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040-300-022
_ Ai' 40-30-22 Bruce Norlie e/.s Jonel•, Ave, approx. 1200' S. of D Midway.' xrham -. 1 40-30-22 Permit #5698-7.68.(convert portion of garage to Ho -by. Room/SF) ' 40-30-22 --- - Permit #489-79,B,E(add family room & dining room/SF� 40-30-22 10132 Jones Ave, Durham /n Contr: Four Co Roofing Permit#2540-84B-(reroof & smo e, de .SF) _ 40-30=22 1065-89B NORLIE, Bruce T l ►' l.0 _ 1M2 -`J . ones,Ave, Durham' `/ � Contr:Butte Roofing � (reroof/SF) ' 040-300-022^^ PERMIT#97-0662 NORLIE, Bruce F 10132 Jones Ave., Durham Cont: Laurie Norton �qj New Pri Det Garage l X040-300-022 01- NALED NORLIE, BRUCE q .'z 10132 JONES AVE, DU AM CONT: GREEN & SON RO - 1NG r OF 00-022 0 48, GIL! ALED JONES AVE, DWINDOW REPLACE Z,; 040-300-022__ .c= SMITH, R_OY GILBERT " 10132'JONES AVE; llURAHM Cont: WOLFE ELEC ELEC SERVICE 0 11 ;,im , -q 1- mallial, 11 Butte County Department of Development Services. 0�%>e• aRE` IN O T E S 1 7 County Center Drive, Oroville, CA 95965 _ (530) 538-7601 vnwv.4uttecounh( netidds vuq< RES I D E N T I A L AP N: Permit No_ Owner040-300022 006:681 „ - ' SMITH; -ROY GILBERT- --- — _� Site Address: 10132 JONES AVE, DURAHM Cont: WOLFE ELEC Contractor_ELEC SERVICE Type of Permit - OFFICE COPY Address SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE OFF, m i OL'oll/ DATE JOB FINALED: — C r' O (o ' SIGNATURE: OK Not OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE PLUMBING 1 Zoning-Setbacks-Easements-Flood-Stope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth_ 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth ' 56 Shwr Pan- Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test °fe 10 UF, Gas Pipe; Sz Anchrs-Sz Test 0\\ 0\\C Ise 1-1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums &Ducts; Clrnc MaterialSupport-Insultn 61 AC Ducfs Insulin & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s \\c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IF I N A L 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Tres-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Tres or Type A Flue-Frplc Throat Clmc ec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 26 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdmt-Rise-Run-Landing -Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn- LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loon 35 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 3B Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No oma. s 87 Stucco Brown -Finish 0 °tee m` 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-DIrnc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmcans Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp rnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec mdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or❑AL 99 Fire Sprinkler 48 Range Circ ga CU or EJAL 'Oven Circ ga ❑ CU or ❑ AL �Insulated Neutral ❑Yes ONO cA9'Service-Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmrs pnls-Motors-Mech Eqp _ 53 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector = OK nv MANUFACTURED HOMES I MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPD Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancys` 16 HUD LabeUlnsignia Numbers Serial Numbers DATE_TDECK S'C O V E R S'C A R P O RTS 'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-OpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls r s` °� :0 DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 5 Elec Pool Lting; 15 volts-DF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w1S' Crcl[ng Eqp-Pool Ightg B6xes-Enc1srs;Tnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enc sr; Fencing Alamo 13 Bonding, Diving board or Slide Pool Drawing I r f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class G- 10 License Number: 6 Lf L l V 7 7 Date: Lt d —0b 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 city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the sines aanndd Prrofess' ns Code Date: Owner: WORKERS' COMPENSATION ECLARATION 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. 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:� 75Z;o4/ V V / Policy #:©5— — e!200 — 2 2-60 6b' ❑ I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as .to .become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthw(itth/comply with those provisions. Date: •t r ��� Applican� / - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), 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.) Address: PERMIT NO. BP060816 Issued Date: 04/11/2006 APN: 040-300-022-000 Site Address: 10132 JONES AVE DUR Map Index: Description: new elec service Owner: SMITH ROY GILBERT & BONITA L 10132 JONES AVE DURHAM,CA 95938-9508 Applicant: WOLFE ELECTRIC 1300 PARK AVE CHICO, CA 9928 (530) 345-2800 Contractor: WOLFE ELECTRIC 1300 PARK AVE CHICO, CA 9928 (530) 345-2800 License #: 844427 Architect: Engineer: Total Square Ft: Valuation: Census Code: This per tis hereby Resolu#ons to do wd PERMIT EXPIRES ON: the app' able provisions of the Butte County Code and/or above f which fees have been paid. Date: q— // ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an icial f r. or document of Butte County. I hereby authorize repr¢sentatives of Butte County to enter upon the above mentioned property for inspection purpps /`r Print Name: % CWoi Y� r \�"�` ignature: Date: r- ❑ Owner ❑ Contractor ❑ Agent for Owner A Agent for Contractor C. Building PermitOl•16.04 pg 1 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 OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name i First Na Address_ - City State, Zi 30' Phone ` Fax E-mail CONTRACTOR Name W _�p_ L -It C—C�f Address /3 City cj'� ` U Stat�a Z' ,- Phone�_�—�d�U Fax E-mail. Lic. 901 Cl ls0 APPLICANT NAME ARCHITECT/ENGINEER Name City �C� c C_ o Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name le G IL Address City �C� c C_ o State r C�- Zip Phone 3K �_ � Fax E-mail APPLICANT SIGNATURE t'X � For office use only: Zoning Property Address /0/ 2 �r�(2 Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Warne Map Book Page Lot # Planner Date Approved: OVER -OR SUBMITTAL REQUIREMENTS PERMIT NO. r v" BIN # LOCATION API y0 _ _0 2 2 Property Address /0/ 2 �r�(2 City Cross Street WORKER'S COMPENSATION Policy Num Carrier if hiring anyone other than license con tracf rs, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desc 'ption or Scope of Work: J -V lr; Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received Receipt #: OI Vu Amount: (� Other Date I Total 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 ININK. Residential, New, Remodels, Additions; and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation. Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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 GRAPH PAPER! ❑ 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 KAFORMSXBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 "� .._, -.... _ .y. -, r-„-_...-v-*...w'-.-� ,. �.T..v�..y7`,.-+.-.`w+.�,'.� ` ^�.? fir..: � ,�,.•o «.��.,..-., �.r_i� _ .-r.�^..*4c./1.� 040-300-0223--2548 ��► SMITH, GIL 10132 JONES AVE, DURHAM HVACIWIND REPLACE ETC 0 -;�40 re��'oar 1 t COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION 7 County Center Drive • Oroville, California'. 