Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
039-480-004
�= . INTER -DEPARTMENTAL MEMORANDUM G TO: BUILDING D VISION, ROVILLE R ENVIR. HEALTH, CHICO RELEASEE ALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: v AP#: /�3Q�� 'tiC �-�® ADDRESS/LOCATION: _/o%%E V- �� FROM: �j DATE: i V O Comments: GL/memos/releasehold —... R s. .., ... r...,•,s.. ,nY� 4..r.,...Yys•:r.av�rce+vv�+�c-.eAsr,^�r�. W'we,,w�r�,?:iai4'T:`�rM:�x'��eni, '^'sh�`�C:�4�tiNiMp•�-t"_.,. -�.:.w :v ... c . r.-� ... y.. �-„k�a�..�`' �': �+M1 '. 039-480-004 `-'� 02-2841 _ a ti v. s WEN, WILLIAM & CLAUDIA z� MILLER AVE CHICO F i4 CONT: EXECUTIVE HOMES; 1 i . DECK • • 4i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�!! Q• (Rev. 12/96) APPLICATION AND PERMIT K'z _ 2, i ASSESSOR PARCEL NUMBER 039-480-004 ZONING 1 BUILDING PERMIT OWNER WILLIAM & CLAUDIA TELEPHONE 8055 306 3 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS r 40 @7 980.00 CONTRACTOR'S NAME E HES TELEPHONE CONTRACTORS MAILING ADDRESS F . 04TMF CA 95973 CONSTRUCTION LENDER c. Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING DRE S MIUM AVE. (MCO Energy Plan Checking Fee $ $ PERMIT FEE $ Fi8.W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ DLiplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or.vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: D= Gas piping system 1 -'S outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ov.oass 23.00 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 ProTessions Code, and my license is i fully ce and effect. // -- r d^�" �^�\ License Class Lic. No. (c (4C 5 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. OR ADDNS. ( 8 ACC. BLDS.5¢Fr. SO �N H'-R°�,p MULTI -OUTLET 97.50 PGWERAPPARATUS SINGLE OUTLET CTR. .11N. �(, OCCU OUTLET OR FIXTURESIR Bp0 I 0 Ex. Occup. DFlxunFis R D DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 workerf'.,7 compensation, as provided for by section 3700 of the Labor Code, for tlf�e 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' co pensation insurance carrier and policy number are: Carrier 1 I r 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.) , _ /, -'I f-- ❑ 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 i forthwith comply with those provisions. 1 v X [ ( / Date loa— ' Signature of Applicant ! ❑ 0caner ❑ Contractor © Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilationf 7 7, �1 --*— 1 PERMIT FEE $ Mobile Home Installation Fee' $ Energy Inspection Fge $ oC -' r coNST,,TYVE I TOTAL FEE $ --o", 68.00 r HAZ L / D/FEES �. IMP �.. FLOOD' A! ' CDF ARCEL ,'PO HD ISSUE ., This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. !!�� B f. 1 :=, 'L rr i,,.,,, Date 12-3-02 Y PERMIT EXPIRES ON 12-3-03 (Data) ReceiptNo. '163952 6S (1/1 WHITE-D.D.S.-B.D. CAN PINK -INSPECTOR GOLDENROD -APPLICANT ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75A1, -272� �0. (Rev. 12/96) APPLICATION AND PERMIT 1_ ASSESSOR PARCEL NUMBER 039-480-004 1 ZONING BUILDING PERMIT 0 TELEPHONE -10153 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6288 HUGGINS DR-, Q_RTANn. CA 140 @7 980.00 CONTRACTOR'S NAMEONE =-6992 CONTRACTORS MAILING ADDRESS 3042 R;PTANADE, CHIM, CA- 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING . DRESS MILLER AVE. CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 68.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service zo.A OR LESS 23.00 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 i fu ce and effect. //w—� / License Class ! Lic. No. �/�0 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. ❑ 1, 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. 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' compgnsati n insurance carrier and policy number are: CarrierTT Policy Number / (The above sections need not be complete 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' co ensation provisions of section 3700 of the Labor Code, I shall f rthwith cc ly with those provisions. CA,^ q ID X Det _ ❑ caner ❑ ontractor gent Signature 0' App Ic®r, An OSHA permit is r qd for excavations over 5'0" deep and demolition or construction of structures over 3 fs in height. Main Service ?DOA TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. Re INEW O. T. MULTI -OUTLET RANCH CIRCUITS @7,50 POWER APPARATUS a sINOIF OLmFr CSI R. Ex. Occu OUTLET OR FIXTURES BAL O I.00 sa Ex. Occup. o 'E' R pOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 68.00 I.A D. FEES IMP _ _ FLOOD AO 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 12-3-02 PERMIT EXPIRES ON 12-3-03 Date Receipt No. �35� (1(1 WHITE-D.D.S.-B.D. CAARA SESgOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT NC I-ev.12/06)` APPLICATION AND PERMIT — 02Z - / AssEssORPARCEL Nnq I _ Zp�p 4 �.' l BUILDING PERMIT OWNER ; TQ1�'r/OH� SO. FT. OCC. BUILDING VALUATION � I ((i C�_YYl W'C� � � I �� 0(1 _ �I t Z� In Q ►_c,h�,./_�, OWN RES _ I CONT rR's NAME" QJ I i L -144kcOM TORS NO ADDRE D S 4!N�DER'S ONSTRucnoN LANDER MAJUNG ADDRESS Fireplace Total Valuation E RCCT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 ARCHITECT OR ENGINEERS MAJUNG ADDRESS Permit Fee E 5 W BUILDINGADDRESS Plan CheckingFee $ 3 �u >♦ Energy Plan Checking Fee E /1 S l� PERMIT FEE _ LOT NO. SllBON6pNS PARCEL. MAP PLUMBING PERMIT Fling Fee 20.00 , E h Trap 7.00 USEOFSTRUCTURE Sola or heat -pump water heater 23.00 Sr ❑ Duplex ❑ Mobilehome Other Water Ing 15.00 svECFr Each as ter heater or vent 15.00 TYPE OF WORK Gas 1 In stE utlets 15.00 New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Buildin sewer t 5.00 Describe Work: X I L4 / Mobile Home Is I G @20.00 PERMIT FE#$= ELECTRICAL PERMIT ing Feel 20.00 in Service eoovxoA oo00,",23.00 LEss �i tEss A OJ o5co5 C_._- Main rvice 200A To IOOOA 46.00 HEW COT: DWELLM OCCU ( P. SO OR ADDNS. A ACC. BLAS. I 3.5¢s. O MULTFOUTLET NON.RESID, @7.50 ' POWER APPARATUS & SINGLE OUTLET C10. Ex. Occup. OR 6D(TUREs p I'00 BAL .SO , Ex. Occup.oPD` APPS .CEA. 5.00 Tem orar Service 23.00 GU Mobile Home Facilities 20.00 �® Misc. Wiring 23.00 SRA PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Hea,ting O� Coolin E 6.501 lation PERMIT FEt ! Mobile Home Installation Fee $ U Energy Inspection Fee $ Gcc CONST. TYPE TO gVLr�FEE $ �� D� �O CDP lSi q ISSUE This permlt Is hereby Issued under the applicable provisions PP a. ItIC4 � � Lt+ .1Y440 of the Butte County Code and/or Resolutions to do work jr T indicated above for which fees have been paid. Ca" By Date _ PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (% I J 11/-1 vyl I /�l/A. r)LIJ�� ASSESSOR PARCEL NUMBER ' �Z p U �'�/ Proposed Building Use: P(() lio Counter Technician: 1.11 Date: 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, signedty 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 en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed 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. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the: followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ................................. '.....' .... �6. Sanitation and plot plan approval from the Environmental Health Department in *1 � - 5.-- re- ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... -� ❑ 19. Planning approval for (A) Use: O 5, (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (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 ..............:.............................. ❑ 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. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. .P I have been informed of bove items and requirements for obtaining a building permit. O Applicant: Date: r A�' 62v2, 1. Index permit application for the above items numbered: Plan Check Letter. 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone,,..0 mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone,•. '❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: , Date: i -z. Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building, Division _ BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM •+ CHICO AREA RECREATION AND PARK DIS/TRICT Assessor Parcel Number(s) 597101/0( Property Owner wen Project Location/Address Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition LMobilehome(s) Non -Residential to Residential Total Number of Dwelling Units . Comment: 4MI/we iilding Departmen Representative Date WWWWWWWWWWWWWWWdtYrWWWWWWWWWWWWWWWWWWWWWWWWWWWWWWW:WikWWWWWWWWWWWWWWWWWWWWWWWW 4X . Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) ?7 3 (City) (State) (.Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwell 'dg un' tis @ $1,189 for total payment of $ CARD RepresentatUO Date PAID BY CHECK N0. REMARKS: L.X rou-S. BANK N0. PAID BY CASH RECEIPT N0. Distribution: White --Applicant Yellow --Butte Co. Building,Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) ' - School District r A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) o ,{� ���� ,I��>f,s� Building Department No. Jurisdiction: City County Property Owner �Q )I Il 10 M ::� l ��t) I.Q . ( X L)i-n 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 # "(No foundation inspection): Commercial/Industrial t" = New Addition (floor Plans reviewed by School Uistrict Personnel) District Identification No.