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040-600-045
NOTES • . RESIDENTIAL •' X040 060 04� X03-0772 JONES;'Y� COR4Yrt�;: • PERMIT NO. _�"� '"' 10296 EL-BANDITO, L $• PURHAM tDET GARAGE..' ' ' y o O _ SPECIAL CONDITIONS CHECKED BY - SRA . J" FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ.'; ' 7 _ SPECIAL INSPECTION ITEMS• VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 04 JOB FINALED (D(/7e /4/ Signature• :� J• = OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. % P Nat. or / /" L "ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) - 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test • 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS, Date DECK RS, CARPOR(S, GAEA P Idns) OK except #'s , 'Kg Requirements-Setbac ments ootin ; Soils -Size -Depth -Spacing -Connectors -Steel 3. Dec , Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. ood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alu . Awn.; Columns -Connections -Splice -Decal -Enclosures arports• indows-Doors 7. Elec ' Sil s=Anchors-Studs-Rftrs-Trusses Googidin ailing -Veneer -Stucco -Mesh 1 of; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels G Date /[//,Card B-1 ate Card B - Date Card B-1 Date ''7- Card B - Date POOLS 'Plans)'OK ex,6eDt #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test, 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope - 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftq.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes O No Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 17. Water Htr.; Vent -Access -Combustion Air Baffle Ventilation Throughout House 18. Water Pipe; Test & Anchor -Nail Protection Corrections from Previous Inspections 19. D.W.V.; Test Fittings & Anchor -Nail Protection 93. 20. Shower Pan; Test, First Floor -Tub Access Energy Compliance Certificate -Other Certificates 21. Test Tub & Shower, Second Floor -Tub Access 96. 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. S' ing-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltratio -W - indows Dat �! Card 13-1 J Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (plans) OK except #'s 04 -'Ext. Steps -Door & Sidelight Protection -Landings 65. SmoktP ctor ace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bed m Exiting 08-T.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs &Jlails 71. Firepldce or Stove, Clearance -Hearth 7 ec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara ;'Above Floor-Mech. Protection 78. Plb ec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes O No 84.. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT nz-n77' ASSESSOR PARCEL NUMBER 040-060--045 ZONING -n BUILDING PERMIT OWNER MqES9 ODRY347-91.40 TELEPHONE SO. FT. OCC. BUILDING VALUATION !f, 2 a OWNER'S MAILING ADDRESS 10296 F1. BAMTIT) TN., DURHAM 4 CONTRACTORS ��NAME ��pp OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER _..Fireplace LENDERS MAILING ADDRESS Total Valuation $ R/,,n.M ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 369,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1120.10cz BUILDING ADDRESS 102%0, BANDITLN. DMM Energy Plan Checking Fee $ �� v $ PERMIT FEE $ F, RAS IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New JLq Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DMQ4M C,ARAM 34X68 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service io.AOR�ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin6 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: DI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service Zoog TO +000A 46.00 NEW CONST. OWEWNG OCCUP. SO so OR ADDNS. a Acc. eros. 3.5¢FT: l An NEW T. ReSID. MULTI -OUTLET @7,50 APPARATUS d SINGLE OUTLET CIR. 20 p 1.00 Ex. Occup. OUTIET OR FIXTURES BAL Q .50 Ex. Occup. ouTEiEis RE�sID E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ PERMIT FEE $ 103.30 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r/of X_ v�,/ 1 Date I d Signature of Applica t /® Owner ❑ Contractor ❑ Age'nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories ' height. f Cy MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC U CONST. TYPE VNQ TOTAL FEE $732.15 HAZ. D. FEES IMP J FLOOD COF AO I PARCEL I PD HD ISSUE / _ This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By . ; Date r� PERMIT EXPIRES ON 17� y Dete / y Receipt No. 3757 -7 a'. _ /� ",rr/ .