95965 • Telephone (530) 538-7541 PERb.F',i�,' (Rev.12/96) APPLICATION AND PERMIT�-' ASSESSOR PARCEL NUMBER W -100—n99 ZONING A -2r; BUILDING PERMIT OWNER SMTT4i r'T_t. TELEPHONE qQ' -Qt;l SO. Fr, OCC. BUILDING VALUATION CM� An . OWNER'S MAILING AD RESS (11 Z9 Ir_- 'C AT1F tll yQAt pSQ7R -. .,����•••w .., u•� .. ..� -__ __ _.. . - ._ .- .. - - .•. - - CONTRACTOR'S NAME f'It�A1p R TELEPHONE !'EttTt` Sfi() r;nnL`i n CONTRACTORS MAILING ADDRESS -' I CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ` Fireplace Total Valuation Is i 51 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee _ $ r"I ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r 10132 JONES AVE.'-,DMTW---1 N. , Ener gy.Plan .Checking Fee $ ' PERMIT FEE S -nn LOT NO. SUBDIVISIONS NAME - " PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF D plex ❑ MobfleFiome rO�Other L •. % ` r SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 ,. Water piping ...1 _ ; 15.00 Each bas water heater Or vent` 1* 15.00 4 TYPE OF WORK . New ❑ Addition ❑ Remodel ❑ Utilities ❑•, Installation ❑ Other ❑ Describe Work: UPGRADE & RELOCATE HEATING & AIR UNIT TO ROOF mcluRr DUAL PAK, REPLACE (9) WINDOWS ON HOUSF. Gas piping system 1 - 5 outlets 15.00 1 S oo Building sewer 15.00 Mobile Home ISI G W @20.00 PERMIT FEE $ 35,00 & GARAGE, REPLACE WINDOW W/SLIDER (SAME SIZE).' ELECTRICAL PERMIT Fling Fee 20.00 600V 0 R LESS Main Service zo.AORLESS23.00 LU hZrAIA VLAr%1cIIv 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.P 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 afof 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 comp) Y ith those provisions. X ... Date A'/ 103 Signature of Applicant - 'Owner ❑Contractor ❑Agent IF An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structuPe`s'o'ver3 to sus ' height. 72f 4J Main Service zooA To ,000A 46.00 NEW CONST. DW EwNG OCCUP. SO OR ADONS. ( a ACC. Bins. 3.5QFT: NEW "UnMULTI.OUTLET @7,50 N OWER AP= U a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL zo0I.00 � .SO Ex. Occup. D9E,_DTs aE�s,D.GEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating in nn Cooling 25.00 Hood 6.50 Ventilation PERMIT FEE $ Fad (N1 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 183.G0 ` HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD TISSUE • This (permit is hereby issued under the applicable provisions of the Butteaunty, Code and/or Resolutions to do work indicated abbe ` for hich fees have been paid. By J (/ / I/�t-. ate n PERMIT EXPIRES ON [ (/ Dete ReceiptNc'/o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 - o -5.7,w ASSESSOR PARCEL NUMBER i ZONING BUILDING PERMIT OWNER - TELEPHONE (gyp SO- FT, OCC. BUILDING VALUATION .OWNERS RE -CONT 1n1Q0 JONES AVE. DUPJIAM QA 95922 CONTRA E i TELEPHONE ' 500.00 CONTRAC NO ADDRESS ... _ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS JONES10132 Energy Plan Checking Fee $ PERMIT FEE $ p i inn LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling 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: UPGRADE & RELOCATE HEATING & AIR UNIT TO ROOF MOUNT DUAL PAK. REPLACE (9) WINDOWS ON HOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMITFEE $ Q 2, GARAGE. REPLACE WINDOW W/SLIDER (SAME SIZE) ELECTRICAL PERMIoRLEss Fling Fee 20.00 800vMain Service 2a0A OR LESS 1 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 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 Main Service TO 1000A 46.001so WEE200A NEW CONST. DWEWNO OCCUP. OR ADDNS. ( & ACC. BEDS. SO 3.5¢FT: N N -RE IDT' MULTI -OUTLET @7,50 PowER APPARATUS S SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 0 1.000 Ex. Occup. Du EDrs ,=6j'EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 1 20 00 Cooling 25, Hood 6.50 Ventilation PERMIT FOE $ ' c Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certifythat in the performance of the work for which this permit is issued, I shall p P 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' compen tion provisions of section 3700 of the Labor Code, I shall forth ith compl ith those provisions. X Date �� Signature of Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is require f r excavations over 60" deep and demolition or construction of struct IS ' height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ � HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD UE Thi$ ermit is hereby issued under the of Butte unty Cod and/or indic ed a v f r hich ees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. 5U( /r3 O e Receipt WHITE-D.D.S.-B. D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L;7 r-71 4c OC 0 cl L;7 r-71 4c OC 0 •., + l .. , r_ .:fir r -� � � � ` ., ; 2• _ _ , 01-2717 717 NORLIE,.BRUCE 10132 JONES AVE, DURHAM CONT: GREEN .& SON ROOFING REROOF # p"7-Zss�� 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 ASSESSOR PARCEL NUMBER11 C►!�l _ 7 �',� _ Or',,I I tom BUILDING PERMIT OWNER, I TELEPHONE , SO. FT. OCC. BUILDING VALUATION ' OWNERS,MAIUNG ADDRESS CONTRACTOR'S ,NAME ( .4 :! ! i*� N TELEPHONE , % ► r 't�j r t f , • ► f CONTRACTORS MAILING ADDRESS -- 01 CONSTRUCTION LENDER ' Fireplace UENDER'S MAIUNG ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS, ; �) `� ' ` �: ! Energy Plan Checking Fee $ $ '! -J!�4 1- 7 i PERMIT FEE $ ' ! 7,• r+1 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑/Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:. / - }f"lli - f J/- r. ', / �� r % l,�1 �r ✓ �I/C� !� �N// / �!{ _ �/l %%1 Cas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR UES: 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 ,� Lic. No. ,7 / ' or, rf 1a 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. D 1 have and will maintain workers' compensation Insurance, as required by Section 00 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 �i i J f - ✓• Policy Number' , -_ (.2 4,r (The above sections need not be completed H 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c� X_. ', i _ _ • Date / -/ �� Signature of Applicant - ❑ Owner Contractor [3Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To ,000A 46.00 P. so NEw coNST.DWELLING occu3.5¢ OR ADDNS. ( i ACC. BLDS. FpµMU 1 RESID. 1NEW CI CUT ETITS @7,50 POWER APPARATUS SINGLE OUTLEr CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL 0 .so Ex. Occup. ou'Ln TS R'116.1 OR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES �✓ HAZ. D. FEE: IMP FLOOD COF PARCEL Po HD Uy This permit is hereby issued under the applicable provisions of the Butte 'County Code and/or Resolutions to do work indicateda ove for which fees have been paid. By t� �'�., . -� Date r 11 PERMIT EXPIRES ON ` _ para ReceiptNo. 