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HomeMy WebLinkAbout040-580-040140-�5<8-4o WAYNE BIRD NW cor Corbett Ct & Durham Oro Hwy, aPP4 700' off Lott Rd, Durham Permit#2070-80B,P)E,M(new single family),, �AI/2 58 040L58-0-040 99-'0522. B` E-'- MLCULLOOGH; Curt'is �Co'rbett` Ct;'Durham " (n6w,deta6hed gara'g6),' 040-58-0-040 I. � 1 11'00-1111}, '' 4 1 MCCULLOUGH, 001111MCCULLOUGH, CURTIS 9413 CORBETT COURT,; DURHAMi'ol I ST I I NI . I X -RENEWAL/99-0522L � A." FI 4A4q t4i O v .... ...... -� - _ � �, 4 1 # 4 • N y�` ES 7:!:Z��& ��Z 4 � W RESIDENTIAL F040-58-0-040., BSEcCULLOUGH, Curtis 2,000- till -� PERM, 19413 Corbett -Ct, (new detached garage) s-/ee 1\ d' SI / v SPECIAL CONDITIONS r RA ,} FLOOD CERTIFICATE REQ. :- FIRE SPRINKLERS REQ. a SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED 3 t ~ I Signature 4) U, k,4, - CHECKED . BY ✓ = OK 0 = Not OK = Not Applicable = Not Ready MOBILE DOMES Date MOBLE FiO4&),UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date ley .Coco Card B-1 2. Soils; Special MH Support Sketch Card B-1 Date p 0 Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete FINAL (Plans) OK ex pt # s 4. Water; Location -Test -Easement Needed (Sketch) Setbacks -Easements 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Soils; Compaction -Structure Stability 6. Gas; Location -Test -Wrap;-/ /" L'tt. / P Nat. or / /"L"ft./ /'LPG Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Well Clearance & Disconnect Elec.; Receptacles and Lighting, Distance-GFI 8. Utility Clearance Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. 1. Zoning Requirements -Setbacks -Easements 11. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I f I. MISCELLA US Date DECKS, COV ARPORTS (Plans) OK except #'s Z ing Requirements -Setbacks -Easements `Ldp Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors t Shthg.-Frg-Bracing 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures v 6. Certs; Windows -Doors le is I rmg.; Sills -Anchors- Studs- Rftrs-Trus e~; Siding; Nailing- Veneer-Stuc - Db EA dor/t!G'¢io,✓ o/ p"C/o Lefc4) RNs ��� icy ©►J 4- 010-65<04 r d Wall Panels w s t 5;+k. c4, J r- 6 ,J..! f &C-4- - D 5 Date , , JNA Card B-1 Date ley .Coco Card B-1 Date 7 2' 9 i Card B-1 Date p 0 Card B-1 Date FINAL (Plans) OK ex pt # s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L ht 9 Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Db EA dor/t!G'¢io,✓ o/ p"C/o Lefc4) RNs ��� icy ©►J 4- 010-65<04 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date U erfloor (Plans) OK except #' 1 n' -Setbacks-Easements-FI Slope tg. ain; Soils-Elec. Gsad.i /" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Hangers -Post Caps -Anchor; -Connectors 6a. Hold Downs and Special Anchors 48. 7. Slab, Steel -Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel 51. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 12. Electric Underground 57. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. 15. Access & Ventilation Elec. Outlets & Receptacles at Kit. Counter 16. Insulation 75. A.C. Duct in Garage -Damper 76. Date 77. Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date 94. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Comments at Final: 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (ContintaF _ 46. Hangers -Post Caps -Anchor; -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.`-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive :J Yes J NO/Walks ] Yes J No/Planters :J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ELEVATION CERTIFICATE O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Ute. of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevatiom-V( rmation necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Kurt & Kathy MCCULLOUGH STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER 9413 Corbett Court OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY Durham STATE ZIP CODE CA 95938 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): t. COMMUNITY NUMBER 2. PANEL NUMBER3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 060017 520 C 6/08/98 AE (in AO Zones, use depth) 159.0 i. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 51 NGVD '29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: LSI L),ILf feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicat the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level - . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation ofIng. feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I ,U feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W . U feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is w . U feet above ❑ or below El (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference Level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. indicate the elevation datum system used in determining the above reference level elevations: ® NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: D Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: actual construction :_i construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I � U feet NGVD (or other FIRM datu ee Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the1 co1 community's ni�ty's floodplain management ordinance, the elevation of the building's "lowest I floor" as defined by the ordinance is: L .0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement rtnaA corm 81-31, MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),'V1-V30,VE, and V(with ) is Community officials who are authorized by local law or ordinance to provide floodplain management information, may also Isign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may als6 sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections 8 and C 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. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) Calvin W. Bachman TITLE R•C.E. 16803 Professional En Bach ineer COach Aa ADDRESS Bman & Assoc. 13647 Garner CITY Chico Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: — 9973 ON SLAB A V ZONES ZONES FLOOD ELEVATION -► ' Com? QRO s/Oy kQ JAN W • Bqc ..� t� 6-30- I a WITH CP BASEMENT AF C A L1, "CONES OASE FLOOD ELEVATION !L •AOJACEN7REFERENCE ADJACENT GRADE _ LEVEL GRADE :;]Tin'.?>':: GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 Sep - 09— 99 06: 50A wt5dc- 9166852831 P.02 1 ISO I APA-=VJr%7 a Certificate of Conformance ' certificate 052728 THIS IS TO CE=RTIFY that the glued laminated, timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A19o.1-1992, For Wood Products - Structural Glued -arninated T rvber INIER-486 Glued Laminated Timber Combinations And "GAP" C:ornputE!r Program For Determining Design Stresses PITC 11 -93 -Manufacturing - Standard Specifications For Structural Clued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in manuiacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to Industry standards for lumber grade and glueline bond quality. �aaaaaa�aa�l �� W U P 0 Aa e ip I,' av i v.► � J jf � Thomas G. Williamson Executive Vice President ExQ:,�sE:�fD x.7CU 51"S"EMS tae reia;aa corpo,auor of A?A - rNF ENCtNEERED WOOD ASSOGrA'rrON 7l:11South 19th Stroel • PO Box 11700 • Tacoma. WA 98411.0700 -etepnone (2531 565.6600 • Fax Number 1253) 565-7265 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES Main Street • Chico, CA • (530) 89172751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 4�- 52. Z- R d PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 Ir o C fo 15 e r -a -e or ice C7 -r- Date -1 Inspector REV 10/9 r^ n ry �'y',�_; ='e p4 �„�.a-a=-4�.- i.r•�wi.'a-�yp.e-+":..est. ;L'Y`.. axe r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES O#RrMain Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining tosthis matter, or need additional explanation, please contact this office immediately. 9 v / Date / 41— / 9 Inspector If3 , REV 10/92 To: Building Department From: Environmental. Health � � i Subject: Sanitation Clearance `►tet: ,.. ':.� A e— owner Plans approved for: Hol�fina�lfore� Final Clearance O.K. for: :tion 7 �a/1�/� �, AP r� a ., Sewage Disposal WateZ Supply Water Supply I--- Water / Water Supply Clearance for bedroom mobil omeo Other t Clearance for addition of Note** Sanitarian Date �I ^l�It+l�ljl�l�l�lsl�l 0661.9 1 Avw RV sworn onand dO '1d3C BJAng dO klNnOO iv: ;.. ;'.�v,;,,r-.-.-,. ..;.. .. .. ..i."-:.�►•.a;tyles••.{=+p+.,,,c�af.y,;,.-ea ,,,,c,Y..�y..r, .-. '=Aa'�s+.F E- .,,, .',.5�:�-•'.c,'4,ie+•F�y.•r. .c:vkA''*t;��7....�v'Ja'., .? - •'' 040-58-0-040 ' ; ,. i,00-1111 MCCULLOUGH,' CURTIS 9413 CORBETT COURT, DURHAM ' ' = 1:ST RENEWAL/99'-05221, k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 3 ' -75�' , / '° rIT NO. (Rev. APPLICATION AND PERMIT // ASSESSOR PARCEL NUMBER ZONING qg BUILDING PERMIT OWNER C!TRTIS1 T ITT TELEPHONE— 345-3580 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 0411 CORRE= WIRT WIRRAM CA 959-8 CONTRACTOR'S NAME okir—pp TELEPHONE " CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee T $ 81 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINGADDRESS E Energy Plan Checking Fee $ . _ COURT, PITIRITA-14$ PEtMITEEY ` LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARACF SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe work: IST RENEWAL/94-0522 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service e000Av OR. LESSss zoOLE 23.00 + lr LICENSED CONTRACTOR'S DECLARATION I hereby affirm finder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER- DECLARATION I hereby affirm under penalty of perjury that I,am exempt from the Contractors License Law for the following reason: f ❑ I, as owner of the property, or my emplobes with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exermpt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury onelof the following declarations: ❑ 1 have and will maintain a certificaof 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 qs'permit is issued. ❑ 1 have and will maintain workers' compensation inst'irance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Service zooA To ,000A 46.00 NEW C NEW coNST. owELLING occuP. 3.5¢F°' CC. NEWS ori ( MULTI -OUTLET NON-=. 97.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES 20®''0° BAL 50 Ex. Occup. ouTELEfS REFS p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. "^ X �� .