� �.r -S&' % WHITE•D.D.S.-B.D. CANARY -ASSESSOR, PINK -INSPECTOR`" GOLDENROD -APPLICANT ` 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 j CORRECTION NOTICE <,Ilxh 6 �r,2_ -ate, 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 contacts office immediately. ire / n W Date Inspector REV 10/92 i Date Inspector REV 10/92 APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING Expansion Index Test TESTING AND INSPECTION Client: Jones Construction Project: Jones Residence Shop Contact: Corey Jones Soil description: Light Brown Sandy Clayey Silt w/ Small Gravel Sample location: Building Pad Sample taken by: B. Forsythe, ATC Depth of sample: -18° Moisture determination 426.1 Gross wet wt: 381.0 Gross dry wt: 346.0 Pan wt: 82.5 Net dry wt: 263.5 Moisture Loss: 35.0 Moisture content: Density determination / 1 :1 Wt of soil & ring: 575.7 Tare of ring: 200.1 Net compacted soil wt: 375.6 Dry Density, pcf: 100.5 Saturation determination Volume of solids: 0.596 Volume of water: 0.214 Volume of air: 0.190 Degree of saturation: 53.0% Gross final wet wt: 426.1 Gross final dry wt: 343.3 Final moisture loss: 82.8 Final net dry wt: 260.8 Final moisture content: 31.7% This test was performed per ASTM Reviewed by: Start: 2 3 06/08/03 4 F E 7 E S 1C 11 12 13 14 1 I 1E 17 1E 1£ 2C Final. Date: 7 -Jun -03 Tech: B. Carter Expansion Index: 18 3060 Thorntree Drive, Suite 10 9 Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 1 1 1111 ME nor, / , • 1 II:: 1 1 1 1 1 1 • 1 / 1 :1 :I Expansion Index: 18 3060 Thorntree Drive, Suite 10 9 Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 ,1 9• . f FEDERAL` EMERGENCY IAANAGEMENT AGENI;;Y O.M.B: No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAIII': ` Expires July 31, 2002. ELEVATION C:ERTIFiCATE Important, Read the instructions on pages 1 -7. SECTION A - PROPERTY OWNER INFORMATION Forinsurartca.Comparry-Use:i BUILDING OWNER'S NAM -,I, a PolicyrNumber CorL� 10.tlE'S . BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) CR P.O. ROUTE AND BOX NO'., ;'Company, NAIC.Numben 3 z56' �-Z X3.4 N ►-�-o �,4�/� { . CIT ' - — - -• - STATE ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 40N 04-0 — 06 — a gf-t- BUILDING USE (e.g., Residential, Non-residentlel, Addition, Accessory etc. Use Comments section if necessary.) Y LATITUDE/LCNGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I—I GPS.!T pe):_ or ##.#####o)- I\NAD 1927 , I_,._I NAD 1983 L_I USGS auad M, -,D j _I Other. _ SECTION B - FLOOD. INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME COMMUNITY NUMBER B2, COUNTY NAME B3. STATE ' t$UT1-E C C�• AlGoreP &i3 U T_ k_ B4. MAP AND PANEL B5. SUFFIX BB. FIRM INDEX B7. FIRM PANEL B8 �LOOO.'t�" B9. BASE FLOOD ELEVATION(S), NUMBER DATE EF FECTIVE/REVISED DATE Z.r� �E S 3tz' 4 ( ( ) �it�r (Zone AO, use depth of (boding) 600 —0 Seo C u� 81948 f�FO 19 11 10. Indicate the source of the B9se Flood Elevation (BFE) data or baso flood depth entered in e:i; —I FIS Profile j7YFIRM �_J-Community Oetermi lned. Other (Describe):;' • -. B11. Indicate the elevation datum used'for the BFE in B9: NGVD 1929 L�j NAVD"1988 1_1 -'.)ter (Describe): B12. Is the building located in.a Coastal Barrier Resources( System (CBRS) area or Otherwise Pr;t=,cted Area (OPA)? j_1 YesNo Designation Date: SECTION. -BUILDING ELEVATION INFORMATION (SURVE•r