'J! � % I; I- C"' C WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 Q)' a-7) % ASSESSOR PARCEL NUMBER 0 /+L /', V ZONING BUILDINGPERMIT OINEIP!y/ T'�HO"E SQ, FT. OCC. BUILDING VALUATION .OWNER S LINIG ADDRESS A` e',�,. - Wf 6Y / U O CONTRACTOR'S E TELEPHONE 73-394 CONTRACTO 5 MAI DRESS C4 CONSTRUCTION LENDER s� LENDER'S MAILING ADDRESS '�'-- Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ , ARCHITECT OBIiMeMOffASl0081'1NG ADDRESS Plan Checking Fee $ BUILDING ADDRE es Energy Plan Checking Fee $ s $ PERMIT FEE $ , LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 f�'77Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /�(���v0(/(� S*A2,-'_ ! �_ j-/2 l/,I S77A6 32 SCZ �r// /% / se t/ALT—(J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Jp1l for nd effect. �� License Class � � Lic. No. 2% SD 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' co nsatio insur carrier and policy number are: Carrierj¢ Q Policy Number /)'' _- (The above section 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 tho a provisions. X Date O `�3 �, Signature of Applicant - ❑ Owner Pmontractor ❑ 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. DWEWNG OCCUP. SO OR ADONS. ( as qQc, g1 pS. 3.50FT: NtSIIDD ' MULTI.OUTLET @7.50 POWER APPARATUS 8 SIN..OUTLET SIR. 20@ '. - Ex. Occup. OUTLET OR FIXTURES BAL @ .Lw Ex. Occup. DPUT>Fis p LNS DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ IMP I FLOOD I CDF PARCEL PD HD U This permit is hereby Issued under the applicable provisions of the unty Code and/or Resolutions to do work indicatedButtOve for which f shave been paid. ; _ 3-01 10-2 By Date�/ V PERMIT EXPIRES 0"1// to ReceiptNo. Mao T WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN -INS ECTOR GOLDENROD -APPLICANT FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number GIL SMITH BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 10132 JONES AVE. CITY STATE ZIP CODE DURHAM CA 85938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 040300-022 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) New Residential Structure LATITUDE/LONGrrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #f - ##' - ##.#IF or ##.mom) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE CO., CA. & INCORP. AREA 050017 Bub County CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEJREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of floodng) 060017 0520 c June 8,1998 AO Depth 1.0 ft B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ❑ FIRM ❑ Community Determined ® Other (Describe): SEE COMMENTS B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): SEE COMMENTS B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ®No Designation Date NIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when oonsbuction of the building is complete. C2. Building Diagram Number 8 (SeW the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. ff no diagram accurately represents the building, provide a sketch or photogratph.) C3. Elutions — Zones All A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2_ State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 101.5 ft(m) �Q�O G. G •��►► o b) Top of next higher floor 101.5 fL(m) .•��� FF '.`yC o c) Bottom of lowest horizontal structural member (V zones only) NIA . _fL(m)o a o d) Attached garage (top of slab) NIA. _fL(m) E 11r - cc o e) Lowest elevation of machinery and/or equipment w• servicing the building (Describe in a Comments area) NIA. 0 iL(m) E @ * 0._ No. 647 o f) Lowest adjacent (finished) grade (LAG) 100.0 fL(m) d . • �.• o g) Highest adjacent (finished) grade (HAG) 100.0 ft(m) _ �•q • • . • IVI • . •\P o h) No. of permanent openings (Rood vents) within 1 fl above adjacent grade 00 J F ' ' ' ' • Q� o ) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME: ROBERT G. AGEE, JR. LICENSE NUMBER: RCE 27647 TITLE: CIVIL ENGINEER COMPANY NAME: SIERRA WEST SURVEYING ADDRESS CITY STATE ZIP CODE SIGNATURE -//DATE TELEPHONE 1p AUGUST 1, 2003 877-6253 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company use: BUILDING STREET ADDRESS (Indudng Apt., Unit, Suite, andtor Bldg. No.) OR P.O. ROUTE AND BOxNO. PoI4 Number 10132 CITY STATE ZIP CODE Company MAIC Number DURHAM CA 95938 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS ALL ELEVATIONS ARE BASED ON AN ASSUMED DATUM ESTABLISHED AT THE SITE. ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E5. If the Elevation Certificate is intended for use as supporting information fora LOMA or LOMR-F, Section C must be completed! E1. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being oanpleted–see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is1 ft(m) _in.(crn) ® above or ❑ below (check one) the highest adjacent grade. Pse 11 natural grade, if available). E3. 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_fn.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form.WA E4. The top of the platform of machinery andfor equ#wt servicing the building is_ ft(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, 9 available).NIA E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. N/A SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.f only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, 6, C, and E are coneot to the Gest of my knowWp. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, er4neer, or architect who is authorized bystab or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A cornmur y official completed Section E far a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. ❑ The tullowi,ig information Qtems G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMrr ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for[] New Construction ❑ Substantial Improvement G8. Elevation of asbuift lowest floor (including basement) of the building is: — ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: Mrn) Datum: LOCAL OFFICIAL'S NAME TITLE rrala5 ;1V� SIGNATURE DATE 08/04/99 13:24 NORTHSTAR ENGINEERING -> 538214OPP5974 ?&wthStar ENGINEERING Civil Engineefs - Planners s Surveyors . FAX TRANSMITTAL SHEET DATE: 62 - JOB # Gf-9fit— SEND TO: Name c*o- fi- Company 6k,, #,1.0& vs�r. Phone #3�• FAX# 619a•2!:fa MESSAGE: FROM: Name Company Phone # FAX # E-mail NUMBER OF PAGES: a -t o^d s T ?'io •X e gf NORTHSTAR ENGINEERING (530) 893-1600 (530) 893-2113 Cover sheet plus sheets 20 DECLARATION DRIVE CHICO. CALIFORNIA 95973 530-893-1600 FAX -893.2113 NO. 703 001 08/04/99 13:24 NORTHSTAR ENGINEERING 4 538214OPP5974 NO.703 002 O.M.9. NO. 3067.0077 ELEVATION CERTIFICATE E,vireeMay 31, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL. FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community: floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER 8�l� Nt�L/E STREET AOORESS (Including Apt. Unit. Suite tndrol,614!9. Numbe OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER �E OTHER DESCRIPTION (Lot and;etodl Numbers, etc.) 090- =a22 cITr- SrnTE . ' ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION " Provide ll )q fdllowing from the proper FIRM (See Instructions): 1, COMMUNITY NUMBER 2 PANEL. NUMBER 9. SUFFIX 4. DATE OF FIRM INDEX b. FIAM ZONE 6. BASE FLOW ELEVATION fin AO Iwros. vse de^ �loDO�% .5 G vvw 1998 fi Fua 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVO '29 f4bher (describe on back)(/sc7s 6. For Zones A or V, where no BFE.is provided on the FIRM, and the community has established a SFE for this building site, indicate the community's BFE: L -I ISI TI.0 feet NGVO (or other FIRM datum -see Section B. Item 7). t .,SECT16N C BUILDING ELEVATION INFORMATION - t- Using the Elevation Certificate;jnstrucdons, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's,reference 'tevel _I . 2(a). FIRM Zones At -A30. AE, AH, and'A (with SFE). The top of the reference level floor from the selected diagram is at an elevation of I I I I I I .lJ feet NGV!) (or other FIRM. datumsee Section B. Item 7). (b). FIRM Zones V1 430, VE, and V (rvith.SFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevatfon of l i I I I I,U feet NGVO (or other FIRM datum -see Section B. Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LA.a feet aboveXor below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone A0. The floor used as the reference level from the selected diagram is ILLj.L) feet above ❑ or below 0 (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? 