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HomeMy WebLinkAbout040-670-003BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" Y ' OWNER INFORMATION Last Name�� irst Name k Address (oS,� 6,Daq DQ City A2 Cl Sta Zip Phone ia' 73 Fax 3� .Y7,-AGY f E-mail CONTRACTOR Name Address Nb, /fix l o 3 City Phone City � 2 6L c� Stat Zip9 Y 9G 7 Phone "Iaj)� a S� Fax &7 7 "a 6 q/ ' E-mail Lic. #S a /2 Class ARCHITECT/ENGINEER Name Address 30 4 S C w City Phone Stated Zip g S 9"7 Fax E-mail State License Number For office use only: APPLICANT INFORMATI Name I Flood/one Address SRA I Yes I Vo City Type Const. State Zip Phone Lot# Fax E-mail SIG ATURE X r 1APPLICANT A I� ./� / I l For office use only: Zoning I ki I Flood/one 18e I SRA I Yes I Vo Occ. Type Const. Subdivision'Name Map Book FPage7 Lot# Planner Date Approved: UVtK FUK SUBMITTAL REQUIREMENTS PERMIT 0&_ / BP PROJECT LOCA TIO&P AP# D O e 69 70 0© 3z ' Property Addres 6 3 E4smIletvpc. Cily i co Cross Street WORKER;9 COMPENSATION Policy Number Carrier If hiring anyoneVer than license contractors, a certificate of worker's comp s,Ltic6UPst be shown at the time of permit issuance. LENDING AGENCY Na b I Addr 17 _J?,agilption or Scope of Work: K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Sq FT- Livingg4iY7 Garage /0)7 Open Cov q $� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Am u v /Bldg SRA Receipt #: 11594 M Sheriff SMIP Date 3b ��� ��tl,,,,////Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. 'The following:drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and'signed-,calculations:` ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). r_14. NPDES Form. ❑ 5. Encroachment Permit for -driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. \ REQUEST FOR FEE REFUNDS Refunds can only be made. upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 OVA:15IM611 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 V PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 646-6-b o65 Proposed Building Use: Permit Technician: Date: �' �l) (1 O Items required in order to apply for a permit All boxes MUST be checked OR marked NA in orde(%, apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. f> 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these . must be stamped and wet -sinned by the engineer. . -li 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 0 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Regaining items needed to issue the permit (May require additional plan review upon receipt of the following items.) 02N 14. Sanitation and site plan approval from the Environmental Health Department in 1W6ico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ . 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ........... 23. Planning approval for (A) Use: 64- (B) Parking: (C) Parcel Check :.... .... .... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 1 26. NPDES Form...........25. Fire Marshall Review (commercial projects only). Sent by ...............................................................:.................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number.. ........................................ ❑ 30. Owner -Builder Verification.(- Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. -Existing violations and/or expired permits.......................................................... Cl_. 34. Deed Restriction.......................................................................................... ❑ r 35:Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone �•� %' `S ',�rar ( (�}� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit Applicant Date: 1. Index permit app kation for the bove it m Plan Check Let er 2 at items required Contrac, designer, owner, was adv' of h above a by ph ne, ❑ mail, ❑ counter, by Date: - 111 Contractor, designer, owner, was advised of the above data by Elphone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, l advised of the above dalla y . ❑ phone, ❑mail, 11 count b i Date: Plans reviewed by: / Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal: Clearance for welling. Other ea Hold final for:e�-Tr-��.u�a.L Final clearance O.K. for: NOTE: Ii E.H. Y Plot Plan Attached Floor Plan Attached Sent to BD/DS / AP# Water Supply: Public Private Well e4 ,09XIO.Qoalg L! yOC.ta E vironmental Health Sp54ialist Date Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.butteco6nty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner DRAPER, JOHN APN No: 040-670-003 Permit Type: Subtype: App Date: 6/8/2006 Permit No: BP 06-1364 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $4,651.17 Plan Check portion of Permit Fee $1,860.47 $2,790.70 Balance of Building Permit Fee 2 FEMA r7lBYes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 - $20a.98 NC7N-KEI-UNUABLE portion of tees due at application $1,970.45 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,970.45 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT,172.72 $2,790.70 $32.91 RECEIPT DATE Tech/Asst 455683 6/8/06 Tammie 4 5 6 7 7a 8 9 10 Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: INWA(: I FEES - KESIUEN I IAL` Applications After 04115106 u Per Dwelling SFD sc Per Dwelling MFD Per Dwelling Processing Fee is automatically added to impact fee total 1 County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North t:nlco Specltic Plan SR -1, SR -3, SR-1/PD 8801.091 7395.04 �c R-1 O 'L° R-2 R-3 8897.09 7491.04 8390.09 6984.04 7604.09 6198.04 Processing Fee is automatically added to impact fee total 1 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek 8486. 7289.40 RECEIPT DATE Tech/Asst $100.00 $4,349.11 $200.00 � New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO I: is completed for applicant to take to respective district office. RECEIPT DATE Tech/Asst l U PERMIT. Forms will be prepared after plan check 12 SCHOOL DISTRICT FEES* Chico Unified School District 062 V � � {�" i L '}'O `7� 'V, = 12a RECREATION DISTRICT FEES* Chico �11t. `t �l At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the p91 it. �synay be changed during the plan checking process. II Applicant: Date: � I O I D(0 Pursuant to Government code Section 6604, you are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING July 13, 2006 John Draper PO Box 1103 Paradise, Ca. 95967 Assessor Parcel Number: 040-670-003 Building Permit Number: 06-1364 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS: 1. Provide flood vents for the foundation that match the flood certificate requirements for the living rea and garage. The flood certificate form has expiration date of December 31, 2005. Need to submit current flood certificate that shows the required number of vents for the garage area. Flood elevation for the attached garage. 3. bmit two new corrected sets of plans. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for ur permit.) The counter staff will answer any questions concerning the Data Sheet. Jim P rson Plans Examiner Cc: Gary Hawkins; Architect' j rte-► N� - 2 4,U171-1 Z--5> r Butte CouiityDepartment ol'Developinciit S'ervlces o��rrFo 7 County Center Drive a ✓ Oroville, CA 95965 0 o (530) 538-7601 Telephone (530) 538-7785 Facsimile cout4 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: o I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r " uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: 0141d::4 W Building site address: Lor -3 PQSA+i E- too Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: �e d SIGNATURE APPLICANT DAT K:Form. BldePertnihvithoutClearances 020705 OAF PSTMENr �VTT� O I C O \\, Department of Public Works V C o u n t y o f B u t t e J. Michael Crump, LAND ,DEVELOPMENT DIVISION p %/ . Storm Water Management Program Director 7 County Center Drive Oroville, CA 95965 OvB�w '�5 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement - [LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more. of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure. to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a.project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: ()�� ft�— Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 3045 Ceres Avenue, Suite 135 Chico, CA 95973 (530) 892-2700 GARY HAWK I N S Fax (530) 893-0532.. t ARCHITECT garyarch@sbcglobal.net March 30; 2006 Butte County Building Division 7 County Center Drive. Orpville, Ca. 95965-3397 RE:.. John Draper Lot'3 Pasatiempo Chico,'Ca Plan Check No. AP # ()qp' - (070 - ©e 3 I have reviewed the truss engineering from Longfellow Lumber Co. ."Inc. for the above-mentioned project and found that the submitted information correctly depicts the loading and design requirements. While these documents have been reviewed to verify