . Drive 0rovi1l:e, Ca 95965 Re.: Raise Cabins at Wild Goose Gun club, Butte Sink. Gentlemen: YUBA CITY, 95991 July.- .19 , 1968 I have beeri requested to certify the 100 year, flood plain at this site for building permit purposes.. I have reviewed the Federal Flood Hazard Maps of this area and they give no flood. plain. elevations. I contacted Don Neudeck, State of California Water Resources Phone 445-6Z42, Herb Her.eth, Corp of Engineers, Phone 551-2286, John S ilbelsky Corp of Engineers, Phone 551-1.881 and. they indicated that there is. no flood. plain information available for this area.. Herb Hereth dial indicate however that a reasonable. assumption .of the 100 year flood plain elevation would be pre - Shasta Dam. levels that were. known to earlier area residents... There is- a member of this Club (50 years) that has indicated that pre -Shasta Dam flood water levels were approximately,' three feet above those experienced. since construction of the Dam. In. as. much as there •is no better- inf.ormati.on available, I am recommending that. new flood. levels be set three feet above known. post Shasta. Dam flood. levels. SPECIFICALLY Item IISGS Bench- Recent ench Recent High Water level Estimate lO0 year Flood plan Description 54 HJH set 1951 an site at EL 56 ft. + e ft. EL 64 It. + 3 ft.• EL. 67 ft. Therefore, I recommend that the Hugh Chatham, Jamie Mczzato and Hal Reney cabins at the Wild Goose Gun Club, fnisir, floor elevaticns be set at no less than EL 67. fe_►t IISGS. � cerely ''/4 - . t Gaz Lau ` lin 1 Civ Eri1�e, DOTE: MAP AREA SHOWN ON THIS PANEL IS LOCATED WITHIN OWNSHIP 17 NORTH, RANGE 1 EAST AND TOWNSHIP 18 NORTH 'ANGE 1 EAST. ; LEGEND SPECIAL FLOOD` HAZARD AREAS INUNDATED •BY 100—YEAR FLOOD _ ZONE A ` Nu base fluor) elevations determined, / ^' ZONE AE Base flood eleval ions determined. . 121°52'30" 39°22'30'" f ZONE AH Flood depths of I to :f feel iusually areas " of ponding!; base. flood elevalions $ a determined. 1061, ZONE AO flood depths of 1 to 3 feet usually sheet ?, r, >1 flow on sloping terrain); average depths determined. For areas of alluvial (an flooding, velocities also determined. MR �I . i ZONE A99 To be protected from 100 -year (food by 4 Federal flood protection system .under ' construction ; no base flood elevations determined. ZONE V Coastal flood with velocity hazard (wave ff,j action); no base flood elevations determined. g ZONE VE ' Coastal flood with velocity hazard (wave' _ F� r action); base . flood elevations determined. t ;v ? FLOOD WAY AREAS IN ZONE AE Y ill ..OTHER FLOOD AREAS il� ` ' a ZONE X 1 Areas of 500 -year flood; areas of 100 -year r7, „ A flood with average depths of less than ;` e 1 foot or with drainage areas less than 1 square mile; and areas protected by, a ra.,,ttn, pr yq levees„from 100-year•tfloud s OTHER AREAS M ' ZONE X ” Areas determined, to be outside 500 -year floodplain. , ZONE D Areas in -which flood Hazards are •- undetermined. )n UNDEVELOPED COASTAL BARRIERS Identified *Identified ,Otherwise ` 1983 1990 Protected Areas Coastal barrier areas are normally located within or adjacent to Special r Flood Hazard Areas. t Floodplain Boundary Floodway Boundary Zone D Boundary MY' s Boundary Dividing' Special Flood " au$ cIx{ars' Hazard Zones, and. Boundary € ,,x, a• ;§,$ i Dividing Areas + of Different Coastal " Base . Flood Elevations Within Special Flood Hazard' Zones.. - p Base Flood 'Elevation.: Line. - r JE X. 513. Elevation in 'Feet. See Map'Index _ _ for Elevation Datum. Cross Section Line r Base; .Flood Elevation in 'Feet.. Where Uniform , Within Zone See Map Index Ior' Elevation Datum X Elevation Relerence Mark ...5 , •M2 River Mile •,�' Horizontal Coordinates Based on North t • 97007'30", 32°22'30'" I American Datum of 1927 (NAD 27) - s,,,z;?:� " f Projection. 1 NOTES This map is for use in administering the National Flood Insurance Program; • it does not necessarily identify all areas subject to flooding, particularly from ig local drainage - sources of small size, or all planimetric features outside Special Flood Hazard Areas. ,The community map repository should be consulted for more detailed data on BFE•s, and for any information on floodway delineations, prior to use of this map for property purchase or t as t construction purposes. ` ba Areas of Special Flood Hazard (100 -year flood) include Zones A. AE, AI -' Y u G. Y � f A30, AH, A0, A99, V. VE and V1 -V30. 3 J Certain areas not in Special Flood' Hazard Areas_ may be protected by flood control structures. a� Boundaries of the floodways, were computed at cross sections and r interpolated between cross sections. The floodways were based on �( u ��, hydraulic considerations with iregard to requirements of the federal tt Emergency Management Agency. Floodway widths in some areas may be too narrow to show to scale. Refer to Floodway Data Table where floodway width is shown at 120 inch. Coastal base flood elevations apply only landward of 0.0 NGVD, and include the effects of wave action; these • elevations may also differ significantly p from ' those developed by the National Weather Service for , hurricane'" t; o evacuation planning. P, t w Corporate limits shown are current as of the date of this map. The user. u .Z.- - _ should confa_chappiopiiafe community•olficials to;determine-it corporate,� a ,limits have k changed subsequent to the issuance of this map. fr Z This map may incorporate approximate boundaries of Coastal Barrier O Resource System Units and /or Otherwise Protected Areas established i is r under. the Coastal Barrier • Improvement Act of 1990 (PL 101-591). cA For.. community map revision history , prior to countywide mapping, see Section 6.0 of the Flood Insurance Stud Re ort. zz s Y P _0 Section For adjoining. map panels and base map source sea separately printed L Map Index:, MAP REPOSITORY x,11 Refer to Repository Listing on Map- Index ' <iz • EFFECTIVE DATE OF COUNTYWIDE FLOOD INSURANCE RATE MAP: r JUNE 8, 1998 EFFECTIVE .DATE(S) OFF REVISION(S)TO THIS PANEL:, , Refer to the FLOOD INSURANCE RATE MAP EFFECTIVE DATE shown on this map to determine • when actuarial tales apply to structures in zones where elevations -or depths have been established. To determine it flood insurance is available, contact an insurance agent or call the National Flood Insurance Program at (8001638-6620. 13UTr(5,CO3 F -APPROXIMATE SCALE IN •FEET i ,4 l� t r r DOTE: MAP AREA SHOWN ON THIS PANEL IS LOCATED WITHIN OWNSHIP 17 NORTH, RANGE 1 EAST AND TOWNSHIP 18 NORTH 'ANGE 1 EAST. ; LEGEND SPECIAL FLOOD` HAZARD AREAS INUNDATED •BY 100—YEAR FLOOD _ ZONE A ` Nu base fluor) elevations determined, / ^' ZONE AE Base flood eleval ions determined. . 121°52'30" 39°22'30'" f ZONE AH Flood depths of I to :f feel iusually areas " of ponding!; base. flood elevalions $ a determined. 1061, ZONE AO flood depths of 1 to 3 feet usually sheet ?, r, >1 flow on sloping terrain); average depths determined. For areas of alluvial (an flooding, velocities also determined. MR �I . i ZONE A99 To be protected from 100 -year (food by 4 Federal flood protection system .under ' construction ; no base flood elevations determined. ZONE V Coastal flood with velocity hazard (wave ff,j action); no base flood elevations determined. g ZONE VE ' Coastal flood with velocity hazard (wave' _ F� r action); base . flood elevations determined. t ;v ? FLOOD WAY AREAS IN ZONE AE Y ill ..OTHER FLOOD AREAS il� ` ' a ZONE X 1 Areas of 500 -year flood; areas of 100 -year r7, „ A flood with average depths of less than ;` e 1 foot or with drainage areas less than 1 square mile; and areas protected by, a ra.,,ttn, pr yq levees„from 100-year•tfloud s OTHER AREAS M ' ZONE X ” Areas determined, to be outside 500 -year floodplain. , ZONE D Areas in -which flood Hazards are •- undetermined. )n UNDEVELOPED COASTAL BARRIERS Identified *Identified ,Otherwise ` 1983 1990 Protected Areas Coastal barrier areas are normally located within or adjacent to Special r Flood Hazard Areas. t Floodplain Boundary Floodway Boundary Zone D Boundary MY' s Boundary Dividing' Special Flood " au$ cIx{ars' Hazard Zones, and. Boundary € ,,x, a• ;§,$ i Dividing Areas + of Different Coastal " Base . Flood Elevations Within Special Flood Hazard' Zones.. - p Base Flood 'Elevation.: Line. - r JE X. 513. Elevation in 'Feet. See Map'Index _ _ for Elevation Datum. Cross Section Line r Base; .Flood Elevation in 'Feet.. Where Uniform , Within Zone See Map Index Ior' Elevation Datum X Elevation Relerence Mark ...5 , •M2 River Mile •,�' Horizontal Coordinates Based on North t • 97007'30", 32°22'30'" I American Datum of 1927 (NAD 27) - s,,,z;?:� " f Projection. 1 NOTES This map is for use in administering the National Flood Insurance Program; • it does not necessarily identify all areas subject to flooding, particularly from ig local drainage - sources of small size, or all planimetric features outside Special Flood Hazard Areas. ,The community map repository should be consulted for more detailed data on BFE•s, and for any information on floodway delineations, prior to use of this map for property purchase or t as t construction purposes. ` ba Areas of Special Flood Hazard (100 -year flood) include Zones A. AE, AI -' Y u G. Y � f A30, AH, A0, A99, V. VE and V1 -V30. 3 J Certain areas not in Special Flood' Hazard Areas_ may be protected by flood control structures. a� Boundaries of the floodways, were computed at cross sections and r interpolated between cross sections. The floodways were based on �( u ��, hydraulic considerations with iregard to requirements of the federal tt Emergency Management Agency. Floodway widths in some areas may be too narrow to show to scale. Refer to Floodway Data Table where floodway width is shown at 120 inch. Coastal base flood elevations apply only landward of 0.0 NGVD, and include the effects of wave action; these • elevations may also differ significantly p from ' those developed by the National Weather Service for , hurricane'" t; o evacuation planning. P, t w Corporate limits shown are current as of the date of this map. The user. u .Z.- - _ should confa_chappiopiiafe community•olficials to;determine-it corporate,� a ,limits have k changed subsequent to the issuance of this map. fr Z This map may incorporate approximate boundaries of Coastal Barrier O Resource System Units and /or Otherwise Protected Areas established i is r under. the Coastal Barrier • Improvement Act of 1990 (PL 101-591). cA For.. community map revision history , prior to countywide mapping, see Section 6.0 of the Flood Insurance Stud Re ort. zz s Y P _0 Section For adjoining. map panels and base map source sea separately printed L Map Index:, MAP REPOSITORY x,11 Refer to Repository Listing on Map- Index ' <iz • EFFECTIVE DATE OF COUNTYWIDE FLOOD INSURANCE RATE MAP: r JUNE 8, 1998 EFFECTIVE .DATE(S) OFF REVISION(S)TO THIS PANEL:, , Refer to the FLOOD INSURANCE RATE MAP EFFECTIVE DATE shown on this map to determine • when actuarial tales apply to structures in zones where elevations -or depths have been established. To determine it flood insurance is available, contact an insurance agent or call the National Flood Insurance Program at (8001638-6620. 13UTr(5,CO3 F -APPROXIMATE SCALE IN •FEET i 9 g CABIN ADDITION: w N- i GREG MACHADO a WILD GOOSE GUN CLUB, BUTTE SINK, BUTTE COUNTY Y t DOTE: MAP AREA SHOWN ON. THIS PANEL IS LOCATED WITHIN OWNSHIP 17. NORTR RANGE I EAST AND TOWNSHIP 18 NORTH ANG E I EAST. -LEGEND SPECIAL FLOOD HAZARD AREAS INUNDATED BY 100 -YEAR FLOOD ZONE A 1. No hase flood elevations determined. 121052"30" ZONE. AE Base flood e1c,aHons determined. 39022'30" ZONE AH Floud dvpll�s of 1 to .1 feet 'usually areas w u of ponding): base (Inod elevations_ determined. �"N ZONE AO Flood depths of I to 3 feet (usually street 11 01 flow on sluping terrain): average depths determined. determined. for areas of alluvial fan flooding, vFlocitiesalso determined. N I ZONE.A99 To be protected from 100 -year flood by Federal . flood protection system under construction ; no base (loud elevations determined. ZONE V Coastal flood will% velocity hazard (wave action(; no base flood elevations determined. N ZONE VE Coastal "flood with velocity hazard (wave action); base flood, elevations determined. FLOODWAY AREAS IN ZONE AE OTHER FLOOD AREAS ZONE X Areas of 500 -year flood; areas of 100 -year I flood with average depths of less than 1 foot or with drainage areas' less than I square Fnile:, and areas protected by. wee! from 100 -year (loud. "T r OTHER AREAS ZONE X Areas'delerinined to be outside SOO-year floudplain. ZONED Areas in which flood hazards are undetermined. UNDEVELOPED COASTAL BARRIERS Identified Identified Otherwise 1983 1990 Protected Areas. Coastal barrier areas are normally located- within or adjacent to Special Flood Hazard Areas. Floodplain Boundary' FloodwaV Boundary Zone D Boundary Boundary Dividing Special Flood Hazard Zones. and Boundary Dividing Areas of Different Coastal Base Flood Elevations Within - Special Flood Hazard Zones. Base Flood Elevation Line: _513— Elevation in Feel. See, Map Index for Elevalioh Datum. Cross Section Line Baso I, Flood Eleation in Fee' See Map Index lot Elavvetion aku - t' t *Vvl,e,e UnilonnWithin`- _6�6. (EC 98i) '7 RM7 tk X Elevation Reference Ma 0 M2 River Mile HorizonlalCootdinales Based on North ' 97°07'30", 32022'30" American Datum of. 1927 INAD 27) Projection. N NOTES This map is for use in administering the National Flood Insurance Program; m it does not necessarily identify all areas subject to flooding, particularly I(OT local drainage sources of small size. or all planimetfic features outside Special Flood Hazard Areas. I The ' community map repository should be consulted for more detailed data on - BFE'i, and for any information on floodway delineations, prior to use of this map for property purchase or construction purposes. CJ Areas of Special Flood Hazard 1100 -year Il'0odl include' Zones A. AE, A1_ A30. AH, AD. A99. V. VC and VI -V30. Certain areas not in Special Flood Hazard Areas may be protected by flood control structures. Uff Boundaries of the floodways were computed at cross sections and nMIinterpolated between cross sections. The Iloodways were based on '' hydraulic considerations with regard to requirements of the Federal Emergency Management Agency. Floodway widths in some areas may' be too narrow to -show to scale. Refer to Floodway Data Table where floodway width is -shown at 120 inch. Coastal base flood elevations apply only landward of 0.0 NGVD, and Include the effects of wave action: these elevations may alsodiffer significantly from those developed by the National Weather Service for hurricane 0 evacuation planning. Corporate limits shown are current as of the date of this map -4 _J LLJ should'conlaci"appiopliale cofirlm6niliyofficials_ Z cat .4 limits hive - changed - su6s-equenl I the 'issuance ihisi ix• •I . . 0 V) Z This map may incorporate approximate boundaries of Coastal.