-�. _ ' �r'< - -- •� Date U� Signature of Applicant - ❑ Owb'er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rPE TOTAL FEE $ 101.00 FEES IMP I FLOOD I CFF ' ZjC PF HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date .1 PERMIT EXPIRES ON 5/1 /O1 Date Receipt No. i . WHITE-D.D.S.-B.D. CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE T BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street •Chico, CA • (530) 891-2751 - 7 County Center Drive •, Oroville, CA • (530) 538-754 $' CORRECTION NOTICE OWNER���D No. A routine inspection indicates, that the following violations of butte county Ordinances exist at the above address and should ''be.corrected.. Please notice this office when correction of work is completed. 'If you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. ��� �AwF`�A.C• �J COU%-fY O, 3UTTE �' R BUILDING bIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751. 7: County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE R J "-PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter; or need additional explanation, please contact this office immediately. Date ti U Inspector REV 10142' v � • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751. 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ///Xota � OWNER / PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the '.' above address and should be corrected. Please notice this office when correction of work is completed. If ou have any questions pertaining to this matter, or need additional explanation, ' please cont t tt this office immediately. /O J G OSS DO';e l Pl 117 rI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 75A.1 -P� IT NO. (Rev. 12/96) APPLICATION AND PERMIT 7V / ASSESSOR PARCEL NUMBER 40 ZONING BU ILD I NG P ER M IT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9413 C-OREETT COURT, DURNA-M QA 9-59-3-8 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee i $ 2; ORIGINAIPlan ARCHITECT OR ENGINEERS MAILING ADDRESS Checkin Fee $ BUILDING ADDRESS 9413 CORBETT s Energy Plan Checking Fee $ $ PERMIT FEE $ 10 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation ❑ Other3V[ Describe Work: IST RENEWAL/99-0522 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' A OR LESS 23.00 %LICENSED CONTRACTOR'S DECLARATION �` ` I hereby affirm def penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so SCCOOOA NEW CONST. DWELLING OCCUP. W: OR ADDNS. ( 8 ACC. BLDS. SO 3.5QFT. pO�lp MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE oun-Er CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ 1:50 OWNER Ex. Occup. OUIXT E�s pa,6.) A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall At forthwith comply with those provisions. ��., to y ���y� Signature of Applicant - ❑ Ow er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionY-Vk of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ COrsT. TYPE TOTAL FEE $ 101.00 HAz. D FEES IMP I FLOOD I 77 CEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte CountyCode and/or Resolutions to do work indicated above for whi h fees have been paid. By, ate PERMIT EXPIRES ON 5/X/O1 Date Receipt No. WHITE-D.D.S.-B.D. CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: . -An "owner-builder" build.uig permit has-been applied for in your name and bearing':youi". .: signature. Please complete. and. return this information atyour earliest - opportunity : to avoid..:: . unnecessary delay in processing and. issuing your building permit. No building permit a --. be issued until this verification is received. 1. I personally plan to provide the major lab d materials for construction of=_the proposed grope improvement ;.� NO[ 2. I HAVE jjy HAVE NPT' ]signed an :application for a building petmit' for _the proposed work. . 3. I have contracted with the• .following "person (firm) to provide •the :proposed construction: NAME: CITY: PHONE:---_._.:._.__...._._...:..:_ , 'CONTRACTOR'S.LICENSENO:1-.'_ 4. I plan to -provideof this woi�k; °but I have hired the following person to coordinate_, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CON'TRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the fbUowing pierrsons to provide the work indicated: -_ NAME ADDRESS . PHONE TYPE .OF_W61t SIGNED: PROPERTY OWNER: SOCUL SECURITY NVINIBERAMIMM��� DATE: %' a 6 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ,y() --s y— va Dear Property Owner. • .. .. :_..;!}yam;.' Aa application fora building permit has been submitted in your name listing yourself as the Builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed bj+ property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may. protect yourself from possible liability if that person applies for the proper permit in his or her name.. `. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. if you plan to doyoown work, frith the exceptio . of various trades that you plan tai st n ract,-you-:.