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HomeMy WebLinkAbout040-360-037r r 4036 37 Ron Laffins j` j3-��p �,' �. !,,_§ •.�. 82 Fairway Dr. Butt Creek Estates Chico contra Tom Bragdon, hico Permit #1902-76B,E(conv. garage to family f room & build carport &•patio cover/SF) 16- 'Ron Laffins i 82 Fairway Dr., Chico I ermit 650_-?_1B.'Lne_w_sinle-fgrn;1- 040=36-0-037, • 93-1028 BPEM =-- ,• LAFFINS, RON, 1 82 FAIRWAY• DR, . CHICO i A', " CONTR: JARRETT CONST -ADDITION/SF 040-36-0-037 93-2572 B,E R 11 JAFFINS, RON 82 FAIRWAY DR, CHICO . 9 ! CONTR :. JAMES SOULT , z.4 F I OPEN DECK/SF-v"' I ' B07 2092 ` { '� '" 040-360 037 � MISCELLANEOUSi ,Y'?Demol►tion p DEMOLITION OF EX CARPORT, i 82 FAIRWAY I9R �«' r, o.� +w .+,^� { j. GOTTLIEB, STANLEY ,li, J• - k.- „l Y rl +• tr•t�'4.i.4' `.,y l.^ii 1r Y • .+.. i ��` ._,QZ20J..' s ,. �� . , -,'; �° 040'360 037 • � I - •�. MISCELLANEOUS - Private Garage/Shop I» i NEW GARAGE (06) DEMO CARPOR1 M : : 82 FAIRWAY DR""".":�9k `•'GOTTLIEB, STANLEY - 0 Ig 57 TANLEY 085 ' i r . 1 I y - • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION FEE INFORMATION Site Address: 82 FAIRWAY DR Owner: DBF Garage -Wood Frame Plan Che Permit NO: B07-2031 APN: 040-360-037 GOTTLIEB, STANLEY DBOMSCF FEMA Flood Zone Review $115.98 Permit type: MISCELLANEOUS 82 FAIRWAY DR Issued Date: 12/05/2007 By KCG Subtype: Private Garage/Shop CHICO, CA 95928 Expiration Date: 12/04/2008 Description: NEW GARAGE (576) REMODEL Al (530) 343-7927 Occupancy: Zoning: RI Contractor Applicant: Square Footage: MULCAHY MICHAEL MULCAHY MICHAEL Building Garage Remdl/Addn PO BOX 622 PO BOX 622 576 400 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)343-1851 (530)343-1851 976 ' LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MULCAHY MICHAEL C645789 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ind effect. I/� - ' X ir�n,� Imo,. U 4A,1 &,1W 12/05/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit Is or one hundred dollars ($100) or less.) I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Ill ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 12/05/2007 Signature , Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATI b N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City - State Zip $776.96 Balance Due: $0.00 Receipt No: OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this X 12/05/2007 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the proQ,erty owner or am juthorizgd to ac$ on the property owner's behalf. Owner Kcontractor OR. Agent for Owrier ElAgent for Contractor FILE COPY FEE INFORMATION DBEH Building Review Fee $75.70 DBF Garage -Wood Frame Plan Che $233.56 DBMSC Garage/Shop/Strge Wood F $350.34 ' DBOMSCF FEMA Flood Zone Review $115.98 DBSMIP Residential $1.38 ' LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MULCAHY MICHAEL C645789 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ind effect. I/� - ' X ir�n,� Imo,. U 4A,1 &,1W 12/05/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit Is or one hundred dollars ($100) or less.) I I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Ill ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 12/05/2007 Signature , Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATI b N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City - State Zip $776.96 Balance Due: $0.00 Receipt No: OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this X 12/05/2007 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the proQ,erty owner or am juthorizgd to ac$ on the property owner's behalf. Owner Kcontractor OR. Agent for Owrier ElAgent for Contractor FILE COPY BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 �.2 A FEE WILL BE REQUIRED AT TI/VIE OFAPPLICA TION Website: www.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** (3- 10 OWNER INFORMATION La_U Name L First Name f MvAlE Ma" Add City Sta Zi Phone 3 (3 4121 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name l Ch%e LRUI—CAHY Address 4 O Addre'P� O. $0 62 -Z? - 2City city Zip Phon Sta Zi Z P ne , State License Number Fax E-mail t77v/C4 L 61 0 Lic. # 5 7 Class 08 APPLICANT INFORMATION ARCHITECT/ENGINEER Name AJ City/ Address 4 O wO L City Fax Sta Zip Phon O Fax E-mail State License Number APPLICANT INFORMATION Name M 1 Gk%a L A u L Address City/ St Zip Phone O Ve Fax E -mai APPLICANT SIGNATURE F4W`d-&&-4 PROJECT LOCATION AP# Q yo_ Property Address 97- FA/kWA `f obA. City GQ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 1 V(Jl i1 C \'Tt L'.4 -i _ � iVL.�Cc)CMFi�ti' DESCRIPTION OR SCOPE OF WORK: gV0LL Y Tl/b Sq FT- Living Garage~ Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2031 Job Address: 82 FAIRWAY DR Contractor: MULCAHY MICHAEL PO BOX 622 CHICO, CA 95927 Printed: 10/08/2007 1:29 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee DBOMSCF FEMA Flood Zone Review 0021-540013-4614901-1010 $75.70 10/08/2007 $75.70 DBMSC Garage/Shop/Strge Wood F 0010-440001-4210500-1010 $115.98 10/08/2007 $115.98 DBF Garage -Wood Frame Plan Che 0010-440001-4210500-1010 $350.34 DBSMIP Residential 0010-440001-4210500-1010 $233.56 10/08/2007 $233.56 1001-0-280-1011298 $1.38 Printed By: Kourtni Graham 776.96 $425.24 Balance Due: $351.72 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These feesmay change du ing the plan checking process. A. -- II t Signature: G-"C'-�JL , - - Date: 10/08/2007 Pursuant to Government code Section 66020, you are hereby notified those ' ms listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 100y � National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2031 Date: 09/26/2007 Location: 82 FAIRWAY DR By: KEJ Parcel Number: 040-360-037 Sub Type: Private Garage/Shop Owner Name: GOTTLIEB, STANLEY Phone: (530) 343-7927 Description: NEW GARAGE (576) DEMO CARPORT REMODEL ART STUDIO (400) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: I I 1I • ' II "A Title:[vJ�_ , FILE Date: 09/26/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. fry Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-2031 Location: 82 FAIRWAY DR Parcel Number: 040-360-037 Owner Name: GOTTLIEB, STANLEY Description: NEW GARAGE (576) DEMO CARPORT REMODEL ART STUDIO (400) Date: 09/26/2007 Phone: (530) 343-7927 Signature of Applicant: , � Pp Date: 09/26/2007 FILE U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exoires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For,lnsumnce Company Use: Al. Building Owners Name . O / Policy -Number.: A2. Building Street Address (including Apt., t, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company. NAIC Number . ... .. .. . city scaoaZIP Code m 4S'9Z v A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 36o - a 3- Go)U ✓ErL e AG&vz &-T?4clM A4. Building Use (e.g., Residential, Non-Resldentia Addition ccessory, etc.) A5. Latitude/Longitude: Lai. /.Z/ 4� e Z O Long. 3 9 41 ! Z Horizontal Datum: NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number_ — A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: " a) Square footage of crawl space or enclosures) N sq ft a) Square footage of attached garageg sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attach a ge enclosure(s) walls within 1.0 foot above adjacent grade -walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State JAt Co O /• ii C G B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevatlon(s) (Zone d) Attached garage (top of slab)'2� 33 . ^�� feet Date Effective evised Date Zo e(s) AO, use base flood depth) T 400l7—OS G. ZQG o g C— Z 6 S, 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In tem B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate. elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 Other (Describe) At&Q 19-L7 B12. Is the building located In a Cgastat Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? E] Yes �No Designation Date uNMII'0003 N ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION Cl. Building elevations are based on: 19Construction Drawings' ❑ Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/ below according to the building diag specified in Item A7. -75' Benchmark Utilized ertical Datum 19 Z Conversion/Comments ck the measurement used_ a) Top of bottom floor (including basement, crawl space, or enclosure flooo b) Top of the next higher floor fse) Zv 6 f meters (Puerto Rico only) ❑ Rico c) Bottom of the lowest horizontal structural member (V Zones only) meters (Puerto only) ❑ meters (Puerto Rico only) d) Attached garage (top of slab)'2� 33 . ^�� feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6�IA ._❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 20 ._"'L® feet ❑ meters (Puerto Rico only) SECTION D SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ele, information. I certify that the Information on this Certificate represents my best efforts to interpret the data avallable. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001 ❑ Check here If comments are provided on back of form. (Ad ? Arr A-7 woi(AlIFY sCA-0 CtJ W yypp�� f o .0� i •0 P E ✓�'' L. L'. �rqr�• • CN... FEMA Form 81-31, February 2006 oee reverse sine Tor continuation. Replaces all previous editions FEMA Form 81-31, February 2006 oee reverse sine Tor continuation. Replaces all previous editions .r' N IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Addresssincluding Apt., Unit, Suites and/or Bldg. No.) or P.O. Route and Box No. Policy Number City State ZIP Code Company NAIL Number Gtr/G o Ci96 /,r, 43_4 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenticompany. and (3) building owner. Comments �• iJ Do 12-r WU7r) Signature- Date ^� 41,_w , , 'e1 , ❑Check here K attachments SECTION E - BUILDING ELEVATIO FOR ATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information br the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). ❑ above or ❑ below the HAG. a) Top of bottom floor (including basement, crawl space, or enclosure) Is _ El feet ❑meters b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ ❑ feet ❑ meters ❑above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SectlQLIA Items 8 and/or 9 (seene 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is . _ Elfeet U meters ❑ above or LJ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRE5EN i A I Wt) {.tK i irwr+i rvn The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowtedge. Property Owner's or Owner's Authorized Representative's Name Address City QLdtu Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A. B, C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used In Items G8. and G9. G1. ❑The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAAssued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued I G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature' Date Comments ❑ Check here If attachments FEMA Form 81-31, February 2006 Replaces all previous editions ... "i U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For,lnsurenoe Company Use: Al. Building Owners Name O / Policy Number A2. Building Street Address (including Apt., t, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company, NAIC Number , City O State ZIP Code A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Of0--3r�o—a3'1 A4. Building Use (e.g., Residential, Non-Residentia Addition ccessory, etc.l A5. Latitude/Longitude: Lai. /.Z/ i Z O Long. 3 q 41 J �• Horizontal Datum: NAD 1927 ❑NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. AT Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, crawl provide:,/ a) Square footage of craspace or enclosum(s) N �- sq ft a) Square footage of attached garage . T� sq ft b) No. of permanent flood openings In the crawl space orb) No. of permanent flood openings in the attac a ge enclosure(s) walls within 1.0 foot above adjacent grade wells within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State JAICsAgAw4opqo j- U G G B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations) (Zone ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) Date Effective Bleed Date Zo e(s) AO, use base flood depth) �o17—oS G 20 00 8Z tc? (Describe type of equipment in Comments) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate. elevation datum used for BFE in Item 89: ❑ NGVD 1929 ❑ NAVD 1988 JgOther (Describe) Al /7 /9 Z7 B12. is the building located in aCQa stat Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes "®;No Designation Date U4/K)000J N ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 19construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARiA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diaspecified In Item A7. n Benchmark Utilized /`i 1�-1 lc Vertical Datum Ab")Q 19 Z i Conversion/Comments SECTION D : SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Number "" GW657' SU reVdr Y1A) Addre5L-3 7 G C Cf I S State L ZIP Code SignatureDate Bleph c 3 —b r 1 T7 FEMA Form 81-31, February 2006 See reverse side for continuation. �``'•' �� U. AFF •���!' ✓ i r: Replaces all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)Z. feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 7—Q 6 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab)20 3 ._N feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building �._❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) Zd 3. �® feet ❑ meters (Puerto Rico only) SECTION D : SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Number "" GW657' SU reVdr Y1A) Addre5L-3 7 G C Cf I S State L ZIP Code SignatureDate Bleph c 3 —b r 1 T7 FEMA Form 81-31, February 2006 See reverse side for continuation. �``'•' �� U. AFF •���!' ✓ i r: Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number City StateZIP Code I Company NAIC Number I GHle o CJ9li ��, �r'ci z 6 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenticompany, and (3) building owner. Comments J^ X15r1,,V q Clog ,40 %1 —r •/N�) �j/g ie,14C Signature1 Date ) Y,, • / �� / ❑ Check here If attachments SECTION E - BUILDING ELEVATIOi AFORW'ATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) Is _ 13 feet ❑ meters El above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Sect1W Items 8 and/or 9 (see p1ge 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ ❑ feet meters ❑ above or LJ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or p below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. The statements In Sectlons A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Items) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for.a building located in Zone A (without a FEMAAssued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here If attachments FEMA Form 81-31, February 2006 Replaces all previous editions r U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I ExDires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For,lnsurance Company Use: Al. Building Owner's Name . O / Pollcy:Number A2. Building Street Address (including Apt., t, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company; NAIC Number 87, cityC�/G O _ state (,� / F, ZIP Code A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Of0 --36o-03.7 A4. Building Use (e.g., Residential, Noon-Resi entia Addition ccessory, etc.) A5. Latitude/Longitude: Lat. / Z / 416 Z 0 Long. Horizontal Datum: NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number-1- A8. umber_ -A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) A sq ft a) Square footage of attached garage . Agg sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attach a ge enclosure(s) wails within 1.0 foot above adjacent grade -walls within 1.0 foot above adjacent grade C) Total net area of flood openings In AB.b sq In c) Total net area of flood openings in A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number B2. County Name B3. State Co o /7 1 t5v G e - B4. Map/Panel Number 85. SuffixB6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diag specified In Item A7. ,, A/ "%�'i � D 19 Z 7 Date Effective evised Date Zo e(s) AO, use base flood depth) the measurement used. (�17-oS G 20 0o g q E -Z,dS, d) Attached garage (top of slab) 20 3 , �� feet B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In tem B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate.elevation datum used for BFE in Item 89: ❑ NGVD 1929 ❑ NAVD 1988 Other (Describe) W O /9 -z7 B12. Is the building located in aCoastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 'TgNo Designation Date UA/K)U0UJ N ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: gConstructlon Drawings* ❑ Building Under Construction' ❑ Finished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diag specified In Item A7. ,, A/ "%�'i � D 19 Z 7 Benchmark Utilized �c Vertical Datum Conversion/Comments the measurement used. RChhreck a) Top of bottom floor pncluding basement, crawl space, or enclosure floor) Zd __ : feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 2V 6 S feet ❑ meters (Puerto Rico only) d c) Bottom of the lowest horizontal structural member (V Zones only)_❑ feet ❑ meters (Puerto Rico onlyi� ��� , d) Attached garage (top of slab) 20 3 , �� feet ❑ meters (Puerto Rico only) tr�,0� e) Lowest elevation of machinery or equipment servicing the building -❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) f) Lowest adjacent (finished) grade (LAG) :2 �® feet �rC; ❑ meters (Puerto Rico only) S C�, g) Highest adjacent (finished) grade (HAG).® feet ❑ meters (Puerto Rico only) SECTION D : SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to car* elevation information. I certify that the Inrormation on this Certificate represents my best efforts 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. 'IR, * � C �6 ❑ Check here if comments are provided on back of forth. tfco -O /;� ��-'. 3:Qr P FEMA Form 81-31, February 2006 bee reverse side for continuation. Replaces all previous editions y,. IMPORTANT: In these spaces, copy the corresponding Information from Section A For Insurance Company Use: Building Street Address (including Apt., Unit, Su e, and/or Bldg. No.) or P.O. Route and Box No. Policy Number Z W 4 Y City State ZIP Code Company NAIC Number c 40 C�4 L/ �. Z 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 4-4 o A7 ✓641 �j 199&!§ Er /AJ TO %� o o M Signature - Date 3. 0 :Z❑ Check here if attachments SECTION E - BUILDING ELEVATI N INF ATION (SURVEY NOT REQUIRED) FOR ONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. if the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information br the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) Is _❑ feet Elmeters 11above or 1:1below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In sect1w Items 8 an /or 9 (see We 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ [Ifeet 0 meters above or LJ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this Information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check her, if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data In the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -Issued BFE) or Zone A0. G3. ❑ The following information (Items G4. -G9.) Is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions i U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATEI OMB No. 1660-0008 Federal Emergency Management Agency Excires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For,lnsumnce Company Use: Al. Building Owner's Name 0 / Policy Number A2. Building Street Address (Including Apt., t, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number city Q State C,, / �, ZIP code 1.?S'9Z v A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 40g0--360-CD3? A4. Building Use (e.g., Residential, Non-Residentia Addition ccessory, etc.l A5. Latitude/Longitude: Lat. O Long. 3 9 4 J Z• Horizontal Datum: NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number_ A8. For a building with a crawl space or enclosum(s), provide: A9. For a building with an attached garage, provide: . a) Square footage of crawl space or enclosures) )VIA- sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the craw( space orb) No. of permanent flood openings In the attach a ge enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b 2 sq in c) Total net area of flood openings In A9.b sq In SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name B3. State IAI ro p /• B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel BB. Flood B9. Base Flood Elevation(s) (Zone C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diag specified In Item A7. 4, � ID 1 9 Z Date Effective/Revised Date Zo e(s) AO, use base flood depth)16 the measurement used. ICheck a) Top of bottom floor (including basement, crawl space, or enclosure floor) Zd 77 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor ZU 6 Q feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) A _❑ feet ❑ meters (Puerto Rico only) 01^ d) Attached garage (top of slab) 20 3 .�� feet e) Lowest elevation of machinery or equipment servicing the building 64At feet B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in tem B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate. elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 Other (Descdbe) l(% O 19-L7 B12. Is the building located in a�Cgqastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes �No Designation Date UQ/=o(AJ N ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on:' 15construction Drawings' ❑ Building Under Construction' ❑ Finished Construction •A new Elevation Certificate will be required when construction of the buRding Is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diag specified In Item A7. 4, � ID 1 9 Z Benchmark Utilized �c Vertical Datum /t/ Conversion/Comments the measurement used. ICheck a) Top of bottom floor (including basement, crawl space, or enclosure floor) Zd 77 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor ZU 6 Q feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) A _❑ feet ❑ meters (Puerto Rico only) 01^ d) Attached garage (top of slab) 20 3 .�� feet e) Lowest elevation of machinery or equipment servicing the building 64At feet ❑ meters (Puerto Rico only) � ❑ meters (Puerto Rico only)��G adz _❑ (Describe type of equipment In Comments) f) Lowest adjacent (finished) grade (LAG) 'L® feet ❑ meters (Puerto Rico only) "1QGOp �C,29v> g) Highest adjacent (finished) grade (HAGj Go 9.,q [afoot ❑ meters (Puerto Rico only) f, 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 eleN information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by tine or Imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of forth. �0��� �. AGFF .otic 'o ✓,P• W:� P� C0 4.- CAN . ft '(-I.' FEMA Form 81-31, February 2006 oee reverse sine Tor comnnuatlon. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Su e, and/or Bldg. No.) or P.O. Route and Box No. Policy Number R a FrItNe Ld4y DO, City State ZIP Code Company NAICNumber <:�.Wlcv cog F. CI_"z9 . . SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community oiflcial. (2) Insurance agent/company, and (3) building owner. Signature - Date SAI❑ Check here If attachments SECTION E - BUILDING ELEVATION INF ATION (SURVEY NOT REQUIRED) FOR IONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available.. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information br the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, crawl space, or enclosure) is _ 1:1 feet El meters ❑ above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in SectIW Items 8 an /or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ [—]feet meters [� above or ff below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA=lssued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4. -G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here it attachments FEMA Form 81-31, February 2006 Replaces all previous editions Page 1 of 2 Rutherford, Scott From: Rutherford, Scott Sent: Tuesday, October 30, 2007 5:33 PM To: 'Michael Mulcahy' Subject: RE: Gottlieb garage Michael, Sorry, but you have a difficult situation with several catch 22's and no way out. We have determined several options but flood hazard zone regulations do not necessarily follow common sense and I see no way to circumvent these requirements in this instance. FYI - Our flood ordinance and fema regs. apply to all buildings, residential and non-residential. 1. After review of your letter and the plans, the project as a whole is a "substantial improvement" as defined in Butte County Code and FEMA regs. A substantial improvement is required to be elevated. Your only option to try to avoid this is to get a professional appraisal and have the carport and existing utility room appraised as is, and also have the proposed project appraised off the plans. If the difference is less than 50%, it would not be a substantial improvement. Let us know if you are going to pursue this avenue so that we can let you know exactly what the appraisal must show. 2. You could attach the garage or utility/studio with a breezeway roof, and the garage could be considered "attached". You would then be allowed to have a finish floor elevation in the garage only below the BFE and be wet floodproofed, vents no more than 12" above grade, etc. The studio would still be required to be elevated. I can see no other options at this time. Scott Rutherford Manager, Building Division Butte County Department of Development Services srutherford@buttecounty.net (530) 538-7601 From: Michael Mulcahy [mailto:mulcahybldr@hotmail.com] Sent: Tuesday, October 30, 2007 11:21 AM To: Rutherford, Scott Subject: Gottlieb garage Hi Scott. Thanks for your responsiveness to this situation. Here's a summary of how it developed; maybe you can help us find a way out of what seems to be a forest of "Catch -22's" Michael Michael Mulcahy, General Building Contractor California License #645789 P.O. Box 6222, Chico CA 95927-6222 Phone & Fax: (530)343-1851 10/31/2007 MICHAEL MULCAHY GENERAL BUILDING CONTRACTOR CA.LIC. #645789 P.O. BOX 6222, CMCO, CA 95927-6222 (530) 343-1851 mulcahybldrna,hotmail.com RE: 82 Fairway Application # *B07-2031 The "Gottlieb Situation" as of 10/30/07 We have here an existing detached structure which consists of a utility building of some sort (one part has stored a golf cart) with a carport in front. The homeowners state that the structure was built at the time that the old garage was converted to a family room. All construction was done under permit (they verified this prior to purchase). In the original submitted plans we proposed to remove the carport, leaving its attached utility building. The homeowner ultimately wished to use this area as an art studio which is how we designated it on the plans. (Subsequently we have determined that we probably will not be able to put in the sink due to the long distance from the septic system). - The carport area would become an enclosed garage. The existing blacktop would be /1 -V 1�7" replaced by a concrete slab. The flat tar & gravel roof would be removed for a new trussed roof with a pitch that is more in keeping with the style of the house and neighborhood. Upon application Nancy Springer explained to us that since the property was in the flood zone (AE) it would require Flood Elevation Certificates. These were obtained by the . Homeowner and added to the application. (They may have been somewhat misleading; however, in the description of the project due to misunderstanding with the engineer.) Since then (early September) the application has been stalled due to insistence by the DDS than the structure must be elevated three feet to comply with Butte County's Flood Ordinance (Section 26). This is a completely impractical solution for many reasons. The Homeowners are justifyingly upset that they appear to be the only people in their neighborhood who are not allowed to have an enclosed garage. Many of the neighbors' structures are at street level or grade and not elevated into the air in some manner. Our reading of the FEMA regulations (Technical Bulletin 1-93) is that parking and storage structures are an allowed use below the BFE as long as they are designed using FEMA's "wet floodproofing" techniques and the proper materials. In this case that would mean installing the required venting and using pressure -treated framing and siding materials (this would be an extra cost to the Homeowners, but not an onerous one). Further, since we were remodelling an existing parking area attached to an existing, permitted structure, it seemed that "flow-through" techniques were the solution. We were preparing new drawings reflecting this for resubmission when the County's engineer returned from vacation & informed us that Butte County would only allow the elevation or "dry floodproofing." Once again, our reading of the Butte County ordinance says the exact opposite. The Ordinance refers only to "residential' structures, and this is not residential. This would be "Group S" or "Group U" under IBC definitions. Granted that the regulations are complex and require parsing of sentence structure to understand intent, but I still think that somehow there must be a simple solution for this relatively simple project. Any practical advice would be appreciated! �9 