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040-290-074
y i Dave Singletary 4905,0' Sycamore Lane, Durham JEFFERS, Lee 500-66B* 41-66B '�. c'ontr: Holiday Pools, Chico i__ i 385-66E* 40-66E a Permit #3996-78B,P,E(new pri ate • ��_ _ _ _ _ _7 swimming pool) ,�9��%�E 0-M?,.Iu n/siSycamore Lane east of Stanforrh 4 040-290-074,, 02-321 (raise roof structure for attic ,storage) < ED (convert s�qrageobedrooms) 0 'IVBROCHHEUSER,JEFF,- INP -t 1949 SYCAMORE LN.,DUR M` �. DEMO HOUSE 7i G riltr;;. 040-290-074. • 03-'0015- (N BROCHEUSER, JEFF "® 1949 SYCAMORE LN., DURHAM e �= 03 TEMP POWER - - E 0 � � � � I- -- 1 _=�r �i NOTES ' RESIDENTIAL 03-0827 PERMIT NO. KBROCHHEUSER-JEFF r �• 1949 SYCAMORE, DURHAM ' NEW SINGLE FAMILY' Q !•i' A or/-" S'7�ff4, SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE PRINKLERS REQ. CIAL INSPECTION JW, VERIFY �/r��✓� n USE PERMIT CONDITIONS ,SllB-SIAN.DAE3D_H U .SING LETTER OFFICE COPY Address a GAS Meter By Date ELECTRIC Meter By Date r; k .• #. JOB FINALED (Date) ry Signature -r c CHECKED BY J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. . / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B=1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1- Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDER LOOR (Plans) OK except ft's o ' g tbacks-Easements-Flood-Slope g. ain; Soils-Elec. Grnd. /" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-! //" Ftg. Depth 4.jAg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped mwalls, Garage; Steel- Blockouts-Wra ed 6 old Downs and Special Anchors 7? Slab. Steel-WraDDed 0�-W[aaFireplace Ftg.-Steel .V Fall -Fitting -Test -2 Way C/O -Sewer Test U , as Pipe; Size Anchors -Yard Gas Piping; Size Test 1 . ater Pioe: Test -Anchors- Rea ulator-Service Test �3- / fl -Access & Ventilation -,*46. Insulation Date 7- /,Q - P 3 Card B-1 4'R'4 , Date Card B-1 Date Card B-1 Date Card B-1 Date / ' - PLUMBING (Permit) OK except Ws 'W. YVater Htr.; Vent -Access -Combustion Air Baffle 1 Water Pipe• Test & Anchor -Nail Protection 1 V.; Test Fittings & Anchor -Nail Protection - 0 Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date J ilrj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except Ws 24j Fixture &Transformer Clearance -Ins. Protection ?4. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled . Romex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits ' itghen & Conductor Size GFI 36 Subfeed Wire Size/ / r AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ w /ge QdTr AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No Service -Riser Conductors & Ground Main Disconnect 3 ui . Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 36. Smoke Detector Date FRAMING (Permit) OK except Ws Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing L / raft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) 47 Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5 . ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55lStairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56� Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 .,Siding -Nailing Veneer 50r Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 60tShear Walls; NaiMg-Pj M- 6J.,- Brace Interior/Ext ' r Wall Panels 63. Infiltration -Walls- ndows Date •Z Card B-1 Date Card B-1 Date / Card B-1� Date Card B-1 Date FI AL (Plans) OK except Ws Ext. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 6 . Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 8/G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel, Breaker Sizes & Labels 7C Stairs & Rails f=ireplace or Stove, Clearance -Hearth 7R' jElec. Outlets at Wood Panel, Int. & Ext. 7.8" Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 . Elec. Outlets & Receptacles at Kit. Counter 75 --Garage Fire Door; Swing -Landing -Closure 76<,". Duct in Garage -Damper Wtr. Htr.; Vents -Clearance . Air Connector - in Garaqe; Above FI ech. Prdtection 78!Plb.: Elec. & Mech. EauiD. Listed for Location W-Elec. Receptacles in Garage (F.F.I.)-Romex Protection F--Insulation-Foam-Looked in Attic and Rails & Deck Construction -Post Caps 8 . Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes Following Instld./Drive Yes 0 No/Walks Cl Yes No/Planters 0 Yes No -84- tMcco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings -9�Water Well, Disconnect, Electrical, Plumbing 8.✓ Exterior Elec. Trim, G.F.I. Receptacle -Underground $ . Ventilation Throughout House Glass Protection 9,1!orrectio2r m Previous Inspections 9e Gas Te ters Tagged, Gas -Electric rc, 9,11( Water & Se Connected -C/O t roval o 'ante Certific -Other Certificate L ir3 . Address Posted "97-Fi—re Sprinkler Date I 6 and B-1 1Mfe Card B-1 Date k&'ell., Card B-1 Date Card B-1 Date rCard B 1 Date Card B-1 Comments at Final: Date 1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ws 3 . A.C. Ducts Insulation & Support 3VVent Fan, Exhaust above insulation 3 Condensate Drain & Overflow, Size & Grade 3i/Furnace-vent Access -Comb. Ait-Return Air Vent 115 Outlet /40 -'Attic Access & P tform if Furnace in Attic Date ei Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except Ws Sills Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing L / raft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) 47 Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5 . ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55lStairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56� Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 .,Siding -Nailing Veneer 50r Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 60tShear Walls; NaiMg-Pj M- 6J.,- Brace Interior/Ext ' r Wall Panels 63. Infiltration -Walls- ndows Date •Z Card B-1 Date Card B-1 Date / Card B-1� Date Card B-1 Date FI AL (Plans) OK except Ws Ext. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 6 . Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 8/G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel, Breaker Sizes & Labels 7C Stairs & Rails f=ireplace or Stove, Clearance -Hearth 7R' jElec. Outlets at Wood Panel, Int. & Ext. 7.8" Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 . Elec. Outlets & Receptacles at Kit. Counter 75 --Garage Fire Door; Swing -Landing -Closure 76<,". Duct in Garage -Damper Wtr. Htr.; Vents -Clearance . Air Connector - in Garaqe; Above FI ech. Prdtection 78!Plb.: Elec. & Mech. EauiD. Listed for Location W-Elec. Receptacles in Garage (F.F.I.)