- Barrier 0 Resource System Units and /or Otherwise Protected Areas established under, the Coastal, Barrier Improvement Act of 1990 (PL 101-591). For community map revision history ,prior to countywide mapping. see - Section 6.0 of the Flood Insurance Study Report. For adjoining. map panels and base met) source. see separately printed .jrl Map Index. MAP REPOSITORY Refer to Repository Listing on Map. Index B EFFECTIVE DATE OF COUNTYWIDE FLOOD INSURANCE RATE MAP: JUNE 8, 1998 EFFECTIVE DATE(S)0F REVISION(S) TO THIS PANEL: Reler to the FLOOD -INSURANCE RATE MAP EFFECTIVE DATE shown on this map to determine when actuarial rates apply to structures in - zones where elevations or depths have been established. To determine if flood insurance is available, contact an insurance agent or call the National Flood Insurance Program at (800) 638-6620. CID, APPROXIMATE SCALE IN FEET' CABIN ADDITION: - to 14 GREG MACHADO WILD GOOSE GUN CLUB, BUTTE SINK, BUTTE COUNTY TIT Tnad OCIVHDVJAJ [)HH[) 'NOLLI(lav fauva 9N Ian ln� 1/09 t 11 Ire {Jr f }.°`s yx. yxZ31.k:>y �jt�'^•,wM-1111" 7;i'.'�. .Ys4.•-v tr .tet ti • CHIMNEY (6,046 5L 9 LANDING BRICK APPROVED H.S.I Butte Coun4y ON.I Envir;;rsr„� <,L I Heath in ,— VAULTED VAULTED O N j N `fl I �- I cv i 603 5L I - z I GAB. O ON. LIVING- - - '-10” q'-b" 41-611 O - 0 KITCHEN m cv 2,-2„ 4'-2,� _b, 0 7P-E N a) N 302 5L ENTERTAINMENT < GL05. CENTER 31-511 2'-b" �? GL05. N � 5068 BY . _ _P 6068 BYP. bObb BYP. O N rREJ O i AtRa i Z O \/AULTED____ C) 2268 N _ cv o MUD ROOM " a 2'-�" R OM o BEDROOM I MASTER BED O o BATH o WG CABINET 502 5L (5,020 5L 6020 5L a 4'-6" 4'-6" 3'-b" 3'-b'; b'-4" 7'-2" b'-2" q'-O" 7'-4" 15'-6" 021-030-009pt PERMIT#96-1757 WILDCOOSE CLUB I Mi N of N Butte Rd.,Cabin 14 Cont: R.D. Prater Const. Dem o/SF 021-030-009pt PERMIT#96-1758 LITTLEFIELD, Ed 1 Mi N of N Butte Rd.,Cabin 14 Cont: R.D. Prater Const: New Hunting Cabin (,(qq 02 cab; h r e,y RESIDENTIAL 021-030-009pt PERMIT#96-1758 LITTLEFIELD,'Ed 1 -Mi N of N Butte Rd.,Cabin 14 Cont: R.D. Prater. Const./� New Hunting Cabin �� �� 7 i a 9 `FA . r 5s`� V=OK' O = Not OK ­No'=tt Ready MOBILE NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location Test-Fall-C/O-Concrete 4. Water, Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap; / /"L'ft. / /Nat. or/ / 2ft./ /LPG 7. Well Clearance $ Disconnect a 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date a - Card B-1 Date Card B-1 Date Card B-1 4. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-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-AnchorsStuds-Rftrs-Trusses _ 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Aoi UK = Not Applicable Not Reaoy RESIDENTIAL (; = Date UNDVIVLOOR (Plans) OK except ft's ' Zo -Setbacks- asements-Flood-Slo e tg., Main; S ' s-Elec. Grnd. /" a th 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped old Do nd Special Anchors 7. SI , teel-Wrapped iers-Fireplace Ftg.-S 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -S wer est 10. UF. Gas Pipe; Size -Anchors Cyard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service est 12. Electric; Underground 13. Pienums & Ducts; Clearance -Ma ial-Support-Ins. 1 irder ills -Anchor Bolts -J s -Vents -Cripples Access & Ventilation 16. Insulation Date - -?'j" Card B-1" Date .� j.r7Card B-1 1p Date Card B-1 i Date -97 Card B-1 /Z Date PL ING (Permit) OK except a's 16 Wdter Htr.: Vent -Access -Combustion Air -Baffle W Pipe: Test & Anchor -Nail Protection _D.W.V.: Test -Fittings & Anchor -Nail Protection -------t9 Shower Pan: Test. First Floor -Tub Access — ---- - 20. T ub & Shower. Second Floor -Tub Access ----- -- -- -- -- ------ - - ------------------------------- - ------------ ---- -- 1. Gas Pipe: Size & Anchors ----------- -------------------------------------------------------------------- Date - - Card B_1-- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's t ure & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at -Doors ------- ------------------------ ---- - -p -- -------------------- -------- --- -- - - - - --------------------------- -- -- - -- -- ---- - - --- ---- --- - 4. a Boxes & No. of Conductors -Sia led ----- -- - - - - ------------------------------------------- --- --- -- Rome stalled Close to Edge of Studs & C.J. r 2 quip. Ground made up wrMech. Fastners-Bond Gas & Water ---` -- ----- - ---------------------.. ........ ....... _. 27. 2 Ap It --ce Circuts in Kitchen & Conductor SizerGFI ubleed Wire Size ga. Cu or AI-A.C. Wire Size ga. 2 ange C ' ga. Cu or AI -Oven Circ. ga. Cu or Al. In d -Neutral ❑ Yes ❑ No -------- ------- --- -- -- - ------------------------------­----------- -- rvice-"r"Condu 'ors & Ground -Main Disconnect 31. p CI ces Panels-Motors-Mech Equip. -------- -- - - ----- - - --------- - - ._- --- --- --- --- -- 2. es Closet Light -Shower Light -Spa Light --- -- -- - ---------- - -- 3. Smoke Detector --------------- ----------------------------- -........ ... ... . -- . ..... .. Date --- Card B-1 Date Card B-1 - -- - - ... ... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL .Permit) OK except Ws ucts Insulation & Support _ - _ _ Vent Fan: Exhaust above nsulation - 3 t e /6.,,C nsate Drain & Overflow. Sze & Grade 3✓ 7. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- . - ----- ....... ....... ... ... ....... 38 Attic Access & Platform if Furnance in Attic . --- --- -- -. Date Card.6-IDate Card B-1 Date Card B-1 Date Card B-1 Date FR -G (Plans) OK except a's 39 S roper Material & Anchors 0 W tuds-Nailing. Spacing & Bracing -Plates -Sound . .......... .. ..... Be�anpg alls over Girders & Floor Nailing to Walls (rat proof) u ops. Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing ✓� 1A, ASJ 3 C,,, jingle & Duplex) 6 gate JRAMING (Continued) _Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ace Ties or Type A Flue -Fireplace Throat clearance --- Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing ------------ ---------- 1. Pro erty Line Firewall & Openings _ xt. Doors -One 3 -Check Garage -3rd Story, 2 Exits s; Width -Headroom -Rise -Run -Landing -Fire Protection --------- ------plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- ling -Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underfir. Access _ 57. 9fizing Area -Glass Protection -Skylights -Plastic - hear Walls: Nailing -Bolts - --- - 59. Insulation-Wglls.Ceilings tion-Walls-Windows---iLL��� V Date✓t - and e_1 — Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans) OK except O's xt. eps-Door & Sidelight Protection -Landings —_ - - 6 n e Detector-------- urnace: Vents -Clearance -Comb. Air -Connector - In ra : Above Floor -Ducts -Meth. Protection Air -Connector- ----------- . -------_ . a om Exiting ----- 6 F.Bath Fixtures & Tub Access -Spa 6 Trim & Subpanel Breaker Sizes &Labels 6VE7ce . Clearances -Hearth ec. Outlets at Wood Panel: Int. &Ext. 7 xt & Appliance: Grnd.-Air-Gap-Cooking Clearance Outlets & Receptacles a_� Kit. Counter arage i i -Landing-Closer ...... ---�..-----------------9-----p -- ---- -- - 7 in -arae- am er ------------ ------ tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection r let. & Mech. Equip. Listed for Location - - --- - -- --t - --- v' ------------------------------- — 7 lec. Receptacles in Garage: (G.F.I.)-Romex Protection - - -------------------------------� 7-- -- ---- 7 sulation-Foam-Looked in Attic 't�Yes -------------------- 7 uard Rails & Deck Construction -Post Caps----------------------------_ tln. Vents & Crawl Hole Door -Drainage & Wood -Earth Clea nce Looked under Floor ❑ Yes .. ... ... .-. g -- 8 ollowm instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------ ----- -------------------------- - -Finish ---------------------------------- --------- 8 nnect. Electrical, Plumbing . ...-- ....--------------- encs Above Roof: Plbg.--Appliance-Fireplace.------- ----- -Clearance---ttoo OWings -- - -- ------------------------------- 84-'Water -----------------------------8 Water Well: Disconnect Electrical, Plumbing - - - ------ ----------------- ----- xterior Elec Trim. G.F.I. Receptacle -Underground entdat�un Throughout House lass Protection ------------------- recumons troPrevious Inspections ---- ?`,e s st-Meters Tagged: Gas -Electric er ne & Sewer Concted-C/O to Grade -HD Approval 1 nergy ComphanceCerhhcate _Other Certificates --------- - . . . - - ------ -- ----------------- Dat Card B -1,e Date Card B.1 �9 fc- ------ Dat rd B -t Date Card B-1 �r"... j. ---- -- ------ Date and B-1 nate r:arri R-1 Comments at Final r COUNTY OF BUTTE - DEPARTMEN OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive L'Oroville, Califprr'iaTelephone (916) 538-754 /r�E� APPLICATION AND PERMIT (�� �� ASSESSOR PARCEL NUMBER 21-030-009 (PORT) ZONING BUILDINGPERMIT OWNER ED LITTLEFIELD ! TELEPHONE SO. FT. OCC. BUILDING VALUATION 57,240 OWNER'S MAILING ADDRESS 550 CALIFORNIA AT SAN FRAN. 94101 111A 0 21408 CONTRACTOR'S NAME R. D. PRATER CONSTRUCTION T 534- 9230 CONTRACTORS MAILING ADDRESPO BOX 336 PALERMO, 95968 Fireplace CONSTRUCTION LENDER UNWOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS IMI N. OF N . BUTTE RD ( CABIN# 14) PERMITFEE $ 801.18 PLUMBINGPERMIT Filing Fee 20.00 LIVE OAK Each Trap 7 7.00 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15,00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New OX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: HUNTING CABIN - Mobile Home ISI GI W1 920.00 PERMITFEE $ 129.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( e000v OR LESS 20 A OR LESS ) 23.00 23.0() Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is,"I force and effect. % �� License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( s ACC. BUDS. ) SO. 3.5. SO 37.10 NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( 8. SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 00 BAL .50 Ex. Occup. ( OUXTLED ETS(RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 80.10 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker 'tio ranc carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating .00 Cooling 15.00 Hood 6.506.50 Ventilation PERMITFEE $ 96-50 Contractor Policy Number - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the ormance of the work for which this permit is issued, I shall not employ any ars n in any manner so as to become subject to workers' cct to the workers' co ensa n provisions of section 3700 of the Lab r Code, I shall forthw' h th a provisions. X Date Signatur o p ant - r Contractor ❑ Age Al An OSHA permit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ 46.00 OCC CONST. TYPE TOTAL FEE $ 1,112.78 HAZ. D. FEES IM FL O �j�T CDF PARCRL PD M� V/ J ISsu This permit is hereby issued un er the of the a County ode and/or indic ed e r w ich fees have By PERMITEXPIRESON T1 applicable provisions Resolutions to do work been paid. rf� Date Z� q (Date) ReceiptNo.2.02 `g 93- 10 p �/ Y'l WHITE-D.D.S.-B.D. CANA -ASSESSOR I K-INSPECTO DEN ROD- PLICANT COUNTY OF BUTTE- DEPARTMENT.OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive -` Oroville, Califoryia.-95965 - Telephone (916) 538-754 _PERMIT NO. APPLICATION AND PERMITS ASSESSOR PARCEL NUMBER 2 O ai14 ZONING d BUILDINGPERMIT OWNER / t L TELEPHONE SO. FT. OCC. BUILDING VALUATION 0 OWNER'S MAILING ADDRESS CONTRACTOR'S ME - TELEPHONE 3 _ 30 " O O CONTRACTORS MAILING ADDRESS 33 l Fireplace - 5 8, d 6 CONSTRUCTION LENDER UNKNOWN Total Valuation $ • Fling Fee $ 20.00 LENDERS MAILING ADDRESS - - Permit Fee - $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (D , 06 Energy Plan Checking Fee $ 2 3 , d ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ QUILDING)ADO Ss , _ , - a S aI - 8 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each -Trap 7.00 Y7.0 Q' LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 1 23.00 Water piping 1 15.00 %S-C'1J USEOFSTRUCTURE SF K.Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 �p Gas piping system 1 - 5 outlets 15.00 S e7 0 Building sewer 15.00 vo TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: %�� �„ _nl00, r-4% Mobile Home IS I GI W 1 920.00 PERMITFEE $ 2 0 Contractor ELECTRICAL PERMIT 170ing Fee 20.'0n 000Y OR LESS Main Service ( 200A OR LESS ) 23.00 CA Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code. and my license is in full force and effect.. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and de olition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDs. ) SO. 3.5C I r. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 37,tO POWER APPARATUS (a SINGLE OUTLET CTR. ) Ex. Occup. (ouTIFT OR FIXTURES) BA20 LL Q I.O00D FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 r Mobile Home s"cilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 8d - MECHANICAL PERMIT) Filing Fee 20.00 g Heating �.0(a Cooling 45.00 Hood 6.50 Ventilation PERMITFEE $ �S Contractor Mobile Home Installation Fee Energy Inspection Fee Is 1, 14 Ai 0 occ CONST. TYPE TOTAL FEE $ 7 Ab Z. 1 0. FEES I IMP FIND I CDF I P;PfL I PO I HD I ISSUE This permit is hereby issued under the of the, Butte County Code and/or indicated above for which fehave Qv By PERMITEXPIRESON applicable provisions Resolutions to do work begn paid. ` Date (Osla) Receipt No. 01,9 O 60 303 (& • !p WHITE-D.D.S.-8.0. CANARY -ASSESSOR' P K -INSPECTOR, OLDENROD-APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �E L / #L d A. P. No. 2I - 03o- Proposed 3O-Proposed Building Use S F G-fo in —' Building Inspector Cog Date / 9 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 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). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ......... . ees of $ w 41-2 ,o . 10. 10 '91. - � �t ....... Impact fees as shown on attached schedule . ............................... 2. alifornia Department of Forestry plan approval/fees...................... . Flood elevation letter (100 year float)) by California Engineer ................... Sanitation and plot plan approval r� Health Department . ............ T� 15. City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gr'dley. ............. Planning approval for (A) Use: bll_ (B) Parking:W1°�lL b G4 Contact Land Development about (A) Improvements (B) Drainage . ........... . 9. Driveway permit (construction approval required prior to occupancy). .. . . Liest 20. Pre -inspection for PreJnsing Inslo; re for p required. .. to e�;id��9 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 acbess...................... :.................. t 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... / 4111 31.' Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... Whep you issue the permit,,process as follows: Mail owner. ICA'il t�'ontractor. Telephones -3`/- 7,��yand hold for pickup at !o a Deliver with ins ector Other 4 Parcel Creation /6 Acreage Applicant !!� Date v 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 o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. I 2. Additional items required: T £.o G - t_ Con r for designer, owner, was advised of above required data by_ phone —mail Counter by Date q -11 - Contractor, 1'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 —ll File cabinet AP folder tnt T Ai"2s,F�2 Copy - Department of Public Works q 3 a - " TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance dcleil �e Owner , J,, \e--. 