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HomeMy WebLinkAbout040-260-085- 040=26. b-085"' , 93 -4-137 0 B, P; E; M COOPER, ._Brian& Patty ✓� �D�r�% �O"" Q 9297 Lott. Road, Durham". '(new single family) -Joe Mello 040-26-0-085 96-1549 BPM -- - - - COOPER, Brian & Patty 9297 Lott Road, Durham (addition & garage) II ,_ �t,-k& rI'! 040-260-085 02-0165 COOPER, BRIAN 9297 LOTT RD, DURHAM CONT: MARK HOGG s WOODSTOVE/GAS APPLIANCE F 0 -085R, BRIANOS-0025OTT RD, DURHAM6, DONIS POOLSASTER 507-01 r4 C16 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0 D ` o 1 &5 ASSESSOR PARCEL NUMBER ©� /`� ^� /'� /� V V v ZONING14_ BUILDING PERMIT OWNER ., TEL.EPH NE I ( SO. FT. OCC. BUILDING VALUATION OWN MAILING ADDRESS LO(,I-l-, S 3 CONT R'S NAME �� TELEPHONE LN CO TO MA ADDRES , a oe 6 CONSTRUCTION LENDER r - Fireplace U LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ v ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7_,•� O Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IfDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Re oriel I"es ❑ Installa' Other ❑ Describe Work: ('� �o o f7 d- V ✓ / w L L� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLES SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ ^ License Class & UJ.C_ Lic. No. (, el OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLAS. 3.54FT. NEW CONS. NON-RESDT MULTI -OUTLET @7.50 POWER APPARATus 8 SINGLE OUTLET CIR. 20 @ 1'00 Ex. Occup. OUTLET OR FIXTURES BAS @ .so Ex. Occup. OFlxuT�is RLrrs oR, 5.00 Temporary Service' 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 3 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.)T, ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� s X ",, \� L L`W (3'(pEx Date �—%3-6 Z Signature of Applicant - 12 lbwner ❑ Contractor ❑ Agent An OSHA permit is required for excavatio s over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE o� JGNSj TOTAL FEE $ HAZ. D FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Da`te�r��' PERMIT EXPIRES ON ! , 23 V �_ Date ReceiptNo. O WHITE-D.D.S.-B.D. A ARV -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT job County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Leonard Stacheler (Adonis Pools) ADDRESS: 12 Pheasant Run Court CITY & STATE: Chico, CA 95973 DATE OF CLAIM: 03/21/05 31-30/01-5---1 0/©5 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 040-260-085 Permit NO.:05-0025 PAID RETAINED REFUND Develo Ment Services $ 109.98 $ - $ 109.98 THERM DRNG $ - $ - $ - 1 SMIP $ _ $ _ $ SHR $ - $ - $ - SRA $ - $ TOTAL $ 1 o9.98 $ - $ 109.98 'gitE } -DOWN :::::::::'::: �(JiiG:�m. :ACCOl11vT: :AlvtOUNT: 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SM1P 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 109.98 $ 109.98 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliv ed;•and'that ]his ;; claim is We and correct as stated. Dated this day of 2005, at _/>(Id�iii, Calif Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there Budget Appropriation or Specific Board Approval (Check o e same. (� Dated this CZJ�L1 " day of , 2005, at Oroville li a ILI X" -"k Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRi I E BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 2 :3/21./2005 /aj/ o 6�- Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Leonard Stacheler Adonis Pools 12 Pheasant Run Court Chico, CA 95973 'RE: Permit No: 05-0025 APN#040-260-085 Owner: Briatl Cooper On 1/5/2005, a deposit was made in the amount of $687.38, of which $1.09.98 was overcharged. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $109.98. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, QW" -Q, oT Diane Lewellen Senior Account Clerk Administrative Division enclosure E 0 5-0025.1tr M County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Leonard Stacheler (Adonis Pools) ADDRESS: 12 Pheasant Run Court CITY & STATE: Chico, CA 95973 r)ATF OF CI AIM- 03/07/05 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet •APN: 040-260-085 Permit No.: 05-0025 PAID RETAINED REFUND Development Services $ 109.98 $ - $ 109.98 THERM DRNG $ - $ - $ SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ - $ - TOTAL ' $ 109.98 $ - $ 109.98 ............ ............. ............ :........... >> ............................................. .............................. ............................................. :::::13it>✓CiOVVN .............. :::8[JbGC::::;ACCtiEflvT::::AlvtO:IJNT:: .............. ............. .............. ............. .............. ............. 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 18001 280 $ - 1011430 SMTP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 109.98 $ 109.98 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is We and correct as staled. Dated this day of , 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for pa.vment ocessin . CLAIMANT'S NAME: a o MAILING ADDRESS'' PHONE: ASSESSOR'S PARCEL NO.: 01 _- . � ' D� S ✓ use form per permit.] BLDGPERMITNO ^ RECEIPT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT DATE: RECEIPT AMOUNT: REASON FOR REFUND REQUEST: 9�477 Check those fees which you wish to have considered fd refund: Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. S' e orm and Application 082203 Date �r97,� LASTWAME# CONTRAC STREET NO S TREE T NAME MUSE TYPE El Em VALUATION FEES PAID'` RECEIPT '�t FEES 2__RECEIPT 2 FEES 3 RECEIPT 3 FEET4 IRECEIPT 4 Comments:4* E RKSt. CIT �mn*-- ISSUED JALED, Staturr ISSUED x "; f, DateY0005l2005,�L�' Slatw��f]�,APN�04@260-085000 �!� �Bnp{-k "'""CR' _5�, i'r SdaAddrejj'� 9297x.L0T_,T;RO "DUR., � , j rT Map udeKr Ir`* _ a"'' f"t, "`fie'- `4.. `*im1l"Im a t Lor4 Bela ONIS"POOtS4 Aovacant DONIS POOLS) �4� `kf _ $ LwrPMrla `a34�11797,�;,�,m;'� ° ,Wchdect �,� "sem _FCmxuudron'�T505(VN�r� r alc DesapGorrt NEW POOL MSTER 507-01 Pe0 I '. rt r : ,, 4t Summary r '' Raquaed�tolerue� 5 y r CWr.000t1011PdmaF. ea' RI : SOi"'" 3' plarumr� p +; CaaectLc =T r9l * Mua`PamiFeez R1 557740f x Fra rk Sr WakajCO v, " ' h x Irwe.lgdnn Feaj. r SO00� 4 t �v `� DPW Enaoach�r � ":. S�nr�«�n " .. - ' OOcerAge cy/Impact� ± 50.E ,, g +�xvAq'.bidid r>:. Era�atCon6dPlan ,, i r'` ` 3' 081a Feet 4 E0.00: ,� : #+Ag Statement rS '�a gj��Plunb " S is �,r ` 1 3 r'� rzx^.^"•X y� L F i i � s ' zz X p sdtRavErq F«.d r r iFffe, F,�L t5 to r Balenu Due JifO OO 3....... cTRA 070013 S^ APDbe�,01/05%2005 t `ElemSchodDauct NOTFOUND • iK r i L S,j # 01/18/2005'BPRenavwl.4 '"' i ,."a Y l t . - - ,. - � i StPa" a� �@*rejt� tet„ ,y x_ . 4 r -Yr 3Pe d Cdegay MISGRES �, - •,d a �. 1 „;,. y '`. TalelSpumefeet r- .. Pemtd Typo POOL �sME,y! 5 rr :. NPDES JR, pE wafer r �F K r� y 6� M fSew� r� 'f vrT "SchoalFea . r r� .yDe Resextarc'� h g Chak.:� k k t .`' z * 4•'' "` ". v INiABLE OraxDeed r} . 5, L.ppove¢ / /_:; 'v k $f_ WinerMH t' 1 I I :E tltsd Oli1E/2005-- fi: 1 1 I d .... Fa akd d Rec Dnt _: Ei •�e.� � E .y,� i SS ;f •3`i�4+ 1kl i ;Cenac;LlassCode��6 ."NO,w INip6zed .e A 4 -i%Gc4 7= y . t V � k C•S�v � -y' �" 4 `? f h L¢enjee BUTTElCOUNTf CAi tt_r s t x Ttk/StmegnA �,r•„ E Ltriegr!a-lotvur'* PL 4 rt` 4- HCO ched :tt �:: 5'�"" �:` E % "-� {. �� 01/05/10D5 aCHNURBA' � { f : t' ,l;lj w atsn�; ,1 e` 1 � � :erne . �_: 5 � M", mik.' t n6lNvmbu630! Utert 025 Se �eamev 5Q26�a iJa<g /C)S- y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class : _J'/!G�3 License Number: � Date: ' Contractor: OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any cily.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 signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code).or that he or she is exempt therefrom and the basis for the. alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do 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, 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 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons Code. The Contractors' Slate 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.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier.. YKI1 Policy #: ❑ 1 certify that in the performance of the work for which this permit Is issued, 1 shall not employ any person In any manner so as to, become subject to the workers' compensation laws of California, r and agree that if I should become subject to the workers' . N compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Dale: Applicant: WARDING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 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.) Name: PERMIT NO. BPO50625 Issued Date: 01/28/2005 APN: 040-260-085-000 Site Address: 9297 LOTT RD DUR Map Index: Description: NEW POOL MASTER 507-01 Owner: COOPER BRIAN EDWARD & PATRICIA MARIE 9297 LOTT RD DURHAM,CA 95938-9705 Applicant: ADONIS POOLS 12 PHEASANT RUN COURT CHICO, CA 95973 530-891-1197 Contractor: ADONIS POOLS 12 PHEASANT RUN COURT CHICO, CA 95973 530-891-1197 License #: 266839 .I; Architect: Engineer: BACHMAN & ASSOCIATES Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: ��� ylg6�F8 nit is hereby issued under the applicable provisions of the Mill R Cnu ly CodR , nrUor ZZ dq work Ind ated a v for which fees have been paid. % Date: f Os— EXPIRES ON: Q Address: Dafe ❑ 1 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 thal'I am the owner or the duly authorized ager f the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official to do nt of Butte County. I hereby authorize represent va^s of Butte County to ter up th bov�a meenn�tioned property for Inspection purposes. Print Name: �/Slgnature: Dale: ❑ Owner 0 Contractor 0 Agent for Owner ` gent for Contractor L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Nam Address City State Zip 75q Phone Fax E-mail CONTRACTOR Name Address /� /�,� �y City State/1 //77 Zip9 Phonegq/ ` Fax _ E-mail Lic. #'i Clat 5 ARCHITECT NGINEZP Name IAL— 886,t+ M A -M Address 13 042 GAcg_1-J EP__ L/k N City G �k t C v State CA Zip 9 sCl I Phone 342 , — f ,�s% Fax3,.x.2 - $Y7 2_ E-mail State License Number APPLICANT NAME Name &DVN VS POOLL Address 1.2— P �k CAc-, ikMC P. LULJ OF City C: o i to State CA Zip 9 9-7 I Phone t' --' o Fax vi l — E-mail .:a+• Jam` For o ice e Zoning —/ Flood Zone SRA Yes INo Receipt #: Occ. Type Const. Subdivision Name i Other Total Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPS ©l) BIN # ,��,11 LOCATION Property Ad ess Cross Street v�y WORKER'S COMPENSATION Policy Number ' 006q'-4_2_'-' Carrier GTA -CC CO M Q0 WS.. S. Ot t f_JD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpemhit issuance. LENDING AGENCY Name Address Description or Scope of Work: _ _ l-5;7�j �vutMtMIN� 12b0(_ Sq. Footage a ❑ Structure Built wiut Permits ❑ Proposed Chang of Occupancy d , (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR 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. J Donn I nf9 REV 4-30-04 by: Amount: 6�Received Bldg SRA Receipt #: Sheriff SMIP Date: i Other Total Donn I nf9 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply =' fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. • 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signed__by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ . 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING FORMSUdgApplSubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE-DEPARTMENT'OF. DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:e C_ (- ��%� 1�j�/"O� ASSESSOR PARCEL NUMBER C/DI rZ6 O- 09 Proposed Building Use: ®SZ_ 1M^ Z-2 S67-0/ Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 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. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 20 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 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........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑� 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: Ok (B)Parking: (C) Parcel Check: (2 0 .� ontact Land Development about _ Improvements, _ Drainage ......................... 6. PDES Form ................................ z ❑ Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. 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 Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the boitems and requirements for obtaining a building permit. Applicant: Date:1��� 1. Index permit app i tion f r the above items numbered: Plan Check Letter 2. A ' ' al items required o tract , designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, Date: US or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co u to , by Date: Plans reviewed by: Date: Plans approved by: Date : 0' - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: I Yellow: Building Division Y E.H. U3E OW4Y Plot Plan Anachod Roar Plan Attached Sant to 8.0 ,n TO: Building Department « FROM: Environmental Health SUBJECT: Sanitation Clearance . Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other 4' Hold final for: Final clearance O.K. for: NOTE: j Environmental Health Specialist 8/96 %d5 6_'S Date ?PFTMEN7- 61T�F ° �. 1 0 J O o� Department of Public Works _0 C o u n t y o f B u t t e O 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION G / Storm Water Management Program 7 County Center Drive A g Oroville. CA 95965 V8C1C WO�� (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: • - 4 67�;?l7 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre. of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions proviAPA 1,u tau, Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 SITE PLAN REVIEW APPLICATION Date: -7 /0 q AP# Permit Number (if applicable) `00,21J Parcel Size: Owners Name: Owners Address: Telephone No.: —3 711 Situs Address: 5 Cc. Proposed Use: aY D -�2(eQ—v�S iv. S/ a r.� Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory 100-e ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): GA q!�-q 39 w ❑ Commercial Remodel _ , ❑ Industrial Remodel DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved Date n___ i _re ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and ifverified proper foundation design required) SRA - (CDF to determine specific requirements) . 100 -Year. Flood Plain: (See attached), ` • Flood Zone: f�C • Flood Panel No.: 66007G05';-pL Index Date: 9� F1 Sacramento River Reclamation District (Approval must be obtained from the ali omnia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance - --------------- Detached Building Use Form ❑ Encroachment -Permit -_ ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A C, 0 F� Applicable Building Setbacks: Front Zoning Code O , T Streets & Highways Fire Prevention Subdivision Map Side �v Side Street Rear �Q Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 9 of S " Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: 0 No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: F1 No ❑ Yes Comments: ' ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements 11 Subdivision Map/Parcel Map: Map Date of Recording: Lot: / // F T Book: ❑ Use Permit4vfinor Use Permit Permit Number: lU a% Page:_ Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression. sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must ' be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. = ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El 1 Pane 4 of 5 C LSI 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at.the time of review. CALarrys\Building Permit Site Plan Reviewl.doe PaoPSr,fc A389-7W E WE5T992.06 (R3J U.00' EASEMENT FOR DITCH PURPOSES TO DURNJUd T MUTUAL WATER � of DCOMPANY S. S�PARCEL 2 B 3 89.46']6' E (6,43 ACS. WEST 1623 {RS) C 3 09.47`25- 3A2 82 M 43 WEST24L59V) 107 M 37WEST ( N 89•ea26 E D 42 WEST 2020 (R4) IPJOT F." WEST 30.00 (RS,) r EAST 30.29 ) KKOR H 1032.4 9� E N 08.0700- W 499 E 0 G �/ 207 R4 L T B26A0_ N 08.00'07' W 6.03 (PA) (D) N 38.07 1844 NORTH F N 08'00'07 W 15,QQ N 00.00' W E5.0 00 .) N 38'0700" W 18490//" �� EM3,71 O 5. 77429 G NOB-OWC7 W I08.06 B ` 50' BUILDING SETBACK LIE N 08.00100- W I0897 (R4) C 0' N 00.00'07 W W 27 0� r N 38.0700- W 133.09 3417 30.00' 9TRV DEE TO RECORDER.4 SERIAL No. ROA ♦ 1j 1 CO NTYYRROAD (R) .•P a';r"¢ � $�& U.00' EASEMENT FOR DITCH PURPOSES TO DURNJUd T MUTUAL WATER � of DCOMPANY S. S�PARCEL 2 ACS. '7OaN/�- JOAO Q8) n - sV. 84 M 79 rogB NW. CON ALLOT. E PARCEL I ; 6.50 ACS. 2 }� S 26'50'00- E N)4Ol 0 N 26.57 j NTJI (R) - n 5 33.04'06- E 62,78 200.00 6@ / N 33.06. W / 62.5 9 05.4 E 37L7 lN1 / N 08 NOTE THE WEST LYE OF ALLOTMENT 18 WAS ADJUSTED BY THE COMPASS RULE AD.AI9TMENT AS THE ORDINAL LOT DOES NOT CLOSE THEREFORE LOCATION EA4fJ8M OF EASEMENT ORD NOT SHONOT WN BK. TI O.R. PG. RO SCALE I" = 100` M olnlAn oArro Mw CC PARCEL e A 3 A LOCATION MAP MOT TO..e 0.92 ACS I HE COFLF 36 ow 0 A-LILOT. IS NO V IEgW IIEL yy�. "M�py �'� N 89.22SY E 7E.V� I' \1057 r, SW. COR. ALLOT. • � I / Z S gaz n . a LP. NCE 0503 (RP)�� LEGEND • SET 3/4- LP. LA 50 t FOUR RALROAD SPIE FOUR REBAR RZE 2905 -O- FOUR OPEN END W. FOUND IP, RCE 29465 FOUR IP. LA SUE O CALCULATED POINT ONLY BOOK B OF NAPS, PAGES 16 - 18 BOOK 84 OF =3. PAGE 79 BOOK 89 OF NAPS, PAGE 63 RS BOOK 107 OF MAPS, PAGES 57 8 38 R4 BOOK 82 OF NAPS, PAGE 43 NOTEI THIS ADDITIONAL MAP FEET SNOWS AODTTIDNx ¢FawNn�pM D FOR INFORMATIONAL PIKNPOSES OIILr DESpIB1M6 CONOI710M9 AB OF THE DATE Of FILING AM IS NOT INTENDED TO AFFECT RECORD TITLE INMET. BASIS OF BEARING THE BASS OF BEARING FOR THIS SURVEY IS THE CENTERLINE OF LO TT ROAD BETWEEN FOUND RAILROAD SPIKES AS, NORTH, PER BOOK 8 OF MAPS, PAGES 16 - IB. PARCEL MAP OF A PORTION OF ALLOTMENT 18 OF THE DURHAM STATE LAND SETTLEMENT FILED IN BOOK 8 OF MAPS. AT PAGES 16.17. B 18 SEC. 29 8 32. T. 21 NM It 2 E. M,DJA BUTTE COUNTY CALIFORNIA FOR DAVID SCOTT ROPER ASSOCIATES ENGINEERS ji SURVEYORS 916342-2059 1346 LONGFELLOW P.O. BOX 883 CHICO. CALF0104A SHEET 2 OF 2 SHEETS A.P. N0. 40-26-07 A 47 WEST 206 (RSJ% w� B S89-4 6'86' ( 16,gS NORTH 1033.39 WEST 1625 R3 NORTH 1032.4 (R) C S 89.47`28'E(R3�)�452 82430 WWEST 25.339 (R4) 107 M 37 D WEST 20.42 6 � WEST 2020 (R4) ^1 E N 08.00'00' W 3.94 N 06.00'00• W 403 (R4) (C) N 38.02' W 185.4 (R) F N0" 8.00'00- 0 N 38-02-W W 185.40 N OB•00' W WO W (Rq) 10%%4) 1 G N06.00'00' W 109.06 N 06.00'00- W 10897 (R4) P t;/ OUNNTYY ROAD (R) U4 � �, MN d N, u J 1, t ,mte]X�2 t lea (RI) 84 M 79 ~$5 e� m NW, COR ALLOT. IS 82 M 43 � N PCL I "III E 2@@96 w� IPAOT F0W/p NEST 50.00 (R4) 3029 NORTH 1033.39 EAST (R4) NORTH 1032.4 (R) D 709(pq) LO T_ 82430 �F7.b5� NORTH 1003.71 05r0000• W w 10227 N 38.0700' W 133.09 3477 OWNER'S CERTIFICATE L DAVID SCOTT, A MARRED MAN AS 141' $PANTE PROPERTY AM THE ONLY PERSON wNosE COR4ENf U I HEREBY CONSENT PASS THE TILE TO SAID LAND AND 1 HEREBY ION OF TO THE PREPARATIONWNHE AND RECORDATION OF SAID NAP 9.9 SHOWN IEI7EOR DAVID R SCOTT G: F�Giai: ;ent; hRTN7 E4 LGi � � �rrxa. saicca�InNu swracNnncaxn PARCEL 1 6.50 ACS. 533.04.06 78 E 6 N 33*09 W 62,8 /0 SURVEYOR'S CERTIFICATE THIS NAP WAS PREPARED BY ME OR ANDER MY _ 30.00' STRIP DEEDED TO THE COUNTY 0.92 ACS s ODECT10p AND WAS COMPILED FROM RECORD DATA RECORDERS SERIAL NO. - AIC ORE BASED UPON A FELD SURVEY N CONFORMANCE WITH THE REOLpEMENTS OF THE a0 --y, P.+•'�.q IE COR Sl.�'T10N MAP ACT AND LOCAL CRONANCE AT THE . 1): (. ALLOT. SG (W a REQUEST OF DAVID SCOTT ON OCTOBER l 1987. 11EREST STATE THAT THIS PARCEL MAP i SE COR SUSSTANnALLY CONFORMS TO THE APPROVED OR Nu AGI / ROAD ALLOT. 10 "C"ZYIALLr APPROVED TENTATIVE NAP, i ANT. / ALL M107NNMoa7s ARE OF TIE CMAC * B SIS 0 -� OCOIIPI' TIE POSTROIHS NDICIIHEV *Lb IS iBy987A AND 7 N MONlMENT9 ARE, OR WILL EBE T -"-e S1kFICENT TO ENABLE THE SURVEY TO BE RETRACED. N 89R7S5' E 72.42�� 1 f\ ^ EXP. 6.30-91 3tS.S7 SW. CMOR.e ](,'•••. RICHARD R ROPER L.S.L8181 S 00 r4 W E 57'I'l r It 08.44 NOTE THE WEST LINE OF ALLOTMENT IS WAS ADJUSTED BY THE COMPASS RULE ADJUSTMENT AS THE ORIGINAL LOT DOES NOT CLOSE NOTE LOCATION OF EASEMENT NOT DEFINED. RD THEREFORE EASEMENT OF RECONOT SHOWN M 71OtPG.15 0 STATE OF CALIFORNIA 3S COUNTY OF B/UyTTTEE A NOTAAIR— T fid/ EF FOR SAID STME THE S • PERSONALLY APPEARED DAVID SCOTT. PERSONALLY KNOWN TO NE OR PROVED TO ME ON THE BA949 OF SATSFACTORY TO BE TINE PERSON WHOSE NAME SUBSCRIBED TO THE WITHIN INSINSTRUMENTKNSTRUME AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SANE, WTTE49 M AND OFFICIAL SEAL._ NOTARY PUBLIC _ PRPlTID SCALE I" = 100' 01K4I4r o9. enn PARCEL Si � . �--- 6 e �LAuu W LOCATION MAP NOT TO 3C4 LEGEND •SET 314' IP. L.S. 50 t FOUND RAILROAD SPKE FOUND REBAR RCE 2963 FOUNDOPEN END lP. FOUND UP, RCE 89465 FOUND I.P. L.S. 3346 O CALCULATED POINT ONLY BOOK 8 OF NAPS, PAGES 16 -18 BOOK 84 OF MAPS, PACE 79 BOOK 59 OF MAPS, PAGE 65 RS BOOK 107 OF MAPS, PAGES 37 8 36 q BOOK 82 OF MAPS, PAGE 43 COUNTY SURVEYORS CERTIFICATE THIS YAP CONFORMS WITH THE REOLCREAENTS OF THE SUBDIVISION YAP ACT AND LOCAL ORDWANCE DATED k? /7 /8? - WILLIAMCHEFF R.C.E. 14225 COUNTY SURVEYOR RECORDER'S CERTIFICATE F THIS //:d DAY C% � A AT AT N BOOK OF AT PA , AT THE RE T OF ROPER CANDACE L GRI.883 COUNTY RECORDER — �1 BASIS OF BEARING THE BASIS OF SEARING FOR THIS SURVEY IS THE CENTERLINE OF LOTT ROAD BETWEEN FOUND RAILROAD SPIMS AS, NORTH, PER BOON B OF MAPA PAGES 16 - 14 PARCEL MAP OF A PORTION OF ALLOTMENT 18 OF THE DURHAM STATE LAND SETTLEMENT FILED IN BOOK 8 OF MAPS, AT PAGES 16.17. 8 18 SEC, 29 8 32, T. 21 N. RJ 2 E, M.D,AI BUTTE COUNTY CALIFORNIA FOR DAVID SCOTT ROPER ASSOCIATES ENGINEERS 1] SURVEYORS 916.342-2059 1346 LONGFELLOW P.O. BOX 685 CHICO. CALFORMA SHEET I OF 2 SHEETS A.P. NO. 4026-07 w� PARCEL 2 J 6.51 ACS, t� 6 � ^1 1@pt�p 526.50'00-E 10907 O N 26.57 W NMl (Ri P0b � 9 I.P. RCE SM S 00 r4 W E 57'I'l r It 08.44 NOTE THE WEST LINE OF ALLOTMENT IS WAS ADJUSTED BY THE COMPASS RULE ADJUSTMENT AS THE ORIGINAL LOT DOES NOT CLOSE NOTE LOCATION OF EASEMENT NOT DEFINED. RD THEREFORE EASEMENT OF RECONOT SHOWN M 71OtPG.15 0 STATE OF CALIFORNIA 3S COUNTY OF B/UyTTTEE A NOTAAIR— T fid/ EF FOR SAID STME THE S • PERSONALLY APPEARED DAVID SCOTT. PERSONALLY KNOWN TO NE OR PROVED TO ME ON THE BA949 OF SATSFACTORY TO BE TINE PERSON WHOSE NAME SUBSCRIBED TO THE WITHIN INSINSTRUMENTKNSTRUME AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SANE, WTTE49 M AND OFFICIAL SEAL._ NOTARY PUBLIC _ PRPlTID SCALE I" = 100' 01K4I4r o9. enn PARCEL Si � . �--- 6 e �LAuu W LOCATION MAP NOT TO 3C4 LEGEND •SET 314' IP. L.S. 50 t FOUND RAILROAD SPKE FOUND REBAR RCE 2963 FOUNDOPEN END lP. FOUND UP, RCE 89465 FOUND I.P. L.S. 3346 O CALCULATED POINT ONLY BOOK 8 OF NAPS, PAGES 16 -18 BOOK 84 OF MAPS, PACE 79 BOOK 59 OF MAPS, PAGE 65 RS BOOK 107 OF MAPS, PAGES 37 8 36 q BOOK 82 OF MAPS, PAGE 43 COUNTY SURVEYORS CERTIFICATE THIS YAP CONFORMS WITH THE REOLCREAENTS OF THE SUBDIVISION YAP ACT AND LOCAL ORDWANCE DATED k? /7 /8? - WILLIAMCHEFF R.C.E. 14225 COUNTY SURVEYOR RECORDER'S CERTIFICATE F THIS //:d DAY C% � A AT AT N BOOK OF AT PA , AT THE RE T OF ROPER CANDACE L GRI.883 COUNTY RECORDER — �1 BASIS OF BEARING THE BASIS OF SEARING FOR THIS SURVEY IS THE CENTERLINE OF LOTT ROAD BETWEEN FOUND RAILROAD SPIMS AS, NORTH, PER BOON B OF MAPA PAGES 16 - 14 PARCEL MAP OF A PORTION OF ALLOTMENT 18 OF THE DURHAM STATE LAND SETTLEMENT FILED IN BOOK 8 OF MAPS, AT PAGES 16.17. 8 18 SEC, 29 8 32, T. 21 N. RJ 2 E, M.D,AI BUTTE COUNTY CALIFORNIA FOR DAVID SCOTT ROPER ASSOCIATES ENGINEERS 1] SURVEYORS 916.342-2059 1346 LONGFELLOW P.O. BOX 685 CHICO. CALFORMA SHEET I OF 2 SHEETS A.P. NO. 4026-07 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31; 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: WILDING OWNER'S NAM Policy Number =-- , A� PA-z"T CAPE WILDING STa5 ��RESS (InclSS ,Apt., U Suite,and/orBldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC. Number LL a :ITY pJeN.�iy C A E 9 PCODE 5 93 8 'ROA E�ESCRIPTION,(Lot an togs lumbers, Tax Parcel Number, Legal Description, etc.) 1-e b C�/C� Z !e© —O $ 5 IUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) K _51'4)M) NCi {1�L '`"Q^ ATITUDE/LONGITUDE (OPTIONAL)HORIZONTAL DATUM: SOURCE: �_i GPS (Type): ##° - ##' - ##.#;t" or ##.9#9#90) NAD 1927 1_1 NAD 1983 �1 USGS Quad Map Li Other: SECTION `B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ;1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE a G oa7C S2o u roc CA 1 B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S). (Zone AO, use depth of flooding) 4tarn520 r. - T 8 A 4 0. Indicate the source of the Base Flood Elevation (BFE) data or.base flood depth entered in B9. � I FIS Profile 1 I FIRM 1_f Community Determined I Other (Describe): 1. Indicate the elevation datum used for the BFE in B9: NGVD 1929 �-1 NAVD 1988 1 1 Other (Describe): 2. Is the building located in a Coastal Barrier Resour s System (CBRS) area or Otherwise Protected Area (OPA)? �_j Yes J No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: 1_1Construction Drawings" I_JBuilding Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. 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.) Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum 111-9 Conversion/Comments Elevation reference mark used \ Does the elevation reference mark used appear on the LXNo ❑ a) Top of bottom floor (including basement or enclosure) _ ft.(m) , ;� _ /,,�1 ❑ b) Top of next higher floor /) _ ft.(m) aiZ� CD c) Bottom of lowest horizontal structural member (V, zones only) _ ft.(m) y W % - ❑ d) Attached garage (top of slab) ilA _ ft.(m) (jJ e) Lowest elevation of machinery and/or equipment 5 G5ft-(M) w i V IVo, IG D x servicing the building (Describe in a Comments area.) l ft. m 2 E � ❑ f) Lowest adjacent (finished) grade (LAG) /5.5 S ft.