0I Yes D No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: 0 NGVD'29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section 8, item 71, then convert the elevations to the datum System used on the FiRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes,;544o (See instructions on Page 4) 5. The reference level elevation is based on: Xactual construction 11 cons truction'drawings (NOTE: Use of construction drawings Is only valid if the building does not yell have the reference level Noor in place, In which case this certificate will only be valid for the building during the course of construction. A post•consrruction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:: I V181D.feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item t is not the 'lowest floor' as defined in the community's floodplain management ordinance, the elevation of the building's 'lowest floor" as defined by the ordinance is: I_ I I I I I .lJ feet NGVO (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81 -31, MAY 93 REPLACES All PREVIOUS EDMOr4S SEE REVERSE SIDE FOR COF-MNUAnow 8�5�99 4&16* "1/(es (-V- "&0 srax Zo P"PAlee P"T a4cre. c6e>r &X) 48 " Pte, qs iv&r S u,oirre-D w/ Rsewl r on- pwog To vww 9.& 4;bPrld v1 BA� 'G • PAtV� S'. 08/04/99 13:24 NORTHSTAR ENGINEERING 4 538214OPP5974 SECTION E CERTIFICATION NO.703 1703 This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation Information when the elevation Information for Zones At A30, AS. AH, A (with BFE).V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordnance to provide floodplain management Infomtatiori, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued SIFE). a bullding official. a pioperty owner, or an owner's representative may also sign• the certification. Reference -level diagrams 6, 7 and a • Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list -the Feature) not Included in the certification under Comments below. The diagram number, Section C. (tem 1, must still be entered, I certify that the Information in Sect/ons B and C on this ceriincate represents my best eNorts to /interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'$ NAME LICENSE NUMBER (or Affix Seal) COMPANY TITLE . M�`'� /�J�!'"�—lEGA"•%Y ADDRESS CITY CITY STATE 21P rli) CWI Co Ot 96%13 SIGN ATU DATE PHONE Cop ould be made if—this Certificate for: i) community official, 2) insurance agent/company, Mid 3) building owner. COMMENTS: % 10-30-011 0 No. 6050 Q OF r110' P ON NTT" ON PILES, SLAB BASEMENT pleas. an COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERiNLE EASE REiENNE�E LEVEL LEVEL FLOOD ELEVATION T .• p GASE FLOOD ^QJdCENT c AEvIEVfnCe FLOOD ELEV ELEVATION REFEREPIce AwACe- aFtAue ' IeveL I GRACE y kW4 EMT '•1i '.!..=iii ::•i. .:,:;: ORALE The diagrams above illustrate the points at which the elevations should be. measured in A Zones and V Zones. ` Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for an V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 RESIDENTIAL 040-300-022 PERMIT#97-0662 NORLIE, Bruce 10132 Jones Ave., Durham Cont: Laurie Norton ' New Pri Det Garage G—acic G/C . J JOB FINALED (Date) 7 — Signature V=OK 0 = Not OK Not '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS VERS, CARPOR , GARAGES lana OK except #'s . 1. Zoning Requirements - Setbacks - Easements Hing R irements-Setbacks- asements 2. Soils; Special MH Support Sketch ngs; SoilsSize-DepihSpacing-Connectors-Steel 3. Sewer, Location -Test -Fall -CYO -Concrete . 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carp; indows-Doors 6. Gas; Location -Test -Wrap; / i'L'ft. / /Nat. or/ fVft./ /LPG c 7. Well Clearance & Disconnect Frm• s-AnchorsStuds-Rftrs-Trusses iding; aili eneerStucco-Mesh . Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DG 8. Utility Clearance Date f Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance -GR 3. Gas; MH Test -Demand -Valve -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip, w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/0 to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Dawns -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 �a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS O�- Date DECKS VERS, CARPOR , GARAGES lana OK except #'s . Hing R irements-Setbacks- asements ngs; SoilsSize-DepihSpacing-Connectors-Steel 42 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. Carp; indows-Doors c ,17 Frm• s-AnchorsStuds-Rftrs-Trusses iding; aili eneerStucco-Mesh . Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DG Date f Card B-1 Date Card B-1 Date Card B-1 N1 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 -GR 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/3 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 d = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL•(Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ /Fig. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts- Wrapped 52. Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. Pienums & 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 Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.F.I.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Ran:7e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-Wallsa/Vindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, Chliforniar 95965 - Telephone (916) 538-754197 /PERMIT NO. (Rev. 120)(5) APPLICATION AND PERMIT `Z a//o ASSESSOR PARCEL NUMBER 040-300-022 ZONING BUILDING PERMIT OWNER BRUCE NORLIE TELEPHONE 343-8969 SO. FT, OCC. BUILDING VA TIO OWNER'S MAILING ADDRESS / / 2— -7 / 20 U 12,960. CONTRACTOR'S CONTRACTOR'S NAME LAURIE TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ - 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 60 BUILDING ADDRESS 1013 JONES AVE DURHAM Energy Plan Checking Fee $ PERMIT FEE $ 2 7.60 LOT No. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE 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 �IXAdditian ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas i in system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 0V OR UE Main Service z..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is i ull force and effect. p- ^� License Class Lic. No. C7( J`�1 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 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( g ACC. BLDS. 3.5¢FSOT, 25.20 NEW CONST. MULTI.OUTLET NON-RESID. ANC C U 1x7.50 PowER APPARATus 8 SINGLE OUTLET CIR. TL EX. Occup. OUET OR FIXTURES 20@''50 BOL. @ so Ex. Occup. ouTiFrs RE..SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 45.20 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 1.$100) or less.) 01-1certifythat 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 Date C? -_ Signature of Applicant - ❑ Owner P(Contractor ❑ Ag' e t 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 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ c o PE 302.80 TOTAL FEE $ [This HOZ. r D. FEES IMP _ FLOOD A CDF PARCEL PD HD ISSUE permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /- ,�/7� Date Receipt No. 210145 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATIONI FOR INSURANCE COMPANY USE l BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAIC NUMBER /0/,5Z onvES AV25VZ1� OTHER DESCRIPTIONLot and Block Numbers, etc.) -y-fo Y, - d 22- - CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMM JNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION �/✓) �7 225 6 %Q :ter , /, i9� .Q (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD'29 L�Other (describe on backk&' t 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the comnunity's BFE: feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION' 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM Zones A1;A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of 1 1 11 i2fj .9 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the se ected diagram, is at an elevation of ! i IJ feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor -used as the reference level from the selected diagram is i__l_ I .L✓' feet above ❑ or below ❑ .