REQUIRED) C1. Building ele_vabons.are,besed_on:-I Cormtruction--Drawings--,...i,—_jBuilding.Under ConsUuction" j Finished Construction Anew Elevation Certificate will be required when construction of the building is complete. Irr C2`Building Diagram Number _,E� (Select the building diagram most similar,to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) ' C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE),''AR, AR/A,.AR/AE, AR/A1-A30, AR/AH, AR/AO - Complete Items C3a-1 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 8, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G; as appropriate, to document the datum conversion. Datum ConversfonlCRmments Elevation reference mark used . L -A Does the elevation rete,[en mark tiled appear on the FiRM? L_j Yes j No 0 a) Top of bottom floor (including basement or enclosure) O b) Top of next higher floor / _ — ft.(m) Q c) Bottom of lowest horizontal structural member (V zones only) O ft.(�•:i) '2y 2 Q @R•�. ' y O OOOOOOep Ono ':•l d) Attached garage (top of slab) • ' • • 8 �e ,, .., '• . '. •.. 2 e) Lowest elevation of machinery and/or equipment W mC-- servicing the building Z g ❑ f) Lowest adjacent grade (LAG) r 9 6 e & co ; r c. ; O g) Highest adjacent grade (HAG) - 19 O z' ti No. h) No. of permanent openings. (flood vents) within 1 R above adjacent grade fL(I�1 Q i) Total area of all permanent openings (flood vents) in C3h Z S 90 s q. in. (sq. w-). f.\,ft- Cj� t�• :a f SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CER71FICATION "U' •. This certification is to be signed andsealed try a land surveyor, engineer, or architect authorizer by law to certify elevation Jrrforr6416n. 't certify that the information in Sections A, B, and Con this certificate represents my best efforts; tr interpret the data available. I understand that any false statement may be punishable. by fine or imprisonment under 18 U. S. %ode Section 1001 CERTIFIER'S NAME LICENSE NUMBER 900t3��T Joe. ,2c,c .7� a: TITLE ' Civic. E ADDRESS S 3 u CI SIGNATURE -;r Pr:kAA Fenn Al 11 Al I(: oA COMPANY NAME S i R/� U3 ��t" SUIeVEY/NGt — STATE C00 . cITY ZIP G 46F DATE t 2 Z D Z I— CFF RF\/FRCF RIIIF Fr1R r.r,,)NTiNI IA nnN RFPI Ar,Fa.0 At I DRFVIr1I I— " f IMPORTANT: In those spaces, copy the corresponding information from Section A. For. Insurance Comaany use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX Policy: Number -Ty STATE D? CODE Company MAIC Numb�ar SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTiFICAI ON (CONTINUED) Copy both sides of this Elevation .Certificate for (1) community official, (2) insurance agent/compasny, and (3) building owner. COMMENTS 2�wC4 / I !iQ ?(� //V r I_I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE, For Zone AO and Zone A (without BFE), complete items E1 througn E3. if the Elevation Cartfflcatn is intended for use as su000rt7nC information for s LOW or LOMR-F, Secdon C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for v,!iich this certificate is being completec - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is I—I—I ft.(ml I—I—lin.(cm) I_j above or 1 ,'check one) the highest adjacent grade. E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevate•' in accordance -.Mlh the commune vs ,loodolain management ordinance? I-1 Yes 1-1 No. 1_1 Unknown. The local official murr_.;ertify this information in Section G. _SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTA- MI E) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E fr:.r Lone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. oROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME - ACORESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE Cr?MMENTS L.1 Check here if attachment:, SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can comolete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 1-1 The Information in Section C was taken from other documentation that has been signed Etnd embossed by a licensed sur.,eyor• engineer, or architect who is authorized' by state or local law to certify elevation informatics (Indicate the source and date of the elevation data iri the Commerrts area below.) G2. '—i A community offidal completed Section E for a building located in Zone A (without a FEMA -issued or community-,ssued BFE) or Zone AO. G3.: The following Information (Items G4 -G9) is provided for community floodplain managemen• purposes. EKMII NUMBER I I ISSUED G7. 