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040-160-080
STEVEN DEADMOND 40-16-80 1855 Jeni Ann Ct, Durham'- -Sie-r-r-a - Colst ............ Permit#534-88B,'P,E,M(new single family 040-160-080 03-1965 HANSEN,JO'SH�,� .;2i, 14855JERd 0 ' 3-0 �9�5 ANN CT,'DLJR14A E Cont: PERFECTION POOLS NEW PRI SWIMMING'POOL ct Y0. -,A LA-) f t - -,-� s-cam-- lb � i Temp. Power Pole Called PG&E Temp. Elec. Service Called PGI Temp. Gas Seri k'8 Caned PGI 8 ;< JOS FINALED r Signature �i I, = OK . 0 = Not OK ' Applicable = Not Ready MOBILE HOMES ' i. MISCELLANEOUS 'Date-'- ' MOBILE HOME UTILITIES (Plans) OK except #'s 'Date- DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2.,Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch). 4. Wood Awn.; Posts_Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses ' 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -81 Date 10. Roof; Shthg-Roofing Card -B1 Date . Card -B1 Date 11. Ext.; Steps -Doors -Landings Date AMOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -61 Date Card -B1 Date 2. Footings' Size -Spacing -Marriage Line Card -B1 Date Card -B1, Date 3. Gas; MH Test -Demand -Valve -Connector 4."Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH.Test-Fall-Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged . 9. Exits; Insp.-Sketch, 4. Elec.; Receptacles and Lighting, Distances-GF1 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date ` = OKE,` ' o of OK RESIDENTIAL (Single and Duplex) '•= of Applicableble Not Ready , Date UNDERFLOOR (Plans) OK except #'s Date ,FRAMING (Continued) Zoning requirements-Setb cks-Easements angers -Post Caps -Anchors -Connector Ftg., Main; Soils -Steel -Flet. G -/ /" Ftg. Depth 45. 9Jng. Joist-Rftr. Ties-Purlin-Roof Bra -Truss- hthng.-Rfng. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . IjLtjc Access; Size & Rdtnex Protection -Draft Stop -Ins. Baffles ---& Stemwalls, Main; Steel- Bloc kouts-Wrapped WQOrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Stemwalls, qaAM& Steel-Blockouts-Wrapped . Qarage Fire Protection Framing 7. ab; Steel Wrappo (W roperty Line Firewall & Openings 8. Piers- 'replace Ftg.-Steel 1. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits W.V.; Fa flings-Tes way C/O -Sewer Test airs; Width -Headroom -Rise -Run -Landing -Fire Protection 0. Gas Pipe; Size -Anchors 151. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11 Water Pipe; Test -Anchors -Regulator -Service Test ding -Nailing Veneer Electric; Underground 5. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. Glazing Area -Glass Protection-Skylights-Plastic/Ni 14. Girders -Sills -Anchor giear Walls; Nailing -Bolts 15. Insulation A iWI5,c!tIation-WaIIs-CIg. . nfiltration-Walls-Wndws Card -13. _ ate and -B1 Date Card -131 Date Card -B1 Date Card -B1 Date JltkY Card -131 Date Card -B1 JP Date Card -131 Date Date PLUM -81J (Permit) OK except #'s er Ht. Vent -Acca - ustion Air. Date FINAL s OK except #'s er Pipe; Test A chor ail Prot ction A 60ollrx-It. teps-Door & Sidelight Protection -Landings D. est-Fttngs & Anchors -Nail Protecti okejpstector ! hower Pan; Test, First Floor -Tub Access urnace; Vents -Clearance -Comb. Air -Connector - In Gar@ e; Above Floor -Ducts -Mach. Protection t Tub & Shower, 2nd Floor -Tub Access as Pipe; Size & Anchors room Exiting ft..-& Bath Fixtures & Tub Access -Spa f15• Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Dat Card -B1 Date �8@'92Rails Card -B1 Date Card -131 Date fireplace or Stove; Clearances -Hearth -48. E ec. at Wood Panel; Int. & Ext. Date EC.TRICAL (Permit) OK except #'s F re & Transformer Clearance -Ins. Protection . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Receptacles Spacing -Lights & Switches at Doors 7 . Outlets & Receptacles at Kit. Counter Si z2 Boxes & No. of Conductors -Stapled 1 A�ffGarage Fire Door; Swing -Landing -Closer =6�C..Duct in Garage -Damper omex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Air-Connector-P.R.V.- 70,Wr. Htr.; Vents -Clearance -Comb. In e; Above Floor-Mech. Protection Appliance Circuits in Kitchen &Conductor Size Ib. . &Mech. Equip. Listed for Location -28-9ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 7beElec. Receptacles in Garage; (G.F.I.)-Romex Protec. /-2.9,-Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. In lated Neutral Yes No 76. Insulation -Foam -Looked in Attic 13 Yes _4;--Guar4_J1aft & Deck Construction -Post Caps ervice-Riser Conductors & Ground -Main Disconnect n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor t7 Yes E ip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light —ITTRowing instid.; Drive l7 Yes O No; Walks O Yes D No; PlanY ❑ No to own -Finish Card -B1 Date 71 and -B1 Date . A. it; Disconnect, Electrical, Plumbing Card -81 Date Card -131 Date ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Op%gNs. Date MEC NICAL (Permit) OK except #'s MeWater Well; Disconnect, Electrical, Plumbing Ate. Ducts Insulation & Support V t Fan; Exhaust above insulation eri c. Trim; G.F.I. Receptacle -Underground 4§,Virnitilation throughout House . �gndensate Drain & Overflow; Size & Grade 8L -a a -ss -Protection Fur ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37 ttic Access & Platform if Furnace in Attic -87-Correcti s from Previous Inpections 88. Ga st-Meters Tagged; Gas -Electric JLS 89. W & Sewer Connected -C/O to Grade- Ap rov Card -131 Dated l 7 Y Card -131 Date pootnergy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -B1 Da and -B1 Date Date F MING (Plans) OK except #'s Card -BI Datq..,7� Card -B1 Date 8. ill Proper Material & Anchors Card -61 Date Card -Bt Date alls Studs -Nailing, Spacing & Bracing—Plates-Sound . earing Walls over Girders & Floor Nailing graft Stop in Walls (rat proof) Comments at Final: 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub 10. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) J� J� ', -Y1 , COUNTY OF BUTTE � ' Ij 4 � DEPARTMENT OF PUBLIC WORKS t. 196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE NER PERMIT NC A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, -or need additional explanation, please contact this office immediately. q? dZ,QeiAL F/ (M ODO(Z /V CST` 6%07�(Zkl " J ter' s InspectorDate^ �c/ COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE. OWNER PERMI' A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and.should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additionalexplanation, please contact this office immediately. S f v ci G V 0 Inspector. (//- ,:7 A/y Date G� V COUNTY OF, BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, -Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 ; 747 Elliott Road, Paradise.:- Phone: 872-6307 - CORRECTION NOTICE -OWNER PERMIT NO. - A routine inspection indicates that the following violations of County Or f exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this s irt3tter, or need additional explanation, lease contact this office immediately. vu - U n .,/ �%�<iW Yom. ' sl.:/ `i t/'•�'�<.L.�/� �j � � � , Ilk _rzj UKJ •4 wy Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately: I G Inspector Date v. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE t OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ' matter, or need additional explanation, please contact this office Immediately. Inspector Date LOC N ROOF Mate ria L Thickiress (inches) ENERGY C1;R'TIFICAT'I DESCRIPTION OF INSUI..A'TION EXTERIOR WALL - Materia l FibergIasss Thickness(inches) CEILING. Batt or Blanket Type_ Fiberglass Thickness (inches ) Loose Fill Type Fiberglass Miniuuam Thicknesl(Inches)1/%e Area covered(ft. FLOOR, E!r.I:VA'TED Material Fiber lass Thickness (inches) FLUOR, S? All Material ThIckrress(itic lie s) Width(Inches)--------- FOUNDATION 14ALL Ma t e rJ a l Thickr.1ev hes) A. P-, No. , Brand Name_ Thermal ]zesistarrce (R Value) Brand Name CertainTeed Thermal Resistance(R Value)-_ Brrwd Name CertainTeed Thermal Res-istance(R Value) Brand Name CertainTeed Number of Br►gs-L� Wt. per Ung 25 Thermal Resistance(R Value)` lb. Brand Name CertainTeed Thermal Reslstance(R Value) - Brand Name i'I°eciuul Resistarlce(R Value) Br. and Na°ne 1'herninl lzesi.stnnce(R Vnlue) _ I herebye ertify that the abovein,�.°la ficin was i-nstnlled. fit the above buJ.l°lin in confornn:ance with tile State of California i nergy Requirernents. g _Hawkins Insulation Co., Inc.'. 37840'7 NAME/OWItLR 378407 ( ! \ STAT'E CO I'1'RACl'OR°S LICEIJSF, 1JU. SI(tdA'i'UR1: )F INST'AI,LA'1'ION 'APPLICA'I'Ulz ----_ _ o DAT : 1 hereby certify artm the above ineulation and all requirecl items ns shown on the Building Department approved plans and attachments hava.l?een i reycrired by tiro State of California Ener nstalled ns $y RequiremenE• ..- All equipment, clevi"s and materials are oL the quality, prescribed or are specifically approved by the State of California. FTIZAI NAl•1;:/OWNER (P ease print).. STATE CUPli'IZACl'Ulz'S LIC _ ENSE SI(;NA'1'UR vUl' 11L'NERA[, GOPIl' DATE THIS CERT " I.PI(;A'I'E 'r11JST BE OIJ FILE WITH THE BUILDING, DEPAR'TMI;N'1' , INSPIEC�T'ION, APPROVAL AMY'A' COPY SHALL BE POSTED WITHIN THE BUILDINGI� TO FI11i�i January 19IIh J _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.. I 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 APPLICATION ANOPERMIT ASSESSOR PARC 7 6UMBER v w ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS (F�! CONTRACTOR'S NAME - TELEPHONE R A ']) CONTR CTO 'S MA L NG A R SS_ 6"1�o� Fireplace L j �� CONSTRU ION ENDE UNKNOWN Total Valuation $ Filing Fee $ `10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RCEL MAP e- 2 Water piping 5.00 d Each qas water heater or vent 5.00 ,— / USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK j New Q�ddition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _-� 4DO�_, (, Y/ IG r Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • ?�� / ( 7 Main service 10000 AMP LESS 10.00 (j � Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decVr under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions- Code an my license is in full for a and effect. License No. Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP , OR ADDNS. ( ACC. SLOGS. /20sgft , NEW CONSTR U 1.OUTLET NON-RESID ' BRANCH CIRC S 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCcU OUTLETS OR FIXTURES 20050t P 9AL030 Ex. Occup. OUTLETS ED P(RESID )LISIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00 9 Permit Fee S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Vhe permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Q Hood 3.00 d Ventilation Permit Fee = ., 771 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, c sts, and expenses which may in any way accrue against aii,d in on quence of the granting of this permit. X Date y Signature of Applicant - Owner Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FE ��/ oe UP. - COH 9yrrPE �fl `V JSCNOOLJFMPA��10;1ND IS9UE This ermit is hereby issued under sions of the Butte County Code and/or work Indicated above for which IRE TO OF P B BY PERMIT EXPIRES Date' the applicable provi- resolutions to do fees have been paid. C WORKS Date 3 pZ 2�'—Ei Receipt No. 111, •3� WHITE-O.P.W.. TELLOW-ASSESSOR, PINK -INSPECT R, OLDENROD-APPLICANT Jho COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Y 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO // ASSESSOR PARC' NUMBER a/,/,q ZONING BUILDING PERMIT OWNER S V V'/" TELEPHO(N�Eq'7y �iT ./i7 SO. FT. C- BUILDING VALUATION 7asgV OWNER'9 MAILING ADDRESS 1,t22N CONTRACTOR'S NAM • TELEPHONE _ CONTR CTO 'S MA L NG` OR 39 Fireplace 0o CONSTRU IONENDE - UNKNOWN Total Valuation $ 977 (� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ y4o ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee $20(f sv ftr- 77'2 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORESS Permit fee $�13 PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 ' L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P' RC�EL MAP ZZ'� (P Water piping 5.00 Each Qas water heater or vent 5.00 / USE OF STRUCTURE SF [�,� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New 2 ---Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑ �� 40P'10(__ Describe work: &o -/ a,4k Led Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 3� Main service a00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 �J j CONTRACTORS LICENSE LAW declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Bushes$ and Profession`s/Co'd'e/fan my license I$ In full for a and effect. License No. Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occup ) OR ADDNS. ACC. BLDGS. 1/2dsgft J NE JN 'TR U TI -OUTLET NON -RE BRA CH IRC I S 2.50 ea �a'L3O (POWER APPARATUS e (SINGLE OUTLET CIR. ! Ex. Occup(OUTLETS OR FIXTURES e20 A 030 FIXED Ex. Occup. OUTLETS PR (RESID IEA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 1 15.00 Misc. Wiring 15.00 9 Permit Fee $ YE ,. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n /he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating -1�1p Cooling g Hood 3.00 : _ Q Ventilation r— Permit Fee $ r� Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities,udgments, c, sts, and expenses which may in any way accrue against said in. on quence of the granting of this permit. %� 1zl__,_� Date- G? �, ; Signature of Applicant — Owner ff Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �• : " TOTAL PERMIT FEE99I v$ oc CUP, CONeT.Tr P[ SCHOOL ► O PARD[,r 171 MD 79U[ This permit is hereby issued under sions of the Butte County Code and/or work indicated above, for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �� �_ WHIr[-D.P.W., 7[LLOW-Aeet:S900. PIN[-INSP[CTWR. OLD[N,IOO=Ap_ -CANT t 1 J rti'{:rdt�rt,r�y�,.,r�„t"..t"''S t •}% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER {��f� A. P. No. Proposed Building Use �� Building Inspector Date <:;g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. 2. _10&-3. 4. 8. 9. 10. 11. 12. 13. -_14. 16. 17. 18, 1�=19. 20. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate/triplicate, signed by preparer of plans. Complete plans in duplicate/triplicate, signed by preparer of plans Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . .7�Q �I/6 School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC B° Fr Ings. . . . . Fees of $ 52[, �,d Letter of signature authorization, . . . . . . . Sanitation approval fromOlkl 610 Health Dept. 3okt/ Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . • . . Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to _(Date) Pre -Inspection for _ Required- Building Inspe tar Recorded copy of Agricultural Acknowledgment Statement.�� g Driveway Permit, Plot plan approval from city of 21 Engineered trusses in duplicate (required prior to pia; �� When you issue the permit, process as follows: Mail to owner, check) _Er —Mail to contraf.tor. �Telephone.9-) and hold for pickup aLS9_)office, `" Deliver w/Inspector. Other Applicant G��!^-��� Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit 'is u nce l cl ew item not checked above). 1. Index permit for above items No.���� —_ 2. Additional items requir Z Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone _mail_count dates Plans checked by //I—Date 3 2- 5�Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health. SUBJECT: Sanitation Clearance --- b- NPINn(c LSD -/6-go Owner Location AP# Plan Approved for: Sewage Disposal .._� Water Supply Hold final for: - -Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom home. Other. - NOTE * *� a itarian tient io•i rccIui r•C prior Lo V-.1 .0 1 i Al., Or'; r.i U1 .RECORDED BUTTE COUNTY 20,-8. 1 01:' Lhc 131.ILLe County Code OFFICIAL RECORDS BY Lhis ncknowledgCmenL be recorded issuance of a building permit. Thc• Irrulu°rLy described herein :is adjacent 1968 MAR 10 PM 3: 4� I o I;ind of included with i.n an area zoned 0 Proved Lo me on the basis, 1"01' ;it': r.ru l Lura L purposes, and residents CANDACE J. GRUBBS oI I h i s properLy may be subject to i neon- CLERK -RECORDER FEE vc�niCnc c�.-; or discomfort ar i"sing from the use o igric ul.LUral chemicals, i-ncluding, :8- 7988 hiiI not I imiLed to herb LCLdes, pestLcides, 'subscribed to the wi.thin instrument OFFICIAL SEAL :incl I"ert i I i zers; and from . the pursuit " a Ir 11 . of" ;i, ricultur;.i 1. operat:i.ons including, ;executed the same for the bill not. I i nr i Led Lo cu I L i vaLlon , plowing, i r;pr;•y i ng, pruning, ;rnd harvcsting which :WHEREOF, I hereunto set my or cas i ona I Ly generaLe dust, smoke, noise, . and odor.. Butte CounLy has esLab.l :i shed ;igr i cu l" I.ur;il zones which have as a priority use for producti.ve agr:icul.Lur.al purposes, ;end residc�nls w i i h i n sr. i d zones and on adjacent property shoo Ld be prepared Lo occe.pL such i nconve•n i c=nrr• of d i. -4k onl'orni from uormaL, necessary form operations. !:'y Ctmm. Exp. Jan. 10, 1992 u•uu. u.....r ,11 1 Lh;iL rr.il properLy situate in the Country of Butte, StaLe or (:;it i.for.ni;r, de.,-;c•r ilwd ;i�: I_ Present, A.P. No. ��� �� -l�-h 1:0 ��. �� r. y} Puh] 1 i c ORIGINAL D ^s n, O'�U44ENT D;rLe: PROPERTY OWNERS: St;it(I oI C-� �� y �, �/ l.) ��, On this the � da of ���-�- c herirrc nu=, SS. the undersigned Notary Public, -personally appeared ;. cc>n rl t y of C . Cj fi ./n /til 0 A-) .rte RPersonally known to me. 0 Proved Lo me on the basis, of satisLacLory evidence. Lo be the person(s) whose name(s) S 'subscribed to the wi.thin instrument OFFICIAL SEAL and acknowledged Lhat _ a Ir 11 . UICY A. PERSHALL ;executed the same for the purposes Lher.ein contained. IN WITNI-;S tioTAR'i' PUBLIC •CALIFORNIA :WHEREOF, I hereunto set my hand and cif fic i"dl seal. EU I E CCU JT'f • -✓ .....-..u•..........•..... !:'y Ctmm. Exp. Jan. 10, 1992 u•uu. u.....r - ...., I_ Present, A.P. No. ��� �� -l�-h 1:0 ��. �� r. y} Puh] 1 i c a',`f•"�`` ORDER NO. BU -97281 DESCRIPTION ALL- THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS .SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "A PORTION OF FARM ALLOTMENT NO. 2, DURHAM LAND SETTLEMENT, BUTTE COUNTY, CALIFORNIA", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 29, 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 21 AND 22. PARCEL II• A NON-EXCLUSIVE EASEMENT. FOR INGRESS AND EGRESS AND PUBLIC UTILITIES OVER JENI ANN COURT, LYING WITHIN THE BOUNDS OF PARCELS 1 AND. 3, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "A PORTION OF FARM -ALLOTMENT NO. 2., DURHAM LAND SETTLEMENT, BUTTE COUNTY, CALIFORNIA", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 29, 1987, IN BOOK 107 OF MAPS, AT PAGES) 21 AND 22. PAGE 5 I � c from the setback of 5 ft' a setback ppertY lines end 5 e t, from the road ar of ,nterline shall be cls t II ent exp,^ c or equipment i�SP,W-e/l-S tru-tures Verhanq. nr a 2 ft. eaVe.,o . s Mv� j e�`�icationur`�ar p sis dans and P's and it on sacs Ch`s set o§ o °t 21` r, a teC hs Uepa�r he \ e — t anyes o n fcecc, fie: ke enj cr` Zrmissi°--off Witte___ _..._.-- •rtriFn Court 1 Shad 8 NNorkcc`e� .6 eractices �P�� Mater,pe ognized G�cifieaus� Np1t ce v�ith ed for the S Mechan;ca ccordan cesccih bin9 P javlw p Piurc` orae. of a G gutidin9 ctcical C Ung°he National Eie CP I L N _ RESIDEN7T1AL ENERGY PIAN CIIj;C.K/INSPECTION SUMMARY ` E YST O�' IENTA % I s2A . Sg Owner J/1/6•S7iE_RN SIERPA - Climate Zone Permit No.IMAS—fO2 Floor Area ^� Compliance path: Package ❑ A ❑ B LiC ❑ Po Int System ❑ Budget N Other 4 Q -16' MIN R -V ALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: -- ( Roof/Ceiling— _ (� Wall ❑ Slab Floor Perimeter Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg Z.S6e S I Z. Q X (gJ _ North 4- 017-- y_ East 99 4.4- y �1 South Zd .S 1.0 Z_ _ West 1+0 7,D Skylights - 4- O�Z_ (B) Shading Shading Coefficient Description C East DVA(- 6LA7-1W6 (� South %I (� �6t West Ld to Skylights . 