(m) z' N ❑ g) Highest adjacent (finished) grade (HAG) 5 ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Al A �, l� IVI L ❑ i) Total area of all permanent openings (flood vents) in C3.h_ sq. in. (sq. cm) .\ C� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION its certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. •ertify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. ,nderstand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. :RTIFIER'S NAME 1./ _a► �� LiLICENSE NUMBER eL4 4C /C S,g2- -LE p XV cU 6 COMPANY NAM iLit�r AffBe. ut<t55 s�ANZ CPU I CD ST j�T�F{ ZIP CODE 3NATUREf,t�e� DATE zpb� TEL,E'PTHONEzuZ/—✓c/1��6 1A Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. For. Insurance Company Use '-; !- BUILDING STRE E41t�r�,S (Inct�ing�Apt.,U it, Su�and/or Bld�No.) OR P.O. ROUTE AND BOX NO. Policy Number en, % e> -A _ CITY ST�A1TE :•.- ZI�D Company NAIC NumberMAY - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ropy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 'OMMENTS 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) ;r Zone AO and Zone A (without BFE), complete Items E1. through E4. If the Elevation Certificate is intended for use as supporting formation for a LOMA or LOMR-F, Section C must be completed. 1. 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.) 2. The top of the bottom floor (including basement or enclosure) of the building is 1-1-1 ft.(m) J_J_Jin.(cm) 1_1 above or 1_1 below (check one) the highest adjacent grade. (Use natural grade, if available.) 3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is L U ft.(m) 1_1�1in.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. t. 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 Yes 1 No 1_1 Unknown. The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION 'he property owner or owner's authorized'representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A Nithout a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to re best of my knowledge. ROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME DDRESS CITY STATE ZIP CODE !G NATURE DATE TELEPHONE OMMENTS 1_1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete :tions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. i_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'authonzed by state or local law to certify elevation information. (Indicate the source and date of the elevation�data,in the Cbmments%area below.) ' . ' r' '. �`. a i_I A oommunity•official completedwSection E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A07' - 1_1 T�e'following information (It`ms`G4LG9) is provided for community floodplain management purposes. I. PERMIT NUMBER G5. , DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY { ISSUED This peFmit has been issued for: 1_1 New Construction 1—J Substantial Improvement Elevation�of as -built lowest floor.,(including basement) of the building is: _ ft. (m) Datum: BFE or (in Zone AO) depth of flooding at the building site is: _ ft. (m) Datum: ,CAL OFFICIAL'S NAME 'TITLE >MMUNITY NAME TELEPHONE Check here if attachments .A Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS �► FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31; 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: lILOING OWNER'S NAM A PA Y-� Policy NumberJWJs lr IILDING ST2fji ADDRESS (Including Apt., U t, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC. Number ry t�JeN�1�J CA 9'5 9� �3 [DESCRIPTION (Lot and Blog c lumbers, Tax arceI Number, Legal Description, etc.) Accessory, etc. area, if necessary. TiTUDE/LONGITUOE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1—I GPS (Type): or iae#.#t1 #' NAD 1927 1_1 NAD 1983 LJ USGS Quad Map U Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION NFIP COMMUNITY NAME & COMMUNITY NUMBER 82, COUNTY NAME 83. STATE 0da6o7C. Indicate the source of the Base Flood Elevation (BFE) data or -base flood depth entered in B9. U FIS Profile FIRM 1_1 Community Determined (J Other (Describe): Indicate the elevation datum used for the BFE in B9: I NGVD 1929 " NAVD 1988 IJ Other (Describe): Is the building located In a Coastal Barrier Resou System (CBRS) area or Otherwise Protected Area (OAA)? IJ Yes NTNo Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: "Construction Drawings" I_,JBuilding Under Construction` Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. 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.) Elevations ,Zones Al -A30, �E, AH, A (with BFE), VE, V1430, V (with BFE). AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B. convert the datum to that used for the SFE. Show field measurements and datum conversion calculation. Use Pe space provided or the Comments area of Section D or Section G. as appropriate, to document the datum conversion. Datum Qom- Conversion/Comment Elevation reference mark used Does the eievapon reference mark used appear on th . " s VNc O a) Top of bottom floor (including basement or enclosure) A ❑ b) Top of next higher floor /1) _ ft.(m) O c) Bottom of lowest horizontal structural member (V. zones only) _ ft.(m) N O d) Attached garage (top of slab)AA _ ft.(m) 30 / a� y `1 Q e) Lowest elevation of machinery and/or equipment w No 6bU servicing the building (Describe in a Comments area.) J55 ft.(m) 1 = U I ❑ 0 Lowest adjacent (finished) grade (LAG) / 3 R.(m) z. 0 g) Highest adjacent (finished) grade (HAG) ft.(m) 0 h) No. of permanent openings (flood vents) within 1 ft. above adj cent grade�A r �`rlgT �•�� a C2 i) Total area of all permanent openings (flood vents) in C3.hjo OT_ sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEEfk,*OR ARCHITECT CERTIFICATION s certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. u* that the information in Sections A, B, and C on this cerfrf" ucate represents my best efforts to interpret the data available. iderstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. iTIFIER'S NAME LICENSE NUMBERd,G IC 3 COMPANY NAMF„� � 0 � Af1 v4 - J )REBS ![� f3 CI "Y teo J�u/7I ST � ZIP CODE NATURE,O� DATE TELEPHONE " TEIEPHONE .J" 3fl :.tl'!2�✓7I ia -- 4 F�rrn Ri-A1 .1111 r1r1 Rt=r RP\/FRSF SIr1F FnR r f)ISITINUATION REPI ACES ALL PREVIOUS EDITIONS at FEDERAL EMERGENCY MANAGEMENT AGENCY -� . O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 39, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pa2es 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: ILDING OWNER'S NAMPolicy F_ A /4 PA -7-77-' Number - ILDING ST&;T ADDRESS (Including -Apt., t, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC. Number Y CA '4 g3 g3 OPPERRTY_ 9ESCRIPTION (Lot and Blo umbers, Tax arcel Number, Legal Description, etc.) ros� /� ILDING USE (e.g., Residential, N -residential, Addition, Accessory, etc. Use a Comments area, if necessary.) 5WO 8 K I f;CXe;'Z- & d?- TITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L_.I GPS (Type): or ##.>##' NAD 1927 L -_I NAD 1983 LI USGS Quad Map LJ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION .I `T: ` NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 82. COUNTY NAME 10. STATE �l�c�oZC ,.52o csz7c CA 14. MAP AND PANEL B5. SUFFIX 96. FIRM INDEX B7. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATIONS) NUMBER DATE EFFECTIVE/REVISED DATE ZONES) . A (Zane AO, uee d+�th of flooding) 6.06 S2o No, of permanent openings (flood vents) within above adjacent grade `,� (;./R/" 8 Z. Indicate the source of the Base Flood Elevation (BFE) data or.base flood depth entered in B9. I.J FIS Profile I I FIRM LJ Community Determined I_J Other (Describe): Other Indicate the elevation datum used for the BFE in B9: I NGVD 1929 IJ NAVD 1988 " (Describe): is the building located in a Coastal Barrier Reso System (CBRS) area or Otherwise Protected Area (OPA)7 LJ Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: LJConstruction Drawings' "Building Under Construction* Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. 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.) Elevations -Zones Al -A30, eE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-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 a space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum 1 q �..4' Conversion/Comment Elevation reference mark used Does the elevation reference mark used appear on the Fes.. _ � Yes No O a) Top of bottom floor (including basement or enclosure) _ ft.(m) A - O b) Top of next higher floor ,_ ft.(m) ' ^ ��1'� O c) Bottom of lowest horizontal structural member (V. zones only) _ ❑ ft.(m) ft ft.(M) $ o ` ; ; d) Attached garage (top of slab) Q e) Lowest elevation of machinery and/or equipment w c' `" �-_JN�1' .I `T: ` 5 ft.(m) servicing the building (Describe in a Comments area.) ❑ f) Lowest adjacent (finished) grade (LAG) _- � S 15 T ft.(m) ft.(m) z N 3' 0 g) Highest adjacent (finished) grade (HAG) -,i --r2 . O h) 1 ft. AIA I No, of permanent openings (flood vents) within above adjacent grade `,� l 9l F Q , �N a nent openings (flood vents) in C3.h _— sq. in. (sq. cm) • i) Total area of all perm ainent d'1- SECTION D - SURVEYOR, ENGINEEk OR ARCHITECT CERTIFICATION ' s certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certffy elevation information, frtify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 7derstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. RTIFIER'S NAME LICENSE NUMBER _3 L.t FZGUMPANT NAM�d,,4 4 1 AV0e, . ` G. r DRESS dt2 �N� p!� 7 C L 0,0 ST��F ZIP CODE 9W;? :NAT'JRE,O/ �/��G•TE Zai TELEPHONE 53 o . ✓t�//' W ,7117 A r;.,,•m A1_'li 1111 nn q;= RFVFRSr= SInF FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS M .ORTANT: In these spaces, copy the corresponding information from Section A. For. Insurance CompanyCl'sePy:": LDING STREET /ipD�E,�S (Incl�in�g�Apt � it, Suijp and/or Bld�No.) OR P.O. OUTS AND BOX NO. Policy Number Y ATE �J Company MAIC Number - t2 ale- ♦f T SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) :)y both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. MMENTS I__I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Zone AO and Zone A (without BFE), complete Items E1. through E4, if the Elevation Certificate is intended for use as supporting oration for a LOMA or LOMR-F, Section C must be completed. 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.) The top of the bottom floor (including basement or enclosure) of the building is �_ I f ft.(m) I I lin.(cm) (,_J above or j j below (check one) the highest adjacent grade. (Use natural grade, if available.) For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) " lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3J on front of form. dr 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 Yes No 1 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION s property owner or owners authorized"representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A shout a FEMA -issued or community -issued SFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to best of my knowledge. OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAM DRESS CITY STATE ZIP CODE 3NA PJRE DA TELEPHONE MMENTS I_ -_I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete ions A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable itern(s) and sign below. (_J 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.) i_I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. (_J The following information (Items G4 -G9) is provided for community floodplain managemeht purposes. This permit has been issued for: j_j New Construction I I Substantial Improvement Elevation of as -built lowest floor (including basement) of the building is: _ ft. (m) Datum: BFE or (in Zone AO) depth of flooding at the building site is: _ ft. (m) Datum: :AL OFFICIAL'S NAME TIT(.E MMUNITY NAME TELEPHONE NATURE DATE MMENTS I__ I Check here if attachments A Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS NOTES I I RESIDENTIAL PERMIT NO. 0� —5 Cooper lCl� 92 I j Lc4+ . 0N Net'i ?o -J 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) ,YElec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 1 I ; Cir. Test -Water Supply Test 7. Well Clearance & Disconnect 8. Utility Clearance DateL Card B-1 ( Date Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date POO (Plans) OK except #'s lllo'So6acks-Easements s; Compaction -Structure Stability Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. c.; Enclosures; Conduit Entries -Terminals -Listed ,YElec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Ith partment Approval 1 I ; Cir. Test -Water Supply Test i t Niche 1 nclosure; Fencing -Alarms DateL Card B-1 ( Date Card B-1 Date and B-1 Date Card B-1 T-tvr VW� J=OK 0 = Not OK = Not Applicable + = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes Cl No/Walks ❑ Yes O No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- 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 0 Yes Cl No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r E iSEA ENTIAL jr 040-26-0-085 96-1549 BPEM COOPER, Brian & Patty Durham 9297 Lott Road, f/U �� �Q{� (addition & garage) %v-2/- cfG /Vo K. k+ - r'S d1 i OFFICE Lo-IT CO��,PYy p; Address 29 7 `W I (D --------------------- S U u GAS Meter ry Date ?l_� I ELECTRIC Meter By a e JOB FINALED (Date) ,V�'L' .,/4 Signature �" V=OK - 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete O = Not OK 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ PL"ft./ /LPG Not •=Not MOBILE HOMES Ready 8. Utility Clearance Date MOBILE HOME UTILITIES (Plans) OK except #'s , 1. Zoning Requirements - Setbacks - Easements Date 2. Soils; Special MH Support Sketch Date 3. Sewer; Location -Test -Fall -C/O -Concrete Date 4. Water, Location -Test -Easement Needed (Sketch) MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r t 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails + 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing ' 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card 6,-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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test + Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • r 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r t 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails + 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing ' 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card 6,-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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test + Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • r 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL = _ � Date UNDIrl"WLOOR (Plans) OK except N's `( �ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ' J 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft orches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped ler Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. F. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples . Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBI G (Permit) OK except a's 116. r Htr.: Vent -Access -Combustion Air-Baffle -aterP------ipe: --Test---&---Anchor-Nail-------Protection-------------------------- ------ ------- 1 .W.V.: Test -Fittings _& Anchor -Nail Protection ------ -riT'Sh r Pan: Test. First Floor -Tub Access Tu Shower. Second- Floor -Tub Access ------- --------------------------------------- - 24 -11 -as" -Pipe: Size & Anchors ---------------------------- --- --------------------------------- - - - - - -- - - ----- -- - -- ----- ----- ------------ ------------------ Dateld Zc(_,f( B_1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except P's ----fxt ransformer Clearance -Ins. Protection -------- -- ------------' -------------------------------- -------- 2 Spacing -Lights & Switches at Doors -- - t�IR,c_ece�tacles xes & No. of Conductors -Stapled ------------------ --------------- 'fin Installed Close to Edge of Studs & round made up wrMech. Fastner -Bond Gas & Water ppliance Circuts in Kitchen & Conducto vGF1 ----------- - --- -- - - - - bfeed Wire Size r% r ga. Cu 06D .C. Wire Size a C�I/F` bleed Wire G.W` -ange Circ 41 ga Cu r AI -Oven Circ. 1�a. Cu r AI Insulated Neutral ❑ Yes ❑ No ------ ----- ----- -- - ------------------- - - . . ------Service-Riser Conductors & Ground -Main Disconnect -- --------------------- ---_......_.. ....... ....... .. `r71^E arances Panels -Motors -Meth. Equip. -- Cle ----------- ------ -------- Clothes CIt set Light -Shower Light -Spa Light ---- — - - Light-- ... ht-- ---.... .......... ... .. oke Detector Date 11 -21 and B-1 ----- - Date - ----- --- Card B-1 Date Card B-1 Date Card B-1 Date MECHA 1CAL_(Permit) OK except n's A.C. D cts Insulation & Support - - 5 nt Fan: Exhaust above nsulat on ------------ _ . 3G3� /ndensate Dram & Overflow: Sze &Grade �Furnance-Vent-Access- Comb. . Air -Return Air Vent -115 outlet Attic Access & Platform f Furnance in Attic Date!(%q;.-l.q Card B t Date Card 8-t' Date Card B-1 Date Card B-1 Date FRAMI (Plans) OK except a's � S��I `Proper Material &Anchors 3 W suds -Nailing. Spacing & Bracing -Plates -Sound ...... — . ... ....... ... .. ... B�Walls over Girders & Floor Nailing _Draft op n Walls (rat proof) --- -----_. .. ire 'ps: Furred Ce kings -Stags -Chases -Tub 4 . Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 4@111-a -Post Caps -Anchors -Connectors ------- 4 Ing. Joist_Rftr. ties -Purl in—roo9Brac-T(u - hthng. -Rfng. <:jT-rire9jaLce Ties or Type A Flue -Fireplace Throat clearance 4 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -------------- Windows or Exiting Doors -Sill Hgt. & Dimensions _ ,Garage Fire Protection Framing ---- ----- P y line Firewall &Openings — tt . Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits ---- --------- --------- --------------------- Sta' kith -Headroom -Rise -Run -Landing -Fire Protection ------------ - ------------- Roof Overhang -Attic Vents -Rafter Outriggers 55. g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access J. Glazing Area -Glass Protection -Skylights -Plastic Walls: Nailing -Bolts �sul -Walls-Ceilings ltration-Walls-Windows - ----- ----- ----- -- ---- ------------- - - - - ----- �-�_�1--1�----� Date Z�iCard B-1 Date Card B-1 -- --- - -1 - - ----------- ---------- - ----------- Date Card B-1 Date Card B-1 Date FINAL lans) OK except a's Ext. ps-Door & Sidelight Protection -Landings moke Detector 63. Furnace Vents -Clearance -Comb. Air-Connector- Ine: Above Floor -Ducts -Meth. Protection 61 edro m Exiting -------------- - - F - Bath Fixtures & Tub Access -Spa 14 let Trim-& Subp-anel Breaker Sizes & Labels �tST Stairs ails __ EA replace or Stove: Clearances -Hearth .._..--------------------------____ -.69- Elec. Outlets at Wood Panel: Int. & Ext. Lf Fi Appliance Grnd.-Air Gap -Cooking Clearance --- - ---------------------- -- le utlets & Receptacles at Kit. Counter Gar a Fire Door Swing -Land ing-_Closer Duct in Garage -Damper 7 tr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. J In G age: Above Floor -Meth. Protection ---------------------------- Ib.-Elec_-&-Meth Equip. Listed for Location ---- le eceptacles in Garage (G F I) Ro�mex �Protection I s n Foam Looked in Attic M- e --------------- --------- ------ --- --g- uard Rails & Deck Construction -Po aps . ... ..... _..-------------------------------------------------- 7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. be�Following instld�: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: PI ers ❑ Yes ❑ No - ------ Stucc n -Finish A C t: Dsconnect. Electncal. Plumbing - -------------------------- -- ---L- ents Above Roof. PIbg.-Appliance-Fireplace. -Clearance to OOpp�mgs __ _ _ _ _ eLYWater Disconnect. Electrical. Plumbing xtenor ec. Trim: G.F.I. Receptacle -Underground - - ---- -- -- -- ----------- enld Throughout House .. ..----- --- ------------------------------------- Glass Protection _ _ --efii- rre s from P ous Inspections - --------- --- -- --------- �1 as Test- ers Tagged: Gas -Electric 90 Water & Sewer Connected-CrO to Grade _HD Approval ---- - -- ��tr/A 91 Energy Com pl ante Ce r li hcate-Other Certificates Dale P ? Card B-1 Date Card B-1 N!°. ...------------------ --------- -------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final x COUNTY OF BUTTE-DEPARTMENT OFDEVELOPMENT SERVICES -BUILDINGDIVISION 7 .County Center Drive - Oroville, 1alifornta 95965 - Telephone (916) 538-7541 0 APPLICATION AND PERMIT V6 —/ ASSESSOR PARCEL NUMBER 040-260-085 ZONING BUILDING PERMIT OWNER BRIAN & PATTYR TELEPHONE 345-3711 SO. FT. OCC. BUILDING VALUATION 6S OWNERS MAILING ADDRESS 9292 i� 9 3s ivz3 42DA/M. l000 CONTRACTOR'S NAME UNKNOWN W TELEPHONE 3,37 nWom, V , / O —� G- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAULING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ z 3 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9297 LOTT RD DURHAM PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap Z 7.00 LOT NO. SUBDN510NSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CJ( Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 / �— Each gas water heater or vent 15.00 system 1- 5 outlets 1 5.00 Gas piping Y /$' Building sewer 15.00 TYPE OF WORK New ❑ Addition U Remodel ❑ U5lities ❑ Installation ❑ Other ❑ Describe WorkGARAGE & 4 BR Mobile Home S I G W @20.00 PERMITFEE $� Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3.50 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q I•50 BAL 0 .30 Ex. Occup. (ounEtDrs PLN - �R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 14f, P,?, Contractor MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation Sd / PERMITFEE $ 5E�) _ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ofone hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 9of X !/�-Date _� "7 CP. Signa ure of A plicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 69" deep nd d �lition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee J$46— $4of occ CONST. TYPE TOTAL FEE $ l j 3s -- HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte Count Code and/or Resolutions to do work indicated above for which fees have been paid. B Dilate ?/z64< PERMITEXPIRESON (:F/ �� q (Dale) �/ ReceiptNo.�"�� �.[' 1Pj61� a0 ?, ,� 7 0 %� O `, / cS WHITE-D.D.S.-B.D. CANA -ASSESSOR P K -INSPECTOR GOLDENROD -APPLICANT \i COUNTY OF BUTTE -DEPARTMENT OF. DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, ralifornia 95965 - Telephone (916) 538-754 PER NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER L10 �, 2� b - O g� zoNl BUILDING PERMIT OWNERSO. o o�— 3�S 71 FT. OCC. BUILDING VALUATION •` " `- Lf OWN8q MAILING ADORggSS CONTRACTOR'S NAME v,� l�✓ow-� R TELEPHONE .� Y3 tb CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ !33 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 75197 ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS n, 2 cl 1 _�� /J `r l �l PERMITFEE S �% �e1 1{i�'ti PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF KDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition)( Remodel ❑ Utilities 0 Installation ❑ Other ❑ Describe Work: G/lid�/t}CG l,t�2_ Mobile Home ISI G1 W @20.00 PERMITFEE s 7 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 000V OR LESS 200A OR LESS ) 23.00 Main Service 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST DWELLING OCCUR OR 8 ACC. ) SO. 3.5¢ FT. CNS. UTLEBLDS NEW CONS MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( PSINGOWER APPARATUS ) 8 LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .30 Ex. Occup. (GunEeDrs (R Es o.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ , Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X_-0___ Date Signature of Applicant - ❑ ___ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating $� Cooling Hood 6.50 Ventilation V a-, a PERMITFEE $ iJ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. D. FEES IM FLOpD N c0F PAR Po HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) J4�IS ���� Receipt No. Oct WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK, -I SPECTOR GOLDENROD -APPLICANT n �,. ...... .`1 . � �. ,. ,,,-..•.i........r�li.,�'� ..�, . -r.:-y .w.^[^il �.'Ts yr.:�r.ir.., wt'. er ...a.^..ir y �,F,;'��Jt-+.•S.-F3'r-k � �'•t-'+iiv r, -..}..r * - . - .,COUNTYOFBUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Q -.I 1l P -T r CODN= R+ A. P. No. 040 -2(00- Proposed 2(0 'Proposed Building Use s " , 3 N • R Building Inspector G Date % 56 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .............:.......... . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. W 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data andmanufacturer's installation instructions, 2 sets. ........... -*0. Fees of $ es aZ 1 e ... `ZO _S 1. Impact fes shown on attached schedule. ............. . 2. alifornia Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood by California Engineer. . . -Z5 1 Sanitation and plot plan approval c, riiC o Health Department . ............ 7-2,6:% City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B)' Drainage .. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. .. oB�ild 9 �spe io� (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Wheny& issue the permit, process as follows: Mail to o p� Mail to co' tralctor. V Telephone '�ys- »// and hold for pickup at yf office. Deliver with inspector. Other 4:w /11A _ 4 133 Parcel Creation Acreage Applicant Date r Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by,._ Date Plans checked by Date Plans approved by Date < Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot PI= AmcLed ) -e s ;t Plmr PI= Attached Ycr - Seat to B.D. 7- S l lrlo TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C�oP�Q. 9297 Owner Location AP# Plan Approved for: Sewage- Disposal Water Supply: Public Private Well Clearance for bedroom she home. Oth Co bea/rvorn 6"k Hold final for: Final clearance O.K. for: NOTE:S 6dr�s�ry in r7�alleo/ G off,,,-� ed o ., ! - �S - 9 3. Envieo"n-M;nd Health Specialist 4 Date R/99 i i ,,fit r,:.irytr yf" . 4---f,*40""'Arp4jM7*ryr—r-f- •4t ip41r7/.1q�t oC.Oc . ro� xer;;�yrzvr�'xs"w.w-n�q-r '4gyy^�,7'i'r`'"R�,,;F��'N.' T• ° �+') BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One Fomn Per Building) School District x` �y� ��. Building Department No. A.P. Number e9g0-?..(_P0-6WJurisdiction: 0 City County PropertyOwner Property Location/Address Ci Subdivison !Residential Development Commercial/Industrial Lot No. No. of Living MHId �on Units D � New Addition (Including Exterior 262,17- 6-,d Sq. Footage 16 O 6 �. (Group R) -aoj3,k6rr9 gel/ Sq. Footage -- r. Roofed Areas) §�W�apartment Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. ,LW ,e P -n1 V A11 FIV) School District certifies that A -n v- 104 /T (oQi9 (Applicant) Fag Address) A-011/ (State) 345 -.3-W (Phone Number) 9593 9 (Zip Code) has complied with the requirements of Resolution No. 9y -3 by payment of $ a76_2• 3 �2 r,jpresenting .1606 square feet. District Representative Paid by Check # . 12,Z Remarks: Bank Number. Paid by Cash AB 2926 $ FULL MITIGATION $ 7-3- 96 Date a 0 y If, subsequent to the School.District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified. by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building: department), Pink (school district) feeform.wkl (11/94)dmm BUTTE COUNTY PARK FACILITY,FPAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number'(s): Property Owner (s): Project Location/Address: Subdivison Name: Assessable Square Footage: Type of Residential Development (check one): New Development�Afteration/Addition ❑ Mobile Home (s)❑ Non -Residential to Residential o ments: 725 Building Division Representative Date r + Durham Recreation and Park District (DRPD) certifies that. 44T%y c Applicant Name ..: -* ` 9297 4o-17 /2ollo Applicant Phone Number Street Address^ . - r ,dirG41f4 City State Zip Code 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 r 'Dr Representative ate PAID BY CHECK No.: BANK No.: PAID BY CASH: RECEIPT No.: IfL} 2 1 Remarks:y° V DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION - COUNTY OF BUTTE BUlLDIMG�DIVISION DEPARTMENT OF-DE�I&LOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, O,roville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C1-'0o1J 1f1z-- q6-!5q OWNER " PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. :t. -j Date2'12 —q 7- Inspector REV 10/92 COUNTY OF BUTTE / BUILDING DIVISION =DEPARTMENT OF DEVtLOPMENT SERVICES 1469'Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747, Elliott,Road, Paradise, CA - (916) 872-6307 k/ CORRECTION NOTICE Coma 17 /V-{ OWNER PERMIT NO. I A routine inspection indicates that the following violations of Butte County Ordinances exist at thV'bovertaddress and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please,gontact`this office immediately. n AXV421143-'A' vZ6 -v 0 Date 1. 0 ZbLtA G Inspector REV 10/92 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: PATTY COOPER ADDRESS: 9297 LOTT RD. CITY & STATE: DURHAM, CA 95938 DATE OF CLAIM: 9/8/97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OVERPAID FEES DUE TO REDUCTION OF SQUARE FOOTAGE. A.P. 040-260-085, B.P. #96-1549, RECEIPT #201863, DATED 7/9/96 & TOTAL AMOUNT PAID.. 1,781.86 .................................... PROCESSINGKETA-IN REFUND FEE ...........................$ 25.00 TOTAL AMOUNT TO BE RETAINED ............................. TOTAL AMOUNT TO BE REFUNDED .............................$ 222.51 ' TOTAL 222. 51 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 2-7 day of Af f' 191L, at 14A,, -&-n Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services ora 'les specified abo havepeen performed or delivered and that there is a Budget Appropriation [ ) or Specific Board Approval [ ) (Check one) fo t e. Dated this 8TH day of SPET . 197 at OROVII .T ,F Calif. /` epartment Head or Authorized Deputy Dept. Code 440-002.Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: 01D I Lo -3 -0 Date: g q Issued To: Amount: S°7(p - _ - Fees Retained: / a I v Processing Fee: Bldg Filing Fee: 222 Plbg Filing,Fee: $ Elec Filing Fe $ Mech Fil' g Fee: $ E rgy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ 2>( I I I TOTAL REFUND DUE $ ', - -4 RECEIVED . SEP 0 2.1997 BUTTE OUi+,' 'Y REFUND CLAIM APPLICATIONUILDIA', ����ION CLAIMANT'S NAME MAILING ADDRESS Zk ASSESSOR PARCEL #: &I RECEIPT NUMBER(S) 2Q Re uest a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) (� Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans- ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE /fi DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. } R ENTIAL 040-26-0-085 COOPER, Brian & 93-1370 B,P,E,M Patty 9297 Lott Road, Durham (new single family., Joe Mello i OFFICE COPY Address— GAS J Meter By Date /15 ! ELECTRIC Meter By Date JOB FINALED (Optg) S19pature V=OK O = Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Locatlon-Teat-Wrap: / PU'ft. / /"Net. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ' 6. Water; MH Test -Regulator -Connector 7. ,Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 111. V • P. 'R • MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements N 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel: 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosurea; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK ' = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date/Initials UN FLOOR Plans OK except #'s . Z,oning-Setbacks-Easements-FI d -Slope tlt�in; Soils-Elec. Grf d.-/) ' Ftg. Depth Garage; Soils-Steel-Elec. Grp.-/I,4J" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth "temwalls, Main; Steel-Blockouts-Wrapped . Ste ails, Garage; Steel-Blockouts-Wrapped Isof6d Downs and Special Anchors 'j Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel JPID.W.V.; Fall -Fitting -T 2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Cn-1(G_�--'Ct 6- 11 -43 c g Date/Initials PLUMBING Permit OK except #'s 1 . Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Neil Protection . D.W.V.; Test -Fittings & Anchor -Nati Protection t9. Btrower Pan; Test, First Floor -Tub Access 20—Test Tub & Shower, Second Floor -Tub Access ak'Gas Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'a 22'.' Fixture & Transformer Clearance -Ina. Protection . Elec. Receptacles Spacing -Lights & Switches at Doors . Size Boxes & No. of Conductors-Stepled 2 Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 22('Subfeed Wire Size / / ga. Cu or69.C. Wire Size Ad ga. &or Al 29 -Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No . vl�sprvice-Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels -Motors -Mach. Equip. Clothes Closet Light -Shower Light -Spa Light . Smoke Detector I - -12rG Date/Initials MECHANICAL Permit OK ex #'s 34. A.C. Ducts Insulatio Support 35. Vent Fan; Ex st above insulation 36. Condensee Drain & Overflow; Size & Grade 37. Fu rice -Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s Sils, Proper Material & Anchors 4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4+. Bearing Walls over Girders & Floor Nailing aft Stop in Wells (ret proof) . Fire Stops; Furred Ceilings-Stairs-Chases"T P' Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) gers-Post Caps -Anchors -Connectors ,4_1MIng. Joist-Rftr. ties-Purlin.=roof Brac-Truss-Shthng ]-, 4 . lace Ties or Type A Flue-Firece Throat clearance Attic Access; Size ex actio Dratt Stop -Ins. Battles 4". drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 54e'Aroperty Line Firewall & Openings 152-_&t. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53–Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54-'p'lywood on Roof Overhang -Attic Vents -Rafter Outriggers g -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass P otection-Skylights-Plastic S ar Walls; olts Ins n -W IIs- II s 60. nfiltrati -Walls- indows 2-'01.12., C, C,_ Date/Initials FINAL Plans OK except #'s 1 t. Steps -Door & Sidelight Protection -Landings 6 . moke Detector Furnace; Vents -Clearance -Comb. Air -Connector - /in Garage; Above Floor -Ducts -Mach. Protection 64.,Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 66..,Elec. Trim & Subpanel; Breaker Sizes & Labels 6 . tairs & Rails 6V Fireplace or Stove; Clearances -Hearth 6 . Elec. Outlets at Wood Panel; Int. & Ext. 76. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance r( Elec. Outlets & Receptacles at Kit. Counter -7: -Garage Fire Door, Swing -Landing -Closer A.C. Duct in Garage -Damper 7/ Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 7,51 Plb., Elec. & Mach. Equip. Listed for Location 76! Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7� Insulation -Foam -Looked in Attic ❑ Yes 78.'Guard Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80e Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No �,� Stucco; B n -Finish &x' &Z A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings -S4`Water Well; Disconnect, Electrical, Plumbing �6. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86'. Ventilation Throughout House WGlass Protection 8& rrections from Previous Inspections W Gas Test -Meters Tagged; Gas -Electric 40 -Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0. /! 7 County Center Drive - Oroville, California 95965 - one: '1638„7541 93-1370 APPL' I�CATION AND PERMIT M / ASSIVSOR PARCEL NUMBER 040-26-0-0 ZONING 12 BUIL ING PERMIT OWNER BRIAN & PEGGY COOPER TEL HONE SQ. FT. OCC. BUILDING VALUATION in 4 57,4515 OWNER'S MAILING ADDRESS 400 A Entler Avenue, Chiro 9999R 144 M 9,592 CONTRACTOR'S NAME=342-'7267 Joe M HONE CONTRACTOR'S MAILING ADDRESS 9856 Lott Road Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 211.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUl��lf�l�LottS Koad, Durham y Permlt fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5 5.00 25.00 Solar or heat pump water heater 20.00 LOT2NO. SUBDIVISION NAME PARCEL MAP 109-56 Water piping X 7.00 7.00 Each gas water heater or vent X 7.00 USE OF STRUCTURE SF QX Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets X 5-ool 5.00 Building sewer X 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New �(X Addition Ij Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 bedroom Permit Fee $ 74.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.501 18.50 Main service 200A TO 10o0A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): }1�{J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co and my license is in full force and effect. License No. Z���O� Classification G� ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR AODNS. l ACC. BLDGS. I X 3.64sq.ft. 42.25 NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &\ SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES A0 764 FIXED APLNS Ex. Occup. OUTLETS PRESID,IREA.) I 3.00 Temporary service X1 15.00 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 90.75 - 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9.00 Heat Pump xxxxhu Cooling 9 Hood 6.50 Ventilation Penult Fee $ 49-00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemnify and keep harmless the County of Butte against all � I I ies, judgments, costs, and expenses which may in any way accrue a Inst id Count 'n consequen of the granting of this permit X Date Si Dture f A li ant - Owner pp ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 OCC R-3 CONST TYPE VN TOTAL FEE $ 914.75 HAz -- DFEES IMP X FLOOD CDF PARCEL X PO HD X ISSUE X This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI UBLIC By PERMIT EXPIRES Da 6 8 94 applicable provi- resolutions to do have been paid. WORKS Date 6/8/93 Receipt No. /1y Ci 3 �• WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7 COUNTY CENTER DRIVE - OROVILL , CALIr 965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �/d.-� �a0 G�2 A. P. No. 'T� _Z 6— ies Proposed Building Use 2 51A Building Inspector C— Date S /y S3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items havelbeen submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . .............. % ....... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ..... ' ...... . 5. Hazardous Material Form . .........................................:... . 6. Energy Design Compliance and supporting documentation . .................. /7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... / 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... inFees of $ .......................................... Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. .. ............. 4. Sanitation and plot plan approval C A1147:" Health Department . ............ 15. City of Chico plumbing permit . ......................................... ' 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. . ........ . Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. .. oB�ild 9 �spector Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... X23 Owner -Builder Verification (Given to owner , Mail to owner:. ......... . ------� 14. Recorded copy of Agricultural Acknowledgement Statement. ...".d :.............- . 25. Letter of signature authorization . ........................................ r 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 11 Existing violations xpired permits. ........ . n check lis Z .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept' Air Pollution Date Copy of plans sent Health Dept. Fire gept. Other Date By The following data must be submitted V to 1. Index permit for above items No. 2. Adotional items required: new item not checked above). Cont r esigner, wner, was advised of above required data by _pone_ mail Counter by LDate ontractor esigner, owner, was advised of above required data by _L,*hone _ mail CounterDate P ans checked by /Z 4� Date s3 Plans approved by M --Date ^� ets of plans on hold in t/ File cabinet AP folder Copy - Department of Public Works <r TO: Building Department • �A, FROM: Environmental Health SUBJECT: Sanitation Clearance F.11. USI- (),\I.v I'lut Plan NtacLcd Fluor ITm Auaclwd m U-) . fkak-:W Owner Location Plan Approved for: Sewage Disposal _�/ Water Supply: Public L Clearance for bedroom mobile home. Other 'Icr,,A_j�0�1tC Hold final for: Final clearance O.K. for: NOTE: Enviro »ental Health Specialist 8/92 AP// Private Well Date XA,Iyo lea Rl 7bZVAf . NAI,01114N� 92,1?7 XNt' IZ-111 La&'4Aa'?91 61q. TO: Building De�'Aftmrant FROM: Encroachment Permit Section RE: 'Driveway Clearance owner location AP # Driveway permit 7 � o t ly�( i has been issued for.the above property. nujabaf date s ignore VER COUNTY OF BUTTE - DEPAR=IENT OF`PUBLIC WORSS - BUILDING DIVISION 7 COUNTY C .YTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 law" C:�� � A P NO :POSZD BU�.DIVG USE d -J (l4'L -n- DATE REC. DATE REC 1. School Distric Fees (paid at District Office) She..riff Fees (%✓G ...............•.........• 4/2 (pa=d at Building Department) Residential ......... g 3 6 O - unit amt. Commercial(per sq.ft.) Z sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) 1 4 7r units amt. Commerical(per sq.ft.) Z 4 sq.ft. amt. 4.. Rec=eatioa District Fees (paid at District Office) .......................... 5. Drai ge Dist --i c= Fees (Contact Land Development) ......................... 6. Other 7. Other Y D3,,� time of per -mit application, I was advised the above fees are required to be paid pr --'C,: issuance of the permit. II v "�� DATE ;y�,w ��orr-p•�tdtri��n:",'`�,r+ BUTTE COUNTY SCHOgLS: IMPACT FEE CERTIFICATION FORM ;(One Foran Per building) School District Building Department No. A.P. Number Jurisdiction 0 City EE� County PropertyOwner �/��✓5��/ �oo��i^ Property Location/Address Subdivison Lot No. Residential Development ® Sq. Footage /�OoP - No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative (Faao�4e - iet-P�tseftrref) District Identification No. %DU� Date School District certifies that �ef� a (Applicant) Address) (Phone Number) (City) (State) (Zip Code) . has complied with the requirements of Resolution No. representing square feet. Sch6q)95istrict Representative Paid by Check Number ;/ Remarks: Bank Number p, rs Paid by Cash by payment of $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act.(CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wki (4/92) RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F-, DUPLEX .& MISC. ONLY) Bldg. Per it # OWNER CC: 7�€�r� A.P. # Plan Checker GEN,ERAL� ning requirements: (sideyards and number of permitted living units). 2� Valuation. j fans signed by designer. Proper description of work on application. sting violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of violation. PLOT PLAN �j. �Lp7- Y: Complete parcel size and dimensions. E , sideyards, easements, etc. ildings or structures. fills, drainage. zard. conditions on creation map, and foundations). ". W &-FAS road setback. (noise, CDF, fire sprinklers, non -comb wilding or utilities across lot lines (Record form). FLOOR PLAN �6mulete to scale plan with dimensions. "'Required windows for light and ventilation (Sec. 1205). Required -windows for second exit (Sec. 1204). *'—S%ylights (Chapter 34 & Sec. 5207).- ' impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec: 1207). FIs i baths, garage, kitchen, and exterior outlets (Article 210-8).` h fixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. o'Lo ions of water heater, heating and cooling equipment, other electrical gas equipment.• 1(g. ara a firewall, door size and closer Sec. g ( 503(d)(3)). 1 . 1 - 0" exterior exit door (sec. 3304 (f). Wee ce and wood stove location, alcoves, and clearance. 1 . S detectors (Sec. 1210). 1 lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) nus shape, size, or split level 'house requiring lateral design. Clerestory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. Foun ation plan complete enough to construct building. 0o ruction details complete enough to construct building. ;elevations and wall construction details complete enough to constru=-,building Roof construction details complete enough to construct building. place construct -on details and calcs if necessary. 1 Rafter ties or bearing ridge beam. 1 garage door or porch header sizes. 14`/- d heights. le .adobe soils - special foundation design. -14-.--Re`taining walls requiring design. al Inspection required. w: • `ti � >. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS*ITEMS TO LOOK OUT FOR -1----St�airway details: landings, rise and run, head clearance, handrails (Sec. 3306). frail details (Sec. 1711 & 3306(j). or stone veneer (Chapter 30). t�=rior plaster - weep screeds (Sec. 4706). rouper roof pitch for roof convering (Chapter 32). 64-- ot�of covering type - (fire hazard). 7- Eoaminsulation - protection. is and stairways. '7—.-Uv4_nj area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 AY ttic access and ventilation (Sec. 3205). l�--�rf�oor access and ventilation (Sec. 2516). '-Combustion air for fuel burning appliances - L.P.G. requirements. of requirements on duplexes. I rgy design. 1 Flashing at all exterior openings. responsible area requirements. s�zS)93 C rov. p7t�_. , 0 _ I'D w`ti MAY -25-199: 16:09 FROM NORTHSTAR ENG TO 1-5382140 P.02 PID)f ..� r ENGINEERING CM ErtQ Ors * Perrrrers . Surveyors May 25, 1993. County of Butte Building Department 7 County Center Dr:Lve Oroville, CA. 95965 Re: Lott Road, Durham, CA. AP #40-26-85 Gentlomen: At the request of Mr. Mello, I have investigated the flooding potential of the above refereuced building site. The recently adopted flood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 -year flood from Buttc Creek. The base flood elevation has been approximated for this particular area based on an analysis prepared by the F.E.M.A. consultant and provided to us by the Butte County Department of Public works. It should be noted that the consultant's analysis was based upon uthe best available information at this time" which included the U.S.Q.S. quad sheets and is not a final design. Secauae the analysis ignored the existing levee system it is very conservative and is acceptable as a reference until a more complete study is prepared. A temporary benchmark (railroad spike in the centerline of Lott Road near the southeast corner of— he parcel) has been set near the building Oita. The _"�Ilevation of—the temporary benchmark`r� 152:511 USQS. Based upon linear interpolation of the F. .- consul_tfxantis'hs s_sections_the_100:year floode.69.ThesF3cro floo__ shall be above thio elevation. 1 trust this provides the information necessary to process the permit:, however, please feel free to contact me should you have any questions. cc; ace Mello WP12:MELL01 n R. C E. 361,2S7 Reg. Expires 2- ,3j, -Q3 Very Truly Yours, NORTESTAR S GIN G 4%/, �o ^ Mark Adams A N - `1.PlRII RCF: 34257 Exp 95 NNI _ _20 DECLARATION DRIVE CHICO. CALIFORNIA 95926 _ - 916-893-1600 W 4t"® �F t !�. f. �y / t 3'ki*+..v�al'.•'Tt�r�{f �aan+H�r'�fwk�e%1+i.� �I 1a it??/'/ 3 /16:09 FROM l INIUR I H TA Ef 11- �» TO .. /� � � � � �.. . ��t w f S+t�.n5 fiF4h.+ �'Ve! ��*►(t i• r,i ' '��-., b t 'Y ENGINEERING Wlii Enoee1s • Pfanne{s Surieyors FAX TRANSMITTAL SHEET DATE JOB # _ SEND Name Company FAX # REGARDING : FF 014 Name f' i12:K -- -- -� Company NORTHSTAR ENGINEERING Phone # . (9 16) 893--1600 FAX # ( 916) 893- 2113 Attention: NorthStar Engineering The following transmission consists of this number of sheets, ncluolnb this transmission sheet: -l?l letter size sheets lte6ul bite sheets _ 20 DECLARATION DRIVE CHIC_ 0. CALIFORNfA 95926 P. 01 MAY -2..;-1993 16: 09 rRO11 NCIF"TH'--THP E1t16 9 TO 1-53821= 0 P.02 .M-...R-•.w�.c`rt^v!. r•.n. {..ww,..ry,,y„nryywrn{.....,y,. .� r b i, r F'INCS Civil Engineers • Planners ,+ SoMors May 25, 1993 County of Butte Building Department 7 Cot=ty Center Drive Oroville, CA, 95965 Rai Lott Road, D'urhm=, CA. Air #40-26-85 Gentlamon: At the request of Mr. Mello, I have investigated the flooding potential of the above referexxQed building site. The recently adopted blood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 --year flood from Butte creek. The base flood elevation has been approximated for this particular area based on an analysis prepared by the F.E.M.A. consultant and provided to us by the Butte County Department of Public Works. It should be noted that the consultants analysis was based upon "the best available info ation at this time" which included the U.S.G.S, quad sheets and is not a final design. Because the analysis ignored the existing levee system it is very conservative and is acceptable as a reference until a more complete study is prepared. A temporary benchmark (railroad spike in the centerline of °Lout. Road near the scu4heast corner of the parcel) has been set wear the building bite. The el.evatio*i off: the teitporal'y benchmark is 1.52.51 USGS. Based upon linear interpolation of the E.E.M.A. eonsultant,s cross sections the 100 -year flood elevatio= is 153-69. The finish floor of tLe structure shall be above this elevation. I trust this provides the information necessary to process the pea;atiL, however, please reel free to contact me should you have any questions. cc: aoe Mello WP12 : MELL01 P, C, E. 34,257 Ri=g. Emplrcc s E �: ,33 Very Truly Yours, NORTESTAR ENGINEERING Mark Adams RCE .34257 Exp. 9-30-95 _20 DECLARATION DRIVE CHICO. CALIFORNIA 95926 916-893-1600 14 TOTAL a P ..02 NorthStar ENGINEERING Civil Engineers • Planners • Surveyors May 12, 1993 County of Butte Building Department 7 County Center Drive Oroville, CA. 95965 Re: Lott Road, Durham, CA. AP #40-26-85 Gentlemen: At the request of Mr. Mello, I have investigated the flooding potential of the above referenced building site. - The recently adopted flood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 -year flood from Butte Creek. The base flood elevation has been approximated for this particular area based on an analysis prepared by the F.E.M.A. consultant and provided to us by the Butte County Department of Public Works. It should be noted that the consultant's analysis was based upon "the best available information at this time" which included the U.S.G.S. quad sheets and is not a final design. Because the analysis ignored the existing levee system it is very conservative and is acceptable as a reference until a more complete study is prepared. A temporary benchmark (railroad spike in the centerline of Lott �nQ p1� Road near the southeast corner of the parcel) has been set near the r, uilding site. The elevation of the temporary benchmark is 152.51 USGS. Based upon linear interpolation of the F.E.M.A. consultant's cross sections the 100 -year flood elevation is 153.69. I trust permit, this provides the information necessary to process the however, please feel free to contact me should you have any cc: Joe Mello R. C. E. 34207 WP12 • MELLOI Res. PIMS 9-3.0n95 Very Truly Yours, NORTHSTAR ENGINEERING Mark Adams RCE 34257 Ex . 