'his permit has been issued for. j__I New Construction 1_1 Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the.bullding is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS II= CATE OF COMPLIANCE/OCCUPANCY ft. (m) Datum: _ 1q. (m) Datum: Check here if attachments cCA'A Gnrm a -39 41 Jr. Oq Af^t'C A:: nccc i r• -- r-, r- lc NO"'I'ES w RESIDENTIAL k 040-060-045 • > 03''1526_ PERMIT NO. _` JONES,.CORY _ ._.. 10296 EL BANDITO, DURHAM ADDITION 0� �L .E '4 / - SPECIAL CONDITIONS y T w CHECKED BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER Y� JOB FINALED (D Signatur 4 J=OK 0 = Not OK + = Not ApplippReady bie 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Ws 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ /'.LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade=HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and.Electricity Tagged 9. Exits 10. License Decals 11. Verify Ws with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. W/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK = Not OK - =Nat Applicable . = Not Ready RESIDENTIAL Date U D LOOR (Plans) OK except #'s 1 oning-Setbacks-Easements-Flo - lope 2. Ftg., Main; Soils-Elec_Grnd_/Ur /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth jemwalls, Main; Steel-Blockouts-Wrapped EAtemwalls, Garage; Steel-Blockouts-Wrapped 6a!Rold Downs and Special Anchors 7. Slab,Steel-Wrapped 8ofRrs-Fire lace Ftg.-Steel D ..; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 U,FeGas Pipe; Size Anchors -Yard Gas Piping; Size Test TiL^ater Pipe; Test -Anchors -Regulator -Service Test 4,'4. Electric Underground 4.&- Plums & Ducts; Clearance -Material -Support -Ins. 16. Insulation Date 1 F,,O7 Card B-1 Date Card B-1 DaCard B-1 Date Card B-1 Date PLU BING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection 19 .W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 28_.Eguip. Ground made up w/Mech Fasteners -Bond Gas & Water 8.9, 2 Appliance Circuits in Kitchen & Conductor Size GFI .2&- Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al —37 Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Qy9ervice-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. .-94.—CtMes Closet Light -Shower Light -Spa Light moke Detector Date GQ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH NICAL (Permit) OK except #'s 3 . Ducts Insulation & Support 3 et Fan, Exhaust above insulation 3 . ondensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date A4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Proper Materials & Anchors s Studs -Nailing Spacing & E Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4W Headers & Beams -Size & Bearing (Single & Duplex) Date -FRAMING (Continued) 4/_ Hangers -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 1 Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions rage Fire Protection Framing -RC Channel Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits !fft.2!!Trs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access A. Glazing Area -Glass Protection -Skylights -Plastic ±t hear Walls; Nailing -Bolt y ..K.,8race Interior/Ext r' all Panels PH 0 A� w Insulation -Walls -Ceilings 63. Infiltration -Walls- indows Dateor M. U5 Card B-1 Date Card B-1 Date r� Card B-11 Date Card B-1 Date FINAL tans OK except #'s E tens -Door & Sideliaht Protection- Landinas mourn ce Vents -clearance -Comb, Air-Connector- In,Eiamae: Above Floor-Ducts-Mech. Protection 68.7G,,Pr & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 70. St irs & Rails F Wace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. ceptacles in Garage (F.F.I.)