compliance with structural criteria, It shall be noted- that the verification of. exact truss dimensions is beyond the scope of our review and shall be the responsibility of others. If you have any questions regarding.this item, ,please do not hesitate to'call this office.. S'n erel ary wkins Archi ect 9 REHS SITE PLAN REVIEW APPLICATION Date: - `� — AP# Li no Permit Naimber (if applicable) Bim Number .4 PPr rrAArT INFORMATION Parcel Size: Owners Name: t\� Owners Address: Telephone No.: A2-$ °Z2 Site Address: �— �i �`t-�✓� L �M iso /�4�U te- Prop®sed Use: Zone: Residential GP: OIL New Single Family Residential ❑ Single Family Addition = ❑ Single Family Remodel . ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic /Jell ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: ' Brief Explanation/Issue: DEVELOPMENT SERVICES INFOPJVATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By • Date 1 2006 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Miriimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: Flood Zone: e Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan:�- Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front o20 r ' Side Side Street l(� Rear �s Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 2006 Parcel Created By: 17 Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: [—].No ❑ Yes ❑ No ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel . ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements IR Subdivision Map/Parcel Mn: coay Map Date of Recording: zoo/ Book: Page: q.31I 67 Lot: 3 3 2006 za ma 3t Nub C� an ay a�aaeey ye,Y �� ao >�° ti ""mY "mv `Z za ^m 3��`ya dca3e ot lb It n I om ao`mN°om o z<.ao^< n n tauaL� 00 ^ Lea L Z o 4• a C avn4 gm �a aeo �a a° ea "� Am o ° �vaa ea.3"an^" m C Z o n Z Y� ea C a a Y �m u n mho mea b m � �n a, a m. ^ I-A v<L e z°` Ro y a o�se m ey mo yNv lay Lty no £�s a a o$ °i b°ao H a i^ m3 ea �' ✓F�"A °�°any IN g ymamgZZA Z v n1 any N N°L �° za p°° a " L m� c�^ as �coCZ o�mL�3 ° ' Fri` rC m r3 �Nm\ a�m�ma `— P6 g�"��L L Lm 1 a Z Z ° C ` " C,' .m o taa3e° s a ne �y �Fn a� m Cs m vam y "ago (h m u Nab�o°A� n oY. ^to rt ih t, ° C4 m � `Z q m�aP " a v 0 � � o QZ sT T- Z a v {A m� �G a 3°° L",ao(�OL eaa 3Yno��� �oC°og ens °20o a� a� ayaO�m1111�� me,ag�o� � �� ��mtio�c lz Hm� @� �C �T �av�to CN I� F�CZnymC "rh 04 m m m amab< m��a e y a�a� mZ��ma Yro imD�y � aZ3m ay LaA^ h o oa beC� '"i ypa o�vi u�~ mei Nip. y"L 2oaa4�� emtiopeyZ 9� N �n rYBi !A Og<in AY O���i n3 R R, mm �o' " di u2v playa a �. omCCmot°fat`"va Rt (� a " cV3� m x ems` �0 �' ai��abVym;ov 't an44t 61 °cmIN c m °y�°i5m�o gF,� moP a ~ 4 t,nnt oa rty m ��v o u�LaaLa O � o� n°m �, Nm yea ;"Dm �" �n y y aZ� Cq `I ey Q�L maao'^Do CK ti ACo 2 Nm�`� 4 jj S, ea. % la bmga Ili 75' G6,94#,-9 GO FR66 AMO / ZEGENb m4zq e0043 MA 6/P/ALS 970,¢469 FRSE eAscME /r // �\, orQ ��� P6R RSNaMI-101331 • SET �g'REAi4/P WIIZAP 3TAMP6•C) "LS 57/2 ry 2 37' I O FOLi.✓O 5/8'RE64R W�C'AP STAMPED 31,.11 s/7 /17 MAPS BD •g�o.00 • '` O Fv4uO 914'/RaV P/Pr 'RCE 72W `/0 °h O:PN°`` SG. y3' lA/J `121. 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No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE It;mtt: Read the ir> amfions on Mes 1- 7. SECTION A - PROPERTY OWNER INFORMATION I artrhshnanhoe Camnarhv lJs� JOHN DRAPPER BUILDING STREETADDRESS (Indudina Apt, Unit, Sube, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company MAIC Number LOT 3 PASATiEMPO DRIVE CITY STATE ZIP CODE CHICO CA 95928 PROPERTY DESCW MON (Lot and Bl)dr Nhunbers, Tax Parcel Nurser, Legal Desmp4On. eta) LOT 3 FAIRWAY OAKS SUBDIVISION BUILDING USE (e g., Residerft Non resider fi* Addition, Aco3ssory, etc. Use a Comments area, 7 necessary.) RESIDENTIAL LATITUDEILONGITUDE (OPTIONAL) HORUXMTAL DATUM SOURCE GPS (roe).