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HomeMy WebLinkAbout039-120-031ENCROACHMENT PERMIT _ DATE 6•/S•O% - ro fit f {'i 4 et �c h T ♦�"..�, ��% vrt� � � Ph' �;i s. � �t� � t r r s ,_rra it }{t� t{ Y _ t St3 i� r ^aPa i 3 a ti t f Y • a f is :.• t �„ r, f jt�� y,•- *•�x is h !! 4�f t fii t �.Y 1 \� fJtia� �' t� - t z ,, cA� ' h t 5�,+ f t � ,.t�'(� r�c{r sit �*r t J t �} ya �n { x t•,"tf�9i 3+�II��tj�i '�'i�t -y .� ht 4�•t �- }t r k A�'r¢ � .��**�T.±�Ye 7 t a,} 1T + t tt iii t oil f`` - - t{JO Ila { * ky i l�Y t� i f l t• � ��i �*itti 1 2 ,iQ s i; .:4.�t r.,>• 4. :- � rp,r dyT� �Y _,..t �1� t ��� �--i.t t� U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exoires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building A2. Building Street Address (in6luding Apt. Unit, Suite, and/or Bid . No.) or P.O. Route and Box No. Company NAIC Number t�L=2 fZ rte. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.), K- 11,7 c:%ii%/,f L A5. LaUtude/Longitude: Lat. /2 1 "5Z '3 Of Long. 3 q 92- / 3 ver Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photogreph of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: X/ a) Square footage of crawl space or enctosure(s) sq ft a) Square footage of attached garage � sq ft b) No. of permanent flood openings In the crawl space orb) b) No. of permanent flood openings in the attached gge enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade �! c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings In A9.b of/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State U fJ1A1CO3eA A 45 080CP17 1 5 U i -rte Ck4_41-/1- B4: Map/Panel Number B5. Suffix B6. FIRM Index 37. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0&00? .¢8S specified in Item A7. ,� below according to the building dlagre M Z H ¢ Dat /� aW0 Effective/Revised Date Jt),V 149 Zo e(s) o AO, use base flood depth l�Eo rf- l B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In tem B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicateelevation da um used for BFE In Item 89: GVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located Ina Coastal Barrier Resourc4s System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Wo Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g specified in Item A7. ,� below according to the building dlagre M Z H I /:� /5 Z Benchmark Utilized G- Vertical Datum � / /4- % Conversion/Comments Check the measurement used. a) Top of bottom floor pncluding basement, crawl space, or enclosure floor) IL6.8 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 16 co feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) _❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building / 5 19 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) 0 Lowest adjacent (finished) grade (LAG) y S 6 .S feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) m.3-® feet ❑ meters (Puerto Rico only) 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 tD certify elevation information. I certify that the Information on this CertMcate represents my best efforts to Interpret the data available. 1 understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. _ w: a: IZoREi2% eL 1R . License b� ; 27(4 1�� rmnonv Nam& _ _ 7"L .I- L X SEAL. NbE2ZN47 :1 w Z/6 r A Q FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number v s G i� ��vE� 9/2 City GJ�L/ State cflte—IF ZIP Code Company NAIC 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. Comments ati St % -G 1—JJA5, No47_& LKOI G aL o!� P61 - �-���1 T/6 AJ_ /.S6. 9 4. Signature Date 11 /2,0 e ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REClUiRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is "titfeet ❑ meters ,t5,1 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 45-- ttTT�J''II feet ❑ meters above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openin s provi a In Secti Items 8 an or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of th,,ep �u (ding Is ? . ��feet meters above or below the HAG. E3. Attached garage (top of slab) is —Lr L�,4 ❑ feet ❑ meters ❑ abovp or C]below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 6 feet ❑ meters above or [:]below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance wit the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check he, If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized and G of this Elevation Certificate. or ordinance to, administer the community's floodplain management ordinance can complete Sections A, B, C (or E), ate the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. G 1. ❑ The information in Section C was taken from other documentation that has been signed and seated by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compllance/Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑feat ❑ meters (PR) Datum_ G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. . ( For insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bld�. No.) or P.O. Route and Box No. I Policy Number iCity G U State ZIP Code Company NAlcNurt,ber I If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front VleW and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting mbre •photographs than will fit on this page, use the Continuation Page, following. I Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 045 /Co ?/Va2. City G f�'l G 0 State �� ZIP Code Company NAlcNumber I If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." ,L L --F -- S/ Pe: P". U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program A2. Building Street . ELEVATION CERTIFICATE Important: Read the Instructions on pages 1-8. SECTION A - PROPERTY INFORMATION Suite, andr/o�r Bids. No.) or P.O. Route and Box No. OMB No. 1660-0008 Expires February 28. 