-Romex Protection I ation-Foam-Looked in Attic 2u2rd Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance oked under Floor ❑ Yes `'-\83. Followi nstid./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84—S co Brown -Finish C. Unit Disconnect, Electrical -Plumbing 86. Ve5WAbove Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87 ater Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Venti tion Throughout House _ 9 Protection 9 erections from Previous Inspections 92. Gas 3w -Meters Tagged, Gas -Electric 93. er & ewer Connected -C/O to Grade -HD Approval *.-En !A Compliance Certificate -Other Certificates 9 ddress Posted 96. Fire Sprinkler Date — and B-1 Date Card B-1 Dat !WACard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: TO: FROM: DATE: INTER -DEPARTMENTAL MEMORANDUM BUILDING D VISIO , OROVILLE t n L HEALTH, CHICO . RELEASE ENV: HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AP#: ® - :j ADDRESS/LOCATION: Oc� p/,go/ a% Comments: GL/memos/releasehold COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PSVyllt, 0. .(Rev'12/,96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �///�W�//1 ZONING __Af0o BUILDING PERMIT OWNER JONES. GORY TELEPHONE 342-2140 SO. FT. OCC. BUILDING VALUATION 1350 R 72 900.00 . OWNER`S MAILING ADDRESS ,. -. 10296 EL BANDITO I.N. DURHAM 180 COV 21340.W CONTRACTOR'S NAME owm :TELEPHONE* ra:iJdel �•^^ CONrRACTOWS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 7 240.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 Permit Fee $ 540.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 351.30 BUILDINGADDRESS 142G� ,E I EL BANDITO IN.DURHAM Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 934.80 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Ill 7.00 77.10 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition O' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SF ADDITION Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 157.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo,, oA v=ss ,23500 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of 'Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect...^-" License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( DW: ACC. S. Y 5 3.5QFTO_ /• .25 U LTI-OUTLET NO"ON.pESlpT =ONT. 97,50 POWER APPARATUS a SINGLE AP= CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 100 134L.50 NS Ex. Occup. o ur RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 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 15.00 Cooling 5.00 Hood 6.50 Ventilation 3 4._50L.113. 50 gas fo r ep me 155.00 145.00 PERMIT FEE $ 78.530 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) +« I. certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' /a corpensation laws of California, and agree that if I should become subject to the w rkers' compensation provisions of section 3700 of the Labor Code, I shall 6rshwith comply R�ithpi provisions. /'� A. Date � nat' a of Api$lica t - OwnOr ❑ Contractor ❑ Agent rAnn OSHApermit is required for excavations over 60" deep and demolition or construction of'7of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ 4 • R3 "VNTYPE TOTAL FEE $ 1283.55, HAZ. ..