� 3n 0.. Users ED School District certifies that (Street Address) (City) has complied with the requirements of Resolution No Sq. Footage (Including Exterior Roofed Areas) Jo� Date (Applicant)) Q� (Phone Number) t G'.5 � 7 (State) (Zip Code) by payment of $ 3 representing square feet. AB 2926 $ FULL MITIGATION $ School District Representative - Date Paid by Check # V/ / 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 Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm Y 0 P`pI xd� b� t4L r Fo -� -Prop C) ® n liS 7,, 1� `- � A 0Q9 ' m 04,- 0,39 - q 90 - t PLANNING DIVISION- BUILDING PLAN APPROVAL ti r Use:---. cO K Date:1a--23~�-2 Parking: Landscaping: 's Other• ;t Signature: i �e 04,- 0,39 - q 90 - t PLANNING DIVISION- BUILDING PLAN APPROVAL ti r Use:---. cO K Date:1a--23~�-2 Parking: Landscaping: 's Other• ;t Signature: i .� 1 I ♦ — oj Sri Ffft CLIP _ 3 .!.I !`. ,�. 2 x 12 STAIR STRIW'-,� 6EIZ. 4 . NiAX.0 (An liti v:P �� 1017.VIEW f i N AWRAIL NOT 5NOW N FOR WRI 2 4'„W QF*2 VxG• DECKING (ALT) GIRDERS BOLT -179 TI G PLYWOOD CC EXT. MOBILE NAME m DELI: M MAX. CLIP (EA. RE 9'Mlu v 4•x6• 4'x4' POST i — CTUARDRAIL %IDF to i 2'0,c4* PRF35URF n i 41 L-1 .� - (� �a• TRfA7rP eiv n OECKIIJG GIRDER e MIN' -Ts �RFDW00D 1y1A7F- 4 • • • • 4 PRECAST 4'x4" POST Mme• 6 - I - 40 ADrQU4TE' DIAL ONA I. , �, BRACING. TYPICAL RESID IM01 ,7,Ps � � "o/ -DCX oms I�•*. ` o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC R I M. FO 7' IN6 WORKS ? - 7 County Center prlve — Omvllle. Celilornle 95965 - — --------- Tglonhnnp• �� 6 c9 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires July 31, 2002 ' ELEVATION CERTIFICATE Important, Read the Instructions on pages 1 -7. SECTION A- PROPERTY OWNER INFORMATION Fbr.:Insurance-Company-Use:. BUILDING OWNER'S NAME -' dw&-Yv -7 'I`PolicysNum r: W/LL/ LaUAA r S BUILDING STREET ADDRESS (including Apt., Unit, Suit , and/or_'_Bldg. No:) OR P.O: RQUTE AND BOX NO-' j Company;NAIC: Number. CITY C�-1LO STATE n��' L ZIP CODE / PROPERTY DESCRIPTION (Lot and Block Numbers, T Parcel Number, Lep al Description, a c.) �4 iV O 3 g- �F83-004- BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RAS'/064 T// -L LATITUDE/LONGITUDE (OPTIONAL)HORIZONTAL DATUM: •SOURCE: l__1 GPS (Type): ##.#$r or ##.#tkl##°) 1711611 NAD 1927 G-1 NAD 1983 L-1 USGS Quad Map 1_I Other: _ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER Ml, TTS lc . , ("A, 4 IN Co K d, Ai2e>45 82. COUNTY NAME p rJ a 77a B3. STATE <: 4- /%c, B4. MAP AND PANEL B5. SUFFIX 86. FIRM INDEX 87. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONS) NUMBER DATE EFFECTIVE/REVISED DATE ZO (S (Zone AO, use depth of fboding) �Yo 0v/ 7 —Gjbs C J UAI 8,194 4 i �Za B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_1 FIS Profile XFIRM 1-1 Community Determined �_� Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: [--1 NGVD 1929 �_� NAVD 1988 1_1 Other (Describe): B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_� Yes No Designation Date: SECTION •C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: AlConstruction Drawings' 1__IBuilding Under Construction' I_IFinished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _� (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 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 C3a-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,Jneasurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used___ &" Z, :z Does the elevation reference mark used appear on the FIRM? I_J Yes No ❑ a) Top of bottom floor (Including basement or. enclosure) /76 ,� ft. (m) ❑ b) Top of next higher floor ft. (m) 79, ES&€ovm � ❑ c) Bottom of lowest horizontal structural member (V zones only) — _ ft.(m). c ❑ d) Attached garage (top of slab) /'? 5 ft.(m), E o ❑ e) Lowest elevation of machinery and/or equipment w o servicing the building 1757 ft.(m) = C oto ^ 2 ag ❑ f) Lowest adjacent grade (LAG) -_�7 S" ft. (m) 1.9 e H ❑ g) Highest adjacent grade (HAG) �- 0 S R(m) y NO, c O h)'No. of permanent openings. (flood vents) within 1 ft above adjacent grade 9 7.- r-jIr /Y I ❑ .i) Total area of all permanent operiings (flood vents) In C3h '- sq. in. (sq. cm) �!' .0 IV ! SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION °; r�.. F This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation information. 1 certify that the information in Sections A; S, and C on this cert98cate 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. c . i�nmc r_ I�� , .' J rG LICENSE NUMBER /' x-7647 �crnvi�c TITLE /^ C�i5N i1V'COMPANY NAMEWarS T SU cveY/NG 977-4 Y_ 6 3 RV -PI A(:F5 Al I 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, CITY STATE 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 O N.T.1711.,i I�I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (VIATHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR4F Sectlon C must be completed. E1. Building Diagram Number (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 sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is 1.�1 ft.(m) ]�_I_lin.(cm) 1-1 above or 1_1 below (check one) the highest adjacent grade. E3. 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 1_1 No 1_1 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE ELEPHONE COMMENTS 1-1 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 Sectlons.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 Iccal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1-1 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. 1-1 The following information (Items G4 -G9) is provided for community floodplain management purposes. RMIT N TE OF COMPLIANCE/OCCUPANCY I I I ISSUED G7. This. permit has been Issued for. 1-1 New Construction 1_1 Substantial Improvement G8. Elevation of as-bulit 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_I Check here if attachments Al 194 vy i?FPI Ar:FR Al I PRFl/Irll iR Fr11T1(1P1C B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. 1_I FIS Profile FIRM �_� Community Determined i_� Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: i_i NGVD 1929 �_� NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_� Yes _ No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1XIConstruction Drawings' I_IBuilding Under Construction"—Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building 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, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the bullding 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 D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Rtt Z 7 Does the elevation reference mark used appear on the FIRM? �_� YesNo ❑ a) Top of bottom floor (Including basement or enclosure) /76 ft. (m) i p ix ❑ b) Top of next higher floor -7�^ ft (m) Fn ` � [ `may m.. Lp7n ❑ c) Bottom of lowest horizontal structural member (V zones only) — _ ft,(m)_ o ❑ d) Attached garage (top of slab) 1-7 5 ft.(m)1 A °°° °"q, ; +� ❑ e) Lowest elevation of machine and/or Lu '` ° 4r machinery equipment � � °°Q,�t. �. � servicing the building 17 JrUJ ❑ f) Lowest adjacent grade (LAG) -Z _S ft. (M) z cm o ii '^ ' ;w: O g) Highest adjacent grade (HAG) / 7 S ft.(m) 2 NO. � ❑ h) No. of permanent openings. (flood vents) within 1 R above adjacent grade , r ❑ .i) Total area of all permanent openings (flood vents) In C3h sq. in. (sq. cm) �f' IV ° 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. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ADDRESS �j% 2 �¢y /,G * � T J U ICVa7,V) j ji��3 S IJ L" `'K /1L/�l� f-4CITY /1�Ql�i'lst�' STATEf:4. ZIP CODE 5; b Z FFtUA Fnrtn Al -11 At Jr. QSl CF RF\ RSF CIr1F Fr1R r.r1NT1Nl IATIr1N 1 RFPI Ar'FC At I PRF\/Ir11 I.0 F:niT1r1ALC FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM - Expires July 31, 2002 ELEVATION CERTIFICATE Important, Read the Instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION ,,Fbr. Insuranar Company Use:: BUILDING OWNER'S NAME 1 Policy!Numbbr BUILDING STREET ADDRESS (Including Apt., Unit, Sult , and/or Bldg. No.) OR P.O. R TE AND BOX NO.� ' : Company..NAIC:Number TT. � . /LLL— ✓E , ` CITY STATE� ZIP CODE��6s PROPERTY DESCRIPTION (Lot and Block Numbers, T Parcel Number, Legal Description, a c.) 483-001- ,4M D 34- BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section If necessary.) R / 06-71 Tl A -L_ LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE:�_� GPS (Type): _ AW - ##.##- or ##.#####°) NAD 1927 j__1 NAD 1983 �_� USGS Quad Map 1_1 Other: _ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER C 82. COUNTY NAME �U B3. STATE A l� co n ID, i2eaS T7� ��. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX 87. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER 1c-84. 06 001-7 -a SOr _ DATE J uN 8 ,1944 EFFECTIVE/REVISED DATE ZO (S I I (Zone AO, use depth of flooding) I i •• i B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. 1_I FIS Profile FIRM �_� Community Determined i_� Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: i_i NGVD 1929 �_� NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_� Yes _ No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1XIConstruction Drawings' I_IBuilding Under Construction"—Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building 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, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the bullding 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 D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Rtt Z 7 Does the elevation reference mark used appear on the FIRM? �_� YesNo ❑ a) Top of bottom floor (Including basement or enclosure) /76 ft. (m) i p ix ❑ b) Top of next higher floor -7�^ ft (m) Fn ` � [ `may m.. Lp7n ❑ c) Bottom of lowest horizontal structural member (V zones only) — _ ft,(m)_ o ❑ d) Attached garage (top of slab) 1-7 5 ft.(m)1 A °°° °"q, ; +� ❑ e) Lowest elevation of machine and/or Lu '` ° 4r machinery equipment � � °°Q,�t. �. � servicing the building 17 JrUJ ❑ f) Lowest adjacent grade (LAG) -Z _S ft. (M) z cm o ii '^ ' ;w: O g) Highest adjacent grade (HAG) / 7 S ft.