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040-260-057
r CfC6AAPLAINT AT011 INSPECTOR x BUILDING CODE VIOLATION LETTER 30,DAY r : . -Huss. j'5: STREs/w cormY r i ham Permit 2 � i A. P. 40-26-57 SUBDIV. HENRY S/W corner' Oak e & Lott Rd . , Durham I , PLAN NO. DATE ISSU Permit 3095-73B,P, (addition)' 26 —P +0-26-57 HENRY HUSING SW corner o Oak --Lane; & Lott Rd Durham Permi 4811-74B(lst RENENAL of 3095- 3) 40-26-57 �-7 - Permit #5805-76B",`E(new private detach garage)�[0 40-26-57 REMARKS HENRY HUSING 040-260-057 04-0963 1823 Laura Ln, Durham HUSING, DOROTHY Contr: Cal Pac' Roofing - � �2///,, Q 1823 LAURA LN, DURHAM Permit#949-87B(reroof/SF) `,!!"/0 7 Cont: OWNER TEMP M/H INSTALLATION PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION I 600.1 15 2 6 31V0 '018 31V0 'DIS 31VO 'OIS 3140 DIS 31V0 OIs NOIIVNDIS3O :H38wnN llVJH3d `L/A% E/I'IrrA1MMI/ICLIA AIIfKlIMP 1VNI=i SH313 W S30NVI-IddV 8 S3af11Xid NI-Honom 31VO OIS 31V0 'DIS 31VO DIS 31VO DIS 31V0 '018 lH3ewnN IIW?33d �AUK ril.iPr,A AWA 'Ail IPRMkIfic '7VNId S1N3A W S33NVI1ddV 3NIl H3M3S ONldld M31VM 1S31 3mnSS38d SVC) NI-Honmi 31V0 OIS 31VO 'CIS 31V0 'DIB 31VO 'DIS 31V0 'OIs SM38Wf1N 11Wb3d `YA % FI NP, rA AULTIRI fW MM 87VAQZfddV DiVIQ7I39 atlO33ti NOI133dSN1 31V0 'DIS 31VO a 31V0 I_ 'DIS 31VO i, 'DIS 3J VC 'OIs 31V0 'DIS 31V0 'DIS 31V0 'DIS 31V0 DIS 31V0 'DIS 31V0 DIS 31VO 'OIs Z �> n m �O %� rm f 00 pn c1p 7CI m I+t 19-X ym -IA m0 I w� �2 �m - -N►� m0 M m In I -X Dm ' -1 =0 z 2 5m -I� =0 z 'I > 3 2 O m �� m0 �n � c�10 ZOn Oji -100 Z Z 2� Cm 3m m3 87VAQZfddV DiVIQ7I39 atlO33ti NOI133dSN1 '-A 4A Building Permit Number: `F— 0 Owner Name: (—f U6/f JI Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100-year'flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate: A Post Flood Elevation Cerci acate, �w ll alsa be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Iz V Page 2of 2 Building Permit Number: 041—Ocl(O-3 Owner Name: 'j mg Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. MThe following Parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements.* A setback of tO feet from the side and 10 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUILDING STREET ADDRESS FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on es1-7. SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Use: O.M.B. No. 3067-0077 I Expires July 31, 2002 Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NA1C Number n j �c-i�r t,vyurz PR PER DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Descnption, etc.) L- ( ##° - ##'- ##.##" or ##.#####°) HUKILUN I AL DATUM: J NAD 1927 L_1 NAD 1983 on it necessary k/1 USGS Quad Map U Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP COMMUNITY NAME 8 COMMUNITY NUMBER 132. COUNTY NAME 63. STATE B4. MAP AND PANEL NUMBER B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATIONS) �- ��UII; DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) B iu. indicate the source OT the Base I -l000 Elevation (13FE) data or base flood depth entered in B9. 1_I FIS Profile !may FIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9:"j,NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1-1 Yes IXJ. No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1 (Construction Drawings' 1_113uilding Under Construction' 1_1Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete.. C2. Building Diagram Number t ` (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. DatumiLlr -6 172�y Conversion/Comments Elevation reference mark used fi? 6e So /7- Does the elevation reference mark used appear on the FIRM? 1_1 Yes 1.2q No O a) Top of bottom floor (including basement or enclosure) ft. (m) O b) Top of next higher floor _ ft.(m) a Q�O,SStOlttq� O c) Bottom of lowest horizontal structural member (V zones only) „A ❑ d) Attached garage (top of slab) _ = ft im) E o E• R/ Q. ❑ e) Lowest elevation of machinery and/or equipment w % O p servicing the building C _ NF��1RC 122-s4�0-1�6ft.(m) ° O iLowestadjacent grade (LAG) O g) Highest adjacent grade (HAG) ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade OF O i) Total area of all permanent openings (flood vents) in C3h — sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT dEKTIFIdATIOW-r% w r 11^r 11ht This certification is to be signed and sealed b a land surveyor, engineer, or architect;" " ` y~ A * Y"' e -rd " 9 Y Y 9 ttio7ized�, <IaW tb certi�Y�elev iorinfor tion. I certify that the information in Sections A, 8, and C on this certiricate represents my best e/D� d,.s tdlihte t th��data ail 1 . r' I understand that any false statement may be punishable by rine or imprisonment and J' 8 (-S. Cbde. Se tion 1001 / 14 /215-50 t 5 NUMBER � TLEOMPANY NAME �- ��UII; STATE ZIP CODE r ; 1-77— ?-7Q.'/ FFMA Fnrm R1-31 AUS 99 SFF RFVFRSF SIDF FOR CONTINUATION RFPI ACFS Al I PRFVIntJS Ff)ITIONS 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 f1 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. COMMEN - /'J 721t�� Com) %24),+j) MeatQ P& JD(__. S i tr- , SLC I/ 7, 1-1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. if the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is L-1_1 ft.(m) 1_I—lin.(cm) 1_1 above or 1J below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1-1_I fl•(m) 1_I_lin•(cm) above the highest adjacent grade. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_1 No 1_1 Unknown The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OROWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DA E TELEPHONE COMMENTS 1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) 1 IIC weal onlclal wno is autnonzeo by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the `elevation data in the Comments area below.) G2. 1_1 A community.official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or ` Zone A0. G3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. 1 3n G7. This permit has been issued for: 1_1 New Construction J_J Substantial Improvement G8. Elevation of as.=built lowest floor (including basement) of the building is: _ ft. (m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S TITL COMMUNITY NAME TELEPHONE SIGNATURE DATE LrVIV11V1 CIV 1 J I I Check here if attachments FFMA Form R1-31. AIJC; 4A RFPI ACFS Al I PRFVI01JS FDITIONS I - J V-1* IT -3" 52'-0* -0" 10, )ption Glamour Bath CV) NONNI MENNI ME �Io■■■■■I MOMI \•Grad ('Plus3. Exterior) A Skylight Dormer mbr gr St.,dordl Domer ('PI., 2' Exterior) s ft ft 13'-4* C -U r— L pay Opt costs GE) 11\1G*o, br2 d 4 ('Plus 2 4 3' Exte -lora) I Aa&tiono ,nWTR07 w 22'-8' 1 161-01 ,1 I - Option 3 Bedroom Layout Wardrobe 18* -8' dr 111-0" br3 i 51-0 sw wu will 0 MEMO! ('Pl. 0 4 3' =_-j Opt Dbl Door Option Den sw ft Golden Oak - G0521F "YORKSHIRE" 4 Bedroom, 2 Bath, Great Room 1,404 Sq. Ft. FI 1. Owner's Name: 0 r- 0 2. Assessor's Parcel Number: 3. Installer's Name: "Th C'!Nq 4. Is the site currently under permit? Yes[)(] No (Mss] Permit No. 46/ ►' l 60-f'45 5. Is the site existin site? Yes) No[. (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the. mobilehome site circuit breaker rating? Q Amperes. 8. What is the electrical rating of the mobilehome site? DD Amperes. 9. Is the main service remote from the mobilehome site? Yes No[�/] If it is, what is the rating? 0 d Amperes. 10. Is there any other electric load to be. served by the mobilehome site electric service . (i.e. well, garage etc.)? Yes[ ] No" If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propanev] None[ ] 12. Size -of gas pipe at the mobilehome site from the meter or tank: inches. _ '.., t,» ...... Y.T. f• 13. What is the gas pipe length from the meter or tank to, the mobilehome?�(ft.). 14. What is the mobilehome gas demand? All� B.T.U. *(This information is not required if the pipe lens h is less than 6 feet on natural gas or .. less than 50 feet on propane). THE OTHER SIDE•OF•THIS'FORM MUST BE COMPLETED IN ORDER TO PROCESS' -THIS PERMIT.APPLICAT'ION May 1995 8.5 M.H.L- 2 Mobilehome Manufacturer. I f/f n 04 A Manufacture Year: 2 0 0\3 If other than single wide, furnish Setup Model Number: r, 0 52 IF Width:`L2_(ft.) Length:_ (ft.) Tagalong'or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or fou datio ade Other - SUPPORTS: Concrete block[ Other: & 4410 000 /,zs mc - CJ Provide Tie Down Specifications for all Mobilehomes: S' C Pier Footings,Sizes and Location SINGLE WIDE KULTI-WIDE Line 1 Line 1 Line 2 Line 2 ............................. ...'............................................................... Main Beams Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 .................................................ine 5 Tag or Triple ine 4 Pine 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maxims Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum Location (from front): May 1995 Line 1 Openings K 2_V Size minimum: Each side of openings with width over: ` �y / 2y Line 4 Piers: Size minimum: [ j x [ I p Spacing maximum: ` ` From ends-maximum:1 1` Xao lZx3o �c3o L - X30 2'fJ(3ti AUIL®ING DEPART M . �PPROV 8.4 A Mq Q 30 F -d O 40 PSf O:EDERAL MANUFACTURED V V !IOUSIN{OUSING CONSTRUCTION -0 10- - 040561 a SAFETY STANDARDS ;U Exp. . o 3/25/2003 , OF CF�`�0 SEF -UP NOTES �e t'� I. THE LENGTH OF DiiS HOME MAY HAVE BEET' STRETCHED OR REDUCED. e CENTERUNE PIER LOCATIONS MAY BE ADJUSTED UP TO 4 FT MAX FROM THE DIMENSIONS SHOWN. BUT a2 BE LOCATED UNDER RIDGE BEAM SUPPORT POSTS. 2. THE STANDARD CONFIGURATION OF THIS HONE MAY HAVE BEEN MODIFIED. Z A CUSTOM PRINT SHOULD BE PROVIDED. IF NOT. THE SET-UP CONTRACTOR MUST CALL GOLDEN WEST HOMES ENGINEER14G FOR CUSTOM PIER PRINT. PIER CAPACITY FOOTING SIZE REOUIRED (SO. IN.) PIIEER C PACIPIER FDOTINP SIZE�,REOtIIF (LBS.) 1000 PSF 1500 PSF 2000 PSF . (LES.) 1000 PSF 1500 PSF I 2000 288 192 144 3 4000 576 384 2 2500 360 240 180 4 5000 720 480 opnw!nc B ®S M�anuf acturing Perris Division . (909)657-1611 "AwING ru INFORMATIO14 6'-7' 6'-0' 5'-0' -211-1,1 -M 13'-6' WIDE CARPET 11 r :D (SQ. IN.) PIER PIER CAPACITY FOOTING SIZE REOUIRED (SO. IN.) PIER 2000 PSF NO. (LES.) IOOO-PSF 1500 PSF 2000 PSF NU. 288 5 6000 864 576 432 7 360 6 8000 1152 768 576 8 CARPE T & PIER SUPPORT LOCATIONS PERRIS DIVISION ` J. MONTES STANDARD CARPET GMAT RXN DPUYs ROal MASTER BEOR001 BEDROOM 7 BEDROCt7 9 BEDROM •4 (DETU W�S TOTAL 13'-b` x (D )0 PSF O 40 PSF T'-0' APART MASE DPT10NAL CARPET ITCIEN D'-6' x n'-6' ASTER BATH D'•6' x S'-6' LEST 15ATH B'-6' x 3'0' =1'11605E '116:BE—SCRAP IILIi7 W-6' x 4'-0' AL1C-!1 WN ASBE—D'-6' x 4'-0' _ PIERS PER TABLE II OF INSTAUATION MANUAL PIERS PER TABLE III ® - OF INSTALLATION MANUAL (NOT REQUIRED FOR 201) VILX Y APACI FOOTING SIZE REQUIRED (SO. IN.) NOTE: (LBS.) 1000 PSF 1500 PSF 2000 PSF THE PIERS SHOWN ARE FOR MATING UNE PIERS ONLY. SEE INSTALLATION MANUAL FOR 10000 1440 960 720 12000 1728 1152 864 ALL OTHER PIER REQUIREMENTS. PRODUCT GOLDEN OAK UODCL HO. G0521F SO. rr. 1.404 DATE 10723-02 4' SHECT > —A2 pCVISEo - i"v ' :t.J {. . 'n d, ' . '!v = . r .ti '. f .. "! {' �, N.'��t..... v .. �.f' .. f : 1' y , i..•' .. v E.H..USE ONLY Plot Plan Anac -d 1 Float Plan Ataaclud Soul to B.D. COP). TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner V - Location AP# Plan Approved fo,r-Sewage Disposal, Water Supply: Public Private Well Clearance for'�dwelling. Other'1" Hold final for: Final clearance O.K. for: NOTE: Environmental Healt -Specialist / Date 8156 ►� Z I � 0 i I 1 i"v ' :t.J {. . 'n d, ' . '!v = . r .ti '. f .. "! {' �, N.'��t..... v .. �.f' .. f : 1' y , i..•' .. v E.H..USE ONLY Plot Plan Anac -d 1 Float Plan Ataaclud Soul to B.D. COP). TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner V - Location AP# Plan Approved fo,r-Sewage Disposal, Water Supply: Public Private Well Clearance for'�dwelling. Other'1" Hold final for: Final clearance O.K. for: NOTE: Environmental Healt -Specialist / Date 8156 z NOTES RESIDENTIAL X40-260-057 PERMIT NO. —. .._.__ �.._.. _•_.� 04-0963- �— HUSING, DOROTHY 1823 LAURA LN, DURHAM Cont: OWNER TEMP>M/H INSTALLATION F ` I d r 5�.�" ={.= SPECIAL CONDITIONS CHECKED 14 BY A i" FLOOD CERTIFICATE REQ. Fkor_�nnd.ni_I�I C.Dc_O.C!_l _ _ (A S 'OFFICE COPY r _ Address u; yy S, GAS • G i f Meter By Dates � '— LECTRICr By Date` !i 11 In � .� 0 , �aC� all � � Cao-fo/ 1: JOB FINALED (Date) v i. Signature J=OK �� 0 0 = NotOK . = NotReadyable MOBILE HOMES Date MOBIjZ'HQME UTILITIES (Plans) OK except #'s 3.-I'So , S al MH Support Sketch e ocation-Test- Fall -C/O-Concrete er; Location -Test -Easement Needed (S tch) lectricity; Location -Clearances-Grnd-/.fA/Amp-Concrete (r' Gas; Location -Test -Wrap;-/ /" L 'ft. /(9,A' Nat. or/ /" L "ft./ P LPG Clearance & Disconnect tility Clearance Date + Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HQW INSTALLATION (Plans) OK except #'s Line 44-EIe�y;,MH Test -Crossovers -Breakers -Clearances r • HJest-Fall-Flex Connector A-WaTer5n_ j.Sewer Connected -C/O to Grade -HD Approval 6!Ti$PaVVns-Type- Instal lation Cert. 1 xits; Insp.-Sketch 11. Cert. of Occupancy ja 'Oc'w ;W, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date4- - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 6. Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements Electric 8. 2. Footings; Size -Spacing -Marriage Line 9. Siding; Nailing -Veneer -Stucco -Mesh 3. Blocking Roof; Shthg-Roofing 11. 4. Gas; MH Test -Demand -Valve 12. Braced Wall Panels 5. Electricity; MH Test 6. 6. Water; MH Test 7. 7. Water and Sewer Connected 8. 8. Gas and Electricity Tagged 9. 9. Exits 10. 10. License Decals 11. 11. Verify #'s with Office 12. Enclosure; Fencing -Alarms Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 ja 'Oc'w ;W, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date 15. Access & Ventilation 47. 16. Insulation 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 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 58. 23. Fire Sprinkler; Test 59. Glazing Area -Glass Protection -Skylights -Plastic Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date Brace Interior/Exterior Wall Panels 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 FINAL (Plans) OK except #'s 27. Romex Installed Close to Edge of Studs & C.J. Ext. Steps -Door & Sidelight Protection -Landings 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Smoke Detector 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At Bedroom Exiting 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No G.F.I. & Bath Fixtures & Tub Access -Spa 32. Service -Riser Conductors & Ground Main Disconnect Elec. Trim & Subpanel, Breaker Sizes & Labels 33. Equip. Clearances Panels-Motors-Mech. Equip. Stairs & Rails 34. Clothes Closet Light -Shower Light -Spa Light Fireplace or Stove, Clearance -Hearth 35. Smoke Detector Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 76. 36. A.C. Ducts Insulation & Support 77. 37. Vent Fan, Exhaust above insulation 78. 38. Condensate Drain & Overflow, Size & Grade 79. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 80. 40. Attic Access & Platform if Furnace in Attic Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 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 Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: / T GSC/ ' '✓ 7 PERMIT NO.: I -7f Owne?s Name: Owner's Address: Mobilerp9 Manufacturer. jjjj 1'11 S /,� l� , Year of Manufacture: '-.9 00 Serial Number or V.IIX: tq Insignia or HUD Number: c Offiaf ap%pfoving i stallation: Date: (� If the mobilehome is moved,of relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B .; White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor rtUtKAL tMtKUl:N(:Y MANAUWI:N 1 AUtNUY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE. Important: Read the instr dons.�n aaaes 1-7. A - PROPERTY OWNER INFORMATION STREET ADDRESS (IrnGuding Apt, Unit_Suite, aridfor Bldg. No) OR P.O. ROUTE AND BOX Block_Numbers, Tax Parcel Number, Legal Description, etc:) O.M.B. No. 3067-0077 Expires December 39, 2005 ZIP CODE J Bull. USE (e.g., Resfdentlal, Norr•residential; Addition, Accessory, etc. Use a:Comments area, ff necessary.) X1e S c 'I) 2X 'i /4 L-- . LAT UDE/LONGfTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS,(Type): or ##.####tP) NAD 1927 ❑ NAD 1983 USGS Quad Map ❑ Other: - FLOOD INSURANCE RATE MAP B4. MAP M PANEL appear on the FIRM? 0 yes [.. No 137. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NLWBER B5:.SUFFIX W.FIRMINDO(DATE. EFFECTNE/ROMEDDATE.. BS..FLOODWNE(S). (ZoneAO,isedepthoffloodng). 06007 C '' G w I ►t<Jthe bmFdvtudden9 (Descnbe.in a Comments area) ��3 . I �ft(irn) E o4n I...i....M N... ..�-td_ I .�(m) li Z.9 O 9) H'rcgnest adjacent (fin'nshed) grade MG) g �ft(rrn) c —•-• --I— 'Ju =VrWaxIMUUUwU1C10ptlUulEW. 0 FIS Profile FIRM 0 Community Determined 0 Other (Desalber B11. Indicate the elevation datum used fbr the BFE in 139M NGVD 1929 0 NAVD 1988 0 Olher (Describe). B12. is the budding locatedima CoasW BiMerResom es System (CBRS) area or0thwmse PmWcted Area (OPA)? 0 Yes , No Desi=tion Date SECTION C - BUILDING ELEVATIONINFORMATIO(V (SURVEY REQUIRED) Cl--. Building•elevations are based on: 0 Construction Drawings* 0 Orilding Under Cmstmrc of tSTFinishedCalstruction *A new Elevation Ce[tificate '8 be pedtnen construcson of4he baadi is C2. Building Diagram Number (Select the building diagram most similar to the building, for which.this.cKlifi ate iS being.corpleted - see pages.6 and 7. If. no. dragam . accurately.represents the budding, provide a sketch or photograph) C3. Elevations -Zones Al -AM, AE AH, A (with BFB, VE, V11/30, V (nMtit BFE), AQ ARA' ARAE, ARAl-A30, ARAH, AR( Complete Items C3. -a4 below aocardulg tothebulcongdagram specified in Item C2. State the.datun.tued, if thedaturn is dltferent.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 c abilation. , Use. the space provided or the. Comments area of. Section D or Section: G. as appropriate. to docunent.the.dalu m:conversion. DaturniV L *onversioNCammenls Elevation reference mark used`c- oes ovation reference mrark used O a) Top of bottom floor (inducing basement or enclosure) appear on the FIRM? 0 yes [.. No O b) Top of next higher floor O c) Bottian of bwest hatmW stnrctival ma nber (V zones ony) (3 d) Attachedgarage = _ft(m) m (top ofslap) O e) Lowest elevation of machinery.and(or equipment w I ►t<Jthe bmFdvtudden9 (Descnbe.in a Comments area) ��3 . I �ft(irn) E O Lo 9 (LAG) I .�(m) li Z.9 O 9) H'rcgnest adjacent (fin'nshed) grade MG) g �ft(rrn) S O h) No. of pen rwwt openings (flood vents) within 1 ft above acjaoent grade O ) Total arm of all permanent openings (flood vents), in C3 h — sq. -in. (sa cm) J his certification is to be signed and sealed by a land surveyori-enginw. or architect authorized by law to-certify.elevation information. ! certify that the. IntbrmaUon.In Sections;/{ A and c on: this cewflcate represents:my.best efforts to interpret the. dalawaflable. l understand.that an . false stetementm :be: unlshableb ..%rne. arlm risonmentunder 18. U S.. Cgde Section 1001...._.. . CERTIFIER'S NAfNE M MM 2 iaC NUMBER / ISS C7 TITLE'COMPANY-NAME( . � i o lr-(' }� 72.31 © _ `� J . -- ADDRESS 2 � � A ( oc �, n - ^ - - - Ct at'n�.. - FF.MA Fnrm A1,i1 .lannary ,> n13 .RAA rAvaraa a rrlw;fnr:nnnllnuaflnn RRrilar.PA all nmVinlin arlitinm IMPORTANT: In these spaces, copy the corresponding information from Section A ....... ... ... . ... ......... 1 ....... ... .. .. BUILDNGSTREETAODIRESS Ordudng Apt., Un� Sufle, and(or Bk�. W.) OR P.O. ROUTEAW 80XN0. ... ......... ...... .......... ....... .......... ....... ......... ........ ... .......... ......... .... .............. . ... ............... ....... CIIY STATE ZIPGODE . . ......... . ......... . ........ ....... .. ......... .. ............................................. .. eL (+A-, Cwt 99 A9319- - . I............ SECTION ID - Copybolh sides of Us Elevalon Certificate for 0) community official, (2) it agentlicaTipany, and (3) bulding owner. COMMENTS.,, —r -7,s yt-N -4.3 eAa- ftk Z) 6- 5 f 15'/,771 Check here ff attactnents AOANDIONEA 'For Zone AO and Zone A (without BFE), complete iternsEl through E4. If the Elevation Cirdi;ate is intended for use as sLipporing inbr-nation for a LOMA or LOMR-F, Section Cmustbecornpided. Et. Boiling Diagram Nwbw_(Sekd the WIdng chgarn most sirnilar to the building for whichhis certificate is being completed- seepages 6 and 7. lfriodagramaoct:irately, Wesents1he bbilding, provide a sketch or photograph) E2. The top of the bottom floor (educing basement or enclosure) of the buTding.is _fL(m)—ih.(orri)0"eqr [I-betow(dieck one) the highest a4acentgrade. (Use rfaVal grade, ifevailable). E3. For BUilding Downs 6.8 with openings (see M 7), the next higher floor or elevated flow (elevation b) of the building Is ft.(m)_In.(cm) above the highestacfacen't grade. Complete.items C3.h and-C3j on front of form. E4. The top of the platform of machinery and1br egApment servicing the buildings _ ft(m)_in.(cm) 0 above or [I* below (check one) the highest a*xent grade. Pee natural grade, if available). E5. Forgone AO oW., ff no food depth numberis wWla* is the top of the bottom floardevated in accordance with the cammunily's floodplain managementodriance? 0 Yes 0 No TI Unknown. The txd official must oa% this iftndon in'Section G. The Prol" owner or owriWs authorized reMserVIafivewho completesSections kB,C (Items C3.b ardC3.i Ont), and for Zone.A WthoutaFEMPWswed orcmmn*4- issued BFE) orZone AO mustsign hem 7hostdemerb#iSedonsAB,.0acrd Eare cared tofare bestafiWimwWW. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATWS NAME ADDRESS CITY STATE . ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS - COMMUNITYINFORMATION The local Offic ' ial whoa authored by law or ordnance to administer the communiVs floodplainmanagement ordhance can complete Sections A B. C.(dr E), and G of this ElevationCaftatt Complete -the applicablelw(s) and sirbelow. 01. 0 1rhe in.fbimatbn in Section 6was taken hM other ' d6me ' nh6n that ties been signed mid . embossed by6iriseclsuveyor, engineff,'or, architectwho is authorized by state orlocal lawtDoer*elevation -Wbimatiort (Indicate the source and date of the elevation data in -the Comments area'below.). P2.0"Accm'mu*.dW'bonpfibdSection Efor abuickngloaned inZone A6fAwaP6slued orcommunity issued BFE) :ceZone AO. 03., 0'Th0dBowing lrftrrdboh jft'ns:GVbg) is pwdkft Ca! uhlylooWn management purposes. rtKPAI I NLIMtf4K- G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE CF d0MPuANcE=UFANCy ISSUED 'G7'."MWr�dtm'bem'i=W.for'[:]'NewConshdon -C]Substarftlkipruvement G8.Elevation ofas-tint bvAzt,w(irdudngbasemenoofthe buildngis: 'Datum: G9. BFE or (in ZoneAO) depth dlocdng atthebtilding sbiT -DAM: LOCAL OFFI TITLE COMMUNRY NAME TELEPHONE SIGNATURE DATE" COMMENTS Check here-ffbbaments FFMA Fnrrrt R1--34- Ipnl jary 2nn,,j RAnirmna all'nmvintmr Arfiffnnq BUILD G STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No) OR P.O. ROUTE AND BOX NO. Cor i�ari}... C Rlutk e l 23'> Liv /z�l C STATE. ZlP CODE _ 2l�lA� �A X5930 PROP RTY DESCRIPTION (Lot,and Block.Numbers, Tax Parcel Number, Legal Description, etc:) -- PA1 BUI%NG USE (e.g., Residential, Non-residential; Addition, Accessory, etc. Use a:Comments area, fFnecessary.). 1� LAT fUDE/LONGFrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS.(Type): ( W -##' -##JW or ##.####No) NAD 1927 ❑ NAD i983 USGS Quad Map ❑ Other. SECTiONB - FLOOD INSURANCE RAiE IVIAP (FIRIII� INFORMATION 51. NFIPCOMMUNITY NAME & COMMONI Y "13ER B2. NAME 63. STATE 1�01 TC T boo I'�- J TTS r A B4. MAPAND PANEL 5B7. C1'. Buikfing elevations are based on: ❑ Cor>dLdon Drawings' [] I ubrig Under Const uctiore (Finished Corfstnxtion 'A '11beil FIRM PANEL newEleration Cerlikata eed when construction of the i is,cor .. n9.. B9. BLASE FLOOD ELEVATION(S) WABER 65:.SU1:M. BS.RRMINI)OWATE. EFFECTNE/Rl=1/{SEDDATE. BS..FLOODZONE(S). (ZoneAO,use depthoffloodny). 01A I...�6....Mu.��-..Y-_to_n___r•.__vr.__-_c_-....•.r..•. Section D or Section. G, :as appropriate, to dockment fhe.datum:conversion. DatuW&VO 2`bonversiWNC encs � _ ... .. ._ __ ,• • r+ ntiu ucvawrl ko G j uala U WGJY INUI] utpu l tmwum in tw. FIS Profile FIRM 0 CommuniyDetarnmed Q Other(Desorbe), B11. Indicate the elevation datum used fbrthe BFE in B9% NGVD 1929 Q NAVD 1988 0 Other (Describe): B12. Is the buBding located ina CoaslalBarrierReso=e!s System (CBRS) area or 0thwA ise PmtecbdArea (OPA)? Q Yes ,M No Designation Date SECTION C -BUILDING ELEVATION INFORMpiTIONt(S-URVEY REQUIRED) C1'. Buikfing elevations are based on: ❑ Cor>dLdon Drawings' [] I ubrig Under Const uctiore (Finished Corfstnxtion 'A '11beil newEleration Cerlikata eed when construction of the i is,cor .. n9.. C2. Builclng Diagram Number (Select the buifcLng diagram.most sbnlar to the building4br wflich this certificate is being .completed - see pages.6 and 7. If no. diagram. a=Mtey.represenis the building, provide a sketch or. photograph) W. Elevations -Zones A1,A30, AE, AH, A (with BFE), VE, V1 _W0, V (with BFE), Ap, ARIA, ARAE, AR/A1-A30, AR/AH, AR(AO CmVete Items W. -ami below according b the buRding dagam specified in Item 102. Slate the .datum. used, if 1e datum is dlffaent.from the datum used for 1hei3FE in Section B, convert the datum to.fhat used for the.BFE. Show field measurements and' datum.conversion cabrlation. • Use the space provided or the. Camtiterlts area. of. Section D or Section. G, :as appropriate, to dockment fhe.datum:conversion. DatuW&VO 2`bonversiWNC encs ._ Elevation reference mark usedk V S6�thEs �evaev onnereference mark used appear on the FIRM? _ Q Yes [$ No ❑ a) Top of bottom floor (ncludng basement or enclosure) 151, UfLon) 13b) Top to ,; EssiO, �l of next higher floc ❑ c) Bottom of lowest horizontal strucdual member (V zones ony) _ m ��@ ,� E. !! —g�) 0 d) Attached garage (tap of slab) = O g O e) Lowest elevation of machinery.andbr equipment servicin9�the m dri9 (Descnbe.in a Cmvnentss area) �St3 . I �(L(M) E RCE 24016 Expires 12 -31-05 '1C 0 fl Lo D 9) Highest agacent (fin � grade (HAG) rig () I onish4 grade (LAG) �s'p,� C 1 V erm ❑ h) No. of permanent openings (flood vents) within 1 fL above arijacent grade Nom,¢ g` F OF CALF 0 ) Total area of all pennarrentopenings (flood vents): in C3 h — Sq. n. { q cm) This certification is to be signed and sealed by a land surveyor;.engines: or:architect authorized by law to ce W.elevation information. / cert/fy that the. Information In Sections;A, R, and C on: this ceWficate represents: my.best efforts to Interpret the. data.avaiflab/e. 1 understand that anyfalse statement may:be punishable by fine or Jmp gnment under 18 .1 U S Code, Section CERTIFItRS NAME uCENSENUMBER TME 12�os 0w rJ i2 pal n)c..- Coct� S�c-i , .tii G- v, t'rvG-i �2 ADDRESS_ ....... __ ... _.. _ . _ ..- . GITY_... . ......... ... ....... O L3 - Z c. ....STATE.. _ .. .. . _.-:.ZfP CODE .., ........ t��2�ai sfGNAIU 67- . 24 - DA _. ..... ._ - -- S� i _ 30� �..--9A3..1....- . Ho n FEMA Fnrm R1 31 .lanuary 9nf)3 RAP rAVAMA cirfp'fnr;r nnflnllafinn Rwnlar.Aa all nraJinuc PAitinna Z IMPORTANT: In these spaces, copy the corresponding informiation from Section A CffY STATE ZIPCODE SECTION D - Sukm -OkENGIN" E-E"R'' OR -ARCHITECT CMFICATION (CO .0. NUM Copyboth sides of this ElevationCeitficatefor corrimur* o1ficial, (2) insurance agent1barpny, and '(3)buildN owner. COMMEWl's. Ann> t r jZj) .4j S 77, Check here if attachments AOAMZONEA For Zone AO and Zone A (Without BFB; ccnrq1e1B Items1E1hwghE4. If the Elevation C6rtlicate is intended for use assiqxr1ing information fora LOMA or LOMR-F, Section C must be oor"W Et. Buldng Diagram Niumber�_(SeWd the building diagram most sirnilar to the buldrig forvuhich this certificatii is beingcaTpletad— seepages 6and T. Ifryodag*amacc=t* reprmntslhebuldrig,provide aske�horphotDg*.) E2. The top of the bottom floor (nducing basement or enclosure) of the buTdng.is _ft(m)'_lri.(=)0abweor Ej below (check one) the highest aqacent grade. Pse naW gra* I available). _7 E3. For Building D00ams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building Is ft(m) _ln.(cm) above the highest aqaoent grade. Complete.iterns C3.h and C3j on hat of form. E4. The topof the platform of machinery ancVor equipment servicing the buildings y 1(m)_in.(p) 0 above or []-below (check one) the highest aqwent grade. . Pse nature grade, if available). E5. For Zone AO ortf., If no flood depth nmilwis availab1% is the top of the bottoms flocrelevatedirracomlarice with the cammunily'.s ffoocWn management -ordnance? -0 Yes , 0 No 'El Unkncim The local official mustcW* ftihIbirmation in'Section G. The property owner or owners authorized repesentative who corrpietes Sections kb,'C(Item C3.h ancIZU&M, =Efbr Zone 'A-'(wi W a FEMA iss orlciw'miinfty- issuedBFE)orZane AOmustsijnhere The statements #'SecffomABC,.acrd Eare caned toBre best ofniylmdedge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATivES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Lf Check here ff The local Official Who is authorized by law or ordnance to adininister the =nmuWs floodplain . management ordnance can complete Sections A B, Clor E), and Gof this Elevation Certificate. Comoete-theapplicab101kim(s) and sign -below. G1. E] The inbmajron in mon C was taken from other d=,nentation W has been signed and . embossed by . a kensedstrveyor, engineer, . orarch . W Mos authorized by state or local law to W* elevation- information. - (Indcate the source and data of the elevation data in the Carriments area below.). corrim P2. [T -A uriity dkiat-c-impleted Secton E fbr a buldrig located in ZbneA (WW a PEIVWissrred`or oon unfty4sUed BFF):or Zone AO. uhN_ffooi#4inmanagementpLuposes. cm. LwamnoraS-bUltMedgw(lrnWngb3wnehQofftbuitdris: .4(MY -Datum: G9. BFE or (in Zone AO) depth of flooding at the txildng site is: Datun: LOCAL OFFICIALS.NAME TITLE COMMUNfTY1VAME TELEPHONE SIGNATURE DATE COMMENTS attachments rrjvim R'Anineiag all nrpvinuFc ,tjifinn! BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040963 LICENSED CONTRACTORS 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 Issued Date: APN: 040-260-057-000 the Business and Professions Code, and my license is in full force and effect. i L `7 License Class: % / i se Num er: `1 U� Site Address: 1823 LAURA LN DUR Date: �' 'C> Contractor: Map Index: OWNER -BUILDER CL TION I hereby affirm under penalty of p rjury that I am exempt from the Description: 2ND DWELLLING MH AS BUILT IN FLOOD Contractors' State License Law foe the following reason (Sec. 7031.5 ZONE Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: HUSING HENRY &DOROTHY FAM TRUST A signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or HUSING DOROTHY G TRUSTEE she is exempt therefrom and the basis for the alleged exemption. Any 1823 LAURA LN 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).): DURHAM, CA 95938 ❑ 1, 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: HUSING HENRY &DOROTHY FAM TRUST A provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of HUSING DOROTHY G TRUSTEE proving that he or she did not build or improve for the purpose of sale.). 1823 LAURA LN ❑ I, as owner of the property, am exclusively contracting with DURHAM, CA 95938 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Contractor: Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 License #: is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Polis : ZI certify that in the performance of the work for which this permit is Total Square Ft: 1404 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $91,260.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - c J Date: / Applicant: WARNING: ailure secure workers' compensation coverage is unlawful, an shall bject an employer to criminal penalties and one hundred th usand 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. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrUor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio s to do work indica, ed bo e r wh'ch fees have been paid. Name: By: Date: c� PERMIT EXPIRES ON: 3 Address: at ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 1 am th owner ly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub t nc of an offs 'al form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p se Print Name: el `et �� `e t'/� Signature: 3 C% Date: /Agent 0 Owner ❑—Contractor for Owner LI Agent for Contractor Maw BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 I PERMIT NO. DATE: _ _ O. / APN: c / , J IIJJ `� (` 'UI O OCITY, ZONING: I NEA�EST SS GREET: C ' Q QCl TRACT/LOT#: SITE ADDRESS: 2 3 L g 1, r 0. L A n-2 ZIP: 1'1 h r h a 4i OWNER NAME:.y� J7 1 PH�jNq q ( / STREET ADDRESS: S4 •n.Q. FAX CITY, ZIP: E-MAIL: APPLICANT NAME: C J PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ' 1/0 !✓lSA(,� 95D"t 61 A�hn Dy-dS- ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) �L P4-- Q X26 t-- SAC EXPIRATION OF APPLICATION - Applications for which a permit has not been issued'will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: /� y Application Received by: Date: 417lo4- Receipt number: 3 q ¢607 Amount Received: 4os B. C. Building Permit 01-23-04 pg 2 i • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • • ' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET T (� c7 OWNER: 4�s /IY) �'�Y o -u ASSESSOR -I V - I O.. Z(g ' 0��7 jA�}S- PARCEL NUMBL£' Proposed Building Use: Counter Technician: / 14 Date: C W ( terns required in order to apply for a permit. All boxes UST be checked OR marked NA in order t6 apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. / XC 7. Statement of Intent�/) heatedSand*ef"on=Resideptial Buildings. 8. Manufactured ho ta sheets and installation inst, = arriage line info, (mor Plan down fnd plans "II in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C)levations in triplicate. (D) Floor plans in triplicate. All of these a' Flood Elevation Certificate, wet -stamped and signed, in duplicate' �J 6 an uslness Icense approva rom e I y o Iggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form,filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ /20. Erosion Control Plan Required........................................................................ ........ G 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ��24. 23. California Department of Forestry plan approval ❑paid. Sent by: ............. Planning approval (A) Use: Q)G(B)Parking: (C) Parcel Check: P ❑ 25. Contact Land Development about Improvements, ._ Drainage ......................... 26. NPDES Form............................................................................................. f 27. Encroachment Permit for driveway from the Public Works Dept ........................... 101�N 28. Pre -Inspection -for required....... El 29. Contractor's Iicense;nformation. (Number, Name Style, Classification) ................... 30. Worker's Comp ❑ ` ensation Carrier and Policy Number .................................. ........ `3 1. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ........................................ - .......................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. - ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits...................................................::.::. ❑ / 36. Deed striction......... ..... . 37. rant Deed, TitlelStatement of Facts, O er from Legal Owner, ❑ c to H.C.D. $ 2�-- 0 38. Other:' ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: te: ,r;tea., �s' /�u�.• a 1. Index permit application for the aboditems numbered: G Z ( Plan Check Letter 2. Additional items reQu d -11 r -----^'"" Contractor, designer, owne was advised of the above data by phone, ❑ mail, ❑ counter, by Date: '7J"� of Contractor, designer, owner, was advised of the a� ata by hone, ❑ mail, ❑count b Date: Plans reviewed by: VEL Date: Plans approved by: Date - 2Q Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES VIA /Lin ... ,1/l.0 +Q A P it T)L4r)-2t,-D - D5`3 PROPROSED BUILDING USEy�d t✓ 14 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ iM+ .-----Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES ��rl ,h') I (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Divisi Residential............ $3� =$ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. DATE RECEIPT # DATE REC. 4. URBAN URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. ¢OS6s� Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES �✓ (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be change4 during the plan checking process. APPLICANT 47) Elf / DATE 7 - S all Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement !LESS THAN 1 ACRE1 Project Title: SVVgeA D q - 69 V3 220 0, U�2 _� By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs I acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs I acre or more of land. I, further, certify that this project will not disturb I acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:! Title: C Date: -17 NPDES & SWPPP Non -Compliance Certification Butte County Storm Water Management Program Revised 7/01/03 O.B.- I 0 OWNER -BUILDER VERIFICATION Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received.. 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO D I HA HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have ntacted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAM9: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ PROPERTYOWNER: 0 DATE:_ a o a NOTE; This Owner -Builder Yer*ation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our offue before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a binding permit has been submitted in your name listing yourself as the budder of property improvenen s specified. For your protection, you should be aware that as "owner4n lder" you are the responsible party of record on such a permit Building permits are not required to tae 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 Sime 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- Ifyou plan do do your own wow 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 $300 or more for the entire project and such persons are not licensed as contractors or subaonhacbors; then you may be an employe ♦ If you are an employer, you must register with the State and Federal Governments 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 tmemPloyment compensation contrbuions. ♦ There may be financial risks for you if you do not carry out these obligations, and these rWm are especially serious wig respect to worker's compensation insurance. Formore specific mformation about yotr obligations under Federal Law, comma the Infernal 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 Lx nc dat Accidents. If the structu m is intended for sale, property owners who are not licensed contractom are allowed to perfomn their work personally or through their own employees, wrthotrt a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit erroneously imPb* that the property owns is providing his or her own labor and matmial pemnally. Building permits are not required to be signed. by property owners unless they are perfanming their own work personally. it on about licensed may be obtained by comizactmg fe Contractors State License Board in your oamanmity or at 102014 Street, Sacramento, CA_ 95814. Please complete the "Owner Builder Verif coif on" on the reverse side of this foffi so that we can confirm fiat you are aware of these matters. The building permit will not be issued until the verification is retzmmed. F?,iBuilding VC.B.O. Inspection NOTA T giir Owner-BuSdwWommfion is required by Sec don 19830 ofBre CaFiforzzk Health mcd Safety Code OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 1('iYl rl !1'1 a` ✓1 ;.F I / I Building Department No. A.P. NumberJurisdiction: City OCounty Property Owner J� /, 11 ! e T7"(1, i 1 f' -]c 1 Property Location/Address Subdivision Lot No. ......................_....................................... :............................. _...... , Residential Development ® � Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ' ............................................................................................... _... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) L222� Building Department Representative Date District Identification No. NA- (,( -School District certifies that Z) 090 Tib (Applicant) T&O" (Street Address) (Phone Number) 0s�3 (City)(State) (Zip Code) lias complied with the requirements of Resolution No. representing /ybsquare feet. �0 d 1), by payment of $ sees t FULL Mf:IGATION $ School District Representative Date t Paid by Check # Remarks: Yom' S M4 I VCT> r L / &Z M"/2Y 0,0 7 mIPAJ As E Notic You may protest the Imposition of the has Identified above by submitting a written protest to the DishK In compliance wkh ` Government Cote Section 66020(a), wltidn 90 days from the data fees are paid. Failure to submit a timely written protist wlk'prohiblt ybu from challenging tM Imposklon of the hes In any court action. 11, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the 8ehool District Is nottilsd by the applicable Local Planning Agency that the ptr)tet Is being reviewed under the CdHomia Environments! Quality Act (CEQ4 this po act maybe subject to additional school ha to fully mkgste.its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm /.`"`.'"%,�._.,�-•.n.!'-i^r;c�'u7�'�yr,..,--"}--.�r'ay.,.+�v. ""a :-.- �r'Yt-.,'-n.'�,.,tiJ��,-.-=���,...-�-v+.=-'-,.,-�-tr-r�•}�`�'si�-'�..=�v= 5'r.;`.; iY-r•�f� d'�;^�yg1''�'7�"'r'^�� Y.. s; `,Y,�'t;.. %f�. x ,t-` ° , �� � - � r ' c-: � " :. BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assesso��Parcel Number (s):���- Property Owner (s) : / US) .,Vl Project Location/Address: % of ;�%� (l/lili�'i2C',, ( s. Subdivison Name: Assessable Square Footage: Type of Residential Development (check. -one): New Development ❑ Afteration/Addition Mobile Home (s) ❑ Non -Residential to Residential Comments: � � ' 171/ it,5,111 it i Z Building Division Representative Date_ Durham Recreation and Park District (DRPD) certifies that oro (n� 3q2 v Applicant Name Applicant Phone Number Street Address I�c t X_ hd Ar i_ X75- q -3 City State Zip Code F has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment i,11 1 f� of. $ Ll ho /0 L/ D'uPD Representative Date PAID BY CHECK No.: Remarks:. BANK No.: _ q D - 3,5 oLl PAID BY CASH: RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION Butte C;'ounty Department ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile November 20, 2003 Dorothy Husing 1823 Laura Ln. Durham Ca. 95938 RE: Building Code Violation Location: 1823 Laura Ln., Durham AP # 040-260-057 Dear: Dorothy Husing: M of Development Services Pursuant to Butte County Code (BCC) Section 41-2, you are in violation of the Butte County Code, at the above - referenced location. As of this date, the following violations exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a mobile home and installation of utilities and occupancy prior to final inspection. (a) Section 28A-1/1018 Permits Required for any Plumbing or Electric (b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric (c) Section 28A-1/1034 Permits Required for Mobile home Installation (d) Section 28A-1/1326 Inspection Required for Mobile home Installation The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. r�: Dorothy Husing November 20, 2003 Page 2 Sincerely, Bil�� Varr�on��� Supervisor Building Inspector SR: ms 0."Asessor BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! (2) Z Name HUSING HENRY & DOROTHY FAM'MUM, Asmt # I I{ Status ACTIVE Addrl HUSINGAr:OROTHY GTRUSTEE_ ._ Tax 000 NORMAL OWNE Addr2 j1�523 LAURA LN �� Situs 1823 LAURA LN DUf Addr3 DURHAM CA.95938 Base Dt 01/01!1977 Addr4yy Land QTimberPreserve Structure AgPres Fixtures Comments 14026005700 CONVERTED 09!08!88 fy:jEtal 'Creating Doc# 1972191736347 Date (J Notes Growing Bonds Total Current Doc# 1995R20295 Date 06!19/1995 Fix. R Killing Doc# — – Date Q Multi Situs MH PP Flagl Asmt Desc 005.00 AC DURHAM SuplCnt�i Flagg PPg Zoning A5 � Dwell 1 j Q910 MH Exempt__ Asmt PP Pen Net Acres/Sq Ft 4.82 NIC 040 RIC#� Tax PP Pen UAppeal Pending T/R DtF r Split Pending RIC Stat_ OWN IEXP l TAX HON I ATT IC 07 040-260.057.00011 Status Date IP jTRA 070 013 T E APR II PCL 13:27:21 PM PERMIT NUMBER - B 2-72B 9 P 2-72P fi E 2-72E PERMIT EXPIRES -� 7.3 OWNER H. J. Husing CONTR:. owner LOCATION (A.P. 4.0-26-11 ) f �,• s/w corner`of Lott Rd. & Oak Lane, Durham I-3-73 r S DATE REMARKS OR CORRECTIONS S �! 0 w C -C/ y- —9 --7 le7 ` s 57 res COUNTY OF BUTTE Department of.' Publig Works BUILDING INSPECTION RECORD Zoning Setback 5 - �� ` 7 2— Forms / Foundation Li "� 7 Piers & Girders �— Fireplace Rgh. Plumbing =:2Z / ` Bond Beam -------- Lath & PlasterZ X74- Rein. Steel Gas Piping & Test A ' Z A Found. Vents Framing i - % Plmg. Topout ��7Z Rough Elec. Sy!- Wtr. Htr. 1 `% Furnaceti - L Kitchen Vent Firewall Garage Vents r Sanitation & Water ELECTRIC ;s GAS. BUILDING Temporary., Temporary Cert. of Occup. Final Final -/3' % Final % ' :3 _ZZ� DATE REMARKS OR CORRECTIONS S �! 0 w C -C/ y- —9 --7 le7 ` s 57 res Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address \ to COUNTY Of EVTTE P M DEPARTMENT :OF PUBLIC WORKS 1 ` 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT A. P. No. Fire Zone Zoning Sanitation �• Planning Plans • Fees ( W.C. achment NEW Q ADDITION El REPAIRS ED OTHER 0 Others Single Multi USE OF STRUCTURE Family [] Duplex 0 Dwelling F__j Others F 0 U N D A T 1 0 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists- 2nd Floor Fireplace Joists - 'Ceiling Total Valuation Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAIN A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter_ 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No . ........................... Classification............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption...................................................................................:.............................................................................. .................................................................................................:................................................:................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am -.aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. X....................................................:... D ate ................................ SIGNATURE OF PERMITTEE OR AGENT r ReceiptNo.......................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable•;provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ......... Permit Expires Date.......... ............ s. '� / i ,� '�� yi // f w ._ . � �� `/s ./ r —V V r � r� J/4 -y f�' �� + � A ��� ��• C t COUNTY OF )3UTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING PERMIT Permittee Owneri L A.P. No. 1 CJ Mailing Address Contractor Mailing Address BLDG. Address i i ,_ fr'c-1`� � /�..� l,, ,_„� , ���.. i • - Remarks: TOTAL FEE @ DESCRIPTION OF WORK $2.00 No. _ NE`0 ADDITION � REPAIRS PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap 1.50 OTHERS: Repair or alteration drainage = or vent piping' Remarks: Installation or repair water piping v Each gas water heater or USE OF STRUCTURE gas heaterwent Gas piping system 1 - 5 outlets 4— Single Multi RESIDENTIAL Family 0' Duplex 0 Dwelling 0 Gas piping 6 or more - Each 11 House Sewer -awn Sprinkler system OTHERS: Remarks: TOTAL FEE @ Fee $2.00 1.50 1.50 1.50 = 1.50 1.50 .30 5.00 2.00 $ CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof................................................................................................................................................................................."............................................................. . License No. Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 111. I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). ®, I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption................................................................................................................................................................. .............................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read 'this' application and state that the above information is correct..1 agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. ................' ............................. .a-..:.: ................... Date ...... /:. 1................... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo...... .................... ......... ..................... This .PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By..'............................................................................Date ........................... le� S�ll COUNTY OF BUTTE DEPARTMENT OF P69LPCxWORKS 7 County Center Drive - Otoville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner ' A. P. No. Mailing Address Yj ��% __ •�f i Contractor i/ J Mailing Address BLDG. Address �/l,✓ �� — _ / DESCRIPTION OF WORK i NEW 0, ADDITION 0 METER SERVICE 0 OTHERS: Remarks: PERMIT FILING FEE No. Fee $2.00 Supplementary Filing Fee 1.00 Main Service (12`or (more than Sub -panel less) 12) Each - /Range? Dryer or Water Heater — Each LOO Oven. Cook -Top or Space Heater Each ...50 Light Fixtures / / First 20 20 Each Additional - . 10 USE OF STRUCTURE Single Multi Family \ � Duplex 0 Dwelling Q OTHERS: Remarks: I /' I!, / / —Receptacles., Switches & Fixture Outlets l? First 20 .20 Each Additional .10 ' Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum Water Pump r Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE'T'HE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business tit Professions Code under the name style of ..........................................................................._.......................... ..................................................... ...... License No .............................. Classification,,,,,,,,,.,,,,, , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER 8. OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer its for sale. for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, foLother statutory exemption....................................................................................................._........_............................_.. ..._. .. WORKMEN'S .C•OMPENSATION INSURANCE I am aware of the provisions'of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. c • � . � �, �� �. C. DIRECTOR OF PUBLIC WORKS X.................................................................................... Date ............................ ......... SIGNATURE OF PERMITTEE OR AGENT / By......................................................................... Date ReceiptNo..................................................................... md 4' •Ld 1 md Zlgll -7q PERMIT NUMBER B P E PERMIT EXPIRES OWNER H. J. Husing CONTR: Mer LOCATION (A. P. 40-26-57 S1W corner of Oak Lane & Lott Rd., Durham DATE REMARKS OR CORRECTIONS d COUNTY OF' BUTTE ;YI' Department of. P:ublio� Works ... BUILDING INSPECTION RECORD Zoning ls., "' 'tl Setback �� �U_ 7 --/ Forms i' f. / O - 7 Foundation / �. %�% �l" Piers.& Girders `------"`r Fireplace �j °i` Z? "-74 Rgh. Plumbing Bond Beam —^ Lath.& Plaster Rein. Steel Gas Piping & Test Found. Vents Framing �1 Z �- - %(r Plmg. Topout— �— —4-J, Rough Elec. Wir. Htr. '�---'� � Furnace Kitchen Vent Firewall Garage Vents------' Sanitation & Water -"--�" ELECTRIC GAS BUILDING Temporary . Temporar Cert. of Occup. Final __ r- �i Final 7 - Final — 7.6 DATE REMARKS OR CORRECTIONS d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = • OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. X ^ Date � (112 J Signa' o erm4t9e or AgpFt Receipt Nbl' .1 1 White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECBLIC WORKS By TOR0 PUDate �� 2 `� 7 3— Suiiding permit expires Date ...�._._.. BUILDING Owner r u ih SQ. FT. OCC. BUILDING VALUATION Op L CO bO. Mailing Address 3 03 Telephone No. Fireplace Op. Contractor ®cd Total Valuation Mailing Address Permit Fee o Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Lv hP ��� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 1 p T"% Each Trap 1.50 j-64 Repair drainage or vent piping 1.50 Water piping 1.50 Sia Each gas water heater or vent 1.50 A. P. No. Q� �� --�� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 S Each additional outlet .30 Sani f5tion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 (Bldg. Plans Recd Porcel App ro I Plans proval Permit Fee $ , �� $ NEW ❑ ADDITION 0' UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures , bal 610 FaaS., s ches & fix o lets a CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring l 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ /3,1 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 l Heating IAJ(, Cooling Ventilation Hood 2.00 Permit Fee $ � $ 00 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspect' n purposes. X ^ Date � (112 J Signa' o erm4t9e or AgpFt Receipt Nbl' .1 1 White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECBLIC WORKS By TOR0 PUDate �� 2 `� 7 3— Suiiding permit expires Date ...�._._.. • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 7 County Center Drive — 6roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / authorize repr sentatives t the county of Butte to enter upon the ab ve menti ed property r inspec ' n purposes. X Date Signa �fPitee or Agent Receipt No.���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the. applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date �//4 wilding permit expires Date..��Ow f ............... BUILDING Owner /t//.Y, SQ. FT. OCC. BUILDING VALUATION Mailing Address UOTel D�•�,�/ephon �No.SJ L Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ // ��, Building Address Cp� , (iI�1/V�i� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 &0 r /Zlo. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Z(s j % Zoning & Planning piping system 1 - 5 outlets 1.50 ` Each additional outlet .30 F S>4ierr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans 1, Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ . OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 s� e lyerq Rex ." �-0 � Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal d10 ets 20 Receps., switches & fix outl—+,.,a CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 4==1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 3 authorize repr sentatives t the county of Butte to enter upon the ab ve menti ed property r inspec ' n purposes. X Date Signa �fPitee or Agent Receipt No.���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the. applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date �//4 wilding permit expires Date..��Ow f ............... � 'PERMIT NO. 5$05-76B,E 5, 1 PERMIT EXPIRES � OWNER Henry Husing 3y7—S�S�i 1CONTR. owner ,LOCATION (A.P. 40-26-57 SW corner of Oak Rd. & Lott.Rd., Durham F r i • 1 i. N . Y Temp. Power Pole Called PG&E Temp. Elec. Serv. 6 Called PG&E Temp. Gas Serv. Called PG&E ,los 71-7- FINALED (Date) (Signature) • r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback // 0r-24 Firewall I Pipin Forms A Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings -• Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing - Water Pi in Piers Roofing "7 Sewer Garage Fdn. Vents Fixtures Footings'/'/--,?- Garage Vents Water Htr. Stemwal %(_c Insulation Heaters Slab — L. Prov. for physically Appliances Carport handica ed Conformance of ex. Gas Piping & Te Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough -UU " 77 Reinf. Steel Final Fixtures Bond Beam FIAE S INKL S Motors Framing - Test Water Htr. Stucco Final /� Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch �� -Heating Service Brown 6"�^ Cooling Temp. Pole Finish Ducts Under round. Interior Lath Ventilation Permanent Door Closer Final Final 17 -7 DATE REMARKS OR CORRECTIONS v Ec (NOTE: An entry must be made on this form each time you visit the job site.) •• r COUNTY OF BUTTE —Y DE`PAR* I�fENT OF PUBLIC WORKS 7 County Center Drive — oroville, California 95965 Tel ephofie: 534-14541 APPLICATION AND PERMIT •- •'�- cricom�iouvca 01 UIC County UI butte W enter upon the above-mentioned property for inspection purposes. ' X Date w,� Signa re of Permitee orAgent Receipt . 16-Y,40116 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS Z�- BY Date 1a ilding permit expires Date BUILDING L " Owner r SO. FT. OCC. BUILDING VALUATION 0 Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address'44- s lti� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 y� �G Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 < A. P. No. (% —v Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F �d kion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map 60' R/W Impro/vements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans` pprovol Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 .00 00V OR LES Main service 100 AMP 0RSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others [X Main service OVER 1100 AMPORLESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O P e, OR ADDNS. ( ACC. BLDGS ) 20sgft ,C NEW CONSTR. -OUTLET NON-RESID. (MULTI CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED APLWS-. Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $[ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ,I TOTAL PERMIT FEE d �� •- •'�- cricom�iouvca 01 UIC County UI butte W enter upon the above-mentioned property for inspection purposes. ' X Date w,� Signa re of Permitee orAgent Receipt . 16-Y,40116 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS Z�- BY Date 1a ilding permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Cbunty Center Drive - Oroville, California 95965 - Telephone 916/534-4541` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — _ ZO_ ING BUILDING PERMIT OW NER Henry Hosing TELEPHONE 343-4539 SQ. FT. OCC. BUILDING VALUATION �gv $7,986.00 OWNER'S MAILING ADDRESS 1823 Laura Ln Durham CA 95938 CONTRACTOR'S NAME Cal -Bac Roofing " Central CHH, Inc. TELEPHO 635-2SA CONTRACTOR'S MAILING ADDRESS 11257 Coloftta Rd A-8 Rancho Cordova, CA. 95670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ? . BUILDING ADDRESS s_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1� Describe work: Reroofing with feerabond Tile Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): x❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and m license is in full force and effect. y License No. 379503 Classification A C- i / ❑ I, 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 CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &1 NON -RES,D, SINGLE OUTLET CIR. / Ex. Occu 20050t P�oX OR FIXTURES DAL@300 FIXEEDD APPLNS, OR EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabrI i"f" s,, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. v� , , �� ��_ X Date 3� ! Signature of Applicant—C Owner ❑ Contractor ® Agent n 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 $ --� TOTAL PERMIT FEE $ i dG OCCUP. GROUP I TYPE of CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By L ., r.,. PERMIT EXPIRES D e the applicable provi- resolutions to do fees have been paid. WORKS Date _ . 1/ Receipt No. f - -% � C� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERM NO. ASSESSOR PARCEL NUMBER _ _ _ Z -NG BUILDING PERMIT OWNER Henry Husing TELEPHONE 343-4539 S0. FT. OCC. BUILDING VALUATION $7,986.00 OWNER'S MAILING ADDRESS 1823 Laura Ln Durham CA 95938 CONTRACTOR'S NAME Cal—Pac Roofing of Central Calif, Inc. TELEPHONE 635-2505 CONTRACTOR'S MAILING ADDRESS 11257 Coloma Rd A-8 Rancho Cordova, CA.. 95670 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFO Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ey Describe work: Re—roofing with Decrabond Tile. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 / ,G5�40 Ag Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): RxI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in f II force and effect. y n License No. 379503 Classification C� 3`f ❑ I, 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW -CONSTR (POWER APPARATUS & NON R ESID. 1 SINGLE OUTLET CIR. Ex20@BOa . Occu p�OUTLETS OR FIXTURES BAL®300 Ex. Occup. ou LETS ED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department j� 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all li I I judgments, costs, and expenses which may in any way accrue agai st said o int 'n consequence of the granting of this permit. X Date 3-aLl-bi Signature of Applicant — Owner [n Contractor R 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 $ TOTAL PERMIT FEE $� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 550E 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 Dae _ the applicable provi- resolutions to do fees have been paid. WORKS Date 7 g- _--, _ Receipt No. E3 ? fl ZS WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT October 6, 2003 Marc Bergen 1823 Laura Lane Durham, CA 95938 ,butte, C L A N D O F NATU RAL WEALTH A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 CERTIFIED MAIL Re: •Administrative;Perinit, ADM 04-05 APN. 0.40-260-057 Dear Mr. Bergen: Enclosed is your validated Administrative Permit No. ADM 04-05 to allow a temporary mobile home on property zoned A-10 (Agricultural, 10 -acre parcels). The property is located on the southwest corner of Lott Road and Laura Lane, Durham area. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Roni Thornton Office Assistant II Enc. cc:. Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) Larry Painter Carl Durling ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Marc Bergen FROM: Yvonne Christopher, Director - Development Services DATE: September 19, 2003 FILE #: ADM 04-05 PURPOSE: Administrative Permit for Marc Bergen on APN 040-260-057 for a temporary second dwelling to be located on the southwest corner of Lott Road and Laura Lane, Durham area, on property zoned A-10 (Agricultural, 10 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to . An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Permittee Signature Date oPla er Date Manager BUTTE COUNTiN AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: agEw:!L _ Phone: Mailing Address: E -Mail address Assessor's Parcel Number. 04Lb - 7490 D 5�-- Reason you believe you qualify for the unusual circumstances exception: Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................. Internal Dept. Contact info: ❑ Env. Health KPlanning El Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING For Agricultural Commissioner office use only: (to be completed aiier submitbd ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS(Building) ❑ Exception Recommended Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: AL -4 S tie- w,. Ll vw4 d- A ald InPQQSail+ bd.%.Ut pla��,� is 6&4 loc�%n vm,- Agricultural Department Signature: ` I �4 A Date: 0 Z C/1/03 1-tWtKAL WhKCitNt;Y MANAUhWItN I AUtNUT NATIONAL FLOOD INSURANCE PROGRAM ELEVATION. CERTIFICATE. Important Read the instntdons on aaaes 1-7. O.M.B. No. 3067-0077 Expires December 31, 2005 PROPFART,Y DESCRIPTION (Lof,and Slock_Numbers, Tax Parcel. Number, Legal Description, etc:) BUI NG USE (e:g., Residential, Nor residential, Addition, Accessory, etc. Use a;Comments area, if necessary.). S, •4i._ (W - ##' - ##.#IR' or ##.i%####°) ev NAD 1927 ❑ NAD 1983 SECTIONy6 -FLOOD INSURANCE RATEMAP (FIRM) INFORMATION Quad Map ❑ Other. I Fps lice' Crn 0 (vY:cj q 60o /*7 I 3d Tits I (f)-4 1 B4. MAP AND PANEL appear on the FIRM? 0 Yes (X No 67. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5:.SUFFIX B6:.FIRMINDO(DATE. EFFECTNEIRI:V{SEDDATE. 88..FLOODZONE(S). (ZoneAO,usedepthoffloodng). 06007 C '' G � swung the building (Describe in a Canments area) _ � v - v. 11— 010-4-0 u a Cube r•I000 rieva➢on P -E) Gala or base rlooa depm enterel7ln R - 0 FIS Profile P FIRM El Carnmunily Determined 0 Other (Describe); B11. Indcate the deiraticn datum used forthe BFE in B9% NGVD 1929 Q NAVD 1988 D .Other (Describe): B12. Is the bu8dngbcatedina (basial Bamer-ResowcesSystern (CPRS) area orOtherv&e Prot ctedArea (OPA)? Q Yes .kNo Desienation Date SECTION C - BUILDING ELEVA Cl., Buildng elevations are based on: ❑ Construction Drawings' ❑ blrikLng Under Construction• Winshed Corfstrtrction 'A new Elevation Certificate '9 be iced %ften corstrtxtion of the hM . is. C2. Buildng Diagam Number-0)(Select the building diagram.most similar b the building,for which.this.oertikate it being.00rripleted -see pages.6 and 7. If no. diagram . aecurately.represents the budding, pWde a sketch or photograph.) C3. Elevations -Zones A1.4 0, AE, AH, A (wrfh BFE), VE, V1 -V30, V (with BFE), AR, ARVA. ARAE, AR/Al A30, AR/AH, AR( Complete Items C3. -a4 below aarofdilg to the:building d e am specified in Item Q. State the datum If lhedablm is drlfiaent.from the-datum:used far the13FE in Section 8, convert the datum to. that used for the. BFE Show field measurements and datum.conrersim calculation., Use. the. space providedoc the. Comments area. of. Section D or Section: G, op appropriate, to document ,t o datum:conversion. DaturtiUWa 2�ConversioNComments , Elevation reference mart, d usettne CC, aes evation r+ethfence mark used 0 a) Top of bottom floor (inducing basement or enclosure) appear on the FIRM? 0 Yes (X No 0 b) Tap of next higher floor v, O c) Bottom of lowest ha¢ontal structural member (V zones ony) 0 d)Attached —ftp) _ _ftp) T m I garage (top of slab) .— O e) Lowest elevation ofrnachmery.andtr equipment _ft(m) w o swung the building (Describe in a Canments area) 4 • Lit(m) � 0 t) Lowest adacernt (finlshedJ gale (LAG) /Q�,(m) E z' 0 g) Highest agwent(finished)grade (HAG) f�Ll�fft(m) .0 v' 0 h) No. of remanent openings (flood vents) w in 1 ft above adjacent grade jN/,¢ 8 O ) Total area.of all permanent openings (flood vents) in C3.h — sq in Mimi -' $ECTION;D:-SURV YOR,.ENGINEER,ORAR IITECtCER7]F1CAmoN.... . This certification is to be signed and seated try a land surveyor;. engineer, or architect authored by law to certiiy.elevation infomtation. I certify that the.1ftimation.in Sectlons;A, 8, and C on: ttris. cei fica_,I __-- - - • _ _ - 6, IzISS o c-,,-)a-L C, JIVIWII Vf{C �/ FEMA Fnrm R1 I . annary 9n(13 K Soo rPvo.mn niAq'fnr.r nnfinuafinn G- �rJG-rst��Q. 67- RPnIn :aa all nraJinnc oAiHnnn ....... . IMPORTANT. In these spaces, copy the corresponding inf6migon from Section A !PW.,A.k. ....... BUILDNG STREET ADDRESS Oriot udifg-Ag., Un k Sufte, ardor Bk§. No. P.O.OROUTEAND KNO. ( CITY STATE ZIPCODE CA 959RB, SECTION D - SUkVU-dR*ENG1hEM OWARCHtMift CE01PICAMON'01OW10 Copyboith sides of thisBm1on'Cer6Fc& for 0) cmmu* official, (2) insurance agerit1borripany, and '(3)buldirg owner. COMMENTS Dfb /L),A - c - 127 .4.3 lcb 6- 5 2�_ffLtW J 51. 7-% 1 inerb Efcheckhevabch For Zone AD and Zone A (WithoutBFE),'complete fternsEl through E4. If the Elevation Cefficate is intended for use assuppoiting information fbra LOMA or*LOMR-F, Section Cmust beccrrpWad Et. Building Diagram Number _(S&dft buildingdagram most similar to the buiIdrKjIbrwfth this certificate is beingcwpleted– seepages 6and 7. Ifriodiagramaimurately- representsft building, pujide a sk&h or phoLogi* ) E2 The top of the botbom floor (ncluding basement or enclosin) of the buildrig.fs _ft(m)'_ih.(qn)0abWeor 0 below (dieck one) the highest adjacent grade, (Use naW grade, if wailable). E3. For Building Diagrams 0 with openings (see page 7), the next higher floor or elevated fl= (elevation b) of the building Is _ ft(m) _1n.(cm) above the highest a4awrit grade. Complete.items C3.h andC3j an fruit of form. E4. The top of the platform of machinery and1br equipment servicing the budding is . ft(m)_in.(am) above or El, below (check one) the highest a4acent grade. Pse natural grade, if arailabte). E5.ForZorieAOonly: Nno flood depth number's available, is the top ofthe bodomfloor-devated irraocordmice with the cwmuniVs floodplain rrianagementordnanoe? 'El Yes 0 No 1I Urkmm. The local offidal must cer* this itiftirmation in'Section G. The properly owworowner's authorized mpemfttvemiho=VetesSwb=A,-B,�CVtmC3b and C3j onV), aind'EffirZoneXomthouta 0'r*66rin"nily- issuedBFE)orZmeAOmustsiqn hem The statements i7Sections AA.C,.and Eare owed totare bestoFtWI=Wedge PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATNES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 0 Check hem if aW The local official who's authon2sdbylaw or ordinance to administer the community's floodplain management aidtrance can complete Sections A, B, C.(orE), and G of this Elevation Cwtificate. Complete-theappli0able"itern(s) and *bdow. G1-13 The ilft4jOn in decfm C was taken turn other d6aM8r1t3ti0n that has been signed and embossed by -a kensedstiveyor, e . rigineer, or arch . ited wft is aukr.fzed by state orlocal lawtDcer*eIe-4tioninbmVbm (Irdicate, the source and date df the elevation data in the Comments area below.) P2.O'A=rrnuhi' . aTrWcornpleted Section E fbt a buicling located in Zone A (Without.a PEMmssuedlorccrnm*4=0 BFE):orZone AO. 03.*[]'Tho fdloWnig fiformaton (Iter . riG4-G9)ispWdedfbrconv, uhity-floo4kiinmanagementpurposm G4. PERMIT "BER G53. DATEPERMMMM W."This permit . has'been"issu6d for'[:] t4ewCor&tjcfmn -[]&fttffMjmpfWemerjt G8. Elevation ofas-butt bNest-W(irdudingbasemehl) of the building is: (MY -Daturn: G9.BFE or (in ZoneAO) depth cfflooding atthebuilding site . is: —.—It" Da m: LOCAL OFFICIALS NAME TITLE COMMUNITY TELEPHONE SIGNATURE DATE COMMENTS El check here ffattachrmts FFMA FnrrrrRl--Il- Janriarv7nni Rpnlrtetsm Rif- nrqvinjisr arti1tinn, c n, ti t ; 5 �{ovse 70 PtePoSe� .,. 300 f `�5 i u lel /Vd+es �- V�l� = c5 f� P-6 1 h e - C;t%.o,\KPWAL, MECHANICAL., AND PLUi NG NOT PLAN CHECKED OF SHALLCqMPLY WITH CURRENT EDITION �C AND UPC. i,,64vAa en , -i-7 G oaL NOTE: See the attached �0915�rL1L'laon Re9U rSmeats 2� ------_-Pages (06� Own tet^ PLANNING DIVISION -BUILDING PLAN APPROVAL C, �.� `r ` a Use: K Date: —�3^ �S 7 Parking`. Landscaping: ng: y�— Z� other Signature: 1 • i I � r PLY lI nci BUTTE COUNTY SEP `3E ter, 0- 13UTTE COU UIL®INGF ®E�R-�iv� . A P P R Lnn�V ' o 5, CY y.•G9L'N Mj- R Ln C b. �.�.A � 'gp O' tq O"Z-A'. � {� •tJ .. CZZ In ln' c Q3 O O O .O O O O 410, Pin �y .:.bx.: MIA 0,0 tv N ND7pR � +O \p f�,' r r r"r r'r r'�r r.'r ter: ►LMy, V` C L5 opy, P/ -,P yENVIRONMENTAL HEALTH NUS 0 4 Dvri".1, C, qS 2003 q or_ e6- 7 CHIC®, CALIFORNIA APPROVED APPROVED- Develbpment Plan. DATE OCT 3- M USE PERMIT VARIANCE MINOR U.P.-ADMPERMIT PJ,ANNING COMMISS. DIRECTOR FF D z V.r-: L OP I'VI E ANI T S ER V! C S PUTTS. COUNTY p .17 zwm E Environmental Health 0 C T - 7 20U3 Chico, Califomia CC-Aiff 0r lvo+eS Cp —t- 17, F,posed 'V" '-d e pfop,7fed /5,60 7C-1/300/ (b Let L5 opy, P/ -,P yENVIRONMENTAL HEALTH NUS 0 4 Dvri".1, C, qS 2003 q or_ e6- 7 CHIC®, CALIFORNIA APPROVED APPROVED- Develbpment Plan. DATE OCT 3- M USE PERMIT VARIANCE MINOR U.P.-ADMPERMIT PJ,ANNING COMMISS. DIRECTOR FF D z V.r-: L OP I'VI E ANI T S ER V! C S PUTTS. COUNTY p .17 zwm E Environmental Health 0 C T - 7 20U3 Chico, Califomia T V� �) V 556 /////[[/�Jp7,�] �'] O LK MM I ev cc 5Q FT, MASBA �of nphll 9LLK.N i 0 li KNI STUD f OPTION GLAMOURBATH �. / 16)7.) A (11 70• ' 3 Rl?v •70' 1!77.)..0.. RwdDROBE ;4'•{ 6 f 1)1.) R 1& Fro► -STIR .. .._ .. ... E �._-. SD. (3)I.IRAO. IO 14. STD ! 76 I 6 • �::� 9 � E,vn•,GxiIC pdne • 0 ��^ �, r MASTER:PEIROOM .169'•x.' Fl �^q'I oe . PER 965E '•8 SWA Environmental " " '`" Health 1 AUG 1. ' 9 21193 Y� WGRADE EXTERIOR ChicoCaliforni a r-� n �•° COPY' N s 6 pop. a F,4 S . z21 n 109.0 (' STRUCTURAL NOTES E T RMA EAT NOTES 4� ✓r 70�0"T•''SZ. 7�5� LLA 10 P F / N R: NG HAUS P 9D 01 i. CAPLaf/ OF ilR 000. / poCi $/$f[ OSIEN SPIIF 1/1 - 5� IOIAL B f UN 5.n IRR F 4A..q ROR OEM SPAN FOR )0. 70 1 .O-PSF , I° 7.7 At IS PSF, III TO At 70 1.10 PSF -- ---- ' R°0%S SHALL BE FtR SfROCI owG 9607 W f FOR OR ; IIfRRH 1 -' -" - IRERNAL ZONE N 10 PSF GNL/ PER RO!10 PSF OWG SLOT DETAL B 10 7•A At 10, 70. Alm .0 PSF ( HEAL Eos$ RIN NO , i0_ Iw OLAZNG 161 - HEAT FOSS RIN M0. SO Wt QAZND __It 7 ROOF Pufp . R OR LESS IFEONNED AI ALL PASSAfE DOOR �;;NNOS IEAI 1055 M71 ffi - WA QA7NG )EAI LOSS RW Na 37 AARL nA1N0 _ AI IOND)WNAL CENIERIRQ wAll i IE DRA.nNL ' �BOSManufacturing ELECTRICAL SCHEMATIC & LP APPROVAL FLOOR PLAN "Perris Division 111. (909)657-1611 ERRIS•DMSION °AWN ` ,f, ti10NTES• APPROVED Post -it° Fax Note .76 1 Date Pao • r 1�_m- ---- r_QY, 6'•0• SHEAR WALL .D100m 1 Fax E t/➢E PLA . i CLS MET 1 7 A' UNIT - salty WILD 5635 a 9656 p /Q�� /0'� - DIFFER VINT LK MM I ev cc 5Q FT, MASBA �of nphll 9LLK.N i 0 li KNI STUD f OPTION GLAMOURBATH �. / 16)7.) A (11 70• ' 3 Rl?v •70' 1!77.)..0.. RwdDROBE ;4'•{ 6 f 1)1.) R 1& Fro► -STIR .. .._ .. ... E �._-. SD. (3)I.IRAO. IO 14. STD ! 76 I 6 • �::� 9 � E,vn•,GxiIC pdne • 0 ��^ �, r MASTER:PEIROOM .169'•x.' Fl �^q'I oe . PER 965E '•8 SWA Environmental " " '`" Health 1 AUG 1. ' 9 21193 Y� WGRADE EXTERIOR ChicoCaliforni a r-� n �•° COPY' N s 6 pop. a F,4 S . z21 n 109.0 (' STRUCTURAL NOTES E T RMA EAT NOTES 4� ✓r 70�0"T•''SZ. 7�5� LLA 10 P F / N R: NG HAUS P 9D 01 i. CAPLaf/ OF ilR 000. / poCi $/$f[ OSIEN SPIIF 1/1 - 5� IOIAL B f UN 5.n IRR F 4A..q ROR OEM SPAN FOR )0. 70 1 .O-PSF , I° 7.7 At IS PSF, III TO At 70 1.10 PSF -- ---- ' R°0%S SHALL BE FtR SfROCI owG 9607 W f FOR OR ; IIfRRH 1 -' -" - IRERNAL ZONE N 10 PSF GNL/ PER RO!10 PSF OWG SLOT DETAL B 10 7•A At 10, 70. Alm .0 PSF ( HEAL Eos$ RIN NO , i0_ Iw OLAZNG 161 - HEAT FOSS RIN M0. SO Wt QAZND __It 7 ROOF Pufp . R OR LESS IFEONNED AI ALL PASSAfE DOOR �;;NNOS IEAI 1055 M71 ffi - WA QA7NG )EAI LOSS RW Na 37 AARL nA1N0 _ AI IOND)WNAL CENIERIRQ wAll i IE DRA.nNL ' �BOSManufacturing ELECTRICAL SCHEMATIC & LP APPROVAL FLOOR PLAN "Perris Division 111. (909)657-1611 ERRIS•DMSION °AWN ` ,f, ti10NTES• APPROVED Post -it° Fax Note .76 1 Date Pao • From CDJDepL Co. Phone .' Phone t# Fax Fax R 7y1 wo8Wnew PER • DOOR SC(EDaI )OM C] ,an 1.71 - WAIER IIRII CLS MET 7 A' UNIT - salty WILD /Q�� /0'� - DIFFER VINT 0pS 0 o �•' 6� E - EGRESS vow - '30. ;1J : !0 'SaR6)7J • AV •S� I OPION ERITNI ORGD, ' 1P7,• SRD PER ONC A.1 •-- ❑ - o+Ua)R tnuw FAR 76 B- WIN . PANEL.ow 0 0 ..NSDAYST BE DRdT3' UNIT OM 021- s, ®IKAFG) PER tWC n - '0'aft. T _ ffwI RRMD CP1. DOWR•. E PER 9654 S - WALL SNfo1 . . p' -HEAT IAPE RECE"AaI 0 ,191 mGtE IIEaCFGa (WALL wuNO SSS 4 (411 ") = Ata" ON (C OWAT (IS oR 10 ANP) 011E RnWN AR Rr7a • tv R17.3•w . Dat - 00A761DW )1.3 . A&C.ttt 0 e ADT. .. ,• ORD e - FTCDR IRasai zr WHOM a CLEARANIX oo - IIEDaSQNt — SIAM - AUMM" 6CDDQ160EIDaE r1 e? ]OID10 - A lAQ GENERAL NOTES ILEGM "Im 1 RAR NAF C iRK W N L 10 SQ REBASE dO 041 Softy 1. AN7 ABOK IFlma o1cm ix I® OfIEAp$ sr oD W Apra SGENW E RD W7 BE SHOU OASNEO a" LA1114 SERfI Mala Eft to a RLOCAaO /ER COOS IEgRE1ENIi Joca 6 R AS OPI. OF. so tFkm Stomal EOR IOMR man Ka 9S)0 AIE f°1RS u0 KL 1 Caw 'a 0f SIAN4o J09M OF 6F "AA SEAR WA" SW i 0 NAFDNG 006RNCtof IlK PD1 CIC ONC .A PRODNCI 02 SERIES .`W%. ND. 02P -521F SQ. n. 1.404' OAK 1-16-01 4• D4E7 > —A3 ""Y16/01 Esti+ ENVIRONMENTAL HEALTH Nuv 0 4 2003 ';'dHIC0, CALIFORNIA H e I- ,cf a 1CoKJ Ax aroPer{-y �o�yLSS 4.,-. wry Gn DV/' ! C4 �...s / e7 4 c3 r..G �j � C e67 Preposed ,IPM,e/ Proporc F;o"SB i 35� z -h - f N 0 7n IV,+es CP CD Lot -c /GS 05-7 APPROVED Development Plan. DATE APf — I MM USE PERMIT VARIANCE MINOR U.P. ADM:PERMIT %'-' PLANNING COMMISS. D RECTOR F T 0,P Pvl,_ I` V!rF COUNTY' SEP