___ _... . - - - should be aware of the following information for your benefit and protection: `° 0 ]f you employ or otherwise engage any persons other than your immediate fan. y, and the work (including - materials and other costs) is' 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer. and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, . „_ : . workers compensation insurance; disability insurance costs, and unemployment compensation contributions. _ .. . 0 There may be financial riskifor"you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Iriteinal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, -property, owners who are not licensed .contractors are. allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing thew own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building:permit will not be issued dritil the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: Trus C.•rer•Builder Information is required by Section 19330 of the California HealLh and Safety Code. .fay 1993 2.27 COUNTY OKBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION 7 County Center Drive 9 Oroville, California 95965 •Telephone (530 8-754 �PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT �C AS8E4VRPTgtL U40 _ z0 ff 1 BUILDING PERMIT OTURTIS MCCULLOUGH TJ °1580 SO. FT. OCC. BUILDING VALUATION 6 U 14,688 'OTn1T'nfflTT COURT, DURHAM CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee 162.00 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 100.30 BUILDING ADDRESS 9413 CORBETT Energy Plan Checking Fee $ CT, DURHAM $ PERMIT FEE $ 287.30 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Nevi ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORlESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I em exempt from the Contractors License Law "e following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 6 1 should'become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature of Applicant -�] w er ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructions- of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADONS. ( 8 ACC. BIDS. sG 3.5¢ NO.R�SIU. MULTI.OUTLET @7,50 APPARATUS a SINGLE oUmET cIR. Ex. OCCU OUTLET OR FIXTUREs 20 °' 00 SAL .50 Ex. Occup. OUxTIfTS PESI6.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ ° CONST. TOTA FE 35 .8 "" D. FEES Lrl cDF PARC HD lotSUE, This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ey PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. j n g, Date ( 7 1 /ob ate Receipt No. 258236 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY Of BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT O S-,-2 LG ASSESSOR PARCEL NUM9q�V �p�_0 O ZO BUILDINGPERMIT OWNER /� epaiLpOWNERS TEtEPNo�JN,E 3-80 SO. FT. OCC. BUILDING VALUATION MAID 0 8 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation K100 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee $ .00 ARCHITECT OR ENGINEER'S WAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS n l.ir. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 'A Duplex ❑ Mobilehome ❑ Other SP�� Each Tr 7.00 Solar or heat pump water fieater 23.00 Water piping 15.00 Each as water heaterJr vent 15.00 TYPE OF WORK New Addition, ❑ Remodel ❑ Udr- ❑ Installation ❑ Other ❑ Describe Work: 9aaaal LQ Gas piping system 1 - outlets 15.00 Building sewer 15.00 Mobile Home S G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200A OR LESS 23.00(� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ,License Class Lic. NO. OWNER -BUILDER DECLARATION0 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and.will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO t000A 46.00 WEE200A NEW CONST. DWELLING ACC. OCCUP. SO OR N3 a ax. S. 3.5¢ET: Z Jr G NON-RESD MULTIOUn.ET La 7.50 PG APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU OUTLET OR ED(TURES SAL O 1.0 Ex. Occu . OF S ES 6.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ r MECHANICAL PERMIT 191ing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ _35 • ,,,Z. D® IMP FLOOD CDP PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Delo ReceiptNo. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT {Y4 'M`nF'�i- .�t►��'.�f'R'1��%,�'y� 'sl���'�'�T�� .��'S�-VTY7i �-S�TA,'�\• i+�n WZ N' '��}i.�Y,'r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: f 1 p .-� f l QD4 ASSESSOR PARCEL DUMBER:C.� Proposed Bur ding Use: ��Building Inspector: Date: -g ^ /R- Q q At time of permit applica ' n, I wiraavised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 132. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------- ---------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated. and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------- 1110. ----=❑10. Fees of $ ' ---------------------------------------------- 7-------------------------------------- ❑ 11. pact fees as shown on the attached schedule. ----------------------------------------------------------------- alifornia Department of Forestry plan approval/fees- --------------------------------------------------------- 3. Flood elevation certificate. -- - -- =- - ------------4 _. � z 4------ ------------------------- �4. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.-------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------------- 7. Planning approval for (A) Use: QK !