�� D. FE IMP FLOOD COF ., PARCEL' `ri HD -UE 1,00 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. B Date PERMIT EXPIRES ON V De"te ReceiptNo. Jttl 30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 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 x CORRECTION NOTICE O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and uld be corrected. Please notice this office when correction of work is completed. I( you ave queslions pertaining to this matter, or need additional explanation, please contact s ice immediately. COUNTY OF BUTTE 'BUILDING DIVISION, t DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA •'(530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. j 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. you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. KC-5,17- V F��s C_ =r„ r . t\ C * ertainTeed C-1 Builders Statement InsulSafe 4 Fiber Glass Blowing Insulation Homeowner Name / Jobsite Name Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM To obtain a Thermal Resistance Bags per 1000 sq. ft Contents of bag Weight per sq. ft of THICKNESS Should not be (R) of: of net area: should not cover more than: (sq. ft) installed insulation should not be less than: Obs.) less than: 60 36.5 P7 0.986 Cin.) 49 29.6 34 0.800 22 44 26.4 18'h 38 38 0.7123 16 /4 30 22.8 44 0.615 14'/4 26 18.0 56 0.485 12 22 15.565 0.418 10'h 19 13.1 76 0.353 9 13 11.1 9 0 0.301 7'/4 11 7.7 129 0.209 5'h 6.6 151 0.179 4'/� I HtKMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. fL of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS ' , t "�__rlO V___ a� WALLS' t t4 FLOORS I HtKMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. fL of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 FROM :Sierra WestSurveyin9 FAX NO. :530 877 6254 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGW ELEVATION CERTIFICATE Read the hNfrucOm on Pages 1.1. Mar. 26 2004 09:31AM P2 O.M.B. No. 3067-0077 Expires December 31, 2009 Fer lmurw Cor =V Lka- CORY JONES BUILDINo STREET ADDRESS (InetudM Apt., UMf, Sen, ancW Bigg, NO.) OR P.O. ROUTE AND BOX NO, 133 ELEANffo LANE CITY STATE ap DURHAM CA EO— PROPERTY DESCRIPTION (Lot and B , Tax Parcel Numl Legal Oeseriptirn, etc.) APN 040-06-046 USE (e.g.. Res Non-residential. Addtlion, etc. Use a Comments ansa, if rwoewsay.) Non Reslal Structure wWWL;- vr<ultyper;_ ( -ft4w or 0.t ®NAD 11327 ❑NAD 11383 L633 Quad Ntep ❑ Othw 6WTION B • FLOOD INSURANCE RATE IiiIAP (FIRId) w;oRuATION Bt1TYE C4., CA. & INCORPAR A Olapt7 I WaE CWAJTY — I w, 9, n i c CJI NUIVIER I5. SUFFIXI 86. FIRM INDEX DATE ", 06 = � C w(f.20,1889AD EFFECTWEMSM DATE 88. FLOOD ZONES) (Z*vAJ, we depth o Depth 1.0 it 810. Indlceta tree solaced the Base flood Efevafian (BFE) dela or bgse sood oiep9e entered in W. ❑ FIS Pdk ® FIFA C} Camrmrlity netEarrtireed Q Odrer(Desdbek 611. Indican the equation dgtum used for #m SFE in BD: ® NGVD 1829 ❑ NAVD IM ❑ Other pwcrbe)- wA 842 Is the bulldirt9 located at a Coasnl i3arrler Resomes 5ysgm (CBRS) area or Qtlaewim Protected Area (OPAYIO Yes figl No Deslnmmn rr a Nre SECi10N C • E ULDING ELEVATION INFORMATION ff> W4EV REm11RE3f1 Ct. SuWm elEvaE; m are tamed on: ❑ Cafttidm Drowi W ❑Bulft Under Construction' ® Fir! AM Consrtrcton 'A new Elowelim CIS will be mWred %ft aorlsbtroWn of the teWrl q Is tom. C2. Bulldbng DIgw Mmnber 8 (Select the bW&q t9apram moat aft* to the bugftfor wtgh this aar6iit;& S Wq wed We pages 6 and 7. H n0 dieq em atxvratehr the fxradatp, provide a slretctt ar pinotoQapt►) C3. Ebv*m -Zorres A142, AE, AR A 0& BFE), VE, V434 V OM BFE), AR ARIA, ARAE, AplA1,A90, ARIM, ARIAO Com*W !berm C3. --A below=o*V to the bLWM diq m spedl'ied in Item a. $M the fto used. R the dabmn in dffwwt hom the datum used forthe BFE in Section S, convWt*dahmttothetusedferfheBFE.Shmfodmeaunmentsand dabncorwaimcakzdatlpn. Usetheepeoelxo�aded0rlhaGbrrunent5aM*fSeC6onDorSecdmG, as 4VMprnte, to ol=onent the da&m oonuersioe. Dahmrl IMV0 1929 Cwww4wilCCmvmrb _ Ele "Wn rtkwm mark used SMDoes the eleratiort mWm moKused appear d1 the FjW ® Yea ❑ No o S Q,ft,(m) Q�OfESSI. o b) Tap of reed hlgtwlbor M.0 fL(m) 4 �.. '� G. A o c) Boftom d Fitt hoAtmW stttchrrel member (V Foes my) NA. R.