(check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LL II feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depthnumber is available, is the building's lowest floor (reference level) .3levated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unk wn �c 3. Indicate -he elevation datum system used in determining the above reference level elevations: 01NGVD'29 Other (describe(/50 v under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ;KNo (;'CO'nstruction tructions on Page 4) 5. The refe'ence level elevation is based on: Eli actual construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: 11613 J& -feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I { I U .I_f feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation ' information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by Iccal law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still. be entered. 1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. UA�4cs 14 Zs &050 CERTI;IER'S NAME ���Vc.) � � �/G SE NUMBER (or 6 Seal)_ �F?�7� TITLE COMPANY '�_ _ _ _ _ _ COMPANY NAME C�i]V!�/9��1V(�� Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE . REFERENCE BASE LEVEL REFERENCE LEVEL LEVEL FLOOD ELEVATION ....... A:.: '..::.j� �i BASE° :::•�• REFERENCE FLOOD ... ADJACENT.: ELEVATION �'.n. GRADE ' ' :,+3i� LEVEL Y REFERENCE ROOD ELEVATION ADJACENT LEVEL GRADE Vii+ :: :� •. ,: `:: .':>i:. i.:':_i:�:<: °;::i'i:ir'.:r •:::�:: ADJACENT: :::}..::.r.:^:t:: �.'i�;: •: r:?:.:•r,,f1.... GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 _ ,CgUNTYOF BUTTE - DEPARTMENT OF D.EVEL,OPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 K'� PERMIT APPLICATION DATA SHEET OWNER 3 R.LLc£ V Ll C A. P. No. -O 7 0-300-0732 Proposed Building Use E f -A e (f r & G41ZAG�- Building Inspector 6(6615-1-15 Date y % V 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. ! ITi71 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees....................... 3. Flood elevation letter (100 year flood) by California Engineer ................... ✓ 14. Sanitation and plot plan approval C U (e c Health Department . ............ 5. 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). .. -r-eq. 20. Pre -inspection for ctur required. . to Building Inspeector (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 c eck list. ... .. . 33. t nc (c A r(- � 2� ei S*1 .. t.✓� t c. � � �A� �L � Y��s � � � Lvc,q r ro,✓.s 34. When you issue theermit, process as follows: Mail to owner. Mail to contractor. Telephone H93- O20 and hold for pickup at ly(C 0 office. Deliver with inspector. Other Parcel Creation - / .7 Acreage Applicant Date G� 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 issu Ci cle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 Cou 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 TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Attache Floor Plan Attached Sent to B.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: I I/v %=— E vironmental Heal 8/96 I cialist Date PERMIT NO. 489=79B;E PERMIT EXPIRES / •y� OWNER BRUCE A(ORLIE CONTR. owner 6 LOCATION (A P. 40-30-22. ) E/S Jones Ave, app. 1200' S of Midway, Durham t- - i. 0 Temp. Power Pple Called PG&E hemp-Ele'c Serv. Yu Calked PG&E TempGas Serv. Called PG&E JOB OB atemwal I COUNTY OF' BUTTE — DEPARTPAENT QF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback is ,+. -- Soil Piping Forms '--1st Floor Main Bldg. ootins 2nd Floor Footings — Windows 3rd Floor StemwaII — Siding To out Slab 7 Roof Sheathing Water Piping Piers 1-7,4, 4& Roofing Sewer Garage ents Fixtures atemwal I Insulation Heaters Slab Carport Footings Slab Prov. for ph hUntitcapVeal onforma s ruc ure Finals is ,+. -- Appliances Gas Piping & Test Temp. Gas Sanitation Pat (REPLACE Final ootins ELECTR Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing —z,3 `% Test Water Htr. Stucco Final Subpanels Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling A Temp. Pole Finish Ducts Underground _ Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES_ ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping WE'., ds7y014 y� dao ,.�,� vrl£K ole%�✓4 i 77 DATE �y REMARKS OR CORRECTIONS /-� d -a('%9 Olt- Lt9�0(%lC �DO//!1%!,�/LIG+/ S/4 �/Sef �K lr�a�////V� F� (NOTE: An entry must be made on this form each time you visit the job site.) 7� ias t�1 1% 'i •� R:'.'" �l i;-kL Ft-iERGY CO -N. -SERVATION;- STAN,TDARDs CON;S`I'RUCTION M- PLL'1 :C'E CF T I-, ICATE THIS IS TO CERTIFY TIL -1.1",T ENERGY CONISERVATIO:3 REQUIRL•lr1 NTS' :i -11E BEEN 1tiSTALLED IN CONFOR`,L4NiCE WITH CURRENIT ENERGY CONSERVATION REGUL-IMON;S AT JOrves. AV E' I)U9-1r4AM (location) BUILDING .PERI -IIT im. 4M — "7q � A. P. -N;O. 40 -3o -'L 2. . . THE FOLLO'WING HAVE BEEN INSTALLED AS PER APPROVED PLk�1S: (Check each item or write N/A if not applicable) 1341SULAT ION : Slab Edge. WA, Fdn. Walls N A Floors NA Walls 11 Ceiling/Roof 19 Ducts NA Circulating Pipes NA\ APPROVED HEATER W000 4e*X APPROVED 1,'TR.HTR. NA GLAZ DNG : Single Glazed NA Special (Insulated) 131.3 Se.2.FP: CERT. & LABEL ED UDS. & SLIDING DRi. YES Wr kTHEPSTRIPPED DRS. YES BACK D-AlITERED FANS (SIA INTERMITTENiT IGNITION DE-�'ICES NA CERT. APPLLA"NCES NA I DECLAP,E THAT,ALL REQUIRED' ITEMS AS VOTED ABOVE HAVE BEEN INNS•T_'ULED IN ACCORDANCE WITH THE ENERGY CONSERVATION( UQU mn1ENTS A1,,TD AGREE TO THE COiIPLc ENESS OF THIS CERTIFICATE AS SUE:-.ITTED. Insulation Applicator Wane hL.,t_yisAmAge wsu -A;r iD,1 Signature of (please print) Insulation -Applicator ,JC>t-W 'E AMA!e-SD.A-LE State Contractors License No. 127l01- tr." General Contractor/Oer N:--peVC.E NO IE Signature of (e print) General Contractor/0--,"i er ontractor/U"zer Date State Contractors Li cense No. THIS CP.RTTIFIC`.TE MUST BE ON FILE WIT'S[ THE BU�DDXG DLPAF `Ex;+ PRIOR TO' -REQUESTU"G FENAL rk'SPECTION AND SELALi.. BE POSTED IN A CO`•SPICUOUS LGCATTON WIT 111.1 TILE D !ELLI`:G. COUNTY -,OF BUTTE — DEPARTMENT 0IF PUBIC WORKS • 7 County Center Drive - Oroviile- California 95965 Telephone: 534-4541 APPLICATION AND PERMIT yo9-�9 n i authorize resentatives of the County of Butte to enter upon the above- oned property f inspection purposes. / X Date Signature of P/errmmittee�`e or Agent Receipt No.pl�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT UBLIC WORKS By Date .7-1 —,-72 iuild ng permit expires Date �- �� 'P0 %, BUILDING Owner 00,aec,f, SQ. FT. OCC. BUILDING VALUATION 7a .d0 Mailing Address Ute elephone No. Contractor Mai Iing•Address Fireplace Total Valuation .00 Telephone No. Permit Fee 3-2.00 Building Address Plan Checking Fee &/or Penalty Permit Fee Od CSC X00 S, PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zo Planning Water piping 1.50 Each gas water heater or vent 1.50 F s do I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 6 R/W Improv nts Each additional outlet .30 Building sewer 5.00 Bldg. Plans ec'd Parcel A rova Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION C:�— UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 600V OR LESS 10o AMP LESS 5.00 SinSingle Family �J� Duplex Mobil Home 9 Y LJ P ❑ ❑ Others ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING O C!e OR AODNS. ACC. BLDGS. 