0l Location Plan Approved for: Sewage Disposal c/ Water Supply: Public Clearance for froom MUN home. Other S.H. USE ONLY Plot Pbia AnrcbW Pbw Pbw Athcbed Smt to B.D. AP# Private Well Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 A /--/*V-0-,41-dd A.P..# 2/-030-00q PROPOSED BUILDING USE -!5 1-- Cck L f ti SCHOOL DISTRICT FEESr (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential ...... x = $ unit amt. Commercial (sq. ft. ). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER DATE REC. # DATE REC Rd At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE MICHAEL MOONEY 5A.MADRONEAVE. ' CIVIL ENGINEER _ - ORmLLE, CA 95966 RCE 20647 (916) 533-2131 dao Butte County May- 8, 1997 Department of Development Services Building Division 7 -County Center Drive. Oroville, CA 95966 Re: Permit No. 96-1758 Wild.Goose Duck Club Cabin 14 George Kellogg, Per our conversation of this date I am submitting to you a revised foundation detail for this project. This particular pier was "Red tagged" by the inspector because of its proximity to the septic tank. The footing primarily effects corner of the tank, which forces will, I believe be accepted by the tank walls in the plane of the wall. Thank you for your consideration. Yours i Michael Mooney My license -expires 9-30-97 I BUTTE COUNTY 3UILDING DEPARTMENT A P P R 0 V ED 2.5' o Z - y3DTINL OEM, 4010 ........... . .......................... :-. 600' :::TjWK:: TAMC IJ5 Yw �il�i �Y� �ov5� ��r� C41- �utir�n,tou .f�v�s�a� ol spa COUNTY OP BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA-- (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 {` CORRECTION NOTICE Fly OWNER PERMIT NO. -*;routine inspection indicates that the following violations of Butte County Ordinances exist at t 6fabove 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 ional explanation, please contact this office immediately. Al I t Date Inspector &444,tZ REV 11Q42 W; COUNTY OF. BUTTE BUILDING DIVISION r" DEPARTMENT OF DEVELOPMENT SERVICES I ~" 1469 Humboldt Road, Chico, CA - (916) 891-2751 fr. . Pt':: . - 7 County Center Drive, Oroville, CA.- (916) 538-7541 747 Elliott Road,' Paradise, CA (916) 872-6307 U CORRECTION NOTICE 752 OV -N R 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 F is completed. If you h .ve ahy questions pertaining to this matter, or need additional explanation, �.-- please contact t office immediately. 4 ; G G I'EGi Fe� "o", 6 \ \ (y2 Ell' a fi. }- gate 17- % Inspector -5&Y -�; . REV 10/92 A routine inspection indicates that the following violations of Butte County Ordinances exist at J 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 explanatioh, please contac his office immediately. p t J tP92 -L F �42 ; lu-o-e P;", -rh a .0 b /w VC.— 7 Date Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION," DEPARTMENT OF DEVELOPMENT. SERVICES 1469 Humboldt Road, Chico, CA - (916)8911-2751 7 County Center Drive, Oroville, CA - (91 6) 538-7541 747 Elliott Road, Paradise, CA - (91-6)-872-6307 CORRECTION NOTICE • � _ � �aaa �- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at J 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 explanatioh, please contac his office immediately. p t J tP92 -L F �42 ; lu-o-e P;", -rh a .0 b /w VC.— 7 Date Inspector REV 10/92 COUNTY OF PU.TTE •�" BUILDING DIVISION'.-.,,- DEPARTMENT OF DEVELOPMENT SERVICES` r; 1469 Humboldt Road,Chico, CA -(916.) t ,X 889.1'-2751 7 County Center Drive, Oroville, CA - (9'1'6) 538-7541. ,; ` `fw'5 747 Elliott Road, Paradise, CA - (916)'872=6307 14 { yf CORRECTION N(OTICE.I., OWNER PERMIT NO. . �? A routine inspection indicates that the following violations of. 6utte'County•Ordinances exist at ; the above address and should be corrected. Please notify this office when.correction of work t"' is completed. If you h ve any questions pertaining to this matter, or need additional explanation;`;"4 please contact s office immediately. co ll� oda4W 4:5 )L ����� end: �_ -f-o�✓ " '� v ` 1°7 4 Date �j_� Inspector REV 10/92 _ ± t MEETAL WORKS A Division of SMB Industries, Inc. 2738 Feather River Blvd. Oroville, CA 95965 (916)534-6266 Fax(916)534-7122 r i i April 30, 1997 Certification of Compliance For Metal Works Job #97287 R.D. Prater Construction We certify that all material used to fabricate and furnish the ' following items was procured through domestic .sources. i Items: 16 each steel brackets base plates as follows: 1" x 11" x 7 '/z" with 2 each 1/4" x 4" x 12" ears. Base plate will have 2 each 11/16" holes along centerline. Each ear will have -2 each holes. All galvanized.) We further certify that all manufacturing steps occurred in the. United States and that based on certified material test reports all material used is of domestic origin. Michael Phulps Metal Works - AWS D1.I WELDER AND WELDING OPERATOR QUALIFICATION TEST RECORD Welder or welding operator's name Bradley Baker Identification no. 569-39-0983 Welding process FCAWManual Semiautomatic X Machine Position ' Vertical VP (Flat, horizontal, overhead or vertical - if vertical, state whether upward or downward) In accordance with procedure specification no. AWS D1.1-96 Material specification ASTM A36 — Diameter and wall thickness (if pipe) -otherwise, joint thickness 1" Thickness range this qualifies Unlimited FILLER METAL Specification no. A5.20 Classification E71T-1 F no. 6 Describe filler metal (if not covered by AWS specification) N/A is backing strip used? Yes Filler metal diameter and trade name 1/16" Flux for submerged are or gas for gas metal arc or flux cored arc welding CO' VISUAL INSPECTION (9.25.1) Appearance. Pass Undercut None Piping porosity None Guided Bend Test Results Type Result Type Result Side Pass Side Pass Test conducted by Bill Steyskal Laboratory test no. N96-101 per Agra Earth & Environmental. Inc: Test date 7-5-96 Fillet Test Results Appearance Fillet size Fracture test root penetration Macroetch (Describe the location, nature, and size of any crack or tearing of the specimen.) Test conducted by Laboratory test no. per Test date RADIOGRAPHIC TEST RESULTS Film identification Results Remarks Film 'identification Results Remarks Test witnessed by Test no. per We, the undersigned, certify that the statements in this record are correct and that the welds were prepared and tested in accordance with the requirements. of 5C or D of AWS D1.1, ( 96 ) Structural Welding Code. '; L'--- Bill Steyskal / 1-zo 1020 OJT' Manufacturer or contractor Authorized by Date � AGRA Earth & Environmental FAR WEST STEEL CORPORA Mill Test Reports 56831 To: SMB IND. INC., DBA, METAL WORKS 2738 FEATHER RIVER BLVD OROVILLE, CA 95965 Reference Your Purchase Order Number: Reference Farwest Steel Order Number: 97287 678169 j !•�� Irl. s }'�� i ! .i C tification Cle :Ss i rri � Post Office Box 889 • Eugene, Oregon 97440-0889 • (503) 686-2.. location: 2000 Henderson Ave. • Eugene, Oregon t;c � tsyi+ . ! � ^ it s � • Mar S ie t �' C tification Cle :Ss Post Office Box 889 • Eugene, Oregon 97440-0889 • (503) 686-2.. location: 2000 Henderson Ave. • Eugene, Oregon 97403 I+nl.t L ' , ti iy�%aS+ ty.���uty`�{k1 1 �.i �i:•.: p���))�yy)) • y 7k r Ln '1�n�s ti �7.•0 ••� i� B/L1 18345 37003 Sold To: FARYEST STEEL CORP.'' BOX 889 -Y • ,4 w+ EUGENE OR 97440 . SIZE HEAT CUSTOMER GRADE NUMBER PO HUMBER 2 1/2 X 2 X 3/16 351-2318 17695' ASTM A36-94/ASME SA36-89 - 6 X 4 X 3/8 364-0409 17574 ASTM A36-94/ASME SA36-89 3/4 X 12 364-0258 17574 ASTM A36-94/ASME SA36-89 3/4 X 12 364-0153 17574 ASTM A36-94/ASME SA36-89 3/4 X 12 363-0154 17574 ASTM A36-94/ASME SA36-89 3/4 X 10 363-0298 17592 ASTM A36-94/ASME SA36-89 3 I/2'X 3 X 1/4 361-0031 17604 ASTM A36-94/ASME SA36-69 3/8 X 12 363-0194 17604. ASTM A36-94/ASME SA36-89 1/2. X 12 36i-Oi2i 17604,. -- ASTM A36-94/ASME SA06!-89-- MELTED 1 X.12.- 60+�f ASTM,A36-94/ASME: SA AND MANUFACTURED IN U.S.A. NUCOR STEEL A Division of NUCOR COTpOTitiOn JEYETT, TEXAS 75846 PH (903) 626-4461 CERTIFIED MILL TEST REPORT 7 i1' 4 960149 0 Ship T0• FARYEST STEEL SP SIDIHG 14148 8 INCH SCALE EUGENE OR TENSILE YIELD ELONG Bend PSI PSI X C Mn Si 5 P Y N6 Ce CT Mi No Test 73900 53800 25 .200 .630 .210 .035 .016 .000 .000 .360 .120 .130 .024 68700 47300 25 .150 .740 .190 .035 .013 .000 .000 .450 .120 .110 .031 72800 148300 23 .170 .700 .220 .031 .014 .000 .000 .380 .240 .150 .048 71300 46600 25 .180 .680 .240 .031 .011 .000 .000 .440 .230 .170 .028 72400 49500 26 .160 .750 .240 .029 73!00 49600 22 .550 .650 .200 .029 77100 53200 27 .210 .620 .170 .022 :010 .000 .000 .430 .170 .140 .034 .008 .000 '.000 .470 .170 .150 .045 .015 .000 .000 .400 ..080 .110 .029 f CERTIFIED MILL TEST REPORT` (CIVITR a µ� CUSTOMER FAFNEST STEEL ODRPORATION x u 10.1 ascade steel �r+olling mills, inc. 81LLOFLADING?:�' 2260 SAGE, ROAD r. )` r 3200 NORTH HIGHWAY 99 W ! PO,'.BOX 4188 ", �� ° McMINNVILLE,-OREGON 97128 MEDFORD, OR 97501": (503) 472-4181 _•FA)r(503) 434-5739 PAGE 1 OF HEAT NO. / PRODUCT / GRADE YIELD; ; TENSILE EIANG . ' NOME rtl• I y 6 -�� - 5II3-__. 72:II �3Q� '96.6 1 !A36 & SA36 *36 596 1/4 X 36 FLATS I 48.2 67.5 33 97 I i ASIMrA��i 59 6ti, � .I � :�� � �. �: i � II •r.r, f 1 . i , 1/2 X J. 1/2 A36" ! 47.5 I; . 69A 390 .4 ASTM-A36 & SA36 *006597 45.9 71.0 32' 98.7 3/4 X 6 A36 FLATS- �, ;�, .��! • ASTM !� s4:S� I _ : '• ' �' �i°•` .t I � � i:I I. ' �• .,: , I i , .. i , �i}�0}9{ 51 3/4' 'A36;i FLATS. 5� : 0 . 74 . �1 } : � � 57.7. ASTM A36 Ix' SA36 I ` *3d6961/2 X3gA�36' 46.I I66 b 3 98. I I j 1 x1 5X 63 A 6 FLATS 70.E �.. �� 99.6"' r I• I i ASTM A36 & SAA I' i : � / III � I � : j i 1 i � ' � I i' - ; � rll I • 1 i ! II : � I N ! "� • - � , j • 1 i 1 � I � it � j r «S pV i CR g CB ,: CE �; t• HEAT NO. V „ C $ : MN $ • P $1 S :.`,$ SI CI3 V NI . b 1; MO 365496 .18 .74 .01 .02 .18 . .37 .09 .08 .OBJ .02 .0 .32 365596• 15 .76 Oi 02 . 19 .35 pp9 .L19 �0 .0? .0 .29 064396 -:15- . 64-- _ . 01 : 02_ " 19 - 40 - . : t�$ . 07 b . 0 .0 .2� 1 > 7.• 18 .$2':.DQ: .qE: 3 ; T x 0659 p �._ �. p r:-4. 7 ,- ..10:'.`:x, :00:.,- :.02 .29 =,y , -. r *.824095' 14 = 70 : 02rE..;r �R 18 .4 0 - ' > 7 :`.3G269G .74-.z .0g. 1 03 , `I 2 A _ 2� >: -62596 : r .r,_ .. - Q 72 . t71 b2� 22': ! 4 .A8 : 07 0 B" Z _ s x T i y a � t• s 5 N t p0' MMBE1t(S) 57495- 11111 Jill i 4: h a : P ,•, ?v.}z -ai 4' ...-.< ., 1 .�•ry �,r•. •r. _ - a: 1 .. r ?:40`'::.-.:'`�" t 1= IICERTIFIED BY ' t ! { _ • I; I = CSRM CUALRYASSUPiANCE MANAGER - t, I * . AI,_ IP �SSES:FOR THE . N[ATERIAIS I + DENMS : W c LAMER-Q A. M ELEVATION CERTIFICATE O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 199'? NATIONAL FLOOD 4NSUFiANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide 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). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER _Wild_ Goose Club STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 1.4561.0 OTHER DESCRIPTION (Lot and Block Numbers, eto.:f Ass_e_sso_rs_P_arcel Number 21-030-009 CITY y STATE ZIP CODE Live Oak CA 95953 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX a4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 060017 550 B 9A 8 9' ; �,b, t�� A, :"- '. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ Other (describe on back) 3. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: it AL] _I _L] . LJ 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 _5 . 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 1 1618 1.0 I feet NGVD (or other FIRM datum–see Section B, Item 7). (b). FIRM Zones V1 430, 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 ❑JJ__❑.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 feet above I 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 ❑_I . ❑ feet above I J or below l_-.! (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 [_j Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: Fx 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 FIPM (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.) 4. Elevation reference mark used appears on FIRM: ❑ Yes L� No (See Instructions on Page 4) 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.) 6. The elevation of the lowest grade immediately adjacent to the building is: ❑—❑6�6J.❑ 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: LLL_L_JJ.LJ feet NGVD (or other FIRM datum–see Section B, Item 7). ?. Date of the start of construction or substantial improvement — FEMA Form 81-31, MAR 97 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 still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Ronald L. Graves/Robert C. Brooks P.L.S. 4085/R.C.E. 15140 CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) Professional Land Surveyor/ Ron Graves and Associates TITLE Clvll Engineer COMPANY NAME P.O. Box 986 Orovi l le_-__ -_-__-_ ------ - - - CA_ __._..____9 5.9-6.5- -- ADDRESS CITY STATE ZIP 1 0-0.2-97 (916)534-9587.- DATE 916)534-9587..DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: Elevations were derived from U:.S.G.S. bench mark _HJH1._95.1.56._.3 . inch brass disk in concrete 30 feet (approximately) West of buildings Elevation 56 stamped on brass disk. True elevation 56.3. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES nEFFRENCF LEVEL REFERENW- n' i I _n F7, BASE - FLOOD tT:vfiL Lf V'1. ELEVNot) 1 ti, BASE RASE ADJACENT REFERENCE FL000 LEVEL ELEvA NON NT GRADE %L— FLOOD ELEVATION E .:..0 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 a4.J=.:.?'r.ICS.�.••JC l3�Ci°ZI.n.� 6'?'�'0 __. ....._ ...._. ._. _ ___. -- __ .— CERTIFICATION OF -INSULATION ADDRESS OR TRACT LOT . — SACRAMENTO INSULATION CONTRACTORS --; -- I 11 L� P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. 4202026' 1 P.O. BOX 4146, STOC>CTON, CA 95204 LIC. ✓~+202025 I P.O. BOX 1631, RENO, NV 89505 LIC. 410675 L7 P.O. BOX 9651, FRESNO. CA 93793-9651 LIC. 4202026 i 5470 B SOUTH PROC'fON AVE., LAS VEGAS, NV 89118 LIC. 410675 DATE 4NS'JLATION COMPLETED .^--- -- —� R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED R •VALUE APPL £D WEIGHT PER INSTALLED 7HtCKNESS r' INSTALLED THICKNESS . SQUARE FOOT INSTALLED THICKNESS k 'Al u w A r I C A R n V F MA•EPIAL .—_---'----.__ IFOAIa----. FIBERGLASS BATTS i - -- OCF -- i AIR INFILTRATION SEALANT MATE R:A~'----- •--- -- ---- -- 11d a7i :AC -URF.R W R GRACE ------------ - - -- THIS IS,TO CERTIFY -THAT ,INSULATION .AND/OR.SEAL'ANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL.STANDAADS AND UL REGATIONS SI NS NATURE -IU N CO ON?RAC TOR TITLE DATE W MANAGER •NAi R —GEN RAL CONTRACTOR TITLE OATS SIG u E � f REMARKS I SQUARE FEET) ( SQUARE FEET) SQUARE FEET) ( - TYPE OF INSULATION - - -TYPE OF INSULATION TYPE OF INSULATION _ MArEaIA'L - MATE�4IAL FIBERGLASS IdAT ERIA'- FIBERGLASS . FIBERGLASS •CORM-- -- _- ------'--...----.._. ..---- FORM .Qa\I----- -- __. _._.—^_ BATTS & BLOW I BATTS BATTS f �aNUFACI'U'�cR S PR;iD'JCT 1A4'JJI;FACTURER'S PROOUCi I D �~ MANUFACTURER'S PRODUCT I D I MANUFACTURER MANUFACTURER DCF' OCF OCF R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED R •VALUE APPL £D WEIGHT PER INSTALLED 7HtCKNESS r' INSTALLED THICKNESS . SQUARE FOOT INSTALLED THICKNESS k 'Al u w A r I C A R n V F MA•EPIAL .—_---'----.__ IFOAIa----. FIBERGLASS BATTS i - -- OCF -- i AIR INFILTRATION SEALANT MATE R:A~'----- •--- -- ---- -- 11d a7i :AC -URF.R W R GRACE ------------ - - -- THIS IS,TO CERTIFY -THAT ,INSULATION .AND/OR.SEAL'ANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL.STANDAADS AND UL REGATIONS SI NS NATURE -IU N CO ON?RAC TOR TITLE DATE W MANAGER •NAi R —GEN RAL CONTRACTOR TITLE OATS SIG u E � f REMARKS V � r APAc a Certificate of Confot-m'ance Certificate 43885 THE UNDERSIGNED MANUFACTURERHEREBY CERTIF.IES'that the structural wood products identified below and marked with a -collective BY of American Wood Systems (AWS) were manufactured in accordance with the specifications indicated below. -XANSI Standard A190.1-1992; for Structural Glued Laminated Timber ❑ Proof loaded end joints WESTERN WOODS ' Job Name CHICO, CA Job Location - Customer's Order No, 3 Sa6 60482 Company Willam�te I�. Date 05-01-97 57-7178 Mtgr's Order No ger rtie Technical Director • Address Vaughn, Oregon Date 05-01-97 IT -IS HEREBY CERTIFIED that the structural glued laminated: timber production of the above-: named .manufacturer which carries a collective mark of American Wood: Systems (AWS) is subject to regular audit by American Wood Systems', such audit consisting of the inspection with reasonable frequency of the manufacturing process, with ,adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. 000 ORgr� Q SEAL y' by / J • Thomas G. Williamson Executive Vice President AMERICAN WOOD SYSTEMS?— A RELATED CORPORATION OF APA - MIO -ME -L. ° '"5�A MADRONEAVE. CIVIL "ENGINEER ` ' OiiO.vI4F, CA, 95966 RCE 20647' - (916) 533-2131 Butte County ' May 8, 1997 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95966 Re: Permit No.. 96-1758 Wild Goose Duck Club Cabin 14, George Kellogg, Per our conversation -of -this date I am submitting -to you a revised foundation detail for this project.. This particular pier was "Red tagged". by the -inspector because of its proximity to the septic tank. The footing primarily effects corner of the tank, which forces will, I believe be accepted by the tank walls in the plane of the wall. Thank you for your consideration. Yours, Michael Mooney My license expires 9-30-97 QO o :TANK L) t L 7 5Z,-�) 6orm COONTY 3UILDING DEPARTMENT APPROVE -2.5' o LO 6' 51 ( 1 11 TAMCOffV11i 7r� Is 'o Wi LO L�Wzb'6 (SIA)16 �DUNOAII.ovl 001Spbr.1 ace, I/ 1 _ ..a --A. ...q ..• y� .�...w. -.c'. ^>ry •.:,:r.✓+�:.u. ..r -• � o.. . �i+.r ..rws7-e.r,.� ,: z�� 021-030-009pt. PERMIT.#96-1757,x.- WILDGOOSE CLUB t: 1 Mi N of - N Butte -Rd.,Cabin:l4, Cont: R.D. Prater Const. Demo/SF ''.. r t6, r - 1 `' ..�" � + +�.; if• - \ � � L v� Ir' p. � , '�� �✓W� ® (tis IL , ter+. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION c 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATI6N AND PERMIT ��- �-� ASSESSOR PARCELNUMBER 21-030-009 (PORT) ZONING A 40 BUILDING PERMIT OWNER tdI1DC�OSF CLIJP. LLOYD DRYEF. 1-800— TELEPHONE 359-5490 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOY 12968 RLNO h'V. 89510-2968 ((����T*�, �Q (�}: v`�L'NI • P " CE 1,500.00 CONTRACTOR'S NAME R.D.PRATT-: WNST RUCTION TELEPHONE 534-9230 CONTRACTORS MAILING ADDRESS PO BOX 336 p Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS .� IN -I N OF lL E % R IN 1114 PERMITFEE $ 55.00 IINT OAF, PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF d: Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: f1FTdf1 Mobile Home S G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service / OOOV OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code,( and my license is ip..iull force and effect. License Class Lic. No. 66 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( b ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST./ LTI-OUTLET NON-RESID. \ BRANMUCH CIRCUITS ) @7.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2O Q 1.00 BAL so EX. Occup. OUTLEEDTS ((RRESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. E1] I have and will maintain workers' compensation insurance, as required by Section ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o' pensation insuran carrier and policy number are: Carrier tdE 44147 . MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 279- !K/... 161,3i9l (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the perjormance of the work for which this permit is issued, I shall not employ y per �Wo in any manner so as to become subject to workers' compensa ' laws f rnia, and agree that if I should become subject to the mpe atioprovisions of section 3700 of thebor Code, I shall Zfolwlt om ithT hose provisions. X Date � Sigf Appl t - ner Contractor O Agent! An OSHA permit is required for excava o s over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 55.00 HA2. D. FEES IMP LOOo CDF PARCEL PD H - %workers. ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By A�~� \ PERMITEXPIRESON /' applicable provisions Resolutions to do work been paid. Date ��� is �. - e , 6 7 (Date) :� Receipt No. 2 - - 2 I 1 ; J � ', .�,��? >� % % }% - ti }, � " / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T COUNTY OF BUTTE- DEPARTMENT oOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-754e-? % PERMIT NO. APPLICATRM AND PERMIT ASSESSOR PARCEL NUMBER 21-030-009 (PORT) ZONING A 40 BUILDING PERMIT 0 OWNER WILDGOOSE CLUB LLOYD DRYER 1-800- NE 395490 SO. FT. OCC. BUILDING VALUATION CONT. PR CE 1,500.00 OWNER'S MAILING ADDRESS PO BOX 12968 RENO NV. 89510-2968 CONTRACTOR'S NAME R.D.PRATER CONSTRUCTION TELEPHONE 534-9230 CONTRACTOR'S MAILING ADDRESS PO BOX 336 PALERMO, 95968 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ 55,00 PLUMBINGPERMIT Filing Fee 20.00 LIVE OAK Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF fX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: TIT M(1 Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is II force and effect./// License Class . Lic. No. / 'f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING Occup. OR ( 8 ACC. ) SO. 3.52 N. CN NEW CONST. MULTI -OUTLET T NON-RESID. ( BRANCH CIRCUITS ) 97.50 WERUS (a S(NGLE OUTLETTCIR. ) Ex. Occup. (OUTLET OR FIXTURES ) ens a'.so Ex. Occup. ( OUFIXED TLETS(RESIDOR .) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o sati. - uran carrier and policy number are: Carrier / Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hun d dollars ($100) or less.) ❑ I ifat in pe ormance of the work for which this permit is issued, I shall not aploy y per on in any manner so as to become subject to workers' compensa - laws f C 'or ia, and agree that if I should become subject to the wo, ers' mpe atio pr isions of section 3700 of the L bor Code, I shall fo h om hos provisions. X Date --- Sig a f pl Contractor ❑ Agen An OSHA permit is required for excav to s over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 [of HA2. D. FEES r IMP LO D COF _ PARC PO H ISSUE V This permit is hereby issued under the the Butte County odeand/or indic d v r ich fees have By PERMITEXPIRESON //h!6 applicable provisions Resolutions to do work been paid. Dat (ate) ° Receipt No.202 6 .�� �� vI no WHITE-D.D.S.-B. -INSiPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE- DEPARTMENT,0F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICAZIONAND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNS t r�n t72 J Tfl�P1ONE 63E SO. FT. OCC. BUILDING VALUATION OW ER'S ASAI ADORES 1 1 VX CO CTOR's ME ODY14. OIL TELEPHONE �`.�/� CO TORS MAILING ADDRESS 3 a(� Fireplace Fireplace CONSTRUCTION LENDER Nowc UNKNOWN Valuation - $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS _ _ Permit Fee $ S U O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS - Penalty $ ILDING ADD s PERMITFEE $ . d 4 PLUMBINGPERMIT Fling Fee 20.00 - d Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF (Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK (� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:. L� �— Mobile Home IS I GI W 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filing Fee 20:00 - Main Service ( 000v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , , `7i License Class Lic. No. [�L� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ 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. NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES L 20 0 ''50 BAL_ .50 PPUNS. OR Ex. Occup. ( OUTLETS R DI EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ (� HAZ. 1 D. FEES I P FLOOD I CDF PA�A,9&PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B y PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition:Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or. state and local agency which is authorized to issue demolition permits as to any building or structure except upon the.receipt from the permit applicant of -a copy of each written asbestos notification regarding.the building -that has been required to be submitted to the United .States Environmental Protection Agency or.to a designated state agency, or -both, pursuant to Part 61 of Title 40 of the Code of Federal=Regulations, or the successor to.that part. The.permit may be issued without the applicant —submitting a .copy of the -written notification if the .applicant declares that the notification is not applicable to'the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at ur�f Apliii`ar,t 6P I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 MISCELLANEOUS ITEMS TO LOOK OUT FOR: Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). 3 / Brick or stone veneer (Section 1403). - 'A/ Exterior plaster - weep screeds (Section 2506). J. Proper roof pitch for roof covering (Section 1501). C� Roof covering type - (fire hazard). Foam insulation - protection. .8" 36" halls and stairways. 1 Living area over garage - complete 1 -hour separation required on garage side including supporting walls. and posts.' I -e Two exits on three - story dwellings (Section 1003). 1,� Underfloor access and ventilation (Section 2317.7). W' Attic access and ventilation (Section 1505). 1-< Combustion air for fuel burning appliances - L.P.G. requirements. 1,_ Noise requirements on duplexes. lkl Energy design. 1.81 Flashing at all exterior openings. �1. C.D.F. responsible area requirements. %'COOIL> £L£Vlif-(Ong C£.9 -f1 F(CAT f. , A SAN(TA t Yom C.C.£/) (ZA4 CC_­ ONL3 — f LAevrJ (4 (; 51 r. Aj, 6 F F kq_ R£vlT_w OF f-AI61n4f-f,2rrj(5' , ,July 1996 3.3 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: £).'). L i fT t- F C t je L tK, BUILDINGPE ER: Cl4'-17 ,5,3 PLAN CHECKER: G ! i3 n oV .S A.P. NUMBER: 02 /— (-)`.?O - 00 9 ENERAL • / Zoning requirements: (side yards and number of permitted living units). fCA1V n(iKG S t C9 n( 0 FF 3! Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. ,y, bItems on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). 7" Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. s'� Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. 888 Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. / Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). s� Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Ber-- Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). 12. Fireplace and wood stove location, alcoves and clearance. Y3� Smoke detectors (Section 310.9.1). Y4. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2 Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. / Elevations and wall construction details complete enough to construct building.. Roof construction details complete enough to construct building. I� / Rafter ties or bearing ridge beam. 1k Fireplace construction details and calc. if necessary. �/ Garage door and/or porch header sizes. 111. Stud heights. ? 13. Adobe soils - special foundation design. 14"" Retaining walls requiring design. 15. Special Inspection requirements. ltK' Header size. Sheetrock nailing inspection required? July 1996 3,2 „,,..,,.�,,,5"'""""`”ytrt^'`w�*+-r��"SF::�,S;.:,;:,,,r,x�,•i+�yi�,�tt�f'r;r+.bV�n�,�:*'�-u�►�r�•«`rt�.r�3sir:;�"ti�"rr'^t�►�,;�. r. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District r ; Building Department No. A.P. Number 2 / - c ):3(D-0 yT Jurisdiction: City [5ZI County Property Owner Property Location/Address , Id G-1 c, C1 C L 4^l � h ti '� 1 i Subdivison Lot No. Residential Development [I 0 Sq. Footage cpl4cc s a . C 6 No. of Living MHI Addition . (Group R) CL C, Size-- Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Depar(menf Representative Dat (Floor Plans reviewed by School District Personnel) District Identific tion No, School District certifies that (Applicant) ,0� C', c) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. s rep resenting/jlp ,,g�,A&j : LL•� square feet. District Representative Paid by Check # Bank'Number Paid by Cash S 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'sschools. Remarks: by payment of $"'� AB 2926 $ PULL MITIGATION_$ �17 Date: White (applicant), Yellow (building department), Pink (school district) feetorm.wkl (11/94)dmm B.H. USE ONLY Plot Plan At mAW Flo" Pisa Ame6ed Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ow Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well- Clearance ell Clearance for bedroom mobile -home. Other �Ri i✓1 10C 0 M 61/1 �- Hold final for: Final clearance O.K. for: NOTE: 2hA .aAA0111- aS -9eo Environmental Health Specialist U Date QM11 PC - T� � - � e .amu _ �� _ ad I� to ( xvit! NoR�r ti 1470 1 M 1 JI Dutte County le, L'Jur' Environmental Health 833. c.4Nh� ) 1 - __� _qi�= ��_ � Date ---------- / Signature W- L5UIT15 eouu-ry W64,-rp, Rb5IvUIpII5mvw,r-I 'eqr- Oro I • -- - - - •• ." `� ' y' ---::�« -:cow �-: v Cho'� ! -� �a•r l T' 1* �- � 'r ( + 1=' "� , __� . � gip• 771- "Tr o ; 5 ' . �,:. _ , r •.r' , � : i ars. � , 1 ' NNr Uttq "Em :on.mel�`aI ealtfi \ 1 Date a� Signature .:..,.� 8Z6St>£S916 1SNOO N31UNd Q b Wd 9S: Te I?Jd 96-Te-onv _ 4110=6 Lx L � WkuLtsi,s, u8c LaaLl. 1 CASN ASSuwti EO �z i�,-�60 R q 4's ��: �.--•- -__-_� _- . `... ,.. . �.... r. .r.�- �� �... .c.i t.� a •. — • • � L.% L.. l � � C -L -.L. -V ��t'.�r"'L�/�\b' . �S%��n �vd� � lLou�c. �ll�' � � 2�0� fps (� �� C � C�� �.� �� 6� � • . - . i V2 Ic L3 CA U 13b 3I(�s. �Q=� 12'5 ivs Ids IA cam. • .�� 2- 130��5 a-' .Sb( I �` /�DC� 2- � 5�3 ��S _ . , - COPN 't�e&coic, L Lt --i::!7,— -�- �� T E L C� WXI o t-l._S , -7i r l 4— J�� 4.S2�. 2,2C� �v �r�►a-tom . = 4-S2 2� ' C - d o -T-=C=-3.94 _% V2.76-7 or2�5sio n / eo kl l-fioGS �71 z.C- M,644 eeX . 2 14 Fe:,E/E� Fcc 1Fl JE! I U0o i `/_D, F Lnrnc we 1� (,Oeldy n 4,76,7 P5 T 13� l 4- 676.7 133 0.9 42, 2 Drd-� D. 9 4Z Z G,g '> so1` Cf av— 2x /AA -7i r l 4— J�� 4.S2�. 2,2C� �v �r�►a-tom . = 4-S2 2� ' C - d o -T-=C=-3.94 _% V2.76-7 or2�5sio n / eo kl l-fioGS �71 z.C- M,644 eeX . 2 14 Fe:,E/E� Fcc 1Fl JE! I U0o i `/_D, F Lnrnc we 1� (,Oeldy n 4,76,7 P5 T 13� l 4- 676.7 133 0.9 42, 2 Drd-� D. 9 4Z Z G,g '> so1` Cf av— 2x wrA A '�o`P • ��:- :-���2�;j�t.a-r�.�r.i�. ��C D '?�y�(Jt1UC� �c:�;Ss�'3� •tr����-U�� . `� Q = VA2©.53 PDS. AA 4- /3 oC I-1 12 { f 7t lis/�J&L . 