(m) 2 NO. � ❑ h) No. of permanent openings. (flood vents) within 1 R above adjacent grade , r ❑ .i) Total area of all permanent openings (flood vents) In C3h sq. in. (sq. cm) �f' IV ° 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. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ADDRESS �j% 2 �¢y /,G * � T J U ICVa7,V) j ji��3 S IJ L" `'K /1L/�l� f-4CITY /1�Ql�i'lst�' STATEf:4. ZIP CODE 5; b Z FFtUA Fnrtn Al -11 At Jr. QSl CF RF\ RSF CIr1F Fr1R r.r1NT1Nl IATIr1N 1 RFPI Ar'FC At I PRF\/Ir11 I.0 F:niT1r1ALC O- + 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 CITY STATE ZIF' 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 O /V .7 / 7�.- T60 L /5 �� SVR-Tio N = J 7S; _20 ' - 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 E3. 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 '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, provide a sketch or ph;?1_J_Jin.(cm) raph.) 1� E2. The top of the bottom floor (Including basement or enclosure) of the building is 1-lzl R.LXI above or 1-1 below (check one) the highest adjacent grade. E3. For Zone AO only: if no flood depth number Is available, is the top of the bottom floor elevated !it accordance with the community's floodplaln management ordinance? 1-1 Yes j-1 No j-1 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE 'ELEPHONE COMMENTS 1_1 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 Sectlons.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. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA-ssued or community -issued BFE) or Zone AO. G3. 1_1 The following Information (Items G4 -G9) Is provided for community floodplain management purposes. vy. rcr<mi i rvumo�n 100. UA It: YtKMI I IS51JEU G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY 1 ISSUED G7. This permit has been issued for: 1-1 New Construction 1_1 Substantial Improvement G8. Elevation of as-bulit 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 T. ELEPHONE SIGNATURE DATE COMMENTS FF1UA Fnrm R1 11 At Ir: OP I �lgq 1,1 Check here if attachments 1WFPI Ar:FC At I pRF m)I IC ;=nMnNC s Assessor 002 J11 Name COON'JESSIE:ELLEN REV INTER VIVOSTRIIl Asmt # I _ Fee # 039,480-004-00 =tea Status ACTIVE;' ', ��' Status Date ' Addr1 COON JESSIE ELLEN TRUSTEE r Tax 000: NORMAL•_OVJNERSHIP I TRA 062 003 -vAddr2 75TNORTHGRAVES Situs MILLEWAVE CHI Addr3jCHICO Ck95926- ��, .Base DIC 01701'!1975 b_JAgP�es Land Structure Addr4- - -27,328, 0 O Etal Notes," Fixtures Gommerits. 3948000400"CONVERTED09!08!88. Creating Doc# 191389968500 __i Date _ _-- - Bonds ., x K - ` ` 27,328; ,'current Doc# 1993834648 -_ Date 08!12!1993 Multi Situs _ x`' Total L&I ; r 1 Killrn Doc# � k 3 g; ' I% Date �,, . a Asmt;DescMILLER AVE' SuplCnt 0 jFlagl�,'} - Flagg =; �, ' MH PP PP 0, - .` ZonrngAlOF_.+ Dwell 'r r AsmtPPPen'" .Exempt Net 0 27,328 _ 3:52 NIC 039 11, "� Tax PP Pent ^'` r"Acres Appeal Pending R1C#F-1 .. st{ Split'Pending. TIR DtF R?C Stat _ { PHY,� ,40 EXP :TAX 1114HOW. iii A_TT' "_ SIT APR PCL7 GG FIE _.' -. r _ :4 I . .Find N +i "�- 112001 lsa, 07/25120013:27:21 PM _ _ 1 / f • '�'.\ 1% 11 � ^� �'+ !' .'%' � 039=480-004 MO 1 i ~ i s NOTES RESIDENTIAL - 71.11 039-480-004 �: .� 02-2842 T PERMIT NO. ,OWE-WILLIAIv1 est CLAUDIA _. _� MILLER AVE.; CHICO CONT: EXECUTIVE HOMES NEW MH PERM FND NEW SITE _ -s . - Signature —THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS 13 IVISION:-- -- BEEN TURNED INTO THE BUILDING DIVISION:,- (1) LICENSE PLATE(S) OR DECAL (THE " (1) INSPECTOR MUST RETREIVE). �. (2) STATEMENT OF FACTS (ONLY ON NEW MH'S) � INSPECTOR TO VERIFY SERIAL'& LABEL #'S.`,,, ,Fj, ±• Vit. SPECIAL CONDITIONS . 3, CHECKED BY SRA FLOOD f OFFICE COPY It Ii L - iyt FIRE SP� Address > SPECIAL VERIFY GAS r Meter By Date r'PELECTRICS USE;PEP Meter By Date I SUB=STF�- x is ei.o. _ 7 v Y / P` S 7 � IV' :;�-41=L2,1 7A,;z6 io- s�i3 4 ��/ JOB FINALED (Date) 111,4 . - Signature J=OK Card B-1 Date Card B-1 0 = Not OK Card B-), Date Card B-1 = NotReadyablo _ MOBILE HOMES . Zoning Requirements -Setbacks -Easements Date MOBI E UTILITIES (Plans) OK except #'s H Test -Demand -Valve -Connector ng Requirements -Setbacks -Easements lectricity; MH Test -Crossovers -Breakers -Clearances IP'Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector 3. Sewer;-Location-Test-Fall-C/O-Conc�ete- Water; MH Test -Regulator -Connector 4. Wa r; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval ectricity; Location-Clearances-Grnd" /Amp -Concrete Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L 'ft. ie Downs -Type -Installation Cert. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance R Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-), Date Card B-1 Date MOB HO E INSTALLATION (Plans) OK except #'s Health Department Approval . Zo • g qec uirements-Setbacks-Easements Zoning Requirements -Setbacks -Easements o ' g g5? -Spacing -Marriage Line 2. H Test -Demand -Valve -Connector Enclosure; Fencing -Alarms lectricity; 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..Gaps-and Electricity Tagged Carports; Windows -Doors ie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Q Card B . Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Line 4. �a , MH Test -Demand -Valve 5. ectricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify, #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 bite 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Health Department Approval 1. Zoning Requirements -Setbacks -Easements 11. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Enclosure; Fencing -Alarms 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 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 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-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test, 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date . Card B-1 t Date Card B-1 Date Card B-1 J=OK 0 = Not - =NotAApplicable RESIDENTIAL (Single & Duplex) p + ` . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Dep -.h 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 FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection 50. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 21. Test Tub & Shower, Second Floor -Tub Access 52. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 24. Fixture & Transformer Clearance -Ins. Protection 57. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 27. Romex Installed Close to Edge of Studs & C.J. 59. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Shear Walls; Nailing -Bolts 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 61. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect Insulation -Walls -Ceilings 33. Equip. Clearances Panels-Motors-Mech. Equip. 63. Infiltration -Walls -Windows 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Smoke Detector 37. Vent Fan, Exhaust above insulation 66. 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Ou-1et Bedroom Exiting 40. 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 70. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 74. Elec. Outlets & Receptacles at Kit. Counter 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive D Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Dtive - Oroville, California 95965 - Telephone (530) 538-7541��G� � (Rev. 12/915) T APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 019,480-004 ZONING n-10 BUILDING PERMIT OWNER OWEN, WILLIAM & CLAUDIA # X3063 SO. FT. OCC. BUILDING VALUATION 165-1-7L . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 3042 EST - ANADE, CHICO, CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $89.164. 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 594.50/2 $ 297.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-3-00 BUILDIN S Energy Plan Checking Fee $ $ PERMIT FEE $ 340.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FM NEW SITE Gas piping system 1 - 5 outlets 15.00 1 5_00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEES ELECTRICAL PERMIT Fling Fee 20.00 600VOR UES 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 license is in full f rce and effect. License Class f 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 I000A 46.00 NEW CONST. OW EwNG OCCUP. OR ADONS. ( a ACC. S. SO 3.5¢FT_ r.1Oµp°�,pT MULTI.OUTLETCUITS @7,50 sOWEINGLE OPUTLEr C R. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL O .50 Ex. Occup. ourLSEors RsID.LNS°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEES nn 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' ccoorTlpensation Insytance carr. and policy number are: Carrier L Cl.O, F1 L � Policy Number 1 h--. Fj 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 fhwith mply with se proi CA A visio A LA ` X Qa�e 1 Signature of Applict t - Owner ❑ Contractor Agent An OSHA permit is r q ired for excavations over 5'0" deep and olition or con tion of structures over 3 ries in height.B ReceiptNo.OWkn4l-bPERMIT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TAL FEE $448.25 HAZ. D. F P CDF p EL R6 H ISP This permit is hereby issued under of the Butte County Code and/or Indicat ove for which fees have EXPIRES ON 123 I the applicable provisions Resolutions to do work been paid. Date Z O� Date) WHITE-D.D.S.-B.D. CA ARY-ASS S OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY`OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NC APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER zoi BUILDING PERMIT OWNER cONTRAs,]OR'S r • BUILDING I I • 10 17 A W l 14 ARCHITECT OR ENGINEER MARCHOTEMOR ENGINEERS MAUNG ADDRESS BUILDING ADDRESS �I1at /'I n . _ LOT NO. USEOFSTRUCTURE S1cjAf SF ❑ Duplex ❑ Mobilehomex Other APcrav TYPE OF WORK New X Addition ❑ Remodel O Utilities O Installation ❑ Other ❑ 1krMV-_)_ Monona SRA k 6Q Shur %I AwsamA t/edCA" � GU +CW- otal valuation 20 rN 1.00 i SAL a .SO. Fling Fee 1 E Permit Fee c5_/ j , 5G :1 Z = E Plan Checking Fee $ Energy Plan Checking Fee S S PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping 2ystern 1 • 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE S ELECTRICAL PERMIT Mein Service ( OOOV OR LESS tow oR LEss Main Service 200A TO 1000A NEW CONST. 011VElLIJO OCCUP. OR ADONS. 20.00 ZS J / V -J fling Fee 20.00 7.00 23.00 15.00 S o� 15.00 15.00 15.00 0� @20.00 ng Fee 20.00 23.00 46.00 3.5¢i°_ Ex. Occup. OVT ET OR rDRURES 20 rN 1.00 i SAL a .SO. Ex. Occu .OFIXED APPLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S Ly3,-° MECHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee 1 $ Energy Inspection Fee $ occ coNST. TVPE TOT L FEES �- HA2 ly I P ,D. COr ' HD ssu 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 PERMIT EXPIRES ON Date _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Wl I I 1A m � C:1 � bd i n , nw-pn ASSESSOR PARCEL NUMBER `) AN O -664 Proposed Building Use: Nf. uj olft P2(M (-(1H Counter Technician: Date: IO -AQ -62- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. VI. Plot plans, 3 or 4 sets, signedty 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:-jq Data sheets and installation instructions, M� Warriage line information, ( I)kYloor Plan, (S)hie down or foundation plans, all in duplicate. ❑ 7. 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 b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be dexed and returned to the plan review line-up when required items are received. ci d ayy lood 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......................................................:.. r ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) q(TIT.-Fees as shown on the attached Schedule of Fees Due Sheet ....................................... I 4A ❑5. Statement of Intent for Non -heated and A/C Buildings ................................. �.I.n........ anitation and plot plan approval from the Environmental Health Department in C .V I ((°(�' i F (c? -O& ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: Q K (B)Parking: (C) Parcel Check: ) 0 P2O. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................1. Encroachment Permit for driveway from the Public Works Dept. (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 ..............:.............................. ❑ 425. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits .............. ❑ 30. 1'-V hrant Deed, ❑ M.H. Title/Statement of Facts; -4Letterfrom Legal Owner, ti!heck to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. r I have been informe�.,he above items and requirements for obtaining a building permit. Applicant:Date: 1. Index permit application for the a v items number d: Plan Check Letter 2. Additional items required ontract , designer, owner, was ad ise f t e a o e &6 b phone; ❑ mail, ❑ counter, by &A. Date: 1,0L o =— Contractor, designer, owner, was advised of the abo a data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: /0 Z Dom- Plans approved by: �g!j� Date: 3 O Structural reviewed by: Date:. Structural approved by: Date: Note transfer by: Date: Yellow Ruildinn Divi -inn 0 E.H. USE ONLY Biot Bien Attached L/ Flow Man Attached Sent to S.D. TO: Building -Department FROM: - . ,Environmental Health' SUBJECT: Sanitation; Clearance ' Owner Location AP# Pian Approved for:'- Sewage. Disposal v Water Supply: Public Private Weli - =v Clearance for dwelling. Other —Final clearance O.K. for: NOTE: Environmental Health Specialist Date ,8/96,' 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 �� A I I AM ILU(JI'a. ( /j)e n � A.P. It d3CI r 19X6 "66 PROP ED BUILDING USE LIM d W7 A1640 61 DATE IJ l6 �(l2 RYCFIWT # DATE REC. BUILDING PERMIT FEES Balance Due ....................... $ '' �,�, --S I O Additional Fees Due ................. $ JAdditional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES St Ulf f- (paid at District Office) (Available after Plan Check) ��l1r2�JL /S v ✓ �/ `' 3. SHERIFF FEES (paid at Building Division) Residential ...................... 360.00 =' $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$- Sq. x=$Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES lc 1 t v "✓ (paid at District Office) (Available after Plan Check) • g6er1 40 Conic, (.0 /'�-3-Q 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 application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the p hecking process. APPLICANT DATE A!::� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/06) FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM - ELEVATION CERTIFICATE Important: Read the instructions on panes 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION L,For.:lnsurance-Comvany, Use:: I BUILDING OWNER'S NAME 1 PolicyrNumbbr: W l L4.1 A A'i � C L GV pl /4 6"1 br"7U S Y BUILDING STREET ADDRESS (Including Apt., Unit, Su It ,and/or Bldg. No.) OR P.O. R TE AND BOX NO. = Company,NAIC:Number TT. E.' NIL L L ✓E CITY / CO STATEn� ZIP CODE��6s PROPERTY DESCRIPTION (Lot and Block Numbers, T9,cParcelumber_Legal Description, e1c.) dam ! 0 �4bb -00 q,,, BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) fZ E5 / 06—IJ T/ A- L.- LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( ##° - ##-!t#.#a" or ##.°) 1�.� NAD 1927 l NAD 1983 USGS Quad Map 1-1 Other: _ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME p B3. STATE fT U T TLr e0 . , x A, 4 /N eO N D, AI ?�S 'J wrra <::� /X B4. MAP AND NUMBER PANEL 85. SUFFIX B6. FIRM IND FIRM PANEL DATE /99� EFFECTLOOD ELEVATION(S) IVElREv SED DATE I BZO (S i 8. FLOOD BZo9. ne AOASE F use depth 1 flooding) �0116001 —dso r C J U V 8, d B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_1 FIS Profile JXFIRM 1_1 Community Determined 1_1 Other (Describe): 1311. Indicate the elevation datum used for the BFE in B9: 1_1 NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: LXIConstruction Drawings' I_IBuiiding Under Construction' I_IFinished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Building 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, provide a sketch or photograph:) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-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 1neasurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used �i�'i Z 7 Does the elevation reference mark used appear on the FIRM? 1-1 Yes No O a) Top of bottom floor (Including basement or enclosure) /76 ft. m A O b) Top of next higher floor -7 . �ft,(m) 'S `' �. 0 c) Bottom of lowest horizontal structural member (V zones only] — _ ft.(m). o �, o • °oo,{Q�. j. O d) Attached garage (top of slab) 1-7 `�� o ° ':; "g�', '`L 0 e) Lowest elevation of machinery and/or equipment -7 W ��� �S�' �T �. servicing the building F7 5 , _ ft,(m) ' E 2 CM ; � 'Q J °� LU 0 f) Lowest adjacent grade (LAG) 7 . _S ft. (m) Z. cmo `' t 0 g) Highest adjacent grade (HAG) 0 4- .S fL(m) °o No. 0 h) No. of permanent openings. (fop �Jacent gradeO .i) Total area of all permanent o — sq. in. (sq. cm) iJl •. L IV ,� Yr I ARCHITECT CERTIFICATION ; r. OF _, il :t; ?' This certification Is to be signed and ea b a I d sjLrve or, engin r, or architect authorized by law to certify elevat infcrniation. 1 certify that the information in Secti dr t presents my best efforts to interpret the data 'available. I understand that an false stateme t b u s a b n r risonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAMEn_ Ira 7- r E� / LICENSE NUMBER C Z .764 7 TITLE e,_41�/L t'^A f�/� ���� COMPANY NAME ��E�., C.� c'V C,t�ts3 -r t) rtv4F,e)A ,' ADDRESS CITY STATE ZIP CODE 343 7 �Lr9-r_r /� � ..�.� 17�. �,al ►a ,� I e c /d qe-o Z r % FRF -PI Ar:F-S At I W. - 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 CITY STATE ZIP CODE Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for ((11)) community official, (2) insurance agent/company, and (3) building owner. COMMENTS O N.717.>7- `�7-6 L Et &-Yt+7i0 N —I 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 E3. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMB, -F, Section C must be completed. El. Building Diagram Number 45' (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 th:e building, provide a sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is 1-1z1 ft. 1 'I_Iin.(cm) 1 above or 1-1 below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated i , accordance with the community's floodplain management ordinance? I-1 Yes 1-1 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, and E for gone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I�I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL\ The local official who is authorized by law or ordinance to admiNster the communitys 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. 1—I A community official completed Section E for a building located in Zone A (without a FEMA-;ssued or community -issued BFE) or Zone AO. G3. 1-I The following Information (Items G4 -G9) is provided for immunity floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY --� ISSUED G7. This permit has been issued for. 1_1 New Construction j—I 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 NAN:E TELEPHONE SIGNATURE DATE COMMENTS I_ I Check here if attachments FEMA Firm Al 11 At Ir: Q4 ?FPI Ar:FC At I PRF\/Irl1 m PniTir1NC U ENVIR j''.. OCT 10 2002 1pe •. ry4FORMA prop + 0 P 0 5G ® C Pill � f V ,. S0e the. affachedov R.��1.l��YI@l1�3 'S � ' •• a a � APPROVED + ` Butte County Environmental Health e Si n* Acs® Et�u1PMOT INcwbiNd a 039 - 4 90 �QT _ Atl STRUCTU pF ALL EA�EENTS ovER HAi�1C�S SHALL BE CLEAR ® ME SIRE ANFR A E RACK ,OF ' _ �' FXovmcoum C R OF STRUCTURES AND EQUI ME14 1 < �A_z FT '- . UULD# - DEPARTMEW` EAVE OVER , 1 F ENVIRONMENTAL HEALTHY AN. OcT 1 0 '2002, :'FLEhTW00D., suncrest. Series Model 56048 CHICO,CALIF®RNIA • 4 Bedrooms • 2 Baths'. -1f6ST'Square Feet - u r, L� _ x J v I APPROVED. Butte County Environmental Health' ` DINING OPf.5TH AREA BEDROOM 1rVX 121 o 9'-43•X 9'-6• 5I BEDROOM #2 - I s 6 x1r G°ate te O Si Ur O _ E1 0 I ' I INSERTS O _ - EPL ' • .. - EPL I' • ' C I I WNOR MSS I I - DWIMG RM 5/DE •, FlREP1kE FIREPLACE. }. 1 r UTILITY f DM f f f- i cuss GLASS \ f i KITCHEN _ I .Im DINING T11AREA BATH _ I i Ii 1i 9'•1•x12'•6^ „ . DEN BEDROOM #2 . OPT. DEN �ti m _ ® '' _ _ _ _ - * 15'-1•X 17-6' . 9'-6 X 17-6° - 24'-9•X 12'-6 0 - - DECOR • .. 4 • • DECOR .. ♦.� ` WALK•IN j GLA55 GLASS •t • AHEAD - - .DELOR `` G. • I I _______--------- GLA55 i CLOSET I _______ ____ ____I , MASTER LIVING ROOM \ O 19'-9"X 12._6.. �` ' Q BEDROOM i BEDROOM #4 m BEDROOM #3 it-IO'X 1216• - � : _ �� fa-1'X1a-4" - :-fE'-5'xtar4•. GABLE � DORMER'. ENTRY - s oPT CORNER 'ry CLOGSEr i oPr. CORNER BAY .� I _777 DOER I � "BAY H4� �� C04 - OPT 1 RECE65ED ENTRY OPT. DEN . fa•1•xIr-a• 'BUM C"Ty SU/17/MAY01 �.MV ING_ F'EATLIRESS, Exterior • Fiber cement siding built to resist weather damage • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • Class "A" fire -rated, composition shingle roof for long- lasting, low maintenance performance • Vented roof cavity allows hot air and condensation to exhaust for improved energy efficiency • Inswing front entry door with deadbolt, peephole and brass knocker for your family's safety • Inswing rear door with deadbolt and window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency • Porch lights at front and rear entries for your safety Interior • W drywall tape and texture in all areas (excluding closets) adds style to your interior • Standard 16 oz. carpet in all living and bedroom areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with StainTechl for easy cleaning • Glass ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy maintenance • Ash arched top wood cabinet doors add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds in living and bedroom areas for your privppy • Hollow core closet doors are durable and provide convenient access Baths • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Master bath has a large one-piece oval tub/shower for a relaxing bath or convenient shower • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Moen® metal single lever shower faucets - "Buy it for looks. Buy it for life"' • Moen® 4" metal dual lever faucets - "Buy it for looks. Buy it for life"' • Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area Kitchen • Whirlpool® appliances provide confidence and hassle -free service - 30" free-standing gas range - 14 cubic foot frost -free refrigerator • Moen® metal single -lever metal faucet - "Buy it for looks. Buy it for life. • Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility in kitchen activities • Congoleum® no -wax, vinyl flooring for easy care • Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic the backsplash provides attractive color accent • Wood self -edge provides a finished look • Two pull-out pot and pan drawers provide easy roll out storage convenience Utility, Safety and Energy Features • Smoke detector(s) and built-in interior 100 AMP panel box for your safety and easy access • Shut-off valves at all plumbing fixtures for your convenience • Overhead utility shelf for added storage space Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for ve at TW PRICESspecifics. AND SPECIFICATIONS nSUBJECT TO transportable WITHOUT NOTICE OR OBLIGATION. a 01996 • Zone II insulation package for energy efficiency, includes: white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R-11 floor • 30 gallon gas water heater is efficient and requires low maintenance • Intertherm® gas furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Dishwasher and garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • %" rebond carpet pad extends the life of your carpet • Ceiling fan circulates air for a "spring breeze" feeling all year long • Rounded sheet rock corners in living areas soften your decor • Beautiful ash cabinet system with recessed panel arched top doors, ash face frames and adjustable overhead shelving add value and quality • Overhead utility cabinets expand your storage space • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into your home • 40 gallon gas water heaters provide more hot water for your family's nccds • Zone 111 insulation package to meet the needs of the climate where you live, includes: 2" x 6" exterior walls with R-33 ceiling, R-19 wall, R-22 floor insulation FLEENVMD FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer Avenue Woodland, CA 95776 (530) 662-3223 SU/17/1UL01 L Owner's Name: U MIM (1 M d-( i n j fi r4 i /1 e b i 11911A 2. Assessor's Parcel Number: ��� — C �� _ n ci A- 3. Installer's 4. Is the site currently under permit? Yes[ 1 No�/] Permit No. 5. Is the site an existing site? Yes[ J No[\(1 (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? COAmperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 2- o0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ 1 Nor 1 If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yesr 1 No[ 1 If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- IV., -W XA__ Amperes- 30 I 1. ' Type of gas service at mobilehome site: Natural[ 1 Propane None[ 12. Size of gas pipe at the mobilehome site from the meter or tank:_ _`6 hi—inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 4.L (ft.). 14. What is the mobilehome gas demand? Y` 'A B.T.U.* *(This information is not required if the pipe length is less than 6 feet ;on natural gas or less than 50 feet on propane). May 1995 PROCESS THIS PERMIT APPLICATION Mobilehome Manufacturer:_r'r?o� Vj M-1nufacture Year: If other than single wide, furl ish_Setup Model Number: Widthi;R5S .) Length: .'ft.) Tagalong or Expando Size On all mobilehomes manufactured after � October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes mid Location Line I SINGLE WIDE MULTI -WIDE Line 2 f—Line 1 Line 2 ...............................Main Beams .......................................................... ......................4................. Line 2 ........................ .............. Line l ine 2 {— Line 3 Line 2 Main Beams ............................ ....................... Line 2 Line I ........................................... Line S Tag or lliple ine 4 Line I Piers: Dine I Openings Size milumum: z1 x zY Size fill 11111111111: _ '� x ] Spacing maximum: O Mach side of openings From ends-maximun - o with width over: Line 2 Piers: Line 4 Piers: Size minimum: [1'7 ] x ('i ]. Size minimum: ] x [ ] Spacing maximum: b o� Spacing maximlll.): ` From ends -maximum: a I-rom ends-maxinuun:.. Line 3 Roof Loads: Size minimum Zh x'io -36*3o- Location (from front):- �O t2 S� Sy 1 Line 5 Roof Loads: Size minimum: Location (from front): O VEA BUTTE COUNTY BUI.CMNG DEPART %1NE APPROVED a-OAoUGUc, QLAVP,-- Me. SAF i H_ AT TA?E RECL T "N Fi E! 03 L'NDSIGE Cr X502 r�DaT• W ( i C$Y14C t j7PT410 2 C l 3> O I o MY *W/14 `OFrr � 0 -HD .r t a� i j f / 9 � SINK F/S j t GiN7\C 0.P=q ' arti. ML �i o •Try; F t '+E'LE z BEGR00lA 3 BATH nom! o� `~ Kt ..�� F I t 173.7 SD. 1' i.6 S0. FT.-- X s C1 ]1 ,.� ; 1 18.8 S0. r 1. 41 StU1A Z —a Rj 1 co 7— OPT —oar oar t . _ _ _ _ _ _ _ _ 01 Q - PEss m mac4. 1 4 l3 c q .F 2 0 4 \ 5 Mm HALL 1 ( o VCT VRC 30 La 0 0- 0 (�' Y _ _ 7 Y a OPTA BEDROOM LIVING ROOM 47F- �. R ; 9EDROOM r J Kz �'�. ��BEDROOM 210_4 S4. FT. 2.0 S0. r L 108.5 sD. �. -n 6 6 t t 171.3 S0. FT. � l" }S X £CR£S5+ _� O O O ; R> 30 LL 11040.1-WAo MAX. HT. 11 © EGRESS { OEGRESS { Z �F�o w ' 5•_ ] ]0'-11 3600 t e 6'-0' 32 uvrr �ti� '9` rn O n. 23'-10 3/4" 2 " �, 7100 2 e7q�» NOTES. W-1 1/4° tt 70op 3 e 1Z a• 6 �S %+ pZ.s R A D rrTi �... �7 1) This floor plan may be built as an exact mirror OI 61DD c B 1D'-4' 31j�-�j CUSTOM ti_OOR # rj604B-18 image about [he length and/ar width axis LAN a yb n ub• �D WINDOW /DOOR SCHEDULE 57� 6 a q'-�• 32• b q' O" 10. SIZE N VENT NF DESCeZIPTtON G ' I Y Bm&; is Rt *&,d . 1 46 X58 R 15. s • 3 X- - O 1eErEPr.t^aE Eu:crsPrss.1 ® E[FII;. way eoz � T°`E WOODLAND 2 # 17 sKr 6" e" 1 6.5 32 X80 LA K _ o swrta� FLEErW�t7Q CUSTOM FLOOR PLAN 1 0 3 46 X40 H. SODER g.. 7 $,y - Z ® Dr SX -0 uR REG. 4 14 X40 w O UCKr FFMRE 0 OJR S PRReUSIFP # 56046-18 1 \ L7 THERiO57Ai N 46 X10 D .0 - J ® EXHAUST a cit INC FM Q SHMAWALL °" CM A 12'-1U i 6v-6' mvo- tsev. ow ii 72"X130 SGD SAFETY 17.4 l 0 SMDKE DUEMR Q SUPPORr PDSr—!D/79/99 (j)12 li4'-0' SUNCREST 12 30" I @ ODGR RE[L ]soon RAti�REtURK AIR GMLL A— C. — 56048 i 2'x 2"x 3/16' 3/8" CAD PLATED BOLT, -NUT do WASHER COACH "C'.FRAME STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED 2" CHANNEL 1/4- STAND BASE 1/4'x1-1/4" TEK STS _ ABESCO ABS PAD 1503 (2) REQUIRED 1/4- GRIPPER BASE - DETAIL "A" 1/2- A307 BOLT (2) REQUIRED 3/8'x 6"x 6" CHASSIS FRAME STEEL PLATE 114"' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE :A 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH -- 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2- ADJUSTER HOLES p ' ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A" COACH "J" FRAME 1/4" GRIPPER 1/4"x1 -1/4 - PLATE TEK STS (4) REQUIRED 114- GRIPI;�R y BASE M1/2- 7 Tie, -(4) U J—BEAM ATTACHMENT . AIik 1/2" A307 BOLT-C—BEAM (2) REQUIRED ATTACHMENT 36' MAX 10.00 --1 TO BOTTOM OF PAD o o• fa T O 8" 10.00 LOCK 3' C.R. LOCK PIN WITH y 01/8- BRIDGE o PIN 1/2- DIA. HOLE (8) PLACES 09/16 HOLE (TYP) 30' STAND BASE STEEL FRAME TOP VIEW TOP VIEW J QtOTESSI e,� STATE APPROVAL (rn - Exy o . z o U re OF r `.�F � n O ' K.-- TUF-1 PERMANENT FOUNDATION SYSTEM _< 8 h m x z to aza ABESCO-GUS GUARD COMPANY ~ h a = z 5851 FLORIN - PERKINS ROAD g a h SACRAhdENT'O; CA 95823 PH: - (800) 382-8831 — FAX: (916) 383-5207 WAYNE T.- POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 r� 2'x 2"x 3/16' 3/8" CAD PLATED BOLT, -NUT do WASHER COACH "C'.FRAME STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (8) REQUIRED 2" CHANNEL 1/4- STAND BASE 1/4'x1-1/4" TEK STS _ ABESCO ABS PAD 1503 (2) REQUIRED 1/4- GRIPPER BASE - DETAIL "A" 1/2- A307 BOLT (2) REQUIRED 3/8'x 6"x 6" CHASSIS FRAME STEEL PLATE 114"' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE :A 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH -- 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2- ADJUSTER HOLES p ' ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A" COACH "J" FRAME 1/4" GRIPPER 1/4"x1 -1/4 - PLATE TEK STS (4) REQUIRED 114- GRIPI;�R y BASE M1/2- 7 Tie, -(4) U J—BEAM ATTACHMENT . AIik 1/2" A307 BOLT-C—BEAM (2) REQUIRED ATTACHMENT 36' MAX 10.00 --1 TO BOTTOM OF PAD o o• fa T O 8" 10.00 LOCK 3' C.R. LOCK PIN WITH y 01/8- BRIDGE o PIN 1/2- DIA. HOLE (8) PLACES 09/16 HOLE (TYP) 30' STAND BASE STEEL FRAME TOP VIEW TOP VIEW J QtOTESSI e,� STATE APPROVAL (rn - Exy o . z o U re OF r `.�F � n O ' K.-- TUF-1 PERMANENT FOUNDATION SYSTEM _< 8 h m x z to aza ABESCO-GUS GUARD COMPANY ~ h a = z 5851 FLORIN - PERKINS ROAD g a h SACRAhdENT'O; CA 95823 PH: - (800) 382-8831 — FAX: (916) 383-5207 WAYNE T.- POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-I 1. DESIGN LOADS: LIVE LOAD - 30 LB. - _ FLOOR LIVE LOAD - 40 PSF 16. FOUNDATION B10CKS 16'x 16'x12' POURED IN PLACE AT GROUND LEVEL MAY WIND LOAD - 80 MPH EXPOSURE 'C' BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SEISMIC ZONE "4' * SNOW LOAD 100 PSF (SEE NOTE X15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON E= 2' MIN. / 8' MAX. E= 2' Mik. / 1 t' MAX. A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 5= 6' MIN. /16' MAX. 5= 6 ' MIN. / 22' MAX. - 3. CHASSIS REAL SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS •r cur.w.. .....x www in im runic: HOME INSTALLATION INSTRUCTIONS'. - E PAD 22001 6000f VARIES 10'-70' (SEE TABLE ON SHEET #3) 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", E S S - S!]' OR WHEN R WILL ADVERSELY AFFECT MOBILE HOME UNIT. I 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE, AND Il RIDAS =BEAMSUPPORT -D- ❑ARE SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SANS MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. O REQUIRED BY MANUFACTURER (TYPICAL) 6. STRUCTURAL STEEL FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM �\ ' I -r 'j- Q 0 A36 BOLTS -SAE GR 5=ASTM A"S=ASTM A3725. 1 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BT BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: I� fU 8' NOM. L J 2' NOM ALLONABLE LOADS % C!t' ��- 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET f3) • HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION GUS GUARD TUF-i2200 6000 ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY GUS GUARD MGP PAD OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE 2200f 6000LE AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT GUS GUARD E Z TI PH: (800) 382-8831 FAX: -(916) 383-5207 STATE APPROVAL PVC SERIES SUPPORT PAD (TYP) j_ WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET -2 of 3- ' - E PAD 22001 6000f 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. - 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY ��ptESSIQ��� INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN �\ ' AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT�����// OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER `Xp.�c EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT.46 % C!t' ��- 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET f3) • ;;> �P, F OF �11���. 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. . 14. WHEN CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2'x 3 1/2' EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH ABESCC-GUS GUARD COMPANY MANUFACTURER OR REPLACE THEM ON A ONE TO 5851 FLORIN - PFlacM ROAD ONE BASIS. SACRAMENID CA 95823 PH: (800) 382-8831 FAX: -(916) 383-5207 STATE APPROVAL PVC SERIES SUPPORT PAD (TYP) j_ WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET -2 of 3- ' 1/2'x 3 1/2' 1/2'x 8' LONG 3/4" DIA: --x_18 L.G. EXPANSION ANCHOR ANCHOR BOLT (4) REQUIRED (4) REQUIRED (4) REQUIRED DPLATED ac COUNTERBO ED FLUSH BOLT. T WITH BOTTOM HER AT 8" O.C. (8) REOUIRED CONCRETE PAD INSTALLATION - ► l POURED IN PLACE 16x16x12 CONCRETE l FOUNDATION INSTALLATION 1 t ► -T CHASSIS FRAME .. li–iTk iii ...... l LIGHT HEAVY -WEIGHT. PLASTIC PAD INSTALLATION 36" MAX 1/4' GRIPPER PLATE TO .BOTTOM LENGTHOMMT7-14IDB F7NM SINGLE WIDE IINTTS (2) REOUIRED OF PAD ME WIDTH OF HOME NO 24 26 28 '� HOMEOF WIDTH OF HOME 1/4' GRIPPER BASE – Q i UP TO 44' g 1O 12 14 16 44'-1' to 66' 12 8 8 12 UP TO 44' 6 6 6 6 01/2"x 3" C.R. 66'-1' fo ao1 20 20 12 18 44'-1' to 66' 8 g 8 8 1 24 1/2-13UNC–A307 x 4' LOCK PIN WITH NUMBER OF TUF 10 REQUIRED 6W-1 10 so 10 10 10 10 BOLT WITH NUTS 01/8' BRIDGE NUMBER OF TUF-1 REQUIRED (4) REOUIRED PIN !JOIE: SINGLE WIDE UNITS REQUIRE (4) E–Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL 01 1/2- SCH 40 PIPE RISER WITH INTERVALS ALONG EACH FRAME RAIL 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE I .ras...r-. •- 02- SCH 40 PIPE STAND WITH TWO .7.' STATE APPROVAL 01/2' ADJUSTER HOLES ABESCO ABS PAD 1503 1l"llllllllr^ STEEL FRAME J F. .. -- t �•' � Z � v Exp� ` c� o :tea < Z OF~- �, - , s ;W0to o � – •.-. �.y U 37 TUF-1 PERMANENT 0, y soy o FOUNDATION SYSTEM < y m _ z cQ. 18 1/2' ABESCO-GUS GUARD COMPANY __ _ _ _ c 12-:----- 5951 FLORIN - PERKINS ROAD `a q SACRAMENTO, CA 95923 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 j OCT 09 '02 17:10 FR FLEETWOOD HOMES - CA 5306694281 TO EXECUTIVE P.02i02 MEMORANDUM To: Wendy Auer (Executive Homes) From: Al Lucchesi — Fleetwood Homes Woodland, CA Phone: 530/669-4205 Fax: 530/662-6425 Subject: Square Footage Date: 10/10/2002 ...._ ....... ....... Wendy, on customer Owen square footage after the 4'0" stretch is now 1651 square feet. If I can be of any further assistance please call me. Thank You aa, , AI Lucchesi ** TOTAL PAGE.02 ** DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IM Approved ❑ Conditionally Approved ❑ Site Plan Stamped Approved 0 Resolve Problems Prior to Approval By �2Date ) D — f 8 — O 2, Page 1 of 5 / L- SITE PLAN REVIEW APPLICATION Date: l0 _0_ D___. AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 3,5 A -c- Owners Name: ��2�G�-,7' Owners Address: 9Y0'ZT'h� STM i 02� L LIN - r� C�4eco Telephone No.: 691- S S (-/ S- Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer • ❑ Multi-family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ® Septic Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IM Approved ❑ Conditionally Approved ❑ Site Plan Stamped Approved 0 Resolve Problems Prior to Approval By �2Date ) D — f 8 — O 2, Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: - - • ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attar ed) • Flood Zone: f1 • Flood Panel No.: DS D S C�, Index Date: b' �'— ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: A —) D Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 5 D Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 L Applicable Development Fees: ' Standard Fees Amount Formula .F1 Fire' ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area.— Road ❑ Thermalito Impact ❑ Other • Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By N Deeds: Date of Creation: I I —I -L- — (,=,-5 Legal Access Provided: ❑ No IF Yes Deed of Reference: SCV1 — 8 a'57 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ® Yes, Road Name: m I t_t_Gss2 A-11 Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ® Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply'with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone . ❑ Meet current Environmental Health Department requirements Page 3 of 5 Q Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: • ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NEPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ 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. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and `0 submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El n Page 4 of 5 F-1 -J Summary of Specific Requirements: • This information provided in this summary is based on the application information and on the best available data at the time of review. CMArrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 FILE No.005 10/18 '02 AM 10:40 ID:EXECUTIVE HOMES 4 pCrAA 1 00 IN, tv- 0 FAX:530 891 8753 PAGE 2 _eo Ouo AP -0- -00 PLANNING DIVISION- BUILDING PLANAPPROVAL 'z use: D tJ 2'2 Parking: Landscaping: Other, I P AND WHEN RECORDED MAIL TO: BUTTE CQUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 03 -Dec -2002 2002-0065847 Has not been compared With original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, StatCalifornia, described as follows: Date i ZZ State of California County of PROPERTY OWNERS: Ily known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESShandland official seal. signature 'n CYNTHIA JOHNSON Seal:COMM. A 1335942 NOTARY PUBUGCgLJFORNu Q COUNTY OF BUTTE IS Comm. Expires Dee. 22, 2005 A.P.# oh APN: 039-480-004 A PORTION OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTERLINE OF FIFTH AVENUE, ALSO KNOWN AS MILLER AVENUE, OF THE NORTHGRAVES ADDITION TO THE CITY OF CHICO, ACCORDING TO THE OFFICIAL MAP THEREOF ON FILE IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, WHICH POINT LIES SOUTH 18 DEG. 52' WEST, 1173.00 FEET FROM THE SOUTHWESTERLY CORNER OF HENRY'S ADDITION TO THE TOWN OF CHICO, THENCE FROM SAID POINT OF BEGINNING SOUTH 72 DEG. 07'00" EAST, 973.50 FEET TO A POINT IN THE CENTERLINE OF LITTLE CHICO CREEK: THENCE ALONG THE CENTERLINE OF SAID LITTLE CHICO CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 53 DEG. 26'00" WEST, 89.40 FEET; SOUTH 77 DEG. 38'00" WEST 161.70 FEET AND SOUTH 56 DEG. 34'00" WEST, 26.80 FEET; THENCE LEAVING THE CENTERLINE OF SAID CREEK SOUTH 72 DEG. 07'00" WEST, 748.12 FEET; THENCE NORTH 18 DEG. 52'00" EAST, 83.74 FEET, TO A POINT ON THE SOUTHERLY LINE OF BUTTE AVENUE; THENCE NORTH 71 DEG. 08'00" WEST, 20.00 FEET ALONG THE SOUTHERLY LINE OF SAID BUTTE AVENUE; THENCE NORTH 18 DEG. 52'00 EAST, 91.00 FEET TO THE POINT OF BEGINNING. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CQPY of Document Recorded 19 -Dec -2002 2002-0069737 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM T. OWEN AND CLOUDIA I. OWEN REAL PROPERTY OWNERILESSOR 6288 HUGGINS MAIIJNG ADDRESS ORLAND GLENN CA 95963 CITY COUNTY STATE ZIP 837 MILLER AVE. INSTALLATION MAIIJ NG ADDRESS, IF DIFFERENT CHICO BUTTE CA 95928 CITY COUNTY STATE ZIP WILLIAM AND CLAUDIA OWEN UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CrrY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-.,842 530)538-7541 P TELEPHONE NUMBER 12-19-02 SIGNA AG OFFICIAL DATE EXECUTIVE HGAtIES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD HOMES 2002 SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER CAFL217A/B2.6100-SC13 64 X 25 PFS0789501/2 SERIALNUMBER(S) LENGTH WIDTH INSIGNUULABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 039-480-004 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-2842 Address or location of unit: 837 MILLER AVE., CHICO, CA. 95928 Legal Description of -Real Property: A.P.# 039-480-004 SEE ATTACHED (z).Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: . WILLIAM T. AND CLOUDIA I. OWEN Owner's address: 6288 HUGGINS, ORLAND, CA. 95963 INSIGNIA OR HUD NUMBER: PFS0789501/2 SERIAL NUMBER OR V.I.N.: CAFL217AIB26100-SC13 MANUFACTURER'S NAME:. FLEETWOOD AR: 2002 ;7 OFFICIAL APPROVING INSTALLATION: DATE: 12-19-02 PHONE: (530) 538-7541 A H.C.D. 513C r i ut ivo . oyy l e/i y -u? pm 0111 I D :EXECUTIVE HOMES FAX : 530 891 8753 PAGE 2 APN- 039-480-004 A PORTION OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 22 NORTH, RANGE I EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT IN THE CENTERLINE OF FIFTH AVENUE, ALSO KNOWN AS MILLER AVENUE, OF THE NORTHGRAVES ADDITION TO THE CITY OF CHICO, ACCORDING TO THE OFFICIAL MAP THEREOF ON FILE IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, WHICH POINT_LIES SOUTH I8 DEG. 52' WEST, 1173.00 FEET FROM THE SOUTHWESTERLY CORNER OF HENRY'S ADDITION TO THE TOWN OF CHICO, THENCE FROM SAID POINT OF BEGINNING SOUTH 72 DEG. 07'00" EAST, 973.50 FEET TO A POINT IN THE CENTERLINE OF LITTLE CHICO CREEK: THENCE ALONG THE CENTERLINE OF SAID LITTLE CHICO CREEK THE FOLLOWING COURSES AND DISTANCES; SOUTH 53 DEG. 26'00" WEST, 89.40 FEET; SOUTH 77 DEG. 38'00" WEST 161.70 FEET AND SOUTH 56 DEG. 34'00" WEST, 26.80 FEET; THENCE LEAVING THE CENTERLINE OF SAID CREEK SOUTH 72 DEG. 07'00" WEST, 748.12 FEET; THENCE NORTH 18 DEG. 52'00" EAST, 83.74 FEET, TO A POINT ON THE SOUTHERLY LINE OF BUTTE AVENUE; THENCE NORTH 71 DEG. 08'00" WEST, 20.00 SET ALONG.THE SOUTHERLY LINE OF SAID BUTTE AVENUE; THENCE NORTH 18 DEG. 52'00 EAST, 91.00 FEET TO THE POINT OF BEGINNING. 10/09/02 10:29 MWELL TITLE 4 530 891 8753 (qtr c466411'r7Piwv A portion Of. the Southeast quarter of Section 34, Township 22 North, Range 1 test, M.0.9.6 t+l., and more particularly described as follows: Beginning at a point in the centerline of Fifth Avenue, also knovn as Miller Kvenue, of. the Northgravoa Addition to the City of Chico, according to the official mag thereof on file in the Office of the Recorder of the County of Butte, State of CalifornSa, which point lies South 180 52' heat, 1 173.00 feast from the 'Southwesterly corner of Hejnry'l AAdition to the towh of Chico, thence from said point of beginning South ;20 07' 00" Fast, 913.SO (eet to),a point ,in 'the canterl ine of Little Chico Creek: thenre:''aleng'the conterline of said Little Chico Creek the following courses and distances; South 530 260 00" west, 89.40 feet: South 770 36, 00" west, 161.70 feet and SoutK $60 341 00" west, 26.80 feet; thence leaving the centerline of said creek South 720 07' 000 West, 74:3_12 feet: thence North 180 52' 00" East, 83.74 feet, to a point en the Southerly fine of Butte Avenue: thence Ngrth 710 081 00" west, 20.00 feet along the Southerly line of said Butte Avenue; thence North 190 S21 00" Bast, 91.00 feet to the Point of Beginning and containing 3.50 acres more or leas. Reserving therefrom an easerpent 40.00 feet in width for roadway and p14blic utility purposes, along with the right Of use end maintenance for said purposes described as follows: Commencing at the Northwesterly corner of the above described parcel; thence South 160 52. 00" t0est. 71.00 feet along the contorline of said Fifth Avenge to the centerline of said 40.00 feet wide easement and the Tale Point of Beginning for the ea3emont herein described; thence along the centerline of said 40.00 foot wide easement South 710 081 00" Baat, 40.00 Coat and South 18o 521 00" West, 103.74 feet to the end of the easement herein described. A3s6 reserving for County road purposes all that portion of the above described parcel lying within Fifth Avenue, (Miller hvenue): NO.096 P006 FILE No . 334 11/19 '02 AM 08:36 I D :EXECUTIVE HOMES FAX : 530 891 8753 PAGE 2 JAI or STATe OF FORNIA BUSINESS. TRANSPOR AT ONIAND HOUSING AGENCY NUMBER: UEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8694562 DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM IT MANUFACTURER CERTIFICATE OF ORIGIN owe/%./ . A A3 9_ vpo - 00 y ❑ CI IECK IF THIS IS A DUPLICATE MCU -ENTER ORIGINAL MCO No MANUFACTURED HOME OR MULTIUNIT MANUFAr_T1 fUQ I.Inl lr� 17�q � 8FD (SINGLE FAMILY DWELLING) IDMUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF $ TRANSPORTABLE SECTIONS I (OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9434 (JFyCTUj .RADDHE89 �. A SUGGESTED RETAIL PRICE: p0 BOX 1308 iOO=hND CA 95776 BUeeCI Stele ZI DATE OF MANUFACTURE: MANUFACTURER TRADE NAME; MODEL NAME AND/OR NUM F. R: 5604D 2003 11/13/2002 NAME OF DEALER OR TRANSFEREF (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR -- DATE OF TRA NT SFER: I SECURITY M/H SHOW/NORTH, INC. TRANSFEREE DESIGNATION: HOMES 92081 11/13/2002 TAEXECUTIVE UEAI.ER OR TRANSFEREE ADDRESS: 314 42 ESPLANADE CHICO CA 95973 (city) INVENTORY CREDITOR NAME: (51610) (ZIP) nnMRARRIZR_rh21j" INC INVENTORY CREDITOR ADDRESS: (SIJA1 MOUNTAIN VIEW DRCOLCHESTER VT 05446 Clt 91BIe (ZIP) BECTION MANUFACTURGR SERIAL NUMBER I ICD INSIGNIA OR MUD LABEL NUMBER 16 I.F_NOtH WIDTN - WEIOHT INCHES INCITES POUNDS pF90769501 768 154 22,380 02 768 134 23,400 TRANBPORTER NAME: TRANBPORTER ADDRESS: As 79 c6 DURHAE! slate CA2 95938 DESTINATION FOR UNIT DESCRIBEO ABOVE: NAME 86ao1 CII Slete ZI I Cerllly under penally o1 Penury wloof UN lawn of the Slate of CBAIoDNe mel P,e nhc-o lone aro Ilua end am�aM. F.Irepmed on---ll./.>�J`-1 Q0 of NmQr)T.ANYOL -- a e CA ( owfly) I qe SI GNA70NF OF AUTHORIZED AGENT, I DISTRIBUTION: . ORIGINAL (PINK) PORWARO T E INVENTORY CREDITOR, UNLESS THERE 18 NONE, 1I4EN FORWARD TO TILE PURCHASER (DEALER OR TRANSFEREE). COPY I (WI(I )'E) FORWARD HE DEPARTMENT AT P.O. BOR 1026, SACRAMENTO, CA 55812.1828, WIT141N FIVE 19) DAYS Op REI.F.ABE. COPY 2 (YELLOW( DL°I,ryER T'0 'HE TRANBPORTF,R TO ACCOMPANY TI IE UNITTO ITS DESTINATION. COPY 3 (GOL08NROD) TO BE RETAINED BY THE MANUFACTURER. HCD 453.0. Side 1 - (7/07) 10:29 BIDWELL TITLE 4 530'e91 8753 NO.096 P005 ...... ..... .._.:..........:............__......�.......�...�...... _......... M A.�1t11t��liliilllln�lilllliilll :)RdiNG REQUESTED BY: I a0GDP ia 4Ca4S-7f Men Recorded Mail Document and Tax Statement To: ovd,iN �.! "-c-r^ `ZW 1;,Or (-,)rl—j C Ca5143 12:1 Co REC FEE 10.4 I141l&M 10.1 Andrea Page 1 of 2 APM 0394g0-004-000 GRANT DEED SPACE ABOVE THIS UNE FOR RECORDER'S U The undersigned grantor(s) declare(s) Documentary transfer tax is $ Q P i T Calc. 117*0 I ) computed on full value of property conveyed, or cy ( 1 computed on full value less value of liens or encumbrances remaining at time of sale, 1 ) Unincorporated Area City of Chico I FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JESSIE ELLEN COON, As Trustee of the JESSIE COON REVOCABLE INTIM VIVOS TRUST initially created on January 21,1993. hereby G RANT(S) to William T..OWen & Cloudia 1. Owen; Joint Tenants the following described real property in the City of Chico County of BUTTE. State of California: DATED: July 5, 2002 STATE OF CALIFORNIA COU TY OF ON f1r before me, personally appeared art C ar. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity()es), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the Person(s) acted,—executed the instrument. Witness(X hand afficial seal. Signatur '0551: COW C. �J!IMENEZCOM12951)75 NOTARY PUBLIC -CII MANIA � COUNTY OF IjIIITE Comm. Expiry Malek 2.2006 MAIL TAX STATEMENTS AS DIRECTED ABOVE BIDWELL I IDLE S.Sb 8 )l H'(b6 ivu.e,�o re�e�o A portion of. the Southeast quarter of Section 34, Township 22 North, RangV 1 Oast. M -D.9,$ M.s and. more ' particularly described as follows: Beginning at a point in'the centerline of.Fifth Avenu9► also known as Miller avenues Of•the Northgraves Addition , to the, City of Chico, according to the official mag thereof on file in'the.Office of t_he Recorder of the County of Buttes State of Californias which point lies South 180 521 htset, .1173.00 'font from the Southwesterly corner of HoArylY AAdition to the town of Chico, thence ' from said point of beginning South 720 071 00" East, 913.50 feet ta);,'' point ,in 'the, eanterl Ane -of Little Chico Creek; thence"along •thq rentecline of said Wttle Chiet. CrRek the following couCaes and d15t0neo0;•South 510 264 00" west, 89.40 frets -South 770 381 00" WeAt, 161.70 feet r ' and south 560 341 00" Weslts 26.80 feet; thence leaving , the centerline of said creek South -720 071 001 West, 7411.12 feet: thence Horth 180 .521 00" EaBti 63.74 feet, to.a peinc on the Southerly 1•in¢ of Butte Avenue: thence + North 710 001 0011 west, 7.0.00. feet along the Southerly line.ef eaid Butte Avenue; thence North 160 521 00" East, 91.00 feet to the Point of Beginning and containing ' .3.5C, acres more or leas. _ fte3erv;in9 therefrom an easement 40400 feet in widthfor: �• +� t roadway.. and pablic utility purposes* along with the rightOf use'�and maintenance for said purposes deer-ibed aa' follows: F,' Commen'cins at the Northwesterly corner of the, above described parcel; thence South 160 52. 006 West. 71.00: feet along the centerline of said Fifth Avenue to th® centerline of eaid 40.00 feet wide easement and the True Point of Beginning for the easement herein described;. thence along the centerline -of said 40.00 foot wide easement South 710 Obi 00" East, 40.00 feet and South 180 52' 00• west, 103.74 feet to the end of the easement,' herein described. 1 Al se reserving for County road,. purposes all that portion of the"above described parcel lying within Fifth Avenue, _ ,(Miller (.venue): . CITY STATE Lf ZIP CODE C.� 17s,,74.;7 PROPERTY DESCRIPTION (Lot and Block Numbers, T •Parcel Number, Legal Description, a c.) _ e! D 39- 466-oo BUILDING USE (e.g., Residential, Non-residentlal, Addition, Accessory, etc. Use Comments section if necessary.) R / D C—: Al `T'/ /4- L LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: �_� GPS (Type): or ##.ttr/°) I NAD 1927 j_I NAD 1983 �_I USGS Quad Map i_I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAMEp B3. STATE Rr,7T,r-lo.. CA, 4 INCoKD, / A Fu-r-ro I Cj e—/)l=, B.'. MAP AND PANEL 85. SUFFIX 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONIS', NUMBER DATE EFFECTIVE/REVISED DATE ZO (S) I (Zone AO. use deoth of rlooding) :0666)1 � -air C Jum 8,194 A0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base Flood depth entered in B9. 1_1 FIS Profile XFIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: j_j NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? j_I Yes _' No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I_jConstruction Drawings' I_jBuilding Under Construction' l Finished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number __5_ (Select the building diagram most similar to the building for which this certificate is being completed • see f pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph'.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-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 D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used 2ii Z 7 Does the elevation refer nce mark used appear on the FIRM? j_j Yes No a) Top of bottom floor (including basement or enclosure) /7 4- ft. (m) -4 O b) Top of next higher floor / =ft.(m)A. �0 e) Bottom of lowest horizontal structural member (V zones only) — ft.(m) ❑ d) Attached garage (top of slab) I /783 e) Lowest elevation of machinery and/or equipment S� ° k� servicing the building 7 ft.(m) C ' 0 f) Lowest adjacent grade (LAG) 7 S ft.(m) z' QW-' o O g) Highest adjacent grade (HAG) / -7 S ft. (m) N L O. /I O h) No. of permanent openings (flood vents) within 1 ft- above adjacent grade O i Total area of all permanent openings flood vents In C3h '— s r .r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ` f' 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 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. CERTIFIERS NAME n�;)` � ��yE�l fzLICENSE NUMBER XC �f 2-7647 TITLE LE / 4FG' /" / - ^� 'COMPANY NAME C� Y C 'V C ADDRESS y7(0 2L ' L /d CITY n�2 / s E S•i � ATE W ` ZIP CODE q� SIGNATURE 7 U DATE rnr�C O� T =LEPHONE b —/ / /J ZJ %% Ca�JC3 PPMA Fnrm A1-11 At It; QQ qF PP\ RCF ginr- Pr1R r.r1NT1Nl I4T1r1N RFPI Ar..Fq At I PRFI/Ir1t I.0 i=niTirINq -WO,NATIONAL FEDERALEMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 f FLOOD INSURANCE PROGRAM - Expires July 31. 2002 I ELEVATION CERTIFICATE Important, Read the Instructions 1 7. on pages - SECTION A -PROPERTY OWNER INFORMATION ;.For. Insurance Comoa m/ -user BUILDING OWNER'S NAME a uo) /4 CU) 6�y s _ ! Policy:Num r BUILDING STREET ADDRESS (Including Apt., Unit, Suit , and/or Bldg. No.) OR P.O. Rt:, TE AND BOX NO. AvA-. � /C% '.Company NAIC Number CITY STATE Lf ZIP CODE C.� 17s,,74.;7 PROPERTY DESCRIPTION (Lot and Block Numbers, T •Parcel Number, Legal Description, a c.) _ e! D 39- 466-oo BUILDING USE (e.g., Residential, Non-residentlal, Addition, Accessory, etc. Use Comments section if necessary.) R / D C—: Al `T'/ /4- L LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: �_� GPS (Type): or ##.ttr/°) I NAD 1927 j_I NAD 1983 �_I USGS Quad Map i_I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAMEp B3. STATE Rr,7T,r-lo.. CA, 4 INCoKD, / A Fu-r-ro I Cj e—/)l=, B.'. MAP AND PANEL 85. SUFFIX 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONIS', NUMBER DATE EFFECTIVE/REVISED DATE ZO (S) I (Zone AO. use deoth of rlooding) :0666)1 � -air C Jum 8,194 A0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base Flood depth entered in B9. 1_1 FIS Profile XFIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: j_j NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? j_I Yes _' No Designation Date: SECTION.0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I_jConstruction Drawings' I_jBuilding Under Construction' l Finished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number __5_ (Select the building diagram most similar to the building for which this certificate is being completed • see f pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph'.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-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 D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used 2ii Z 7 Does the elevation refer nce mark used appear on the FIRM? j_j Yes No a) Top of bottom floor (including basement or enclosure) /7 4- ft. (m) -4 O b) Top of next higher floor / =ft.(m)A. �0 e) Bottom of lowest horizontal structural member (V zones only) — ft.(m) ❑ d) Attached garage (top of slab) I /783 e) Lowest elevation of machinery and/or equipment S� ° k� servicing the building 7 ft.(m) C ' 0 f) Lowest adjacent grade (LAG) 7 S ft.(m) z' QW-' o O g) Highest adjacent grade (HAG) / -7 S ft. (m) N L O. /I O h) No. of permanent openings (flood vents) within 1 ft- above adjacent grade O i Total area of all permanent openings flood vents In C3h '— s r .r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ` f' 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 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. CERTIFIERS NAME n�;)` � ��yE�l fzLICENSE NUMBER XC �f 2-7647 TITLE LE / 4FG' /" / - ^� 'COMPANY NAME C� Y C 'V C ADDRESS y7(0 2L ' L /d CITY n�2 / s E S•i � ATE W ` ZIP CODE q� SIGNATURE 7 U DATE rnr�C O� T =LEPHONE b —/ / /J ZJ %% Ca�JC3 PPMA Fnrm A1-11 At It; QQ qF PP\ RCF ginr- Pr1R r.r1NT1Nl I4T1r1N RFPI Ar..Fq At I PRFI/Ir1t I.0 i=niTirINq IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Comoary'Jse. BUILDING STREET ADDRESS (Including Apt., Unit. Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number C; —1y STATE ZIP CODE Comoany NAIC Numoer SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Cooy both sides of this Elevation Certificate for (1) community official, (2) insurance agenucompany, and (3) building owner. COMMENTS O A/ S 17,•8- T6 "y l5 Z4 EZ E✓f9-7/ 0 A- = ) 7,s, % 1-1 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 E3. 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 S (Select the building diagram most similar to the building for which this certificates being comoletec - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photo raph.) E2. The top of the bottom floor (Including bisement or enclosure) of the building is 1-lzl ft•Wl.-I—lin.(cm) above or below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated i:i accordance with the Community's floodplain management ordinance? 1-1 Yes 1 No 1-1 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY .;TATE ZIP CODE ATURE DATE 'ELEPHONE COMMENTS 1_1 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 marogement ordinance can connDlete Sections A, B, C (or E), and G of this Elevation Certificate. Comolete the applicable item(s) and sign below. 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. 1_1 A community official completed Section E for a building located in Zone A (without a FEMA-E;sued or community -Issued BFE) or Zone AO. G3. �_j 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: 1-1 New Construction 1-1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the ouilding 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 NAA:-__ TELEPHONE SIGNATURE DATE COMMENTS -;:kAA Fnrm Al -11 AI Ir: PQ Check here if attachments ?FPI Ar..FQ At I opp7wi 11 IC Fr11TIr1Nc