20sgft 0 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 st le of: y NEW CONSTR BRANCH CIR T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTURES 50@ ,@1@ 00 Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESIDJ EA) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 27 8 1$ Q WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 LA permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ G3 6© authorize resentatives of the County of Butte to enter upon the above- oned property f inspection purposes. / X Date Signature of P/errmmittee�`e or Agent Receipt No.pl�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT UBLIC WORKS By Date .7-1 —,-72 iuild ng permit expires Date �- �� 'P0 %, July, 20, 1999 B E A U T Y UCI'An1MCMI Vr UCVtLVYMtIVI JtHVIUL5 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Bruce Norlie 10132 Jones Avenue Durham, CA 95938 RE: Post Construction Elevation Certificate A.P. #040-30-0=022 101 Jones Avenue, Durham. Dear Mr. Norlie: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we.sent you a courtesy notice dated May 25, 1999notifying you that you are in violation of the (BCC) at the above -referenced location. As of this date, the following violations still exist. Failure to obtain the required Post Construction Elevation Certificate in violation of the Butte County Code as follows: (a) Section 26-22(b) (7) The above violation shall be corrected or abated by obtaining the Post Construction Elevation Certificate and submitting the Certificate to this office in a timely manner. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10), days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) .for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines)' and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premise the violation concerns, a description. of the violation, the date of your conviction and the action necessary to correct ,or -abate the violation(s). ,. d Letter to Bruce Norlie RE: Post Construction Elevation Certificate A.P. #040=30-0-022 Page 2 July 20, 1999 Should you have any questions concerning 'this matter, please contact Michael C. Vieira Cjin this office at.the -address or telephone number listed above. '?2e re , el %uil Vieira, C.B.O. r,ding Division cc: North Star Engineering, 20 Declaration Drive, Chico CA 95926 I, 2 3 4 S 6' 7 s 9 10 11 12 13 14 IS 16 17 I8 19 20 21 22 23 24 25 26' 27 28 29 I' PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #040-30-0-022 Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 20TH. OF JULY, 1999 and addressed as follows: BRUCE NORLIE 10132 JONES AVENUE DURHAM, CA 95938 a I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed ori 7/20/99 at OROVILLE , California. Donna Sperling Office Assistant III i . Bruce Norlie 10132 Jones Avenue Durham, CA 95938 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 May 25, 1999 RE: Post Construction Elevation Certificate A.P. #040-30-0-022 10132 Jones Avenue, Durham Dear Mr. Norlie: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the. required Post Construction Elevation Certificate in violation of the Btte County Code as follows: (a) Section 26-22(b) (7) Since Post Construction Elevation Certificates are required, please submit the Certificate to this office in a timely manner. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should .be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions- to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, r. MCVrdms Mich el C. Vieira, C.B.O. Man er, Building Inspection cc: North Star Engineering, 20 Declaration Drive, Chico CA 95926 1 OWNER: LOCATE CONTRACTOR:_ DATE TO INSPECM f . A 1 OF OCCUPANCY: 0 DATE: o ..I 1q? A.P.#: 040--0-- nDO ZONING: HISTORY: [ ]NONE AS FOLLOWS: AS r BUILDING INSPECTOR'S REPORT ig Description: [e ] Commercial/Usage: , [ J Residential/# of Units: Mobile Home: Yes[ ] No[— [ ] Currently Occupied. [ J Abandoned/Vacant. ' 4 c: [ ] Yes o Electric is currently : [ ] On [ ] Off Condition of electrical? bey Natural ] Propane[ ]. None[ ] M Currently On[ ] Off[ ] Obvious problems: anitation: Plumbing working Yes[ ] No[ . ] Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] f Obvious Sewage Problems: Won of Damaged Area: TfM Cod SEEO u vtid ^y timate valuation of Dam ped Area: q' Jy� spector•42 \ 40-V — Date• -; -1 !i%/Irip, � ON R-5 4,C111 -ft" RADIO MAIL STA. 7 -DAY F] INT. RADIO E-MAIL STA. ❑ 7 -DAY ❑ INT. RADI01:1 E-MAIL u STA. p 7 -DAY INT. RADIO j� E-MAIL L_J STA. a INT. RADIO E-MAIL F] STA. LOG ❑ I �T. RAIN TOTAL CDFBCFD DAILY INCIDENT LOG PAGE OF DAY/DATE FROM 0800 SAr l ( i - DAY/DATE TO 08005 V OFFICER [STATION AMBULANCEREPORT TIME UJGDENf NO LOGGEDUY 00ys s�� CASE NO FRIEND IRE RO. LOCATION �9 , V l 1.1�2s VEGETATION FALSE ALARM PUBLIC ASSIST DART R.P. PHONE NO STRUCTURE IMPROVE- MEM ASSIST RESCUE FIRE NAME WRA B.I. VEHICLE HAZMAT MEDIC.AL/ OTHER / Z_ e:�, V MISC START TIME CAUSE LAND USE DAMAGE SAVE REFUSE HAZ-CON TIC r / V STATION AMBULANCEOFFICER REPORT TIME WCMITNO LOGGED D CASE NO FIRE NO R.O. LOCATION V VEGETATION FALSE ALARM PUBLIC ASSIST DART R.P. PHONE NO �7 7 STRUCTURE IMPROVE MENT ASSIST RESCUE J G� GB O v FIRE NAME WRA I. VEHICLE HAZMAT OTHER UW MGC START TIME CAUSE LAND USE DAMAGE SAVE REFUSE HAZ-DON TUC �. STA ON AMBULANCE OFFICER REPORT TIME INCIDENT NO LOGGED BY FZ Z/o 5 3 CASE NO Fl NO R.On LOCATION VEGETATION F SM PS DART L C R.P. PHONE NO cF, 1 STRUCTURE IMPROVE- MUTT ASSIST RESCUE RRENAME WRA B.I. VEHICLE HAZMAT � I7lICUAL OTHER MISC START TIME CAUSE LAND USE DAMAGE SAVE REFUSE HAZ-0ON TIC Ll //STATION , AMBULANCE I OFFICER REPORT TIME INCID NO LOGGED BY 3 � C) , 0 -3c) CASE NO FlRE 8 R.O. o LOCATION /3 ;3o o-5 / ( V C " VEMMION FALSE ALARM PUBLIC ASSIST DART R.P. PHONE NO. 11CR1TtE�y a I ASSIST RESCUE 3% FIRE NAME WRA B.I. VEHICLE'y" HAZMAT MEDICAL OR -ER �A,e, ' V1 1 MISC START TIME CAUSE LAND USE DAMAGE SAVEREFUSE HAZ CON TIC Moo Okl%Com• K%` `V OV STATION AMBULANCE OFFICER REPORT TIME INCIDENT NO LOGGED BY CASE NO FIRE NO RO. LOCATION VEGETATION FALSE PUBLIC DART 3 '/ 1 a o ¢ y - ALARM ASSIST R.P. PHONE NO. STRUCTURE IMPROVE- MEW ASSIST RESCUE 3 FIRE NAME WRA B.I. VEHICLE HAZMAT MEDICAL OTHER MISC STARTTIME CAUSE LAND USE DAMAGE SAVE REFUSE HAZ-CON TIC N 0 H F H H W W W W W W ___ 4nZ�in no .- N N O aav r C; N N N GREGORY A. PEITZ ARCHITECT 1907 Ste. E Mangrove Chico, CA 95926 •(916) 894-5719 e /Joy K- �. ( ��.� ►..�o �.. r it po s u •- e. �j , '� 5 �'+�o �YO,.i(' �..�AM ate^ D5 Gv�-moi 3 J6 lj%tfa Col 14' TI i A,, S-0 ARS Ry NO. C 21283 � �g rte.Q- CA G�"a � P✓-fLcv h lel C-) + C7 -d/7- FZ,I(d�= �-7 Co PLL, MOT = - (P7 (g) - C.i�co s.3 c� qy Z�4 / 2 o. 9 S 5T-5 I C.e --I%k 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS Low 141, J' I c 0() U a09 4C\ r4 rlj 10 oq Low STORAGE Environmental Health APR 1 0 1997 Chi. -o, Califomia +36" BENCH 03 c_ I- 0 V _ I x 0 = v I- 0 O 0 I o 0 0 v � u o = I- 0 I 0 ' r r STORAGE Environmental Health APR 1 0 1997 Chi. -o, Califomia +36" BENCH cri PQM eG��a �0a o � W aye . b � . W +36" BENCH STORAGE j 6030 ALS SL. II c_ n 0 0 0 v � u I- 0 cri PQM eG��a �0a o � W aye . b � . W +36" BENCH STORAGE j 6030 ALS SL. II November 23, 1998 North Star Engineering 20 Declaration Drive Chico, CA 95926 Attn: James A. Stevens L. S. Re: Actual Construction Elevation Certificate 10132 Jones Avenue Durham, CA 95938 AP# 040-300-022 Dear Mr. Stevens: --Eu tte County D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Building Permit # 97-0662 Review of inspection records for the structure referenced above revealed that an "actual construction" FEMA Elevation Certificate was not submitted. Elevation Certificates must be submitted prior to construction and upon completion of the referenced "lowest floor" or prior to final inspection. An "as built" Elevation Certificate is generally required to properly determine flood insurance rates and may have been completed for that purpose. If a certificate has been completed, please forward an original to the Building Division at the address above. If a certificate has not been completed, please complete and submit a FEMA Elevation Certificate to the Building Division within 30 days of the date of this letter. Sincerely, (k" zk, ����� Mic ael C. V61ra, C.B.O. Manager, Building Division cc: Bruce Norlie, 10132 Jones Avenue, Durham, CA 95938 Kristen Kingsley, DWR Division of Flood Management i-1 Im rIr 17 THE BUILDER'S CHOICE Art Lane Contractor Sales 1100 E. 20th Street P.O. Box 689, 95927 Chico, CA 95928 Phone 916/342-6335 Fax 916/343-1158 1 1 � � A,PAAGVW%7 Certificate of Conformance Certificate 050914 a THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products Identified below and marked with a collective mark of Engineered Wood Systems (EWS) were man- ufactured In accordance with the specifications indicated below. fit ANSI Standard A190.1-1992, for Structural Gluedominated Timber 7rrfis 13 Ta G %J P 7110 r 7-6;C 3 1�Vz 6.4 (XI 7 )15£A i r/44t-= 2� IIT ORTDaJ C _ ,1 z— 1013,2 JoT10 ;_7 I Job Name WESTERN BUYERS INC. Job Location _ ELK GROVE, CALIFORNIA Customer's Order No. WB=23591 Date 7/30/96 MIgr's order No. 09-04489 DOUGLAS FIR/LARCH, EXTERIOR GLUE, 240OF-V4, ARCHITECTURAL APPEARANCE, INDIVIDUAL WRAP, ENDS & SIDES SEALED, 2000' RADIUS CAMBER. Signature d- Tule QUALITY CONTROL SUPERVISOR Company BOISE CASCADE CORP. Addresl P. 0. BOX 50 Date BOISE, IDAHO 83728 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) Is subject to regular audit by Engineered Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS - A RELATED CORPORATION OF APA 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 A/0 (ZL) r C/ 4�;Z. OWNER PERMIT NOw A routine inspection indicates that the following violations of Butte County Ordiriances 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. p O Sit SIDI& 195 -'VO yawl i.,r A ff DG,:e 64/ f Inspector REV 10/92 �.,COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT -OF DEVELOPMENT SERVICES ^4. 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE h 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. 11I /A' Date '47 Inspector REV 10/92 PERMIT NO. 5698-76B PERMIT EXPIRES OWNER Bruce Norlie - CONTR. owner I LOCATION (A.P. 40-30-22 E/S Jones Ave.,app.1000'S..of Midway, Durham p' Temp. Power Pole Called PG&E p Temp. Elec. Serv. Called PG&E ( Te p. Gas Serv. F Called PG&E OB FIINALED (Date) (Signature) A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDINGa- BUILDING (Cont'd) ,PLUMBING Setback DATE Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slabz Carport Footings Slab Prov. handicar pehysically Conformance of ex. structure Final — LI ---77 Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rou h ------- — , Reinf. Steel Final Fixtures — Z Bond Beam FIRE SPRINKLERS Motors —�— Framing 0 -- 1 Test Water Htr. — Stucco Final Subpanels —� Mesh ECHANICAL Grd. Fault Prot. �-- Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round �— Interior Lath Ventilation Permanent Door Closer Final Final '2— Z—/— / DATE REMARKS OR CORRECTIONS �,Z— ��/— 77 ilio��� l'�i — X1/0 ���'�E•dc . Sl ? A-1 ` 712 s G✓� Q1-/ " G... i✓o /-d�-7r i� o;; �� U� �lfS!/� SSS S�G�!✓ �(%OGv! J�D�% ®� U!/�I��� (NOTE: An entry must be made on this form each time you visit the job site.) ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Ccunty Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WW / 4 / auuwnce eNresentatives t me County OT tsutte to enter upon the above- n ned property for inspe on purposes. X X/ Date Signature of Permitee or Agent Receipt No. �Z� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAPIBLIC WORKS BY— � telo—lb1,7� Iding permit expires Date ��—��0 7% BUILDING OwnerUC C SO. FT. OCC. ILDING VALUATION 7`76Y 7-17 Mailing Address ® 5-3 -X Tel ho_:0( Fireplace Contractor` Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee $ ` �c Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 E V 0 Q 0 r 5 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W Fire Dept. Fire Zone Use Permit Building sewer . 5.00 EOA Parking Plans Parcel Declaration00' Parcel Ma P 60' R/W Improve proveme is Lawn sprinkler system 2.00 Bldg. Plans Recd Pa Approval Plans pproval Permit Fee $ NEW ❑ ADDITION —]UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q p 6 ,� Bin service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ R 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CON5TPOWER APPARATUS & NON- P- RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 100 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and StateXd�as relating to building construction, and hereby TOTAL PERMIT FEE auuwnce eNresentatives t me County OT tsutte to enter upon the above- n ned property for inspe on purposes. X X/ Date Signature of Permitee or Agent Receipt No. �Z� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFAPIBLIC WORKS BY— � telo—lb1,7� Iding permit expires Date ��—��0 7% I�1 D N' BUTTE COUNTY ( W NURSING O] RECVING ADMISSION �` � ' ,, � � k i Ap 0, cl- A6 *lei tk 1; 10 - X/O 7- BUTTE COUNTY y1 NURSING BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS •�` SPECIAL INSPECTION REPORT Owner: 7- /IOXI, A. P. # V® '-36 - --I Address: "2T /D� �5�7 '� Date of Inspection Tenant: Inspector-,(aT Building Location: , s Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to 5j! 4. Other (specify) 6&,4446,x- AS.4,s Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall ,construction: 4. Ceiling and roof construction: 5. Fireplaces: -.�- 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments• (continued on back) y E. Other • 1. Maintenance and repair: 2. 'Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments:. F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field .Problems or Violations 1. Problem or violation (give complete description) :�'�raMU�2% 2. What action taken (give complete description): L- 3. 3. What action recommended: A. Information only - file. / / B. Hold for ten (10) days, then write letter. 3C. Write letter. D. Other: NOT,---: b w N "i3u N,7- P/91ZT, APPY -2 ' N CPN 7-0 btu/&,E- 6.4 tA tv/n,E-6.4tAC toS,Eb OIcF '-©N,F- Dc>nIt- � ��( /,L7- - 6o,"E %S /At5 72VLI-ZB l b>o MEt S 6e) N4EF, I- . �r 't, ! va�r',K �. i : �'r �k�'�!''`�t�ii �1k��'��'3�3";'*k���l'"'t''It.�'�jl��'�»'."4 .!�i�""✓"' 371r'�`1 f`'iY'yriK'ac+.!�`r^`r�'".�w+. ` '-'�i•""K,r+•r ::"'t��.