(B) Parking; ------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑ Workers' Compensation carrier and policy number. ---------------------------------------------------- J3. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------. ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------ ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone 3�G - 3S 8 'C:� and hold for pickup atd,l L,O office. ❑ Deliver with inspector. Applicant"""- ^ ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: By; 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items Zownerr.)was Contractor, design advised of the above required data by , ❑ mail, ❑ Building Division counter, bye Date:Contractor, design was advised of the above required data by ❑ plione, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, as advised of the above req data by ❑ phone, ❑ mail, ❑ Building D' vision counter, by Date: Plans reviewed by: Date: _' Plans approved by: Date: - Cj Sets of plans on old in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: I (Date) i, ,Ali E.H. USE ONLY ` + Plot Plan Attached Floor Plan Attache�d� Sent to B.D. _ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance MCLA I IC"J44 9413 Corhefit U 040 m S °eCQ o 040 Owner Location AP# Plan Approved for: Sewage Disposal A Water Supply: Public Private Well A Clearance forOther I;qov4a- a -s• -x6+oc,�ag a-". nn P&c m , ". Hold final for: Final clearance O.K. for: NOTE: /30 / P-6 ks Environmental Health Specialist 8/96 '3-Z3-9,2 Date OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "owner -builder" you are the responsible party of mcor+d on such a permit Building permits are not required to be signed by property owners unless they are personally performing their* own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply lfyou plan to do your own work with the exception of various trades that you plan to subcontract; you should be aware of the following Information for your benefit and protection: Ifyou employ or otherwise engage any persons other than your Immediate Wnily. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as tomb — i i or subcontractors. then you may be an employer. _ ♦ if you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding; federal asocial Security ti m. . workers compensation insurance, disability insurance costs, and unemployment compensation contribta l ms. There may be finartcial risks for you if you do not carry out these obligations, and these risks are especially► serious with respect to worker's compensation. insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If die structure is intended for sale. property owners who are not licensed contractors are allowed to perform their worlepehonally or through their own employees, without a licensed contractor or subcontractor. only under limited conditions. .,A frequent practice of unlicensed persons professing to be contractors, is to secure an "owner builder" building penntt. erroneously implying that the property owner is providing his or her own labor and materia! personally. Building permits an hot required to be signed by property owners unless they are performing their own work personally. Iaformadon about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 93814. Please cdmPIeWthe-"Owner Builder Verification" on the reverse side of this form so that we an confirm that you are aware of these matters. The building permit will not be issued until the verification is returned rely. Mi el C. Vi ira. C.B.O. M er, Building inspection NOTE: This Owner-Builder.Injormadon is required by Section 19830 of the California XeaWs andSafety Code. OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signavx& Please complete and return this information at your earliest opportunity to avoid undefew in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ' r labor and materials for construction of the proposed propertyiment , YES NO O 2. I HAVE HAVE NOT O signed an application for a building permit for the proposed wo& 3. I have contracted with the following person (fm) to provide tproposedhe = eonstruc�oo:' - L NAME: CTTy; PHONE: COl•PTRACTOR'S LICENSE NO. 4. I plan to, provide portions of this work, but I have hired the following person to ooat+diq; supervise, am. prd `vide the major work: t NAME: ADDRESS: QTY: : • PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to.FV" the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: V, PROPERTYOWNE •- SOCIAL SECURITY NUMBER: */,DATE:- S1 �� 9 1 . . NOTE: This Owner Builder Verycation is required by Section 198.31 and 19832 of firs• California Health and Safety Code. This verification must be completed gird returned to our office before we are permitted to issue the permit. I-IV i o20io— so PERMIT NO. 2070-80B,P,E,M PERMIT EXPIRES✓/% OWNER WAYNE BIRD CONTR. owner LOCATION40-15-45' -cutO(oMrbet Durham Oro Hwy, app 700 E Ott Lott,.- u-rfiam �,' Temp. Power Pole Called PG&E Temp. Elec. Serv/ s Called PG&E Temp. GasrrServ. Cal l ehG& E .g /ALED1,2,g- Av (Date) (Sig ture) 0 = Not v0K Y = Nqt.