(m) -P e��e r • o d)Atl&died o*ddab) N1A o e) {.Paest elevation of maddnery and/or o"� mvkin g 81e hin9 (Deeo ibe in a Cantu wW area) wA ft(m) No. 27) 7 O O MM) F& (LAG) 190.9 fl(m) H * ' T -7 /l o g) Highest a*cent (finisW pdo W) MUM M o h) No. of p®rmnerd apeniW (flood vtas) 1 ft dwo a*oent Sade _ 'q7r A>y\ o I) TOIW MU of d pellremlent epon W (flood vertu) ht C3.h a4 fn. (9q. cm) SECTION D - SURVEYOR, ENGMIEER, OR ARCHITECT CER wATION This certification is to be signed and seaW by a land suNeyor, engineer, or architect auftraed by law to certify elevation fMormaflon. ( cu* Mg the Irrlbm odw In Secftm A, B, artd C on M and rrPWarrts RW bod Amts to derprd the date alraMgo, I wrderstfrd OW my false sidamerrt may be pvrp> O16 by tine ar ftP*wW4 wmb►18 U s Code, Seow t 001 CERTIFIERS NAME UCENSE NUIM ROBERT G. AGEE JR RCE 27647 TITLE COMPANY NAME CIVIL ENGINEER — SIERRA WEST SLIRVEYING ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE len 1 A PARADISE CA 95M Al, 22,2M3 MM FROM :Sierra We3tSurveying FAX NO. :530 877 6254 Mar. 26 2004 09:32AM F3 IMPORTANT; In ti>aea ate, CQW f he CWMSPwdng htmWw hm SOW= A Fa Ina oro Comt:env Use: R&D 1N3 STf�ET ADDRESS (vtcpu9rtgAp'L. Urk Side, w dla 8k4 No.)OR P,O. ROUTE 13798IREAWTO LANE AND BOX No. poly fdJ<rtber CITY STATE ZPCWE Coffpm MAIC Number DURHAM SECTION D -SURVEYOR, ENGfNMR, ORARCHTTECTCERTMATHM (CONTWUED) Copy both sides of" Elevation Cerfi Ao for (1) oormrp * WvA (2i 6tsuuanoe apmkompffiy, and (3) bUlk!(np owner. COMMENTS BENCH MARK: NAIL IN P.P. @ kW, PROPERTY 661TER ELEVATION =1924(r I Ale J1•77-14 -• 77719-7, m,r lit For Tone AO WW Zone A (wlhout BFE), mr0ete Items El tt o E5, ift Elevation Offfflate is It exM for use as mVpotting rbria bon fora :OMA a LOMR.F, Soden C must be mmpkW. El. Buffing Din Number $(SWM the bullring dVW most GWIor to ale IlM!fg far wf kh ho mtfimta Is being corny ft - see pages a and 7. If rm drV m amt raby mmserds the mice a slush or owboo.) E2. The mp of ttw bdW floor (hi d q IsEi aim I a odosue) of the huadutg isi ILo) _in.(cm) ® above a ❑ below(ehadk ata) are Vied N*cwgni NW naonl grade, W an AO*), F3- Far SwIft Duns U WM qmwp (no PW71 ft nod Iit(m door or ehrraiud ttoa ce orlon b) of ate Ix V Is _ n.{fn) _In.(an) shave ttw higttest ec�eeettt grade. Cwpleta items C3h and C3.i on tionof than. E4. The top d ate PWbm dmadtitety wdrtr equomnt servlckv ttw bui 6V Is ft(m) In.(em) ❑ above a ❑ bebw (check one) the ttjg w u gv*, (Use mh-d grade, if avaitrble). FS.ForZoneAOardy. Nmflooddepthnu twe ar gAk,sthetopdthehob*nf weWdedinacsordenoewithbeaomrtnxdly'sbodpWh mataFrneMadnatce? []yes ❑ Ab CIU *nuwn, The local ott d nurst aittifyft inEomnation s Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTMATON Thepoo)ertyumuorwmWsaufhertmdepeawtRN*aftocmTOO rsSecaatsA.S,C(MmC3.handC3.iortM,endEforZawA(wiataaeFEMA ojedoro nyt►unay-owW BFE) or Zom AO must stge hers The dgmio is b Sediians AD, a end E are cand too & nest d my laaidedip, PROPERTY OWNERS OR 00ER'S AWTHOR® REPRESENTATIVE'8 NAME CITY STATE ZIPCODE SIGNATURE DATE TaEPHONE COMMENTS ❑ Check hem If ab tinents SECTM G - "MMUNU INFORMATION (OPTIONAL) The boolo&W who Ls a*vimd by law a onlhromce b ad rMWv the remmtmky'a fl0pdpfairt ffmWmd Wmatce aen b Swim A 0, C (or E), and G d Ude Eierrdfon CeraBcalle. Come the applicable "s) and sigrt beim. Gt. ❑ The ftnmtion in Section C was taken hom other dowtvivtotbn that has been a'urwd and ambosred by a Wised mneyor, stoner, or audrited who Is a Muted by state or tocol law b cm* ebvaion Fdamteb n. (tndioaie the saaoe and data of the etevafim dab in the Co mV* area below.) G2 ❑ A Damm * dkiw oo VMW Section E for a h tlrJtug bcftd In Zone A (wt W a FSAA1sstml cr oortrtaet t,12W BFE) a Zone A0. G3. ❑ The fclxft itch ubm (Nems 04430) s provided far acrrsms* %odplam rruemagaruatt purposes. . PERMT NLWW=R I G5 DATE POW ISSUM I (f, DATE CERTIFICATE OF OOM)LVMb6=—pANOY i —n— G7. Tho permit baa beat issued fQ:❑ Now Gwwh m ❑ & bdmilbl lnvmvrar W GS. Emtrabm of as4W bvest floor (ffKM g basei" of ate tzeld'stg is: G9. WE or (in Zone AO) depth of iloo at Rte hA g site's: LOCAL OFFICIALS TLE OOM"ITY NAA TH EPF SIGNATURE DATE CommGNTS R(m) Dabuaru: �.