— ( Mr-W-h4#.rtlr or ## p NAD 1927 p NAD 1983 ❑ USGS Quad Map p 00w. SECTION 13- RAW 101RANCE RATE MAP (FIRM) INFORMATION BUTIECt11AiTYlt#INOORPO 7EDAI*A I TT m I CA------ / I 134. MAP AND PANEL 17.1 IM PANE. - ES. 00D ELE1/AT00) NUMBM SUFM B&FtRMIN DATE STECTIVEiREVISEDDATEBBFLU=Z0NE(S)AO, usedeplhofltoodrhg) 06001cm C ME 1996 064866 AE I 193,7 a w. mum m mune or the Base rhwa Eehrm m (tim) daW or base mood dem erwed in 89. p FIS Pm% X FIRM p Corrm>+t* Ddwrd ed ❑ OUter (Describe): B11. Indicate the elevation datum used for the BFE in 89: XNGVD 1929 ❑ NAVD 19% p 01w ( ): B12 Ls the bAft located in a Coastal Barier Resources System (CBRS) area orProtected Area (OPA)? ❑ Y No Desianalim Date SECTION C - MRLDING ELEVATION INFORMATION (SURVEY RED) C1. Bttm elehratiorhs ae based on: XX Carhsh icbm DraxiW &dft Under Ceraln ctorh* *A new EWation Caffcate we be regwW when =Ouclion dthe btilft is complete. C2. Bht t I7iag = Mmtw $ (Select the bul ft diagram most shift to the btftV for whidh this om pleled -see pages 6 and 7. If no diagran Y � b ixov�e a sketch or pthotograph.) C3. E1wA ns-Zorhes A1 -AW, AE, AH, A (wit BFE), VE, Vi --V30, V (ft BFE), AR AWA, AWAE, 1-M AWAH, AR/AO Complete hens C3. -at beiow a mmW g b the b ftV dagrarn speh U in Item Stab the used If the datum isdiffaw9 from the dMan used forlhe BFE in Sedan B, oorived the daUn ?DOW used ierthe BFE ShawfWw ad c*Aifiom Use the spaos provided or the Con nhents aea of Sedim D or Secfim G, as appropriate, b doamherd the datums DationConvesionlCarrawnts11 Bevation reference mark used _Does the elevation reference hid on the FIRM? X Yes p No o a) Top d bolbm floor (Including basm era or ern losure) `` 191.4 L(m) m ANO SU o b) Top of red Wg, a fm 194. Lt(m) SAO �yF� o c) Bottom of bwest horizontal sbhxtural member (V — Nrn) m o d)Attadhedgarage(topdslab) gym) Lawest aro W Leslie W. Coke o e) dewatim d Y ardlorequ nherd servidng the Wffmg (D w[be m a Comerdo192.4t(m) No. 5712 o f) Lowest adjacent (finid ed) grade (LG) 191.1 ft(m) F%heg z' �lF o g) aqmW ftmW grade (HAG) J -9Z fL(M) CF o h) Na of pe rownt opt (W vents) ' 1 R above aufjaoaht grade 18_O 46 o) Total arm d allparrrarhaht openings ( vents) in C3.h 544 sq. in. (sq. an) D - SURVEYORS ENGINEER, OR ARCHITECT CERTIFICATION This mdcation is to be signer and &Mind by a land shtrveyor, engineer, or ardhitect aftrined by law to certify elevation information. 1 certify that the infom►afionin ons A, A and C on ftcart)frcate represents my bash efforts to brterprd the dela evar7abl& I understand that an false be Purftable by fare or Impfisomm# under 18 U.S. Code, See ion 1001. CERTIFIERS NAME L=)N COKE LICENSE NUMBER IS 5712 1,m ADDRESS CITY STATE ZIP CODE 717 FIFTH ORLAtrTD CA 95M SIGNATURE DATE TELEPHONE 64M 53081 &M94 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, M the coffesponding irlfonnadon from Section A. For Irhsuk:arrpany Use BUILDING STREET ADDRESS Mdu ft Apt, Urnt Sum arxifor ft Na) M P.O. ROUTE AND BOX N0. Po4 Number LOT 3 PASATIEMPO DRIVE CITY STATE ZIP CODE Carhpeny NAIC Number CHICO CA 999 SECTION D - SURVEYOR, ENGINEER, OR ARCHRECT CBffICATION (CONTINUED) Copy both sides of ft Elevation Certificate fon (1) oorrrhxmhity d5* (2) mura nce agenUcompany, and (3) b ftV owner. COMMENTS C3,a THE BITERIOR GRADE UNDER CRANIL SPACE fS NOT SUBGRADE ON ALL SIDES. THE B CH MARK IS THE CURB FLOWL BF. AT THE EffENTTON OF THE NORTH PROPERTY LAE OF LOT 3 E EVA7M 190.1S ❑ Check here dabdlments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUM) FOR ZOM AO AND M—M A (WIT KW Bim) For Zone AO and Zone A (wifhord moi. oomplela limns E1 frahgh E4. if the Elavaim C lic* b Intended foruse as iftnaim fora t.OMA or LOMB F, Section C rrphd be completed. E1. g Diagrarn Nunber (Select the IxAft diagram most mft lothe hAdI hg for wtdch ttes eertifrabe is beeiq oomplel ed–see pages 6 and 7. ff rw dagrarn aomrately mpreserdsthebAdrirg,povideaskelohorphof pph.) E2. The topdthebotomfloor(urdudrgbeserrhadaendosure)dfnebhAdrgs —ft(m) n(an)❑abodeor ❑ below (dh *om)thehgmstaga entgrade. (Use natwal Wad% ff available) E3. For Baking Diaga ns 68 with openigs (see page 7), the nesd trglherfboror elwaled floor (dlevdlorh b) dfhe fualdng Is _ ft.(m) m.(an) abode fhe tit a*oent grade Canhplete Berm C3h and C3J onfrord dfam E4. The top d fire platfarn d rhedhihery andbreghhiprrnerd servidrg the buidrg is _ fi(m)n.(an) ❑ above or ❑ below (dhedk one) the hoed acijaoerd grade. (Use natural grade, f avafiable) B. For Zone AO ordy: If notbod depth nimber is available, is the tap dtne bothom floor elevated in a000rdanoe with the comnudty's floodplain management oninanw? ❑ Yes ❑ No ❑ U k am Tha brill dfirial must ce* fns dmnafim ih Settim G. SECTION F - PROPERTY OWNER (OR MEWS REPRESENTATIVE) CERTI"TION The property owner or ownefs aWariaed mpresahtafm wb completes Seth m A, B, C (flows C3h and C3j only), and E for Zone A (withohA a FEMA or om mnty- lssuedBFE)orZarheAOmdsignthem Thesfafeme*inSechtiiMA,QGandEarsoondtoftbosfefmyMiowledge PROPERTY OWNERS OR OWNERS AUTHORIZED Fffl ENTATIVESNAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if atfadhments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local dflaal who s a dnized bylaw orardinarhoe to aM**! er the earrnunt)rs fbodplair► manage rent orrirhahee can oanplete Sections A, B, C (or E), and G d fns Bevaion Certificata. Compiae the appkable ilan(s) and so below G1. ❑ The edomhation in Section C was talm from other dompodaiah that has been signed and embossed by a ioense l surveyor, engirheer, or added who is aukrized by state or local law to oerGy elevalim idom cion. (Indcate the smoe and dale of that devaion data in the Camhhsds area below.) G2. ❑ A cannnrrly dkd oorrhpkded Section E for a buildag baled in Zone A (dd8thord a FB44tsued arcomrradl BTS orZom A0. G3. ❑ The Idbh ng irhbmaion (lairs G4 -G9) is p yded forcammrdty floodplaihh mahagernerd purposes G7. Ths pemM has been issued for: ❑ New Comtruclion ❑ Stftt mW fr mmnerd G8. Elevation ofasbufitlowest fbor(indudrhgbasement) of the buldng's _ it(m) Dafim: G9. BFE or (m Zone AO) depth offlooding at the bung site is: — _ tl(m) Dab= LOCAL OFFICIAL'S NAME TIRE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attoci merits FEMA Form 81-31; January 2003 Replaces all previous editions d i BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 411 MAIN STREET - P. O. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (916) 891-2727 TEL: (916) 538-7281 FAX: (916) 895-6512 FAX: (916) 538-2140 r t ^ Date Issued_[ EXPIR Permit Issued toBox .2-O O (e (EAR FROM DATE OF ISSUANCE 0.4 . 95'?4 To construct a sewage disposalstem for: 8676"e - Located at: / S 119:5,4 77,oeFe211'1Z7 A.P. # SEWAGE DISPOSAL SYSTEM REQUIREMENTS SEPTIC TANK Liquid capacity: 1-4-00 gallons Material ���'�� 'd -z /f s14 If - Special conditions: LEACHING FIELD Total length: Trench width: Minimum No. of lines: Rock under pipe a _ feet .,nl�'`� v15 inches/ l inches Additional leaching field will be required if experience shows it to be necessary. No part of the system may be located within 50 feet of the center line of any County Road. NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. Permit Fee $ �Z - Penalty Fee $ Additional Fee $ Receipt No. S31 - 276R (Rev. 6/94) Issued By: ; TO]'AL FEE $ VIRONMENTAL HEAL "F r 167— 1 -3-OWA-) Specification for Septic Tank Effluent Pumping Systems For Fairway Oaks Subdivision 1.0 General Fairway Oaks is a 22 lot residential subdivision located in the middle of Butte Creek Country Club in Chico California off Oro/Chico HW. As individual lots are developed septic tank effluent pumping systems will be installed and connected to existing pressure sewer laterals which are stubbed to each lot. It is the responsibility of each lot owner to install this system at their sole cost. Septic Tank effluent pumping systems shall consist of septic tank, pump vault, effluent pump, controls, alarm and appurtenances as specified herein and shown on attachment drawing 1 and on the parts list 2. All materials furnished shall be new, and of the type and quality specified herein. All construction shall be undertaken in a neat, workmanlike manor. 2.0 As Built Site Plan The installer shall prepare an as -built site plan of the installation, showing dimensioned distance ties from the dwelling served to the septic tank and inlet and. outlet and outlet riser manholes. In addition the routing and location of the building sewer line, effluent pressure line and power and control conduit shall be shown with average cover noted. Also, septic tank size (gals) and dimensions (H x W x 1L) and manufacturer shall be noted. The installer shall furnish copies of the as- builts site plan as follows 1. Butte County Health Dept. (1 copy) 2. Fairway Oaks Homeowners Association (1 copy) 3. One copy shall be placed in the plastic envelope provided by the panel manufacturer for his schematics The as -built site plan shall be neat and legible and include a north arrow, scale, lot number, A.P. number, building outline and other pertinent information. The preferred plan size is 8-1/2" x 11" but shall not exceed 11"x 17". 3.0 Materials Within these specification, proprietary or "Brand Name" products are specified and no substitutes will be allowed. This is being done.to simplify future operation and maintenance of this system. 4.0 Seutic 'Tanks A. Septic tanks shall be of the size and type approved by the Butte County Environmental Health Dept. Any septic tanks located in paved areas and subject to vehicle traffic or other locations with unusual loading will require design by a registered Civil Engineer. B. Septic tanks shall be manufactured and furnished with access openings of the shape and size is compatible with access risers and effluent pump vaults as herein specified. Modification of completed tanks will not be permitted. C. Septic tanks shall be furnished with out access hole lids. D. Septic tanks shall be watertight. Each tank shall be tested at the factory prior to shipment and tested in place at the jobsite prior to acceptance by the Owner and the Butte County health Dept. 4.1 Riser and lids A. Inlet Risers shall be fiberglass or ribbed PVC as manufactured by Orenco Systems Inc. 2826 Colonial Road, Rose burg, Oregon 97479 Phone # (800)348-9843 Risers shall be 24 -inches. high.and.have a minimum nominal diameter of 24 -inches. B. Outlet Risers shall be fiberglass or ribbed PVC as manufactured by ORENCO SYSTEMS INC. Risers shall be 24- inches, and shall be factory - equipped with the following: a) one 1 -inch or 1 -1/4 -inch diameter (IPS) neoprene grommet for the pump discharge, installed no less than eight inches from the. top of the riser. b) a PVC splice box, with threaded access cap, bonded to the riser. c) Four (4) UL Listed electrical cord grips, installed in the riser to provide access to the splice box. C. A Lid shall be furnished with each riser. It shall be latching and shall be constructed of fiberglass with an aggregate finish. D. Riser installation — each riser shall be bonded to the top of the concrete tank with a two-part epoxy available from Orenco Systems Inc. The epoxy shall be applied in accordance with the manufacturer's recommendations. A generous bead of epoxy shall be laid completely around the bottom of the riser prior to mounting the riser on the top of the tank. After the riser is in place, a generous fillet of sealant shall be run completely around the inside base. Pour hours curing time shall be allowed the epoxy before back fill is placed over the tanks. Care shall be exercised during the curing period to avoid dislodging the riser or disrupting the watertight seal between the riser and the. tank. 4.2 Pumping Svstems For Part #'s see farts Dist 1 (attached) All parts can be ordered from Durham Pump Inc. (530) 891-4821 They are the local dealer of Orenco System pumps and parts. A. Installation. All pumping systems shall be installed in accordance with the manufacturer's recommendations and. drawing 1 & 2. 4.3 Controls and Alarms shall be fabricated and installed as specified herein. All elements of the installation shall conform to applicable state and local codes and regulations. A. Control Panel See parts list 1 B. Control Panel shall be mounted on the side of the house nearest the tank and pump. 0 1 V\ `% • t Effluent e t Pumping System Orenco Systems't • Incorporated /--PVC splice Box with Cord Grips 814 ARIVAY PiPME fit,e'glcss Gaskated cid �k:th SUMER n4• ar,[C. 4 X74;9—sar2 j Stainless Steel Polls I:lsp2Ct10f1 Y•ii'FSS --, SIapB (;foul"id i moi`' Q fciser with G;orr,met(s) iall FRE:Riser and Lid fat xe;o�� from Riser � �—fib p- (g��i1 has—asa.; or naar Ground i oral ,,Q,, to tank ads ker witrl surface;• opticnali �' retiornmPlded adrlesivei EPHONE: Conduit (� / f`Z WO, Tack. ;+dopier—,, Control Pane; % /.—Discharge Assernbi (cost or bolted'�; 'I—Flexible idose FACSIf& � Condu;l Seal ' 1541 ) 459-2d84 Inlet Tee fluent Dischcrge --ar�lc A-.Japter (ccst or bwletl, TLijU7d level c7 - Level Conlro? 4r— � wWts I i Floc! Assenbiy Chock Varve (optional) Filter Cartridge Vault Inlet Ports Orfnro Ettive.it Puma i I Drain 1ro€%,e BiotubeO Pump fault POents R 4.439,312,3 & 5.492,035 Foreir Patents Per.&gq (D 1997, Grenca Sysierns. Inc. EJ 1,1 — TD_ I i Rev. %.Q 111;%OC1 Z. LL Fi':A-%e w °11X Vault & Float Setting Worksheet Note: (design Imitations) Min. Seporotion Between floats !vault Inlet Hole Location RO Above Tubes & MLL Project Name: Tank Volume: I$no Total (gal) 1SQb Dosing Comp. (gal) rev Dosing Camp. (gaVin) _ ,2- Pump(s) model:!? l OPS Pump MLL:_ _ �o Float Arrangement: M `- a --r MVP (clrcle) YesU Float Functions: 14+ Q014-v- oY\— ov�, == Pump Vault model: TN(-kS'7 -Qq l "N Cb Fess- (�w�r F�%:fun, 909RA..%t i �� 1,01 s Mfoo j41s OiO;t-: Cal Orenco system f Incorporated 814 AIRWAY AVEM SUTHERIJR ORE30N 9%4?9-9012 IELIEPHONE. (541) 459-4449 rAGSIUILr: - (541) 459-12884 9 JUL— I 1 tluld 11: 28 ill I )I X11., 1 Ill., Printed: 7/16/01 9:08:51 AM F S patris Quota(ion Par 1 ., 1 0 ANGEHELL02 Stcue Schuster (_5±�4t94449" 004}8e��98A Angela Helliwell Quotes Sutherlin OR 97479 I'lln Ills, .1.11 'I.1•i Ls4 1 TE3215 Angela H., Fit 388 ela Helliwell Quotes rico Systems, Inc. Sutherlin OR 97479 .. .. ... ,:fl�R� �:`.'1+J-nn�..n+m-o«,^.rM.r.•:+:.+....=n1;. h,�pFr� �,: Y.<;u!•�� +-:.•:..f:: �+..+i�..:i�i+.:ry!.:r::l:. _ �xP�C•�4n: t.';??41r4�.l�se ��tr ., . �.l���tei'tVo` FibergTaus Lid 24"; 4 Bolt 1.000 PRTA24 ABS Riser/1snk.4dap[er24" Dia 1.000 PR7A24B)jKII Bolt Down Kit, I'rta24 I .U(lU "RIt24I8+S+1U' PVC Access Riser, 2d" Dia. ' id S And .1 1,000 FI?4 4B FibergTaus Lid 24"; 4 Bolt 1.000 PRTA24 ABS Riser/1snk.4dap[er24" Dia 1.000 PR7A24B)jKII Bolt Down Kit, I'rta24 1.000 MA3ZU 200 Cl Epoxy KilC �,. . . a)OU SB4 Pvc Splicc Box _.W. 14 Cord Grips 1.000 PO.157-1919 Uni�er;al Biutube2� Pump Vault , 18" cartridge 1.000 P1U0511 USt EftluenrPurnp; 1/2Hp, 1c►gpm 1 ISV,60Hz,10' Lcad PA!<;'.•I MANTY 1.000 PAWii1212AN1'Y Pump�WatTaiity, > yew on OSI Pumps 1.Ubb HV I no13CFC-H32 H K,'V ,Assm' l ",k'V19k'PC, 11'iglil7ead 32" 1.000 H V;ZI00 .diem 1" Dia.:C 12" Pxternal Flex extension 1.UU� iNPABT-i'.G,W-27V FI. As.:(Y,G.Wj;2PV',etii puiiip vault . y 1.000 ST RCY&M-lCT Snn lex Panel 1 I SV V4 /1:o,Etm,Ct orOmments Orenco Systems, Inc. Subtotal For ricin • info lease contact Durham Pum 814 Airway Ave Tax pricing P P• .Sutherlin, OR 97479 $ �[ (w Durham Pump inc. -Bill Halsey 1-900.348,9843 2313 Durham -Dayton Hwy Ph: 541.459.4449 _.._ Durham, CA 95938 Fax' 541.459.2884 ptai Prepay hr Add or .1 ----------- _.....__.._-------- tees are based on OSl's April2001 price list, sales are subject to 0§17oterms an con itwns• OSI Fed Tax ID: 93-0781063 be sure that these are doe materials ed n.►d that nue totals are correct. FOB Su[herlitt, OR Freag — -- ' -_- d- djfreight charger are estimated, actual charges may m7. ---_�D&8 #; (.13=116-61 SU FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Imaor ant: Read the instruciions on oaaes 1.7. O.M.B. No. 3067-0077 Expires December 31, 200; SECTION A - PROPERTY OWNER INFORMATION For I suranoe Cornpary Use: BUILDING OWNER'S NAME Policy Number JOHN DRAPPER BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number LOT 3 PASATIEMPO DRIVE CITY STATE ZIP CODE CHICO CA 95928 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc) LOT 3 FAIRWAY OAKS SUBDIVISION BUILDING USE (e.g., Residential, Non-residential,.Additior% Aooessory, eta Use a Comments area, W necessary.) RESIDENTIAL LATITUDEA-ONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): #N - ##.#l" or ##.### [I NAD 1927 ❑ NAD 1983 ❑ USGS Quad p ❑ other. SECTION B - FLOOD INSURANCE RATE MAP IRM INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY UNNCORPORATED AREA I BUTTE CA B4. MAP AND PANEL 87. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISED DATE ./F D ZONE(S)Lo (Lorre Ail, use deh of flooding) 06007CO52D C JUNE 1998 064898 AE 193.7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69. ❑ FIS Profile X FIRM ❑ Community Determined ❑ Other (Descri B11. Indicate the elevation datum used for the BFE in B9: XNGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area ( A)? ❑ Yes X No Designation Data SECTION C - BUILDING ELEVATION C1. Building elevations are on: XX Construction Drawings' Building Under Constructor' 'A new Bevatton a wi be required when construction of the building is complete. C2. Building Diagram Nu 8 ( the building diagram most similar to the building which aocurately rrts e ' g, provide a sketch or photograph.) Finished Construction oatkate is being completed - see pages 6 and 7. If no diagram C3. FJevalions — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), A ARIA AE, AR/A1-A30, ARIAH, ARIAO Complete Items C3. -a4 below aocading to the building diagram specified In It C2. a the datum used. If the datum is drfterent from the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field measu en datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion Datum Conversion/Comments Elevation referenoe mark used Does the elevation reference u appear on the FIRM? X Yes ❑ No o a) Top of bottom floor (including basement or enclosure) 191.4 ft.(m) o b) Top of nerd higher floor 194. Lft.(m) o c) Bottom of lowest horizontal structural member (V zones o d) Attached garage (top of slab) o e) Lowest elevation of machinery andlor equip pent servicing the budding (Describe in a Comments area 192.4 ft .(m) o f) Lowest adacent (finished) grade (LAG) 191.1 ft.(m) o g) Highest adjacent (finished) grade (HAG) 192. 2 ft,(m) o h) No. of pemhanent openings (flood vents) withi ft.g 18 o i) Total area of all permanent openings (flood ts) in h _sq. (sq. cm) WION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION \.pND SU9�F V Leslie W. Coke G 'l/ No. 5712 qlF OF CP���`� t7`O This certification is to be signed and seal by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections , B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that an false stateme ma be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. COMPANY ADDRESS CITY STATE 7JP CODE 717 FIFTH STREET 14 ORLAND CA 95963 SIGNATURE DATE TELEPHONE K/ La� 6-02-06 530865.4194 FEMA Forth 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For froff roe WMany Use: BUILDING STREET ADDRESS (In>dhrduhg Apt, Unci, Suite, auditor Bidg. No.) OR P.O. ROUTE AND BOX NO. Policy Nurrk er LOT 3 PASATIEMPO DRIVE CITY STATE ZIP CODE Comp" NAIC Nurhber CHICO CA 9592s SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. COMMENTS C3,a TLC 1U C01n0 &DAM I IMOD MAUR CoA C It WW Ci IQP-DA61C nu Al 1 CiflCC THE BENCH MARK IS THE CURB FLOWLINE AT THE EXTENTION OF THE NORTH PROPERTY LINE OF LOT 3 ELEVATION 190.18 ❑ Check here ff attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zane AO and Zone A (without BFE), complete Items E1 through E4. 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 _(Select the building diagram most similar to the building for which this certificate is being competed – 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 _ ft.(m) _in.(an) ❑ above or ❑ below (check one) the highest allaoent grade. (Use natural grade, if available). E3. For Building Diagram 6$ with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjacent grade. Complete item C3.h and C3.i on front of form E4. The top of the platform of machinery and/or equipment servicing the building is _ fL(m) _in.(an) ❑ above or ❑ below (dud one) the highest adacent grade. (Use natural grade, 'rf 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 oo munigls floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATPM CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Item C3.h and C3.i only), and E for Zone A (without a FEMAissued or community - Issued BFE) or Zone AO must sign here. The datemeft in Sedbns A, a C, and E are cared to the best of rry krowledga PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZJP 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 tten(s) and sign below. G1. ❑ The infom>agon 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 orlocal law to certify elevation inb7stion. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a bulling located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G7. This pernit has been issued for. ❑ New Construction ❑ Substantial improvement G8. Elevation of as -built lowest floor (indulmg basement) of the building is: — ft(m) Datum: _ G9. BFE or (in Zane AO) depth of flooding at the building site is: _ _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if aftachments FEMA Form 81-31, January 2003 Replaces all previous editions . .16d at 161! o.c. along each edge )late, toenail .................. ......3-8d :o stud, toenail....4�8d ).over partitions, face nail..... ........... )arallel rafter€, face nail ............ 3-16d )email......... ................3-8d :ud and plate, face nail.. ... . . .2-8d )r less to each -bearing, face nail ....• .2-8d sheathing to each bearing, I .3-8d '�• ds .................. •...16dat24"o.c. beams. .'.......... 20d.-at32"o.c. at top and d ......... 2-20d at ends and at each splice . ..2-16d at each bearing PLANNING DIVISION -BU WIG PLAN APPROVAL Use: ?G Date? 0 Parking: Landscaping: Other. n Signature: F0 LOT3 0.56 ACRES 3427 LOT COVPRArx = 22 i1q! ` '~ W 0 0 O r � O U r 4--): o m LL i. c< o .,..; - o � co Z --