4�3 X1.2 1 �� o o• �c�l l `� U LLS . _-.,. CC.) �, �6 c�-1,fe, ALAcS ` �/�rl/loL 7b T7- Z51ZAI/U 5SI7 J� 210 e - 21go K 16 70 I -n9 41, `x/3 3 JC ��� 'D.�`7, 3.3� -� 2 2L co . � � `'gin'` .•,Fr"`4 vv C, ttoaczg q 4 / A , _ • ' r (,2A l I �Z,IL . k �'`✓yl: c_'G LO A)o C/z + 9. (2LI) xcz)X-�g �� s tee (Sk cc 2A 4- MSMB KB) 4--si R"4r6 [0 4 (LrOZ �2./nti►n 12L.,j8 .w -2T( + 2.23 0 oa\-D Li'mos 7:1 ?Lq-ufdUD bJM'L PL4 Wo C) fo � esc- k,!s I. co 4-0 XV4 Kwa 46 est CLt7 W— RZ-6r—+ (20-Cs'F+ �Jku-+ FLo6(Z + DEZ-Y, = r 2 x L (�-t-c�l � 2 i c �� � � �- ��(� �-- a . �2 �c Cho �-�� -� z D� ��o ��� 16 FILE COPY r ------------------------------------------------------------------------- MULTI-SPAN TIMBER BEAM DESIGN & ANALYSIS Page ------------------------------------------------------------------------ DESCRIPTION --------------------------- I -- Span'1-1 1 -1 --Span 2-+ -Span 3-+ -Span 4-+ -Span 5 -+-Span 6-+ -Span 7-- --Span 8-1 ALL SPANS SIMPLE SUPPORT ? N y/n S` R SAN L G H ft 91 END FIXITY.... Lefty 1 1 1 1 1 1 1 1 Fix/Pin/Free 2/1/0 Rtl 1 BEAM"WIDTH ink J5.125 5.125 7-7 BEI" AM`DEP_,,H inj -12.00 12.00 C. --�-C'AL�CULATED VALUES ----�--------==--- --------------------------------------------------------------------- F'b - Modified ALLow. psis 3,000 000 fb - Actual psis F'v - Modified Allow, psis 206.25 206.25 fv (actual) * 1.5 psis 98.00 98.00 Moment a Left in-kl -110.5 11 11 Right in-kl -110.5 Max. Mom. a Mid -Span in-kl 62.1 62.1 X -Dist ftl 3.55 5.95 Shears: Left kj 2.91' 4.85 Right kj -4.85 -2.91 Reactions: Left: Dead kj 1.15 3.82 Live ki 1.76 5.87 Total ki 2.91 9.69 Right:Dead ki 3.82 1.15 Live ki 5.87 1.76 Total ki 9.69 2.91 Max. Deft. a Mid Span inj -0.047 -0.047 x -Dist ft) 3.99 5.51 ------- DESIGN DATA ------- I ----------- ------------------------------ ------------------------------ ---------� Le: Unsupported Length ftp 2 2 Fb - BASIC ALLOW. psis 2,400 2,400 Fv - BASIC ALLOW.. psil 165.00 165.00 85.00 85.00 85.00 85.00 85.00 85.00 E ksil 1,800 1,800 1,800 1,,800 1,800 1,800 1,800 1,800 LOAD DURATION FACTOR 1 1.25 1.25 1.25 1.25 1.25 1.25 1.25 1.25 ----- APPLIED LOADS ------- I --------------------- -------------------- ----------=--------- ---------- --------- USE LL THIS SPAN? Y/Nj 1 1 11 1 1 1 1 1 UNIFORM...... DL ptfl 322 322 LL plfj 494 494 PARTIAL...... DL plf) LL plf l _ X -Left ftl X -Right ftl TRAP.... DL a Left #/ftl DL @ Right #/ftl LL @ Left #/ftl LL a Right #/ftl X -Left ft) . X -Right ftp POINT........ DL 41 LL #1 X -Dist. ftl DL #) LL #1 X -Dist. ftp DL #1 LL #1 ---='----------------------------------------------------------------- MULTI-SPAN TIMBER BEAM DESIGN & ANALYSIS ----------------------------------------------------------------------- 3� X -Dist. ftp DL #1 LL #1 X -Dist. ftp MOMENT....... DL ft -#I' LL ft -#1 X -Dist. ftl ------ QUERY VALUES ------- I ----------- ---------- ---------- ----------------------------------------�---------� ---=------------------=-------------------------------------------------- MULTI-SPAN TIMBER BEAM DESIGN & ANALYSIS Page_ - ----------------------------------_------------------------------------- YY� DESCRIPTION ;; -"o •. ----------------- ---------- I --- Span 1--l--Span 2--I--S pan 3"``------"''I--Span 4 --,--Span 5 --,--Span 6 --,--Span 7 --,--Span 8-1 ALL SPANS SIMPLE SUPPORT ? N y/n SPAN LEN�GT ftl 9:5'7 9:57 END FIXITY.... Left, 1 1 1 1 1 1 1 1 Fix/Pin/Free = 2/1/0 Rtl 1 1 1 1 1 1 1 1 BEAM'.WIOTV< in, 515, 5.5•� ,-50 1� ---- CALCULATED VALUES ----I-----11----------------- ----------------------------=---------------------------------- F'b - Modified Allow. psil 10,300 1,300 fb - Actual psil 509 509 F'v - Modified Allow. psil 65.00 85.00 fv (actuaL) * 1.5 psil 53.94 53.94 Moment a Left in-kl -61.7 11 " Right in-kI -61.7 Max. Mom. a Mid -Span in-kl 34.7 34.7 X -Dist ftl 3.55 5.95 Shears: Left kI 1.62 2.71 Right kl -2.71 -1.62 Reactions: Left: Dead kl 0.27 0.90 ` Live kI 1.35 4.51 Total kI 1.62 5.42 Right:Dead kl 0.90 0.27 Live kl 4.51 1.35 Total kl 5.42 1.62 Max. Deft. @ Mid Span inl -0.031 -0.031 X -Dist ftl 3.99 5.51 ------- DESIGN DATA ------- I ----------- I---------- I---------- I---------- 1---------- I---------- I---------- I----------, Le: Unsupported Length ftl 2 2 Fb - BASIC ALLOW. psil 1,300 1,300 Fv - BASIC ALLOW. psil 85.00 85.00 85.00 85.00 85.00 85.00 85.00 85.00 E ksil 1,600 1,600 1,800 1,800 1,800 1,800 1,800 1,800 LOAD DURATION FACTOR I 1 1 1.25 1.25 1.25 1.25 1.25 1.25 ----- APPLIED LOADS ------- I----------- I---------- 1---------- i---------- I---------- ,---------- i---------- I---------, USE LL THIS SPAN? Y/NI 1 1 1 1 1 1 1 1 UNIFORM...... DL ptfl 76 76 LL ptfl 380 380 PARTIAL...... DL ptfl LL ptf l X- Left ftl X -Right ftl TRAP.... DL a Left #/ftl DL a Right #/ftl LL a Left #/ftl LL @ Right #/ftl X -Left ftl 'X -Right ftl POINT........ DL #I LL #1 X -Dist. ftl DL #1 LL #1 X -Dist. ftl DL #I LL #1 ---=--------------------------------------------------------------------- ' MULTI -SPAN TIMBER BEAM DESIGN & ANALYSIS ----------------=--------------------------------------------------------5% i `-i X -Dist. ftl DL #1 LL #1 X -Dist. ftp MOMENT....... DL ft -#1 LL ft -#1 X -Dist. ftp ------ QUERY VALUES ------------------ ---------- ---------- ---------- --------------------- -------------------� } ----------------------------------------------------------------------- NJD�ESIGN TIMCOLUMN Page__ �BE�R � --- ------------------------- DESCRIPTION I�J - ---------- DESIGN DATA ---------- -------- ALLOWABLE STRESSES -------- RECTANGULAR Columns... Fc : PARALLEL = 1,000 psi (Depth(Parll Y -Y)= 5.50 in Fb BENDING = 1,200 psi (Width (Parll X -X)= 5=.=50--n LOAD DURATION FACTOR = 1.00 ...Is Size Nominal ? N y/n E : ELASTIC MODULUS =1600000 psi -- or - UNBRACED LENGTHS : Le = ke * Lu CIRCULAR DIAMETER = in X -X AXIS (axial) = 9.5 ft Y -Y AXIS (axial) = 9.5 ft ,TOTAI;COLUMNTHT —f-tD- X -X AXIS (bending) = 9.5 ft -------------- LOADS ----------------- Dead Live Short ------------ Axial Load = 900 41510 lbs ..Eccentricity = in (from "Depth" centerline) Transverse Moment = in -lbs Side Load = lbs ....Dist From CL _ in ....Dist From Base = ft ------------------------- CALCULATED MOMENTS --------------------------- Equivalent Load @ Mid -Ht = # Side Load Moment in-# Max. Design Moment = in-# ------------------------------ SUMMARY -------------- ----------------- Use DL+LL DL+LL+ST DL+ST Axial Stresses... ------- ---------------- Actual = 178.8 178.8 29.8 psi Allowable = 881.4 881.4 881.4 psi Bending Stresses... Actual = psi Allowable = 1200.0 1200.0 1200.0.psi INTERACTION EQUATION VALUE = 0.203 0.203 0.034 =1 OK (Note: LDF considered in interaction value, which must be < 1.00 ---------------------------------------------------------------------- --------------- ALLOWABLE BENDING & AXIAL STRESSES -----------7--------- AXIAL: Actual Fc:Allowable: X -X : k Lu / d = 20.73 X -X Axis = 881 psi Y -Y : k Lu / d = 20.73 Y -Y Axis = 881 psi Max. Allow. kLu/d 50.0 FIC = 881 psi K = 26.8 F'c * Load Dur Factor = 881 Min. Allow. kLu/d = 11.0 (LDF Unused if k Lu/d > 'K') FLEXUAL: C -f: (12/d)^.111 = C -s: (Le d/b^2)^.5 = ------------------------ fc : Compressive F ' c : " J= (L/d-11)/(K-11) fbx : Flexural F'bx : = 1,200 psi 1.00 F'bx : Allow * LDF = 1,200 psi 4.55 INTERACTION ANALYSIS -------------------------- DL+LL DL+LL+ST DL+ST ------ ------- ------- 178.8 178.8 29.8 psi 881.4 881.4 881.4 psi 0.614 0.614 0.614' psi ---=-------------------------------------------------------------------- TIMBER COLUMN DESIGN 7/[ jl ------------------ ------------- ----------------------------------------- F'bx: to = 1,200 1,200 1,200 e : Eccentricity = in d : Depth = 5.5 5.5. 5.5.in Interaction Equation = 0.203 0.203 0.034 fc/F'c + fb / (F'b - J*fc)--------------------- r ---=--------=--------------Q-------------------------------------------- SQUARE FOOTING DESIGN Page ---------------------------------- DESCRIPTION ---- LOADING DATA `r�Q-17---------- -------I- (------- DEAD LOAD k 0.9 LIVE " k 4.51 SHORT TERM " k SEISMIC ZONE (0=wind) OVERBURDEN WT psf COMBINE LL+ST? y/n Y Y Y Y Y Y ---- FOOTING DATA ---- LENGTH & WIDTH ft �2�6.. ��2�1C3Zu .--- - 1-12, K A-. C� THICKNESS in # OF BARS 4 BAR SIZE # 4 COLUMN SIZE in 5.5 f1c psi 2,500 .3,000 3,000 3,000 3,000 3,000 Fy psi 40,000 60,000 60,000 60,000 60,000 60,000 BAR COVER in 3 3 3 3 3 3 CONCRETE WT. pcf 145 145 145 145 145 145 ----- SOIL DATA ------ BASIC ALLOW. SP psf 1,000 SHORT TERM MULT. 1 1.33 1.33 1.33 1.33 1.33 DEPTH BELOW SOIL ft INCREASES ...... % NO I✓�-G� G� PER FT DEPTH psf WHEN BELOW.... ft PER FT WIDTH psf WHEN WIDER.... ft -- CALCULATED FORCES - -------I-------I-------I------- I.-------------- Max. Static SP psf Allow Static psf 6 1,000 Cii 1Y1 Max. Short SP psf Allow Short Term psf 1,000 One Way: Allow `psi 100.00 Vu/phi psi -0.96 Two Way: Allow psi 200.00 Vu/phi psi 6.56 Mn k-ft/ft 14.50 Mu/phi: Actual of 1.06 -- REINFORCING ----- ---- - ( ------I-------I--------I-------I------- Actual Bar Depth in 14.75 14.75 14.75 14.75 14.75 14.75 MIN ALLOW. % STEEL 0.0014. 0.0014 0.0014 0.0014 0.0014 0.0014 200 / Fy % 0.0050 Req''d Per Analysis 0.0001 USE ....... % 0.0014 In^2 Req'd per Foot 0.248 Total Req'd in^2 0.662 --- REBAR CHOICE&4�:�=Y -- -------- I-------I--------'I-------I------- Quantity of: #5 3 #6 3 #7 2 #8 2 #9 2 10 2 ------- I-------I-------I--------I------- I------- ✓�I/1 �`1 �i�/ i6'lJ�Si 5 Lit. N ` . � 4 ' `%�/ . 3 27A -C-79)? IM N ( 7 -2, - Lit (JIK3G LiW5 . Z Ir -U_ 2 mak-L �V_� Lcd�S 3.23 L wL;-3.23 TV Le� ?, 23 Pit .nc. r b5t4L- 2.01 IC 0 L 3.23'-d 6b t�R AV,I-J'krJ I) r-�nw' ANT R S�4 --------------------- Q\ S UARE FOOTING DESIGN Page_ �I '-------------------------------------------------------------------- DESCRIPTION >> ---- LOADING DATA ---- -------- ------- ------- --------I-------I------- DEAD LOAD k 1.59 1.98 LIVE of k 5.52 3.19 SHORT TERM " k SEISMIC ZONE (0=wind) OVERBURDEN WT psf COMBINE LL+ST? y/n Y Y Y Y Y Y ---- FOOTING DATA ---- LENGTH-&-W_LDTH f t 33.16- 1--.7577 TEICKNESS> in 4 OF-BARS� C4� BARS-IZ oto # �4J tCOLUMN` SIZE, in S3 5 f'c psi 2,500 2,500 3,000 3,000 3,000 3,000 Fy psi 40,000 40,000 60,000 60,000 60,000 60,000 BAR COVER .in 3 3 3 3 3 3 CONCRETE WT. pcf 145 145 145 145 145 145 ----- SOIL DATA ------ BASIC ALLOW. SP psf 1,000 1,000 SHORT TERM MULT. 1.33 1.33 1.33 1.33 1.33 1.33 DEPTH BELOW SOIL ft 1 1 INCREASES...... PER FT DEPTH psf WHEN BELOW.... ft PER FT WIDTH psf WHEN WIDER.... ft -- CALCULATED FORCES - -------I------- -----=--------� -------I-------I Max. Static SP psf 930 901 Allow Static psf 1,000 1,000 Max. Short SP psf 930 901 Allow Short Term psf 1,330 11330 One Way: Allow psi 100.00 100.00 Vu/phi psi 1.19 -0.58 Two Way: Allow psi 200.00 200.00 Vu/phi psi 10.31 6.44 Mn k-ft/ft 12.28 14.08 Mu/phi: Actual " 1.49 1.01 ---- REINFORCING ----- -------I------I------I-------I------ ---�--- Actual Bar Depth in 14.75 14.75 14.75 14.75 14.75 14.75 MIN ALLOW. % STEEL 0.0014 0.0014 0.0014 0.0014 0.0014 0.0014 200 / Fy % 0.0050 0.0050 Req'd Per Analysis 0.0002 0.0001 USE ....... % 0.0014 0.0014 In^2 Req'd per Foot 0.248 0.248 Total Req'd in^2 0.783 0.681 --- REBAR CHOICES ---- --------I-------I------- --------I-------I------- Quantity of: #4 5 4 #5 4 3 #6 3 3 #7 2 2 #8 2 2 #9 2 2 #10 ---------------------- 2 -------- 2 ------- ---------------I-------I------- ------------------------------ -------------------------- -- COMBINED FOOTING DESIGN & ANALYSISPage Z C� ------------------------------------------------------------ -----�- 1 DESCRIPTION >> ------------------------=----- DESIGN DATA -------------------------P--- ALLOW. SOIL PRESS. = 1,000 psf CONCRETE WEIGHT 145 cf SHORT TERM FACTOR = 1.33 OVERBURDEN DEAD WT. = psf SEISMIC ZONE (0=wind)= MIN. As o = 0.0014 COMBINE LL & ST ? Y y/n COL. .SIZE #1= 5.5 in ... #2=5.5 f'c : CONCRETE = 2,500 psi BASE HT. #1= 6 in ... #2= 6 Fy,: REINFORCING 40,000 psi ------- COLUMN #1 --- -------- AXIAL - SHEAR ------- MOMENT ----------- LOADS: DEAD = 3.05 kips, ft -k LIVE = 2.01 kips ft -k SHORT TERM = kips ft -k COLUMN #2 ----------- AXIAL - SHEAR ------- MOMENT ----------- LOADS: DEAD = kips ft -k LIVE = kips ft -k SHORT TERM = 3.23 kips ft -k ---------------- ------------2-(DIMENSIONS----------------------------- 2 ------------ --- -- -- ---- DIST. LEFT OF #1 TOT FOOTING LENGTH -X5.00: DIST. BTWN COLS. 1 ft FOOTING WIDTH 2.5 ft DIST. RT. OF #2 = 2 ft }FOOTING,THICKNESS - 18 in ....... Datum @ CL of Column #1 REBAR CL TO SOIL 3:5 in --- DESIGN SUMMARY --------- Service - Allow -------- ACI Factored --- Left S.P.: Static D+L = 865 , 1,000 psf .9-1 = 1,278 psf Short D+L+S = 969 1,330 psf 9-2 = 1,121.psf 9-3 = 826 psf Right S.P.: Static D+L = 379 1,000 psf 9-1 = 561 psf Short D+L+S = 793 1,330 psf 9-2 917 psf 9-3 = 676 psf Resultant Ecc.: Static = 0.33 ft Stability Short Term = -0.08 Ratio = 99.9.00 :1 ....Col #1..... .... Btwn .... ....Col #2..... Reinforcing: Ru/Phi As Ru/Phi As Ru/Phi As ACI 9-1 7.4 0.24 7.7 0.24 2.8 0.24 9-2 7.2 0.24 8.5 0.24 5.9 0.24 9-3 5.1 0.24 6.7 0.24 4.1 0.24 Ru (psi), As(in/ft of width), negative --> As @ top of footing ------------------------------------------------ --------------------- ----- MOMENTS & SHEARS ---------- ACI Equation #•••• 9-1 9-2 9-3 Moments: -- Mu @ column # 1 = 1.39 1.36 0.96 ft-k/ft Mu btwn columns. = 1.45 1.61 1.26 ft-k/ft Mu,@ column # 2 0.53 1.12 0.78 ft-k/ft 1 -Way: Allowable Vn = 2 (f'C^.5) = 100.0 100.0 100.0 psi. Actual : Vu ' / .85 Left of Column #1 3.6 3.4 2.4 psi Between Columns= psi Right of Column #2. = 1.1 2.7 1.9 psi 2 -Way: Allowable Vn = 4 (f'c^.5) = 200.0 200.0 200.0 psi Actual: @ Column #1 = 5.9 3.6 1.5 psi IQ 2 C fie C c� gI12 U, CL 00 F, syL WAlk = 60 � .t c�4 1.19KOL 10 GD xi-itr, (,�b V 2. S7 (G+O, .� LE �a ----------------------------=---------------------------------------4 COMBINED FOOTING DESIGN & ANALYSIS Page-! ------------------------------------------------------------------------ DESCRIPTION >> ------------------------------ DESIGN DATA ----------------------------- ALLOW. SOIL PRESS. = 1,000 psf CONCRETE WEIGHT 145 pcf SHORT TERM -FACTOR = 1.33 OVERBURDEN DEAD WT. = psf SEISMIC ZONE,(0=wind)= MIN. As % = 0.0014 COMBINE LL & ST ? y y/n COL. SIZE #1= 5.5 in ... #2=5.5 f'c CONCRETE = 2,500 psi BASE HT. #1= 6 in ... #2= 6 Fy REINFORCING =40,000 psi ------- COLUMN #1 ----------- AXIAL - SHEAR ------- MOMENT ----------- LOADS: DEAD = 1.98 kips ft -k LIVE = 3.19 kips ft -k SHORT TERM = kips ft -k ------- COLUMN #2 --- ------ AXIAL - SHEAR ------- MOMENT ----------- LOADS: DEAD = kips ft -k LIVE = kips ft -k SHORT TERM = 1.94 1.36 kips ft -k DIMENSIONS DIST. LEFT OF #1. = 1.75 ft TOT FOOTING LENGTH_= 6,.00-Ift -------- DIST. BTWN COLS. = 2:5 ft FOOTING.WIDTH =. 2.5"ft D+L = DIST. RT. OF #2 = 1.75 ft FOOTING .THICKNESS _ 18 i ....... Datum @ CL of Column #1 REBAR CL TO SOIL = 3.5 in --- DESIGN SUMMARY --------- Service - Allow -------- ACI Factored --- Left S.P.: Static D+L = 993 1,000 psf 9-1 = 1,503 psf 4.0 Short D+L+S = 779 1,330 psf 9-2 905 psf -0.24 1A 0.24 Ru (psi), As(in/ft of width), negative --> As @ top of footing 9-3 = 544 psf Right S.P.: Static D+L = 131 1,000 psf 9-1 = 199 psf 4.5 Short D+L+S = 604 .1,330 psf 9-2 = 701 psf 0.76 0.39 ft-k/ft Mu btwn columns = 1.32 0.72 9-3 = 421 psf Resultant Ecc.: Static 0.27 ft-k/ft -0.77 ft Stability Short Term -0.13 Ratio = 7.97 :1 1 -Way: Allowable : Vn = 2 ....Col #1. .. .... Btwn .... ....Col #2.... Reinforcing: Ru/Phi As Ru/Phi As Ru/Phi As ACI 9-1 6.7 0.24 6.9 0.24 0.0 0.24 9-2 4.0 0.24 3.8 0.24 3.0 0.24 9-3 2.1 0.24 3.4 -0.24 1A 0.24 Ru (psi), As(in/ft of width), negative --> As @ top of footing ---------------------------------------------------------------------- ----- MOMENTS & SHEARS ---------- ACI Equation #.... 200.0 200.0 200.0 9-1 9-2, 9-3 Moments: 4.5 1.1 ------- ------ ------- .Mu @ column # 1 = 1.26 0.76 0.39 ft-k/ft Mu btwn columns = 1.32 0.72 -0.65•ft-k/ft Mu @ column # 2 = 0.01 0.57 0.27 ft-k/ft 1 -Way: Allowable : Vn = 2 (f'& .5) = 100.0 100.0 100.0 psi Actual : Vu / .85 Left of Column #1 = 2.5 1.4 0.7 psi Between Columns = psi Right of Column #2 = 0.2 1.0 0.5 psi 2 -Way: _Allowable : Vn = 4 (f'c^.5) = 200.0 200.0 200.0 psi Actual: @ Column #1 = 6.0 4.5 1.1 psi I 1 1- l r.,I I' . I r" i I A I I I lip . I I 1 yMi 021-030-009 99-0933r WILD GOOSE CLUB / SWANSON 14561 C. N. Butte Road, Cabin 20 L.O. A Contr: R.D. Prater Construction single family �flL 45*15fJ a 13 y - • - - r • 3` • .. - ..... ^s. r.-..: �., 1 t'•.x�µr ,S � .: 'any ' qC - ,? ? t •t'" ♦ T, -Apt r. ) A ' s fez ,•� - �•<x�d�"' V���'``+�� • � 1 1.! �^� �""�..'i"-r5 .s- fc '�,is4'„��e ejr��'�-�! C�Ey��ts; t .- „_:��z. :«, f _,.�..• �; `�,�'S .y7 '�-9 ...rr. -'eF-. yia }'�F"�y �y'� .. �.< r r } t NOTES ' _ 'RESIDENTIAL 997 021-030-009 99,6w-5. PERMIT NO. _ W-ILD_GOOSE.CLUB,/,SWANSON__ 14561 C. N. Butte Road, Cabin 20 L.O. •. w ; ELS >'r ,- j Contr: R.D. Prater Construction i i single family addition�i ,`z��/t� ` 7U Fm IT F0 EKY CAtcs P IZ R . ct� 7-z/— -7 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ` OFFICE COAD G 37 Address GAS �pate� Meter ByD� J� ELECTRIC Meter By J - I ,JOB FINALED (Date) s .r Signature t' - $.a CL/0 Ab�ts� t Y l A �r i �s (k r i' r•: . ct� 7-z/— -7 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ` OFFICE COAD G 37 Address GAS �pate� Meter ByD� J� ELECTRIC Meter By J - I ,JOB FINALED (Date) s .r Signature t' V= OK l 0 = Not OK - = Not Applicable w . MbBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s ` 1. 1. Zoning Requirements -Setbacks -Easements + 1 2. Soils; Special MH Support Sketch t 3. Sewer; Location -Test -Fall -C/O -Concrete 4. 4. Water; Location -Test -Easement Needed (Sketch) 5. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /"L"ft./ /'LPG 7. 7. Well Clearance & Disconnect 8. 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector ` 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ,1 = 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12: Permanent Foundation Only; License Decal - 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s �.f ` 1. r„ N 1 Footings; Soils -Size -Depth -Spacing -Connectors -Steel t ti 4. "O MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s ` 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors J 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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 Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK = Not Applicable =Not Ready 15. Access & Ventilation RESIDENTIAL (: Date Date Underfloor (Plans) OK except #'s Date 1. mg -Setbacks -Easements -Flood -Slope UMBING (Permit) OK except #'s -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Ftg., ain; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm Windows or Exiting Doors -Sill Ht. & Dimensions 3. F4", Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 1 .W.V.; JOSI Fittings & Anchor -Nail Protection 5. 6. Stemwalls, Main; Steel-Blockouts-Wrapped Stem tls, Garage; Steel-Blockouts-Wrapped ors -One 3' -Check Garage 3rd Story, 2 Exits 6 old Downs and Special Anchors 22. as Pipe; Sixe & Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date 15. Access & Ventilation EL ICAL (Permit) OK except #'s 16. Insulation Date _ Card B -i Date Card B-1 Date Card B-1 Date Card B-1 Date UMBING (Permit) OK except #'s -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Wat r.; Vent•Access-Combustion Air Baffle Bdrm Windows or Exiting Doors -Sill Ht. & Dimensions ate e; Test & Anchor -Nail Protection ex Installed Close to Edge of Studs & C.J. 1 .W.V.; JOSI Fittings & Anchor -Nail Protection 27. 20. er an; last, First Floor -Tub Access ors -One 3' -Check Garage 3rd Story, 2 Exits 1. Test T -Shower, Second Floor -Tub Access Apptrance Circuits in Kitchen & Conductor Size GFI 22. as Pipe; Sixe & Anchors 2T .'S, ire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date EL ICAL (Permit) OK except #'s Hangers- aps-Anchors-Connectors Fixture & Transformer Clearance -Ins. Protection ng. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 24. Elec eptacles Spacing -Lights & Switches at Doors ,q,. f4 -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Size Box No. of Conductors Stapled Bdrm Windows or Exiting Doors -Sill Ht. & Dimensions 26. ex Installed Close to Edge of Studs & C.J. 52. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water ors -One 3' -Check Garage 3rd Story, 2 Exits 28.2 Apptrance Circuits in Kitchen & Conductor Size GFI 55. 2T .'S, ire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI -Siding -Nailing Veneer 30 ange Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ID No 8. 31. ice -Riser Conductors & Ground Main Disconnect --T2-. Equ' learances Panels-Motors-Mech. Equip. 3 lothes C 'Light -Shower Light -Spa Light 34. a Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. Ducts Insulation & Support 36. Ve an, Exhaust above insulation Conde Drain Overflow, Size & Grade 3 urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic ss & Platform if Furnace in Attic e__ -- Date Card B-1 Date Card B-1 Date Card B -1_, --'Date Card B-1 Date RAMING (Permit) OK except #'s Si roper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 42 earing Walls over Girders & Floor Nailing 43. Dra Stop in Walls (rat proof) Fir Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. ea Beams -Size & Bearing dingle & Duplex) `: o Date FRAMING (Continued) Hangers- aps-Anchors-Connectors 47 ng. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fire Ties or Type A Flue -Fireplace Throat Clearance ,q,. f4 -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm Windows or Exiting Doors -Sill Ht. & Dimensions X51 arage Fire Protection Framing 52. Prope Line Firewall & Openings 5 ors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. PI od on Roof Overhang -Attic Vents -Rafter Outriggers 5A, -Siding -Nailing Veneer 57. cco Mesh -Drip Screed -Fd. Vents-Underflr. Access 8. Glafing Area -Glass Protection -Skylights -Plastic 6 ace Interior/Exterior Wall Panels 61. sylation-Walls-Ceilings r I's Q - Date O-- G (Card B-1 ate Card B-1 Date W_ zj 12 Card B-1 Date Card B-1 Date 1 / FINAL (Plans) OK except #'s Protection•Landi Smoke Detector 0. urnace Vents -clearance -Comb, Air -Connector - Ir Garage; Above Floor-Ducts-Mech. Protection I. & Bath Fixtures & Tub Access -Spa c. Trim & Subpanel, Breaker Sizes & Labels tairs & Rails fireplace or Stove, Clearance -Hearth (.c. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance _ 33. Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper 6. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i Garage; Above Floor-Mech. Protection . W., Elec. & Mech. Equip. Listed for Location f 1l./f lec. Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 60. Guard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following Instld./Drive D Yes ] NoMalks ] Yes :J No/Planters'] Yes D No Stucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing /dents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground ,69. hentilation Throughout House Gjass Protection rrections from Previous Inspections as Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Certificate -Other Certificates WAddress Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: y,t CERTIFICATION, OF INSULATION . t SIC -303..- a a •.r BUILDER COPY ADDRESS OR TRACT 9 SACRAMENTO INSULATION CONTRACTORS_ C4b m) LOT #• % /1 v ❑ P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026' ❑ 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 �� �� ❑ P.O. BOX 9651; FRESNO, CA 93793-9651 LIC. #202026 t - ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 ^ y ` ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DATE INSULATION COMPLETED u CEILINGS •�• If SQUARE FEET) (. SQUARE FEET)• ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL-' MATERIAL FIBERGLASS FIBERGLASS- FIBERGLASS FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER 3 OCF OCF OCF BAGS R - VALUE APPLIED' R - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED 3 INSTALLED THICKNESS INSTALLED THICKNESS WEIGHT PER, SQUAREFOOT ' INSTALLED THICKNESSr Yq KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS OCF - AIR INFILTRATION SEALANT. MATERIAL _ MANUFACTURER 8-p��yY� • W R GRACE THIS IS TO CERTIFY -THAT. INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. SIGNATURE —INSULATION CONTRACTOR TITLE DATE Qct- YV� MANAGER SIGNATURE -GENERAL CONTRACTOR TITLE DATE - REMARKS: _ y. . t SIC -303..- a a •.r BUILDER COPY COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES --- 411 Main Street • Chico, CA • (530) 891-2751 - - 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE d,� ►���1►s� s f1I,1 � �'ti�f�i .z A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,-' ;Ple se contact this office immediately. _z Date SSrInspector REV 10/92 .Y f l Y +hl Date SSrInspector REV 10/92 ' • COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7• County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-030-009 ZONINGA40 BUILDINGPERMIT` OWNER WILD GOOSE CLUB /' BOUkONNET TELEPHONE SO. FT. OCC. BUILDING VALUATION 1024 R 55,296.00 OWNERS MAILING ADDRESS 14561 C N. BUTTE ROAD, LIVE OAK 95953 248 C. DE K 3, 224.00 CONTRACTOR'S NAME R.D. PRATER CONSTRUCTION CO. TE�P,�i9NE9230 272 O.DEC 1,904.00 CONTRACTORS MAILING goDRS O. BOX 336, PALERMO, CA 959653L� CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 61 924.00 ARCHITECT OR ENGINEER MR. MICHAEL MOONEY LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 468.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 304.53 BUILDINGADDRESS " 14561 C. N. BUTTE ROAD LIVE OAK Energy Plan Checking Fee- $ 23,00 $ rrCABIN #20" PERMIT FEE $ 816`.03 "y LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF KX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.00 56.00 Solar or heatpump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New CK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ vir, nn ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oa 'ss 23.00 9,1 no LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license IS In DII force and effect. /' License Class Lic. No. 44ZI 465E OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO - OR ADONS. ( a ACC. BUDS. 3.50 '19 R4 NEW NON -RES ST B= UTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOTURES 20@''O0 BAL @ .50 Ex. Occup. our s REESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mjp�ensa' insurance carrier and policy number are: Carrier tC L nd MECHANICAL PERMIT Filing Fee 20.06 Heating Cooling Hood 6.50 Ventilation PERMIT FEB S 56.50 Policy Num er 7ZQ- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the erformance of the work for which this permit is issued, I shall not employ n pe son in any manner so as to become subject to workers' compens io aws f California, and agree that if I should become subject to the workers' co en to provisions of section 3700 of the Labor Code, I shall forthwi i h t ose provisions. X _ Date _S Signature of Applic nt - er Contractor ❑ Agen--- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE 1133.37 TOTAL FEE $ HAZ. D. FEES IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indic ab fo which fees have been paid. /l� �4- By Date r/ PERMIT EXPIRES ON % ZV 7,00v to Receipt No. 264905/407:53 PC WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER 'L4- 0 Gc^t-5 A "le-+ A. P. # l52-(-63c� O �� PROPOSED BUILDING USE Ak,J © BUILDING PERMIT FEES . U -- Balance Due ................ $ 2,5 -- Additional Fees Due .......... $ =- Additional Fees Due ........... $ -- Revised Plan Checking Fee ..:.... $ CHOOL DISTRICT FEES (paid at District Office) 3. HERIFF FEES (paid at Bui ding Division) esidential ........ x $360.00 = $ 'Units Commercial`(sq.ft.)..., x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . X, _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. ' Amt. 5. RECREATION DISTRICT FEES (paid at District Office) L 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at. Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER t DATE S RECEIPT # DATE REC E At time of permit applic ' n,} advised the above fees are required to be paid prior to issuance of the building permit. These fees may be c-- ge itrin the plan checking process. APPLICANT DATE Pursuant to Government Code Section 6602 , you are hereby notified that items, 2,3,4,5,6,8,9, and 10 above may have been imposed on your project.- You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may. protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) a • y ,.,,�.5�.,-,�.,�,, _��_-..,.�vrRy:�i�`,�q'�F�'%�' �1d7�i;'�i �r�T�l•���'1�F'�' '�..n✓"ar1C'�-re'►�..'.,A�7th*I c[�' y;`i{�,tri`�Y'��wi'`'si1.,.!F.tTw*"'si:3ft� Fi�:� .. ��rry .`..-,f . OMe4 s iU1yTV OFIRWTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE°(530) 538-7541 PERMIT APPLICATION DATA SHEET "OWNER: s NRtASESSOR PARCEL NUMBER: Proposed Building se:�4 Building Inspector: Date:_ At time of permit application, I was advised the following data must be submitted prior to permit proc swing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- �02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------- --------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 1 OEngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ . Hazardous Material Form.------------------------------------------------------------------- 11 �' li Manufactured Home data and installation instructions including Tie Down Specifications. Feesof $ 2 1- S. y. r — ------------------------------------------------------------------- Impact fees as shown on the attached schedule. ------------------------ ----------------------. California Department of Forestry plan approval/fees. --------------------------------------- lood elevation certificate.---------------------------------------------------------------------- Sanitation and plot plan approval Health Department. ------------------------------------------- � a � (J ' 15. City of Chico plumbing permit. ------------------- ❑ 16. Plot plan and business license approval from the City of Biggs ---------------------------------------------- Planning -----------------------------------------Planning approval for (A) Use: (B) Parking: -------------------L----- p j'I 8. Contact Land Development about Improvements, 11 Drainage, Legal Parcel. --' --L---------- $ ? ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- 027: manufactured ---------------------------------------------❑27.'Manufactured Home utility clearance. -----------------------------;--------- ❑ 28. Existing violations and/or expired permits. --------------- =--------- '.-------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contracto . ❑ Telephone, 3 �/— 9' 2 3 and hold for pickup at Di'�m /o �ce Deliver with inspector. \Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air o ution ' Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmnt, ❑ Oth Date: By: 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building �Diysion counter, by, ' Dat ': Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil /�►' ivision counter, by , Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: y Date: 71110/0,9 VAIA1.1 r-1 - rmanorI —f of Tlo..ol.,....,o.,+ Co....:..e.. D..:,.1:-.._ 71:_.: _:__ _ LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. 99-0937 OWNE NAME RS WILD GOOSE CLUB/BOUNTENNET NUMBER 021-030-009 PRINT LAST NAME FIRST ADDRESS / LOCATION: 14561 C NO. BUTTE ROAD , LIVE -OAK ` COUNTY ZONING DESIGNATION: - FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: O ! I9 3/9 4C PARCEL CREATION BY DEEDS OR MAP ACGreES5 ? DEED INFORMATION: DATE OF CREATION: Z I% DEED REFERENCE: 70-7 Or, -'-' LEGAL ACCESS PROVIDED: YES NO L AL ACCESS REQUIRED: YES' NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: ES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17' OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requiremerts. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. t 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Connect to a public sewer system. of the Butte County Fire Department. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile -homes, N=PA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (fhermalito Drainage District) fee in the amount of $ —12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic'Mitidation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. —19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. U -Ala31ing 30 kINI100 6664 z ! AN LRAI333" FORMS\BLDG PERMIT CLEARANCE � - 2S2 -oda 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7.,soun- Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER R NO. (Rev. 12/96) APPLICATION AND PERMIT—� ms"SoRPARCKmmm 692./- C,30 -00,q��l ZONNO o BUILDING PERMIT 0*N1TJr,je/ (�,, p e 71 SO. FT. OCC. BUILDING VALUATION OWNER'S MOWUN0 ADORES• bomir7 NO ADORES• o -85 OONSTRUCno"LEmm IENOOM MAIUNa ADOMS Total Valuation ARCNRECTOii �NEEA �� UCENSENO. Filing Fee S 20.00 ARCWZCT OR ENONM S MAl1N0 ADDRESS Permit Fee $ Plan Checking Fee $ C� 3 OULDNO ADOREss � Energy Plan Checking Fee d® ✓ P -1--c-/01 LA r PERMIT FEE $ e 03 LOT NO. 0U5WMK Na NM! PAACEL YAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome ❑ Other •PEeesY Each Trap 7.00 s a+ Soler or hent pump water heater 23.00 Water piping 15.00 Each ns water heeler or vent 15.00 /T -t;3 TYPE OF WORK New #-Addition ❑ Remodel O Utilities O Installation O Other O Describe Work: VQr,% , s Gas piping system t - 5 outlets 15.00 /N-, Building sower 15.00 Mobile Home ISIGIWI @20.00 PERMIT FEE ELECTRICAL PERMIT * I-RIVgFeel 20.00 Main Service zo°O ORR = 23.00 _eo 1✓ `� f _3 I ^ r-•� `(r� �l ® Main Service 20" TO 1002A 46.00 NEW CONST. DWBAA40 OCCUP. OR ADEM. A ACC. BIDS. mtw 110m NONAEsIO.' MULT,1T Er @7.50 PDWEiI APPARATI!• . sNDIE o da EX. Occup. CUT ET OR FWrAES 20 : 1.00 BAS .so FDD APPLl6. OII Ex. Occup.ovnEry Esro. Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 6,.,-o Ventilation PERMIT FEI= S S v Mobile Home Installation Fee S Energy Inspection Fee occ CONST. rPE TOTAL FEES NAZ D. FEES IMPS FI I CCF PARCt\ 1 Otr I ISSUE P. C• This permit is hereby issued under thenppll able provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. W4 qUb r �j'j I PERMIT EXPIRES ON WHITE•D.O.S.-B. D.. —TSOR PINK• PECTOR GOLDENROD -APPLICANT Date ....,.a.ic.':rw„�iyw:Iyc�Sciri'><""'s'it�i'Y''"Rrsi�goi',q�x•"�''71�'��'it'�ila",Ii+��.,ti�+frr��•i�`'7b,fAi7 y"i�:�sNiti"1�t'..",".c_ ,YI''iia,°X' Ay` .ir�l'%7tr ft' :.7:s,%i .x�:r� School District A.P. Number r Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. ��-0�( p� ) Jurisdiction: F___1 City County Property Location/Ac Subdivision Residential Development Commercial/Industrial Sq. Footage (Including Exterior Roofed Areas) Date u-ioor mans reviewea oy Scnooi Uistnct versonneo District Identification, No. School District certifies thatr% Ol , [ . (Applicant) (Street Address) (Phone Number) A 1�7 ss 6 V -I (City) (State) (Zip Code) // has complied with the requirements of Resolution No. ` 9 % / by payment of $ V representing I (, Z 7 square feet. AB 2926 $ 3 %, y FULL MITIGATION $ i School 6istrict Reord entative Date Paid by Check # 7Remarks: 0-3/ &o—n� c"—,, Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) I feeform.As 110/98)dmm .- ,� v A LAND OF 'NATURAL WEAIT.H AND ',BEA.UTY ; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7_COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397' TELEPHONE`. (530) 538-7541 • FAX: (530)'538-2140 May. 19, 1999 Wild Goose Gun Club 14561.North Butte Road -Live Oak, -CA. -.9.5953 Building Permit Number: 99-0937 - Assessor's Parcel Number: 021-030-009 This"office reviewed the above referenced building plans. Provide additional information and/or �- make revisions to plans, specifications and calculations as follows: 1. Engineer .to provide concrete p.. steel grade/strength, and all relatedt loading, grades and values on cover. sheet. 6/,Q9 ' 2. Special inspection is required fonall welding. Provide name of inspection agency.to be used for approval. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. �1 Sincerely, David: Wasney ' Building Inspector III. W % -cb &Qc os (e; QUvn5 BUILDING PERMIT SITE PLAN CHECKLIST APN: C)?—)-- O'S©— 009 Building Permit No.:)) Proposed Use: SFD O MHO Res. -AccessoryO Ag. Bldg. O Commercial O .Industrial (3 Other. Zone District: 'General Plan: © SC ti The Proposed Use Is: Permitted: Not Permitted: Requires a Use Permit: " Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map?, No: Yes: Book/Page ` Map Conditions? No: Yes: , See reverse side A Use Permit: Variance: Dev. Agreement: Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front Side Side, street Rear Height - - Parcel in Land Conservation Agreement? No: Yes! , Check Use Parcel in North Chico Specific Plan? No: X Yes:°= , Check NCSP Zoning Parcel in Floodplain? No: Yes: Z, Zone: Panel No.: Q%D617 ^ 10 7 �� Parcel in Enterprise'Zone? No:-><—'. Yes: , Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other. Landscaping Requiremen) : OK as shown Other Comments:�- Reviewed By: - v4 Date: S— ) 3 — lz�2) CHECK SPECIAL CONDITIONS WHICH APPLY TO PARCEL. UNLESS OTHRAWIS . NOT .A_ 1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by pjanting replacement trees of equal number and not less than _ gallon size. ::... _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project, shall be fully protected through the use of root protection zones (RP2). During constrtt dm RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trump to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowe&*.Tk RPZs shall be maintained a8cr the completion of construction in order to continue to protect the oak trees, but the Racing shall be removed. _3. Fencing for area other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the tipper strand shall be no higher than 48" above the ground. _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following cntitilements w= be obtained. a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fine Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fre Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and. two family dwellings and mobile homes. NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fre Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of 5750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to dte Planning Division. _ 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. —13. 14 K:%BLDCC F[4 FR.M 7 ELEVATION CERTIFICATE °.M_B.No3067199' ExpiresMay3r, 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/tir 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. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I 14561 C North Butte Rd. OTHER DESCRIPTION (Lot and Block Numbers, etc.) APN 21-030-009 CITY STATE ZIP CODE Live Oak CA 95953 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 060017 1075 C 6/8/98 A 60.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): EINGVD'29 El Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's-:BFE: I I I I I I,LJ feet. NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION `t 1 Us. ig46 Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best 1 describes, the subject bufil`dirg's reference level 5 f, , 2(a) FIRM'Zones A1)'A3q;jAE AH, and A (with BFE). The top of the reference level floor from the seller ted diagram is at an elevation of 1 1 1 101.E feet NGVD (or other FIRM datum—see Section B, Item 7). N (b)\F.IRM Zones -V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural m,efnber of the reference level from the selected diagram, is at an elevation of 1 I I I feet NGVD (or other FIRM datum—see SectiorilB„ tem 7). (c). FIRM'ZoneA(without BFE). The floor used as the reference level from the selected diagram is -j-1` I.1 lhfeet 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�� +.I� 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? U Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: 01 NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: I/ 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.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ® actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid it 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.) 6. The elevation of the lowest grade immediately adjacent to the building is:! 1 1 15 1 .0 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. It 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 IJ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement 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—V301VE, 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 still be entered. l certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Ronald L. Graves/Robert C. Brooks P T, 4085fR r F 1514n CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) Professional Land Surveyor/Registered Civil Engineer Ron Graves and Associates TITLE COMPANY NAME Ate, �f_ CITY STATE ZIP 07-02-99 (530) 534-9587 SIGATURE i� DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agenVcompany, and 3) building owner. COMMENTS: B.F.E. - pr—w4ey ly established 09-16-96 for Wild Goose Club as \OVAL LANA s RONALD L GRAVES * PLS 4085 f9 s LoF Csk% ON SLAB A V ZONES ZONES LEVEL WrTH ON PILES. BASEMENT PIERS, OR COLUMNS A A V R ZONES ZONES ZONES BASE LEVEL FLOOD No. 15140 (1000..,.:\:::. ADJACENT :... REFERENCE A\III 11'1 ELEVATION 1 GMOE i> LEVEI ELEVAigN FLOOD ELEVATION REFERENCE ADJACENT >'s_ IEVEI GRADE 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 i ,4i;l I 021-030-009 99-0935 WILD GOOSE CLUB / SWANSON 14561 C. N. Butte Road, Cabin 12 L.O. Contr: RD. Prater Construction single family addition F'lm5o/ d 6 Iva 021 03Ui ®--® Cpoen .0 12. r z NOTES RE96ENTIAL 0210307009 99-0935 PERMIT NO..'— WILD GOOSE,CLUB /-SWANSON. -- 14561 C. N: Butte Road, Cabin 12 L.O. Contr: RD. Prater Construction single family addition /'�r S//Z160 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY t J y5 JOB FINALED (Date)®C? Signature 9 CHECKED BY J = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES - Date MOBILEHOME UTILITIES (Plans) OK except #'s 8. 1. Zoning Requirements -Setbacks -Easements Siding; Nailing -Veneer -Stucco -Mesh 2. Soils; Special MH Support Sketch 11. 3. Sewer; Location -Test -Fall -C/O -Concrete Braced Wall Panels 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. _i 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal i Date Card B-1 Date = Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s r 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel f 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails A. Wood Awn.; Posts- Bea ms- Rttrs.-Connectors 1 - ' Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses t 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s �. 1. Setbacks -Easements t 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining + 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater i 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 h t V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date nderfloor (Plans) OK except #'s 3. on ing-Setbacks- Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. r Htr.; Vent -Access -Combustion Air Baffle tT.D.W.V.;; W ipe; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection ID 20. 21. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Ele Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled �mex Installed Close to Edge of Studs & C.J. 27 quip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clot es Closet Light -Shower Light -Spa Light / Smoke Detector Qe Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date JAEIDHANICAL (Permit) OK except #'s fl 5. -A -42,. -Ducts Insulation & Support aC 37. 38. 39. Vent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Pr Sr Materials & Anchors . W Studs -Nailing Spacing & Braces -Plates -Sound 3. Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Barin Ungle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors ling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. OFireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -GGr-BdrmWindows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection yw h Roof Overhang -Attic Vents -Ratter Outriggers Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. B ace Interior/Exterior Wall Panels CL -(_(j Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings S ke Detector r ace Vents -clearance -Comb, Air -Connector - Garage; Above Floor -Ducts -Meth. Protection Bed oom Exiting I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels fairs & Rails id 54place or Stove, Clearance -Hearth EI . Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Elec. Vutlets & Receptacles at Kit. Counter a ge Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper W . Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Aarage; Above Floor -Meth. Protection Ib , Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection VZ. nsulation-Foam-Looked in Attic uard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth "Ie4r9nce Looked under Floor Q Yes 162.K119wing Insild./Drive J Yes J NOAValks :1 Yes ] No/Planters J Yes ] No IK co Brown -Finish C nit Disconnect, Electrical -Plumbing K,,40.6bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings a er Well, Disconnect, Electrical, Plumbing x rior Elec. Trim, G.F.I. Receptacle -Underground 8. engla'tion Throughout House W. C r ctions from Previous Inspections s Test -Meters Tagged, Gas -Electric Wat r & Sewer Connected -C/O to Grade -HD Approval 9 . ergy Compliance Certificate -Other Certificates Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: January 5, 2001 R.D Prater Construction Co. P.O. Box 336 Palermo, CA 95968 Dear Mr. Prater. 'S'afte Count L A N D O F NAT U RA L W EA LT H A N D B E A U T Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH F118-8 County Center Drive 411 Main Street ® 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 Re: Septic Permit Application for Boutonnet, Wild Goose Club, North Butte Rd,, Ap# 021-030-009 Our office initially received the above application on May 24, 1999 with a $440 processing fee. Due to the sensitivity of the site an engineered design system was required. The processing fee for an engineered design system is $880. You were notified by letter on July 1, 1999 -of the required additional $440 processing fee. We continued to process information we received for this application in anticipation of receiving the additional required fee. To date we have not received this fee. Therefore we have not to date issued the required construction permit for the septic system. If you still wish to receive your required permit for this project we still require the additional fee payment. If you have any questions please contact me between 8am to 4:30pm Monday through Friday. Wougy supervising R.E.H. S. ` CC: Butte County Building Dept. Wild Goose Club, Gary Kerhoulas Laughlin and Spence Civil Engineers �ER,r���C/�TION OF INSULATION SIC -303 BUILDER'COPY o ` ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS �ra�"e r Cp hal ' ❑ P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 �LOTM � u%1 Goo se C G.LI d7 •- ❑ 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 Gr I'd ! ❑ P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 • ❑ F3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 a DATE INSULATION COMPLETED (=— -- —�-- -- — — -SQUARE FEET) ( SQUARE FEET) SQUARE FEET9 TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION_ MATERIAL MATERIAL MATERIAL ' . FIBERGLASS FIBERGLASS -FIBERGLASS FORM FORM FORM BATTS BATTS & BLOW - BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER ` OCF OCF OCF BAGS q R - VALUE, APPLIED R - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS WEIGHT PER' SQUARE FOOT INSTALLED THICKNESS - KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE „ . --------MANUFACTURER q FIBERGLASS BATTS OCF- AIR INFILTRATION SEALANT. MATERIAL MANUFACTURER , W R GRACE THIS IS TO CERTIFY THAT INSULATION'AND/OR'SEALANT HAS BEEN INSTALLED IN.CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS.' :. .. , " 4 _ • SIGNATURE —INSULATION CONTRACTOR TITLE, DATE U MANAGE14.- ,SIGNATURE -GENERAL CONTRACTOR SIGNATURE —GENERAL TITLE DATE REMARKS: - SIC -303 BUILDER'COPY o ` COUNTY OF BUTTE %9r BUILDING DIVISION r° DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530)'891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ' OWNER PERMIT NO. ' A routine inspection indicates that the following violations of butte county Ordinances exist at the :A above address and should be corrected. Please notice 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. "g L " .L -' COUNTY OF BUTTE BUILDING DIVISION `-DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, e, (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plea$cogtkct this office immediately. A -e-- 6CO-A"_ v �/ Date ! 4 Inspector REV 10/92 Ij COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�� _ PF;RRMITNNO. - (d (Rev. 12/96) APPLICATION AND PERMIT ' [J AssE 1P �"Vgt09"OW-40 BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS . 14561 C N BUTTE ROAD I-1-1.1E_OAK CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS P36, PALERMO, CA -.9-59-65-5 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee 1 $ Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ IQ 7 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF X3 Duplex ❑ Mobilehome ❑ Other ADDITION SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: 1ST RENEWAL/99-0935 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service e00V OR LESS 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main .Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( y ACC. BLDS. 3.5QFT: NEW CONS .OUTLET NON-R61D. MULTI@7.50 POWERAPPARATUS 8 SINGIE OUTLET CIR. ' 0 Ex. OCCU OUTLET OR FIXTURES BAL 9 .50 Ex. Occup. oilnFrs A ID.GE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 4 7 HAZ, D. FEES IMP FLOOD CDF 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 5/21/01 ate Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION O 7..County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI NO. (Rev. 12/96)0". APPLICATION AND PERMIT �9 ASSESSOR PARCEL NUMBER 021-030-009 ZONING A 40 BUILDING PERMIT OWNER WILD GOOSE CLUB / SWANSON TELEPHONE SO. FT. OCC. - BUILDING VALUATION OWNERS MAILING ADDRESS 14561 C N. BUTTE ROAD, LIVE OAK 95953 137 COV 1781-00 CONTRACTOR'S NAME R.D. PRATER CONSTRUCTION CO I TELEPHONE 534-9230 25 Oft -nn CONTRACTOR'S MAILING ADOPSSO. BOX 336, PALERMO, CA 95965 CONSTRUCTION LENDER Fireplace LENDER'SMAIUNG ADDRESS ' Total Valuation $ 25.OU ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $31-9 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 997 IR BUILDING ADDRESS tlCARIN it 14961 12, N_ 'BUTTE ROAD, Energy Plan Checking Fee $ - _ $ LIVE OAK, CA 95953 PERMIT FEE $ 19 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee USEOFSTRUCTURE SF)g Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ff Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM, BATH, AND DECK ADDITION WITH REMODEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 OV OR LES9 Main Service noOOon oR LEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.��z1 /I� License Class LIC. No. `i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. OWEWNG OCCUP. DWE200ALLING OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT; 8.26 NEWCOS9 NON-RESIDT ANCI ET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 Q 1.00 BAL @ .so Ex. Occup. ouiLEET RE IsoOFE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 6 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. I I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o pens n in urence carrier and policy number are: Carrier , I Un Policy Number 2 — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not empl any person in any manner so as to become subject to workers' compe sa n ws of California, and agree that if I should become subject to the work s' mp nsation provisions of section 3700 of the Labor Code, I shall fort it cc ly h those provisions. / X _ Date r 1--zh? -- Signat re f icant ❑ Owner ❑ Contractor ❑ Age 777 An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 5.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 29. 50 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 817.44 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County ode and/or indic d bo for hich fees have B PERMIT EXPIRES ON - the applicable provisions Resolutions to do work been paid. .' 111' Dat Zf � _ Dale rReceiptNo. 264903 330.18 PC 2 C9 v -1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTOR/GOLDEN ROD -APPLICANT M ,A > COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541P RMIT NO. (Rev. 12/96) •. \, APPLICATION AND PERMIT W- W, ASSESSOR PARCEL NUMBER / 0 _ 0 Z074(1,0 BUILDING PERMIT 3 C70 D µq ��J1ONe � °MNZ), SO. FT. OCC. BUILDING VALUATION �- owl , ,,DJ 3 v, D, CO �' ou Ne _q2 KmQ C D o O eo � wAUNo ADDRESS C 2rrvt CONSTRUCTION LEMEA 0 LENOUM YNUNO ADDRESS Fireplace ' Total Valuation s _— "R°"�°r OR ENO�"M 10E"'e NO Filin Fee $ 20.00 ARCHrTECr OR ENCWEERS YAJUN0 ADDRESS Permit Fee s v - Plan Checking Fee s / SULDM ADORES!, 7n� // iso, lib! Energy Plan Checking Fee t► 0 0 ii bq $ �- l L PERMIT FEE _ LOT NO. Sus"M IONS Nu! PARCEL ww PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 2 /, USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF f Duplex ❑ Mobilehome ❑ Other Water piping 15.00 '°ECiY Each as water heater or vent 116,00 TYPE OF WORK Gas piping system 1 - S outlets New ❑ Additiond.—Remodel ❑ Utilities ❑,LIInstallation ❑ Other 13 Buildingsewer 15.00 't. Zr Mobile Home IS I G I W 1 @20.00 Describe Work: �r�cr vc,. 4X! �(C.e_C�(l. c — PERMIT FEE: • 6V ELECTRICAL PERMIT Fpn Fee 20.00 Main Service x'oA o�R 23.00 Z3, Main Service 20M TO +000A NEA CONST. oWEluaNs OR ADD. a AW. Ears.Do. 46.00 429 3.54 C, N0N•RESID. MUM -OUTLET @7.50 P°wE� n ..Pup w C,4— ( a sNcaE o aR. Ex. Occup. ovnEr OR FUTURESm vD�S.OR5 Ex. Occup. o�rs m.► 411.00 0 s.00 l Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 (. I PERMIT FEE : 4 MECHANICAL PERMIT Fling Fee 20.00 i c9 11Cooling —Heating 6^ Hood 6.50 Ventilation 1 C7 PERMIT FEt: f d Mobile Home Installation Fee b Energy Inspection Fee $ a�' °C0 CONST. TYPE TOTAL FEE $ NAz 0. FEFS 1M P -001, i oo0 col,w MUE Receipt No. WHITF.n n s This permit is hereby Issued under theappGcable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees Neve been paid. r ; - By PERMIT EXPIRES ON Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 / � SCHEDULE OF FEES DUE (/ OWNER I U Ccr3 ti � ( �cx In A.P. # C�2.1 - 0,30 PROPOSED BUILDING USE �0�0%. 1yCc! �%l��'L�9� DATE 6 :7 RECEIPT # DATE REC T. BUILDING PERMIT FEES -- Balance Due ........ $ -- Additional Fees Due ..... .. $ ' -- Additional Fees Due ........... $ -- Revised Plan Checking Fee,. $ SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) , Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - _ $ #Units Amt. Commercial (sq.ft.) .. x _$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) , 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit applicati , I as dvised the above fees are required to be pard prior to issuance of the building ermit. p These fees may be ch ang d mg , e lan checking process. APPLICANT - DATE . Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8;9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the. project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy, -'Applicant v 3rd Copy - Owner (Rev. 2/97) +'..r<:;.,,.,,. ,,, . _ ,,. r ..,�,. ,.-i�ev+rr--F 9+7"vf�"`"',-.,7 �t,�'gl$'j+'�"ti4N'�' 'fl'�"';'�y�"a'rvy��p.ra. "�`�i'Wti'`%rh�`; wi:.:�`•:, COUNTY %fWVTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION e7tOUNTY CENTER DRIVE-'OROVILLE, CALIFORNIA' 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET {' OWNER: a riASSESSORPARCEL NUMBER: O 2./ -03o- 00 t� Proposed Building U14,1,1151 Building Inspector: C A Date: ��� &C �+ k At time of permit application, I as advised the following data must be submitted prior to permit proces mg and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. 10. Fees of $ ------------------------------------------ ct fees as shown on the attached schedule. --------------------- 2. California Department of Forestry plan approvaUfees.-------------• ��---------------- 044. Sanitation and plot plan approval � Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- W-7. Planning approval for (A) Use: or,, (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ElDrainage, ElLegal Parcel. ---------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 0 20. Pre -inspection for required Requestto Building.:Inspector on rys 02 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 0 24. Letter of signature authorization.-------------------------------------------------------------------------------- . l ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------ Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- 028. Existing violations and/or expired permits. = ---------------------------------------------------------------------- E329. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- (Date) 030. Other: ------- When you issue the permit, process as follows Cl Mail to owner, ❑Mail to contraAtionDate�'- .p ❑Telephones3 y' 9 Z3 o and hold for pickup at with inspector. Applicant:Date: 5 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire D artment, o Air PollCopy of plans sent ❑ Health Department, ❑ Fire D , ❑ Other: I Date:. By: 4, " 1. Index permit application for the above items number 1 '' f"f P apP / �,.-.,.. ,/� i4 t �' n.� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by, Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor,'designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by- - Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by,:,,<' , Date: Voll...,, f`.,..., lle...,.+.., o..r ..F Tle..el,.-.w.,.-.a c+.._..-_.-,- n--: u:_- T*--=--- .. a;C::e%T'^- - n�{�:•••,�.--.`^"tfaY.�,�Jtj�Lin�•.!�`�.+X?+rvr+.fr��W4rwiS�iL_. .. .�.,t�►�,i,,,,,.f }..�:�,-'�.+rC""''+.��/y''"4N'"w""/:I�T�'"�'IN✓n'n��+ti/�'�+''tC�4�,ai�'(/�4+4��►a.•3�;n.r .�}..1•� ,. ti, ., - 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM " (One form per Building) School District 90er&-09>r ��/. Building Department No. A.P. Number Jurisdiction: City County Property Owner &441,Vjr Property Location/Address Subdivision Lot No. .................................(..................................................._.........................., Residential Development k�•� Sq. Footage. No of Living Mobile Home Addition/ *Supplemental to (Group R) 1,t}k.�,-'*,!' U�nitIr1Sti118110/ii-u4.j..NraeL �.COhverswfl'+i"3 '4�PeFrTllt'ti•n;.;:.5",..�i,. .::i:,,:r. .. f^�r'r'*4 .iu�:: :a .. ;fr.::.' n3.. {ry.>....�..�,...,,.�_ i .......... '....`........................ '(No found inspection). Commercial/Industrial Sq. Footage New Addition llricludino Exterior Floor Plans reviewed by School District D• trict Identificabon No: N School District certifies that J! (Applicant) (Street Address) (Phone Number), . (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing School Dis,4trict Representative Paid by Check 11 square feet JAB 2926 S L g` v1 o fr 'ri z f,uLLM1T16ATlok _ 'Date Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with. Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit ,you from challenging the imposition of the fees in any court action. 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 EnvironmentalQuality Ai t-ICEDA). 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.xis 110/981dmrr. 21 May 17, 1999 Y L A N D O F NATURAL WEALTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 R.D. Prater Construction P/O Box 336 Palermo, CA. 95965 Building Permit Number: 99-0935 Assessor's Parcel Number: 021-030-009 This office reviewed the above referenced building plans. Provide additional information and/or make revisions to plans, specifications and' calculations as follows: 1. Complete and return enclosed school fee form. 2. Pay remaining fees of $487.26. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, David Wasney Building Inspector III. f FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at A.P. 03C -609 for 7&%