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038-190-001
10 of O o d N I. O N O ' O 0 H 11 00 ri r 038-19-0-001 00-2062 DU BOSE, DAFT & TERRY C 9035 STANFORD LN., DURHAM CONTR: SHRADER, ROBERT REMODEL MLBDRM WBA 038-190-001 02-0635 DUBOSE, Dan & Teri 9035 Stanford Ln., Durham i Cont Schrader Complete BP#00-206'_' 038-190-001 03-1141 _ DUBOSE, DAN r 9035 STANFORD, DURHAM Cont: ADONIS POOLS POOL -MASTER #97-507 j Y a= d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 'I Cdunty Center Drive • Oroville, Califorrtiia 9595 '• Telephone (530) 538-7541 �IT I 1 (Rev. 12/96) APPLICATION AND PERMIT `` ASSESSORPARCELNUMBER , ©©/ ZONIj &I(I BUILDING PERMIT """"`��� ; �• el J_y� SQ. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS EXIST VA.L 5,000.00 CO CTQR'S NAME Cz Ze�ny5-59/ TELEPHONE d ORSA,;NG AD/S/.�- CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 36,482.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 330.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 214.50 BUILDINGADDRESS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 587.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 51 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition W Remodel ❑ Utilities ❑ Installation 13 13Other ❑ Describe Work: A�i Aknl/ ��la"q�/47� /'d Gas piping system 1 - 5 outlets 15.00 15.00 Buildingsewer 15.00 15 00 Mobile Home S G W @20.00 PERMIT FEE $ 115.00 ELECTRICAL PERMIT I Fling Feel 20.00 Main Service OOOV OR LESS ZOOA OR LESS 23.00 2 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �/ meq/ License Class Lic. No. Z J �!/� � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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. ❑ I 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 1 , of one hundred dollars ($100) or less.) �! I certify that in the performance of the work for which this permit is issued, I shall F not emplo an person in a ner so as to become subject to workers' comp anon ws of Csli nia, and gree that "rf I should become subject to the wo ers' c pensation provisio of section 3700 of the Labor Code, I shall comply wit ose pr s201S. / Date e -C2 5 /� c 7 -eo gnature of Applicant Winer gf Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA�_� _of structures over 3 stories in height. Main .Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sins. 3.52FT. 20.40 CONS No RES D, MULTI.OUTLtT @7,50 POWER APPARATUS a SINGLE oURET CiR. .00 EX. Occup. ounET OR FIXTURES BAL ®L.50 Ex. Occup. oFIx�E�DTSA RLNs OR... 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating gn nn Cooling Hood 6.50 Ventilation- PERMIT FEE $ 7 .0 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 885.90 HAZ. .� D, IIP oOD IGf CDF PARCEL �.-- PD HD ISsu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` By Date, �eipt No. tE•D.D.: PERMIT EXPIRES ON /lb. COUNTY OF BUTTE - OEPARTMENT OF OEVELOPMENT SERVICES • BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • TelephcnN 15.31)) 578-7541 PERMI' aRv 1_'rlltsi APPLICATION AND PERMIT .ssasoRPARcaNummm 38— I qG- 5 BUILDING PERMIT C� � � � SO. F' i GCC. BUILOING VALUATION 06 t _ & 3 SNLS,f '°"r"A °"° �•�• TMAP"OeE AooR :o TOR,6[sa eoNSTnuctloN urifool „ Fireplace LENoars wA06M AooR1111111s Total Valuation i = ftRel lime 411111111 7Filing uansc NO' Fee 3d; V8a 100 1 S 20.' Permit Fee 3.30- 00 t "�JNO 8' .�Lt.�M /� at) — 95'yz[� Plan Checking Fee _G',7 S aurora AOOREas J S Energy Plan Checking Fee S PERMIT FEE _ lorNo suaotveraustwe PARest raP PLUMBING PERMIT Fling Fee 20.0 USEOFSTRUCTURE SF X Duplex O Moblehante O Other r ate~ Each Trap `' 7.00 Solar or heat pump water heater 23.00 �_Q7 Water piping 15.00 s Each Gas water heater or vent TYPE OF WORK New O Addition b( Remodel O Utlitlez O Ins0alation O Other O C4 rn DescribeWork: , 9 t OLD Gas p;ing system 1 - S outlets 15.00 Building sewer 15.00 S� Mobile Home i S � G W @20.00 00 PERMIT FEE S ELECTRICAL PERMIT - AlIng Fool 20.Or Main Service = OR ti�9! 23.00 �.(0 P oc CQO Main Service 200A TO 48.00 NEW ELL CON9T. OWDa OCCUP. SO CCU ON ADO►tS. 6 ACC. 8109.NONA. wulrrounEr b.. @7.S01 PO0 APPARATUS a srate OLnv CIF. EX. Occup. olmgr OR Fixrup 9 ao i.a0 SAL . .SO fDlEO APPL'6. Oil Ex. Occup. OMN esw. enI 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ , MECHANICAL PERMIT ding Fee 1 20.00 Heating•p CoolingS•a•- Hood 6.50 Ventilation lvzol 00 Q 6 PERMIT FEI: S Mobile Home Installation Fee S Energy Inspection Fee s4o,co °Cc TOTAL FEE $ i ruj, o. f!P! I imp O COP VARCEL PO 00 I ISSUE F_ , This permits hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above tot which fees have been paid. 68S_li�o By nate PERMIT EXPIRES ON COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE ' t �— A.P. #038-IRD-061 DATE 9 - 2 5-6b RECEIPT # DATE REC _0 1 BUILDING PERMIT FEES -Balance Due ................ $ -- Additional Fees Due ............ $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES . ZJJA La_ (paid at District Office) 4t14) 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. 05.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 applicatio as advised the above fees are required to be paid prior to issuance of the building permit. These fees may be ch ed g plan the ' g process. APPLICANT DATE 4 J 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 3rd Copy - Owner (Rev. 2/97) Rik 47 ,` T VI 'Y`OFTTE -DEPARTMENT OF DEVROP %ENT SERVICES - BUILDING DIVISION 7 COUNTY, CENTER DRIVE - OROVILLE, CALIFORNIA' 95965 - TELEPHONE (530) 538-7541 r ; PERMIT APPLICATION DATA SIEE...,..�,..�.. OWNER: � ASSESSOR PARCEL NUMBER: n63a�S ' 11:( 0— F,P Proposed Blummg Use: OW L Building Inspector: Date: F - Z 5- d p 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.kAll items have been submitted .---------------'---------------------------------------------------------------------- puns, 3/4 sets, signed by the preparer of plans. -------------------------------------------- 0 ------ - � ------------------------------------ nn /f oft mplete plans, 3/4 sets, signed by the preparer of plans. -r _1_�_____________________/_+� :!1 _ _ �T— ❑4. Engineered plans, 3/4 sets, with wet signature pengineering p 3�� gln p gnature on plans. All must be shown on plans -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. En rgy Design Compliance and supporting documentation. ---------------------------------------------------- ElVtement of Intent for Non -Heated and A/C Buildings. --- -----------------------------------5- 118.H �� us Material Form., ------------------------------------------------------------------------ -- - VM ffactured Home data and installation instructions including Tie Down Specficaton-�--`!-------- - ---------------------------------------------------------------------- Impact fees as shown on the attached schedule. � ---`r-----fAR�_____________________________. California Department of Forestry plan approval/fees. --------------------------------------------------------- i ❑ 13. F • elevation certificate. -------------- -------------------------------------------------------------------------- dffSanitation and plot plan approval �3 Health Department. ------------------------------------------- ao kilo15. City of Chico plumbing permit.------------------------------------------------------------------t l ----------- U -------- U ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------=------------------ \ ❑ 17. Planning approval for (A) Use:(B) Parking: . r ❑ 1 ontact Land Development about E3- Improvements, ❑ Drainage, ❑ Legal Parcel: -----=--------------- ❑Kcroachment Permit for drivewa construction a roval riot to occu anc ----- I. ❑n ec tion for required Request to Building Ins�;to0 ,* ate) ' ❑21. C tractor's license information. (Number, N e Style, Classification) Classification). ------------------------------------ . / r 022. Workers' Compensatiop'cafriefeandlq icy nurriber.4- - ---- --------------------------------------------- 61 Vit. ,r'^' t .f 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner El ---------------------------- 2A. _______________.,________=::_ ❑2 tter of signature authorization, ---------- ff6.� corded'copy of Agricultural Acknowledgment Statement. -------------------------------1 X,'#¢______ ...--------- i ❑tter of intent on building use.----------------------------------------------------------------- ------------------ ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- r. 0 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, 11 Check to H.C.D $--------------- _so C%. chi 5110. Other: "R otej Rtat';k, Whe ou issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor s hone �7 5 89/ d and hold for pickup at o e. ❑ Deliver with mspector. ADDliC1 Zr_ Copy of Haz-Mat form sent ❑ Health Department, o Fire DepartmenVo/ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, o O Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: �tracto� designer, owner, was advised of the above required data by ❑ phone, o Building Division counter, by Date:. ons tractor, 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 o 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: ( 4 r Plans approved by: Date: —Z! Sets of plans on hold in POlan Cabinet, ❑ A.P. folder. Note transfer by: Date -.Y_ fie! VAInw Cnnv - T)anart--t of TIP.,PI ,.,..,o:,* Ce. D:.:1 A:_ T:_.L:__ t E.M. USE ONLY _ Plot Ron Attached _ Floe► Ran A h d Sent to 8.0. / Bno TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �E: 9, Q3.s5r*hC4b&- ► &R�& 1 - I ZQ �::� Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other final for: nce O -K_ for: MP I Environmental Health Specialist Date 8/96 September 15, 2000 i:1,P Department of.Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Robert Schrader P.O. Box 1466 Chico, CA. 95927 3 Dan and Teri Dubose Assessor Parcel Number: _038-190-001. Building Permit Number: 00-2062 This office reviewed and approved building plans for the permit application referenced above. The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Pay Balance of Building Permit fees in the amount of $26.10. 2. Pay impact fees: 2.1. Durham Recreation and Park District approval is required for this project. Complete and return the enclosed Butte County Park Facility certification form. 2.2. Complete and return the Butte County School Impact fee certification form. 3. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. 4. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any requirements in PART - I, you may contact meat (530) 538-7541 F between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Glenn Gibbons Plans Examiner 1 of 1 Permit Issue To construc Located at: BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT P. O. Box 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 Telephone (530) 891-2727 Telephone (530) 538-7281 Date Issued _ Q// 9A, 1 . SEPTIC TANK %V Liquid capacity: gallons Material (� Special conditions: Additional leaching field will be required if experience 50 feet of the center line of any County Road. A.P. # REQUIREMENTS LEACHING FIELD Totallength: ,Ira&, feet Trench width: Q11( inches Minimum No. of lines: Rock under pipe inches e to be necessary. No part of the system may be located NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. CO Permit Fee $ Penalty Fee $ Additional Fee $ Receipt No. 30s4 % S31 - 278R (Rev.4/98) TAL FEE $ •yC'yC�i lU� Issued By: 10 N` RON ENTAL HEAT SP CIALIST '�'^,�,^-,.ri.xr�~�,'y'�"i"y'�^'a'y�""'''nl''TF�''�'".�'�-'�'�'k'"�t7i�_�''�{;°P`'�,:.�i�''i#M-%i�':ir�;+"R"'Ti..�'�i"'��"'�+►'r.�,�;a...FL1,•,y,,r;,,•,rr�„� ,: ,. .. 'BUTT'E COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): C238 - /170- 60/ Property Owner (s). b A P� T 2 l j'c t3oS Project Location/Address: 50 35 STA n! Fo (Z Subdivison Name: Type of Residential Development (check one): Assessable Square Footage: 5'83 New Development Alteration/Addition ❑ Mobile Home (s) ❑ Non -Residential to Residential Comments• jJ _ • _. - ��. ><,. =a -x "4.t:�. K�..s._ ;:j: �.C.k„� ,.a't-_ •�xa w:. ;1. 