9-30-95 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 6 COUNTY OF BUTTE BUILDING -DIVISION w DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Coo, 173 -/373 OWNER PERMIT NO. A routine irmpection indicates that the following violations of Butte County Ordinances exist at the abaae address and should be corrected. Please notify this office when correction of work incow4deted_ lirou have any questions pertaining to this matter, or need additional explanation, ple)a�se eon�tm this office immediately. ' I Cit ,4 -ti X e/,vSe!!!c e 0 �..> Date Inspector REV 1002 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Coop OWNER °13 -I3 -7o PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date �-� Inspectors,.►, REV 10/92 Insulation Certificate - BUILDING OWNER: BUILDING PERMIT #: ✓ ' �✓ �'� BUILDING LOCATION: 2'Y7 % I Q 2) U'2 �4eb Description of Installation ROOF - Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type c� Thickness (inches) 1 Loose Fill Type Contractor's minimum installed weight/ftlb Brand Name Thermal Resistance (R -Value) Brand Name Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)' EXTERIOR WALL �r Material i 4 Brand Name - Thickness (inches) C - Thermal Resistance (R -Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signature and Title License Number Date ub- on r (Insulation Installer) Lice a Number �, Signature and Vitle Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 NORTHSTAR ENGINEERING 20 Declaration Drive Chico,.CA 95926 (916) 893-1600 FAX (916) 893=2113 STRUCTURAL CALCULATIONS PROJECT C Dd PE R RFS D� JAI G�i JOB NO. 4Z 18 LOCATION LoT I V-.2. 2c1)?_NAM , GA '7"27 1 36 DATE CODES: Uniform Building Code, 1991 Edition AISC, Manual of Steel Construction, 9th Edition ACI, Manual of Concrete Practice, 1988 Edition AITC, Timber Construction Manual MATERIALS: Concrete:f'c=2500 psi @ 28 Days Masonry: f1m=1500 psi Mortar: f1c=1800 psi, Type "S" Grout: f1c=2500 psi @ 28 days Steel Reinforcing: A-615 Grade 40 for #4 & smaller A-615 Grade 60 for #5 and larger Structural Steel: ASTM A-36 Steel Pipe: ASTM.A53 Grade B Steel Tubing: ASTM A500 Grade A or B Machine Bolts: ASTM A307 Grade A Anchor Bolts: ASTM A307 Grade A Wood Connectors: Simpson Strong -Tie, or equal. Type "B" Holdown anchorage. Wood: Light Framing: Const Grade Douglas Fir Struct Lt Framing: #2 Grade D.F. Joists & Planks: #2 Grade D.F. Beams & Stringers.: #1 Grade D.F. Posts & Timbers: #1 Grade D.F. Plywood: A.P.A. Rated Sheathing, -Grade CD, UBC Std 25-9 Glue -Lam Timber: ANSI/AITC A190.1-1988 & UBC Std 25-10 Simple Spans: 24F -V4 Combination Cantilevers: 24F -V8 Combination ARE SPECIAL INSPECTIONS REQUIRED ? No LOADS: Roof Live Load (psf) I 6a Floor Live Load BUM =N Seismic Zone 'U'LD91* FSpf�I'N'n Win Spee mp ) APPn� (psf) 7a M 1 Bearing (psf) 3 Exposure: 5 X00 " Page 1 of ril_ �F, No. X257 P. C. E. 34257 Reg. Expires 9-30-35 BY: DATE: JOB NO: Z q8 PAGE Z OF S. Apq Ho. X257 57 Civil Engineers • Planners • Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 MEIN 0 WINE SWOONC0 OR MEMEMNIMMEM so ONE 0, NEW Emmons 0 m mols NEW ININIM m SO ]EMMONS mi MMEMMMMENMMM No OMEN MEMEMMINMEM MINES No INMEn imm ENO MEN MEN 901M No mom ME ■ a ME ■t a� ti BY: J M R DATE: Tj l q' Zj JOB NO: 4 2 l8 ,PAGE 3 OF No. 8:34257 C/��1�- �FOF r% 9% W' -.rAasCv9 NofthSftr ENGINEERING Civil Engineers • Planners Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 i I w 1 i corlP-ARG iee�� E p es 9-3®-85 wI!N� V. S I� N-rI�IUcp� ! g4 c j 515M_IG V = 13 , ' 8, I W_ PC.JAI- ( D � ERov�� � - 1_ Go�N_uG_�NT_IoNAL_ Wp�aL 00,18 _ N .I B [ Z�,011 L+ ,IZ% Ic• .Z3 Kf> > _IZ-7 ' K1' :_ WL>uD GoV21i IT I II I f - Z, Ii Mri 4,. 1, K I I USS Nr�.i_ 6!���I SH�RWLL S~�-ICD ani L - -�-- • I _ � �� I I RooF c�� wAIL � ! � oTM . 82.8 tJ.04_ Z - - 7 N 4X;4 PAST bJl. STA P Z 8 i -TI I77 1 �` II % Z . KrSI}_ b•= Co Z 0.0 -+ _I U; :FT ' Li - i AIJ that real property situate in the County of Butte, State .of California, dc:,c•rLbed as follows: See attached . Date: August 27, 1990 RTY OWNERS: State of California) On this the 27 day of p,11CD1Gt- 19_90 bofurcr me, ) SS. the undersigned Not,rry Public, personally appeared C=ounty of Butte ) Joseph J. Mello and Carol Ann Mello-------- © Personally known to me. M Proved to me on the h<isis of satisfactory eviderlrc. to be the person(s) whose name(s) arP subscribed to the within instrument and acknowledged that they executed the same For the purposes therein contained. f N WITNESS WHEREOF, I hereunto set my hand and official seams_ Present A.P, .N:o�Ztary Puhl ic: NOTARY PUBLIC -CALIFORNIA ® / Butte County ® My Commission Expires June 30. 1992 12 ®8® e®mma0wis0a®®®®®®®®®INaa® Return to DPW STATEMENT OF ACKNOWLEDGEMENT.90-36907 FOR RESIDENTIAL DEVELOPMENT Section 26-8.L of the Butte County Code ' requires 'this acknowledgement be recorded ' prior to issuance of a building permit. _ - -- The pr.opert.y described herein is adjacent 90-036907 I Rec Fee 9.00 � to land or included within an area zoned Cash 9.00 for agr i.cu LI. ur.a I. purposes, and residents Recorded � of thLs properLy maty he sltb,ject to incon Official Records j vvn.i.c-ncc�s or di.scomf'ort arising From the I County of ' use of agr.i(-ult.ural chemicals, including, but not Limited to herbicides, pesticides, Butte and fer-L.il.irers; and from the pursuit Candace J.: Grubbs I of" agF.i.cu.lturaI operations including, Recorder but not. 1 im:i ted to cultivation, plowing, B:Olam 28 -Aug -90 � CD 3; spr.ayiny;, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estabLished agric.u.l- Lural zones which have as a priority use for productive agricultural. purposes, and r.esi.de1115. within sa i.d zones and on adjacent property should be prepared to accept such inconvenience. or discomfort from normal, necessary farm operations. AIJ that real property situate in the County of Butte, State .of California, dc:,c•rLbed as follows: See attached . Date: August 27, 1990 RTY OWNERS: State of California) On this the 27 day of p,11CD1Gt- 19_90 bofurcr me, ) SS. the undersigned Not,rry Public, personally appeared C=ounty of Butte ) Joseph J. Mello and Carol Ann Mello-------- © Personally known to me. M Proved to me on the h<isis of satisfactory eviderlrc. to be the person(s) whose name(s) arP subscribed to the within instrument and acknowledged that they executed the same For the purposes therein contained. f N WITNESS WHEREOF, I hereunto set my hand and official seams_ Present A.P, .N:o�Ztary Puhl ic: NOTARY PUBLIC -CALIFORNIA ® / Butte County ® My Commission Expires June 30. 1992 12 ®8® e®mma0wis0a®®®®®®®®®INaa® t� 903 907 r� Order No. C-50941 S C H E D U L E C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: Parcels 1 and 2 as shown on that certain Parcel map filed in the Office of the County Recorder, County of Butte, State of California on December 11, 1987 in Book 109 of Maps at pages 56 and 57. i\. m r CD 1 C - So9 q 1 /n 9- .s& :ur 4L OO Ar SURVEYORS CERTIFICATE B :T Riafi0�u. THS TI•P ru PREPARED BY TA: art V001 W . DODO 2Tfer 0® To COUSrry p# Ap T ORECTIOII AM WAS COWLED ►ROY RECORD DATA C a er.T•zS• ( FOD2 82 M 43 AIO OR 0 BASED 1 A FEW AATVEY IN WEST SSAI KCOIwW YRIAL A10. G C1e1.AG w M KaztUOfTa OF M PCL I K° w `eTr or o•W vACT " LOCAL o rB� i T M w2ST 2S.aa WU 107 M 3T w ee�ozs• E zf.sB AL tat G WEST 20.42 vxor r0u0 rEaT a0m IRU fluor. now • Eur ants IRA) MRTW casae I= TA Harz TWT TITS TARrn ru GAT 2010 WU I wawTW ID1i. W aE cat COPCXT Tf1LLLT CDIlalee TO AT APPROVED DA y E R 0eroo0v r 5.e. D _ �r.os LO T ezex ROAD \ ALLOT. r ALL v xo2x ARE or Tor Z ER s ARr. �'.. w e1 w orwoo• r Boa DTE)lU E� G 2oT3e - / , ALL IICNAE)!Ti ARE O M oYMcrFD AIO _ r e 000000• low") w 3S`4 2VW r R1M IIODTK IDOaT �- `•�':. I i� ! .i w aeroz w ee.. W ocarr M POaffld0 TouTrD, p�w►+.,saF `T w oeroo . eD W Uu) — Hui b +e.+»:. Aw M rO..,ExTs uW- OR ru ea o e Or00oo- r MAA - w eYIISD' t Tt.2'•� ^ : asrrcrr TO DIArl TIE SIa1vET TO K KTIYIZO [w'. 6a0-9. w oer000cr r weir DPW) •" C � 4 � / w oer000c r stir ' � � � � "'1 'ti l_! 12 7-0 fluAL Gat TealAwo R. Rau I_e. m ' � w Devroo� r Daoe � yo or. r 'e.9Off a,n ♦ tt 1 EASDAIXT FOR DITCHI COUNTY SURVEYOR'S CERTIFICATE 7 cou rT WIDE Oo PURPOSES TO Dk. TMTUAL WATER car ANY TM A COfaeo WrrW M REOL*tEAEARD Or M +t tf $o TO BE DESERVED IN OU" PARCEL 2SLBII Of NAP ACT Arc LOCA. OTOIK.xCL E Q .O°sbas t lii 651 ACs s g3. J GATED "rnn t $ d`i re 3' In Cw TT nnVc'Tai c "mSaco On o �? Y . r n PARCEL 1 B e+ 40 RECORDERS CERTIFICATEr 650 ACS s D230,Wr MOT wz TW0 //Td D•Tar_QF_L�_�rer w n-ez r Tow W N^§ .0 Ar w eoac 'kms cF Ar ► AT M K T Or ROPER a Doi = Y zzz CAADAGE 1 GFROSS al"A COL." COROG ITTDOWEr_)1l. DD.AL wn IP {�7/ t v. Rc.E am �'$ • a'3-Ov w t AED We '00.00E 0 BASIS OF BEARING • �� �.A. r anT M eAm or eEO T FOR TTTa TEEM FG e M 84 N 79 fgLS SPIKESCEKrDkJC OF Lorr ROAD BA OF M roues E316 IL ROM M VrEST LK Or ALLOTIENf r WAS SPTQA �. TwRTIt PED BOOK A OF ITA►i rAf;i K . it 'sr. \ ` t!•y LOT DOES AWATEO BTM COW R4.E AD.AOT•ETfr AS M OWOIUL WT 0.03E ALLOT. 0COFL 1 TIOTo LOWCA a [uocxr wr 7= SCALE r = 100' � 7TEAFfOK EASEAEM Of RECORD IIDT llwrw DR. T OA M OO LEGEGD SET S/4.LP. Tj 00 PARCEL MAP F0 "R� AGE 110! OF A PORTION OF ALLOTMENT 18 -O- Fo" OPER Do V. r0vo v, Rct saw OF THE DURHAM STATE LAND jyF«,o v. ED aa.c CALCULATED ►onr Dear SETTLEMENT FILED M BOOK 8 o BOOK a Or MAPS. PAGES w _ r OF MAPS, AT PAGES 16.17. 8 IB 141 BOCK B. Or Tun. PACE n SEC. 29 6 32, T. 0 1G. R. 2 1.. MDLLOWIER S CERTif}CATE STATE OF C• IFGWKA aD 1 BOOcB9 OF r•Pa. PAGE cB CCAAM OF BUTTE a SOCK GAT OF Tun PAGES Sr •xBUTTE COUNTY CALIFORNIA RonA OMY ER u r S CONSEE OK TA F •9s' BE70RE K MUOBOCK a Or KAM I.GE u TT. T r A SCL PDLTON wwg ID LAIC r 0 A RSONAL Y Ti Aro A aA0 TT P Oar °' "" FOR I W-RDIVRr TO PADS CLEAR TTTLE TO SAID LAID Aro PERSONALLY OR-2APPEARED GAw O W ON TK BASUI DAVID SCOTT I IESBDT GC" OF TOM AS 4o OFRftOMSA 0` AE OR E PROVED To K M P BAaa L PARM REG01wATKl11 Of SAID NAP Ai 910rW IE)EOq GT SE "19 " EVIDENCE TO of M PEAVI ! e MWO.Tf 114E Tr30rkT TO M TIITIeT TlTT78.EwT 9Y Ab AC-ftUDGTD TO AE 7WT T/!T E7EMID DAM R,eerTB' �Ii1 M SATE WITNESS GAT WAro Aro OFFICIAL SEAL ROPER ASSOCIATE S ENG94MRS ® SURVEYORS �"d71iE Kefr BuH r • I tIT;A.2-soee o.sLawnio+ 1 IwTART P18C IIAIE PIMm wr PA BOD Bn wc4 CxsOwu - w{ BTEET I of 2 BrEETS AP. Oft 404m-ar ✓�Il��lll�lh�eil�lr!�Iry�ll!�111�11—�II1�II��1111111.ISr111!11111ILIIIIIII[gillI11!��I1'11��,�l�el��e�1�11��1i1�11!1!11111!11J1111"11fT1TTrTml1nl111a1111111�1�111�1�1�1�lll�l�llllllllllltllll11111111111 rte' butte �'ounty BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 CHICO OFFICE - .1.469 HUMBOLDT ROAD, CHICO 95928 TELEPHONE: (916)891-2751 JOE MELLO 9856 LOTT ROAD RE: Building Permit # 93-1370 OWNER: COOPEI DURHAM CA 95938 Expiration Date: -6-8-94 A. P. �l�0�40-_260 085--- DEAR MR MELLO: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: JXX4 Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, .all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and.signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. ,After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the CHTCO office. Thank you for your prompt attention concerning this matter. Yours very truly, MicWael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse restoential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this cnecklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the. documents or on this checklist only. I DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manutaaurer's labeled R -Value. • §150(c): Minimum R• 13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Stab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no grower than 20 perhtinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Inffltration/Exfiltration Controls a. Doors ano wincows between conditioned and unconditioned soaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weathersiripped: ail joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §1500: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters. showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1501j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenornextenor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exDosed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. • §150(m): Ducts and Fans 1. Ducts constructed. installed and sealed to comply with UMC Sections 1002 and 1004: duan insulated to a minimum fnstafted value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave oackdrah or automatic dampers 3. Gravity venaiagnq systems serving conditioned space have either automatic or readily accessible. manually operated dampers.. §114: Pool and Spa Healing Systems and Equipment 1. System is oertifiec with 78% thermal efficiency, on -ort switch, weatherproof operating instructions, no electric resistance healing ano no pilot light. 