-Al?licable RESIDENTIAL (Single and Duplex) (blank) = Not dealt with jr- NIA R 00 UND LOOK PI OK exe t ml's Date FRAMING (Continued) Zoning re ' ements-Shacks-Eas nts ro erty Line Firewall & Openings Ftg., Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits g!SFSirs; Width -Headroom -Rise -Run -Landing -Pira Protection L F g., Porches & Decks; Soils-Sieei- ' Fig. Depth 511—Ptrwood on Roof Overhang-Attic.Access-Rafter Outriggers beStemwalls, plain; Steel-8lockouts -WrappedSlabJ Nailing -Veneer S mwails, Garage; Steel -Block -Wrapped -Slab Stucco Mesh -Drip Screed-Fder'Verft-UdtlarH_Aecees Piers- Steel 54 azing Area -Glass Protect ion-Skylights-Plastle W.V.: -Fi gs-Te -2 WIMO-Seen Test Nailing -Bolts Size -Anchors e; Test -Anchors -Regulator -Service Test Underground & Ducts; Clearance -Material -Support -ins. ' ills -Anchor Bolts -Joists -Vents -Cripples Card! -B Date Card -BI Date Card -81 Card -81 Date Card -BI Date Date Card -B1 Date Card- Date Date Card -81 Date ;Date FIN Plans OK except q's Date 6 " Card -BI Date Date P UM NG (Permit) OK except ml's �� Steps -Door & Sidelight Protect ion -•Landings S ke Detector ater Ht.; -Access-Co b ion Ai Furnace; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor -Ducts -Mach. Protection alar Pipe, e t & Anc' Nil ctio 1 .W.V.; Test-Ft0q1'& AnoWers-Naitprotection room Exiting 7 owe ate*; First Floor -Tub Access 94CyF.I. & Bath Fixtures & Tub Access 1 Shower, 2nd Floor -Tub Accesa Elec. Trim & Subpanal; Breaker Sizes -Labels 1 as Pipe; Size & Anchors ails 6 place or Stove; Clearances -Hearth _qjoeVec. Outlets at Wood Panel; Int. & Ext. Card -B Date Card -BI Date 6 Fixt. & Appliance; Grnd.--Air Gap. -Cooking Clearance Card-81� Date Card -BI Date . Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except tl'suct EUk"Garage Fire Door; Swing -Landing -Closer in Garage -.Damper 2 ixture & Transformer Clearance -Ins. Pr tection de'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I rage; Above Floor -Mach. Protection 2 E,lec. Receptacles Spacing -Lights & Switches at Doors y . P .;, Elec. & Mach. Equip. Listed for Location 2 Size Boxes & No. of Conductors -Stapled. 2j, mex Installed lose to Edge of. Studs & C.J. Receptacles in Garage; (G.F.I.1-Rom -•Protec. Equip. Gr made up w/Meth. Fasteners -Bo , & Water n lotion -Foam -Looked in Attic es G rd Rails & Deck Construction -Po s 256 �2pppliance Circuits in Kitchen & Conductor Size 2 u d-Wice.Siae / / ga. Cu or AI-A.C. Wire Size / / ga. Cu o AI 2L -7;g angs Circ. /E, / ga. C or I Ove"irc�/ / ga. Cu or Al, I sylated Neutral t es No Fdn. Vents & Crawl Hole D •r- rainage & flood -Earth Clearance . L ed under Floor Ar*. Following instid.: Drive Yes Walks [}Yes �o•� Planters C3 Yes , Creating Drug. Problems ❑ Yes r 'i a-Rishr onductors & "und-MairOMsconnct t ;Brown -F' uip. Clearances; Panels -Motors -Mach. Equip. U. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3d./Clothes Closet Light -Shower Light e s Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing rior Elec. Trim; G.F.I. Receptacle -Underground Card 8-I Date Card -BI Date en ilation throughout House Card 8-I Date Card -BI Date I Protection Date MEC ANICAL (Permit) OK except p's ctions from Previous I pot 'gns as Test -Meters Tag G -EI c _. A Ducts; Insulation & Support , ater & Sewer Connected -C/O to Grad D ova t3brVent Fan: Exhaust above Insulation Energy Compliance Certiticats-Other Certi In e sate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet -96--ALtic-Attess & Platform if Furnish in Attic Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Gard -BI Date Card -BI Date Cara -BI Date Card -BI Date Date FRAP. NG(Plans) OK except q's Co ments at Final: 3ills; Proper Material & Anchors 3V,walis: Studs -Nailing, Spacing & Bracing -Plates -Sound_ /, /r 3 . Baring flails over Girders & Floor Nailing_ 3 aft Stop in Walls (rat proof) _ - 4 reStops; Furred Ceilings -Stairs -Chases -Tub 4'J. -adzr &Beam -Size & Bearing 4 r,gers-Post Caps -Anchors -Connectors _ _�. Joist-RL'r. Timms -Purl' g -Root Brac.- rues-Shthng.-Ring. Y,d. F' ias or Type lue-Firepl --� hruat------- 4)i tilt Access; Size &Ramex Protection -Draft Scop -Ins. Baffels 4 don. 1'lindows or Exiting Doors -Sill Hgt. & Dimensions 4 Garage Fire Protection Framing R 00 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ;. BUILDING INSPECTION RECORD i BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Car rt Po Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Pi in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 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. Sttratch Heating Service Brown Cooling Temp. Pole. finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E OME INSTALLATION ... . .. . .. . . . . . Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ANERGY CONSERVATION REGULATIONS AT A )- W .- Go2 P (fefr--6617 cam - hAVnrJ Iiw -<,, t"'ZIRM✓ (location) ( BUILDING PERMIT NO. 'ZO'70-,,'D A P. NO. qo - fS -LtS_ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors l� Walls 1L. I `L Ceiling/Roof 2�t Ducts ew Circulating Pipes k/k APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed //A' Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES r - I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name �c-_ "n.r ' t Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name__.1,q"%� (please print) Signature of General Contractor/Owner Date r/ ' State Contractors License No. 333'x/ THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive,.Oroville — Phone 534-4541 Skyway and'Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDR A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovihe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. W — AA 51, J ASSESSq PARCEL NUMBER BUILDING PERMI OWNERT A** 1& Ir f !� 1� O .7� LEPHONE us_024o SQ. FT. OCC. BUILDING VAL ATION O OWNER' MAILING AD RESS T_ 2 X30 Y 2 u z ®URP rn G S9 `3 2 490 m a CONTRACTOR'S NAME Y W1qq A)C g G -D TELEPHONE u 5 _d 24 d 112-uaaa c) �`, ��1K CF OC1 CONTRACTOR'S MAILING ADDRESS QT Z, 90)( 2uZ. DO 2µA.m 9 5 9 32 CONSTRUCTION LENDER UNKNO Fireplace Total Valuation $ 36 U LENDER'S MAILING ADDRESS Permit Fee $/9 •00 ARCHIT-E,C TOOR,NGINEER LICENSE NO. Plan Checking Fee $ -7 Q. W Penalty $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2 �� BUILDING ADDRESS 0I sw co coeP,cTT CT PLUMBING PERMIT Filing Fee 3.00 O 'c _! (�j nv ��wt J ^ x I Each Trap $ 2.00 [ (0,00 Repair drainage or vent piping 2.00 L. QWTT 2 DO(Z1040) Water piping .Z-oo Zoo LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 .. OQ Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Z Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK Newd Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ Cj, 00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service tOO AMP 00V OR ORSLESS 5.00 Main service EA. ADD -L too AMP 2.50 NEW CONS. OWE OR ADDNST ( ACC. i CCUP.&� 20 sq it 33• �O CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Profess' s Code and my license is in II force and effect. License No. i Classification �1 ❑ 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 NE NON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTF POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BL 25T BAL@LIA APP LNS. OR Ex. Occup.(0UTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ o Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one), ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating 'Yon, 3 Ti u I two 4.00 UOPAC Cooling '4T 4.00 U.CDO Hood 2.00 .pd Ventilation permit Fee $ Q 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, opts, and expenses which may in any way accrue against id County in co eque a of the granting of this ermi� ,( %� G Date ZT", rx Signature of Aricant – Owner Contractor IBJ Agent An OSHA peruired for excavations over 5'0" deep and demolition or construct- e2r 3 stories in height. ion of structuresov3_7 Mobile Home Installation Fee $ Land Development Fee $ r25• UU TOTAL PERMIT FEE ?j.:Z l -_7 0 OCCUP. GROUP I TYPE OF CONST. PARCEL PD / 1/ HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'S J Receipt No. %V47 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M r-�---�,+•�-.�,�*:..nom->�`�-_��.:�t�t�;.� �:- _ _ _ COUNTY OF' BUTTE -DEPARTMENT f9F_�RUatIC WORKS -BUILDING DIVISION County Center Drive — 0roville, California 95965 — Telephone- 534-4541 Copy of plans sent Health Dept., FireVDept., Other Date_ , During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circ) item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans approved by OTHER: Telephone Mail Other Date Copy/DPW c PERMIT APPLICATION DATA SHEET Permit No. OWNER_ (A) Ay AJ LZ f31 Q � A.P. No. Lie)- I S -L4! Proposed Building Use <; Permit fee based upon: Complete Contract Price DPW Valuation I Other (explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED: All items have been submitted................................................................... 7 Plot plans i upfic /triplicate............................................................... 3. Complete plans In duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8: Fees of $................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from C (-)'t (U Health Dept.... .S ,���� `/Ce 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, =t classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15 Pre -inspection for 7 required. Pre-inspec. request to (date) bld inspector Othe /Y! M �� %ze `ec�� a-, A y When you issue the permit, pr ceo !ss`as"foii-ows:----r`::V Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other a ( Applicant l .•� C Date /.�� n Copy of plans sent Health Dept., FireVDept., Other Date_ , During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circ) item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans approved by OTHER: Telephone Mail Other Date Copy/DPW c --- - - -- -- T)'PJCAt S�ll!?LE SiL141' f1riTIAIC____.._..� ______ ....� ____ ___. -- -• �-_.__'_' I � 3 "a .'4=. SY.IB I ,t} Y '4,v1}y::) Ar R, nf" L. a '! ''w 'tom :a �' I ;..,,f, t 9"(!, r x,_ r( ,,, :d . a .. It ,, , _D -£h: 0" 91•.66'-;; 2r D� ',I420v (T) ti Di,.., 685: cC> B"•O1R 1T49. i'f) :p:.D' 2739". 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No' 3067 -Dori I FEDERAL IEMERGENt`Y M/0.'NAG"ENiCNT GENCY ' Eipires,"July'31,,11999 x A i Nka770NAL.,FLOOD INSURANCE,PROCaRAM ' ATgENTION: Use'of this certificate does nod` provide a waiver o a flood insurance purchase,reguirement. T► is form is.u�ed only. to`pro-' 1 the.oroper insurance oremium rate, and/or to sup art a to oast }v p anagement ordinances, to determine II vide elevatio Information necessi to ensurecompiianoe with a'. `linable gonlmun' fioodplain m p, , l a,Letter.ot Map Amendment or Revision (LOMA or LOMR) You are rI requiretll to respond to this coilectlori of mformation unless a valid OMB'control number is displayed in the tipper right comer of thjsl form. z' �Instruetione forcompieting this form can be'fountl on thefollowfn I g pages 1 SECTION A PROPERTY INFORMATION " 1 FOR INSUll CE COMPANY USE BUILDING.OWNEji'S NAME _ POLICY NU "BER Kura & Kathy 'MCCULLpUGi3 M„ _ I STREET ADDRESS (Including Apt., Unit Suite andlor.Bldg, Number) ORi' 0 ROUTE AND BOX NUMBER COMPANY NAIL NUMBE3;'. 9413 Corbett Court 1 I i I il 11. OTHER DESCRIPTIONr(Lo1 and 'I" Number3 etc ) CITY,11: Durh, m a 1 � "�� ' ! STATE „ ZIP CODE i CA Pji 9.5'9.38 15ECTION B FLOOD INSURANMAA E Mi4P'(FfiillA) INFORMA710N Provide the following from the proper FIRMI. See'Instructions i ) 1, 7 1. COMMUNITY NUMBER 2, pA�JEL t�UiMBER 1 .SUFFIX A# DATE OF FiRM INDEX 5� FlRfd ZONE r ' 6 BASEIFLOOD ELEVATION 1 , t p (In714;pheE usedepot) l 06010117 520 C 6/1081/,9.8h AE. 1 59 0 I 7 Indicate' the elevation tlatum system used on the IFiRMIfor Base Flood Elevations (8E) ®NGVD1129'C] Other (describe on back)' I �9 e. For,Zones�A , , V where ho.BFE is provided on the FIRiM; and the oomjnulriity has established a BFE for"this building site;l indioato the community's (BFE: I I , U feet NGVD (or other FIRM, datum -see Section B, ftem,7) 5EC7fON C Bt'jILDING ELEVATION INFOR�ufATION 1s,, Y Using the Elavation Certificate Instructions, indtcat" the diagram number fromdhe d a'giams fo6hd on Fades, 5 and R.tha bes describes the sub)eot building slraference leval fi 9 t t 2(a). FIRM Zones-qi A30 RE AH, antl A (With BF -E) The top of the reference level floor,from the'selected diagram is at an elevation ) of L 'C` 11'4. �.�feet NGVD (or other'FIRW) tlatum-see Section B, (tam 7); I �.lb (b).'FII�M Zonas Vtl-V30, VE, and V With BFE),` The'bottom ofithe,laWesbhorizontal'structural member of, the teferepce�levei from the selected diagraml��is at anI elevation of IL I 11_J U feet NGVD (oY other FIRM datum seo'Sectlon Bill,Item!I t (c),I FIRM Zone A (%l BFE).' 1j's floor used asl the` OWerence'level friim,the seiectbd diagram isJI W U�feelt ebovo,[� -cr V # IbBIoW ❑ �Chack Or1e)' fhe high6'St grade ad)seent-to the bullding.i t I f �In r�N tea. 1 �( )• I h the reference, leve a I I 1 1 d F Rlvi ZonoAO T e Noor used a 1 r I from tf)eIselected'diagram is Ll_:J,L) fe�taagove ❑ fOr,(ielow LJ'(df)ec� Ione), a highest grade adjacent to'the•build ng. If,no„flootl depth nUmbet Is available, is Ihe.;ttuild(ng's?IoWast floor (reference MI w )evel),elevated in accordance with' the, community's food lain management ordi a ce? a ° ❑ ❑ .Urjknownl ' �''t — i r 1 p g, I n n ❑ lj r. ^YNO u i $ 3 ,Ind)catethe elevd3ion datum system used in deter jning the above reference level eleJations: NGVD'20 ❑ �Qther (desgri III under Comments'on, page). (NOTE'elevion datum Used In meastjring the elevations ls�d1/farent than' at ussd on fhe 'Flp/N (see Sootion B, `Item 7J, then convert the dlavations to'the datUrn system used'an the FlffAl,and show the convey"sloe. Ieq(iatfon undet•Ccmmenis�n Page 2.J 4Elevatitip reforence mark used appears on,FIRM: VeS' ❑,Nd (See InstruotIons, on Paged) 5 Thelreferencelevel eleVatlon Is'b�sed on ❑;actual constructlori IcunstNct'lon Ion," (NOTE: iJse"'oflconstruction drawings is'cnly Galin if the:buildin'g does (tot yet have the rofere�ce Revel floor in Plage, inlwhich case this certr(icale Iwih only�be Valjd fonthe brJllding d0079 th�e,course,of cvn..5 lection. A post-constrUct/o� ElelvaffomGerti/icate I Wtll be regdl(edance construction Is complete.) . 6�1 The elevation of the IdWest grade immediately adjacent 11 the b'uijdlng 1st L)_1_ , ,� ff C $ectirjn B, Item 7)' L, teat NGVD (or other FIRM datum see a, I 11 SE C710N D COMMUNITY INFORMATION r Ilflthe cD;rnrgunity official r sponsibte, for verifying building elevatio(!s (specifies that theyreferenceieve[ indicated in $ail 0, '(tem 1 � 1 SI not t)iel loWestlioor as defined in the.00mmUn(tYs floodplain managementbl'dinance; tale eJeVatlon of�IthelbUilding's slowest floors' asdejined by the ordinance isi ;l`Il�( feet NGVD (or otherFiRMIdatLm—see�Sectlon Bilftem 7),I 2, Date of the start of consjruction or'substalntla( improvement FEMA Fotm 81 31,,tvIAR 197 REPLACES All PREVIOUS EDITIONS SEE REVERSE SIDE FOR COt ITINUATiCdt ' '� G ,,,,,r,„,r„nay} �i,'r'..-L!"7.''^M ,dwyptl Ir�++.�4 1 G �, 4. 1 I *. drc�riw,k!I t I e 1 , V,....,+- 1 , ,.,, �^"`7•-.,.t, h I , #i,; iJ I' I 11 is I I pewnldi».neumtsn�m�-M-..,..a.,ns..l ser-d�tl�ceya:Mu'2O"�Tm�M�N,�.',�,Z?1*.�*�1�^i�.A,+.w,q,rlr7cunrsc4 n�M11,.,,.I,a h ny,�raly��,,,...�;a,wNmll'M"d”Feu.Km:eim+ry�m�mbna'MhMMkyfi�7„, I , I.I I r 1 I 1 I i• I ' C :1 II..'i I Kt J7Ut N llRL C UNGKt F't if UUNUA II.UN 1"M r 2.ss `S � 1/*'=� -o' DANE 41YZ B' NC DEPgRTMNT G WAL'L1R. ,',STD 12.3 UTTE COUNTIY;'BUItDI D.W Say 19 9 5 9.14