1.:.,��.,s'�r"_”-:.<,,._ ,s:,.... !�, r.+cs. t-.>R....,,� ,y..i�..reY-�,;,.r. � �. i ..... -4 Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that . Mh) nt,?) 54 891- 5LM0 Applicant Name Applicant Phone Number Bio 5 65+"-ka-d In Street Address ]DUX haAM Cm 9 5q � R City c State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment of$ r� 'DRPD. Representative PAID BY CHECK No.: ' Remarks: BANK No.: 9 0 - -i So q PAID BY CASH: RECEIPT No.: Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW- BUTTE CO. BUILDING DIVISION September 15, 2000 Robert Schrader P.O. Box 1466 Chico, CA. 95927 Dan and Teri Dubose De artmerit, of Develo tent Services P Develop tent Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 038-190-001 Building Permit Number: 00-2062 This office reviewed and approved building plans for the permit application referenced. above. The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Pay Balance of Building Permit fees in the amount of $26.10. 2. Pay impact fees: 2.1. Durham Recreation and Park District approval is required for this project. Complete and return the enclosed Butte County Park Facility certification form. 2.2.. Complete and return the Butte County School Impact fee certification form. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any requirements in PART - I, you may contact me at (530)'538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Glenn Gibbons . Plans Examiner 1 of 1 FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under builld- ing permit application S, y� at 4; -5 �-r�7`rl?, Gi1�� �cJ,P .�l�j A.P. Uv��'��'l%U/ for �,a/���ti %� .�� H'�/yI� does not equal or exceed the definition of "Substantial Imorovement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS LAI_ PHONE NO. DATEi� *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds SO' of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. f DEPARTMENT -OF. DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone (530)538-7541 Substantial Improvement Worksheet for Projects within FEMA Floodplain Existing Building: APN: DATE: USE AREA SF -VALUE TOTAL X 1725,51 x 9.3 177, SY X X = X X = X X X X = X c X = X X = [Existing Structure Value (ESV): I a 9 ..-7-7 Proposed Addition -Remodel USE AREA SF -VALUE TOTAL X 3 X Y = 3 r y S2 X X = X X = X X = X X = X X = Remodel Contract: Improvements Value OW 1 -2 77,77-1 Improvement Percentage = IV 3 6 If S 2 ESV EH, ? -7 EJ If improvement percentage equals or exceeds 40 %, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new Improvement percentage will be calculated. - If improvement percentage exceeds 50%, a substantial improvement exists. School District A.P. Number tti Property Owner 6 Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) (A (` � � 1`"I + ✓ 1 Building Department No. -1 d Of Jurisdiction: City County IR A N Rhlb Ti(L.( ti OSS Residential Development No of Living Units ' Commercial/Industrial New Building Department Representative Lot No. Addition moor mans reviewea oy acnooi wistnct rersonneu (Including Exterior Roofed Areas) 4. - od Date District Identification No. (p Q ,Dw? F m U 110 F I E0 'School District certifies that �►� N bvsosc_ (Applicant) - . FD A (Street Address) (Phone Number) Do ,2 C A 9 551 - 3 8` (City) (State) (Zia Code) has complied with the requirements of Resolution No. by payment of $ representing 4jp? square feet. AB 2926 : y r'� f . f r' t a`LL ' f +-y.n rw Fl`, ;`i ( P4ie FU.MITIGAT.ION MS: ` .... i • �� 7 School District Representative Date Paid by Check # ,? & 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 66020(x), 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 ICEQA), 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.xls (10/98)dmm Vv COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0 - 0(p 1:_3S ASSESSOR PARCEL NUMBER I zo NG BUILDING PERMIT OWNER Jy LEPHON — / Sp, FT, OCC. BUILDING VALUATION OWNER5 IUNGS l�/v/►'--` CONTRA NAME TELEPHONE CONTRACTOji�S t¢9�1N0 DRESS t � V 1 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE t 1, LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFO< Duplex ❑ Mobilehome O Other 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 ❑ Additionx Remodel ❑ Utilities ❑ Installation O Other O Describe Work: fA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V0LES Main Service zo.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 lice full force and effect. �� �_� Zo,8 License Class Lic. No. OWNER -BUILDER DECLARRAA MN 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 WEE200A CCU000A NEW CONST. DWELLING OCCUP. ADDNS. ( .BUDS. 3.5QF°; NOR EW CONST. MULACC. =F[ESID. 97.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 BAL @ .so Ex. Occup. OUTELETS(Ro) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE i 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 Yof one hundred dollars ($100) or less.) I certify tha ' Performa of the work for which this permit is issued, I shall ncte oy any erso n a manner so as to become subject to workers' co pensation I s gg alif ia, and agree that f I should become subject to the orkers' co en tion rovisions of section 3700 of the Labor Code, I shall forthw' om wit I ose rovisions. P *� X Date '�pl _� �' �ture 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 1Z3 STYPE �� TOTAL FEE $ HAZ. D. E P FLOOD CDP PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for which fees have been paid. By ^Date �� 03 PERMIT EXPIRES ON 3 -dl -03 Date Receipt No. . 00 WHITE-D.D.S.-B. . CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT G COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 . )gQ O. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 038-190-001 ZONINGA-10BUILDING PERMIT OWNER DUBOSE DAN TELEPHONE 891-5446 SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 9035 STANFORD LN. DURHAM VAT 20,000-00 CONTRACTOR'S NAME ADONIS POOLS, TELEPHONE 1891-1197 CONTRACTORS MAILING ADDRESS 12 PLEASANT RUB ----'Cr. CHICO 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 20 00 . QQ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 9035 STANFORD LN. DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 250.00 LOT NO. SUBDIVISIONS NAME 12 LIMIJAM STATF. T. _ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 -S-1 USEOFSTRUCTURE 31.13 AC SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: T�nT. M S MASTER 97- 07 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 FLOOD'AE M 0520C ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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, ( 9 ) and my license is in full force and effect. License Class ��3 Lic. NO. 1�f0 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 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' compen �/ l ip5uc� carrier �licy r�er are: Carrier Mein Service sooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. S. SO 3.5QFr. NEW CONS . MULTI.OUTLET NONRE81S. C 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FOCTUREs 20Q1.00 BAL Q .0 Ex. Occup.°. RAID.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 OL ELEC . 30.00 30.00 PERMIT FEE : 50,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if t1fe 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 t; workers' compensation laws California, an t f I should become subject to the workers' comp, on pro ' s of ection 700 of the Labor Code, I shall forthwith c with tho s o Date. / Si ure f Icant - ❑ Owner Contractor ❑ Agent 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 $ OCC CONST. TYPE TOTAL FEE $ 335.00 HAZ. 0 EES IM/P FLOOD AE/ CDF PARCEL PJ / HE) IS uE 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. r B ate 0M 7 PERMIT EXPIRES ON !'�Q Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a Feb 01 02 08:43a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville�Califu`-nia 95965 • Telephone (5 ) 538-7541 D MIyjNQ. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBJC-) >© —190-001 .fes :D � - - : BUILDING PERMIT OWNER PHONS P9 FT. OCC. BUILDING VALUATION OWNER _ ._. ____ COM TOR' NAME I ^ HO •- -.__ COM �RS ADDRESS • I�..W' - Oiap,?59 -3 .—_— CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $620. ODD, 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ -BUILOMG ADDRESS �-+ `hJ � Energy Plan Checking Fee $ _ - _._ ®UQmizlm %IAE L.� $ PERMIT FEE $ ' - b— LOTNO.r- SUBDIVISIONS NAME ^1 -7PARCEL J MAP PLUMBING PERMIT Fling Fee 20.00 . USEOFSTRUCTURE SF X 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 ❑A �IInsst'tallattion ❑n Other ❑ Describe Work: i" CJ( /y �'1 "- ��� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home 13 1 (31 W I @20.00 _ PERMIT FEE _ 3S.00 ELECTRICAL PERMIT I Fling Feel 20.00 Main Service "...0'0,R, LEss aLEss 23.00 (�/�[J %T �•7 /-a - -^{� 2 � *PERJKIT FEE PAID ✓ J ' 5� SHERIFF : OTn � `. AJIi 6UW RECEMb "RECEIPT NtJN1i�:R r 3� �Q �DQ .* To in �. wro COwvm To 200A MainSeNICa TO 46. 0500 OIOCDCOUAP. NEW COICT. DWELLING WEE OR ADDNS. 6 ACC. NEW NON UN51r. MULTI.OUTLET @],SO IISOWAPPARATUS -- 6 SINGLE. ET. i - Ex. Occup. OUTLET OR FDRURES 20 ® 1.00 OIL ® Z Fl%ED APPINS. OR Ex. Occup. ount�n =. EA 5.00 _ Temporary Service 23.00 + Mobile Home Facilities 20.00 c. Wiring 23.00 30.00 30 PERMIT FEE , MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 ; Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee 1 $ sT. rrPE OT 'L FEE $ HA2. D. I P OOj�.. C/ OAF f EL 0 I HD SUE - This permit is hereby issued under of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions ' Resolutions to do work been -paid. Date are --' Receipt No. 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 CCA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ��9&4-1.k-- ASSESSOR PARCEL NUMBER 039 — 19 Q --* 001 Proposed Building Use: r ,aattA '"/ 56?- Counter Technician: V 6 Date: Ll -a a 3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. D 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. 7.1 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 quired for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be ind ed and returned to the plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .......... .................... 9. Plot plan and business license approval from the City of Biggs .... .............................. 10. Letter of intent for non-residential buildings....................................................... 11. D tamed Accessory Building Form filled out by thener..................................... Iazard9u4AAaterial form ....... _...... .,.._..,.. `.,.....Q.. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. �5. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Fees as shown on the attached Schedule of Fees Due Sheet .................... :.................. Statement of Intent for Non -heated and A/C Buildings ................................. .... ' .. Sanitation and plot plan approval from the Environmental Health Department in 3 City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: © i--, (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ j Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other: issued Telephone -' and hold for pickup. I have been informe f t — ove ite s-ana re uiremen-t for obtaining a building permit. Applicant: Date:~` 1. Index permit application for the above items numbered: (en� Plan Check Letter 2. Additional items required Contractor designer, owner, was advised of the above data by ❑ ph , ❑ mail, ❑ counter, by Date: n acto designer, owner, was advised of the above data by C9 phone, ❑ mail, ❑ counter, by Date: P ans reviewediby: p Date: Plans approved by:EDate: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: ' Date: Yellow: Building Division r. TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance —d • E.". USB 0 LY Rot Ren Attechod ao# Ren Attached Sent to Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ntal Health Specialist Date 8/96 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-'0077i.: NATIONALil�LOODINSUWCE PROGRAM ' Expires July_3 t2' j,�' 1', ;, ELEVATION CERTIFICATE Important: Read. the instructions on pages I -7: rl SECTION A - PROPERTY OWNER INFORMATION urance. C. BUILDING OWNER'S NAME 0,4 N_rc ek-, 1P L.J. a cjs R- X BUILDING STREET ADDRESS (Including Apt., Unit. Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ........ 14 . ....... N, CtTY--- STATE ZIP COOS! 11, C -A 1i PRO RTY DESCRIPTION (LotNumb rs, Tax Parcel Number, Legal Description, etc.) . pnd Block 11 —04) BUi,LPING USE: (e.g.*.,- Residential, Non-residential, Addition Acces etc. Use Comments section if.necessary.) I 1,:jJVr Jj 1,kr. LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM:.' IF SOURCE: LJ GPS (Type): or A01927 .L_JNADf983 Li USGS Quad Map LJ Other ,11 J�� -7- SECTION -13. -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION NFIP COMMUNITY NAME&. COMMUNITY NUMBER B2 COUNTY NAME STAT 'MAiP PANEL. 64'� ..'ANDP SUFFIX B6. FIRM, INDEX 137.. FIRM PANEL 88: TLOOD _1139;BASEFLOODELEVATION, t DATE.: - EF E FECTIV D, PATE ZONEf5) (Zone AO, use depth of flooding :-8,70'Indicata the'scfurce,qrpq.Basq,�lood'.Elevatid'n"(BFE-T"data�-dr b'dsd- f1bod"depth."entered in B9. A.1 kM "L�J Communky- Determined.' Other (Describe): - __..-.. t .: ' it r �F�' 11. ndicate-the ebVation:d Ein'B4: GVD 192g NAVD1988 LjOther(Pescribe):'i'laturau�e7dfoe'theBF ,B1Z,4s,,thebuiIding located:in-.a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes,.',611f,il M.o esimia H6n. Date_ ........ ... SECTION..0 LOING. ELEVATION, INFORMATION.(SURVEY REQUIRED) 7 Ct" re based on: Instruction Drawings' J_(Building Under Construction* "Finished C&nstru`c;tioni'� n9 _ ........... rF 'A new,Elevation Certificat& will. be required when construction 6fthe building. is complete. CZ BuildingD[agram Number' -1 .(Select -the building diagram most similar to the building for which this certificate is being','co I et 6. and -pages T,"If no diagram accurately represents the building, provide a sketch or photograph.) C3"EJeVati66-i:-Zi3'iiesf-A:1'-A30'AE AH A with BFE)VE,' V1=V'30, V with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A 1 11 I.V orripl6tid: lte'tum'is'diffier md,C a-i.,,bqIow according to.the building.-diagr m.sp.ecitied in Item C2. State the datum used. If the da a the:daUi -u'sedfdr the BFE in, Section convert the datum to that, us ed- for the 8FE. Showfield measurements and datum co ersi6ri: rw calculation-, Use the space provided or the Comments area of Section- 0 or Section G, as appropriate, to document the datum; cn ve'r'sl DatumConversion/Comment's � Elevation refereme, mark used RK '5 EF7 Does the elevation reference mark used appear on the FIRM? I YeClt!�,1,04, O Jop, of' bottom floor (including basement or. enclosu're)/LM 0 b) Top of'next higher floor - AJ,# (m). c) Roftorrrof-lowesit horizontal structural member (V zones only) ft.(m) 5` %N O d) Attached. garage (top of slab)//,,"( ft.(m) E - Exp. 5, W6) Lowest elevation of machinery and/or equipment UJ C3 1%*V ; .: e 6.43 ---%-servicing-the-building.- ft (M) -, = N i I S C1 0, Lowest adjacent grade. (LAG) O ft.(m) 21! U) --U- gy Highestadjjacent'grade (HAG)' 0 h). No.: (ifpermanent openings (flood vents) withinabove adjacent g I ft. a rade A) 1'1*perminentlbpenings (flood Vents) in C3 h dA sq, in. (sq. cm) civ 9 11 PA 4 44 _4 i --SECTION D ENGINEER.- OkARCHITECT CERTIFICATION " This cerfificatibn4s..to, be,signed and - sealed by a land surveyor, engineer, or architect authorized by y law to certify elevation ihfortnatio . ri. I Cet,tify ihat the :, informatiorr in Sections A, 8, and C on this certiricate represents my best efforts to interpret the data available.: , l &hdddtbhd'th&'gn`%� Mls" stat6mehi may'b 6'punish 4ble by rine -or #ron'sormeni 1, 18 1-1. S. co-deSection CERTIFIER'S NAMES-?' LICENSE NUMBER . TITLE COMPANY NAME . ZA ,4 f Cl1y1Z R �AZC ODi ;ADDRESS�l SIGNATURE- OATR TELEPHONE K i o V 4.. 2 -3542- V/z e- I 1,E 0 nsuran e: q TMPOR�MNT: In theses paces, copy the corresponding information from Section A. c rripanyl. BUILDING STREETADDRESS (including Apt., Unit, Suite, and/or Bldg. No.),OR P.O. ROUTE AND BOX NO. . .. .......... .... 7-A tv t -'o A - CITY 10 L) 01 STAT6EA ZIP CODE ComnaNn yNA IC......N.u..r.p' .ber SECTION D -SURVEYOR, ENGINEER, OR -ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1)comm unity official, (2) insurance agenttcompany,'and (3) building owner. 'I COMMENTS J! _I Check here, att chmdnt$,f SECTION-E'-B.UILDING ELEVATION 1� INFORMATION (SURVEY NOT REQUIRED) FOR AND ZONE A (WITHbilt.sp,8)'ilflll"ljl�I orZone .AOand Zone A (without BFE), complete Items. E1 through E4. If the 0evationtertifficate-is intended foruse as suppcoin -formation. for a LOMA. or LOMB -F, Section.. C, must be completed, f .1. Building Diagram Num (Select the building dia g ram most similar to'th e building for which this certificate is being. c p e e n 0 ...-see pages, 6 and 7.: -If no diagram accurately- represents, the building, provide'a sketch or photograph.) enc osure of the building Is LJ ft.( )I lin-.(cm) 0 2._Thq,top,otthe..bottom..floor (incrudinig'baiemen'tor' - I above or be (check one) the highest adjacent, grade. 3. For Building-. Diagrams 6-8 with openings (see.ppgej). the nexthigher floor. or elevated floor (elevation b) of the building is ,Y*'E=[in'. Ci;rny. above._thd.h.fghdit a_djac6n_tgr 4. FqrZcine:A0 only,....rf no -4166d. depth numlilii is availa*bl6, is the -top of the bottom floor elevated in accordance with the comrnunily,s flood •plain�m'anagement ordinance? LjYes _L I.No .,I.' -Unknown- The local official must certify this information in Section 3.1 SECTION F - PROPERTY OWNER (OR -OWNER'S REPRESENTATIVE) CERTIFICATION -he -owner'orowner's-authorized�repirei66iatiVe M6 completes - Sectio'AiA, B,'ard E for Zone A (without a FEMA -i -property, ) I- ��uecl ommuni.ty4sudd-:BFE -or, Zone'Ad must sign here. 9 14 IROPERTY. OWNER'S. OR OWN ER'S. AUTHORIZED REPRESENTATIVE'S NAME CITY-.. STATE ZIP CODE -;IGNATURE DATE TELEPHONE :OMMENTS I I Check here if �tta,,Chm� I 0 ...SECTION G - COMMUNITY INFORMATION (OPTIONAL), t 7 e local -official..�w4q-. law or ordinance to administer the community's floodplain management ordinance can con"llpletI16 Jis.-a.uthorized-.by I' ctions A; B, C (or' E), and G of this Elevation Certificate. Complete the applicable• item(ssand sign below.- , �c,� i��;kt j'!ij L in n Section C was taken from, other documentation that has been sined and embossed by a licensed survey r, The in sed' y elevation information. (indicate the source engineer, or architect who is authorized by state or local law to certify 'i ; il the and date o elevation data in the'Comments area -below.) l A community official completed Section E for a building located in Zone A (without a FEMA -issued or COMMLnity-issued'�Fq�) "o r Zone AO. I. t_IThe following information (Items*G4-G9) is provided for community floodplain management, purposes. :4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPA Y+,4 ,j ISSUED 1 4 Mlit ..This permit has been issued for Lj New Construction L -j Substantial Improvement ;-Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: or 09 Zone. AOdepth offlooding at the building site is: ft.(m) Datum: ]CAL OFFICIAL'S NAME, TITLE f'IA,AAA " K I 1rV- KI A k AG Li iGNATURE 1) _AT E OMMENTS -1 Check here if �ttachrnen.01 ="I ?i'ayv i I I I I I I I I I I I I I ( I i� C I• i f `i4 0-7 i [ r. utte, CO LAND OF NATURAL WEALTH AND BLE: AUT`( BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE,.CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 DAN & TERI DUBOSE Re: Building Permit # 00-2062 9035 STANFORD LANE Expiration Date: 10/02/01 DURHAM, CA 95938 A.P.# 038-190-001 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing.a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the C.14TCn office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments CC: ROBERT SHEER) P.O. BOX 1466, CHICO, CA 95927 Chico Office - 411 Main Street, Chico / 891-2751 11