-Romex Protection F--Insulation-Foam-Looked in Attic and Rails & Deck Construction -Post Caps 8 . Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes Following Instld./Drive Yes 0 No/Walks Cl Yes No/Planters 0 Yes No -84- tMcco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings -9�Water Well, Disconnect, Electrical, Plumbing 8.✓ Exterior Elec. Trim, G.F.I. Receptacle -Underground $ . Ventilation Throughout House Glass Protection 9,1!orrectio2r m Previous Inspections 9e Gas Te ters Tagged, Gas -Electric rc, 9,11( Water & Se Connected -C/O t roval o 'ante Certific -Other Certificate L ir3 . Address Posted "97-Fi—re Sprinkler Date I 6 and B-1 1Mfe Card B-1 Date k&'ell., Card B-1 Date Card B-1 Date rCard B 1 Date Card B-1 Comments at Final: f i SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMIUNITY NAME 8 COMMUNITY NUMBER 82- COUNTY NAME B3. STATE A B4.'MAP AND PANEL NUMBER oloWVia. 85. SUFFIX C B6. FIRM INDEX DATE o BUTTE COUNTY FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B..No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31,'2002 JAN'-. ? 2005 ELEVATION CERTIFICATE DEVELOPMENT Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION -- ''Focthiurarice Company tlseni> _ ; BUILDING OWNER'S NAME F?bif BUILDING STREET ADDRESS (I ding pt., Unit, Suite, and/or Bld No. OR P.O.* ROUTE AND BOX NO. CDm ,an I FICw ItimtieEv :::': ;' CITY D L ig OA STATE 1P o�.3 �3 PROP DESCC IPTI N (Lo©nd Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (s.g., Residential, No-resldential,.Addlbon, Accessory, etc. Use Comments section if necessary.) E_=5T//q LA DE/LONGrTUDE (OPTIONAL) ( ##° - #9 - ##.#i" or ##.#####) HORIZONTAL DATUM: SOURCE: GPS (Type): JKNAD 1927 I—I NAD 1983 �—I USGS Quad Map Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMIUNITY NAME 8 COMMUNITY NUMBER 82- COUNTY NAME B3. STATE A B4.'MAP AND PANEL NUMBER oloWVia. 85. SUFFIX C B6. FIRM INDEX DATE o B7. FIRM PANEL EFFECTIVE/REVISED DATE B8. FLOOD ZONAS) B9. BASE FLOOD ELEVATION(S) (Zone AO, useAepth of flooding) a B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.. L-1 FIS Poofile 1X,1 FIRM . �_� Community Determined L-1 Other (Describe): B11. Indicate the elevation datum used for the BFE in 89:1-1 NGVD 1929: NAVE). 1988' Other (Describe): 812. Is the buildng.located.in a Coastal Barrier Resources System.(CBRS) area or Otherwise Protected Area (OPA)? I_) Yes 1-1 No Designaticm Date: SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_JConstruction- Drawings" , �_JBuilding Under Construction' inished Construction. 'A new Elevation Certificate will be'required when construction of the building is complete. J ` C2. Building Diagram Number a— (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum ased.for the BFE in Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation- Use the space provided or the Comments area.of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used em .58 Does the elevation refe nice rk used appear on ,P No a) Top of bottom floor (including basement or enclosure)%k/1,(r, fL(m) 1.y 01 61 Top of next higher floorft m ' �r�/ �� g 4.7 0 c) Bottom of lowest horizontal structural member (V zones only) _ ft(m) Exp. d) Attached garage (top of slab)(cam tt(m)' / CID'�v 6-30-'> El e) LowEst elevation of machinery and/or W equipment 0 CL) 1 U Z M � m 3 servicing the building _ ft(m) E 2 c>" f) Lowest adjacent grade (LAG) T ft(m) m g) Highest adjacent grade (HAG) ft(m) 'N 0 h) No. of permanent openings (flood vents) within 1 R abgy%adjac�n q ads �V�� EI .i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) F G'F r_ a►!Fo SECTION D - SURVEYOR, ENGINEER, OR ARCHrTECT CERTIFICATION This certificat;on is fo,be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. - I certify brat Lie information in Secifons A, B, and C on this cera frcate represents my best efforts to interpret the data avadab/e. l understand that any false statementmay be punishable• by fine or imprisonment under 18 U. S. Code, Seclhion 1001. CERTIFIER'S -4AME — 1 T _ 1• IrFN.gF NIIMRFR PR UA Fnrm M-11 At Ira .QQ CFF RFUFRCF Ctn;: F(1R f nmT1N1 m-nnN PPPI Ar..FC At I PRF1/Irhl LC ;=nM(WR% IMPORTANT: In these spaces; copy the corresponding information from Section A. FbrJhsuranm.Cbmp.an)a dbe=_•i BUILDING STREET ADDRESS (Including Apt, Unit Sub, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. /q VC1 CITY STATECA ZIP CODE E-Zo LvW&NbmbW�.,-4,z SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany,- and (3) building owner. COMMENTS - Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED). FOR ZONE AO and ZONE A (WITHOUT BFI) For Zone AO and Zone A (without BFE), complete Items El through E3. ff tie Elevation Certificate is intended thr use as supporting information for a LOMA or LOMR-F, Sectbn C must be completed. El. Builling..D.Wgrzim. Number ---' (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 -and no diagram aciquately represents the building, provide a sketch or photograph.) E2. The top altos botiom floor. (including basement or enclosure) of. the building is LL -L-_1 t(m) L-L-jin.(cm . L_.f above or below (che6,g-raide'..' �66e) i�e highest 'aidja 9 �_Oeptlh, E3. F6r Zone AO only. If n number is available, iithe.top of the bottom floor elevated in accordance with the communit%/s. -flocZIpiam - man j Yes I No Unknown 4 .'�Th' `16 agement-ordiri�ii6e? LL L`Thecal official. must certify this information in Section 0. ::.SECTION IF.,- PROPERTY OWNER (OR, OWNERS REPRESENTATIVq. CEIR I FICATI 0 N The. property aww oi owners- authorized representative who completes Sections A; B, and E for Zone A (Without a FEMA -issued or community -issued BFB or Zone_A0 must sign here. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME .ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE WMMftNF5 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local .official ' ' who * is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete --.-Sec�ons'-k�8*,-C-(or-E-and-G-atth[s.