93 k t� (C) South Overhand; Length of projection Z ft. Description eA VE ❑ (D) Moveable insulation: Area ftZ Descr...ption (E) Thermal mass ❑ Type - Area Ft.2 HC_ Rm MC= Location ❑ Type - Area Ft. HC= R= _ MC= Location ❑ Type - Area Ft.2 HCa R= MC= Location ❑ Type _ - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= Ra MC= Location ❑ Type _ - Area Ft. HC- R= MC= Location 7/83 C U (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the fire.box_;.a co.mbusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump _ (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar ACOP 71 o e � SE type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector 7/83 2 orientation collector tilt rated y -intercept rated slope _ o E Other Woob �U (describe) *1 (B) Cooling g ` Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric -Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other _ (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on .its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 %N l,l e (6) DOMESTIC WATER SYSTEM,-. (A) Gas Only _ _ Gallons (brand and model number) (tank size) 0 Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels ❑ Other (Describe) (� (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and _ bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature Z 7 *, elevation 'L 5-00 ', heating loadd7-S'?6b BTU elevation factor /,D x heating load = maximum outlet capacity gas furnace lvS9�o(o BTU Cooling: Summer design temperature /j92- °, cooling loadZ6'70 7 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDIN DESIGNER OR APPLICANT 3 RESIDENTIAL PLAN CHECKING GUIDE (CONT D) MISCE LIMUS .ITEMS TO LOOKOUT FOR (CONT'D) ,. G rage door or porch header sizes. Adequate bracing. 1'0 -"ng area over garage - complete 1 -hour separation .:required on garage side inclu supporting walls and posts, etc. lits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1 . Attic access and ventilation (Sec. 3205). - loor access and ventilation (Sec. 2516). 14 ood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. L6v--N&+se- requirements on duplexes. 17, Adebe soils - special foundation design. 1q D -`-'-;ng walls requiring design. hi h chap , size r split level'house requiring lateral design. 7/M5 ti ti+ � t RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX' &-MISC. ONLY) UAtmr7f zj-M ,1 Bldg. Permit # S34--%9 OWNER �rim is A.P. # GENERAL 1. Zoning requirements: (sideyards and number of permitted living units). 2. Valuation. 0 '9$9 7- Io 1= 3. lans signed by designer. �' ' � �p- meq' z0q, S D 44Energy Design and Compliance. cE f !Q 0 q(� -50 5. Existing violations on property. i 0 00 - ----00 �Pj SD 77�P — PLOT PLAN 1. Complete parcel size and dimensions. Setbacks ideyards etc. � J�,FD 1�LOT 04WS+ CvtT7+ T.T'ED , s , easements,, p, �/�✓ C fes' IN MRM (-M&D OW69 3. Other buildings or structures.. 4. wading, fills, drainage. 54/Flood hazard. Special conditions oDn creation map or corplincocT���� E I.R. FieD o Al IZo AD COM .. FLOOR PLAN �Implete to scale plan with dimensions.r 2k ' -,squired windows for light and ventilation (Sec. 1205). 3✓Required windows for second exit (Sec. 1204).-'- 4g,..-Skylights 204).- 4g,..-Sk lights (Chapter 34 & Sec. 5207). 5.kooRuman impact glass (Sec. 5406). 62 quired room sizes, ceiling heights (Sec. 1207). 7G>G. '.C.I.'s in baths, garage• a'nd exterior outlets (Article 210-8). 8 ht fixtures, switches, receptacles, and exterior receptacles for maintenance of 6� mechanical -equipment. Locations of water heater, heating and cooling•equipment,-other electrical or gas equipment, and plumbing fixtures. lO.,Garage firewall, door size, and closer (Sec. 503(d)(3)). 11� 3'0" exterior exit door (Sec. 3304(e)). 12.W eplace and wood stove location. 13 Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Y. Foundation plan complete enough:to construct building. ttstruction details complete enough:to construct building. ,3� levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. aRstruction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR SC Y/ Exposure I plywood on exposed locations and overhangs. rway details: landings, rise and run; head clearance, handrails (Sec. 3306). 3- --@ea*drail details (Sec. 1711 & 3306(j)). r stone veneer (Chapter 30). PRafter rior plaster - weep screeds (Sec. 4706). 6er roof pitch for roof covering (Chapter 32). 7 ties or bearing ridge beam. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR)#:(530) 538-4365 ,nC OFFICE #:(530) 538-7601 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds r PROJECT INFORMATION.= ve Site Address: 1855 JENI ANN CT Owner: Permit NO: B08-2355 APN: 040-160-080 GONZALES, JEFFREY Issued Date: 03/16/2009 By TMP Permit type: MISCELLANEOUS 1855 JENI ANN CT Subtype: Private Garage/Shop DURHAM, CA 95938 Expiration Date: 03/16/2010 ' Description: ATTACHED GARAGE (960) AND BI (530) 624-6707 Occupancy: Zoning: A-10 Contractor Applicant: Square Footage: ANDERSON CONSTRUCTION Dave Wasney Jr Building Garage RemdUAddn 209 WINDROSE CT. 960 CHICO, CA 95973 , Other Porch/Patio Total (530) 228-9261 (530) 519-9648 • 588 1,548 - -:•-. . _-- .� . �. _ ,: :.� . �•" 4_. FEE INFORMATION �. DB SMIP RESIDENTIAL $0.94 DBEH Building Review Fee $78.90 DBF Garage -Wood Frame Plan Che $241.16 r DBMSC Garage/Shop/Strge Wood F $361.74 ' DBOMSC FEMA Flood Zone Review $118.98 DBSMIP Residential $2.30 .LICENSED CONTRACTOR'S.DECLARATION �•. - Contractor (Name) State Contractors License No. / Class / Expires ANDERSON CONSTRUCTION 777093 / B / 04/03/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. . X 03/16/2009 Contractors Signature Date :,��WORKERS' COMPENSATION DECLARATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: r-11 have and will maintain a certificate of. consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Carrier: Policy Number: Exp. Date: ❑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 the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with X 03/16/2009 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. M' CONSTRUCTION -LENDING AGENCY DECLARATION V- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address Lenders Name & Address City State Zip total t,nargea: 1iSU4.Ul rees rata: $504.11.12 Balance Due: $0.00 Receipt No: B9934 OWNER/ BUILDEk DECLARATION, I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):' I, as owner of the.property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or . improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). i I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale cense Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). ElI am exempt from licensure under the Contractors' State License Law for the reason: 03/16/2009 - -=m PERMIT. APPLICANT DECLARATION By my signature below, I certify to each of the following: am L) a California licensed contractor orA/i the property owner' or U authorized to act on the property owners behalf'*. i'� have read this construction permit application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relating , to building construction. authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized 03/16/2009 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 oo A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds OV N� PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu related to this application is subject to public inspection and will be posted on the County's website for electronic access. t v'r CONTRACTOR OWNER INFORMATION Last Name�A City � H Na Mailing AddressPuilD. Pho Ls- 0_0 City ' State C Zip Phon � � fa E-mail Far, --,_,D nf-2 E-mail �S PMa--CoM t v'r CONTRACTOR Name Address iog. Veil NO�CS� CST City � State Zip959T3 Pho Ls- 0_0 Fa S30 M-921 1 E-mail -V_\G-2 WkA @CvbC- .thQA • (� �T Lic. # 7770 9 3 Class .F) 1 J,J - At APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City State Zip Phone Fax E-mail State Licens Number J,J - At APPLICANT INFORMATION Name��.�� L_ ?� s Address City `�Wwv � State Zip 9e59�� Phon .5 -3 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E -mail S�1Y\p_F � Q Q�1. • ��Y1� AWPPLICANT SIGNATURE X --� PERMIT NO. BIN # PROJECT LOCATION AP# Don -/,6 to -,o - C o 0 Property Address 055 City . w�C� y -k\ 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 R t3N'F- Address DESCRIPTION OR SCOPE OF WORK. Co 4S t r 0, Occ. Type onst. Sq FT -Living rage 9&0 pen Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u o Zoning Flood Zone -- SRA I Yes &No Occ. Type onst. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ° 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. ° 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 thier own employees, without a license 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 performing 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 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR 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: ADDRESS CITY PHONE CONTRACTORS 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: ADDRESS CITY PHONE CONTRACTORS 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 Description: NEW GARAGE 960' AND BREEZEWAY 588' Reference Number: B08-2355 Applicant Name: GONZALES, JEFFREY Owner's Name: GONZALES, JEFFREY AP # : 040-160-080 Signature of Property Owner: Date: Butte County Department of.Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds �A k04 0 d 0 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-2355 Date: 11/24/2008 Location: 1855 JENI ANN CT By: GLB Parcel Number: 040-160-080 Sub Type: Private Garage/Shop Owner Name: GONZALES, JEFFREY Phone: (530) 624-6707 Description: NEW GARAGE 960' AND BREEZEWAY 588' By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: 1;4)6 6rr FILE Date: 11/24/2008 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-2355 Job Address: 1855 JENI ANN CT Contractor: ANDERSON CONSTRUCTION Fee Description 209 WINDROSE CT. CHICO, CA 95973 Printed: 11/24/2008 3:17 pm Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540011-4614901-10101 $78.90 11/24/2008 $78.90 DBOMSC FEMA Flood Zone Review 0010-440001-4210501-10101 $118.98 11/24/2008 $118.98 DBMSC Garage/Shop/Strge Wood F 0010-440001-4210500-10101 $361.74 DBF Garage -Wood Frame Plan Che 0010-440001-4210501-10101 $241.16 11/24/2008 $241.16 DBSMIP Residential Printed By: Gwyn Benedict 1001-0-280-1011298 $2.30 11/24/2008 $2.30 803.08 $441.34 Balance Due: $361.74 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fe y c ge during the plan checking process. Signature; ` Date: 11/24/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELUNGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://muniCipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-2355 Location: 1855 JENI ANN CT Parcel Number: 040-160-080 Owner Name: GONZALES, JEFFREY Description: NEW GARAGE 960' AND Signature of Applicant: AY 588' FILE Date: 11/24/2008 Phone: (530) 624-6707 Date: 11/24/2008 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-2355 Date: 11/24/2008 Location: 1855 JENI ANN CT By: GLB Parcel Number: 040-160-080 Sub Type: Private Garage/Shop Owner Name: GONZALES, JEFFREY Phone: (530) 624-6707 Description: NEW GARAGE 960' AND BREEZEWAY 588' The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 f ■❑ SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions. ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 �\ ❑ Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to pu c i ection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 11/24/2008 FILE RESIDENTIAL 040-160;090 %/03-1965 HANSEN;;'JOSH 4855-JERI'ANN CT DURHAM""— Cont: PERFECTION POOLS NEW PRI SWIMMING POOL SPECIAL CONDITIONS - CHECKED BY 2 JOB FINALED (Dat Signature SRA i FLOOD CERTIFICATE REQ.' r y FIRE SPRINKLERS. REO. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS t SUB -STANDARD HOUSING LETTER 2 JOB FINALED (Dat Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas -and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line . 3. Blocking 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 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 ans) OK except #'s 1 etback -Easements ompaction-Structure Stability 3. of Structure; Steel -Connections -Thickness Dead Men -Lining ecept Iles and Lighting, Distance-GFI 5: ,-fighting; 15 Volts-GFI c. closures; Conduit Entries -Terminals -Listed c.; ding; Metal w/5' -Circulating Equip. -Heater c.; Grounding; Equip., w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. PI&M6.; Cir. Test -Water Supplv Test Date �3y_� Card B-1 �//� Date Card B-1 Date Card B-1 Date Card B-1 gem_ T-Rh-t-15_er - J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Pptection- Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftp. -Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 59. Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 1.2. Electric Underground Brace Interior/Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 87. Water Well, Disconnect, Electrical, Plumbing 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 Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 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-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Pptection- 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 O No/Walks O Yes 11 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 Telephone (530) 538-75410:3, ta o (Rgv.I2/96) APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER n A ZONING A-10 BUILDING PERMIT OWNER HANSFN TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1855 JENT NN. R A 04 %R Opp' c T , F " 25.0Q. 00 CONTRACTOR'S NAME PERFEMON POOIS TELEPHONE 895-0437 CONTRACTOR'S MAILINGADDRESS 897 EAST 20 Sr C HICO 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation $ S� ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Z:)1• Plan Checking Fee $ 23.00 BLIILDIjJ rORESS I ANN Cr. DURHAM, CA 959638 Energy Plan Checking Fee $ PERMIT FEE $ 295.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities E3 Installation ❑ Other O; Describe Work: M POOL MASTER 500-01 Gas i in stem 1 - 5 outlets pg 1 5.00 sewer 15.00 Mobile Home S I GI W @20.00 PERMIT FEE S 35. W ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceeoov oR LEss 2oeA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of. perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, -;and my license is in full force and effect. 4 5 4 License Class •• 5 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensa on insurance carrier and policy number are: Carrier tA CD 12.17 Main Service 200A TO I000A 46.00 NEw CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. eLos. so 3.50FT; �µpONS1. MULTI.OUTLET @7,50 PLE OWER APPARATUS a SINGOUTLET CIR. Ex. OCCu OUTLET OR FIXTURES' �L @: o Ex. Occup. ouTtEEDTSA AEsID.LNSoea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 P00L ELM 11 30.00 0.00 PERMIT FEE $ 50.00. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number a-73 1-1 _I"— 03 (The above sections need not 6e completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0� (% ] X _ A4__V t V Date J Z? 1) 3 Signature of Applicant - ❑ Owner k Contractor O 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 $ 380,00 HAZ. D. FEES IMP FLOOD CDF PARCEL ,.. PQ H� ISSUES' This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ,,,((( PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date B1s Receipt No. �"3 9 ,V. -/)d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � . > .. , W . ti.= •.r � . , _„fw..,r•—v'�. +.. 'Y.::i.�.�-* «......y.+....a�JM.r a+�-.-.+....-..-..M....s.-.++•, 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 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. i 1 1_/ A fn , . IL Date REV 10/92 \QJ� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 (Rev.12/96)' APPLICATION AND PERMIT - t 6ffj (145 ASSESSOR PARCEL NUMBER _ ti ZONING BUILDING PERMIT OWNER 14ANSc, TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS 1UNG DRESS JENT ANN C7 DI)BRAM, CA 95938 CON EST 25,00.00 CONTRACTOR'S NAME PERFECTION POOLS TELEPHONE 895-0437 CONTRACTORS MAILING ADDRESS 897 EAST 20 ST MTCO, CA 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 2 00.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ 23.00 BUILDING ADDRESS 1855 JERI ANN Cr. DURHAM CA 959638 Energy Plan Checking Fee $ $ PERMIT FEE $ 295.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: NEW POOL MASTER 500-01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service '...voR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �5 3 LIC. No. S 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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' compensn insurance carrier and policy number are: Carrier AIC -0 V2j0 Policy Number a_] 2:S_ 3A— 0-5 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort comply with"Be provisions. . D X Date _ 7 19 D 3 Signature of Applicant - ❑ caner Contractor 13Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. Main Service 200A TO 1oo-A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3.5¢,T, NEW CONST. MULTI -OUTLET @7,50 NON•RESID. POWER APPARATUS 8 SINGLE OUTUIE7 CIR. EX. OCCU . OUTLET OR FIXTURES B20 O 1.00 Ex. Occup. ountrs AEESI6.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELEC 11 30.00 0.00 PERMIT FEE $ 50.00. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Energy Inspection Fee $ specCONST occ TYPE TOTAL FEE $ 380.00 D FEESIMP FL000 COF pppCd HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. By Dater PERMIT EXPIRES O g_�Q_ Date Receipt No. 3 Z WHITE-D.D.S.-B.D. CANARY -A SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT v COUNTY OF BUTTE -DEPARTMENT aOF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive, Orbvil•IEXA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMI'B ... I ,ICATION DATA SHEET OWNER: \ S 4 3, N tJS��ly ASSESSOR PARCEL NUMBER i b o" o p o Proposed Building Use: f Counter Technician: / Date: ! (/ Items required in order to a ply for a per it. All boxes MUST be checked OR arked NA in order to apply. OLV L. Plot,plans, 3 or 4 sets, signedky the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-sipng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be ikzed and returned to the plan review line-up when required items are received. g Date Received By A8. 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......................................................:.. 0--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. Fees as shown.,on the attached Schedule of Fees Due Sheet ........................................ ❑ 15. Statement of Intent for Non -heated and A/C Buildings ...................................... [�16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit..............:....j. ❑ 18' California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: a /L (B)Parking: (C) Parcel Check: 7_21, (33 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... i ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... f ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26.E Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... E ❑ 28. Manufactured home utility clearance............................................................... I ❑ 29. Existing violations and/or expired permits......................................................... f 0 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1 4rE 331. Other: '1 r� ''• When issued Telephone 62-4- "7244 ;, and hold for pickup. I have been in for ed of the above items and requirements for obtaining a buildin permit. Applicant: v:t Datg: 2• O 3 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ `.counter, by Date: _ ❑ phone, ❑ mail,<�.❑ counter, by Date: _ Plans approved by:' • Date: _Structural approved by:' Date: Yellow: Buildine Division E.H. USE ONLY Plot Man Attached Floes Plan Attached 1 Sant E0 B.C. -01-1Owce TO: •Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for Clearance for Sewage Disposal -- Water Supply: Public Private Well dwelling. Other Hold final for: Final clearance O.K. for: N0T.•E: .. mental Health Specialist 8/96 7 Date Department of Development Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX .y s3�zl46 Services NTy F�� 4 SER ? f�S FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: at the location of 57 c),?,jr /1 " Cr OjA- As, CA . I Assessor's Parcel Number: U V10 1 by - O 160 for the construction of an addition fort ddIrio-✓ OF Couyj�4Afoa se lX,y I,- -2 -s� does not equal or exceed the definition of "Substantial Improvement'" ". I am aware the building site is in a flood plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: Address: Phone Number: Signature: Date: * Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or- exceeds 50% of" the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before damage occurred. Note: If improvement percentage equals or exceeds 40%, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. aur'1 .1 L `yS� 11•� � �e� APPROVED /I/ ()�DL?*�L OS -ZD L U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood.Ahsurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION I For Insurance Company Use: Al. Building Owner's Name Jeff Gonzales Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.I Company NAIC Number I 1855 Jeni Ann Court 'City Durham State CA ZIP Code 95938 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 040-160-080 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non -Residential (Detached Garage) A5. Latitude/Longitude: Lat. 39deg 35min 35.3 sec N Long. 121 deg 46min 36sec W 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 1 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) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Butte County Unincorporated 060017 Butte CA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 69. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 06007CO520 C 04/20/2000 06/08/1998 AE 171.0 B10. Indicate the source of the Base Flood Elevation (BFE) 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 139: ® 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 N/A ❑ 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, AR/A, AR/AE, AR/A1-A30, A A R% C ete Items C2.a g below according to the building diagram specified in Item A7. ��� ���At g Benchmark Utilized Butte Co. TBM #12 Vertical Datum USGS L©' jam! 1y Conversion/Comments They are the same. n D VIS101 I Check the measureArft�i?�e�^ 1 V a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 171.0 ® feet ❑ meters (Puerto Rico only) (� b) Top of the next higher floor N/A. ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N/A. ❑ feet ❑ meters (Puerto Rico only) tee) Lowest elevation of machinery or equipment servicing the building 171.0 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 167.2 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 167.6 ® 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 to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. t understand that any false statement may be punishable by tine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifier's Name Lambert O. Lowe License Number RCE 59077 Title Civil Engineer Company Name NorthStar Engineering Address 111 Mission Ranch Blvd. Suite 100 City Chico State CA ZIP Code 95926 Signature relephone (530) �Q�o�ssiv,� SO A° - M ECP. ¢[30/()9 01vo. �P of.cau��``' t FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1855 Jeni Ann Court 11% City Durham State CA ZIP Code 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 agent/company, and (3) building owner. Comments TBM: Scribed square at northeast coney of concrete pad north of the pool and east of the pool house. Elev=167.71 Note: All areas below BFE are required to be floodproof. re Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (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. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ 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 Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ 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, 8, 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 FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions O LOOMIS OFFICE 3243 Rippey Road Loomis, CA 95650 Phone: (916) 652-4655 Fax: (916; 652-3860 O MARYS VILLE PLANT 5033 Feather River Blvd. Marysville, CA 95901 Phone: (530) 743-8855 Fax: 530 743-8856 TllauSozom �r lJ�n, pto& Lo~"-" Sb 1 ti 2 1.Yr �. _or... :�4 'a f 1 t' ,�.;i Wit;, . i. htt enciusea arawings a Client Mitchells Building Supply Office Fax: Ian: I Floor Components: 10 Roof Components: O Work Order # 1320808 ill dtpr ia-nuruericai oraer Pro ject 24 x 40 Garage Oe -2_25_ � Durham, Site Phone: Suii6_ ; Ni; :� I Site Contact: APPROVED O Original Submittal O Complete Revision 'z �= � i O Partial Revision: Replaces indivi 74drawings 0 Addition: Add to Original Submittal 11 4U -U 0 4 N q 40-0 -7- 11 4U -U 0 4 N q 40-0 Rc>c>fI:LriEB. 31) Lay i2U x 40Ga2:aqe Gonzales SALES REP BW WO# 1320808 DUE DATE K�r, t C e I , I s . ]B,.I:L DSGNR/CHKR : BW BW Date 9/30/2008 7:34 Durham Ca TC Live 20.00 psf DurFac-Lbr 1.25 . t, I . ., JILDING DIVIBON, TC Dead 14.00 psf burFac-Plt 1.25 BC Live 0.00 psf O.C. Spacing 24.0 1w wlk- PIPR 0V R�05 BC Dead 7.00 psf Code : NONE p00000 S y Total 41.00 #Tr/#Cfg 21 2 . psf X Job Name: 24'x 40' Garage - Gonzales Truss ID: T1 Qty: 19 BRGX-LOC REAR SIZE RE Q'D TC 2x4 DFL #1 Designedper ANSI/TPI 1-2002 UPLIFT REACTION(S) 1 0- 1-12 1148 3.50 1.50" BC 2x4 DFL #1 This design does not account for long term Support CSC Wind Non -Wind 2 23-10- 4 1148 3.50" 1.50" WEB 2x4 DFL STANDARD time dependent loading (creep). Building 1 -122 lb BRG REQUIREMENTS shown are based ONLY Refer to Joint QC Detail Sheets for Designer must account for this. 2 -122 lb on the truss material at each bearing Cq factors and Rotational Tolerances. THIS DESIGN IS THE COMPOSITE RESULT OF This truss is designed using the MAX DEFLECTION (sppan)) IRC/IBC truss plate values are based on MULTIPLE.LOAD CASES. CBC -07 / ASCE7-OS Specification L/999 MEM 7-8 (LIVE) LC 34 testingg and approval as required by IBC 1703 IF THIS TRUSS IS CARRIED IN A HANGER THAT Bldg Enclosed =Yes, Importance Factor = 1.00 L. -0..23" D. -0.10' T= -0.33" and AN /&I and are reported in available HANGER IS BASED ON 1.S" HANGER NAIL FOR Truss Location = Not End Zone ot1T1 KMER FORCES: document ESR -1118. 1 -PLY AND 3" HANGER NAILS FOR MULTI PLY Hurricane/Ocean Line - No Ex Categoryy = C 7C O197 / 1FN5. Ixm. CSiLoaded for 10 PSF non -concurrent BCLL. CARRYING MEMBERS. IF 2.5" GUN NAILS ARE Bldg Len th - 40.00 ft Bidg Width = 2a00 ft 1-2 -19711��R, 25 / 1115 1.60 0.3gi-3 -ln7.2/ 121 1.60 0.Loaded for 200 lb non -concurrent moving BCLL USED THE HANGERS MUST BE RE-EVALUATED Mean roof height - 12.16 ft, mph 85 3-4 -17271.25 / ul 1.60 0. $ PLATING BASED ON GREEN LUMBER VALUES. (BY OTHERS). ASCE7 II Standard Occupancyk Dead Load = 12.6 psf 4-5 -19711.25 / 105 1.60 0.39 20 psf bottom chord live load NOT required Designed, as Main Wind Force esisting System 8C 0".(WR. / TTNS. DUR. CSI on this truss, per IBC/IRC requirements for - Low-rise and Components and Cladding 6-7 -57(1.60)/ 1763 lit .57 attics with limited storage. Tributary Area = 48 sqft 7-8 / 1159 1.25 0.62 8-9 -57(1.603)/ 717663NJO((1.253 0.5617 3:7 a M4 6 1 60% 573 21 0 23 4-8 -4064 1QQ.25��)1% 590((1.60)) 0.08 UILoOIV-a DIA ,,..LID 12-0-0 12-0-0 1 2 3 4 5 5-3-15 1 2 0-3-15 5.00 6X6 5.00 81 B2 W:308 W:308 RA 148 R:1148 0:-122 U:-122 2-O O . F2 �OO 24-0-0 _ 6 7 8 9 All connector plates are Truswal 20 ga. or Wave 20 ga., unless preceded by "HS" for HS 20-9a., "S" for SS 16 ga. from Alpine; or preceded by "MX" for TWMX 20 ga. or "H" for 16 ga. from Truswal, positioned per Joint Detail Reports. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 268 - Homewood Tats WARNINURead all notes on this sheet and give a copy of it to the Erecting Contractor. l `-^) TMs design Is far an 6dWWual bu8ding oayVanas net tnss system. It has been based an sPedRaaore pivNdeO by Ore co rponaa mamAeawa ® aW done In aecardenoa wM the onma mWom of TPI and AFPAdesWn atemWft fou rmpor WUM. is ess and far cfl ass and omum7. Otmaslao are to be verified by the component manufacturer wdfor ung designer prior to fa0rication The building designer must asom aln that the bads on Oft design meet or wcood the beefing Inposed t>y the local bulWhg coda and the particular appliatlon The design assumes that the top clad ""ad T R U S DIVA L is laterally bnaoed by the roof or floor saeaWrg and lire bottom dad is Imer* Iraoed W a 60 shPeidng material directly adadle4 unless otherwise to bxM length This con shall not be In any ® SYSTEMS noted Bmdrg shown is for lateral support of components masons only remroa g ponei plawd �+�d mat wig muse the mctuero oorderd of he wmd to cooed 19%adfor cause connector pate corrosion Feb irate, harde. Install and brace this inIn acarian with Ne follorMg su rdards:'Jdm and ddmg Detail Reponsr arallabie m %W from Tncwal soltmee. Ii'D(Y Building Components Group, Inc. 'A}1SIRP1 i', 1NfC'A1'-Nbod Tess CaadldAmala 9arhdard Design ReaPoruitlmlm. 61Al.ptJriCONPONF94TS4FEfY1PFOPAMTION- nus Nerthpnrt Dr. Sfm 102, Cato. Spgs., CO 80907 MW 1-03) end EC9 b1R. AWY SFEEM by WrCA end TPI. The T. Plele Institute (TPQ Is loafed at 583 DOrafrio D %% Madism, TRU S PL U S 6 . 0 VER - T6 . S . 7 vws 4n 53719. The Medan Forest end Paper Association (APPA) Is located at t 111 19th Skeet. HW. Ste 600, Vvash! ion. DC 20078. 9/30/2008 Cust: Mitchell's Building Supply W0: Drive_T_1320808_L00005_100001 Dsgnr: BW #LC - 46 WT: 132# TC Live 20.00 psf LiveDur L=1.25 P=1.25 TC Snow(Pf) 0.00 psf SnowDur L=1.15 P=1.15 TC Dead 14.00 psf Rep Mbr Bnd / Comp / Tens BC Live 0.00 psf 1.15 / 1.10 / 1.10 BC Dead 7.00 psf O.C.Spacing 2- 0- 0 Bldg Code: CBC -07 40 TC: L/2 Job Name: 24'x'40" Garage - Gonzales Truss ID: TG Qty: 2 BRG X -LOC REAR SIZE REQ'D TC 2x4 DFL #1 Designed per ANSI/TPI 1-2002 UPLIFT REACTIONSS) : Cust: Mitchell's Building Supply 1 0- 1-12 395 3.50" 1.50 BC 2x4 DFL #1 This design does not account for long term Support C3C Wind Non -Wind 2 3 2- 8- 0 4- 0- 0 298 3.50" 1.50" 186 3.50" 1.50 WEB 2x4 DFL STANDARD time dependent loading (creep). Building 1 -61 lb noted. Bracing shown IS for lateral support of OU pmems members o* to reduce Mrddi g Woh. This cenponem shall not be placed in arty ernlmnmemhet twlgcausethemoisturecontentofmm ewoodtoexceed19%andforreusermeclorplateconesion. FaMrate,hande,aWeO 4 5- 4- 0 233 3.50" 1.50 Refer to Joint QC Detail Sheets for Designer must account for this. 2 -24 lb 1'. V - Wood TAM Council Of Ajmdca Standard Design Responsibilities, 13ULDING COMPONENT SAFETY INFCRMATION- S 6- 8- 0 232 3.50" 1.50" CR factors and Rotational Tolerances. THIS DESIGN IS THE COMPOSITE RESULT OF 3 -3 lb -1 lb 6 8- O- 0 196 3.'50" 1.50" IRC/IBC truss plate values are based on MULTIPLE LOAD GASES. 4 -7 lb 7 9- 4- 0 233 3.50" 1.50" testingg and approval as required by IBC 1703 and AN and are reported in available IF THIS TRUSS IS CARRIED IN A HANGER THAT HANGER IS BASED ON 1.S" HANGER NAIL FOR S 6 -7 lb -7 lb 8 9 10- 8- 0 11- 3- 0 211 3.50" 1.50 221 3.50" 1.50" document ESR -1118. 1 -PLY AND 3" HANGER NAILS FOR MULTI -PLY 7 -23 lb 10 12- - 0 221 3.50" 1.50" Loaded for 10 PSF non -concurrent SCLL. CARRYING MEMBERS. IF 2.5'• GUN NAILS ARE 8 -28 lb 11 4 13- 4- 0 211 3.50" 1.50" Loaded for 200 lb non -concurrent moving BCLL Mark interior bearing locations. USED THE HANGERS MUST BE RE-EVALUATED bTHERS). 11 -28 lb 12 14- 8- 0 233 3.50" 1.50" all (BY 12 -23 lb 13 16- 0- 0 196 3.SO" 1.50" May use adequate staples for gable blocks. BUILDING DESIGNER MUST VERIFY rs) before erection. Install interior suppot 13 -7 lb 14 15 17- 4- 0 18- 8- 0 232 3.50" '1. S0" 233 3.50" 1.50" GABLE LOADS AND EAVE LOADS, IF APPLICABLE. THIS TRUSS PLATING BASED ON GREEN LUMBER VALUES. This truss is designed using the 14 1s -7 lb -7 lb 16 20- 0- 0 186 3.50" 1.50" IS DESIGNED TO SUPPORT THE LOADS SPECIFIED CBC -07 / ASCE7-05 Specification 16 -3 lb -1 lb 17 21- 4- 0 298 3.50" 1.50" BASED ON THE O.C. SPACING AND ANY Bldg Enclosed = Yes, Importance Factor - 1.00 17 -24 lb 18 23-10- 4 395 3.50" 1.50" ADDITIONAL LOADS SHOWN. Truss Location . Not End Zone 18 -61 lb BRG on the REQUIREMENTS sham are based ONLY truss material bearing [+j gable bracing required @ 56" intervals, T exposed to wind load applied to face. Hurricane/Ocean Line - No Exp Category = C Bldg Length ft MAX at each DEFLECTION (sppan) ' See General Gable Details', C002065035: - 40.00 Sidg Width = 24.00 ft Mean height 12.16 ft, 85 L/999 MEM 20-21 ,(LIVE) LC 23 Diagonals sham are part of the structure of roof - mph ASCE7 II Standard Occupancy Dead Load = 12.6 psf L= 0.00' D- 0:100' T. -0.01" this truss and may not be removed. Sheathing Designed as Main Wind Force kesisting System aRITICAL MEMBER FORCES: TC 00MP. WR. //TENS. DUR. CSI may be applied for additional support, to lateral loads, by - Low-rise and Components and Cladding 1-2 2-3 -92 1.60 / 62 l.zs / 33 1.60 0.06 15 1.60 o.os resist others, but is not required unless noted. Lateral loads have Tribute Area = 48 s ft Tributary y 20 psf bollen chord live load NOT required (� ,C D {j �{j��\���j�'��% 3-4 -57 1.25 / 10 1.60 0.02 not been analyzed unless indicated. on this truss, per IBC/IRC requirements for r �� �elU >J U U 4-5 5-6 -57 1.25 / -57 1.25 / 2 1.66 0.02 3 1.6D 0.02 attics with limited storage. (� Q' ' 6-7 -57 1.25 / 18 1.60 0.02 j� 7-8 -58 1.25 / 36 1.60 0.02 j� G i=>�UIL 6 Jvv DWI(- O 8-9 9-30 -46 1.25 / 1.25 46 1.60• 02 0:02 10-11 11-12 -53 / -53 1.25 / -46 1.25 / 46 1. 46 1.60 0.02 4 1.5p 2 - w sw�r.� !1/LiA1 ►U�1(61+�y ROWD 12-13 -58 1.25 / 36 1.60 0:02 .�.. 13-14 -57 1.25 / 16 1.60 0.02 I 12-0-0 12-0-0 14-1s 15-16 57 1.25 / -57 1.25 / 1.60 0.02 2 1.60 0.02 1 2 3 4 .5 6 7 I 89 101112 13 14 15 16 17 18 19 16-17 17-18 -57 1.25 / -62 1.25 / 10 1.60 0.02 15 1.60 0. S 5.00 4X4 18-19 92 1.60 / 33 1.60 0.06 1.5X3 1.5X35.00 6C ODM.(DUR.)/ TENS.(DOR.) CSI 1.5X3 1.5X3 20-21 21-22 -149 1.2S / / 92 1.601) o 0..1z oe 1.5X3 1.5X3 i4-i°s j otos 1.5X3 1.5X3 1,5X3 T 25-26 26-27 / / 0.05 0.03 1.5X3 1.5X3 1.5X3 1,5X3 z7-26 28-29 / / 0.03 0.04 5-3-15 1.5X3 _ 1.5X3 6-1-13 29-30 31 / 0.03 0.03 1.5X3 . SHIP % 0:05 2.5X4 2.5X4 g3g2-333 _ _ 34-35 33 36-37 % -149(1.25)% 0:05 92(1.60) 0:u 0-3-15 2X3 2X3 2X3 2X3 2X3 5X6 2X3 2x3 0-3-15 Rr)FESS i0-'� 2X3 2X3 2X3 2X3 2X3 2X3 Q we 2-21 3-:2 COMP. 1.2 / -143 1.25 / -761.25 / TENS. DUR. CSI 49 1.60 0.02 v 1.60 D.01 2X3 2X3 �O 4-23 5-24 _21.25 / 11.25 / 191.60 0.01 161.60 0.01 6-25 7-26 6-27 -91 1.25 / -93 1.2S / 60 18 1.60 0.02 .0 3 1.60 0:001 0 Q Q1 9-28 1.zs / -29 1.25 / 36 1.60 0.0 0.01 �- 24-0-0� .6 X27 fn 11-29 12-30 z l.zs / 1 8:02 20 21 22 23 24 25 26 2728 2i130 31 32 33 34 35 36 37 t .v 13-31 14-g1 15-33 -68 1.25 / -93 1.25 / -91 1.25 / -91 1.25 / 36 1.60 35 1.60 0.03 18 1:1 0.02 18 1.60 0.01 X June 30, 2009�'Ik 16-34 17-3s 18-36 -92 1.25 / 761.z / -143 1.25 / 19 1.60 0.01 171. D1 49 1.0°0 O:az OVER CONTINUOUS SUPPORT Sj P 1 V f 1i-29 i9 1:25 % 0:°02 pF 1A1 �F�� All connector plates are Truswal 20 ga. or Wave 20 ga., unless preceded by "HS" for HS 209a., "S" for SS 18 ga. from Alpine• - or preceded by "MX" for TWMX 20 ga. or "H" for 16 from T swal, JointDetail Reprts. and telae . positioned parCircled plates . frame plates are positioned as shown above. Shin able stud plates to avoid overly with structural) plates or staple). gable D 9/30/2008 Q�} 9IJ O/ZOO H 268 - Homewood T ass �A% WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mitchell's Building Supply l This design is for an bidividual building component not truss system It has been based on specifications provided by the component manufacturer WO: Dri ve_T-.320808_L00005_300001 and done in accordance with the current versions of TPI and AFPA design standards. No responsibility h assumed for dimensional accuracy. Dimensions Ds n r BW #LC = 46 WT: 1804 g TRU�1 �� em to be verified by the component manufacturer endfor Wilding designer Odor to fabrication. The building designer mist ascertain that me bads utilized on this design meet or eased biding me Iotas code the particular application. The design assumes rust lop chord TC Live 20.00 psf Li veDu r L=1.2 5 P=1.2 5 J he d the bo to laterell b laterally braced Try me roof or door sheathing and me bottom Urord b laterally Mored by a dgld sheaadng material directly attached, unless omenNse d b gidsh o TC Snow (Pf) 0.00 psf SnowDu r L=1.15 P=1.15 ® SYSTEMS noted. Bracing shown IS for lateral support of OU pmems members o* to reduce Mrddi g Woh. This cenponem shall not be placed in arty ernlmnmemhet twlgcausethemoisturecontentofmm ewoodtoexceed19%andforreusermeclorplateconesion. FaMrate,hande,aWeO TC Dead 14.00 psf Rep Mbr Bnd / Comp / Tens /TilRrBuilding Components Group, Inc. end brace this truss In accordance with the following slandalft Joint and Cutting Oetasi Reports' avanabie as output from Truswat software, 'ANSVTPI `WTCA BC Live 0.00 psf 1.15 / 1.10 / 1.10 1'. V - Wood TAM Council Of Ajmdca Standard Design Responsibilities, 13ULDING COMPONENT SAFETY INFCRMATION- BC Dead 7.00 psf O.C.Spacing 2- 0- 0 4445 Northpark Dr. Ste. 102, Colo. Sppa., CO 80907 TRUSPLUS 6.0 VER: TIS 0=1 1-03) and SCSI SUMMARY SHEETS by WfCA and TPI. The Truss Plate Institute (TPO is located at 58a D'Onofdo Drive, Madison, .5.7 1 Wisconsin 53719. The American Forest and PaperAssodation(AFPA) islocated at1111191hStreet. NW. Ste 600,Washington. DC20038. Bldg Code: CBC -07 DEFL RATIO: L/240 TC: L/2, "6,c. 4��- mac. — 2+f x40r r4a&ft . loll��c� �I— 1a:r . \ I .w� - � 5 m - DGi'asu'et G PROJECT 9rr",tgn, . 2e-lK�K /o BY �/,� DATE/ 2& ' JOB NO. SHEET OF =0.00>C� Y,- V Zx 1 2-) 7-2 :BUI.LDING, DIVIS10K .4 4/1 6—APPROVED �Cp%z10,1�.. 4E4 4¢ /\oIS l 0,4.4 LAUGHLIN and SPENCE CIVIL ENGINEERS and SURVEYORS 1008 LIVE OAK BOULEVARD (530)671-1008 YU13A CI"I'Y. CA 95991 1*,., (530) 67:-,,,M "6,c. 4��- mac. — 2+f x40r r4a&ft . loll��c� �I— 1a:r . \ I .w� - � 5 m - DGi'asu'et G PROJECT 9rr",tgn, . 2e-lK�K /o BY �/,� DATE/ 2& ' JOB NO. SHEET OF =0.00>C� Y,- V Zx 1 2-) 7-2 :BUI.LDING, DIVIS10K .4 4/1 6—APPROVED �Cp%z10,1�.. 4E4 4¢ /\oIS l 0,4.4 LAUGHLIN and SPENCE PROJECT dx CIVIL ENGINEERS and SURVEYORS gy Ji� DATE 1008 LIVG OAK BOULEVARD (530)671-1008 p", 's YUBA CI'T'Y. CA 95991 fax 1530)071-0823 JOB NO. SHEET _ OF p z 1 -3 (x /,.--z 1"- 6? Shg -2 o1 57t / , C ,p )o Few Lo PA PAZ I��x� Z acZ ��x lir . CE) I w/ ; � 4 LAUGHLIN and SPENCE n CIVIL ENGINEERS and SURVEYORS 1008 UVEOAK BOULEVARD 15701 671-1008 nems YUUACI.1.Y. CA 95991 fax 15301671-0822 /IGT GUAM, z '3721 C4?lr- r r N V;ek Le'r,® 5q>s - V' - V -z ----� .5t -n * PROJECT BY /, s, DATE -7,Q -19q JOB NO. 6 / .� 9LP �ET �_OF 641� wrI ?�C� c. � 12 (F f Wl 8� .(�p`d lz 13 0 /I k I ,'®o W/ Tax fT>p -c"e, r�G - ' xf-X�o 3,54�1� 2x4-xl3X 2 cvl 4x y �� j � ��� (�►� �es THE 2007 CEIC,`CMC p PROVIDE MINIMUM DISTANCE 1� ' r" C, FROM FOOTING OF STRUCTURE t - CEC, AND 2005 CALIFORNIA OF 5 FT FROM ALL PORTION -- - AL -�• INSTALL ALL MECHANIC ,_•''' ¢ coF AMENDED By HE JURISDICTION SYSTEM IpINCUD NAG SEPTIC DEPOSAL . row�cwrr n,, APPI Y T© THIS PROJECT, TANK, LEACH AREA AND PITS y'y FLOOD ELEVATION THE FL Irene ...............................- I I - - : : Y : I •-.,,.•.. � ...� - �- .. APPROVED PLANS AND I .. . • • • •• PERMIT SHALL BE ON .. ..................... i ; l' .j. • D. SITE FOR A L L` .. ' .. INSPECTIONS...r.. r 1v - .................................- - .. • .. .0] ..........................I r : • . I: t i �:. Y' F q. t 1 T' =.t �,- �3 `.. .. ...... ............. _ .. .. ► A .. .. .. - .. ... _.' ........................... i �.:.. .. :L r. 1. R..• NFP A 58 : . . . .. . . . . /r �- � - l� G TANK DD ........ r .. ._ .. .. .. .. .. _INIMUM ......... _ DISTANCE FROM. PROPERTY LINES OR .. ..STRUCTUR....GALLONS OR __ ... E SHALL BE F EET.LESSLPG TANK ._ .. j :..................:.....:._....:......:.....:.......... PAN- Y TO T THE ......................................................_.... _...... .. V Y INSTALL ALL • � UTURE�OCCUF'AN TRICAL t. REGULATIONS REREQUIREDUIRED AT THE r .. TO' MEET t =••• BE REQUIRED .....:...... :..........:......:...__......:......:......:•... •• •• •-• •• •• EQUIPMENT AS SPECIFIED •BY� .',� PERMIT APPLICATION FOR REQUIRED _ TIME OF P Q WILL t . - .. NG R THE -FLOOD ELEVATION •-•-••- ...........:......;. ;.....;. :•-• } . „ .: «...:.... FE MH TME ,OFTPERMIT y M 7. r TENANTOIMPROVEMENTA R A NEW STATED ON THE'FE A FIRM . _ NT r:... N A _...................... ELEVATIO - - - . - - - OR TE ........................................................................... N CERTIF CHANGE AT '•APPLICATION FOR KATE t /1AA ........OCCUPANCY CHA .. .. .. - .....................- -- - - - - - — - .. - - - - -`,- .. . . .. . ............... L S >� �x �►!1 _ . .. .. .. .. _ .... .. .. .. ._ G 1.�-. IN _ L D ul _ '1 I• 2 s .� r P - - - PERMIT# .._ _ R - - O - SS S E - S_ �S - A N DTE: •. v t7 .. .. .. .. .. ».. -..._.....y. C•« i. NOTE F9ARCrEL �. SITE•COWp PROPERTY OWNER IS REPO_ NSIBLE;FOR ITICiNS". - .. .. E _ _ .. NGI � 1 N 'DETE MINING ,LOCATIONS�OF•RROPERTY'LINES EERIN• Z«» .. R G B �� 1 E -R �-V : • `SITE - EOUIR« _I•. _ i c c c .. C ED O 1 APPROVE 4RE OBSERVED.AND NOT�THE FOLLOWING 1?.AND EASEMENTSiAND MAINTAINING: REIIUIRED»i s `� • HOWN.pN THE: l��� SETBACKS FROM PROPERTY LINE$ AND ®®�]]{� �WI .®'VI... EXCE_ "'• _ _:�.._. ... .. ; .............:... 5SIVE ! - 1 SLOPES. _ .l._...i. _EASEMENTS. t • t ExP »•A SURVEY MAY BE.REQUIRED IF j ANSIVE $p ILS' i �;� EXCRovwl %ESSIVE' DETERMIN .. .. . CEssIV_E Cu ... .. .. .. •• ED •NECESSARY BY THE -BUILDING-- - =0 _ TS.OR FI L L• . •t^ ALTER• ?}� ATI tr O OFFICIAL'. Ns T O N/..:.....: . ATU R_ OTHER UNU '�1-'_ORAINAQE • .............. .. _. - _ _ .. __ .. �_.....' ._ - - -' •- . ! SUAL SOIL'* t »� - CONDITIONS OR GEOGRAPHICAL" t _..........._ t 1 .. ...rv..., a. _ �•• ....... - .-..........-..... ................ _ ........._..... pis ..................._.................. -.................. ..................._..... _......... ........ _......... ... _.. -_.... _ ._..« .....-...«...... �. ...... ... -.... Assessor's Parcel Number: [� [� � 0 � � ®� � 0 Scle:'l Owner Name Address 1 Phone No. �/�"� �'" '� / ® � ®_ Site LocationUN� rr�. 1 'tea_ Zoning: SEE ,FLOOD LAIN- _ `` FILE- COPY General Ply DECLARATION t Size, Ams .v --- -y USES: I I Jerry ell Mitchell's Building Materials Warehouse L.O. Box 1038 Gridley, CA 95948-1038 (530) 846-4409 - -NO AUMflow.aura N�]N -NO-f?VA :?J]N/MO 0 f7 -179 #;INOj 'Ge /Wk 0-17z 1 N91GICI Ng]N :?QN91GICI /—O/-91729 :�NONJ d� `wdN�na NNV IN]r SS9 I G�IVZN09 �J;Ir :2JINN10 :*'89N/V\O 8017-17-9 -179(Oeg) -]NOPJ /��NO GIVI"8]ivA -8o iiing AoiGnD. G-;19V\ADVCI ;Ii�ICIAOD sDNiaiin9 iqd�ols *.Cls����u�liwv ;- N 40' i PROVIOE 3" X 3" X 0.229" J SQUARE WASHERS FOR ANCHOR aOLTS- 2007 CBC SECTION 2300. 1 �. Q m -------------------------------------------- F _ i °. J I' 4" THICK SLAB SINGLE POUR " 12" X 12" FOOTING ' w GXGX IOX 10REME5H 112" REBAR 2 RUNS I 8" ABOVE GRADE I 12" X 12" FOOTINGS W/ 1/2" X 10" ANCHOR I BOLTS @ 4' 0. C. 12" FROM ENDS * JOINTS I " 12" X 12" FOOTINGS W/ 5/8" X 10" ANCHOR I I BOLTS @ 4'0.C. 12" FROM ENDS * JOINTS I MIN. 7" EMBEDMENT W/ 3" SQ. X 1/4" PLATE WASHERS @ EACH BOLT � 4 BOLTS SPACED EQ I_ WHERE 4' PANELS OCCUR PER. PLAN. - I . � Io L----------------------------------- AT . 3 4.1_PNv A- U,_ BUM, . PUILDING DIVISION, L, 4a P.A fes; K) 40' FOUNDATION PLAN \ �d 3/1 G" = 10" IVOESSio Q \� � F W 0.52815 Jer i chell Exp. 12/31/10 it Mitchell's Buildi Materials Warehouse s '?.®. B`0 x 1038 Gridley, CA 95948-1038 (530) 846-4409 C2- 1 ^— LIFO""iA I MPLY W►T O pE- ART►RLE ELECTRQU REMEN Bc3Np►NG GROUND►NG A►.►D COMPLY WITH CALIFORNIA ELECTR/CAL CODE- ART/CLE 1 10 REQUIREMENTS FOR ELECTRICAL EQUIPMENT INSTALLATIONS ElLj UNN 18' q OWNER: 4030 5L JEFF GONZALES ��ii'WILDING18' A DIVISION 1855 JENI ANN APPRO@mE) DURHAM, CA - — COMPLY WITH 4 AP# 040-1 GO -080 COMPLY WITH CAL/FDRN/A ELECTR/CqL C CAI BRACE WALL PANELS TO BE ELECTRICAL CODE- ART. 21 D.8 i' 240-24 RE ODE- �4RT/CLE 3 -COAT STUCCO O/ 2" SQ. WIRE GROUND FAULT PROTECTION 4UIREMENTS SHALL BE REQUIRED IN ALL BATHROOMS, OVER OVED LOCATION OF W 3/8" OSB SHEATHING NAILED W/ v II II M l' KITCHEN, LAUNDRY, UTILITY & WET BAR CURRENT PROT ' (7d @ G: 12. W1 I/2" AB 4'O.C. � PROTECTION SINKS, AND EXTERIOR RECEPTACLES �N _ Wi$'ts— X 1/2'x 10" ANCHOR BOLTS 4'0:C. 24' N N W/ 3"X3"X 1/4" SQ. WASHERS, 12" Al c4ad 1�Lr N rn FROM ENDS AND JOINTS OR USE NEW GARAGE o N SIMPSON MASS FOUNDATION ANCHORS 9GO SF rn LABEL, CIRCUIT BREAKER(S), DISCONNECT(S), N 0 ' 10'-0" WALLS FUS E(S),SWITCH (ES) AND THEIR - rn . 0 ' 30 YR. ELK DIMENSIONAL COMP. 5HINGLE5 ACCESSORIES,.TO IDENTIFY THEIR ---- 7vW/ RIDGE CAPS / COLOR VERIFIED BY OWNER LOCATION AND OR EQUIPMENT ;PROVIDE READILY ACCESSIBLEO ' 4' X I a x 3/8"_0S13 W/ 3 -COAT STUCCO CAPABILITY TO CIRCUIT BREAKER(S), . �— DISCONNECT(S), FUSE(S),SWITCH (ES) .4:12 PREFAB TRUSSES RpFESSlO/i/ I AND THEIR ACCESSORIES AS '2' OVERHANG Q �F REQUIRED AND DEFINED IN IFORNIA ELECTRICAL CODE yc' 2X4 1 G" O.C. WALLS �Q S°F2 CALl. ----.- ---- -- -- — 4X U. W C J� 12 HEADERS TYP U . 3068 0. '~4" THICK SLAB SINGLE POUR * EXP• 2/31/10' �r J -METAL . 41 12" X. 12" FOOTING 18 4030 5L G -PANEL r clv►� �1IL A A I I' A 4' 6 X G X I ox 1.0 REMESH qTf o 1/2 f CA��E�� RE 2 RUNS 40' ' 8" ABOVE GRADE FLOOR PLAN 3/1 G" = ra' �c itcl��ll ►ng Mated ib �Mf t HIM Bot.. 3 .crtg5�4��o � 0') 94`6= 409) SIMP50N H I OR EQ. @ EACH TRUSS TO TOP PLATE 2XG PRIMED FASCIA * BARGE z N 2X4 TRIMMER TYP ---__ BRACE WALL PANELS TO BE SEE SCHEDULE 2X4 P.T. SILL PLATE -� 1 /2" —m- �- PREFAB TRUSSES @ 24" O.C. 12 4 �— 30 YR. ELK E f OSB SHEATI- CO 4X12 4X12 S 1 a. TYPICAL 5ECTI ON f RAM I NG SCALE: 1/4"= 1'-0" * I O' WALLS 2X4 STUDS @ I G" O.C. P.T.D.F. #2 2X4 SILL PLATE j PROVIDE 3" x 3" x 0.229" � 112" O X 10" ANCHOR BOLT @ G' O.C.SQUARE WASHERS FOR.il ANCHOR BOLTS- 2OZ77 cec SEE FDN . PLAN FOR SPECS. SECT/ON 230x. 12-47 a.. FAIr=1II a FILL a #4 REBAR 1-12." M I N - FOU N DATION DETAIL SCALE: I"= 1'-0" Fc=2500 1951 G IMEN51ONAL COMP/ O/ 150 30" FELT O/ '/G' ING STAGGERED 4- NAILED W/ 8d@ G:G: 12 f- 2X4 BLOCKING B.N. W/ 8d @ G" O.C. 2X4 DBL. T.P. OVERLAP @ CORNER5 2x4 FLAT CORNERS D.F. #2 2X4 @ ! G" O.C. 1 /2" X 10" ANCHOR BOLT 7" EMBEDMENT @ G' O.C. 12" FROM ENDS � JOINTS W/ 3" 5Q. X 1/4" THICK STEEL PLATE WASHERS @ EACH BOLT DRILL SILL PLATE HOLES TO 5/8" FIN. GRADE 4" CONCRETE SLAB 2500 P51 @ 28 DAYS .Ie i chell Mitchell's Buil - Materials Warehouse .0. Box -408 Gridley, CA 9594E-1038 (530) 846-4409 ROOF PLAN 'CALE: 3 1 G"= 1'-0" 4/12 PITCH fOR EVEN FLOW ATTIC VENTING USE (211- 14" X 18" GABLE END VENTS 2)- 3.5" X 22.5" EAVE VENT5 2X4 OUTRIGGEP,5 @ 4'O.C. E\1 /I G" 0513 5HEETING 5TAG(SILERED NAILED kV/ ba@G:G:! 2W,1 15# 30 FELT 30 YR. ELK DIMEN51ONAL SHINGLE- (D =51MPSON H2.5 CLIP5 AT EACH TKLJ55 TO TOP PLATE I - TPU55E5 @ 24" O.C. I Jerryell" . Mitchell's Building ateria1s W a -rehouse -0. Box 1038 Grid -ley,. CA 95948-1038 (530) 846-4409 4c� �.� 05 B, .. . ........ 1-1 11 05B "I — — -- -- — — — — Jerryell" . Mitchell's Building ateria1s W a -rehouse -0. Box 1038 Grid -ley,. CA 95948-1038 (530) 846-4409 4c� 7/1 G" 055 5HEETING STAGGERED MAILED 1,b/ 8d@G:G: 12 W/ 15#320 FELT 30 YK. ELY, DIMENTIONAL 5HINGLE5 BRACE WALL PANELS 5EE SCHEDULE NORTH ELEVATION 'CALE: 3/1 G"= P-0" 40' le 7/1 G" 0513 SHEETING STAGGERED NAILED \N,, 8cl@G:G: 12 W/ 15# 30 FELT 30 YR. ELK DIMENTIONAL 5HINGLE5 BRACE WALL PANEL5 5EE 5CIIEDULE ►tchelf Mitchell's Bui Rg, VIa.terials Warehouse ''• Box 1038 SOUTH ELEVATION Gridley, CA 45948_1033 5CALE: 3/1 G"= I' -O" (530) 846_4409 l(2 1 tar 14" X 1 8" GABLE VENT 12 G� IX3 TRIIVt �. PRIMED 2XG PA5CIA BARGE BOARD _...:. WEEP SCREED 4" TO EARTH FAST ELEVATION -` SCALE: 3/1 G"= P-0" fIN. GRADE 24' 7/1 G" 055 SHEETING STAGGERED 14" X 18" GABLE VENT NAILED W/ 8d@G:G: 12 W/ 15# 30 FELT 30 YR. ELK DIMEN51ONAL SHINGLES 24' 7/1 G" OSB SHEETING STAGGERED •JAILED W/ 8d@G:G: 12 bb/ 15# 30 FELT 30 YR. ELr, DIMEN51ONAL SHINGLES - *kEA&-WALL PANELS SEE SCHEDULE ILI,rte- Im�.% I X3 TRIM PRIMED 2XG PA5CIA -^--t- BARGE BOARD — 2' T)-?. —WEEP 5CP.EED 4" TO EARTH Jerky tchell WEST ELEVATION Mitchell's Buildi Materials Warehouse PILI. -GRADE SCALE: 3/1 G"=)'-0' ':'.®. Box 1038 Gridley, CA 95948-1038 ( 30) 846-4409 PRE -FAB TU55E5 @ 24" O.C. ni iRi (lT P nl Ac / ' nF T EXTERIOR BWP OSB SHEATHING W/3 -COAT STUCCO OF WALL FROM BOTTOM SILL PLATE TO ROOF SHEATHING NAILED10d@4.: 1 2. EQUALY SPACED S`5" X 10" ANCHOR BOLTS W/ 3" SQUARE X 1/4" THICK STEEL WASHERS WHERE 4' PANELS OCCUR PER PLAN 2X4 STUDS @ I C" O.C. 2X4 P.T.D.F. BOTTOM PLATE 2W6r_;OX t � " FOOTING 5/6"0 FOUNDATION BOLTS 4- 112" REBARP.� 4 A 112,1 = 1 -0" 2X4 BLOCKING TYP. Tb Rum;\ Y E7, Jer. . i Neill Mitchell's Buil i Materials Warehouse ®� 1®3n CA. 95948- 033 COPY OWNER (: fl/j 2A SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFiP COMMUNITY NAME 8 COMMUNITY NUMBER 62. COUNTY NAME 63: STATE o&no B4. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) O� U�AgER ZATE EFFECTIVEIREVISED DATE ZONE{S (Zone AO, use pth of flooding) B10. hiclicate the sourceAdaturn a Base Flood Elevation (BFE) data. or base flood depth entered in B9. )_ j :IS ProfileFIRM .-J Communityetermined J�j Other (Describe): B11. Indicate the elevati used for. the BFE in B9: NJ NGVD 1929 J�J NAVD 1988- j_J Other (Describe): B12. Is the building: locatedin a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_J Yes J_J No Designation: Date: SECTION _C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: XConstruction Drawings* j_JBuiiding Under Construction* J._JFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 9_ (Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE)i VE, V1430, 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 caiculato . Use the space provided or the Comments area.of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the_,. _j No ❑ a) Top of bottom floor (including basement or enclosure) <;:I- ft (m) ❑ b) Tap of next higher floor - fL(m) m m �� W, &A fir, El c) Bottom of lowest horizontal structural member (V zones only) A) k - it(m) ❑ d) Attached garage (top of stab) 1-)A -(m) E • e) Lowest elevation of machinery and/or equipment m m j a building % v No, a. serviC^g the uildiny % / ® ft ❑ f) Lowest adjacent grade (LAG) fL(m) z , ❑ g) Highest.adjacent grade (HAG) G fL(m) " m ❑ h) No. of permanent openings. (flood vents) within 1 ft above adjacent grade t'�d cJ' CIVIL Q ❑ .i) Total area of all permanent openings (flood vents) in C3h ? A -sq. in. (sq. crn) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERnFICATTON - --- ' This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. j I certify that the infonnadon in Sections A, B, and C on this certificate represents my best efforts to interpret the data availabie. f understand1hat any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAM LICENSE NUMBER rLE COMPANY= 'AME S G ADDRESS i CITY STATE ZIP CODE p. G�7 �� SIGNA7,1-1R DATE TELEPHON ��L3 rr-UA 'Form Al 11 Al Ire AQ CnN-rAii IA—nnKi RPPI AC -PA At I PRT;%1lCll !C PnMr1ALC FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires ,July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION ; Fbr Ihsurancm, ompanWUze _ BUILDING OWNER'S NAME PoiicNumberr BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. e :. "CWManW�NAl N bLJ . . CITY A �! S6! '7 P � DIL JJ e 02-17 � ' PROPERTY DESCRIPTION (L.ot.and Block Numbers, Tax Parcel Number, Legal Description, etc.) ILDING USE (e.g., ResidenUa), Non-residential, Add'tigri, Accessory, etc. Use Comments section if necessary.) Iii h2 r Ca IL LATITUDEILONGITUDE (OPTIONAL) or _�°) HORIZONTAL DATUM: SOURCE: i-1 GPS (Type): NAD 1927 l -J NAD 1983 L-r"USGS Quad Map Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFiP COMMUNITY NAME 8 COMMUNITY NUMBER 62. COUNTY NAME 63: STATE o&no B4. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) O� U�AgER ZATE EFFECTIVEIREVISED DATE ZONE{S (Zone AO, use pth of flooding) B10. hiclicate the sourceAdaturn a Base Flood Elevation (BFE) data. or base flood depth entered in B9. )_ j :IS ProfileFIRM .-J Communityetermined J�j Other (Describe): B11. Indicate the elevati used for. the BFE in B9: NJ NGVD 1929 J�J NAVD 1988- j_J Other (Describe): B12. Is the building: locatedin a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_J Yes J_J No Designation: Date: SECTION _C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: XConstruction Drawings* j_JBuiiding Under Construction* J._JFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 9_ (Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE)i VE, V1430, 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 caiculato . Use the space provided or the Comments area.of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the_,. _j No ❑ a) Top of bottom floor (including basement or enclosure) <;:I- ft (m) ❑ b) Tap of next higher floor - fL(m) m m �� W, &A fir, El c) Bottom of lowest horizontal structural member (V zones only) A) k - it(m) ❑ d) Attached garage (top of stab) 1-)A -(m) E • e) Lowest elevation of machinery and/or equipment m m j a building % v No, a. serviC^g the uildiny % / ® ft ❑ f) Lowest adjacent grade (LAG) fL(m) z , ❑ g) Highest.adjacent grade (HAG) G fL(m) " m ❑ h) No. of permanent openings. (flood vents) within 1 ft above adjacent grade t'�d cJ' CIVIL Q ❑ .i) Total area of all permanent openings (flood vents) in C3h ? A -sq. in. (sq. crn) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERnFICATTON - --- ' This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. j I certify that the infonnadon in Sections A, B, and C on this certificate represents my best efforts to interpret the data availabie. f understand1hat any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAM LICENSE NUMBER rLE COMPANY= 'AME S G ADDRESS i CITY STATE ZIP CODE p. G�7 �� SIGNA7,1-1R DATE TELEPHON ��L3 rr-UA 'Form Al 11 Al Ire AQ CnN-rAii IA—nnKi RPPI AC -PA At I PRT;%1lCll !C PnMr1ALC MP_ORTANT- -In these spaces, copy the corresponding information from Section A. 3UILDING REETA DRESS Includin A t-, Unit, Suite, and/o' 8 Foransurance'E'ompany ��se- jS r i 9 P No.) OR P.O. ROUTE AND BOX No, - :';.. AL,_ 1,,z �© j� l P.afcy Nu`riCe ;:r =:=.: ; . >::::'>>::;:: �F STATE - - - - - -- =:::::::<: ZIP ODE -CompanyNAlCNumber /7t12. SECTION D -SURVEYOR, ENGINEER, OR-ARCHITECT CERTIFICATION (CONTINUED) - ,opy both sides ofthis Elevation Certificate for(lycommunity Ofiiicial, (2) insurance ag.enticompany,'and (3) building owner. i �OMMENTS F I SECTION E Check here-if attachments B.UtLDING ELEVATION.INFO.RMATION (SURVEY NOT REQUIRED) FOR. ZONE AO AND ZONE A, (WITHOUT BFE) r Zone.AO anctZone.A (without BFE),. complete. items-E1 through E4.-If the Elevation Certificate-is intended foruse as supporting ;rmation. for a. LOMA or LOMR-F Stiction C must be cornpleteo _ - = Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — j _see pages, 6 and T. Af no diagram accurately represents the building,. h_. _... buildin ,urovide'a sk-etch orphotographThe..top ohe hottom.iinor (including-basement or enclosure) oth (diris -(checkoneythehft Cm) LL. )j "i above or Lbelowtgestad}acentgrade. , Lfi For Buiidtng Otagrams 15-& with openings (see page T), the nexthigher floor or elevated floor (elevation b) Of the building is LLt(rn) j_j_jm (ern} above the:.fargfiest adjacent grad ZI` FarZone AO only f n io•flood d"epth neim6er fs:availaf le, *s th=e top ofthe b"ottom floor elevated in accordance with the commun(fy'4s- floodplain:managementordlna ce _L,Yes-:_L,NO-Aj_j.-Unknown.. The,localofffcial must certify this information in Section G. =�- 5E"CTION F-•PR.OPERTY OWNER(OR OVVNER'S REPRESENTATIVE) CERTIFICATION -a prop eity'owner"or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or " nmunity-issued_BFE} oC, one AO must sign here -... - DPERTY OWNERS OR OWNER SAUTHORIZED REPRESENTATIVE'S NAME 7R.E.SS CIiY �. _.._. . STATE ZIP CODE NATURE. _ a DATE ,r TELEPHONE _ ✓1MENTS .. _ .. -. - . _ �L Check here if attachments ...SECT ION G - CO-MM.UNITY INFORMATION (OPTIONAL) ocal officialwho is—,authorized—by law or ordinance to administer the community's floodplain management ordinance can complete Dns A B "C;(or E), and G of this Elevation Certificate. Complete the applicable-items) and sign below. n _j The infbr.matioIn Section.0 was taken, from. other documentation thathas been signed and embossed by a licensed surveyor, engineer, orarchit"ect who"is authorized by state or local law to certify elevation information-indicat elevation data in the Comments area,-below,) information.(indicate the source and date of the _j A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issuetl BFE) or Zoite AO. _i The following information (Items G4-G9) is provided for community floodplain managemenkpurposes- 'ERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CON1PLfANCE/OCCUPANCY ISSUED its permit: has been issued for L New Construction Lj Substantial Improvement evation of as-built lowest floor (including basement) of the building is: =E or (m Zone AO} depth of. flooding at th+e building site is: - - _ ft•(m) Datum: ' _... _-ft.(m) Datum: - vtUN(TY-t�tAME TELEPHONE �r ioF - i:::_ TEEN g Y Check here if attachments fa I PERFECTION Sales, Service, Installation Lic, #566654 �( Po F Lt N Io5 NTY BUTTE GOU- j er- iBUILDING DIVISION � I I I r NrLoGES APPROVED pR�VEWRy APPROVED Butte Co ty En*iron t Health ±e -h � C .y.., _...._... GRAPHIC SCALE i ORIGINAL SCALE: 1"= 30' Assessor's Parcel Number: 00 0© - Q ®Q ®® 0 Size (Acres) Owner Name /Address/ Phone No. ©s u .3 a oo!j SEN An Site Location eA Lt -(=Q e-0 +Pc 9 Sq 3 Zoning General Plan Contact: Name?Nick- T rvPWGfof,PPhone �— _ t t'r ,i n+ t l� l,., A dk 0 �1 c .i fir.. �I Y i' 7 e+rr _ b a I'vi s � 4 x n e e , x a