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 82 FAIRWAY DR Owner: Permit No: B07-2092 APN: 040-360-037 GOTTLIEB, STANLEY Issued Date: 10/08/2007 By KCG Permit type: MISCELLANEOUS 82 FAIRWAY DR Subtype: Demolition CHICO, CA 95928 Expiration Date: 10/07/2008 Description: DEMOLITION OF EX CARPORT (530) 343-7927 Occupancy: Zoning: Contractor Applicant: Square Footage: MICHAEL MULCAHY MICHAEL MULCAHY Building Garage Remdl/Addn PO BOX 6222 PO BOX 6222 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)343-1851 (530)343-1851 FEE INFORMATION DBMSC Demolition $58.00 LICENSED CONTRACTOR'S DECLARATION - Contractor (Name) State Contractors License No. / Class / Expires MICHAEL MULCAHY 645789 / B / 05/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full ferce and 1^effect. n /� I X c 1 1.1,J e... L 110/08/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ZI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiges. X I V v C_ -` 0/08/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSAT COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: B4901 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: X 10/08/2007 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree 1 to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify, that I am the property owner or am authorized tp act on the property owners behalf. Owner Contractor OR. Agent for Owner DAgent for FILE COPY DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code. all demolition permit applicants are required to fill out this term_ "19827.5 A demolition permit shall not be issued by any city, county, city- and county, or state or local agency which is authorized to issue demolition permits as to any building; or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to he submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the ANTitten notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in wriling, or it may incorporate the applicant 5 response on the demolition permit application. Compliance with this section shall not be deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at rS Z FA ( QW A -Li bj ct+i cj--2 CSA q 5q 2 S (Address) (City) (Zip Code) Date Ic9•$-O Signature of Applicant i BUTTE COUNTY o�vTT�0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c o A FEE WILL BE REO UIRED AT TDNIE OF APPLICATION C - •� Website: www.buttecounty.net/dds ©UNC **PLEASE PRINT CLEARLY** OWNER INFORMATION L�ast Name �pO"1TLl�E (3 First Name Mailing AdMaw Nq _W SPL City Stat Zip,,I 6129, `' Ph" — -'G (t 1 Fax E-mail J APPLICANT SIGNATURE X 61A.,j PERMIT NO. e07-20911 BIN # PROJECT LOCATION CONTRACTOR NameMjCA+AjjL MVLCPr hA� AP!ss, (r 2 ZZ City City State State Pho , t8 S. Faxs £ E -m it V E-mail Lic. # s Class J APPLICANT SIGNATURE X 61A.,j PERMIT NO. e07-20911 BIN # PROJECT LOCATION ARCHITECT/ENGINEER Name City Address .6 D (o ZZ, Z_ City State Zip Phone 3 g Fax E-mail State License Number J APPLICANT SIGNATURE X 61A.,j PERMIT NO. e07-20911 BIN # PROJECT LOCATION APPLICANT INFORMATION Name City Address .6 D (o ZZ, Z_ City State Zip`. Z Phone 3 g Fax 5� �'/( E-mail �1 ALA J APPLICANT SIGNATURE X 61A.,j PERMIT NO. e07-20911 BIN # PROJECT LOCATION API Property Address City �� C WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: Zoning I Flood Zone' A SRA I Yes I No Occ. Type Const. #' X04.0 -360 - 63 7 SO rAlik kv - l' i?Hceo y a y COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job site. A. P. No. C- 'i C- 3 t.� c - 0 Owner L ,4 rrF/,-,;' s Contractor ••)./. r) 9,�rV c.-i_;,w„C:,w.,; Permit No. 7'.3 — /C L`& Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR._ Footings Piers round con Do Not Pour Concrete Until Above Signed Underfloor Plumbing— Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab L / ° `vi C. h CC:, Do Not Install Floor or Slab Until Above Siqned Rough Electrical Rough Mechanical is } Framing+ - Insulation Shower Pan Do Not Cover Until Above Si ned Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Si ned Sewer Service 1 Water Service Pool Final Plumbing Final / Electrical Final ! Mechanical Final + Building or M.H. Final 7/11�7/ DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Info ( 24 -Hr Insp Oroville 7 County Center Dr. 538-7541 (538-7636 Chico 1469 Humbolt Rd. 891-2751 (891-2751 Paradise 747 Elliott Rd. 872-6307 (872-6307 Revised 12193 PERMIT NUMBER _ B 650-71- . ' P Y' t f: b 597-71 E_ ` PERMIT EXPIRES 6 -14- —% +,OWNER Ron Laffins ICONTR: owner LOCATION (A. P. 40-36-6 82 Fairway Dr., Chico k =s 3F COUNTY. OF BUTTE Department of Public Works BUILDING 14SPECTI'ON RECORD Zoning �a/� `'%� Setback 0 �f/��� Forms Foundat1on,d20<7 ) ' �� a%l Piers & Girders '%1 Fireplace �l Rgh: Plumbing® e- / ; Bond Beam Lath &.Plaster0,--"2' Rein. Steel Gas Pipirig & Test Found. Vents Framing Plmg. Topout _1�i Rough Elea77 Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING ( Temporary I! 3 `� �i �r ��, Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS �-,-yy5 OR bc) x- UTirui �ar, NEW Q' ADDITION D REPAIRS O OTHER 0 F O U N D A T 10 N Others MATER.RAL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family '/ Duplex Dwelling ED Others Width at Bottom Depth in Ground SQ. FT. OCC. ' BUILDING VALUATION {, R.W. PLATE (Sill) SIZE SPACING SPAN Girders / / G Joists - 1st Floor Joists - 2nd Floor Fireplace Joists -Ceiling Total Valuation '� r-.�-- � � U Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee/� ` Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of................................................................................................................................................................................................................................................ . License No . ........................... Classification.:.............. and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption............................................................ ....................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building con-struction, and hereby authorize representatives of the County of Butte to enter/upon the above-mentioned property for inspection purposes. ^� X.... �.:....:.'Ir "'... Date ......11.....7r........ ......1... ....... SIGNATURE OF PERMITTEE OR AGENT Receipt No.... .:...:.....J.�'`....-�................................................................. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By.... ............................................................................. Date ....................:........... Permit Expires Date ................. �„ = COUNTY OF BUTTE J ` DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-'Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P L I C A T I O N A N O B U I L 0 1 N 0 P E R M I T Permittee Owner ^ f r - -- -r A. P. No. - f Fire Zone Zoning Mailing Address ` ' �'%'' + - r : '"r Sanitation f` Planning - Contractor + / Mailing Address Plans j/' Fees.- W.C.1' BLDG. Address "'� "- 'r ^- '� r �--' R/W Encroachment NEW Q' ADDITION D REPAIRS O OTHER 0 F O U N D A T 10 N Others MATER.RAL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family '/ Duplex Dwelling ED Others Width at Bottom Depth in Ground SQ. FT. OCC. ' BUILDING VALUATION {, R.W. PLATE (Sill) SIZE SPACING SPAN Girders / / G Joists - 1st Floor Joists - 2nd Floor Fireplace Joists -Ceiling Total Valuation '� r-.�-- � � U Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee/� ` Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of................................................................................................................................................................................................................................................ . License No . ........................... Classification.:.............. and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I. am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,, if any, for other statutory exemption............................................................ ....................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building con-struction, and hereby authorize representatives of the County of Butte to enter/upon the above-mentioned property for inspection purposes. ^� X.... �.:....:.'Ir "'... Date ......11.....7r........ ......1... ....... SIGNATURE OF PERMITTEE OR AGENT Receipt No.... .:...:.....J.�'`....-�................................................................. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By.... ............................................................................. Date ....................:........... Permit Expires Date ................. �„ U T CTOATi.(.� 44-L' .Kp�, -Vry L41,-I.KR,� r � • 3 r' ..� r i r • - � ..S ..� � t r � . � . ,ii •� r . - � * ,r � ..� c r ,.. r. , • r ' � , . - • •- « COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' Sub -panel !lessr l or12tha' Each 7 County Center Drive - Oroville, California 95965 �(a Range, Dryer or Water Heater PHONE:, 533-1230, Ext. 259 Each L00 - ATI ON AND ELECTRICAL PERMIT Oven, Cook -Top of Space Heater Permittee Owner .-'/ : ,.. s ,✓APPLIC `� , '' .',* •�y'� A. P. No. o- First 2D Mailing Address Crt„/i!'r;�,,`f� �• c Light Fixtures Contractor ' :`l r= �' •.«'r .10 Mailing Address BLDG. Address �"' ! �' 1�,.�' ti:�• • r_.L�%/. ofi: c! "--._1 L DESCRIPTION OF WORK NEW 0ADDITION F-1 METER SERVICE 0 OTHERS: Remarks: USE OF STRUCTURE Single Multi Family Duplex Q Dwelling Q OTHERS: Remarks: PERMIT FILING FEE ntary Filing Fee No. Fee $2.0.0 1.00 Main Service « O Sub -panel !lessr l or12tha' Each �(a Range, Dryer or Water Heater �'1 Each L00 �, • t-7) 0 Oven, Cook -Top of Space Heater Each :.50 First 2D .20 �� `J Light Fixtures i Each Additional .10 Rece tacles„ Switches & Fixture Outlets f ' "` First 20 Each Additional 20 .10 Hood, Exhaust Fan or F.A. Furor Motor - Each .50 f ♦ 00 Evap. Cooler, Gar. Disp. or Dishwasher Each .50Ar <-+ Air Conditioner or Heat Pump �+% t' % • Ci 4/ Water Pum Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of....................t ».... r. ........:.:.`. r ......_................................................. . ..............................................._.................................................».. . License No. ,,•,,,• ...................... Classification .............................................. , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I a n exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). C] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption....................................................................................................._................».....__............. ....».._.. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation,is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives%f the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property'for inspection purposes. - -,1_Jr�-�}� DIRECTOR OF PUBLIC WORKS X................................7.................................................... Date ....................`.................. SIGNATURE OF PERMITTEE OR AGENTBy .........I ................... Date ReceiptNo. ................ �............................................... fA r5 AP 411, �0- -i FlAkm" X, iq4 lb A 'camt7r COUNTY OF BUTTE DEPARTMENT OF PL',ELIC WORKS C ' 7 County Center D.rive,-jOroville,' California 95965 Phonet 533-1230, Ext. 259 APPLICATION AND PLUMBING PERMIT {v 1 Permittee Owner / �.lr ►. » A.P. No. � Mailing Address j Contractor Mailing Address t. BLDG. Address-'�-� ci 1t_-' _� it-��'1-{%�-/ • + -�u� /1 DESCRIPTION OF WORK No. @ Fee_ 62.00 NEW r.- ADDITION ED REPAIRS 0 PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap 1.50 , T OTHERS: Repair or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping 1.50 ' J Each gas water heater or gas heater vent 1.50 USE OF STRUCTURE Gas piping system I - 5 outlets / 1.50 Single Multi RESIDENTIAL Family Duplex Q Dwelling Q Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 OTHERS: Remarks: TOTAL FEE I $ CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed unu�nnder the provisions of Chapter , Div. 3, of the State of California Business & Professions Code under .the name styleof ..........! �.. /aq 2.Jew s- y............................................................................................................ ................................................... ............................................ r r License No. �?,1+„zClassification`,,`, {�?� , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption................................................................................................................................................................., ..... .. ........................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption puisuant to Section 3800. y 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter/ upon the ,above mentioned property for inspection purposes. �i �� t �• f 1 / 1 J r -.► r' J �.. `...!. � /..... �.. t�� 1 Dace ”. �c r s�.: [ /�/ .... .... ...... ........ . SIGNATURE OF PERMITTEE OR AGENT r Receipt No. This PLUMBING PERMIT•.is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS ( I l A r N RESIDENTIAL ' Va, '---t40-36-0-037 93-1028 BPEM ; LAFFINS, RON 82 FAIRWAY DR, CHICO CONTR: JARRETT CONST ADDITION/SF���' r 4 V r 't� X.. �e ,i, = f� v V= OK O = Not OK ; NotApplicableMOBILE HOMES y Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch , 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /%"ft. _ / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s ` 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances S. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 11 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel , 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors - - Shthg -Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements . „ r 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed,, 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t `n V=OK 0 A- N(A OK = = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UN ERFLOOR Plans OK except #'s oof Zoni ng -Setbacks -Easements -Flood -Slope LZIftg., Main; Soils-Elec. 0md57j&" Ftg. Depth 2--Flg-Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.-%., Porches & Decks; Soils -Steel-/ /Ftg. Depth 6ettemwalls, Main; Steel -Bloc kouts-Wrapped 6.-Stamwalls, Garage; Steel-Blockouts-Wrappod 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped U -Fireplace Ftg.-Steel .W.V.; Fall-Fittin - - Way C/O -Sewer Test . Gas Pipe; Si e -Anchors - yard gas piping: size -test Water Pipe; _s nchor-Regulator-Service Test Underground 13- 4'enums_&Ducts; Clearance -Materiel -Support -Ins. /{TGfjx40s`6ills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation rc-2.0.3- GG &qmos CC C-1_191 J — CIG G-I0_01L3 GG Date/Initials PLUMBING (Permit) OK except #'s 15-i�at9Tlifr Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor-Naii Protection Shower Pan; TWfFirst Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21.G Anchors Date/initials ELECTRICAL Permit OK except #'s 22. Fixture & Transformerlearance-Ins•>rotection t_-J-_Ejc. Receptacles Spacing -Lights & Swift*es­&t-Goem_ Size Boxes & No. of Conductors -Stapled "51—Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mach. Fastners 2 Kitchen & Conductor Size/GFI 28 5 hfwaA Wim S1ze / / ga. Cu or AI-A.C. Wire Size / / ga. AlCu or or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No rs & Ground -Main Disconnect quip. Clearances a -Is-Motors-Mach. Equip. hower Light -Spa Light 33. Smoke Detector /8 ;73 Date/Initials MECHANICAL (Permit) OK except #'s 34- A G' -Botts -I lotion & Support ant Fan, haust above insulation e Drain & Overflow; Size & Grade ccess-Comb. Air -Return Air Vent -115 outlet 88. Attic latform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s 4:897—Sils, Proper Material & Anchors ells tuds-Nailing, Spacing & Bra g -Plates -Sound Baring Wells over Girders & Floor Nailing 2. Dra top in Walls (ret proof) �ir6'Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) angers -Post Caps- ncho -Connectors 46. Clog_ kgs!-Rf . tie - arHrr—roof Brac-Truss-Sht ng. -Ring e or Type A Flue -Fireplace Throat clearance 4A_AUic.Acces&-Size & Romex Protection -Draft Stop -Ins. Baffles 4% Bdrm WWKkms•or Exiting Doors -Sill Hgt. & Dimensions �,9--Barage'FKe-Protection Framing 54-P m Firewall & Openings 52_Zx4_Qeef&-en"-Check Garage -3rd Story, 2 Exits eadroom-Rise-Run-Lending-Fire Protection -t5". Iywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer -�� . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access GIG 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts f 58. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows lg Date/Initials FINAL (Plans) OK except #'s 6+1 --Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector E3-•POrnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting ft"G.F.I. & Bath Fixtures & Tub Access -Spa -Flet. Trim & Subpanel; Breaker Sizes & Labels 67 -Stairs & Rails irep ace or Stove; Clearances -Hearth '-e9-'E a%. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter 72- Garage Fire Door; Swing -Landing -Closer erJ-A-C. Duct in Garage -Damper 74--Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Ib., Elec. & Mach. Equip. Listed for Location 7Ji8ec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard Rails & Deck Construction -Post Caps 79. dn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes IM—Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No B-Mucco; Brown -Finish 82—.A.C. Unit; Disconnect, Electrical, Plumbing 8"ents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 114—Waiter Well; Disconnect, Electrical, Plumbing .85 -exterior Elec. Trim; G.F.I. Receptacle -Underground W4entilation Throughout House 8L7,. -Glass Protection 8VCorrections from Previous Inspections &q—Gas Test -Meters Tagged; Gas -Electric ,90—Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comments at Final: c 69 �' � ,,,� � �•__,_ --/r,GGe't�.�9 Of - _ s a i . • - 1. . - . a � f si 604 Oneill 1226 onei11 13 ONETL1 307 inter 605 C -I -TY 806 " CORRECTI.. 1446 10-ewm 19 10rem 1107 lOD�AY 1.326 MEMO —1 -076 —S -I-9-1--4-2 WIfLSEY 3 0 D'A-Y 27 1-48-1—WC sptest, 666 16 4----•-3 30rem 0 DAY -1 19 1.9 10-12 306 10-1 361 30-Dayl .413 I� TREMA -I -NI -NG 0 w n i i iK;�x.;u,t"ir.. �".r'+..'--}').►'7p"'�'i�,��,.r."e"^s�....''yll�s,r"�'�.''}�-.,,.�+�'.'-.`eya�SL€-`Y'ss'YS-: COUNTY OF BUTTE , "< BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 89.1=2751 7 County Center Drive, Oroville, CA —(916)•538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE n LA F GI fJ 5 . 9,71-102,9 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. :* ON 0 pkR 'mak Sim 0-< ,y 4-c.T Ric F -'L ►` I r15 �(� �L 'M \5S I,4G 4 I ct 2 5 a.� Date (� Qj-�3 Inspector fi'� REV 10/92 COUNTY OF BUTTE BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Ropd, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE LAS F�n1S 9 �-loZ9 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 qff work is cor►.pleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - ` -N-,t - L(? T' S r F•� r -'m . �� moi " s La? rt- I Wr4 N I l L rr-r 0 t�yT 14S1-1LA rr � Date Ll - % 3 Inspector REV 10/92 COUNTY OF BU,TT�E BUILDIN,� VISION DEPARTMENT OF D11.1,E4OPMENT 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 1'5 �11 CORRECTION NOTICE �J OWNER <; PERMI 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 conte t this offic mmediately. "ZS A ID,, J, ; Date ` Yl Inspector REV 10/92 COUNTY OF BUTTE :' Y BUILDING DIVISION x w" DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Boad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. _ n,�5 CORRECTION NOTICE LAF�k NS C�3-]0 OWNER PERMIT NO. J1 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,,z is completed. If you have any questions pertaining to this matter, or need additional explanation,' please c tact this office immediately. A?PR-0r45 f�R \K� Q�LCTWryt Date Inspector REV 10/92 r COUNTY OF BUTTE, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, -Chico, CA - (916) 891-2751 ti 7 County Center Drive, Oroville, CA - (916) 538-7541.21 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. MSN, 1%4 Cwi 2 FUJT �l0P►' ON l 1j Ci ln) (LCL 1 A j ;t Irl Q I A ( 2. f7 a"�F'�'5�+�� �`�r°7'�k�;;,%t��'�",`�-•4-�.`Z:rs1,� ...:r ..-,.,�.s",_ ai�:�.wvt.1 .isr�,' 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 L-/nz OWNEk PERMIT NO. A rout rie inspection indicates that the following violations of Butte County Ordinances exist at 5 The above address and should be corrected. Please notify this office when correction of work iscorrpleted.lfyou have any questions pertaining to this matter, or need additional explanation; please contact this office immediately. crC- Date ? Inspector'%. REV 1019¢ COUNTY OF BUTTE - DEPAR)MLNT OF PUBLIC WORKS �Jed6t` PERMIT ---' IT NO. 7 County Center Drive Oroville, California 95965 - Telephone: 916,"538-7541,f .-- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -037 ZONING , R-1 BUILDING PERMIT OWNER Ron S TELEPHONE SO. FT. OCC. BUILDING VALUATION t OWNER'S MAILING ADDRESS 275 Fairchild Ave. 100A Chico 95926 CONTRACTOR'S NAME Construction TELEPHONE 343-8217 CONTRACTOR'S MAILING ADDRESS 94 qAn Ramon Dr., Chico 95926 Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation 4$ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37,50 Energy Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $147.50 ' PLUMBING PERMIT Filing Fee 15.00 Each Trap 2 5.00 10.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 44 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 15.00 Mobile Home I S I G W -515.00 TYPE OF WORK New-, Addition RemodelC Utilities❑ Installation❑ Other❑ Describe work: Bathroom Permit Fee $47,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20cATO 1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt.-9; Div. 3 of the Business and Professio s ode and my license is in full f rce and effect. 4�(9 (P ` t Q� License .JO. Wy �O "l tJ Classification ❑ 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 CONST./ DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. I _37.50 17 3.6asq.ft. [f.00 NEW CONSTR ULTI.OUTLET NON•RES10 BRANCH CIRC ITS 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occu p(OUTLETS OR FIXTURESqAL 20 T6d (CD 45 FIXED Ex. Occup. OUTLETS PIRESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 19.00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. dl have placed on file with the County of Butte Building Department a Certificate of Workmen's -Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Vent 116.00 16.00 Cooling g Hood 6.50 Ventilation 1 4.50 4.50 Permit Fee $25.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agalns said County in consequence of the granting of this permit. X Date tl 0,0 - 3 Signature of Applicant - Owner El Contractor El Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.I Mobile Home Installation Fee $ Energy Inspection Fee $40.00 OCC CONST TYPE TOTAL FEE 279.00 HAz OFEES IMP FL00 CD PARCEL PD HD 1 This permit is hereby issued under the applicable rovi- P Y PP P cions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CT �ROF PUBLIC WORKS BY Date6 PERMIT EXPIRES Date -2 --q Receipt No. 140514 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Wf,`"'''+�jr}",;"ry?•r`1L'`^�:.r±-eY`�'4'r`..r �n�µ+'v`...y+... COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C4IFORhtjA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER, Proposed Building Use Building Inspector DateI Awl 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, 3t4wTels, signed by preparer of plans. .%, 1. &e ............... . Complete plans, 3A4,sets, signed by preparer of plaft. ................... . 4. Engineered plans and talcs, 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). .... i 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ......... . . Fees of $ Impact fees as shown on attached schedule. ...Cse�eeO.l, ,►s�.+� C.�N.� 12. California Department of Forestry plan approval/fees...................... . Flood elevation letter (100 year flooMC,0 California Engineer. . . 1 Sanitation and plot plan approval Health Department . ............ j t . 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). ...P.�� o� re . uest 20. Pre -inspection for required. . to Building Inspector (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 _) ............ Recorded copy of Agricultural Acknowledgement Statement . ................. / Letter of signature authorization . ........................................ -T 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 . ..................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... / 32. Plan check list. c10o i��a r h ...i©rl........ ................... � 3a. When you issue the der it, t rote s as follows: Mail to -owner. Mail to contractor. Telephone y - and hold fori�ekup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �'- 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 submitte r permit issuance: (Circle w item not c ecked above). 1. Index permit for above items N 3/ S 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 Counter by _ Date Plans checked by Date Plans approved by Date � Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works it'll lI.ijmNlx 11lur flim Aurichwl - Irluiir I'Lm Alulche TO: Building Department FROM: Environniclital Hcalth SUBJECT: Sanitation Clearance Owner vocation AP# Plan Approved for: Sewa& Disposal Water Supply: Public Private; Well Clearance for bedroom mobile home. Other ht��gt)Lfuof��T YI•���i� Hold final for: Final clearance O.K. for: NOTE-: Environmental Health Specialist 8/92 Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District tm, !/I i Ci O n i 1 a (` Building Department No. A.P. Number '(�� Jxrisdiction 0 City [] County Property Owner Property Location/Address Subdivison Residential Development No. of Living Units Commercial/Industrial r wo(t , Lf1 Lot No. MHI 0 New Sq. Footage �Ad'dition (Group ) Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. "'.�A. l r , School District certifies.that k , (Applicant) y (Street Address) (Phone Number) NIA 0-6 (CRY) (State)_., (Zip Code) s has complied with the requirements of Resolutioh No. `�1a o�t� `.�� ' by payment of $ C`� representing u � squ e•feet,:,- School District Representative Date Paid by Check Number A.) Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional.school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (4/92) 1 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET fio 1 PCKAGE COMPLIANCE Owner ✓1 !"A fp J Climate Zone Permit # Floor Area. The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sgft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.• R=13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 .75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(SbN) Shading NR ..40,. .66 :40, .66 .40, .66 Coeff(WSE) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20$.Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump ISPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements or Title 24, Parts 1 and 6 of the California Code of Regulations. 4& (Jan 93) SIGNATURE bF BUI DING DESIGNER OR APPLICANT JARRETT CONSTRUCTION 24 SAN RAMON DR CHICO, CA. 95926 CSL:#569648 Ph.# (916) 343-8217 Butte County: To whom it may concern, I Jeff Jarrett, owner of Jarrett Construction, do here by grant and assign the right 1 responsibilies 4e1' -sign on and for me an Jarrett Construction with reguard to permits, fees, plans, or any other form of legal documents for the building and plans division of Butte County by the Following people: ANGELA MEADOR, secretary DEVERIE JARRETT, spouse i (JE J TT dateArmi— FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application 93 - loo? 8 at E -Z F-s�;�Wa#e_ Com-., - A.P. # �D- x--3'4 for 'Qk-Mkrvl, lil"A does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management. criteria. PROPERTY OWNER o -Q -Q ADDRESS 61Zr 2J C . 45 9 Z PHONE NO. gq 7 r Q S y DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. � ` . ^ i�- - � ---------- '----'- -- ` � . ________________ ` �r --_' 3�A_-_-��J�6LiuJ��'--'l��t�.__---��| ^/� ~ C{_!� __����o/�� ���c__ ����_ ��___^DX���'--- �--'---------------------- JARRETT CONSTRUCTION 24 SAN RAMON DR CHICO, CA. 95926 CSL.#569648 Ph.# (916) 343-8217 Attn. Scott Rutheford Butte County Building dept. Deaf' Mr. Rutheford, I am writing with a request to have the buil The reason for such a request is my client isthhogldin up p a letter stating the progess of a specific job. Without giving us time to correct the problem he hired an outside the contractoaYMCnt on a job in r to redo ch he the tile.The only Problem is he changed the the and tile layout specified in the plans that my work was not o UBC standards. My assurance o his attorney, brought the dhandymen whom write ears. Thusly, I request your help by writing a letter stating y' may, have fallen on deaf Plumbing, pressure testsinspections � the dates of passed inspections on foundation, met Butte County's requirements d UBC s��ds notations that can further prove that the work I did The owners name of said project is Ron Laffins located at 82 Fairway Dr. in the Butte Creek Country Club; the AP# 040-360-037. Since time is of the essence, and he is continuing work without negotiating with me, and is using my p� I ask for any response asap. ermi I thank you for your help and time, if there is anything I can do or any questions you need answered please call me Jeff Jarrett, 343-8217. gJ= 0 eft, 8-24-93 l�. BY: �M DATE: 4/q 3 JOB NO: 49 eEJ6 PAGE A— OF Nofth S-t2r . . �• 20 DECLARATION DRIVE E N G I N.E E R I N G J".,� CHICO,-CALIFORNIA 95926 Civil Engineers • Planners • Surveyors 916-8931600 in I- 1--- - C s N, T 8 c� o �✓ 7MT IFF Fa_ I I` I '. 9.0.9 ! Y 1 8 . 1 , 24fa i _ _ f in �k)o .,&A Gr- Zr-4-;P', 9-7 0717-1 44 "101 k '.nm15VIi4':.:1'Y3.4wF.s� •..-1:.2Y. �'9F.rC4i�:zY�1q,tlD�xl�Ip�,y. - i .aa / �y v�.,. � �y, ! ^t,.. r�' �+{e * ,,>,++�� �f + y � ! � JWr�M/DOMOI 1 ✓� �� lM �i M/7vj ILLr'JV A(1 -•1 A7n.v0? p1 �.•I�,iy(,Z! itfG�` .r 9 v�l�.cl '9S jL •, w>rs=rn svW w...ssnsc Ysr1s>►� .r mei rr +✓vie J.LOJ'�- •lavov00 fMP7+rr7 t+r7nv.�ws >r eniv> S!>'D1� :1Or'rjJ• 00! A. . rr - J4Mr 1>NyOYl/9'7p�7vD171.s •►Irr-w-"r1r •-/trv>dr7t7s/►/- •s't+vvs'�Ira 1y�� 'CO + t 1. +1P la'NeDs` ��o1ZtT'slLc •tOtsa•rtiyv� 1vy7Y A& . Jl/1 +lr�IJ ��D'll)70 •D�Oi�r II •, a'L �!°v7 liwL AAr rvv4L r•s7Yll�r/ /tiJ/!TP •1 �iK7 7Mf0 oOt17/tOb.r IOvd 7r�s• *aAOp Z ! YA•> •7%►i -7{ J'Y'VVJ A1/„'7177 IIs.K7y Ol b7IpK/fpj 77 rX1 N a,,A_ 7p>C,rnDJ 77�r 7910N ,h 1tv3Yvlara.o VNtalina u 'r►c) iuns SPOS,- � t � o.�•+Taio G r 9 ..�_ i '`ice .p �� .. 1! sl~ fly _ �tJ0 _ � r�.v_� xrov o - ((++n �-rte• � op IJ o 3 �7 ;s T• ;•� � +'' a r J. J 41S ` ray �J9^d 1° w;rw;>ac:..d ��tl+Hi t 4"gi!a � gran .:o sr... . - f •,> .O tM•rJ .�J . 4.L �+1n1'"nfrr'IN.Fcu�-..,��oQ'.:Yy+.c � ��J 1 �: �> �=• er x•' 1 � \\\ .�, •amiss q/v/1v-g ! � ' _ •dl/D� MNi 11 f PNJ'+.a 'x�b mul -im SIM dv ! 3 W1 �- -m nu - - --,. ff 1 —°°•�-'•,�-' pw�++w.•p�'! 14011d *�D dr4/ WAl 1 y`war.P r+p sw. 1 �e i ray ! *F4 °•" a S 5rrn a -w,-,Wld J Ap- " a 9, d A ods pg/6fta3 602 022 tl bs �"S'+S~_J2 ...... .x.1'6 p•• tc•a«.b.a- a w UNWOM16n AStiPELmuaamw oris ---a � 4, October 12, 1993 Jarrett.Construction 24 San Ramon Drive Chico, CA 95926 RE: Letter of 8/24/93 (A.P. •',040-36-0-037) Attn: Jeff Jarrett 1 apologize for. t1h . e delay in responding to your letter. Our departmcnt has been without -a manager for the past two months, and !'simply have not had time to•atteend to anything but daily operations. I have onclosed -3 copy of the sif-,ned off job records -which includ*, specific items and dates of sign offs.. I hope this will be of assistanc!.� to you. Should you have, any questions concerning this matter, please contact this office. Yours very truly, Rutherford V Supervisor, Building Inspection SP : d MS At tachments. 'AL '�gg ACSS .. _:eA _ "Rt_r_;5 _tomC� o-✓ �-- - rs 'I .V- fly_ .. �_�r__`� r_.nF' .R.__rr , r�r' * • - a * , i - ar � — �. � � '� 1 :- ti .' � � � .. e � t JARRETT CONSTRUCTION 24 SAN RAMON DR CHICO, CA. 95926 CSL.#569648 Ph.# (916) 343-8217 Attn. ScottRutheford Butte County Building dept. Dear W. Rutheford, I am venting with a request to have the building irt dept. draft a letter stating the progess of a specific job. The reason for such a request is my client isho d Without giving us time to correct the problem he hired an outside file contrac oon aj in lr to redo tch he he tile. thTheonlyk Problem is he changed the file and file layout specified in ob the plans and nt that my work was not to UBC standards. My assurance to his attorney, to brought in n contrary, have whom write ears. Thusly, I request your help by writing a letter stating pTl'� have fallen on deaf Plumbing, pressure tests, framing inspections and any � ons that can Passedinspections on e prove that the work foundation, met Butte County's requirements and UBC standards. The owners name of said project is Ron Laffins located at 82 Fairway Dr. in the Butte Creek Country Club; the AP# 040-360-037. Since time is of the essence, and he is continuing work without negotiating with me, and is using my permit, I ask for any response asap. I thank you for your help and time, if there is anything I can do or any questions you need answered please call me Jeff Jarrett, 343-8217. ou e Jarr tt, 8-24-93 93-25701 t 0�,� Ott,,, ape 82 Fai way DnveJ-Chl, CA 95928 i ,J r SMOKE DETECTOR INSTALLATION CERTIFICATE BUILDING OWNER - L14 I'F%,I-r , Rom PERMIT # 53 - l 0 2 - BUILDING BUILDING LOCATION B L ��'�'^��S ��- `�� - 3 G o (D3 -� When the valuation of an addition, alteration or repair to a Group R Occupancy(dwelling units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke detectors shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a). In general, section 1210 (a) specifies that in new construction a smoke"detector be installed in: (1) Each sleeping room, and at a point centrally located in the corridor or area giving access to each separate sleeping area. Where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by twenty-four (24) inches or more, smoke detectors shall be installed in the hallway and in the adjacent room. (2) In each story and in basements, and on each level containing a sleeping area. . Such detector(s) shall receive their primary power from the building wiring and be equipped with a battery backup. When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a permit is required, smoke detectors shall be installed in each existing sleeping room, and centrally located within each sleeping area if one is not currently installed. Such detectors may be solely battery operated. A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof, vinyl or aluminum siding, and remodel or additional square footage to an existing residence. Declaration I hereby certify that the above smoke detector (s) were installed in the building at the above location in conformance with the 1991 Uniform Building Code, section 1210 (a). Building Contractor/Owner (Please Print) State Contractors License No. a.a. Signature of Date This completed certificate must be provided to the building department prior to final. i 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 OWNER f PERMIT NO. A routine inspection indicates that the following violations of �tte 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. Date b h % Inspector REV 10/92 J J LIGHTING - FANS & ARCHITECTURAL DETAIL NO.- B 27892 1341 MANGROVE AVE., CHICO, CA 95926 — PHONE (916) 342-1815 FAX (916) 342-9744 • SOLD TO: I �J SHIP TO:' � • P.O.# DATE 7 ' I MDS RET CASH CHG ON A/C SALESMAN _ C OAD SHPf7 O UE f 1f -MR, UN17 Gfia L)tSC NEi .. ° � •2 w fE- 9-0 � . TERMS: NET CASH: Bills due 10th of month following date of invoice. RECEIVED BY $ti A FINANCE CHARGE (subject to a 50¢ minimum) of -11/2% will be made on all outstanding balances after 25 days. This 11/2% is an ANNUAL PERCENTAGE RATE of 18%. Monthly charges under $5.00 incur 50¢ handling charge.' , PLEASE PAY FROM INVOICE. A 1GH7 Rolm WN 01-60- 10 Parts returned for credit must be accompanied by this invoice. Special items subject to 10%. Handling Charges upon return. Not refundable after 15 days. Defective goods will be repaired but no claims allowed for labor or damage., Prices subject to change without notice. In the event this account is placed with a collector 3 or attorney for collection, purchaser agrees to pay all collection fees and costs. Title to above listed merchandise shall remain with J&J LIGHTING until paid. •k *r ~• ."''PiRMIT NO. 1902-76B,E PERMIT EXPIRES. 'OWNER RON LAFFINS �I'CONTR. Tom Bragdon LOCATION (A.P. 40-36-37 ) 82 Fairway Dr., Butte Creek Est. Chico. S L` .-u lJ r:�AS S:. t. Temp. Power Pole Called PG&E Temp. Elea Serv. Called G&E Temp. s Serv. C led PG&E ' i B l d FINALED 4/ VVVVVV Dat (A i nature_ ) } COUNT' OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING.(Cont'd) PLUMBING Setback Throat Firewall Soil Piping Forms Fixtures Parapets 1st Floor V1 Main Bldg. ' Framing % '' Restroom Finish 2nd Floor Footings Final Windows 3rd Floor Stemwall Grd. Fault Prot. Sidino To out Slab Cooling Roof Sheathing Water Piping Piers Underground Roofing *Sewer Garage Door Closer Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physlcally handicapedd Conformance of ex. structure Appliances Gas Piping & Te Temp. Gas Slab — — % ' Final Sanitation Patio FIREPLACE Final r Footings — Footing ELECTRICAL Masonry -Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors ' Framing % '' Test Water Htr: '�'-- Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DAT REMARKS OR CORRECTIONS i mo` l s AGS . 70 1,41#1eF- 11VS? /n Trsn1- Ato ocVlZ. iF- aTi vr1 F (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE -DbPARYMENT OF PUBLIC WORKS 7 County Center Drive- — O'roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /boa a representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-4o"Cw(, t Date ' Signature of Permitee or Ag � " Receipt No.���g0� 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 OF BLIC WORKS By Date C4 —Z'3 wilding permit expires Date t '7-7 i BUILDING t Owner Q SQ. FT. OCC. BUI DING VALUATION Mailing Address / o. 53 r © O �^ Telephone No. Fireplace Contractor ����� Total Valuation r 00 Mailing Address 0��� U� Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee $ L5 $ . Building Address � ! PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 0 Each Trap 1.50 e4 0,7 4 E S77 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F W. tion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Pfaraing Decla anon Parcel Mn 60' R/W Improveme s Lawn sprinkler system 2.00 Bldg. Ions Rec'd Parcel A rovol Plans kDrOV01 Permit Fee $ $ NEW ❑ ADDITION � UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ©A l% 6�GWee967-0 �f�! ain service io00o AMOR L P ORSLESS 5.00 6 no v Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBLDGO.I &) 2¢Sgft NEW C0NSTR. MULTI -OUTLET NON.R ESI.. ( BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON -REST D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of; --FIXED N Ex. Occup(OUTLETS OR FIXTURES)@250 BAL 1 @ A LNS. OR ) Ex. Occup. ( OUT ETS (RESID )EA2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ZMisc. License No.. I Classification 6 `-' Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S-0 $ �e WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 au thoriz TOTAL PERMIT FEE $ " a representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-4o"Cw(, t Date ' Signature of Permitee or Ag � " Receipt No.���g0� 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 OF BLIC WORKS By Date C4 —Z'3 wilding permit expires Date t '7-7 i V=OK O = Not OK Not = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Teat -Fall -Flex Connector '6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DE S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a zpning Requirements -Setbacks -Easements oo gs; Sol ls-Size-Depth-S -Connectors-Steel cks; Griders and/or Jolsts eo - acing -Stairs -Rails Wood Awn.; Posta-Beams-Rftm. Connectors Shthg.-Rfg.-Bracing 5. AI m. Awn.; Columna -Connections -Splice -Decal -Enclosures S. rports; Windows -Doors lectric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11., Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Fig., Garage; Solis-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wal Is -Cel linas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protectlon-Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace: Clearence to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gaa-Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - Df PARTMENT OF DEVELOPMENT SERVES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Te 916) 538-7541 PERMIT NO. APPLICATIOP AND PERMIT 93-2572 ASSESSOR PARCEL NUMBER ZONING r t BUILDING PERMIT J OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATIO 550 0 $3,850 OWNER'S MAILING ADDRESS R9 FATRFWAY I CA 95998 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F 0 BOX 900, FOREST RANCH, CA.95942 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 3,850 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADq{T FAIRWAY DRIVE tSL PERMIT FEE $ CHICO, CA 95928 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF JPX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition Rx Remodel ❑ Utilities ❑ Installation ElOther ❑ Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) O - 3.50 FST. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one} ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Cod n m license is in full force anct. License No. assi in full �j/ ) ❑ 1, as the owner, or my employees with wages a�sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@ 1.60 Ex. Occup. FIXED APPLNS. OR p. ( OUTLETS (RESID.) EA. ) 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's !'— Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 4E65 — Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 ag to sa e, indemnify and keep harmless the County of Butte against all liabilities, en , costs, and expenses which may in any way accrue against said Count uenc f the granting of this permit. X Date Si at of Applicant ❑Owner Contractor O Agent An HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL F E $ 148.95 HA2. D. FEES IMP F OD A CDF PARCEL PD HO SSUE 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 OF PU ORKS jk C� BY ate c1 /3 PERMIT EXPIRES ON 1 9V fD tel Receipt No. _ 148063 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,q„�v�. � ��-%r."'tit 'N�,....+.•.+•Y"'�-.^ .,�rJ'_.•,,,,.. .4 z�..r('1.�'•rt :..r. '�u.h ¢._. � �•;�.. s:+•_.�,A;. ,,-r� F i 11 COUNTYOF BUTTE - DEPARTMENTOF DEVELOP ENT --_kVI� ES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROkILL-E,C-sALIFORf�lA9596 - PHONE(916)538-7541 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 plans04 sets, signed by preparer of plans. -3jsie-1:5................... 3_ Complete plans, 3/4 sets, signed by/ireparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form.............................................� 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 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. ....................... . 13. Flood elevation letter (100 year flood) Py California Engineer ................... 14. Sanitation and plot plan approval 1e0 Health Department. . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. oBuilding �sp� - (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�che k list ....... ...- ............................... 34. When y G issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone o[ and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle 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 _ m Counter by _ Date Plans checked by Date Plans approved by 7,- Date �DVAI Sets of plans eftalmkHn d Copy - Department of Public Works mer F.H. USI: ONLY Hot rlwi Aunchgd �I floor Han Auach.d Srnt to B.U. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 62�T _ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private'Well Clearance for bedroom mobile home. Hold final for: Final clearance O.K. for: NOTE: L-nvi nmenta Health Specialist 8/92 — !�N ft, 11,11 - Date GV1 �O COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `V�( 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. v APPLICATION AND PERMIT. - �-� 2 2-- ASSESSOR PARCEL NUMBER 0.37.� ZONING - BUILDING PERMIT _ OWNER - f-------------- TELEPHONE --• SQ. FT. OCC. BUILDING VALUATION _ OWNER'SMAILING ADDRESS Z- rCk I eAJAf3 f l u t, «,� 5'72(f "CONTRAC_TOWS NAME - TELEPHONE - - - - - C- **��ccT R'S MAILING OflESS n ' " N 8 O 6 fdE5t ,`-A(J CAA Fireplace CONSTRUCTION LENDER - - - - UNKNOWN _ Total Valuation $ j LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ O ARCHITECT OR ENGINEER - LICENSE NO, Plan Checking Fee $/Vo S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ PERMIT FEE $ f CIA j C-,,- PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 = Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE S(9)Duplex ❑ Mobilehome O Other • SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK - New O Additio Remodel O Utilities ❑ Installs 'on O Other O Describe Work: /V PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee -20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. I & ACC. BLDS. ) - Sp 3.5C FT•, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) ( & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1.00 SAL..50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S`r 0 C> Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 B tt lains all liabilities, judgments, costs, and expenses which may in any way accrue a ainst aid County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and d mol 'on or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES Is HA2. I O. FEES I IMP FL D CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON IDere) Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT tf >-0p/-S-'�12 I� `'�• .. .; j- - - --- � � � -- ---- FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application �.3-0�5 �a at eZ. FA (rGy4-L7 met A.P. # 0-11LO-360 -037for ()De�c� OPS does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS PHONE NO. DATE (Y.)-- S I B *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. Ps�rA I Is 2007 t. Is 2007 BUTTE COUNTY Nov I J- 2007 DEVELOPM&ST sr,-qvlc,gs rF. N 4-1 r -T -.4 F71 7. - �H-r vle-IlL MF This set of pians and specifications MUST be kept on the job at all times and it is unlawful to Q 1 make any changes or alterations on same without1 Atl M«tetials m€anship Shall Be in written permission from the Department of Public / cordance ecognized Good Practices and Works, County of Butte.. of l� j, • -11 y prescribed for the Specified use in the niform Building, f✓ U the National EloctricalC Mechanical Codes and TV� � 0 AND EQUIPMENT INCLUDING ALL STRUCTURES BE CMAR (�F ALL OVEWANGS SH&L. A SET -I? ACK OF , , �. FROM TME uNES AND FT. FROM THE. RAF'► FRG+PE:HALL BE v � 4r-- ROAD F. �EQUIPMENT EXCEPT CLEAR OF T OVERHANG* FOR A t-�u6F'- AP #040 --,760 -,63 7 n c. I 0 B TT C0 �T'r( APPn0 ECS 91 t-bFP-/rJs et4 t co /40 - a C✓4 P Z k G4 P S�//P, .. .ids .. � �.r,�•. � �. ����z: _ _ .. ._---___-•__ _ .__ ... __.. � 10-' .�,• LL a J r> CUP6 1 � � /-res r ;: /��'f-•��,� r�- OF (nAIL- r c- o� y I --ru 06 '�� �c-,K� .. , - I - S,f_.„'�..:, � ��� \ Jif �•-- t,'y'C I 7-/1,4f,' 47 �.-D�( ve. �C4L�T � , CRA►(! L.. � -, A � - .�., pn J CPJTG�I//fL Run meas � 3/b• max. tot rance ibetween largest & srr allest rise/run. �� vy AbJ IT, o N) .230,4 Pb s ------..._ e t3—zs 7z BUTTE COUNTY BUILDING DEPARTMENT P P R O V E D X -;::76fL v �3 22 A:4IR WA II Cg lc -o/ C-4. 4� PZ A -^I A e fv-�-G ( 10 "�)Af J f /40 - a C✓4 P Z k G4 P S�//P, .. .ids .. � �.r,�•. � �. ����z: _ _ .. ._---___-•__ _ .__ ... __.. � 10-' .�,• LL a J r> CUP6 1 � � /-res r ;: /��'f-•��,� r�- OF (nAIL- r c- o� y I --ru 06 '�� �c-,K� .. , - I - S,f_.„'�..:, � ��� \ Jif �•-- t,'y'C I 7-/1,4f,' 47 �.-D�( ve. �C4L�T � , CRA►(! L.. � -, A � - .�., pn J CPJTG�I//fL Run meas � 3/b• max. tot rance ibetween largest & srr allest rise/run. �� vy AbJ IT, o N) .230,4 Pb s ------..._ e t3—zs 7z BUTTE COUNTY BUILDING DEPARTMENT P P R O V E D X -;::76fL v �3 22 A:4IR WA II Cg lc -o/ C-4. 4� PZ A -^I A e fv-�-G ( 10 "�)Af _77 r : .� ....- r. : r .:.. I fill WOOI .Allowh, .., , I . .. : .l: ,.