-Bevabon..Certificate. Completetheapplicableitem(s).and..sign.b--Iow.. G1. �_) The irdbr=tation in Section Cwas taken from other documentation that has been signed and embossed by a licensed surveyor; engineer,.Pr architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation'd, ;Tta in the Comments area below.) G2. u A community official completed Section E for a building located in Zone A.(without a FEMA -issued or commun ity4ssued BFE) or G3. The follovvirg�infbnTmtlon,(Items G4G9) is provided for .community floodplain purposes - :1 G4., PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCE10CCU PANCY 1� :ISSUED'! GT..IltSTpermit 'teas 'b6etiissued for-(�J New Construction _.�A Substantial Improvement Ele -ap�.iftlowest fiobr#ncl6dihg ba' of the building is ft(m) Datum: -,BFE ft(m) Datum: LOCAL OFFICIALS NAMEw. TITLE ,-.. SIGNATURE DATE -COMMENTS 'ere if -attachments 77 _I'Check.h QQ :P;ZPI Ar-P.q Aft Pppmot Lq;=nMC)Zq NOV-19-200d(FRIW4 :05' B tte Steel (FAX)530�•893 3014 P. 00 1 /00 1 LoppmN�pJ� �,L xxT= NW�j ��y.�yyOm mow. e... - - �.... dE8CR�i1OA1 OF OWA UTON 1. ROOF IIAdom Bred N . Ttua�tees t � �r�) I 2 0"0 fe+ttt a' INaeYoetTjrpe u� ,_„_ find Nine ee�e ThkdWd= i TWM,,,W ■IrY/■rr r __ LOW FW Typ FbmWmf Band MM _ I■ Mmalda d p� to adde�ve 11gar� tR Va�te) ;,�?��. EXTEMOR WALL 7�ddows s 4� • 5 M o 1 moo" shoo= rrrr�r.r..rr- & GLM FUM IPERMEM rn P+�r4rte�hran a. pQU"MON WALL N MMMm Afts Haft Maud ft*ftm O&) Thereat woe (R�Vahae) I ..:%� .Tim-'�.�""� �'' Y � •� INTER-DEPARTMEN )AL MEMORANDUM TO: BUILDING DIVI ON, OR VILLE FROM: IR. HEALTH, CHICO DATE: RELEASE NV. 4ALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: BUTTE COUNTY JAN 0 3 2005 DEVELOPMENT SERVICES A?#: ADDRESS/LOCATION: 5" _ Comments: b 3 - G� 2i S h GL/memos/releasehold I SEcnow 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORSIIATION ■ ��.� err ren a r��., 81_ NFIP COMMUNrrY NAME & COMMUNITY NUMBER 12 COUNTY NAME 83. STATE 84. VAP AND PANEL 85. SUFFIX B6. FIRM INDEX . . BU'I`I'E ' C201U y C DATE JAN - 7 2005 FEDERALGENY MANAGEMENT _ EFLOOD CNURANCE PROCRAMCY O.M.B..No: 3067-0077 Expires ,July 31, 2002 ]DEVELOPMENT ELEVATION CERTIFICATE two OAE SERVICES . iia ottaft Read tht Inebuctiom an I.7. SECTION A - PROPERTY OWNER INFORMATION Far�ttaeo BUILDING OWNER'S NAME / C [�� i'"`, BUILDING D1tESS inp . UDR, SppuiTs, endlor Not OR P.O. ROUTE AND BOX NO. "'r; �.ii. ':�i:-.-3`a�: u�,�v •:ire?;. CITY 4 STATE PROF — z� � Bbar Numbers, Tax Parcel Number. Legal oeerxlpsort. et-) BUILDING (e g.. ReeiderMtet, PjwfqwkkwdW..Addfflw Aaenory, etc. Use Comment section If necesmy.) LA wAoNGrruoe (OPTIONAL) ( XF -eA- O&W or SAC# HORIZONTAL DATUM: SOURCE: 1—! GPS (gyve): JVNAD 1927 U NAD 1983 1_,1 USGS quad Map l._1 OtIw SEcnow 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORSIIATION ■ ��.� err ren a r��., 81_ NFIP COMMUNrrY NAME & COMMUNITY NUMBER 12 COUNTY NAME 83. STATE 84. VAP AND PANEL 85. SUFFIX B6. FIRM INDEX . 87. FIRM PANEL 88. FLOOD 89. E OOD ELEVATIONS) NUMBER 104-00720. C DATE EFFECTIVEIREVISFD DATE ZON) (Zone AO, use of %Oft) two OAE 810. Indicate the soiree of the Sees Flood eevation (BF)7 data or Mase flood depth entered In Be, j_j FIS Profile FARM Cwmnutity Determined L -- j 011ier (Describe): B11. IrWksta the elevation datum used fbr. the SFE in B9: j_.,j NGVD 1929; l.._j NAVD 1988' j, -_j Other (Describe): 812 Is bw buildirtg.locatsd in a Coastal Barrier Resources System (CSRS) area or Otherwise Protected Area (OPA) 7 j_j Yes i.� No SECTION C - 818LDINO ELEVATION WORMATION (SURVEY REQWRED) C1. Budding elevations are based on: j,;_jCattehucdm Dravr;rtgs" - "Building Under Constntdion' ;1oFmiahed Carstruction. `A new Elevatton Certifto will be'required when construction of ttte budding is complete. C2 Building Diagram Number a_ (Select the building diagram most similar to the building for mhch this certilic:ate Is being completed - see - Pages 6 and 7. tf no diagram accurately represents the bW di% MvAle a sioetch or photograph.) C3. Elevations —Zones Al -A30, AE. AH. A (with BFE), VE, V1430, V (with $M, AR, ARIA, ARAE. AR/A1-AM, AR/AH, ARIAO Cwplett Items C3a4 below according to the boding diagram spe+cifled In Item C2 State the datum used. If the datum is diftent from the dit n used ibr the BFE in Section B, convert the datum to that used forthe SFE. Show field measurements and datum conversion eatcxtlation. flee the space Provided or the CammenIs ares.of Section D or Section G, as appropriate, to document the datum eonversim. Datum ConversionlComments 9evation reference marc used. kil SS Dam Me elevation refs rm used appear on a) Top of bottom floor (Including beaerrtertt or endosune 14 ft(m)yv w B. T� b) Top of next fther /0,8 , R(m) ,� �� 0 e) Bottom of lowest horizontal struchosi nbnd er (V Donee only) fL(m) f�,.. J Exp. d) Atiac W garage (top of slab) ft.(mj r `-- 6.30 a e) laweat elevation of macNnery and/or equiPrnertr W 4i`; U N 1 servldng the buNft 1L(m) djacc Lowest adjacent Wade (LAG) fL(m) fL(m) g) Hklhest adjacent grade (HAG) I YEE 2., f4m) ' 0 h) No. of permanent opw*W (flood varus) wdlm►1 R sbQ , 0Lq _rade VI) O .i) Total ares of ail permanard openings (flood vents) In C3h sq. in. (sq. an) F Q SECTION D - SURVEYOR, ENGIN, OR ARCHITECT CERI CAT M This certUieatiort Is to,be signed and sealed by a lard surveyor, engineer, or ardtited authorized by law to certify elevation irdamtaflom / csr* that the in>brrrre0G0n 1n Seci bona A, A and Con this certlllcwte M19Pre,9errts rrry best @ftts m !Ma►pret MO dare Wm0awk No 1YPORTAIM in theses spares; ooW the wffeq mding irrfommil s from Section A . Eoalli francecGa�pagylt75 B=lNG AF�4 REss (hx dhw Apt . uttit sails. andtor eidg. coo) at P.o. RolrrE ANo aox nw. I�bl14 ber.. ..: =vim `,•�= :' =. CITY , / l� STATE n ZIP CARE .qDt SECTION 0- SURVEYOR, ENS, OR ARCWrECr CERIWICATION (CONTINUED) . Copy both sides otitis ENnfation Certificate for (1) cornmanity oftsi. (2) insurance agentfoompany; and (3) building owns COMMENTS - SE ON E - BUILDING ELEVATION Iw<MAiION (SURVEY NOT REQUIRISDI FOR ZONE AO and ZONE A (VWf7MUT SM For Torte AO and Zane A (witltout WFE). carrtplete items E1 thrasgtt E3. tfre Hfsvaiiovr Car�eelie is inEerrdeai tbruse as supportlttg him,nefti for a LOMA or LOAM -F, Section C mos! be *xmpkhod E1. B i l" S g. Diagram • • (Select the bulifingdtagntm most simffar to the bLAft Aar which this certificate is being comptsted — sae pages 8 and 7 If no diagram aoasra* repr+eaft the btsiidirtp, provide a sloetdi or phob3graph.) E2. P16 top aftha h 911c n floor (Including. besenat; or endoaure) of. the building is t_.a-.! tidm) L–jh(cm) L..