-rn--'-�. fY "- l; + • � �I ,( "4_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS % PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING1 BUILDING PERMIT OWNER— TELEPHONE 7 3—A SQ. FT. OCC. BUILDING VALUATION SS OWNER'S MAILINADDRESS v 3 _� 4- .Du t, t ,., jb y 3,? o '• CONTRACTOR'S NAME ���-,_, TELEPHONES iJ (/rJ.'3•- r/ v COATRACTOR'S MAILING A.DDRE5 � " O V5_-.1—:1 Fireplace CONSTRUCTION LEADER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ P ; ^i ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �,• �,, ,.._.. 1 Permit fee $ G PERMIT PLUMBING Filing Fee 1000 ...�•���.;1:.ts�;.,,.t..�.,:�.:.._k:, . ��. ..y• `�.il: •a. � ��, ,.,A +.. -Each rap 2.00' _,.. .. All or heat pump water heater 20.00 . LOT NO. `. SUBDIVISION NAME PARCEL MAP Water piping 5.00' Each qas water heater or vent 5.00 USE OF STRUCTURE SF[E Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Inssttallation❑ Other Describe work: ^ �� ?"(►% . :�� C/-t� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - j Main service DOov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of : P Y perjury Y lcheck one): I r=1 f I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license i5 iin full force and effect. License No. it" Classification / \ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,apd the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting' with licensed contract- ors. (Sec. 7044) C I ❑ I am exempt under Sec. �'' 1 ; Business and Professions Code for this reason + NEW CONST. � DWELLING OCCUP.ai) OR ADONS. ACC. BLDGS. , /2¢Sgft NEWCONSTR MULTI—OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 5AL03U FIXED PREA.� Ex. Occup. UTLETS (RESID.) 2.00 Temporary service .. 10.00 Mobile Home Facilities ` 15.00 Misc. Wiring 15.00 - Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood _ 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of—the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ m TOTAL PERMIT FEE $ �. ez) Occup. C0N5T,TYP9J SCHOOL I FL000 PARCEL PD ND 39UE This permit is hereby ,issued under the applicable provi- sions of the Butte County Code and/or resolutions to do been have work indicated above for which fees aid. , ^ P DIRECTOR OF PUI13LIC WORKS ! / Z B A"' 1/��-/U.�,� Datel# 9 , l fir, PERMIT EXPIRES Date i Receipt No. ��4 � � 1� r WHITE-D.P.W.. ELLOW-ASOCe70R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PE '. /KNIT N0. ASSE!,SQR PAREL NUMBFR. ZONIN BUILDING PERMIT OWNE ITELEPHONE SO. FT. OCC. BUILDING VA ATION OWNER'S AILING ADDRESS a NTR ACTO 'S NA TELEPH NE, ' TRAC OR'S M Al L NG DRE Fireplace CONSTRUCTION R UNKNOWN Total Valuation is Filing Fee "$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ IV- 0Z ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AD ESS Penalty $ BUILDING ADDRESS 0-0 Permit fee PLUMBING PERMIT FifingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New.❑ Addition ❑ Remodel ❑ UtilitiesO UtilitiesInstaliationEl Other Describe work: ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 0OR LESS 1OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and y license is in full force a effect. License No. Classification C-- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ACDNS. CONST. ACC. BLDGS. � DWELLING OCCUP.8i) '/zQsgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLET3 OR FIXTURES 209SOt ewL030 Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County gnse a ce o e -granting of this per X Date !Q Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OU occu P. CONST.TYPEJ ISCHOOLIPLOoo PARCEL P11 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work 1 a d above for which DIR F P PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i�� 12 z IE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal*'ornia 9' 965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NAIMBER - 40_33_.2 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10131 17 Jt3L:::1 AV -2. . , llurhi CA ; 5�' �L -3 Z 'tau.. ,ttr ! —rr" tz CONTRACTOR'S NAME COI'�::T, CO. TELEPHONE �' �.', I J J _ CONTRACTOR'S MAILING ADDRESS 10017 bt.0 Chico CA 951:'73 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 �5`6utlets 5.00 USE OF STRUCTURE SFODuplex❑ Mobilehome❑ Other SPECIFY Building sewer/ 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe work: �; _-rlt f ;;i�:'.a >�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°o°o AMP ORV OR SLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADONS, ACC. BLDGS. 2th2sgft I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y _ License No. i ,r,�, Classification ✓. 7'' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW LET NON.RESID R BRANCH CTIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS &.),' NON.RESID. SINGLE OUTLET CIR. Ex. Occu X- zoegoe P�o TURES BAL030Q FIXED FIXED APP' NS, OR \ A PCNS. EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home`Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �� '� ,I �+� '� t Date '-MV Signature of Applicant — Owner❑ Contractor ❑ Agento An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL Po I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / BY ' ',� PERMIT EXPIRES Date 1 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT „J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califarnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ESSOR PARCEL NUMBER 40-30-22 ZONING BUILDING PERMIT OWNER Bruce Norlie TELEPHONE 891-4214 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10132 Jones Ave., Durham, CA 95938 31 s uar Shake re -r f CONTRACTOR'S NAME FOUR COUNTIES ROOFING CO. TELEPHONE 343-1416 %S> V CONTRACTOR'S MAILING ADDRESS 1060 Marauder St., Chico, CA 95926 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 45.00 BUILDING ADDRESS Same as above PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or v 5.00 Gas piping system 1 - outlets 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Building sewe 5.00 Mobile e S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other n Describe work: Re—roof Shake p ermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. I 2�z2 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 99 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 275945 Classification C-39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS 2,50 ea NEW CONSTR. POWER APPARATUS ' NON•RESID. SINGLE OUTLET 20®50a Ex. Occup(OUTLETs OR XTURES DAL@30 FIXED AP LNS, OR Ex. Occup. ouTL (RESID,) EA.� 2.00 Temporary ser Ke e 10.00 Mobile Ho Facilities 15.00 Misc. Wing 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL PERMIT Filing Fee 0 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expenses which may in any way accrue againsti ounty i c s uence of the granting of this permit. X Date 8/7/84 Signature f Applicant — Owner ❑ Contractor ❑ AgentXR An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 49-00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRK OF fLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — r r- Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,, .�; ,�. .,, r �, e y � r a b R" ". ,� r .. _ .. � ,. � ,. ra+a� ,. 1 _,. '.U. _ .._ a � , .,.. i ,, ,,,, ,; ,. ,' ., � ,, , r ,, ,' i .,.,..w� �...,..,..—. :.....�....�► 6. .. i � , '- ' ,, ,� .. �,� . �, 7 e ', r, � . , ,.,,: , ,,, �, ..� ..I Vii. .. �'� .�. „� r. �. 5 �.'l . i.l� ., '�' � ,.. ;; ., s '� � �. I �, .: :, ... � '� a �' M. i.. �{M. / '. .., �t s r , , _, r x ,. _. wzr a5 � ed.1 ..1.i6iS,.