2 System is instaileo with: a. At leas136* pipe oetween filter and heater for future solar heating. b. Cover for outdoor coots or outdoor spa. 3. Pact system nas crrectionan inlets anti a circulation pump time switch. §115: Gas-fired centra, furnace, pool heater• spa neater or household cooking appliance have no continuously ounno pilot fight. (Exception: Non-euecmcal cooking appiance with pilot < 150 Btwhr.) Lighting Measures §I50(k): 40 lumenswad or greater for general lighting in kitchens and rooms with water closets: and recessed cetf no fixtures tC insulation coven approved. COMPUANCESTATEMENT This certificate of compliance lists the budding features and performance specifications needed to comptywith Title 24, Pans 1 and 6. of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the V divfdtral with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special r-eatutreslRemarks section. Designer orner (per B sia Protmaio code) Documentation Author. Name: Name: Tide/Firm: /11/vIve 7 G. Tide/Firm: Address: Address: ' Telephone: 4-7 Telephone: Lie. s O t✓ (sig rel (date) (signature) (date) Enforcement Agency Name: Title: Agency: Tereonone: . tsignature•stamp) (nate) Certificate of Compliance: Residential Climate Zone. it ProjectTltle �✓ �J7© 9297 tly = '2� Building Permit 0 Project Address „ '< s� Chedted By Jr Due Documentation Author: • Telephone Enforcement Agency Use Only BtTILDING DATA' • • Conditioned Floor Area Slab/Raised Floor �Q Single Family Detached (SFD) . ( ] Single Family Attached (SFA) ( J Multi -Family (NM Fenestration ea % Number of Stories North g 4--.5- Number -•.5-Number of Units East ' zis Southi'� [ J Addition -Alone, West Zt3 [ ] Existing Building Skylight eD (] Existing-Plus-Addition Totalf07 B LM,DING SHELL INSULATION Component Insulation Locaiiorf/eommero TyN R -Value (attic, to garage. MECL etc,) Roof ............. .� Roof ............. . Wall .............. — - wall......... Floor ............. . Floor ............. , Slab Edge..... FENESTRATION ming Devices -Ee.nestration Area Type Interior Exterior Overhang Framing Type Orientation (SQ (single, double) (roUa blind eta.) (shadaaeen, etc.) (yestltto) (metaltwood) NO, lie North ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... O THERMAL MASS Bums COUNTY Type/Covering Area Thickness (slablexeosed.tilr_etc.) (so (inches) Locacion/Descriplionwwtten_b*b�t .6,�►r• 7 IiVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct conditioner, hentvumv) (P,FUE,SEER.HSPF) (attic. etc.) R -Value 1 Heat Pump Thermostat Tvne (split or nkgl HOT WATER SYSTEMS .L R Value ank Svstem Type (storage gas, etc:.) Capacity Number Energy Factor Ext- Tank Tnt _ T)i Srr; heti nn 1 ' SPECIAL FEATURES/REMARKS J i I F Point System Summary: Climate Zone 11 1. Ceiling Insulation �� or R -value 381 U -value (0.028( 2. Wall Insulation 41 or R -value 11 1 U -value (0.0651 3. Raised Floor Insulation or R -value 1191 w►alue [0.0371 4. Slab Edge Insulation or R -value 101 F2 tactor 10.751 S. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Y] 6. Fenestration Heat Loss .� tg .(A 10-7 Type U -value (0.651 Total % Fenes.1161 7. Fenestration Heat Gain % Fenest on SCshade open Eff. % Fenes. Shade Eff. Ratio North r X , 77 East 7' X = , South X= r West X = ,Ve Skylight X = Overhangs? (Y / N ) 8. Interior Thermal Mass or 12 Water Heating Point Scores -5-. Sum 1-6 a r _3 Sum -9 Zonal Control Adjustment (01 I� Zonalconud Adjustment (01 System 1 S G % Exp. Slab (201 Int. MaWCFA ST -P+ 9. Exterior Wail Mass En0qy Factor Ext. Ins. R -value Auxiliary Input Distribution (SG501 Ext. Wad Mass { f . P. W A L- V (STD1 10. Heating System (0.% X / . a _ to •g Heater Type (None[ AFUE or HSPF Duct Etfic. (1 story: Eftecnve AFUE 1.01 178% or 6.81 0.83: 2+ story: 0.881 or HSPF 11. Cooling System /O X /,0 1 O .51 SEER (10.0( Duct Etfic. [1 story: Effective SEER .35 Percent 0.81: 2+ story: 0.871 to 12 Water Heating Point Scores -5-. Sum 1-6 a r _3 Sum -9 Zonal Control Adjustment (01 I� Zonalconud Adjustment (01 System 1 S G O -53 P. rZ ST -P+ Heater Type En0qy Factor Ext. Ins. R -value Auxiliary Input Distribution (SG501 10.531 (121 (None( (STD1 System 2 0 0 0 R•21 Heater Type (None[ Energy Factor Ext. Ins. R -value Auxiliary input Distribution 1. Ceiling InsulationI�Ihi.,i0 Number of stones R•value One e►• ree'es,l1 R-0 -74 48 27 R-19 -5 ;r'� - -4; 9 r' . '21 x-"5 R-30 R-38 0 0 0 '_. Wall Insulation Single- Single. Family Family MuI111- R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 -5 4 -3 R-15 4 •3 -2 R-19 0 0 0 R•21 1 1 1 3. Raised Floor Insulation 1.01 .91 Initiation in Floor .76 .71 Ntunber of stones .61 R-0 -14 -9 -5 R-11 .3 -2 -1 R-19 0 0 0 R-30 2 1 Point Total: 14'.,Slab Edge Insulation Number of Stones 'R-lyditre>, One Two Three 0 0 0 R.5 6 4 2 AR -7 7 4 2 6. Fenestration Heat Loss 5. Infiltration (Duct Air Leakage) Dues in Unconditioned Soave 0 No Ducts in Unconartiorm Soace 3 + 7. Fenestration Heat Gain (baseo on Snaoe Eftecuveness Ratio) En Fen. estra. tion North .87 .67 .52 or to to mm .86 .66 51 or Wss fast .87 .67 .52 or to to more .86 .66 .51 or less South .87 .67 52 or to to more .86 .66 .51 or lass Wet .87 .67 52 or to to more .86 .66 t}trdue skylight .67 .66 or or more less 18: -5 -4 .3 •2 •21 Total 1.31 1,21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to to to to to or nes»a0on more 130 1.20 1.10 1.00 .90 .80 .75 70 6 .60 55 .50 45 40 less 50% -100 •76 -69 -02 -55 48 41 -38 •34 -3 -27 -24 -20 -17 -13 -10 40% -77 -58 -52 -47 41 -36 -30 -27 -25 - -19 -16 -13 -11 -8 -5 15% -66 49 44 -39 -34 -29 -25 -22 -20 -1 -15 -12 -10 •7 -5 •3 307. -54 -40 -36 -31 -27 -23 -19 -17 -15 -1 -11 -8 -6 4 -2 0 280. -50 -36 -32 -28 -25 -21 -17 -15 •13 -1 -9 -7 -5 .3 -1 1 267. 45 -33 -29 -25 -22 -18 -14 -13 •11 -9 -7 -5 4 -2 0 2 24% 41 -29 -26 -22 -19 -16 -12 -11 -9 -7 -6 -4 -2 •1 1 3 M. -36 -25 -22 .19 -16 -13 -10 •8 -7 -5 4 •2 -1 1 2 4 20% -31 -22 -19 -16 -13 -11 -8 -6 -5 4 -2 -1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 -t -3 -2 •1 1 2 3 4 6 16% .22 .14 .12 --10 .8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 •7 -5 -3 -1 0 1 2 3 s 5 6 7 8 12% -13 -7 -6 4 -2 -1 1 2 3 4 4 5 6 7 8 9 107. -0 4 .2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8% 4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 + 7. Fenestration Heat Gain (baseo on Snaoe Eftecuveness Ratio) En Fen. estra. tion North .87 .67 .52 or to to mm .86 .66 51 or Wss fast .87 .67 .52 or to to more .86 .66 .51 or less South .87 .67 52 or to to more .86 .66 .51 or lass Wet .87 .67 52 or to to more .86 .66 .51 or less skylight .67 .66 or or more less 18: -5 -4 .3 •2 •21 -20 •15 .12 •26 .23 •16 •12 -36 -32 -23 .16 •75 -50 1611. 4 -4 .2 -1 -18 •16 •13 -10 -21 -1 •13 -9 -31 -27 •19 •14 45 -44 14% 4 •3 .2 .1 •14 •13 •11 -8 -16 •1 •10 •7 .26 •23 •16 •11 -55 •38 12% -3 -2 •1 •1 -11 -10 -8 -0 -12 •1 .7 -4 .21 •18 •13 -8 46 •31 11% •2 •2 •1 0 •10 -9 •7 -0 •10 .8 •5 .3 •19 .16 .11 •7 -41 •28 101. -2 .2 •1 0 -8 -8 -6 •5 -8 -7 4 .2 •16 -14 -9 -6 •37 -25 9% '-2 •t -1 0 •7 •7 -5 -4 -6 -5 •3 •t •14 •12 -8 -5 -32 -22 811. •1 •1 .1 0 -6 -5 4 4 4 4 -2 0 -11 •10 -6 -4 -28 -19 7% •1 •1 0 0 -5 4 -4 -3 -3 .3 .1 0 .10 -8 -5 -3 -24 -17 6% •1 •t 0 0 4 -4 -3 •2 -2 •2 •1 0 .8 .7 .4 .2 .20 •14 5% •1 0 0 0 •3 -3 -2 -2 -2 •1 0 0 -6 .5 .3 •1 -16 -12 4% 0 17 0 0 -2 •2 .1 •1 i 1 0 1 .4 •4 -2 0 •12 •10 3% 0 0 0 0 -1 •1 •1 0 0 0 0 1 .2 .2 0 1 •9 •7 I 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 80% 0 0 1 1 2 2 -3 -2 O% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses With Ducts; (R-4.2) Exterior Method A (Sisb-on-gado Muni Construction Only) Pwreent Family One Mass Two Three Esoosed 0.00 0 Stones Stories 0 3 3 2 2 7 -1 10 0.60 •2 8 1 0.80 .1 20 7 0 14 0 9 0 30 13 1 1.40 1 14 1 . 40 21 3 13 2 23 1 50 2.00 4 19 3 1 2 60 0 5 7.4 3 5 2 70 2 6 1 4 7.6 2 80 7 8 4 5 1 3 90 8.0 9 9 6 5 3 100 100% 10 8.5 6 11 4 7 4 Method B AC Effective AFUE or HSPF IM •15 Sob Floor (AFUE or HSPF x due efficiency) Raised Floor Mass One Story Mouse stories -28 Sum of 1.6 Stones Al /CFA One Two Three One Two Three 0.0 .11 -8 -6 -1 .1 0 0.1 -10 -7 -6 0 0 0 U 4 4 •5 1 1 1 0.5 •8 •5 -4 2 2 2. 1.0 •6 3 .1 4 4 5 1.5 4 .1 1 6 6 6 2.0 -2 2 4 8 8 8 Z5 1 3 5 9 9 9 3.0 3 '6 • 5 11 10 10 4.0 4 6 7 13 13 13 S.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Houses With Ducts; (R-4.2) Exterior Single- Single- Muni Wall Family Family Family Mass Detached Atmened -25 or •24 to 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Houses With Ducts; (R-4.2) 1000 WZW MNM.g SEER to Poett Score Houses With Ducts (R42) 7.9 30 -17 Soln Pcng -25 or •24 to -14 to 4 to .6 to Sum of 1.6 AC AC Gas Split Pkg •25 •24 •14 -4 +6 16 AFUE HP HP or to to to to or - NSPF HSPF less -15 •5 +5 +15 more M. 6.8 6.6 - 0 0 0 0 0 0 807. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2. 5 4 3 2 2 1 90% 7.6 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 16 or AC Effective AFUE or HSPF less •15 -5 (AFUE or HSPF x due efficiency) .15 Effective One Story Mouse -W -28 Sum of 1.6 IC Al Gas Split Pkg •25 -24 -14 4 +6 16 AFUE HP HP or to to to to or -7 HSPF HSPF less -15 -5 +5 +15 more One Story House -1 0 0 0 0 0 33% Z9 Z8 32- -53 44 -34 •25 -16 407. 3.5 3.4 40 •34 •28 -22 -16 •10 SOY. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 4 -4 -3 -2 •2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.16 0 14.0 5 4 16 2 1 BOY. 7.013 15.0 14.6 11 9 7 5 3 90% 7.806-19 Two or Three Story House 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story Hoose -8 •3 0 7.0 33% Z9 Z8 -W -58 48 -37 •26 -15 40% 3.5 3.4 46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 •16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 •5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 9001. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Ad)ustmem System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for No Talc Imm" 4oe Number of water Mptars Water Memer Tvos One Two SG50 •2 •5 SG75 -3 •6 SE •5 -0 HP .2 4 House Shxi Adjustment House Site (e) Subtotal Houses With Ducts; (R-4.2) 1000 WZW MNM.g SEER to Poett Score Sum of 7.9 30 -17 Soln Pcng -25 or •24 to -14 to 4 to .6 to .16 or AC AC less -15 •5 .5 .15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 120 11.6 8 6 5 3 1 0 13.0 1Z6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 M48 .2 Effective SEER -12 .7 .2 (SEER: duct efflcieaq) 3 6 5 Elf SEER -1 4 Sum of 7.9 7 10 8 Soln PcKg -25 or -24 to -14 to 4 to +610 16 or AC AC less •15 -5 +5 .15 more One Story Mouse -W -28 -16 IC Al 5.0 4.9 -29 -23 -17 •11 4 0 6.0 5.8 -16 -13 -9 -6 -2 0 7.0 6.8 -7 -0 -4 .3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 97 9 7 0.48 •12 1 0' 11.0 10.7 12 10 7 4 2 0 1Z0 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House IE Al 0.93 -21 5.0 4.9 •35 •27 •20 •13 -5 0 6.0 5.8 -21 -17 •12 -8 •3 0 7.0 6.8 -11 A •7 -4 -2 0 8.0 7.8 -4 •3 •2 •1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 120 11.6 13 10 7 5 2 0 13.0 1Z6. 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Talc Imm" 4oe Number of water Mptars Water Memer Tvos One Two SG50 •2 •5 SG75 -3 •6 SE •5 -0 HP .2 4 House Shxi Adjustment House Site (e) Subtotal lets 1000 WZW MNM.g than to Poett Score 1000 1499 30 -17 •5 •25 -14 •4 .20 -11 •3 -15 A •3 •10 -0 .2 .5 .3 .1 0 0 0 5 3 1 10 6 2 15 9 3 20 tt 3 25 tt 4 House She Adjustment House Size (ftp subtotal 15M 2000 Water Hating to or Pont Some 1999 more 30 0 3 -25 0 2 •20 0 2 .15 0 t .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 1 15 0 1 20 0 -2 25 0 -2 Zonal Control Adjustment All 6 5 4 2 1 0 12. Water Heating One water Hester - No Att>suary Ctttdbs Omnamt Systent2 Rectc Sbacams Water tXntass &wV STD HWR Pipe No Tlmar Oemd Hewer Tvoe1 zones Factor POU Insul fart SG50 Al am 0 3 1 -9 -5 0 0.63 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG75 Al M48 .2 1 -1 -12 .7 .2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE All 0.87 -20 -12 -17 .41 •32 .19 0.83 •17 -9 -13 -W -28 -16 IC Al am 2 5 3 IE N 092 -21 -12 HP 6-11.13.15 1.80 4 7 5 •5 -1 4 Two Water Hesun - No AasfOary Credits SG50 Al am .7 4 -6 -17 -12 -7 0.63 1 5 3 •8 4 1 0.73 6 10 8 -2 2 7 SG3 Al 0.48 •12 -0 -11 -22 -17 -12 am •1 2 0 -11 •6 -1 0.68 6 9 7 4 1 8 SE Al 0.87 •22 -14 -19 46 -35 •22 0.93 -16 -7 •12 •39 •2B •15 IG Al 0.80 4 .1 •3 IE Al 0.93 -21 -12 HP 6.11.13.15 1.80 .1 3 1 -10 -6 . 0