(above or i_-! below (checicane):tlm: trlglieset adjaartt Steele.. El Fat zoneAiO,nntj%s a no A)od'dept i:r�wnbei Is Wadable, Is the tap of the bottom floor elevated in awortia = with the cornmurdys �w !1°9413 Dat t egeiitertt adlhih6ss? Yea : u No j UnlciowicL The'loaai offal incest certtly this infomiafbn in Section t;. `:-:: r" •:.� ;,•�, ,;,.• ECTION F: PROPERLY OWNEit (OR:OWNWS RE.PRESEUMTPM CERI,FlCATiON The (Owneror owners aufatzed representative who completes Sedlons A. 9. and E far Zane A (withart a FEMA -issued or corarruti[trissued or Zone AO mast m- M hem PERTYMNIUM OR OWNER'S AUrHOFUM REPRESENTATIVEM NAME, ADDRESS CITY STATE TIP CODE SKMTU FIE DATE TELEPHONE COMMENTS (_) Clnedc here if att aichmm tS «17 177 tv. •i �-• - The local .cdlc l who Is auiAo tzed by law or ordinance to adnlirtistw the cornrrt m*s fkxm#i&1n management ordinance can complete SectlormLA H,_C..(or E)~aad.G_af lois DexaMan Cwgcd& Cantpleta the a pplmsWe-ltem(s)zxLsigtt. below. - G1. �, j The rrretlon in Section C was taken from outer do=nentatlon that ?las been *ped and embossed by a licensed surveyor; aegineer,:ar m d*sd who is augxAz ed by state or local taw to card!)► eiernfim icdhvmdcrt. (indkaEe the source and dere of the almisdoe'dad in the Corin its area below.) GZ �„ j A cdmiunity oAtr l completed Section E for a banding located in Zone A •(withoest a FEJ►AA = led or camrn ndty4ssued BFE) or ZorteJ\Q: • . G3. L,j•ThefoloNAi is6amsidon (iWm G4 -G9) Is M*Aded for caffa > nly*mdpidn managemw t.purpow& : G4. P8Wr.. NUMBER ::":; '•. . " .. GS -M ISSUED (5e. !]ATE LCAT$ F ANCY .' T-19SUED., 'G7_ Tis pamtil'�as, been is sued far.•':,; . L J. Now ConsbydonL,Subs4ndW fmpaetnWd bow(cXlhgasmen)oeungo vatoo ,(m)Oadur8HaaR6 G9;' BFE" at (bi Zoiri;J�Qj depth of floocNrtg at +4 dsilding ilte.te: _ fvin) Oat= TELEMME DATE. . ' �;c�?Q'::: !CV<! ,• r� .)r i.%7:i t. • - ISI Lt! l {"Lara 11- � � eats ;, � ,:V:: ; ': ;,•.. RFPI AI`,FC Ali .PRFIlrint LC Gnrt7[>w4C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT 16030.. ASSESSOR PARCEL NUMBER 040-290- ZONING A-10 BUILDING PERMIT OWNER BROCHEUSER JEFF TELEPHONE 893-1113 SO. FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 1941ME5-YCAMORE LN. DURHAM 95938 2648 R 142 -00 768 U 13-824.00 CONTRA 04OR'S TELEPHONE 318 C 4,134.00 CONTRACTORS MAIUNG ADDRESS 197 0 1,379.00 CONSTRUCTION LENDER LENDER'S MAILING ADDiESS Fireplace Total Valuation $ 165 329.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 870.50 Plan Checking Fee $ 565.8-3 BUILDING ADDRESS 13149 SYCAMORE LN. DURHAM Energy Plan Checking Fee $ 23.00 $ PERMIT FEE s 1,479.33 LOT NO. SUBDIVISIONS NAME PARCEL MAP _ PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 2.09 AC SF IN Duplex 0 Mobilehome ❑ Other SPECIFY Each Trap 101 7.00 70.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities [I Installation ❑ Other [3 Describe Work: NSF Gas i in stem 1 - 5 outlets pg 15.00 19-00 sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 150.00 FLOOD:AE, 0520C ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200.' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 followi-ig reason: 1K I, as owner o% 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 construe: the project. ❑ 1 am exemp-: under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING DOCUP. OR ACDNS. ( a Acc. BUDS. SO 3.5¢FT. 19.56 NON-REOSID. T.MULTI.OU.UITS T t7n 7.50 APPARATUS .11N.. SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAS p x.50 Ex. Occup. O9PPR A� OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 139.56 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 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling 29-00 Hood 6.50 6.50 Ventilation 3 4.50 13.50 PERMIT FE15 $ 85.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one huncred 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. _ to Q3 Signature of I�ant - XOwner ❑ Contractor ❑ Ag t An OSHA rmit is aequired for excavations over 5'0" deep and demolition constructio of struct es over 3 stories in height. D� Mobile Home Installation Fee $ Energy Inspection Fee $ 4(;.00 . TOTAL F $ 1899.89 9 OCC CONST. TYP47P D.F Fw cDF PA9 / H suE This permit is hereby issued under of the Butte County Code and/or indicated a ve whic fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date li Z Date ReceiptNo. 37D801 $668.83 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-141PECTOR GOLDENROD -APPLICANT V 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: O C Y" 1) . 1�_—r ASSESSOR PARCEL NUMBER r Proposed Building Use: i�-)s Counter Technician:__ Date: G� Items required in order to apply for a permit. All boxes MUST be checked ORa iked NA in order to apply. eS 1.. Plot plans, 3 or 4 sets, signedly the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plr,,(D) Tie down or foundation plans, all in duplicate. -- ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 10. Letter of intent 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other tining items needed to issue the permit. (May require additional plan review upon receipt of the fol winjitems.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... O Statement of Intent for Non -heated and A/C Buildings..............................Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit.......................................:...............................: California Department of F restry plan approval ❑ paid. Sent_ by: ........... Planning approval for (Wse: D K (B)Parking: ( Parcel Check: 20. Contact Land Development about ❑Improvements, ❑Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. >�]i25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ✓❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts,_p Letter from Legal Owner, ❑ Checl.Cib,H.C.D. $ ❑ 31. Other: When issued Telephone and hold for p I have been informed of the above items and requirements for obtaining a building permit. Appl 1. Index permit a plication for the above items numbered: 2. Additional it r►s required Contractor, dfsigner, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ "mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, bDate: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division E.H. usta a da d Plot Plan Attached Root Plan Attach d r Rant to 8.0. / TO: Building Department FROM: r Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plane Approved for: Sewage Disposal Water Supply: Public Private Well `— Clearance for dwelling. Other final for: .K. for: NOTE: / /cg 3 Environmental Health Specialist Date 8196 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF—FEES DUE n PROPOS BUILDING USE /v ►' 1. BUILDING PERMIT FEES Balance Due ................ .... $ JJ Additional Fees Due .......... ...... Additional Fees Due ................. $ Revised Plan Checking Fee .............. 1!` CI OL DISTR.ICT)FEES _ SIFRIFF FEES (paid at Build6i ] Residential ...................... Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ *N'PZ 5.(REC ATIONAL Pat D' to t O e) 6. LI DI $510.00 (paid at Buildir x =$ Sq. ft. Amt. Pik7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #— $200.00 $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. R# y DATE , d RECEIPT # DATE-REC. P -L At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE ��� A3 Pursuant to Govern nt'Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your oject. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during w 'ch you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner 1 (Rev. 6/00) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES. NO ❑ 2. HAVEA HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: littEaa: CITY: PHO CONTRACTOR'S LICENSE NO. 4. I plan to rovide portions of this work, but I have hired the following person to coordinate, supervise, d provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of th work but I have contracted (hired) the following persons to provide the work indicated: NAME AD RESS PHONE TYPE OF WORK 'SIGNED: PROPERTYOWNER: DATE: �3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is.providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER NAME: �_27; '/ LOCATION:PROPERTY ; Book Page Parcel _ -7 NEIGHBORHOOD & SITE DESCRIPTION TRANSACTION RECORD LOCATION Date Price USE TYPE LAND VALUE -COMPUTATION Urban ❑ Suburban ❑ Rural Seller & Buyer - �- .( Source & Date j�Sinqle Appr. - Width- Mod. Unit Site Total ❑ Foothill ❑ Ofher�„I'.__,___ �"'� 's- ... lti-Sgl. Year Area Fact. Value Value Value -7Peripheral .��.�J /�-a l6 �' - r9E+� .TC �FE,�.S Gr //EG.SOr./ --' sT� ''.. G \EET IMPROVEMENT MIX 9. 7- .tr OF Homogeneous Heterogeneous Ng ❑ JD /mac Sa J6 7/ Y y0Q 160 Coe: d 2 �x ../ ' Predominant Use: Res. Res. Income ❑ X., % 161 Sale Area Coder Com•I. ❑ Indus. ❑ Agri. Profsnl. ❑ CONSTRUCTION RECORD CDU RATING 162 T Permit Base APPr. NIncomplep.U. 163 19............ UTILITIES-SITE IMPTS, No. Item Amount Date Year Year Age Cond. Desi. UtilWater: 164 Public Well Ditch p /Gy 165 : Yes ❑ No Electricity: Yes No El�.r G� 166 Use Conformit Yes No Gas: ' ❑ PublicLPGNone ❑ -� Od 7-14-1-e4 167 Bldg. Class: ��•�, .re^• .1%f�t.:'?f Sanitary Swr: Public ❑ Indiv. 9 �. _ - 6 168 BR: 1 [3 2Q 3M 4[D 5F Storm Swr: Public ❑ Natural _ i0�/ 169 Baths: 1[]23/q❑ 3 "• t/2 ❑ Street: Conc. ❑ Asph. Dirt ❑ Gravel ❑ 170Baze Year: ,/✓ !•�/^. i�..`i: St. lights: Yes ❑ No RCLND COMPUTATION C & G. Yes ❑ No CLASS' �7 —� - 172 Land Type: Lot ❑ Acrea ' 1K Sdwlks: Yes ❑ No APPRAISER &DATE: fG •/�-/ �7/� nPL57 �a rJ fDj, 1 i 173 Garage: Yes Item FOct.= ct. Areo Unit Cost Cost Unit Cost a `` J east Unit Fost Cost 174 Pool: Yes ❑ No a^. TREND First Floor r' / /, .:•� �� r , •d �f l� f ImProvin s ❑ Stable E]Declining ❑ Second Floor 1,'02^ 4Z J SUMMARY" OCCUPANCY \ Assessment Year 19'71 19 / -7 19 10 Owners ❑ Tenants ❑ Mixed ❑ Gar. A - D - F Appraiser P-frt• �`_.+ '." ✓�: Date MAINTENA NCE P-rear `.� 'R� R.C.N. n� A/0 G A F P ' C`1 R.C.L.N.D. Patio / V Land Value a o �- ? 1!5 D Lam'/Is TRAVEL TIME & DISTANCE / t� ix AA Total Summation �! Sr72'O e Shopping: E G A F P AC i� 1 Comparable 1 {- or = Comparable 2 Schools: E G A F P FP ("Gk Core: E G A F P Kit. Extras Comparable 3 Listed Price /�•!� - Plmbg. Extras SITE TOPOGRAPHY Mist- &.+,.>lh %Joo� Sale Data .2_� 270 _L Level [:]ROPERTY Rolling ❑ Other Flotwork -_ TOTAL APPRAISA 'Il At F-1Above❑ Below F-1Grade Land ��// 70�✓ : ',/'6090 0 / Sloes Up Down P ❑ ❑ S-S ❑ Improvements i./ View ❑Sector o Total Property %•nC oz6�ro �!� ASSESSED VALUES R.C.N. % / v, ! �..'� - LOT TYPE • f r .� _ Land "N Corner ❑ Interior ❑ Key [:]Cul-de-sac ❑ % Good 7 R. C. L.N.D. 1 �L� Improvements . Total Property Misc. R.C.L.N.D. ---- Entered ' Total R.C.L.N.D.�"" j" -> � / � d � Butte County 5-69 ' NAME•'�li`�� �7� R.C.N. •' :� 1 i Land LOT TYPE Corner ❑ Interior ❑ ^/, Good Key ❑ Cul-de-sac GI R.C.L.N.D. 1*© �J/ f Improvements Total Property s' Misc. R.C.L.N.D. rage Yarcet ' s Total R.C.L.N.D. Q Q 1 PROPERTY LOCATION:r i er NEIGHBORHOOD & SITE DESCRIPTION TRANSACTION RECORD USE TYPE LAND VALUE COMPUTATION f' LOCATION Date Price Seller & Buyer Source & Date Single Appr. Width- Mad. Unit SiteTotal-e" Urban ❑ Suburban ❑ Rural ❑ Multi-Sgl. Year Area Fact. Value Value aloe Peripheral ❑ Foothill ❑ Other ❑ -,___-- _—._. _' .��-Q I" _��- . SHEET Z� OF IMPROVEMENT MIX Homogeneous ❑ Heterogeneous ❑ ' 160 Use Code: Predominant Use: Res. ❑ Res. Income ❑ ' � 161 Sales Area Code: Com'l. ❑ Indus. ❑ Agri. ❑ Profsnl. ❑ CONSTRUCTION RECORD CDU RATING 162 Appraiser No: Permit 163 Incomplete, P.U. 19 ............ UTILITIES -SITE IMPTS, No. Item Base Amount Data Year A ppr. Year Age Cond. Dezir. Util. 164 Zoning: Water: Public ❑ Well ❑ Ditch ❑ /Ja a 165 Zoning Conformity: Yes [—] No ❑ Electricity: Yes ❑ No ❑ r 166 Use Conformity Yes ❑ No ❑ Gas: Public ❑ LPG ❑ None ❑ 167 Bldg. Class: Sanitary Swr: Public ❑ lndiv. ❑ I i 168 BR: 1,M 2❑ 3❑ 4[:) 50 Storm Swr: Public ❑ Natural ❑ I 169 Baths: 1� 2❑ 3❑ t/t ❑ 3/4 ❑ Street: Conc. ❑ Asph. ❑ Dirt ❑ Gravel ❑ I 170 Base Year: St. Lights: Yes ❑ No❑ RCLND COMPUTATION 171 Area: C & G: Yes ❑ No ❑ CLASS: r 172 land Type: Lot ❑ Acreage Sdwlks: Yes ❑ No ❑ APPRAISER & DATE: ��G ��–/;�'p ��t�/P 25777-,/:_,4/_`&'1r' a (, ^^ � ' 173 Garage: Yes ❑ No ❑ e' 174 Pool: Yes ❑ No Item Fact. Area Unit Cost Cost Unit Cost C st Unit east Cost ❑ TREND First Floor �� -t % Q`/' _ Improving ❑ Stable Declining ❑ Second Floor I SUMMARY Assessment Year 19 19 19 OCCUPANCY 19 Appraiser Owners ❑ TenantsEl Mixed ❑ Gar. A - D - F Date CG P-frt• r r - MAINTENANCEP•rear r ;' 1� R-C.L.N.D. E G A F P P_ r-1 Land Value z Patio ,`� `{ F' 1 Total Summation TRAVEL TIME & DISTANCE O Comparable 1 Shopping: �1 �� _ or — E G A F P AC ' � Comparable 2 Schools: E G A F P FP Comparable 3 Core: E G A F P Kit. Extras Listed Price Plmbg. Extras Sale Data SITE TOPOGRAPHY Misc. Extras Level ❑ Rolling ❑ Other Flatwork TOTAL PROPERTY APPRAISAL Land At ❑ Above ❑ Below ❑ Grade - Improvements _ Slopes Up ❑ Down ❑ S -S ❑ Total Property View n Sector ° J- -- - ASSESSED VALUES R.C.N. •' :� 1 i Land LOT TYPE Corner ❑ Interior ❑ ^/, Good Key ❑ Cul-de-sac GI R.C.L.N.D. 1*© �J/ f Improvements Total Property Misc. R.C.L.N.D. Entered s Total R.C.L.N.D. Q Q 1 Butte County 5.69• i 3, 1 `` � �•�� � • -i � - _ _ .�.�. i -, �ti�.�� � �ar.�:•��� - . - •.c''\.•.tom Sf u� i f+3'ri!T'P F4-�( t� ti i„ ;n't*.I'fr r jr�sk1( Se���+..;y pritA�i•'�.' yrCiC J�p�T? 1�� `6 ` ?' N 'BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM,; DURHAM RECREATION AND PARK DISTRICT . Assessor Parcel Numbers : 046—�qlO-61/ 4 Property Prop a Owner (s): F o z� ect Location/Address: lq Subdivison Name: Assessable Square Footage: Type of Residential Development (check one): • r New Develop men Alteration/Addition Mobile Home (s) ❑ Non -Residential o Residential Comments: Building Division Representative Durham Recreation.and Park District (DRPD) certifies that i Applicant Name Applicant Phone Number Ca.►�vYe_ Street A.ry city CA State �S�Jp Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for (A square feet at $ 1.04 per square foot for a total payment of $ (.C, (.0 '4'4 63 DRPD Representative Date PAID BY CHECK No.: Remarks: BANK No,.: PAID BY CASH: RECEIPT No.: -7:315 W DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW = BUTTE CO. BUILDING DIVISION r f' 4 School Dict stri A.P. Number Property Owner Property Location/Address Subdivision Residential Development 11 rommercial/Inclustrial ,, �A 44� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. ®County Lot No. 7 Department Representative 0 New . Addition Sq. Footage (Including Exterior Roofed Areas) O 3 Date (Floor Plans reviewed by School District Personnel) District Identification No. 6.2 Al 0. ICU If Lh+m U N., Ft E -'T> School District certifies that 61;?0eA/ O E tt—sL 1 — (Applicant) (Street Address) (Phone Number) Z)u 2�1 -► c�+ 9 s� 3 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing l0 3 ry square feet. School District Representative r ,Paid by Check # / ,,,,,Remarks: by payment of $ 3� �' 641 AB 2926 $ FULL MITIGATION $ 6-1,03 Date e/_aP' / &(tit40L-)SE a - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact. Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm 040-290-074 r 02-3212 BROCHHEUSER, JEFF , 1949 SYCAMORE LN., DURHAM ` DEMO HOUSE , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Azti�_ (Rev.12/96) APPLICATION AND PERMIT i>�Z ASSESSOR PARCEL NUMBER 040-290-074 ZONING BUILDING PERMIT OWNER S TELEPHONE 89U1111A Sp, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1941 SYCAMDRE IV., URM, CA 959-18 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �5 W ARCHITECT OR ENGINEERS MAILING ADDRESS I i Plan Checking Fee $ BUILDING ADDRESS f i 1949 SYCAMORE LN., 111RHAM$ Energy Plan Checking Fee $ ' PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE + SF ❑ Duplex ❑ Mobilehome ❑ Other I SPECIFY' Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEM HIMSF, i t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - a 600V OR IFS: Main Service 200AORLES S i 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. r License Class Lic. No. t { OWNER -BUILDER DECLARATIONBA 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: E 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 I WORKERS' COMPENSATION DECLARATION I 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure kfor workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELIMIG OCCUP. OR ADDNS. ( a ACC. BLO:. SO 3.5¢FT: CONST. NON-RESID. MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FMRES 20 1'00 @ .so Ex. Occup. DUTLEEDrsRL. D.DEA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) 0 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - ' X —J; /�1=� Date /I // / �if 7 Signature of,/APplicisnt= O -Owner"'❑ -Contractor ❑ Agent/ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D, FEES IMP FLOOD CDF PARCEL pD HD __ �...�. ,,�� ISS VE This permit is hereby issued under the of e Butte I unty C de and/or indica ed a Ove fDr wh' h fees have By 1i ID PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. to D Defe Receipt No.� I ` WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION .. r DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico:'CA (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO, A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f l �)/� //j/ft/ 77?il � aVP`i� fIG-1ZA-7/7 1 J'iz o t/1114 G' Af111'LO 1/6/, I�Z•Os� 66 Date f Inspector REV 10/92 sP COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541RMIT 4. (Rev. 12/96) A.PPLICATIONAND PERMIT 0Z Z�� ASSESSOR PARCEL NUMBER 040-290-07 ZONING BUILDING PERMIT OWNER BROCMEUSER, JEFF TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1941 SYCAMRE IN., DURHAM, CA 950M CONTRACTOR'S NAME QWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1949 SYCAMORE TN- DITBRAM Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO HOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service o.A oA LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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: Z1, 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 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )I 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-lLose provisions. Date Signature ro:flic����Ontrractor ❑ AgentAn OSHA required for excavations over 5'0" deep and demolition or construction of struc re3 stories in heigh ^ Main Service zooA TO tOooA 46.00 NEW CONST. DWEWNG OCCUR SO OR ADDNS. a ACC. S.3.5QFT. NEW C. NoEOSIIDDT MULTI -OUTLET RANCH IRCUITS @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUST OR FWTURES BAL Q I 0 Ex. Occup. Oun rs(RR=°ERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee s occ CONST. TYPE TOTAL FEE $ 3 HAZ. I D FEES IMP FLOOD COF PARCEL PD HD SS This permit is hereby issued under the of e Butte unty C de and/or indica ed a o f r wh' h fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. i to ale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement lqI-0 �,- P;°itD�lDa9i , 7y Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. 2/19/91 O`VNER-BUILDER VERIFICATION l Attention Property Owner: An "owner -builder" building permit has beea applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid ueineoesstgd1y in processing and issuing your building permit. No building permit will be issuedi verification is received. C1I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO C3 ' I HAVE Y HAVE NOT 0 signed an application for a building permit for the proposed WUL ;. I have contacted with the following person (firm) to provide the proposed eons: NAME: 4. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: CITY: PHONE:- CONT'RACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK iti'OTE: This Owner -Builder Verification is required by Section 198.11 and 198314WAt California Health and Safety Code. This verification must be CONVIAtd and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORl1ATION y. .re P70cer7,1 Aa application for a building permit has been submitted in your name listing yourself as the builder ofpropeM improvements specified For your protection, you should be aware that as, -Owner -builder" you are the responsbk parry of reeoed as such a permit. Building permits are not required to be signed by property owners unless they are personally pet5oemipt' 15eir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or.county. They are also required by law to put their license number on all permits for which they apply. If you plat to do your own work. with the excrpdon of various trades that you plan to subcontract, you ihould be aware of the following information for.your benefit and protection: • If you employ or otherwise engage any persons other than your immediate farn.4. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ [ f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including*stare and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be F.nancial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more speci5c information about your obligations under Federal Law, contract the Internal Revenue Service (and, i c You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, certact he Department of Benefit Payments and the Division of Industrial Accidents. If the struc%re is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or thtoug.`t their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit; erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by properly owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your corununity or at 101-0 N Street, Sacramento, CA. 95814. Please complete the "C►wrter Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. Mie el C. Vi iia. C.B.O. h1 ger, Building Inspection NO TE: Th it Owner -Builder Information is required by Section 19810 0/the California Xeallh and Solay Codes OVER 040-290-074 �r 03 0015 BROCHEUSER, JEFF F ,1949 SYCAMORE LN., DURHAlV1 TEMP POWER V W I- V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �±MP5(Rev.12/96) APPLICATION AND PERMIT C ASSESSOR PARCEL NUMBER . # D ) - ZD G I BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS ' -- 1'f Ll I , M .UAWM CONTRACTOR'S NAME J TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 i Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS /7 f 1 ^— Energy Plan Checking Fee $ Qfi�i1 PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP n PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE -r, SF ❑ Duplex ❑ Mobilehome CIO"Other sj �.rrktV-4�l?M. —"—r SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E3'"r J( Describe Work: ._1(mr-4— �/(�i- _ n� ' 1 of C. l.G i11.(a - • �• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 .Ess Main Service zoe00vOROA OR LESS 23.00 . Ud 1 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 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.) 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. �i X % Datey _, 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. Main Service 200A TO 1000A 46.00 NEW CONST. DwELLMN3 OCCUP. SO OR ADDNS. a ACC. B.Ds. 3.5¢FT: NOµR6IU - MU 0cI T ,, @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. OCCu OUTLET OR FIXTURES BAL @'.50 Ex. Occup. OFIUXn AE.s ' OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ -00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC Al � n � CONST. TYPE N TOTAL FEE $ 3 . HAZ. p. FEES IMP tl/f I FLOOD I CDF PARCEL PD J HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have /( By J�n (J( %/� PERMIT EXPIRES ON /-3-N the applicable provisions Resolutions to do work been paid. Date _ �3 Da to Receipt No. 96,-) 9D C/ 5' WHITE-D.D.S.-B.D. CANARY -ASSESSOR` PINK -INSPECTOR GOLDENROD -APPLICANT Qt 11 a 131* 1-r_J` K A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT C ASSESSOR PARCEL NUMEER t ( `1 ZoNl G l BUILDINGPERMIT OWNER It TyQNE'I SO. FT. OCC. BUILDING VALUATION OWNER'S � (4 AD RISS 1 n CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG.ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDR:-SS Total Valuatlon $ ARCHITECT OR ENGINEEF UCENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEEPS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome Other I_ (�A?Q/1_ D}/ \J.p�!�1� � spECIFv 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 13 Remodel ❑ Unities ❑ Installation ❑ Other 0� Describe Work: 1j1/%lia' �/���,,,,,,�� 3Q )a tlIKO —JC - Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2oEOOV0A OROR IFSSSS 0,0 f 23.00 6 LICENSED CONTRACTOR'S DECLARATION I hereby affirm ureder 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_L I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service To 46.00 NEW CONST. DWELLCU EE OCCUP. OR ADDNS. ( d ACC. BIDS. SO 3.50FT. T. NOµRESID. MULTI -OUTLET @7.50 OWER APPARATUS S PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES 200 .00 BAL @ '.50 LNS Ex. Occup. ouriFrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have anc will maintain a certificate of consent to self -insure for workers' compensaion, 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 Nunber (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) l I certify that in the performance of the work for which this permit is issued, I shall 1 not employ any person in any manner so as to become subject to workers' compensaion 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 rth ith co ly with t ose provi ' ^� X Date i =�J Signature of App licant - Owner ❑Contractor Agent An OSHA permit is required for excavations over 5'0" eeep_and demolition or construction of structures over stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ O e CONST. "PE N ah le_ TOTAL FEE $ 3 . HAZ. I D, FE IMP I FLOOD cop PARCEL I PD I HO ISSUE This permit is hereby issued under of the Butte County Code and/or indica(e4bove for which fees have By / PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. ' 3 _b3 Date �� / — 3 —Vq Date Receipt No. 3�DO WHITE-D.D.S.-B. D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT 521-901 9AkA_ :!'FROM : BUTTE STEEL PHONE NO. : 5308933014 Jan. 03 2003 10:02AM P1 !L"-JTTE "TIELL & 1"'C' . ..... ...... .............. -.1-11 . ............ .. . . ........................ . .. .............. .......... ........... ..................... pr - 3674 Esplitnak (530) 89-33-111.3, Chico. CA 95973-0286 r -AX (530) 893-3014 January 3, 2003 Chico Building Department ATTN: Bernell Dear Bernell: R.icl)ard Arnett has my authorization to sign any pertinent papers in regards to building permits. Please call i-ne if you should require any additional information. Thm� you, 4efftf Brocl&euser President JB:tlb . PERMIT N0. 3996-78B> P> E Poo PERMIT EXPIRES OWNER Dave Singletary CONTR. Hnliday oo1G, Chic ^ 40-29-x' 7 LOCATION (ACP. 5` 1M/6 Lane, Durham �S1ycamore --7"v / P, 'a j • 4 P, Y� Z G Ai { ' i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E �jos �2S • FINALED VVV (Date) nature) Stucco • 1 COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD Subpanels Mesh BUILDING BUILDING (Cont'd) Grd. Fault Prot. — PLUMBING Setback Firewall Soil Piping Ducts Ventilation Forms Parapets 1st Floor ' Main Bldg. Restroom Finish 2nd Floor --�� Footings Windows 3rd Floor - - Stemwall Siding To out Gas Piping Slab Roof Sheathing Water Piping r' Piers Roofing Sewer Garage Fdn. Vents c Fixtures -� Footings StemwaII Garage Vents Insulation .: - Water Htr. Heaters Slab Carport Footings Prov. for ph sically -- handica ed Conformance of ex. structure —` Appllances Gas Pf in &Test Temp. Gas Slab Final Sanitation Patio FIREPL CE Final 'j— —/I — Footin Footin s Footino ELECTRICAL Masonry Walls Throat Rough Reinf. Steel 7 Final Fixtures -' Bond Beam FIRE SI?RINXI-i RS Motors Stucco Final �' Subpanels Mesh KMECHANIOAL Grd. Fault Prot. — Scratch Brown Heating Cooling Service Temp. Pole Finish Interior Lath Ducts Ventilation Underground Permane Door Closer Final Final —' 3 — MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping liliinage Gas Piping DA 0/7.p) (ARKS OR CORRECTIONS Vt5- a (NOTE: An entry must be made on this form each time you visit the job site.) J� Rt. 1, Box 956 Durham,. CA 95938 September. 8, 1978 nl:::�ding rank Kircher Inspector Department of Public Works 7 County Center Drive Oroville, CA 95965 RE:. Electrical Inspection (Final Inspection) Site: 956 Sycamore Lane, Durham, Dear Mr. Kircher: I would like to know the date of the final,insp.ect on on <. the above site for my asEurance that the.v�nspectioa wa,ss. -� actually made, and so that the .trenches. stillJy ng open may be requested to be filled by Holiday, :Pools. a Your prompt reply will be appreciated. Sincer elx i K. Singletary r^ -,J�;; .COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 y .40 y6-� ArrLIGH HUN AMU rtKMI I wAdv BUILDING Owner IDAv S11V6ZfrAR.Y SO. FT. OCC. BUILDING VALUATION Mailing Address 6' Telephone No. Contractor 110z40A OGl S Mailing Address S 0 5 - 5 � AVl- Fireplace Total Valuation � A ` ^ n6 7 O� Telephone ��Q 3- L7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee �G �✓�� S VC,4110,ff LN PLUMBING No. @ FEE A� ZIr PERMIT FILING FEE $3.00 3. Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. A— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F S r ' n FireDept. I FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Pians Parcel Declaration Parcel Map 6 R/W Improveme Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 • °= Main service 6101 OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 2.50 ,SINl/`1/ ,V6 OoL Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLOGS.LING CCUP. �1 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: A/0-4 A Y /BOOL S T NEW CONSTR BRANCH CIRCUITS)[ No .RESID, BRANCHT 1.0 CIRCUITS 2.5Oea NEW CONSTR. (POWER APPARATUS.&J NON-RESID, SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXT11RES 5 L� Ex. OCCup ( FIXED APPLES. OR • OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 rz!'-3a1 �•_�3 License No. Classification Misc. Wiring 4Lt fLG"� 6.25 25 ARFf.4/A//N r0 2001 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ .25 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. rVI I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ C? c7 J• authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. 0 Date Sign reof Permitee or Agent Receipt4/40. o. J /7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee aid. DIRECTO P BLIC WORKS D By Date ��I0 -7Z— B'Wing/permit expires Date Z—_1 —7 f Rt. 1, Box 956 - Durham, CA 95938 September 8, 1978 Mr. Frank Kircher Building. Inspector Department of Public W orks 7 County Center Drive Oroville, CA 95965 RE: Electrical Inspection (Final Inspection) Site: 956 Sycamore Lane, Durham Dear Mr. Kircher:' I would like to know.'the date of the final_dnspeetion o'n�`.a `%N- :.. .. the above site for my assurance that the,�nspection was" actually made, and so that the trenches -still jying open. - may be requested to be filled by Holiday Pools, :`JI Yourprompt reply will be appreciated. Sincerely K. Singletary C� , rs otrcEiviED T r DA 8 t 11 ,. t l �t Y C