2009 For Insurance Company Use: A8. For a building with a pawl space or enclosure($) rovid vv a) Square footage of crawl space orenclosure(s) e. A9. For a building with an attached garage, b) No. o1wl space or sq ft a) Square footage of attached garage ode: x/� enclosures) walls �n 1 openings oot above adjacent g de 14 Z$ -=L sq ft b) No. of per►nanent flood openings in the atta� go c) Total net area of flood openings in AB.b walls within 1.0 foot above adjacent grade /-t sq in c) Total net area of flood Openings in A9.bA �_ sq In SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name &Community Number U /N COMP. ✓�$ o�ovl B2. County Name 83. State B4=Number Suffix B6FIRB7. FIRM Panel O(o Dat Effective/Revised Date B8. Flood B9. Base Flood Elevatlon(s) (Zone 1,7.7 Zorje(s) AO, use base flood depth) 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In tem 89. ❑ FIS Profile IRM ElCommunity Determined B11. Indicate. elevation da um used for BFE in Item 89: ❑Other (Describe) B12. Is the building located in a Coastal Barrier Resourc6s System (CBRS) area or Otherwise Protected Area (OPA)? Yes NAVD 1988 ❑Other (Describe) Designation Date O ❑CBRS � OPA o Cl C2 "Mo^ %, - CUILDING ELEVATION INFnPRIATrnu ouuaing elevations are based on: Drawings* -- - - `--'--" ""+"rRnu) -A new Elevation Certificate will be required❑nwhennconstruction of the bufidlnOg BuildinUnder Construction* Is Finished Construction Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagra�stpeectifiedIn Item A7. Benchmark Utilized S A , Converslon/Comments Vertical Datum - /4- /) P7 2� 7 a) Top of bottom floor (Including basement, crawl space, or enclosure floor Check the measurement used. b) Top of the next higher floor ) �d 8 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) / = feet El meters (Puerto Rico only) III Attached garage (top of slab) _0 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building / ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) feet El meters (Puerto Rico only) Q Lowest adjacent (finished) grade (LAG) .8 9) Highest adjacent (finished) grade (HAG) Iffloot 0 meters (Puerto Rico only) —Z=6 --a @ feet [] meters (Puerto Rico only) -- -n am tion oy a land surveyor, engineer, or architect authorized b I' b,Ge " 'v~ information. I certify that the Information on this Certificate represents my bast e/forts to interpret the data avallabb. I understand that any false statement may be punishable by Ane ent s MY best et under Interpret U.S. Code, Sectlont 1001. ❑ Check here If comments are provided on back of form. Replaces all previous editions IMPORTANT: in these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 6>4-g G /G R/r/EP go City hLI G State Cll-e_IF- ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/cwmpany, and (3) building owner. Comments 9Ali �( %tG EWC. H N d A /J D ,e. T 4,9 Be— O G 6/. 2�/_E1-/1-T/0 AJ = /S6, 9 II/.id/off SECTION E - BUILDING ELEVATION INFNMATION (SURVEY NOT REQUrRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information br the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). 40 a) Top of bottom floor (Including basement, crawl space, or enclosure) is �J�feet ❑meters 21,above or below the HAG. b) Top of bottom floor (Including basement, crawl space, or enclosure) isIT+�'I feet ❑ meters above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openin s prowl a In Sectiq A Items 8 an or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the u (ding is � . �Cfeet j_.J meters above or below the HAG. E3. Attached garage (top of slab) is �� ❑ feet ❑ meters ❑ abov or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is 0 feet ❑ meters above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authortzed Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ 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. Check the measurement used In Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -Issued BFE) or Zone AO. G3. ❑ The following Information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has.been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here If attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 30-4�' City G G State GJ� ZIP Code Company NAICNurnber r If using the Elevation Certificate to obtain NFIP'flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more •ph'btographs than will fit on this page, use the Continuation Page, following. • �r r s�-,. ` . �. .. � ,r r a � i r NA 14 fit II— I '�����'•: �� '✓r/f,�tl� ,!'�l t iii LI � ����e1 1�'rtlr ,� `. r , , "f ;,� w� moi' ' �; �' 51(11 'rI"' , r '�...,� �'; • �( + 1 ,l�!'� tt� r ~�� . iYh�"j =[[�,,� t � �.4.i� 1 1. i•i 1,.4 )•��(�ij� 1 1. .�� h° �,, •\1^� t 14 •`'r �.1 �t�� a� `1. �' ���� 1.� � �,�A � y +(?�i� t �,� t `'4`„ /r `r� f y T � 11 h.� /:.! �i,`4•; r 771�rtty / F � � d�', .,11/:R ��11! 4 1 `NJ' '.` Pr ��TTF0� Department ®f Public. ®rks C o. u n t Y ® f B u. t t e O u 7 County Center Drive o C Oroville, CA 95965 J. Michael Crump, Director (530)538-7681 O V 14'� y (FAX) 538-7171 tic WOF`�Shawn H. O'Brien, Assistant Director Assessors Parcel Number -%;i-6 I DIj Building_permit # Owners Name: / r >� � A /7Owners Mailing Address: so Property Address: ' ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ❑ Not a County maintained road ❑ Existing driveway conforms to County. S=31 standard ❑ Other Approved by Printed Name Ors%S ohiu on Title Date C CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs.