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HomeMy WebLinkAbout040-110-06560 UON 1�c3 • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-21.40 Website: www.buttecounty.net/dds Permit No: 06-2056 Issued: 09/27/2006 Address: 1569 MESA RD Ou zk+ftvn APN: 040-110-065 Permit Subtype: Private Garage/Sho Owner: PETER OWEN D Applicant: PETER OWEN'` Zoll Description: DETACHED GARAGE �— MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Ins a tion Type IVR INSP DATE Setbacks 132 Foundations / Footing$/ 111 Pier/Column Footing 122 00 Grade Beam 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128Cr, ,110•% Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 ,'` Z�7 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 OG z(-30-67 PERMITS BECOME NULL AND VOID 1 YEAR FRO M THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy J COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE owEIJ 06-00J6 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. VII\C I10S7 I SO LVk---T - Pl�-cU E L "ROUIDE Acce..SS -To GRoumbl&tCt u �� C-- LC- C1(2CN-K)6 To Date 7 — o? Y _Q % Inspector `,�'k'UyP_/4 H rAM.4-5.1,, REV 4/05 Phone # S 3 9 -6 6 Z Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OL_-) _Z_oy-4 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r3 f n n� - /�l (L 4 Date -Z 6 y 7 Inspectorz�4 REV 4/05 Phone #-P e� — t 3 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1569 MESA RD Owner: permit No: 06-2056 APN: 040-110-065 PETER OWEN Issued Date: 09/27/2006 By KCG Permit type: MISCELLANEOUS 1569 MESA RD Subtype: Private Garage/Shop DURHAM, CA 95938 Expiration Date: 09/22/2007 Description: DETACHED GARAGE (530) 894-1935 Occupancy: Zoning: Contractor Applicant: Square Footage: OWNER PETER OWEN Building Garage Remdl/Addn 1569 MESA RD 1569 MESA RD 1,500 DURHAM, CA 95938 DURHAM, CA 95938 Other Porch/Patio Total (530) 894-1935 (530) 894-1935 1,500 FEE INFORMATION Fund 10 BLDG $395.93 Garage - Wood Frame $428.92 SMTP - Residential $3.60 'Cotal Charged: $828.45 Fees Paid: $828.45 Balance Due: $0.00 Receipt No: B291 LICENSED CONTRACTOR'S DECLARATION „ OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements E]I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is for one hundreddollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 09/27/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including of death, and property damage caused t is arising out is a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. ' 09/27/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. E]Agent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State zip 02/28/2007 12:12 PAYLESS BUILDING SUPPLY 4 8934674 NO. 913 001 APA.�r'r� Certificate'of Conformance Certificate 054097 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Enginecred Wood Systems (EWS) were manufactured in accordance with the applicable standards. and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Ouality Assurance Program, Routine audits include inspection of the ti manufacturing process and evaluation of the In -plant OA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. by Thomas G. Williamson Executive Vice President rr /� It , X 17 1A(0USrRt#L &GUAM H ENGINEEPEO WOOD SYSTEMS Is a related corporation of AN - THE ENGINEEAEO WOOD ASS0CIArJO,V 7011 Souln 19111 Skoal - P.O. Box 11700 • Tacoma. WA 960 t I-0700 Telephone: (253) 565.5600 • Fax Nwmbor: (853) 05.7285 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 0008 EXDifes February 28. 2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Ow er's Name Policy Number r4 EL C" E/U A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company. NAIC Number D City State ZIP Code p A3. Property Description (Lotand lock Numbers, Tax Parcel Number, Legal Description, etc.) ,-4P A/ If >q4l - / /D - O (D S" A4. Building Use (e.g., Residential, Non -Residential Addition, Accessory, etc.) NO Ai - A =6 C 14G)7 "✓j A5. Latitude/Longitude: Lat. 12-1 U L5 ! 30 Long.. - 3" 9'0 3 9 / 3 D rr Horizontal Datum: NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. AT Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosures) W4 sq ft a) Square footage of attached garage -Af) sq it b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings in the attached g rage enclosure(s) walls within 1.0 foot above adjacent grade N A- walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings in A9.b .64L&_ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 91. NFIP Communi Name & Community Number B2. County Name B3. State B4. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) A0, use base flood depth) 810. Indicate the source of the Base Flood Elevation (BFL) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE In Item 89: 5�NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a•g below according to the building diagram specified In Item A7. L ,G v Benchmark Utilized/t'i �� Vertical Datum /y Conversion/Comments Check the measurement used. Top of bottom floor (Including basement, crawl space, or enclosure floor) / v . � feet ❑ meters (Puert��ji only) Top of the next higher floor_❑ feet ❑ meters (PueNzAi n17 20S�(0 Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters ( o o ) Attached garage (top of slab) - � ��� NTY feet ❑mete Pue orf iR colon Lowest elevation of machinery or equipment servicing the building _1�._�feat ❑ mete ufe�to is 1alyy DIVISION (Describe type of equipment In Comments) _ �vf 1� n� (� Lowest adjacent (finished) grade (LAG) /6v .5 . r- �y feet ❑ meters (Puertp�j"'�Q'r ROVE V Highest adjacent (finished) grade (HAG) /6 S . ¢ M feet ❑ meters (Pu+gcEnl /o' A a) b) C) d) e) 0 g) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a l9nd surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to interpret the data available. pFESSIp I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. Q� , . • • • . Nq� ❑ Check here if comments are provided on back of form Certifier's Name ,?0 /3 e-12 T 46 Ec f /2 License Number l� Q E- 2 7 44 7 Title Ci ✓i����• Company NameCompany Name Sic_,Ket�l Oes 7 SuR VE Yi�l� Address .s�371�A/J ty St to ZIP Code Signature Date Z7 Lo Telepho e, 7 7 7,b Z E3 FEMA Form 81-31, February 2006 0/ 90 See reverse side for continuation. �O G. AGF .cc.J, �?�• O ti :i UJ X No.2 47 Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number City 2� StateG ZIP Code Company NAIC Number 1171. 9-�--?3R 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 13EA1 c h /1441-',' 0 A/ S i i Tole, 2 �r S 4 �,�/,�,/ �s cc s7 SQ A >e G L -r 6Fd /-�E74-Dai q G fDO-H S//JE //ES i4 �/� a �i Cp 4)(0 &1 ;-7,0 L=LcV =/6/ ,5S ignature 7,7 /D% ❑ Check here if attachments SECTION E - BUILDING ELEVATION(tNFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A. B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E 1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is_.feet feet El meters El above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SectiItems 8 and/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet Li meters ❑ above or below the HAG. E3. Attached garage (top of slab) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name :address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G df this,Elevagon Cgerl ficate, Complete the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. 1 G 1. ❑ f The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4 Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions P/-4--, Building Photographs See Instructions for Item A6. For Insurance Comoary „se Building Street Address" Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. t; State ZIP Code n i ,1.0 LL .A _M ��'.L� 4 Policy Number Company If using the Elevation Certificate to obtain NFIP flood insurarice, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with; date taken; "Front View" and "Rear View"; and, if iequired, Side View" and "I_^u Side View." If ! ihmittinn more photographs than will fit on this page, use the Continuation ?2ce. following. Building Photographs Con0nuation Page 1 For Insuranca Company Use: -n bur cvorE3IdgAAo,)or?IA Rana r. .••liaf"Oji*� n-6111 MTV I ------------ 11 ifl '17ell M, -Z -7 -ii- 'A W l't - , I U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exuires February 28.2009 National Flood Insurance Program Important: Read the Instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name 1N ;Policy Number UJ OF A2. Building Street Address (Including ApL, Unit, Suite,and/qr 81dg t o.) or P.O. Route and Box No. Company. NAIC Number f�LCJ city1 ZIP Code S `� 3 00 Ufe, 6¢f�i�-i � smoe G/9, A3. Property De col tion (Lot and Block Numbers, Tax Parcel Nu r, Legal Description, etc.) X7Z d �� .. p 6O d Z A4. Building Use (e.g., Residential, Non -Real enti� y Addition, Accessory, etc)j. /2 -r / Q47 --AJ 7 A5. Latitude/Longitude: Lot /Z/' 4 % I C Long. 9 Horizontal Datum: L]NAD 1927 [_] NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number -- A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide a) Square footage of crawl space or enclosure(s)—�L sq R a) Square footage of attached garage N sq ft b) No. of permanent flood openings In the crawl space or b) No. of permanentflood cod openings inthea a go enclosure(s) walls within 1.0 foot above adjacent grade /V/ walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A6.b sq in Q Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name ti Communtty.Number B2. County Name B3. State NCo " 0.600 f7 1 3 11 TT ar 1 C/¢ B4. Map/Panel Number B5. Suffix B6. FIRM Index I B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone G Date I Efiective/Re ed ggate zcs) AO, use base flood depth) ' 6(460/7— brzZ */-,x. o zoo f, 8 S f+0 /2G /.O B10. Indicate the source of Base Flood Elevation (BFE) data or base flood depth entered in tem 89. 1:1 FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate. elevation datum used for BFE in Item B9: ;4 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otfrerwtae Protected Area (OPA)? ❑ yea tz No Designation Date ❑ CORS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings• ❑ Building Under Construction' Finished Construction •A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete items C2.8 -g below according to the building diagram apec"ad in Item A7. Benchmark Utilized R �? 5'R Vertical Datum A/ & vo 9 2 9 Conversion/Comments Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor) �� 6 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor ®.feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab)' feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building meters (Puerto Rico only) (Describe type of equipment in Comments) Q f) Lowest adjacent (finished) grade (LAG) t ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) .feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law Io certify elevation Information. I certify that the Information 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. Q?,pFESS/p ❑ Check here If comments are provided on back of form. Q.O ' AGF/ '•. C Certifier's Name License Number y. E ✓ 2 20 &6-727' 67' E'er , be ' I l 266 2,7901 7 H E , Title G/�/L L—'%i%� /,' Company Nam E I E;`IQ/C/i 4)4S , J U !2 VJt Y1A14* No. Address . / 4Aoe CSL i Vc�' l�,Q /D State ZIP a L+ *• r 3/� d Signature .,to Telep no 7 �w'•. [ �.• FEMA Form 81-31, February 2006 " V SA reverse side for continuation. Replaces IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address ((Including Apt., Unit, Suite, and/ B o.) or P.O. Route and Box No. Policy Number O,QO hL/C O City �() •n �A � State G� ZIP Code g Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community officlal, (2) Insurance agenticompany, and (3) building owner. Comments 7, a, 14 AF j�QDp9-aTY ep,2 rU eV, L.Ee 9V-' � U`�. 6 Z Signatur Date / _WW 16 - Z_ V 6 JCheck here If attachments SECTION E - BUILDING ELEVATISFN IN MATION (SURVEY NOT REQUIRED) FDA ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). / �1- a) Top of bottom floor (including basement, crawl space, or enclosure) Is IV! k ❑ feet ❑ meters ❑ above or below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) I:— M ❑ feet ❑ meters ❑ above or H below the LAG. E2. For Building Diagrams 6.8 with permanent flood a openings rovided In Secti Items 8 an /or 9 (see e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is �e ❑ feet 0metera above or below the HAG. E3. Attached garage (top of slab) is ❑ feet 0 meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 411 ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B. and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used In Items G8. and G9. G1. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMAassued or community -issued BFE) or Ione AO. G3. ❑ The following Information (Items G4: G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here If attachtnehts FEMA Form 81-31, February 2006 Replaces all previous editions a Building Photographs. Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number D20V City State ZIP Code Company NAIC Number U ✓1 r' r 1 /r/ Ct'% 9 S� J If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Building Photographs See Instructions for Item A6. Fo.r Insurance Co^;,ar; ., S'reet Address (including Apt., Unit, Suite, and/or Blda. No.) or P.O. Route and Box No. Noiicy mirnDer State ZIP Code CompanyWOcrJurt�r Id using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according instructions for Item A& Identify all photographs with: date taken; "Front View' and "Rear View"; and, if required, "R;,' S'c'� Vie:v` and "Left Side View." If submitting more photographs than will ft on this page, use the Continuation Pa7.-. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1569 MESA RD Owner: permit No: 06-2056 APN: 040-110-065 PETER OWEN Issued Date: 09/27/2006 By KCG Permit type: MISCELLANEOUS 1569 MESA RD Subtype: Private Garage/Shop DURHAM, CA 95938 Expiration Date: 09/22/2007 Description: DETACHED GARAGE (530) 894-1935 Occupancy: Zoning: Contractor Applicant: Square Footage: OWNER PETER OWEN Building Garage Remdl/Addn 1569 MESA RD 1569 MESA RD 1,500 DURHAM, CA 95938 DURHAM, CA 95938 Other Porch/Patio Total (530)894-1935 (530)894-1935 1,500 FEE INFORMATION Fund 10 BLDG $395.93 Garage - Wood Frame $428.92 SMIP - Residential $3.60 Total Charged: $828.45 Fees Paid: $828.45 Balance Due: $0.00 Receipt No: B291 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the.applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date -11, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be completed if the permit is oris or on�ndred dollars ($100) or less. ❑ IAM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS [Q� ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 09/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. wners Signature Date b3a"X 09/27/2006 1 hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this peril does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner thorized to act on the property owner's behalf. 09/27/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for erne o erml ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) rIVI 161 Owner� Contractor OR; 1:1Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Name Last Name O Ws N irst Name City Address — n S '�J 1 City Fax State Date Approved: Zip _ (� Phone� 0 1 Fax ' ✓.� E-mail APPLICANT INFORMATION CONTRACTOR Name i s Address ZiP9 j--5 3? City Fax State Zip Phone Lot # Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name L i s Address ZiP9 j--5 3? City C, rC c� Fax State G Zip Phone Lot # Fax Date Approved: E-mail Li State License Number i 7- ' ✓.� APPLICANT INFORMATION Name Address City / State(f ZiP9 j--5 3? Phone /(�� T — �J Fax E-mail SAO (s_�CnJ 70 z - Go -e - APPLICANT SIGNATURE X For office use only: AP# _ 1/0 - /o - Zoning 1 Flood Zone 1,4 E I SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision'Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT BP B� # // PROJECT LOCATION AP# _ 1/0 - /o - Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: /St10 � Sq FT- Living ra Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUND Refunds can only be a upon writt request by the person who paid the fee. The re est must be made prlv..r to the expiration ofibe permit and no co/struction work has been dhQe. Filing fees, plan check fees for Ark plan checked and other dep ment costs are not refundable. 0 �• Bldg °y o� SRA Recei #: Sh � � Total REV 8-12-05 1 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1R7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation,Carrier and Policy Number. ❑ 8. Qlviner-tuilder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a. new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 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: .lJ�'/ 1 f ASSESSOR PARCEL NUMBER_ Proposed Building Use: Permit Technician: 1 Date: lJ G?�•�CJ�C� ,Items required in order to apply for a permittAll boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxeslf /u fi; J ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form -®-- 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Rerpaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) l 14. Sanitation and site plan approval from the Environmental Health Department in Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17Soils Report and/or Engineered Foundation required ........................................... �A`69` Erosion Control Plan Required................................................Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. 0 22. California Department of Forest�y,plan approval ❑ paid. Sent by: 23. Planning approval for (A) Use: /C (B) Parking: (C) Parcel Check: t....... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. CCN 27. Encroachment Permit for driveway from the Public Works Dept ........................... ; ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑. 29. Worker's Compensation Carrier and Policy Number .......................................... ]' 30. Owner -Builder Verification ( ✓diven to owner, _Mailed to owner) ..................... 0 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone O / % ��7� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1, 1 i �. l Date: 75 -/-'D I 1. Index permit application for the above items numb red: Plan Check Letter 2. Additional items re Contractor, designer, wne as advised of the above data by phone, ❑ mail, ❑ counter, by Q04&= Date: 8(t Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Df -C Date: Q' -7.Z-tu Plans approved by: O(fit' Date: 7- n& Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 E.M. USE nus v Plot PlanfilAltadied C —�� ' Floor Plan ad C Sent to BD/DS / TO: Building Division = Development Services 7/31 FROM: Environmental Health SUBJECT- Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other _ Final clearance O.K. for: NOTE: --- Water Supply: Public Private Well Environmental -Healtfi Specialist D e Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner PETER APN No: 040-110-065 Permit Type: F-----❑'- Subtype: _41 App Date: 8/25/2006 Permit No: BP 06-2056 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $714.87 $285.95 $428.92 Balance of Building Permit Fee $109.98 0 _ $204.98 $395.93 J FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $395.93'. FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $432.52 $428.92 ' $241 4-976U $3.60 i7LM� °127.aU�4 4 5 6 7 7a Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04/15/06 Per Dwelling Per Dwelling Per Dwelling MH 774 Lindo Channel $8,267 County 4249.11 3183.54 3238. More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW Chico Urban Area 6146.23 4538.82 5648. EI Medio Fire District 3249.97 2385.76 2422. North Chico Specific Plan SR -1, SR -3, SR-1/PD 8801.091 7395.04 coo R-1 8897.09 7491.04 ° R-2 8390.091 6984.04 R-3 7604.091 6198.04 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* RECEIPT DATE Tech/Asst 461062 8/25/06 Tammie 7289.40 RECEIPT DATE Tech/Asst 0 $100.00 $200.00 10 10a 11 11a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,341 New Construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $136 JAt time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: lux r / Date: Pursuant to Govern nt code Section 66020, you are hereb no Tied those Items followed by an "*" may have been imposed on your project. Yod have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 k�TT'r�� Department ®f Public Works o d a C o u n t y o f B u t t e 0 0 7 County Center Drive Oroville, CA 95965 0O►lt,�y0 J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 p I S LIC WCF� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: -,/l d� Building permit # Owners Name: r, Owners Mailing Address: Property Address: ENCROACHMENT PERNIIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: . Reason for exemption: 0 Not a County maintained road Existing driveway conforms to County S-31 standard Other Approved by Printed Name Title—mac S� a Dater CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. pie pRlT 0&1 �U T TF o a ; �. Ems• c o= o � � o c G'0 U Nay AOQLIC WOP,�9 r Department c- n u n t J. Michael Crump, Director of Public t B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville. CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction .Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: , ( �-�4 �—la By.signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: . ---. D ate• OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building pen -nit has been applied for in your name and bearing your signature. - . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [X ] NO[ ]. 2. I HAVE [.<] HAVE NOT [ ].signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR 1 PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netldds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner-builder"=building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to -be signed by property owners unless they are perforrning their own work personally. Information about ' licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building DiviVion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. FILE No .530 08/25 '06 15:27 I D: LONGFELLOW LUMBER CO. FAX:530 893 0140 PAGE 1/ 8 LONGFELLOW LUMBER CO. INC. Quality Design • Floor • Wall • Roof Systems 89 Loren Avenue G Chico, CA 95928-7434 Phone (530) 893-0112 • (800) 678-0112 Fax (530) 893-0140 E -Mail: trusses@longfcllowlumber.com Fax to: BUTTE COUNTY from: ADAM Fax No: 538-2140 Date: 8-25-06 Subject: OWEN TRUSS CALCS rages: 8 INCLUDING COVER ATTN: TAMMI cc: IJ Urgent [For Review Q Please 12ep1y HERE ARE THE TRUSS CALCS FOR THE OWEN GARAGE YOU ASKED TO FAXED OVER. THANKS F•iDE (Ra, 5105) LONGFELLOW LUMBER CO. INC. Quality Design • Floor, Wall & Roof Systems 89 Loren Avenue • Chico, CA 95928-7434 Phone (530) 893-0112 . (800) 678-0112 Fax (530) 893-0140 E -Mail: trusses@longfellowlumber.com Customer: SHEDS TO Go Address: MESA RD. DURHAM Aft: 020E (Rai. !oS) Job No: OWEN ENGINEER Mitek industries, Inc. Redong (Ray) Yu 7777 Greenback Lane, Suite 109 Citrus Heights, CA 95610 (916) 676-1900 APPROVED INSPECTION AGENCY Timber Products Inspection, Inc. P.O. Box 20455 Portland, OR 97220 (503) 2540204 co co SHEDS TO GO OWEN SHED C5 MESA RD cr DURHAM FILE No.530 08/25 '06 15:28 aM.00KER Ix4 GONE BRAct AT BRArt H515ER5 LONSW TW 12' ATTACH AT MIOPOIHT OF BRACE W/ 2-6d NAILS GABLE END STUD 2x4 If 5TRowAAa (NAIL TO LED6ER W/ IOd O 12' OL) —. 2x4 If LED6E5t (NAIL TO YMU AL W/ (Ad NAILS) ID:LONGFELLOW LUMBER CO s 1 e GRACE TO FIAT X,II �H-3 AT 48' or, O NOTE- MS DETAIL MAY BE USED FOR TR1155E5 WITH PITC+M BL. AL50 (0) OFTION TO WES PLATING. 115E (3) - 2 - WIRE STAPLES (0QI2 DIAA5 CA) TOENAILED TFRU C Mo INTO K33 711x! YID INTO CHORD ON OW FACE FOR A TOTAL OF 6 STAPLES, (po, (50 d (4I) MIST BE PLAT$), FAX:530 893 0140 Axlt cxjA!^ PAGE 4/ 8 `3•I� HAILS E060 Elm 6-10d C 0MMN 2xb PIA60NAL NAILS BRACE O 48" O.G. VAX RMACED LEMTH OF GABLE END 5TLV (2x4 FIR -LARGO 5TAWARD = 5'-)1' 01 AW 57K _ TM156Ea --� TG LL 30D P5F TG OL 15D PW N=; GABLE DO DE516N BASED BG OL p5F ON 15 MPH KW, zwoaRE 'B- 80 LL �OD P5F AT 0-25 FEET W.AN HE16HT. TOT1D. 50D P5P GURFAG. 1,15 TM of X9 DETAIL Date: 10-18-o2 Gary Hawkins JOB NAME - Lo l uow L! mss Dnpwn: AK ARCHITECT CITY, STATE CAW, CALIFORNIA (530) 892-2700 Job no.: 02-116 1 370 RIDGCWOOD On., SM. 1 O FAY:(530)8930532 CHICO.CA 85973 00Wrchosbro4001ml FILE No . 530 08/25 '06 15:28 I D : LONGFELLOW LUMBER CO. May 31, 2002 Longfellow Lumber 89 Loren Avenue Chico, CA 95928 RF: Trusses supporting A.C. Loads FAX:530 893 0140 PAGE 5/ 8 Mi%k IndUstries, Inc 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610 USA FAX (916) 676 1000 TELEPHONE (916) 676 1900 MiTek Industries, Inc: truss designs are adequate to support up to an additional 150 pounds per truss due to mechanical loads. If this load falls at a panel point, no revision to the engineering is necessary. If it falls in between panel points, a 2X scab of equal size and grade as the top cord is required for the full panel length carrying the load. Attached with 10d nails at 12" o.c. These rules only apply to residential 2' O.C. truss applications with greater than 3/12 Pitch. For commercial building span of truss shall be limited to 30'- 0" maximum. If you have any questions, please call meat 1-800-772-5351. 1 Redong Director Western RY/ek �Q�fESstp,� rV0NG yG `��,. NO. Q049919 . . FILE No . 530 08/25 '06 15:28 I D : LONGFELLOW LUMBER CO. FAX :530 893 0140 PAGE 6/ 8 _.HSTE �-6LAMAI i�'KA(E �c�/�,!~ is VAlit L )�T�,R-PcL frjR RE PLACWC C oN i . 6(LACES AT Y2. Of AT (/,- Fu RU!.bFS 13 24" IA�.®I2��oc -IOD O v . G. TTP 2 EZOl�S 0. G: Typ. --2,44 bFL A&& -AGE: 141TH NE -b (2X E, HAA- �b (IV V P. - t7Vo9 X21~ wit.- f2 IAC-PIACINq Y Oil Y-,>4OTE= . -.Y"z p0lhtr6 PRAcI~ 0RL,r TTS E!�ELAOE: HU4T E -1I: DO "/o THE- LE:N4TI4 OP THE THtb PaTAIL (b TO EIE- UOEV Ab AH ALT. FOR ONE- &ONTINuoUb LATB:RkL E: R AGE:. r TEtuS,SLt, CIP r-)tIVkII DUMBER LATERAL BRACE 2X3. 2X4, OR IX4 PR TRUSS DESIGN WITH 2-10D PER WES (TYP). MAR 2 7 -2002 BRACE MAY BE ATTACHED TO EITHER NARROW FACE OF WEB. (SEE NOTE BELOW)* FLE bTEzAIHT Kt:QUIREsD AT L-A& E -HP OF bFLAGEs AMP AT 20'-0" INTE-EZ�IALb. . XL -F -M TO AIV -91 SUHHA XY 014"T POFL Fte&0HHE:Nt7AT10Nf OP THE TFLU55 ELATE- INSTUTE iK�I MA'(E3t= Ytou 6 T t�ME ?4r IlapEa pNlV-4-. ace -rH c 'E`rA U L E Y - E i;." Ptth7C— �I:- rzy3 cI2 24 A5 PWulter Kemp*<. a31�` Symbols PLATE LOCATION AND ORIENTATION . �. 13/4 ' Center plate on Joint unless dimensions indicate otherwise. PH Dimensions are In Inches. Apply plates to both sides of tens and secureN seat. r —S of 4 x 2 orleniatlon, locate plates T/8' from outside edge of taus and venico) web. 'lhLs symbol Indicates the required direction of slots in connector plates. 'For tabular plating formal refer fo the MTek/Ganp-Noll Jolnt/Plate Ptacernent Chart PLATE SIZE The first dimension Is the width 4 X 4 perpendicular to slots. Second dimension is the length parallel to slats. LATERAL BRACING Indicates location of required eloo� continuous loferof bracing. BEARING Indicates location of Joints at which beDIngs (supporls) occur. Numbering System J2 .13 J4 TOP CHORDS BOTTOM CHORDS A J8 J7 J6 JOINTS AND CRORDS ARE NUMBERED CLOCKWISE AROUND THE TRUSS STARTING WITH THE LOWEST JOINS FARTHEST TO THE HEFT. WEBS ARE NUMBERED FROM LEFT TO RIGHT. CONNECTOR PLATE CODE APPROVALS BOCA 86-93, &S-75,91-28 HUE)/FHA TCB 17,08 ICBO 1591, 1329, 4922 SBCCI 87206, 86217, 9190 WISC/DILHR 870:140-N, 930013-N, 91008D -N —. l Iml MiTek Industries, Inc. 15I1a'D►AO••A/A ® P e CLIP ANEL A General Safety Notes Failure to Follow Could Cause Property Damoge or Personal Injury 1. Provide Copies of this truss design to the building designer, erection supervisor, property owner and all other Interested parties. 2. Cut members to bear tightly against each other. 3. Place plates on each face of truss at each Joint and embed fully. Avold knots and wane Of joint locations. 4. Unless otherwise noted, location chord splices of 114 panel length (±6" from adjacent Joint.) 5. Unless otherwise noted moisture content of lumber shall not exceed 19X of time of fabrication. 6. Unless expressly noted. Phis design is not applicable for use with Illre retardant or Preservative heated lumber. 7. Camber is o non-Oructurcl consideration and is the responslbiltty at truss -fabricator. General practice is to camber for dead load deflection, B. Plate type, size and location dimensions shown Indicate minimum plaftng requirements. 9. Lumber stroll be of the species and size. and In all respects, equal to or better than the grade specified. 10. TOP chords must be shealhed or pudlns provided at spacing shown on design. It. Bottom chords require lateral bracing of 10fi. S pacing, or Less, if no celoing Is Instalfed, unless otherwise noted. 12. Anchorage and/or load transferring oor►r)e.^t ms to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construcilon materials. 14. [)a not cut Or alter truss members, or plate wttt•rout prior approval of a professional engineer. 15. Core should be exercised In handrM, erecilon and installation of trusses. 01993 Mitek Holdings, Inc. c 0 U a; " VX"0 O r¢ u U a --=w —---=-- — Q BOTTOM CHORDS A J8 J7 J6 JOINTS AND CRORDS ARE NUMBERED CLOCKWISE AROUND THE TRUSS STARTING WITH THE LOWEST JOINS FARTHEST TO THE HEFT. WEBS ARE NUMBERED FROM LEFT TO RIGHT. CONNECTOR PLATE CODE APPROVALS BOCA 86-93, &S-75,91-28 HUE)/FHA TCB 17,08 ICBO 1591, 1329, 4922 SBCCI 87206, 86217, 9190 WISC/DILHR 870:140-N, 930013-N, 91008D -N —. l Iml MiTek Industries, Inc. 15I1a'D►AO••A/A ® P e CLIP ANEL A General Safety Notes Failure to Follow Could Cause Property Damoge or Personal Injury 1. Provide Copies of this truss design to the building designer, erection supervisor, property owner and all other Interested parties. 2. Cut members to bear tightly against each other. 3. Place plates on each face of truss at each Joint and embed fully. Avold knots and wane Of joint locations. 4. Unless otherwise noted, location chord splices of 114 panel length (±6" from adjacent Joint.) 5. Unless otherwise noted moisture content of lumber shall not exceed 19X of time of fabrication. 6. Unless expressly noted. Phis design is not applicable for use with Illre retardant or Preservative heated lumber. 7. Camber is o non-Oructurcl consideration and is the responslbiltty at truss -fabricator. General practice is to camber for dead load deflection, B. Plate type, size and location dimensions shown Indicate minimum plaftng requirements. 9. Lumber stroll be of the species and size. and In all respects, equal to or better than the grade specified. 10. TOP chords must be shealhed or pudlns provided at spacing shown on design. It. Bottom chords require lateral bracing of 10fi. S pacing, or Less, if no celoing Is Instalfed, unless otherwise noted. 12. Anchorage and/or load transferring oor►r)e.^t ms to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construcilon materials. 14. [)a not cut Or alter truss members, or plate wttt•rout prior approval of a professional engineer. 15. Core should be exercised In handrM, erecilon and installation of trusses. 01993 Mitek Holdings, Inc. FILE No.530 08/25 '06 15:29 ID:LONGFELLOW LUMBER CO.- FAX:530 893 0140 PAGE 8/ 8 .. 7:1 NYOWhNSHOD 2S / hz2f•e&z1 [onp%oow LomMr Co -.Inc.. Cnsa. Cs 9fR1e-Pelt. a �. t:i;e ..-- 106 Re(err..c. o ecn¢PM 21)a Mr7t1 u•trron, Inc Tui Jam] 10.19'36 200��1 2.0.0 30.0-0 , T-IOIa 1-1.2 Y. 1.2 �-. .._. 11_14_z�� .. Y•10.14 2.0.0 Scale • 1:55,1 40 4 4.00 9.e . •=�_' '~ _ �`'\_-- 3.4 4ZZ 34 _ It B .. .. 6� -`_```'� d e 3� 1.6.4 II 3.4 = ane n 1.3.4 tl 7-7414 1&4 ..,�. 0. 22-1.2 340.0 _ - .. .. 7. 141& �'.... { 7.741• �� '- LQAOING(ps!) SPACING z -o-0 cg) DEFL TCLL "I Plate$ Increase 1.25 In (lot) 1/de(1 U4 PLATES GRIP TC 0.52 TCOL 10.0 L(mbertncrcaae 1.25 BC 0.57 VCA(LL) 0.13 9 >999 180 MT20 2201195 BOLI 0.0 Rep Stress Incr YES WB 0.71 ) "0.29- 8.9 >999 160 SCDL 7.0 Code UBC97JANSI95 Horc(TL) 0.08 6 Na nla (Simplified) Weight; 122 lb LUMBER TOP CHORD 2 X 4 OF No.1&Bit G BRACING BOT CHORD 2 x a OF No. I&Str G TOP CHORD Sheathed or -10-12 cc penins. WEBS 2 X 4 OF Sm G BOT CHORD Rigid teeing directly applied or 10-0-0 cc bracing. REACTIONS (vaize) 2=164210-3-8.6 1092/0-3.8 Man Harz 2=11(loaocase 3) Max uplivQ so(toad 0856 3), 6=50(load case 4) FORCES (lb) - Maximum Compre&sion/Maximum Tension TOP CHORD 1-2.0116, 2.3--22311as, 3-4=-1528153.4-5:-1526153.5-,6=2231146.6-)=0/16 BOT CHORD 2-117/2110, 10.11=-7/2110. 0.10-.712110. B-9=01211.611=0!2110 .WEBS 9.11=18/253, 4.9a-42/648, 5.8=101253.:-9=-712748, 5.9 712)48 NOTES 1) Unbalanced roof live loads have been OOnsidered for this design. 2) This UUTS has been designed for me wino toads ganerattd by 75 mph winds at 25 It abode ground level, using 10.0 paf top chord Cited load and 7.0 psf 0080m chord dead load. 100 mt from hurricane odeantlnt. On an occupancy category 1. Condition 1 enclosed building, of dimension& 45 It by 30 h with expo3urd S ASCE 7.83 per USC97/ANSI95 If end vOnlcals or cantet>vers ex;ej. they are exposed M wind. if porches exist, they are expo&" t0 wind. The lumber DOL increait is 1.39, and the plate grip increase i& 1.93 3) This truss has been designed tot a 10.0 psi DORom chord Gve load n0nconcurrent with any Other live toads. 4) A plate rating reduction of 20% h3s been applied far the green lumber member&. LOAD CASES) Standard oVgOFESS/pN9 X C 046433 Q -\ E T,407'-07 / w , July 25,2006 WAANLVO . V..Vy a"1Yn f =Aa MaTaB ON FNie AND LI CLUDA4 WT&K Aa &RCNCa Mq/ NU 473 Cr110n +p1iC ro y1e OMt r.iln h47ek eonnetlon. Ihu 0-11 f1aP RD UKC 7772 Gseenm4 l•na AOp=.hA'ty 01 C..q_ Oorom.nktll pr!C p,•pp,� �rtCy an ° 0>afep onM upon pgtgnl°Iell mown, aha if 1d on Wividw0l Inripin0 CprylptlnCM1t. 377 tog n tos Iprppr 1„p Gr ntlidClWr veb mem4br F'itllWn of tOmpgnOM U nlponxb4N m Ddx/lna tleYtlner .nor gl 1111) boll do%;O-- 1006-9,ho- Civ.1 046.0114. CA, 408 to Oilers, A4tlrrran0l wmpnenl ° V,c-II 0i 46ara. rybq[' to In1N/C I�NbmN DVM()ggmlrUC1�i1 Ih0 relponlAr6n of 111.. 10pA[Ori4n, q�OYN COnhol POIOB0 deiiv 1 111$ O.er0- 6Ad t o i# Intl AnIuIj illx'ilty 01 Inf rrwq ftB A6e4 er, For en Sal¢ rami try. oixfion end pocrn.0, ensue 1NH/(/n a a d S J% 11.1u:e nedor p I h rnaeon 0.0/001$ from Lws, Pb1e 1m1•wr•. 5$] U'Orwu:o Orin, aYOV Clseeo, DSB•BV and BCL/ &utlCtr.p Compon.wl --%--••- ..-. •-aditon wl 57719. M FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200.1 ELEVATION CERTIFICATE Importamt Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Comparry Use: BUILDING OWNER'S NAME Policy Number LYNN MARION BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number MESA RD. CITY STATE ZIP CODE DURHAM CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 040-1104)65 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) New Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W - ##' - ##.#r or 0.00AIF) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NAP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY, & INCORP. AREAS 060017 BUTTE COUNTY CA B4. MAP AND PANEL 65. SUFFIX B6. FIRM INDEX DATE 87: FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER o a) Top of bottom floor (including basement or enclosure) EFFECTNE/REVISED DATE o b) Top of next higher floor (Zone A0, use depth of floodng) 060017 C 0520 C e18f96 AE 168.1 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): SEE C3 BELOW. B11. Indicate the elevation datum used for the BFE in 139: O NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ® No Designation Date PWA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" ;C] Finished Construction C2. Building Diagram Number 5 (Select the buiking dog -am most similar to the building for which this certificate is being completed - see pages 6 and 7. If no dragam 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, ARIA, ARIAS, AR/A1-A30, ARIAH, AR/AO Complete Items C3. -ami below according to the building diagram specified in Item C2. State the datum used. If the datum is ditferent 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 NGVD 29 Conversion/Comments; Elevation reference nw k used RM 59 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 170. 6 ft(m) G AG • :Y� o b) Top of next higher floor 170.6 ft(m) W : 0`V �,e0.'� ���'•�;' o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft(m) o o o d) Attached garage (top of slab) WA. _ft(m) E , o e) Lowest elevation of machinery ardor equipment w m • servicing the building (Describe in a Comments area) o f) Lowest adjacent No.2 647 169.7 fL(m) a .R * // •: 165.4 fL(m) d . (finished) grade (LAG) U b o g) Highest adjacent (finished) grade (HAG) o h) No. of permanent openings (flood vents) within 1 fL above adjacent grade 2_. 165. 4 t(m) q J • • •V1• • . •\P o� • • • • �FOQ` o ) Total area of all permanent openings (flood vents) in C3.h 2640 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this 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. CERTIFIER'S NAME LICENSE NUMBER ROBERT G. AGEE. JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING. ADDRESS CITY STATE ZIP CODE 5437 BLACK DRIVE PARADISE CA 96969 SIGNATURE ( DATE TELEPHONE //&J_1�1r ,/ / , C 019? ' SABSS .oV1 ; IMPORTANT: In these spaces, copy the corresponding inibrmation from Section A For Insurarroe Company Use: 1LDING STREET ADDRESS (Including Apt., Unit, Suite, andror Bldg. No.) OR P.O. ROUTE AND BOX NO. MESA RD. Policy Number CITY STATE ZIP CODE DURHAM CA 95938 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. BENCH MARK on site, RM 1159, chiseled square top end east end headwall, south side Mesa Rd. @ Esquon Rd.. Elevation =166.95' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similarto the buildingforwhich 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_ t(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6S with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ t(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platlorm of machinery and/or equipment servicing the building is_ k(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. 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 ordinarice? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3J only), and E for Zone A (wtthout a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are coned to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZJP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -W) is provided for community floodplain management purposes. DATE PERMIT ISSUED i G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been Wired for[:] New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is:--ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ . _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS �, • FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number LYNN MARION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number MESA RD. CITY STATE ZIP CODE DURHAM CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 040-110-065 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) New Residerrtial Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #!D - #W - ##.#i'R' or ##.#+ °) N NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY, & INCORP. AREAS 060017 BUTTE COUNTY CA B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER EFFECTIVEIREVISED DATE (Zone A0, use depth of flooding) 060017 C 0520 C 6f m AE 168.1 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe): SEE C3 BELOW. B11. Indicate the elevation datum used for the BFE in 139: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ® No Designation Date PWA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' Z] Finished Construction 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 (wit BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, AR/AO Complete Items C3. -a4 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 NGVD 29 Conversion/Comments -1010- F-MItax, Elevation reference mark used RM 59 Does the elevation reference mark used appear on the FIRM? ❑ Yes N No o a) Top of bottom floor (including basement or enclosure) 170. 6 fL(m) �,tvQ �� G q Gc -:4! o b) Top of next higher floor 170.6 fL(m) co o c) Bottom of lowest horizontal structural member (V zones only) NIA. _fL(m) o o : �O vim• o d) Attached garage (top of slab) WA.. _ft(m) E o e) Lowest elevation of machinery and/or equipment u, d servicing the building (Describe in a Commends area) 16.9.7 ft(m) E � * � No. 2 647 o f) Lowest adjacent (finished) grade (LAG) 165.4 fl. z' ����/v�•• o g) Highest adjacent (finished) grade (HAG) 165. 4 f4m) CIVIL... rm o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade _2_ o ) Total area of all permanent openings (flood vents) in C3.h 2640 sq. in. (sq. cm) 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. CERTIFIERS NAME LICENSE NUMBER ROBERT G. AGEE. JR RCE 27647 TITLE COMPANY NAME Civil Engineer SIERRA WEST SURVEYING. ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE DRIVE PARADISE CA 96969 SIGNATURE/J 14 DATE TELEPHONE 7=(530)877253 IMPORTANT: WI these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Inducling Apt., Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. For Insurance Company Use: MESA RD. CITY STATE ZIP CODE Company NAIC Number DURHAM CA 96938 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. COMMENTS BENCH MARK on site, RM #59, chiseled square top end east end headwall, south side Mesa Rd. @ Esquon Rd.. Elevation =166.95' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number—(Select the building diagram most similar to the building forwhich 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_ R(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is_ fL(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAissued or community - issued BFE) or Zone AO must sign here. The statements in SekUons A, B, Q and E are kxorred to the best of my kr►oWedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or communityassued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF G7. This permit has been issued for.❑ New Construction ❑ Substantial Improvement G6. 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: _ . — fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE COMMENTS 4 —1 iT_Cpl� July 9, 2003 County of Butte Building Division 7 County Center Drive Oroville, Ca 95965 APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION Re: Marion Residence Building Pad Certification — Durham, CA Gentlemen: We were employed to provide compaction verification on the Marion Residence building pad located on the Corner of Mesa & Esquon, in Durham, CA. Due to the high non-uniform rock content in the fill material, we could not proceed with standard nuclear density testing. Our technicians found that the soil contained in excess of 40% + 3/4 inch material. This confirmed that this material was too rocky to perform any conventional testing procedures. We decided that the pad placement & grading operations would have to be monitored during construction to assure that adequate moisture conditioning and compactive efforts were achieved. The pad was constructed primarily with rocky import material with approximately two and one-half feet of fill above surrounding ground. We monitored grading operations on site from 05/19/03 to 05/22/03. We verified that the existing grade was scarified approximately one foot down to undisturbed soil. All subgrade was moisture conditioned and compacted with a sheepsfoot compactor. We were on site for much of the fill operations and were satisfied with the compactive effort throughout the building pad. Based on witnessing much of the earthwork operations, we certify per Article 3, sections 6735.5 and 6735.6a of the Business and Professions Code that the pad placement was properly moisture conditioned and compacted in accordance with Chapters 18 & 33 of the 1997 Uniform Building Code. Applied Testing Consultants is not a licensed surveyor. We do not verify or certify grades or elevations. Test elevations are derived from information provided by the contractor and/or the client. Applied Testing Consultants is not the foundation design engineer for this project. Designs for consolidation, differential settlement and bearing on fill materials are by others. Thank you for using Applied Testing Consultants to provide this service &fr qJ11 if you have any questions regarding our services described above. Ver ly yours, arles W. Steele Char? Senior Engineering Technician C-03869 31/05 Staff Engineer 3060 Thorntree Drive, Ste. 10 • Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 July 9, 2003 County. of Butte Building Division 7 County Center Drive Oroville, Ca 95965 . APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING Re: Marion Residence Building Pad Certification — Durham,. CA Gentlemen: - TESTING AND INSPECTION We were employed.to provide compaction verification on the Marion Residence building pad located on the Comer of Mesa & Esquon, in Durham;. CA. Due to the high non-uniform .rock content in .the fill material, we could --not -proceed with -standard nuclear density testing. Our technicians found that the soil contained in excess of 40% +1/4 inch material. This confirmed that this material was too rocky to perform any conventional testing procedures. We decided that the pad placement & grading operations would have to.be monitored during construction to assure that adequate moisture conditioning and compactive efforts were achieved. The pad was constructed primarily with rocky import material .with approximately two and one-half feet of fill.. above surrounding ground: We. monitored grading, operations on site. from. 05/19/03 .to 05/22/03. We verified that the existing grade was scarified approximately one foot. down to undisturbed soil. All subgrade was moisture conditioned and.compacted with. a sheepsfoot compactor. We were _on 'site for much of the fill operations and ' were satisfied with the compac6e effort throughout the building pad. Based on witnessing much of the earthwork operations, -we certify per Article 3; sections 6735.5 and 6735.6a of the Business. and Professions Code that the pad placement was properly moisture conditioned and compacted . in accordance with Chapters 18 &-33 of the 1997 Uniform Building Code. Applied Testing Consultants is: not a. licensed surveyor. We do not verify or certify grades .or elevations. Test elevations are. derived from information provided by the contractor and/or -the client. Applied Testing Consultants is not the foundation design engineer for this project. Designs for consolidation, differential settlement and bearing on fill materials are by others. Thank you for using Applied Testing Consultants to provide this service f� sll if you have any questions regarding:our services described above. Ve ly yours, -. iarles W. Steele Char Senior Engineering Technician C-03869 1/05 Staff Engineer 3060 Thorntree Drive, Ste. 10 Chico, CA 95973 • Telephone: (530) 891-6625 Facsimile: (530) 891-4243 F rel C Of S d FILE No.284 07/25 '03 AM 10:00 ID:EXECUTIVOHOMES ,i 0__ FAX:530 891 8753 PAGE I Exec utive,, Homes. 3042-Eapi"de Chico, CA 95973 530s091_6992 --8f)0t348-6992 Fox 630.891-8753" E-mail: exhomeadebeglobal.nel, s�.I'llf-IM: Ca Bill Leveroni _TAX IlIVIII19t: A,I I!: -k S ...... .... COMPANY: 'I't )TAL NO. 01' I'M; [IS INCLUDING COV lilt: I`I II 1N Ii KRIMIM NOTIls/COMIAltNT"� C_ r zvoli­rp V%. 6 W -N a4j- .-LA-33 .- C)Y_0-110—()(aS— N (-AtN It ltVVWw it 1, E3l'IMA`WI;()MMI,,NT 0V1.&ASI!,f(IWl-y 0 11IJiA-sFltRCyCt,l,- NOTIls/COMIAltNT"� C_ r zvoli­rp V%. 6 W -N a4j- .-LA-33 .- C)Y_0-110—()(aS— FILE No . 284 07/25 '03 AM 10:00 1 D :EXECUTIVE HOMES FAX : 530 891 8753 PAGE 2 ICAAPPLIED- TES-TING-CON.SULTAiNTS, MATERIALS ENGINEERING- TES77N.0 AND INSPECT/ON July 9,- 2003.. County of Butte Buikiing_Di_vis�on 7 County Center Drive Oroville, Ca 959¢5 Re: Marlon Residence Building-P-adCertiftcutlm--Durham�CA Cjentl�rncn: We were employed to provide compaction verificution on the Marion Residence building pad -located -un -the Corner of .Mesa &_ Esquon,. in Durham.,. CA. Due to the high non-uniform rock, content in the till material, we could not proceed with standard nuclear density testing. Our technicians found that the soil-contained. in excess of 40% +'/< inch ntutcrial. This c:un:ficm.ed that this rnnterial wits too rocky to perform any conventional testing procedures. We' decided that the pad placement & grading operations would have to be monitored during construction to a9sure. that adequate nio—isturc conditioning_anct compactive efforts were achieved. The pad. was.. constructed primnrily_ with.roeky import material with approxinu►tely two and one-half feet of 1.511 above surrounding ground. We monitored grading operations on site from 05/19/03 to 05/22/03: We verif cd- that- the oxisting. grade_ wits - scarified approximately one foot down to undisturbed soil. All subgrade was moisture conditioned and compacted with a shcepsfoot: compactor. We were on site for much ofthe till operations and 'were satisfied wilt-_ the contpactive effort throughout the bLuilding_pad. Based on witnessing Much of the earthwork operations, we certify per Article 3, sections-6735.5-attd.6i735.6a-.of-the Business and Professions Code that the pad placement was properly moisture conditioned and compacted in accord►►rice with Chapters 18 & 33 of the 1997 Uniform Building Code. Applied besting Consultants is not a licensed surveyor. We do not verify- or certify_ grades_ or. clevations.. 'jest elevations are derived from.in_formuti.on ppvid.ed by the contractor and/or the client. l Applied-resting_Consultants is not the foundation design engineer for tbis'project. Designs for consolidation; differential settlement and bearing on rill materials are by others. Thank you for using Applied Testing Consultants to provide this service f9 - I if you have ►u►y qucstions.rcg;n,ding our services described above. i Vel . ly. yours, rtes�St Char Senior 1?ugnccCing ".fechiiician C-03869 1/OS St:aff.Engincer 3060 Thomtres Drive, Ste. 10 - Chico, CA 9697.3 • •Tetephone: (630). 891.8826 � • F@celmlle: (530) 8914243 Jul 25 03 10:46a RTC (530) 831-4243 p.l APPLIED--TEST7NC-CONSULYANTS-. MATERIALS ENGINEERING TESTING ASND TNSPECTION FAX TRANSMITTAL -COVER SUK:ET DATE: TS�/4-t TO: ATTN: FROM: Applied Testing Consultants TECH: A L. Number of Pages including cover: Remarks:_ TIW: FAX#: FAX-#i (5-30)-99-1-42.43 PHONE#: (530) 891-6625,, If transmittal is not clear, pleasc call (530)-89-1-6625: If transmittal received -by unauthorized-parties„Rlc-asc forward to company and fax # listed above. ' 3060 Thomtrcc Drive,, Suite 10 • Chico, CA 9$973 • Telephone: (530) 891-6625 9 Facsimile: (530) 891-4243 Jul 25 03 10:46a RTC [530) 831-4243 P.2 APPLIED .VESTING CONSULTANTS iTc MATER/ALS ENGINEERING- TESTING AND INSPECTION July 9, 2003 County of Butte Building Division 7 County Center Drive Orovi)le, Ca 95965 Re: Mnrion Residence Building Pad Certification — Durham, CA Gentlemen: We were employed to provide compaction verification on the Marion Residence building pad-locatcd on thaCorrLer Of Mesa & Esquon, in'Durham; CA. Due to the high non-uniform rock content in the fill material, we could note proceed with standard nuclear density testing. Our technicians found that the soil-containcdin-excess.of4a%._+'/.< inch material. This confirmed that Ais material was too rocky to perform any conventional testing procedures. We decided that the pad placement & grading operations would have to be monitored During construction-to-aseurcallat \ adequate moisture.condittoning and compaetive efforts were achieved. The pad was -Constructed primarily with rooky, import materi;tl with approximately two and one-half feet .of fill.' above surrounding ground. We monitored grading operations on site.from 05/19/03 to 05/22/03. We verified that the existing grade was scarified approximately- one foot.down to -undisturbed -sod- All subgrtide, moisture conditioned and compacted ,with a sheepsfoot compactor: We were on site for much of the fill operations and were satisfied with the compactivc effort throughout -the building .pad - Base d on witnessing much of'the earthwork operations,.we certify per. Adiclo 3, sections 5735.5 and 6735.63 of the Business and Professions -Code that the pad placement was properly moisture conditioned and compacted in', accordance with Chapters 18 & 33 of the -1997 Uniform -Building Coale_. Applied Testing Consultants is not a licensed surveyor. We; do- not verify- or certify grades .or elevations. Test elevations arc derived from information provided by the contractor and/or the client. Applied Testing Consultants is not the foundation design engineer for this project. Designs for consolidation, differential settlement and bearing on fill materials are by others. Thank you for using Applied Testing Consultants to provide this service fj. � if you_have. any_ questions regarding our services described above. ga V.cr ly yuurs, , yup Arles W. Steele Char Sen10t.Enginccring-Technician C-03869 1/05 Staff Enginccr 3060 Thomtree_Drive. Ste. 10 • Chico, CA 95973 • Telephone: (530) 891-6625 Facsimile: (530) 891-4243 ,FLEETWOOD HOMES OF WASHINGTON, INC. #031 211 5TH STREET WOODLAND, WA. 98674 MC# 31 Date of Manufacture HUD label No.(s) WAS CRAG I0 WAS 09.101 a a _ t) WAS 0ga01 i Manufacturer's Serial Number(s) and Model Unit Designation ANNIVERSARY 7664B WAFL231A18058-AV13 WAFL231BI8058-AV13 WAFL231C18058-AV13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home is designed to comply with the federal manufactured home construction and safety standards In force attime of manufacture. (For additional information, consult owner s manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For Heating COLEMAN DGAA090BDTA For Air Cooling N/A ----------- Water Heater RHEEM 21140DV For Cooking WHIRLPOOL SP357PEKO Refrigerator WHIRLPOOL EDOGTQXRQ Washer WHIRLPOOL LSQ920OLQ Clothes Dryer WHIRLPOOL LER7648XQ Dishwasher WHIRLPOOL DU840SWKQ Microwave/Hood WHIRLPOOL MH6150XMQ Garbage Disposal MONARCH 810XL Fireplace COLEMAN 368STM Smoke Detector LIFESAVER 1275E HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III _ EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1 ;00' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instructions. m Design roof load zone map: _ North 40 psf X South 20 psf X Middle 30 psf Other psf 1-NOlRTH \ .� COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of — 2 7 degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 %%) is not higher than 2 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING FlAir conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 75oF when outdoor temperatures are of dry bulb and •F wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. 7 Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 5 9 , 0 0 0 B.T.U. /hr, rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to cool a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... "U" 0-5 Ceiling and roofs of light color ......................................... "U" 03 Ceilings and roofs of dark color ....................................... "U" 03 Floors........................................................................ "u" .05 Air ducts in floor.......................................................:... "U" . 14 Air ducts in ceiling......................................................... "U" . 21 Air ducts installed outside the home ................................. "U" 23 The following are the duct areas in this home: Air ducts in Floor........................................................... 123 . 5q. ft. Air ducts in ceiling.......................................................... — — — — sq. ft. Air ducts outside the home ............................................... 12 5 . Eq. ft. )NES U -VALUES " 0.116 2 0.096 3 _I 0.079 TO: FROM: DATE: INTER -DEPARTMENTAL MEMORANDUM BUILDING RELEASE OROVILLE ENVIR. HEALTH, CHICO HEALTH HOLD ON BUILDING FINAL FOR: O &6� SEPTIC: WELL:' AP#:ADDRESS/LOCATION: Comments: GL/memos/releasehold INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING., IVIS N, OROVILLE y w) VrL FROM: , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: _[SEPTIC: �� WELL: AP#: ADDRESS/LOCATION: /S'To 9 o Comments: GL/memos/releasehold RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 {I{I III {{I I III{ I 2��3—��49269 {{II II {! III f ! II I I I Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I . BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Barbara 09:00AM 28 -Jul -2003 I Page 1 of 2 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. EDWARD J. BERGER REAL PROPERTY OWNERILESSOR P.O. BOX 1147 MAILING ADDRESS DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP 1569 MESA RD., INSTALLATION MAILING ADDRESS, IF DIFFERENT DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP LYNNE M. MARION UNIT OWNER (if also property owner, write "SAME") P.O. BOX 1147 MAILING ADDRESS DURHAM BUTTE CA 95938 CITY COUNTY UNIT DESCRIPTION FLEETWOOD MANUFACTURER'S NAME STATE ZIP 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 02-3214 530 538-7541 BUILIP4GPERMfTNO TELEPHONE NUMBER m °1-- 5 6-� SIGNATURE OF LOCAL AGENCY OFFICIAL DATE EXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. 2003 ANNIVERSARY/7664B DATE OF MANUFACTURE MODELNAMF/NUMBER WAFL231A/B/C18058-AV66/64 X 40 WAS0092010/11/1 SERIAL NUMBERS) LENGTH X WIDTH . INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 040-110-065 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK.- Applicant GOLDENROD- Building Dept. -LI/ 141 Zuuc IhU 10: L4 11A& EXHIBIT A Vi002/00:3 All that certain real property situate in the County of Butte, State of California, described as follows: PART I: THAT portion of Farm Allotment No. 80, as the same is designate on,' that certain Map entitled, "Subdivisional Plan of Durham state Land Settlement, being Lot Number Four of the R. W. Durham Estate including the C'. F. Lott Ranch, both being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was filed in the office of the Recorder of the County of ,Butte, State of California, February 13, 1919 in volume "8" of Maps, pages 23 and 24, more particularly described as follows: BEGINNING at the southwest Corner of said Farm Allotment No. 80, in the centerline of Esquon Road, which is the true point of beginning for this description, and running thence North along the Westerly boundary of Farm Allotment No. 80 a distance of 744.40 feet; thence due East 1225.1 feet; thence South 39 degrees 03' East 108.1 feet; thence south 0 degrees 12' East 633.1 feet to a point on the Southern boundary of Farm Allotment No. 80; thence Westerly along the Southern boundary of Farm Allotment No, 80 1295.40 feet to the Point of beginning. EXCEPTING FROM the above described, the following described parcel of land: COMMENCING at the Southwest corner of said Allotment No. 80 in the centerline of Esquon Road; thence North 710.10 feet along the West line of said Allotment No, 80 and the centerline of Esquon Road; thence East 354.11 feet to the true paint of beginning for the parcel herein described; thence from said true point of beginning, - South 283.91 feet; thence North 84 degrees 00' 10" East, 260.46 feet; thence North 257.00 feet thence West 259.07 feet.__t.o__the.. of- beginning.-- Parcel 4of-thati Parcel Mapof Official Records of Butte County, 60-41. T- Of II: Parcels 1, 2 and 3 of that certain Parcel Map of Official Records Of Butte County, 60-41. BUILDING PERMIT NUMBER: 02-3214 Address or location of unit: 1569 MESA ROAD, DURHAM CA 95938 Legal Description of Real Property: AP # 040-110-065 SEE ATTACHED (x) 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: EDWARD J. BERGER Owner's address: P.O. BOX 1147, DURHAM CA 95938 INSIGNIA OR HUD NUMBER: WAS0092010/11/1 SERIAL NUMBER OR V.I.N.: WAFL231A/B/C18058-AV13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 2003 OFFICIAL APPROVING INSTALLATION: k DATE: �- &:T--oe PHONE: (530) 538-7541 H.C.D. 513C FILE No.280 02/20 '03 PM 12:16 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 yLxr orp STATE OF CALIFORNIA • S9 �'T� U81NE8S, TRANSPORTATION AND HOUSING AGENCY > NUMDCR`. DEPARTMENT OF HOU8INO AND COMMUNITY DEVELOPMENT \ 6 9 7 4 4 2 DIVISION OF CODES AND STANDARDS �? MANUFACTURED HOUSING PROGRAM ynhul�� )MANUFACTURER CERTIFICATE OF ORIGIN n V Vrin,A. C MGU.tN7 EH ORIGINAL MCO ND. I NUMBER OF 3 I�II SFO (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS Q+ MMER rnA0- _IA OCCUPANCY GROUP MANUFACTURER NAME: FLEETWOOD HOMES OF WASHINGTON, INC. 0031 MANUFACTURER LICENSE NUMBER: MP1002465 MANUFACT})RF�9pDRE33 ET WOODLAND WA 98 74GGESTEDRETAIL PRICE! Street 'Z'l1 v CII' T (State(ZIP) MANUFACTURER TRADE NAME: MODE)- NAME ANDD(/ NUMBER: ANNIVERSARY DATE OF MANUFACTURE: 7664B 2003 12/12/2002 NAME Y1olli fff T§p,6{AF§W60 f?W8Mlr Tft*FERRED TO): CALIF, DEALER NUMBER OR DATE OF TRANSFER: DBAt EXECUTIVE HORSES TRANSFEREE DESIGNATION: 92081 12/13/2002 DEALER OR TRANSFEREE ADDRESS: 3042 ESPLANADE Street) CHICO CA 95973 INVENTORY CREDITOR NAME: CI 91910 II BOMBARDIER CAPITAL INC INVENTORY'CREDITOR ADDRESS: 261 MOUNTAIN VIEW DR S1r9e1 COLCHESTER VT 05446 CII (S 18) (ZIP) SECTION MANUFACTURr:R 6r:R1AL NUMBER 1e HUD INSIGNIA OR HUD LADEL NUMbER LENGTI I WtOTIt NlEIOr1T WAFL231A18058-AV13 INCHES INCHES POUNDS WA90092010 9 6 1611 31, S 0 WAFL231B18058-AV13 WA80092011 8 0 161127,JS 11 WAPL231CIO058-AV13 WASQ092012 716 161126,co IRAN BPQBrEt rfiR SYSTEM., INC. TRANSPORTER ADDRESS: 27487 WEST HWY, 84 MCOREGOR eveel Cu TX 76657 OEBTINATioN FOR UNIT DESCRIBED ABOVC: Bute Z NAM street Ch 91ete 1 I oeAlfy under Peneny of oerlvry under the taws of the Stele of CaIlfows )het the above tecta ere uue end coned. 12/12/2002 WOODLAND Exacuted on at COWLITZ WA I ( ale) 810NATURE OF "Y'(County) (Stela) AUTHORIZED AGENT: RIBIEI9U=: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE 18 NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE), COPY 1 (WI41TE) FORWARD TO THE DEPAR'IMENT AT P.O. BOA 1828, SAr,RAMF.NTO, CA 96812.1820, WITHIN FIVE (6) DAYS OF RELEASE. COPY 2 (YELLOW) OELIVER TO T'HE T%AN9PORTER TO ACCOMPANY THE UNIT" r0 ITS DESTINATION. COPY 3 (GOLDENROD) TO B8 R9l'AINED BY T14E MANUFACTURER. HCV 183.0 - Side I - (7107) D STATE OI° CALIFORNIA IT Or BUSINESS, TRANSPORTATION AND HOUSING AGENCY X414 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT d DIVISION OF CODES AND S'T'ANDARDS a REUISTRATION AND TITLING PROGRAM DE'�O S'I'ATEMENT OF FACTS TY I7ris unit is a: M Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Decal (License) No.(s) "Trade Name - Serial No.(s) eeTw /44n t; Ve-e6&" 766 -y,3 I/We, the undersigned, hereby state: Dealer Report of Sale # The Above Described Unit Has Been Placed On An Approved Foundation System In Accordance With 18551 A Of The Health And Safety Code. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resuhing. froul legisttntion of lire above-described unit in California, or fi'om issuance of a California certificate of title covering the same. 1/We certify under penalty ofperjury that the foregoing is true and correct. Executed on G at (D te) (City) (State) Signature(s) Address ZD �%��n���4 vl,r•4-t� .� City \' i t c-0 FICD 476.6 (REV 12/00) Printed name(s) L /-- Xe Slate 'S'r�7� X1;14/ zuuz 11u 13:23 FAX RECORDING REQUESTED BY: Richard S. Matson Attorney at Law AFTER RECORDING RETURN TO: Mr. Ed Berger 1521 Mesa Drive Durham, CA 95938 Q001/003 G!�GD1—GD11X6'DI'9 Recorded Official Records County Of BUTTt 0NDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02AI4 26 -Apr -24101 0-110-065-000,04 -110-066-000,040-110-067-000,040-110-068-000 GRANT DEED I PLC; FEE ee I CONFORM 1.00 I 1 1 Maureen Page i of 2 The undersigned grantors) declare(s): Documentary transfer tax is $ None This is a conveyance into or distribution from a revocable living trust, R & T 11930. ..� ( ) Unincorporated Area (X) City of Durham FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Edward J. Berger, as his sole and separate property, grants to Edward J. Berger, trustee of The Edward Berger Living Trust, Dated April 19, 2001 the following described real property in the County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HE TO AND MADE A PART HEREOF. DATED: i Jl SIGNED: STATE OF CALIFORNIA County of Butte On' 2001, before me, the undersigned Notary Public, personally appeared edward J. Berger , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal np�s-�- LORI MCFALL Notar Public 010T�M PUaulc.- �iiOFAIA COUM OF aurre Colum. Explrfa Dec. 2, 2004 MAIL TAX STATEMENTS TO: Mr. Ed Berger, 1521 Mesa Drive, Durham, CA 95938 11, 1-i; 4UU4 111U 1:f:24 r'AA -EXHIBIT A ,. All that certain real property situate in the county of Butte, State of California, described as.follows: PAkT I: THAT portion.of Farm Allotment Na. 80, as the same is designate on, that certain Map entitled, "Subdivisional Plan of Durham State Land Settlement, being Lot Number Four of the R.. W. Durham Estate including the C: F: Lott Ranch, both being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was filed in the office of the Recorder of the County of Butte, State of California, February 13, 1919 in Volume 'I8" of Maps, pages 23 and 24, more particularly described as follows: BEGINNING at the southwest Corner of said Farm Allotment No. 80, in the centerline of Esquon Road, which is the true point of beginning for this description, and running thence North,along the Westerly boundary of Farre Allotment No. 80 a distance of 744.40 feet; thence due East 1225.1 feet; thence South 39 degrees 03' East 108.1 feet; thence south 0 degrees 1-2' East 633.1 feet to 'a point on the Southern boundary of Farm Allotment No. 80; thence Westerly along the Southern boundary of Farm Allotment No, 80 1295.40 feet to the Point of beginning. EXCEPTING FROM the above described, the following described parcel of land: COMMENCING at the Southwest corner of said Allotment No. 80 in the centerline of Esquon Road; thence North 710.10 feet along the West line of said Allotment No. 80 and the centerline of Esquon Road; thence East 354.11 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, South 283.91 feet; thence North 84 degrees 00' 10" East, 260.46 feet; thence North 257.00 feet thence West 259.07 feet to the point of beginning. Parcel 4 of that Parcel Map of Official Records of Butte County, 60-41. PART II: Parcels 1, 2 and 3 of that certain Parcel Map of Official Records of Butte County, 60-41. H.C.D. ATTACH CHECK 21603 SECURITY MOBILE HOME SHOW/NORTH, INC. EXECUTIVE HOMES Q /] 11-4288,09s 3042 ESPLANADE PH. 530-891-6992.. DATE1218 CHICO, CA 95973 PAY TO THE ORDER OF ..R a� r mWells Fargo Bank, N.A. California www.welisfargo.com � Q Q nry 11'0 2 i 60 311' ���: L 2 b0 4 288 2�:0 L 700 7 600411' NAME: AW: DATE: v NOTES RESIDENTIAL PERMIT NO. — 040-110-065 02-3214 BERGER, EDWARD / MESA RD., DURHAM 1 CONT: EXECUTIVE HOMES NEW MH PERM FND NEW SITE T_ THE HCD FORM 433A FOR THIS MH CANNOT BE 11.ECORDED UNTIL ONE OF THE FOLLOWING HAS I3EEN TURNED IN TO THE BUILDING DIVISION: r (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS i- CHECKED BY SRA ' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS` r VERIFY r USE PERMIT CONDITIONS 7' SUB -STANDARD HOUSING LETTER r OFFICE COPY _ 9 . Address GAS '''�� '' 77 Meter By ' Date_L_"61. { ELECTRIC � O • 'd Meter By Dat&,3 1 k .,JOB FINALED Signature J=OK 01 = Not OK ' . = Not Readyable MOBILE HOMES Date MOBIWHOME UTILITIES (Plans) OK except #'s Date ing Requirements -Setbacks -Easements Date MOBILVWOME INSTALLATION (Plans) OK except #'s ; Special MH Support Sketch o • Requirements -Setbacks -Easements er; Location -Test -Fall -C/O -Concrete tings; Size -Spacing -Marriage Line q�; Location -Test -Easement Needed (Sketch) 61' Ga Location -Test-Wrap;-/�/" L 'ft. /7 P Nat. or / I /" L " ft./jO P LPG Well Clearance & Disconnect 11. Cert. of Occupancy Date Card B-1 Date2. Card B - Date Card B-1 Date Card B-1 Date - PERMANEN NO SYSTEM (ONLY) 1. ' Zo g Requirements -Setbacks -Easements -3, O S V-g9tings; Size -Spacing -Marriage Line I j i locking t 4. Gas; MH Test -Demand -Valve 5. Electricity; 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 b_/M �Vn5 vls �b0 aq aial 1;zGil 017;010 (66 0 Date,/ ---)-0-3 Card B-1 .Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILVWOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements o • Requirements -Setbacks -Easements 2. tings; Size -Spacing -Marriage Line . G -,,MH Test -Demand -Valve -Connector 4! -EI tricity; MH Test -Crossovers -Breakers -Clearances 5. rai , NIH Test -Fall -Flex Connector 6. -KajereMH Test -Regulator -Connector 7 and Sewer Connected -C/O to Grade -HD Approval 8. as d Electricity Tagged 9. owns -Type -Installation Cert. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date2. Card B - Date Card B-1 Date Card B-1 Date - PERMANEN NO SYSTEM (ONLY) 1. ' Zo g Requirements -Setbacks -Easements -3, O S V-g9tings; Size -Spacing -Marriage Line I j i locking t 4. Gas; MH Test -Demand -Valve 5. Electricity; 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 b_/M �Vn5 vls �b0 aq aial 1;zGil 017;010 (66 0 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 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- Panel boards- 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 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) 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. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -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 16. Insulation 63. Infiltration -Walls -Windows 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 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 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 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 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 Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -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 ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes ❑ 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE o O ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . COUNTY OF BUTTE BUILDING DIVISION . . . . . . . . • . ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date "I REV 10/92 _ _ y.raw-.•yrn�rl.y�*„'+'Y.n.. w Yr.- »• w•.-yr--w.'•".+Mf4ri•V_�6-+IAry`..5.�..v4r T .res '�I1-'-wi v'Y'T•^�T.' .•i '6 COUNTY OF BUTTE = BUILDING DIVISION • • . . - . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA •`(530) 891-2751 n 7 County Center Drive - Oroville, CA - (530) 538-7541 3'. CORRECTION NOTICE Ile -31� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact 1j1 office immediately. /'l%1%%L'r l G�Cr/G1 /17,/ t(1— /I— /C r Date - Inspector REV 10/92 ���• • • • • • COUNTY OF BUTTE BUILDING DIVISION M DEPARTMENT OF DEVELOPMENT SERVICES fk 411 Main Street - Chico, CA • (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE V, R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date T ;� q- 0. ...r.«-.-..._-;I•r•ni•rR.�'AR"'4'.'"' o �-..-, b..�,�.�..s....,�. � v--•.-- -s �ra'-ra----•�, -'- A. ' ' COUNTY OF BUTTE ..... . !! BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE C�2G(72 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. `A AIt Date - v REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P.�t IT (Rev. 12/96) APPLICATION AN,0 PERMIT Q� ASSESSOR PARCEL NUMBER 040-110-065 ZONING A-1 BUILDING PERMIT OWNER rIELEPAPCIVE SO. FT. OCC. BUILDING VALUATION T) 13S1240-00 OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS ANADF6 3042 ESM CHICO. GA 95973 CONSTRUCTION ER LEND $ ' Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.20.00 Flin Fee $ Permit Fee 7 7 6 2 $ 388. Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 292.20 BUILDING ADDRESS 1 _57 6 MESA RD, DURIJAM$ Energy Plan Checking Fee $ PERMIT FEE S 660.20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome RJ 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 13 Other ❑ Describe Work: NEW MH PERM END NW gTTF Gas piping system 1 - 5 outlets 15.00 1 5_0C Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR LESS 23.00 23. Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I II forc d effect. p License Class L Lic. No. DSO OWNER -BUILDER DECLARATION.50 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 Zoog TO 46. NEW CONST. DWELLINGOCCUP. CC OR ADONS. ( a ACC. BLDs. so SO 3.5¢FT: . I -OUTLET NPN R6IDTMULT 97.50 POWER APPARATUS 8 SINGLE OUTLET S OCCu OUTLET OR PocTUREs Bn0 @ 1.00 LNS OR Ex. Occup. oFlUXntOrs PRES,6) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' 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' compensatio nc'e carrp (may number are: Carrier �- MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need n t be competed 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 f 1 should become subject to the worker ' compensation provisions of section 3700 of the Labor Code, I shall fortIt comply with those provisions. ` X _ Date 12a —v Ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 760'. 2 0 Z. D F IM% / FLOOD " J COF / PARCEL PD ISSU This permit is he eby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work -indicated above for which fees have been paid. Q By Date / 03 PERMIT EXPIRES ON Q Dafe Receipt No. SS S WHITE-D.D.S.-B.D. CANA Y-APINK-INSPECTOR a GOLDENROD -APPLICANT 1. Owner's Name: 2. Assessor's Parcel Number: 0 ti v r\V0 — W o S 3. Installer's Name: 4. Is the site currently under permit? Yes[ J No -1" J Permit No. 5. Is the site an existing site? Yes[ J Nom J (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? V�0 Amperes. 7. What is the mobilehome site circuit breaker rating? Sao Amperes. r• 8. What is the electrical rating of the mobilehome site? �-'� Amperes. 9. Is the main service remote from the mobilehome site? Yes[` J' No[ J If it is, wh t,is the rating? 'Loa Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ J No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- u f G •AR -N 6'E Amperes- 3 a So 11. Type of gas service at mobilehome site: Natural[ J Propane+ J None[ J 12. Size of as �, pipe at the mobilehome site from the meter or tank: "s\ "-A inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? 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). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: ��- ��� w ooy Manufacture Year: Z OV 3 If other than single wide, furnish Setup Model Number: 6y 13 Width:_!11D' (ft.) Length: Tagalong or Expando Size -90-(ft.) x '9. (ft.) 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 blockf j ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line I Line 2 Line 2 ................................................................................................. Main Beams Line2....................................................................................: Line I Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 .................................................ine S Tag or Triple ine 4 rine l I Line 1 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x [ IZJ. Spacing maximum: b v ` From ends -maximum: 1 o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front) - Line 1 Openings Size minimum: ] x ( ] Each side of openings with width over: ` Line 4 Piers: Size minimum: (Zy ] x Spacing maximum: E b ` From ends -maximum: I ` p Z`1 1 b Yy o v2 1 `� o OVER BUTTE C011NT1P BUDDING DEPARIME�1'i A'P-RO�ED 1 k'L7 3 kZ9 oti3`1 '303`( „3 31y3b Z.ytiz-"1 F�zyxZ► Z`1 1 b Yy o v2 1 `� o OVER BUTTE C011NT1P BUDDING DEPARIME�1'i A'P-RO�ED 'S � o., , b 30,,z� bb' Z`1 1 b Yy o v2 1 `� o OVER BUTTE C011NT1P BUDDING DEPARIME�1'i A'P-RO�ED 0fJddV :ik,R&HVd3G DNMM 10 'd W m copi C m m I. 6909 q-ee 09E 'ON Xll-)A CAM V) Z Q vi -�2 LU SmH aoom,i,i-qi-q wd Lo:Fo aam Fnn?,-?,i,-Nnr LU SmH aoom,i,i-qi-q wd Lo:Fo aam Fnn?,-?,i,-Nnr i 1 bi�" C.S. C II P. II I I a I ;4 r 4§ .41 4"4 km 6' toil ; El it El r TTT aJ 000 3[F NfS1NlA11011 IwKtq SU'P1EUEl,f /'rOJ� n `BUTTE COUNT OUI.Di a PART EN7 A LA APPOVED 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.P. # U O ` 46 P7!DBUI]LDINGUSE DATERECEIPT# DATE REC. DING PERMIT FEES �a S• �O —7/11 ' Balance Due ....................... $ ��5- -=i Additional Fees Due ................. $ Additional Fees Due ................. $ evised Plan Checking Fee ............. $ (Z CHOOL DISTRICT FEES aid at District Office) (Available after Plan Check) f{�o�r� '1" c� C,\ �1 13 C- 3. RIFF FEES (paid at Building Division) .....................�U Residential —x$ 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. ft. Amt. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 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 plan checking process. a APPLICANT DATE &:L/-2 09-- 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. 6100) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 111, Telephone (530) 538-7 V1� P RMIT �111:Z�ev.12/96 APPLICATION AND PERMIT SESSORPARCL2 NUMBER -V � _ \� ,o _ a\" S -I r°F`NO�`��'}.� BUILDING PERMIT owNER 1]W tAFYZ� c j—G lei \ T. " 3FT' OC BUILDING VALUATION OWNERS MAILING ADDRESSG� C ` O 1 I.. . Ot4TRACTOR'S NAME _ 1 TELlFfgNE CSE a ...�-1 V E �^1vr►. �T S $°1 t - b MRACTORS .11. ADDRESS 3 o`1'L ES�I��A,n r4't�` LNC 'co • CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ARCNRECT OR ENGINEEALICENSE NO. Total Valuation S Filing Fee I E 20.00 AACWTECT OR ENGINEERS MAILING ADDRESS Permit Fee--,7 $ BUILDING ADDR ss Plan Checkin $ r^rG5-f� �� Energy Plan Ch$ S GZD.,ZO LOT NO. SUBONSIONS NAME PARCEL MAP PLUMBINFling Fee 20.00 USEOFSTRUCTURE %�� Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome CEJ Other Water piping 15.00 155 sPEc�r Each as water heater or vent 15.00 TYPE OF WORK Gas p1ping system 1 - 5 outlets E5. _New ❑ Addition ❑ Remodel ❑ U6Gties ❑ Installation"l Other ❑ Buildin sewer E — Describe Work. _y-%SvJ rr%.p►v» v% FA GT %*caW-iC, 1-10+ Mobile Home S G w 920.00 4A Pe4 mA'�� PERMIT FEE ! ELECTRICAL PERMIT Fling Fee 20.00 J� 1� Main Service( 800v OR LESS �A OR LESS 23.00 Main Service aooA To L000A 46.00 NEW CONST: ( DWELLING OCCVP. SO OR ADONIS. L ACO. BLDS. I 3.5c FT. Ntw O MULTI-OUTLET NONI REslo.rwicurrs @7.50 POWER APPARATUS ' 8 SE9L OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL 1& .50 EX. OCCU FOXED APPLpIg, OR OUTLETS ESID. EA 5.00 Temporary Service 23.00 - a Mobile Home Facilities 20.00 '►,}►� d �� Misc. Wiring23.00 SIRA PERMIT FEE S MECHANI. AL PERMIT Filing Fee 20.00 Heating OC� Coolin HoodMFee$ .50 Ventilation PE Mobile Home Installatio *d Energy Inspection Fee EI wwknAII k0 CG IS T. TYPE $1C AL FEE S FL COf P EL ISSUE This permit is herebyIssued under thea applicable provisions of the Butte County Code end/or Resolutions t do work Indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON CQUNTY 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: a� ✓"ASSESSOR PARCEL NUMBER G (r� U` I f 0 - G Proposed Building Use: ;r rc�NCounter Technician: Date: j G Items required in order to apply for a pe omit. All boxes MUST be checked OR m r ed NA in order to apply. ,15 1.. Plot plans, 3 or 4 sets, signed.ty the preparer of the plans. _K Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Eng in d plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. En red truss details and layouts in duplicate. No faxes! ❑ 5. nergy complia39jedesign and supporting documentation in duplicate anufactur iomes:-K Data sheet and installation instructions, ( ) Marriage line information, ,Floor Plan, ) �e down or four n Ian ,all itrdG'plicate. - c;w.�-�G-t - d 1---'f r o.,.. -Au 4 Ae ko� ,,,� �---� ❑ 7. a uildings: (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-si ng ed 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 following items.) 14. ees as shown on the attached Schedule of Fees Due Sheet ....................................... 5 Statement of Intent for Non -heated and A/C Buildings ................................. ; ;... anitation and plot plan approval from the Environmental Health Department in C . ' . City of Chico Plumbing permit........................................................................ t2A8 California Department of Forestry plan approval ❑ paid. Sent. by: ...................... Planning approval for (A) Use: Q'K (B)Parking: (C) Parcel Check: Contatct Land Development about ❑ Improvements, ❑ Drainage ............................... ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... ecorded copy of Agricultural Acknowledgment Statement .................................... Q -1 I 8. Manufactured home utility clearance............................................................... ❑ 29. Exi ting violations and/or expired permits ............................................. ❑ 30. rant Deed, Title/Stat cats ❑Letter from Legal Owner, eck to H.C.D. $ ❑ 31. ther: J►� When issued Telephone and hold for pickup. I have been informedof the above ite s and requirements for obtaining a building permit. Applicant: 'V�_ Date: 1. Index permit application for the above ife mber ' Plan Check Letter 2. Additional items required / ,�- C2i acro designer, owner, was advised W4he ove data by 0phone, ❑ mail, ❑ counter, by Date:___5I1101, Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 4Q=04 ' Date: / 2 OZ Plans approved by:I Date:. Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Vellnw- Rieddino nivicinn A SITE PLAN REVIEW APPLICATION Date: I I— I q— D 2 AN O L4 C)— I I D^ F' Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 5,A e— Owners Name: Ise C-, a -(;F- �S.L>w r4e b 8 72— — 3! 9 Owners Address: P, D , G Q %e J ) LJ_7 e5xEc.uTry Telephone No.: A wr—S acl1 bC�q 2 Situs Address: rf--� F_S A fZT>_ Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition 10 Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other in Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ,'M ALL ITEMS CHECKED APPLY TO THE PROPERTY 1 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) IM 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 05? -0C-1 Index Date: 6 ❑ 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 ) (� 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 Side ' D 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 J Applicable Development Fees: Standard Fees ❑ 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) Amount Formula * Check with school district to vetify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ 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 Z Subdivision Map/Parcel Map: Map Date of Recording: )2-31—'7 CR Lot: ❑ Use Permit/Minor Use Permit Permit Number: O - Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ 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, NFPA 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 on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 =w D ❑■ 0 n 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. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 } BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): k5 Property Owner (s): 'RP((7 e( (��/�//a-rd Project Location/Address: U nO(h(714 Subdivison Name: ' Assessable Square Footage:_�w!/� (� Type of Residential Development (check one): New Development U Alteration/Addition ❑ Mobile Home (s) ❑ Non -Residential to Residential Comments: G Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that L-'( A1 11 , rl.. " 11( 101 Applii nt Name Applicant Phone Number Street Address CU State 17 -IS Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. k 93 - 114 by payment for 2s(rsquare feet at $ 1.04 per square foot fora total payment � RPD Represen#a`�ive PAID BY CHECK No.: BANK No.: PAID BY CASH: RECEIPT No.: Z/1g v 3 Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW.- BUTTE CO. BUILDING DIVISION E.H. USE ONLY Plot Plan Anachod riooa Plan Ansslsod ..+ Sana to S.D. /2P i TO: 9 P Buildin Department �, FROM: Environmental Health SUBJECT: Sanitation Clearance ZS (e AdY d(() O ner Location AP# Plan Approved for: Sewage Disposal g, -- Water Supply: Public Private Well Clearance for dwelling. Other ta fin_al�f 'r:�. J'�/%U/r� d /` ��✓�i'/ (! � �'�;,L�i�i Clearance O.K. for: NOTE: 8/96 Date RETREAT 1a -a^ x 1r -1o" v rMASYER _ €13EDRO0 ,A?Y\ 0`1 o - \\-0 - O \0 S Anniversary Series Model 7664B 4 Bedrooms • 2 Baths • 2,560 Squarefeet on. S.G.D. I LINEN � � O I I I M. WALK-IN BATH CLOSET I I I � I o I � I m On S.G.D. I ISLAND I I=mo DINING i>4 AREA IV -6"X 12'-10" I , ENTERTAINMENT 1 APPROVED' I CENTER Butte County I LINEN � � O I I I M. WALK-IN BATH CLOSET I I I � I o I � I m On S.G.D. I ISLAND I N i I I i i : I WALK-IN I CLOSET I nvi onmental Health JAN. 0 8 2003 Chico, Califomia AV/31/DEC01 I I Ila I I I , ENTERTAINMENT I CENTER I LIVING ROOM SEE-THRU FAMILY ROOM 15'-2"X21'-5" FIREPLACE 17-0"X21'-6* I I Ila I w' 1j= IIS IIZ II< Ily I I PLANTSEL ----------t- ---------- I I I �I LINEN 11 r-f� N i I I i i : I WALK-IN I CLOSET I nvi onmental Health JAN. 0 8 2003 Chico, Califomia AV/31/DEC01 I ME lJ Y'n -IF V4 0 rz Q p 9 s OE, 1—Vol m ,- f Q^ VJrr- LA, -Is ';;r iEF-T" C, APPROVED Butte County Environmental Health, S. re- �SQ 145.01 "p' BUTTE'IFNTY SCHOOLS IMPACT FEE CERTIFICATION'➢�iM f (One form per Building) School District Building Department No. A A.P. Number (�� �' (J' Jurisdiction: City ,County Property Owner Property Location/A< Subdivision Lot No. :............................................................................................... Residential Development Sq. Footage No of Living MAileome Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection); Commercial/Industrial moor rians reviewea ov scnooi uistn Sq. Footage (including Exterior Roofed Areas) �t l�-69- Date District Identification No. (Oo?o? / 131d I/ .rr./e— , tA,e 6t&7'n 0AJ1 r/L-%i School District certifies that La /y . Af DAJ (Applicant) M&75,0 r' 'C -IJ (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing a.S (0 square feet. lv�iWl-lc� School District Representative (2/7 4,5'93 ?- (State) (Zip Code) 611-10-k by payment of s-6ibc AB 2926 ; spa• FULL MITIGATION ; - '10 �6 rvA/.� Paid by Check # 7N,eUCE-0-0016 Remarks: �l r L(jP (� % � 7-L,6:- Notice: 'L[-„ Date .2-/9-03 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) feeformAs (10/98)dmm eta FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires Jul 31. 2002 � P Y ELEVATION CERTIFICATE Important, Read the instructions on pages 1 - 7. SECTION A!- PROPERTY OWNER INFORMATION - For Insurance Comoanyuse: BUILDING OWNER'S NAME - J ' Policy.-Nurntfer BUILDING STREET ADDRESS (Including AUnit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. : Company. NAICNumber Mc?c 'Al.,I ri CITY DU r2H STATE / ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbe , Tax Parcel Number, Legal Description. etc.) � 040 — //0 BUILDING USE (e.g., Residential, Non-residontlf I• Addition, Accessory, etc. Use Comments section if necessary.) 4_5 LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type): or ##.°)I NAD 1927 I__I NAD 1983 1_1 USGS Quad Map 1_1 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION iB1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE 9t,T7� Co,, CA, g CORP. 141" S Bu Tri _ B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX 87. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELE'/ATION(S1 060011NUMBE05Z0 G IU N DAA o� EFFECTIVE/REVISED DATE ZON � i /6 Q / �l T 7 ( ) (Zone AO. use depth of :`looding) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. / I-1 FIS Profile Ix FIRM 1-1 Communiypetermined I_I Other (Describe): _ B11. Indicate the elevationdatum used for the BFE in B9: 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—i Yes No Designation Date: SECTION •C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1Construction Drawings' I—IBuilding Under Construction' I—IFinished Construction -A new Elevation Certificate will b required when construction of the building is complete. C2. Building Diagram Number S (Select the building diagram most similar to the building for which this certificate is being ;omoleted - 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 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 Conversio Comments Elevation reference mark used I S Does the elevation reference mark used appear on the FIRM? 1—i Yes I No 0 a) Top of bottom floor (Including basement or enclosure) G 1 ' ft.m . 0 b) Top of next highar floor f b c/ ( ) -� . L ft.(m) E'1��n�df 0 c) Bottom of lowest horizontal structural member zones only)'— �,. N 0 d) Attached garage (top of slab) _ ft.(m) C �o °COQ 0 e) Lowest elevation of machinery and/or� equipment W E '` 4 ' servicing the building l' 6 30 Z ft (m) E ; o -mei' ' 1` 0 f) Lowest adjacent grade (LAG) C'D ft (m) i J. 0 g) Highest adjacent grade (HAG) /(e S" • (L(m)' 10 ' m No i.:., 0 h) No. of permanent openings. (flood vents) within 1 R above adjacent grade y� f vo 0 .i) Total area of all permanent openings (flood vents) in C3h . & sq. in. (sq. cm); J �� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION '','-s, 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, 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 CERTIFIER'S NAME .� <f/ AD 0 /✓ar PPMA Fnrm R1 11 At Ir. QQ F RF1/FRCF RIr1F Fr1R t^rlNT1Nl IAT1(1N M 67 S3 RFPI Ar -F52 AI I opF1/Irll IC Pni-rinKi!z IMPORTANT: In these spaces, copy the corresponding Information from Section A. I For Insurance Comoany Use - BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ' 1. Policy Number CITY STATE ZIP CODE I Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICA71ON (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) build?ng owner. COMMENTS r2 — _ ... , VtJ A — . . /c M s� Cif/SQL. eD S 6 vr4 Q r -o O E� ST _ C�nl p fi1�14 ✓cul[.c 56UTN 16 I 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 LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being comoletec - 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 1-1-1 ft.(m) :._j_jin.(cm) 1_I 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 in accordance with the community s floodplain management ordinance? 1-1 Yes I—I No I—I Unknown. The local official must ;eertity 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 TELEPHONE COMMENTS 1�1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) I rte local official who is authorized by law or ordinance to administer the community's floodplain ma6agement 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 authcrized 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 -Issued or community -issued BFE) or Zone AO. G3. 1-1 The following information (Items G4 -G9) is provided for community floodplain management purposes. , 4. rammi i NuMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY _ I 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 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 r't w i 1 1 Check here if attachments FEMA Fn►m Al -11 At I(r, QQ RFDI Ar.cC At I ADFN/irll IC cniTir)KT-, ,7 S A A 1 s So N t Yy) o A ► ,c> s' YY) 2g p' >Ap►k oho - X10 - ob5 I 40 Pim Fd w r\. taA -" o,n �-EEc.N PLANNING DIVISION- BUILDING PLAN APPROVAL Use: O 1<Date:O'L Parking: Landscaping: Other - Signature: P2vP9SF-� CSF Cod�>(Z4�<,Al�> i5 01 1 Soy s N l� r r E � � ►2 ► � �--� YY) 4�e ,A P ►v a LVO - 110 NOTE; See. the -&ached Residential ons*;•--' Reuirement� Z Pages Fki aP ds� `10 k b b 311. Sy_� I 5� Sr{��,c ,� ✓ PLANNING DIVISION- BUILDING PLAN APPROVAL Use: o if, Date:11-21— d -- Parking: Landscaping: Other* Signature: SESA 28'0 rAli�c .Q ( -e v -+'r P2v('os;;►� I5 01 40;-0' ®R& AV/31/DECOI :. i a .El I=I rN G .E -AST LI RE : ,. S Exterior • Covered porch adds charm to your entryway • Three dormers on the front door side add beauty to the exterior of your new home Interior • Formal entry to welcome your guests • See-through wood -burning fireplace enhances your decor and creates a warm setting • Master retreat area for private time • Spacious closets for all your storage needs • Built-in entertainment center ready for your electronic equipment • Four bedrooms to accommodate a large family and to add extra space Kitchen • Full Whirlpool® appliance package offers confidence and reliable warranty service - Washer/dryer - Dishwasher - Range - Microwave - Side-by-side refrigerator • Large island increases your work area • Walk-in pantry for all your food storage -needs Baths • Unique guest bath arrangement creates a spacious feeling • Glamour master bath with corner tub for those relaxing baths Optional Features • Oak cabinets and frames won't peel or fade • Gas see-through fireplace adds warmth and beauty • Laminate floor for the look of wood with more durability • Dual sinks in the master bath for individual space • Optional 5th bedroom, instead of retreat, to accommodate the growing family • Skylights add natural light to your living areas • 50 gallon electric water heater provides more hot water for your needs • Upgraded carpet pad extends the life of your carpet • Optional covered porch instead of retreat for enjoying those evenings outdoors 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 TWEE &R for specifics. (Add four feet to arrive at transportable length.) iv��� PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. ® 01996 • Resin block window in master bath adds obscure natural light • Utility sink for your hand washables • '/s bath in utility room for easy clean-up when coming in from outside • Tile top on island adds an attractive and solid work area • Roll out pots -and -pans drawers make it easy to store culinary accessories FLEE MOOD® • FLEETWOOD HOMES of WASHINGTON, INC. a subsidiary of Fleetwood Enterprises, Inc. 211 5th Street Woodland, WA 98674 (360) 225.9461 AV/31MEC01' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 19 -Feb -2003 2003-0010531 Hae 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, State of California, described as follows: . APN: 040-110-065 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 31, 1976, IN BOOK 60 OF MAPS, AT PAGE(S) 40 AND 41. Date 103 State of California County of tt3JZ%--1 PROPERTY OWNERS: /"Z be,r-r a *ve, Amo Cy.f.v,e M- M*.uo,0 On be fore me,h�►�lSL personally appeared E - personally known to me (or proved to me on the basis of satisfactory evidence) to be the sons) 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. WITNE*my hand and official seal., _ A.P. a_OYO — Ile) — O � J DENISE TERRIAH Commission #1239624 Mfr CPS Notary Public Butte County, Caftmia Mb Commission Elly- OCT. 24, 2003 tr:biomo.! lno,3uo4l3 30 YCILDO IULIOO-CM—S COOS -dal -el d f l w brmLgcoo nood Jon OGH Isniplio 930RUD39 YTKUO3 3TTUS tli 14/ GUUG 1Hu l:f: L4 MA .HIBIT A WJ 002/003 All that certain real property situate in the County of Butte, State of California, described as follows: PART I: THAT portion of Farm Allotment No. 80, as the same is designate on that certain Map entitled, "Subdivisional Plan of Durham state Land Settlement, being Lot Number Four of the R. W. Durham Estate including the C: F. Lott Ranch, both being a portion of the Esquon Rancho situated near Durham, Butte County, California", which Map was filed in the office of the Recorder of the Country of Butte, State of. California, February 13, 1919 in Volume 118" of Maps, pages 23 and 24, more particularly described as follows: BEGINNING at the southwest Corner of said Farm Allotment No. 80, in the centerline of Esquon Road, which ' is the true point of beginning for this description, and running thence North along the Westerly boundary of Farm Allotment No. 80 a distance of 744.40 feet; thence due East 1225.1 feet; thence South 39 degrees 03' East 108.1 feet; thence south 0 degrees 1-2' East 633.1 feet to a point on the Southern boundary of Farm Allotment No. 80; thence Westerly along the Southern boundary of Farm Allotment No. 80 1295.40 feet to the point of beginning. EXCEPTING FROM the above described, the following described parcel of land: COMMENCING at the Southwest corner of said Allotment No. 80 in the centerline of Esquon Road; thence North 710.10 feet along the West line of said Allotment No. 80 and the centerline of Esquon Road; thence East 354.11 feet to the true point of begirmi.ng for the parcel hereindescribed; thence from said true point of beginning,. South 283.91 feet; thence North 84 degrees 00' 10" East, 260.46 feet; thence North 257.00 feet thence West 259.07 feetto the point of-begirnnxng. Parcel --4 of'that Parcel Map o Official Records of Butte County, 60-4I. PART II: Parcels 1, 2 and 3 of that certain Parcel Map of official Records Of Butte County, 60-41.