(m) Daum: i FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CORY JONES BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 13296 ELBANITO LANE CITY STATE ZIP CODE DURHAM CA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 040-06-045 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Non Residential Structure LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##D - ##' - ##.##" or ##. ) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE CO., CA. & INCORP AREA 080017 BUTTE COUNTY CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE BB. FLOOD ZONE(S) (Zone AO, use depth of Hooding) 080017 0520 C JUNE 8,1898 AO Depth 1.0 ft 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): NIA 812. Is the building located in a Coastal Bairrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ® No Designation Date NIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction` ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used forthe BFE in Section B, convert the datum to that used forthe BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments Elevation reference mark used RM 63 Does the elevation reference mark used appear on the FIRM? ®Yes ❑ No o a) Top of bottom floor (including basement or enclosure) 191. 9 fLM cc QVLOF ESS1, - o b) Top of next higher floor N/A. _ft(m) T�,� eee••••e•ee,( o c) Bottom of lowest horizontal structural member (V zones only) N/A.49 N 49 ;' tL� ;F� 00 o d) Attached garage (top of slab) WA. _fL(m) cgz o e) Lowest elevation of machinery and/or equipment w m W 9 % - ai C a servicing the building (Describe in a Comments area) WA . _ft(m) 0 ; o f) Lowest adjacent (finished) grade (LAG) 190.9 ft(m) Z L • �, ' �� L• o g) Highest adjacent (finished) grade (HAG) 190.9 ft.(m) • •�C.' S ��u•� •• o h) No. of permanent openings (flood vents) within 1 ft above ad)acent grade o ) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, 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 ROBERT G. AGEE JR RCE 27647 TITLE COMPANY NAME CIVIL ENGINEER SIERRA WEST SURVEYING ADDRESS CITY STATE ZIP CODE 5437 BLACK OLIVE,4 4 A PARADISE CA 95969 SIGNATURE DATE TELEPHONE , J[� , / MARCH 13, 2003 877-6253 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Inducing Apt., Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 13296 ELBANRO LANE CITY STATE ZIP CODE Company NAIC Number DURHAM CA 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 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E5. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The bop of the bottom floor (including basement or enclosure) of the building is1 ft(m) _in.(cm) ® above or ❑ below (check one) the highest a*mt grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in.(crm) above the highest adacent grade. Complete items C3.h and C3J on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is_ fL(m) _in.(crm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.f only), and E for Zone A (without a FEMA4ssued or community4ssued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are ca►ect 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. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or corrpmunity-issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. I G4. PERMIT NUMBER I C5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE10CCUPANCY ISSUED I G7. This permit has been &wed for.❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buift lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME SIGNATURE COMMENTS TELEPHONE DATE fL(m) Datum: fL(m) Datum.- LOCAL atum: