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060-090-031
C(cC-()cIG-03 d« -d 060-090-031 99-0612 J,ACOB$ FAMILY TRUST Greybeard Lane, Butte Meadow Contr: Unknown new SF i i U0U-UI9-W 1 =169 /9-1990 JACOBS FAMILY TRU _ 7034 Greybeard Lane, Butte Meadows Contr: Unknown Temp Power for SF dwelling Gas heaterk�1Qh 060-019-031 99-1695 JACOBS FAMILY TRUST 7034 Greybeard Lane, Butte Meadows Contr: Donald W. Carr Open Deck y I 19 3 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS PAPERWORK BURDEN DISCLOSURE NOTICE GENERAL -'Chis information is provided pursuant to Public Law 96-511, (The Paperwork Reduction Act of 1980, as amended), dated December 11, 1980, to allow the public to participate more fully and meaningfully in the Federal paperwork review process. AUTHORITY - Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFIZ-1320 DISCLOSURE OF BURDEN - Public reporting burden for the collection of information entitled "Post -Construction Elevation Certificate/Floodproofing Certificate" (FEMA Form 81-31 and 81-65) is estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the forms. Send comments regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden, to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, S.W. 20472; and to the Off ice of Management and Budget, Paperwork Deduction Project (3067-0077), Washington, D.C. 20503. FL -1 :... ::.... ...... ..... :::FLOOD : EL, YA IO1 -RE U 1Y ' `:: ::::::. Building permit applications for property located in flood zones are required to provide the Building Division with a F.E.NLA. Flood Elevation Certificate. The elevation certificate is to be completed by a licensed land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. The certificate is required prior to the issuance of a building permit. A post - construction Elevation Certificate will be needed once the construction is complete. Residential Garages, Residential Storage Buildings, Agricultural Buildings, Residential Crawlspaces and all Residential Buildings are subject to the requirements listed on this document. The lowest floor elevation of new residential structures (including manufactured homes), substantial improvements and utilities to residential structures shall be elevated one foot or more above the regulatory flood elevation. "Lowest Floor" means the lowest floor of the lowest enclosed area (including any basement). An unfinished or flood resistant enclosure, usable solely for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor (provided that such enclosure is not built so as to render the structure in violation of the applicable non -elevation design requirements). If the floor is not elevated and the structure is exempt from the "lowest floor requirement," (see above) then the following must be done: A. Building designed and anchored to prevent floatation, collapse or lateral movement. B. Building is constructed with materials resistant to flood damage. C. Building constructed by methods and practices that minimize flood damage. D. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. Note: We will normally accept the following as compliance with the above conditions: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 year flood elevation. (Plate height less than 24" above grade or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of flood water. On residential and agricultural buildings the lowest floor elevation shall be elevated one foot or more above the 100 year flood elevation, the crawlspace must comply with items 3, 4, 5 and 6 above. October 1996 3.22 eininstructions included with the F.E.M.A. Elevation Certificate are somewhat confusing. This will clarity which items m— st be completed r lhi5 c- carr to be ac vtd and how to use it in the field. There will be a copy of the c-rtincate attached to every plan which has a strum• the flood p1liui -. Each certificate will be approved by the Building Official and entered into Building Division records. Section A - Property Information 1. Each portion of Section A must be completed- Section ompletedSection B - Flood Insurance Rate Map (Firm) Information 1. Itcrrs 41 through 7 must always be completed. In item #6 there will always be a Base Flood Elevation. 3. In item j'7 the BFE will a waybe established by either NGVD (Natiogal Geodetic Vertical Datum or "other." "Other," in this case mum be established by county, state or federal benchmarks. Their is no other aceeotable method 4. Item K8 does not apply. The county does not establish BFE's. Section C - Building Elevation Information !. Items Rl through 6 must be completed. 3. In item Rl a diagram reference number from page 5 or 6 must be chosen. 3. In item #2 a Coioa;a will be the most common. b, Edit>iti n will not occur. Butte County does not contain any FIRM zones VI -V30, VE or V. c will not occur. There will always be a BFE. C. C:. d Ca €i as will occur and must be completed 4. Items 44, 5 and 6 are self explanatory and must be completed, Section D - Community information 1. Will be completed by the Building Division if necessary. Section E Certification 1. Section C, item �5) may be signed by a land surveyor, engineer or architect who is Initial copy based on construction drawings (see authorized by state or local law to certify elevation information. Final copy is required before job final to be based on actual construction (Sec. C, item #r5) must be stamped and signed by one of the above. In the field, we will usually no longer have a bench mark at the site to locate the floor level, but will use the top of the reference floor level (from Section C, item n2 a or d), and the elevation of the lowest grade adjacent to the building (Section C, 96). to make this determination. F oam Example: From Section B, 6 - (BFE Base Flood Elevation) = 150.00 R From Section C, 6 - lowest grade adjacent to building - 148.00 ft.. = 2.00 R Difference + 1.00 ft above Top of reference floor above adjacent ground level = 3.00 ft. difference or minimum of 151.00 ft. Finish floor must be minimum of 1 R above BFE, so from lowest grade adjacent to building, measure 2 ft. above grade to BFE, plus 1 ft. To top of reference floor level, or a total of 3 ft. above the lowest adjacent grade__ Top of refexenet floor le -1 Urcm Seem C, item 2(a) or (d). See example: minir me or 1si.00 ft. elevation Sue --rood =avation (from Section B, stent 6) See example: 150 11. elevation. Lowest crude adjacent to tusldir` (from Seetan C, item 6) / See example: 148.00 n. elevatian ,.2 ) September 1996 O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER _ JE2E A t 5A MA LI:& JACo13S STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 4CM¢ is Y4fao ma LN _ OTHER DESCRIPTION (Lot and Block Numbers, etc.) for 4 IScAsELToN TQACT AP C&o-oSo• 31 CITY STATEZIP CODE W(J Tery. mr-AVows - gazt.6 r 2AA,L.N <=Aq 5942 Fit Ct 105Z aw+ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 404! a-. 4=D025 Pi' 9.29. 811 (in AO Zones, use depth) 4-315.'5 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �, JNGVD'29 0Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:1 14151 l 151.-75j feet NGVD (or other FIRM datum–see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate he diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of ! �4I3! 1 ' % .3! feet NGVD (or other FIRM datum–see Section B, Item 7). pnI y (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I�1—i .� feet NGVD (or other FIRM datum–see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 2 �� feet above; or below 71 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ; .- feet above'. -7 or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? _ Yes No 7 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD'29 Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: l Yes "No (See Instructions on Page 4) 5. The reference level elevation is based on: i I actual construction i1 construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:; .feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: 1 1 i i.i feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections 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 (or Affix Seal) GJ. Ae&A-)r jeGE l fSG GC.cp TITLE COMPANY NAME c/u,L aOJ6i.V ? 4AA.,0,Z.-J E.Jli.t� .c)G CA 955Ea ADDRESS CITY STATE Lir R-.0. 4r.6't / 3 ZS lvtC.caca� s �<::.—,4 5588 PHONE SIGNATURE /j /� / �77 1530,) Q$4.7-:5ss Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. A4 A41! 5 COMMENTS: /GN 4,Ji9 %',E.2 .4d�'S5�'P�JFT� ���� S7 EGCtJ.6T�� S AA,= 7134^4 S.rar //hz/S7 U'S56 �M '�4E6 /S33 �/iurrE Co • ems' Sn) fFGBv 47:51-S-7 So .uc� of qua+-,/�oa�vr R= - /.v rAK 2 sic riaAJ . 7'OW1 — S6r A -W 0 L *Ate J Ir Si,v0E o�= Z4. `+Ciz �'R6es Sear,v ac Gaa�t� nJ@�v �.•> qIo,2y�c cs.�r�e ac P•egc�fc.. ,4i&0J waJ► 2 MAa4c $ AXIE 04oAot J.aru 1997 S r';+lrolol . ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERENCE REFERENCE BASE LEVET L-vEl FLOOD ELEVATION BASE ..1 •, FLOOD EN CE R E BASE R E E E C VAT N E ADJACE LE �O FLOOD . GRADE LEVEL ELEVATION REFERENCE ADJACENT LEVE* GRAD ADJACENT:. GRADE ..... �c.�.:............ . �: 11(11: �>". . The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 THE NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that the community "obtain the elevation of the lowest floor (including basement) of all new and substantially improved structures, and maintain a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement. The Elevation Certificate is also required to properly rate post -FIRM structures, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), for flood insurance in FIRM Zones Al -A30, AE, AO, AH, A (with Base Flood Elevations (BFE's]), V1 430, VE, and V (with BFE's). In addition, the Elevation Certificate is also needed for pre -FIRM structures being rated under post -FIRM flood insurance rules. Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper flood insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Only a LOMA or LOMR from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal requirement for a lending institution to require the purchase of flood insurance. Note that the lending institution may still require flood insurance. This certificate is only used to certify the elevation of the reference level of a building. If a non-residential building is being floodproofed, then a Floodproofing Certificate must be completed in addition to certifying the building's elevation. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE's), V1 -V30, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may also provide the information on this certification. SECTION A Property Information The Elevation Certificate identifies the building, its owner and its location. Provide the building owner's name(s), the building's complete street address, and lot and block number. If the property address is a rural route or PO box number, provide a legal description or an abbreviated location description based on distance from a reference point. SECTION B Flood Insurance Rate Map Information In order to properly complete the Elevation Certificate, it is necessary to locate the building on the appropriate FIRM, and record the appropriate information. To obtain a FIRM, contact the community or call 1-800-333-1363. The Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when construction of the building was started. Items 1 - 6. Using the FIRM Index and the appropriate FIRM panel for the community, record the community number, panel (or page) number, suffix, and Index date. From the appropriate FIRM panel, locate the property and record the zone and the BFE (or flood depth number) at the building site. BFE's are shown on a FIRM for Zones Al -A30. AE, AH, V1 -V30, and VE: flood depth numbers are shown for Zone AO. Item 7. Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the upper right corner of the title block of the FIRM. Item 8. In A or V Zones where BFE's are not provided on the FIRM, the community may have established BFE's based on data from other sources. For subdivisions and other development greater than 50 lots or 5 acres, establishment of BFE's is required by community floodplain management ordinance. When this is the case, complete this item. Page 3 SECTION C Building Elevation Information It 1. The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level. Choose the diagram that best represents this building, record the diagram number, and use the indicated reference level to measure the elevation as requested in Items 2a -d. Item 2. Depending on the property location's FIRM Zone, complete Item 2a, 2b, 2c, or 2d. Use the reference level shown in the appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate, for all A Zones, the elevation should be measured at the top of the reference level floor. For all V Zones, the elevation should be measured at the bottom of the lowest horizontal structural member of the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest tenth of a foot, or alternatively, unless prohibited by state or local ordinance, the reference level elevation may be "rounded down" to the nearest whole foot ("rounding up" is prohibited). Item 2(a). For structures located in FIRM Zones Al -A30, AE, AH, and A (with BFE's), record the elevation (to the nearest tenth of a foot) of the top of the floor identified as the reference level in the applicable diagram. Item 2(b). For structures located in FIRM Zones Vl-V30, VE, and V (with BFE's), record the elevation (to the nearest tenth of a foot) of the bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram . Item 2(c). For structures located in FIRM Zone A (without BFE's), record the height (to the nearest tenth of a foot) of the top of the floor indicated as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. Item 2(d). For structures located in FIRM Zone AO, the FIRM will show the base flood depth. For locations in FIRM Zone AO record the height (to the nearest tenth of a foot) of the top of the floor identified as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building. For post -FIRM buildings, the community's floodplain management ordinance requires that this value equal or exceed the base flood depth provided on the FIRM. For those few communities where this base flood depth is not available, the community will need to determine if the lowest floor is elevated in accordance with their floodplain management ordinance. Item 3. Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring the elevations is different than that used on the FIRM, then convert the elevations in Items 2a -d to the datum used on the FIRM, and show the conversion equation under the Comments section on Page 2. Item 4. Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be used for elevation determinations. In areas experiencing ground subsidence, the most recently adjusted reference mark elevations must be used for reference level elevation determinations. Item 5. Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings. Construction drawings should only be used if the building does not yet have the reference level floor in place, in which case the Elevation Certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be needed once construction is complete. Item 6. Record the elevation measurement of the lowest grade adjacent to the building (to the nearest tenth of a foot). Adjacent grade is defined as the elevation of the ground, sidewalk, patio, deck support, or basement entryway immediately next to the structure. This measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMR. SECTION D Community Information Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the NFIP. Otherwise, completion of this section is not required. Item 1. The community's floodplain management ordinance requires elevation of the building's "lowest floor" above the BFE. For the vast majority of building types. the reference level and the lowest floor will be the same. If the community determines that there is a discrepancy, record the elevation of the lowest floor. Item 2. Enter date. These terms are defined by local ordinance. SECTION E Certification Complete as indicated. The Elevation Certificate may only be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30. AE, AH. A (with BFE's), V1430, VE, and V (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also sign this certification. In the case of Zones AO and A (without BFE's), a building official, a property owner, or an owner's representative may sign this certification. Certification is normally to the information provided in Sections B and C. If the certifier is unable to certify to the selection of reference level diagram 6, 7 or 8 (Section C. Item 1), e.g.. because of difficulty in obtaining construction or building use information needed to determine the Distinguishing Feature(s). the certifier must list the Feature(s) excluded from the certification under Comments on Page 2. The diagram number used for the Reference level must still be entered in Section C, Item 1. Page 4 INSTRUt:. IONS The following 8 diagrams contain descriptions of various types of buildings. Compare the features of your building with those shown in the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C, Item 1) and complete the Certificate. The reference level floor is that level of the building used for underwriting purposes. NOTE: In all A Zones, the reference level is the top of the lowest floor; in V Zones the reference level is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest floor definition. DIAGRAM NUMBER 1 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSE, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor is not below ground level (grade) on all sides% This includes "walkout" basements, where at least one side is at or above grade. (Not illustrated) HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 3 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level is not below ground level (grade) on all sides'. This includes "walkout" basements, where at least one side is at or above grade. HIGHER FLOORS HIGHER FLOORS (IF ANY) (IF ANY) I 1 1 I I I I I I I I I I I I 1 UPPER LEVEL 1 GRADE GRADE INTERMEDIATE LEVEL LOWER LEVEL REFERENCE LEVEL !TOP OF FLOORI DIAGRAM NUMBER 2 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE) HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The first floor or basement (including an underground garage') is below ground level (grade) on all sides'. HIGHER FLOORS (IF ANY) I , I , 1 i GRADE FIRST FLOOR BASEMENT(INCLUDING UNDERGROUND GARAGE) REFERENCE LEVEL (TOP OF BASEMENT FLOOR') DIAGRAM NUMBER 4 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT ATTACHED GARAGE. Distinguishing Feature - The lower level (or intermediate level) is below ground level (grade) on all sides'. HIGHER FLOORS HIGHER FLOORS (IFANY) (IF ANY) I I I I 1 I I I I 1 I 1 1 I I Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office. garage, workshop, etc. Page 5 Note: In all A Zones, the reference level is the top of the lowe-, floor; in V Zones the reference level is the bottom of the lowest horizontal structural member (see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest floor definition. DIAGRAM NUMBER 5 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For all zones. the area below the elevated floor is open, with no obstruction to the flow of flood waters (open wood lattice work or readily removable insect screening is permissible). HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 7 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, SOLID NON -BREAKAWAY WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For all zones, the area below the elevated floor is enclosed, either partially or fully, by solid rte -breakaway walls, pr contains equipment servicing the building. For V Zones only, the area is enclosed, either partially or fully, by solid breakaway walls- having an enclosed area greater than 300 square feet. For A Zones only, with an area enclosed by solid walls having proper openings.--' and used only for parking, building access, or limited storage, use Diagram Number 8 to determine the reference level. HIGHER FLOORS (IF ANY) ELEVATED ENCLOSED A FIRST FLOOR REFERENCE LEVEL GRADE DIAGRAM NUMBER 6 ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE) HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR WALLS, WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature - For V Zones only, the area below the elevated floor is enclosed, either partially or fully, by solid breakaway walls." When enclosed area is greater than 300 square feel or contains equipment servicing the building, use Diagram Number 7: this will result in a higher insurance rate. The enclosed area can be used for parking, building access or limited storage. HIGHER FLOORS (IF ANY) DIAGRAM NUMBER 8 ALL BUILDINGS CONSTRUCTED ABOVE AN—UNFINISHED SPACE, INCLUDING CRAWL SPACE. Distinguishing Feature - For A Zones only, the area below the first floor is enclosed by solid or partial perimeter walls. is unfinished. and contains no equipment servicing the structure. The area can be used for parking, building access, or limited storage. HIGHER FLOORS OF ANY) Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level (grade) on all sides is considered a basement even though the floor is used for living purposes, or as an office, garage. workshop, etc. Solid breakaway walls are walls that are not an integral Dart of the structural support of a building and are intended through their design and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or supporting foundation. An area so enclosed is not secure against forceable entry. "' If the area below the lowest floor is fully enclosed, then a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. If neither of these criteria are met, then the reference level is the lowest grade adjacent to the structure. Page 6 LANDON ENGINEERING P. 0. BOX 1325 and 103 SOUTH PLUMAS SURVEYING WILLOWS, CA 95988 P 0 0 A T E 0 (916) 9347055 By IV KJ Date I h -L Subject 15e_r_L)4r7c=KJS -Sheet No. I of Client A - --' 5A 9.4 rA doZ6 Job. No. M -04v foAJS P -I -N. Of SEG. 29 -I. Lb Iv. r-tA E 1M. a U. b 60-08 - IDD B9 AZ C39 \\ O I O / � 9 \ \ 2 \O 100 Z VL 913pP'o \mU s \ 6 T STIO Z w � b / 05 `r 4 O \ 09,g IB ' \ 18 0� a 5 � , o 90500\ =, 6 .24Ac P0� T c, O z 90 09 100 g3 .:.r I6 \ f \ • � a O � �14 13 .25Ac 92 4 \ \ \\ 19 N> 9 43 P s 339 CD V.z 169' \ g 9010 339 � IO I: \D c\ O \ \ 9 5 — 3 \ a 70 38 I11 q3 03 N m U 100to . Lo Z 16 ; �\ r4 1 5 A 0 10 5 U 1 10�� qT. g9�b I 3. JZ -' 14 0 \ 795 22 21 co 11 Ip 11 12 a _ 95 95 ?1 23 Z ^s 1 A E 24 a 3 —� LANE 9 GREY EARD Bo B @ 4 26 'D f�M�•YN 254 75 6 2990 7 28 ~ 2 z95 95 75.2 75.2 75.2 150 71 71 95.13 30 Bo IS 2 3 4g 90 31 CREEK V V 9T. 3p 29 105 461 330.6 BRASELTON eJ��E SUB. 60 -OS (UNRECORDED SU C W ���► This map may o1 may not be a survey of the land depicted NOTE, Those porceb ore for osurrrrod purposes A hereon. You should not rely upon it lot any propose other onlyond moynol txnslllulebpd port cis. n O� than orientation to the general location OI the parcel Or parcols depicted. Mid Valley Title and Escrow Company ZF� expressly disclaims any liability lot alleged loss nr damage r which may result Isom retianco upon this map. Assessors Mo Np. 60-09 County of But e, Co. REVISED- 2-94 WADE SUBDIVISION 19 N.O.R. 18/19 L ...rr-tyrn W t996 TRW REDI Property Data sir • i UUUUiy-U i �yy—lb =y4'y5ilyyn. + ' JACOBS' FAMILY• TRUST 1 • 'beard Lane, Butte Meadows 7034 Grey a em Power for SF dwelling Gas heater _- - r ,-DETACHTOR'SERVING UTILITY. d Address GAS Meter By" a r Date ELECTRIC / '.Meter By - # Date . fa r i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT OWNER JACOBS FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1385 1`1A MITA COURT, SANTA ROSA CONTRACTOR'S NAME UNKNOWN � 707 TELEPHONE 538 -8103 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 704+ GREYBEARD (A`E' BUM WA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: Ta' POWER FOR SF DWELLLING RES BP199-0612 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 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. 00'T 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 Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLDS. 3.50FT_ tNjON.REOSID. RANCMULTI.OUTLEr 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. sA0 ° 1.00 OUTLET OR FDCTURNS FIXED APPLNS. OR 5.00 Ex. Occup. ourLErs REBID. Ea Temporary Service 23.0023-00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 4 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' compensetion',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 one hundred dollars ($100) o�less.) V i certify that in the performance of the work for which this permit is issued, I shall VI not employ any person . in any manner so as to become subject to workers'MAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X„�__ Date 92 %7a- -rl Sig Uriof Ap_ 6a t - ❑ Owner ❑Contractor ❑ Agent An OSHA permit is reg1ired for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 43.00 VthceButte D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE it is hereby issued under the applicable provisions County Code and/or Resolutions to do work indicated above for which fees have been paid. ' By Date r. PERMIT EXPIRES ON Date Receipt No. : WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT OWNER JACOBS FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1385 MANZANITA COURT, SANTA ROSA CONTRACTOR'S NAME UNKNOWN TELEPHONE 538-8103 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7034 GREYBEARDF LN, BUTTE MEADOWS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS HEATER Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. Bras owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0"I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with com y wft those provisions. _ Date o23VC(( �4� of Ap ' ant ❑ Owner ❑ Contractor ❑ Agent HA pe It is required for excavations over 5'0" deep and demolition or construction ctures over 3 stories in height. rReceiptNo. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP, SG OR ADDNS. ( & ACC. BLDS. 3.50FT. NNO.ROESID MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES SAL @ I: o A Ex. Occup. D��°,s aID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 HeatingHEAER, GAS 15.00 Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP FLOOD I COF PARCEL PD HD IS U 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. , —,- -3 n B ^—� Date C d' PERMIT EXPIRES ON /D.D.S.-B.D. (Data) CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT q�?"&4 ASSESSOR PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT OWNER JACOBS FAMILY TRUST TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1385 MANZANITA COURT, SANTA ROSA CONTRACTOR'S NAME UNKNOWN 707 TELEPHONE 5388103 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER EFi,,l.c, LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 7034 GREYBEARD LANE, BUTTE MEADOWS Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 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 101 OR LESS 200.0. LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) � and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 9111C 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 i000A 46.00 NEW CONST. DWELLING °COUP. OR ADDNS. a., BLD S. SO 3.5QFT: NEW CONS MULTI.OUTLET No1�4R61D. @7.50 Power APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES ;0000 SAL0@'50 Ex. Occup.oUnFrs R D,°�sw 5.00 Temporary Service 23.00 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 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation ,hof 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. Jof X Date �3 ��` S' ur of A ca t - ❑ Owner ❑ Contractor ❑ Agent An OSHA mit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh . MECHANICAL PERMIT Fling Fee 20.00 Heating Co 145 Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $_ Energy Inspection Fee $ �C NST TYPETOTAL FEE $ HAZ. I D FES I IMP FLOOD I COF PARCEL Po HD ISSUE This permit is hereby issued under ihe applicable the Butte County Code and/or Resolutions indicated above for w fees have been By ate PERMIT EXPIRES ON provisions to do work paid. / ReceiptNo. Wu1TC_n n e _e n r^.eMeav_e C.0nD 01MV_W0DCn 1-1 ., 11. 11 n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT'SERVICES - BUILDING DIVISION r • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT ' OWNER JACOBS FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1385 MANZANITA COURT, SANTA ROSA CONTRACTOR'S NAME UNKNOWN 707 TELEPHONE 5388103 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S "UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7034 GREYBEARD LANE, BUTTE MEADOWSEnergy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TEMP POWER FOR SF DWELLLING RE: BP#99-0612 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w - @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Vof one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iof 7 G� XZ Date R9Ta(1? / ur of A cat - ❑ Owner ❑ Contractor ❑ Agent HA�it is required for excavations over 5'0" deep and demolition or construction tures over 3 stories in heigh). EReceiptl'Jo. Main Service 200A TO 1000A 46.00 NEW CONST. DWEUJNG OCCUP. sD OR ACDNS. ( a ACC. BUDS. 3.5,s RESID MULTI -OUTLET @7,50 R A PSINGOUTLET OWELEPPARATUCIR.S Ex. OCCU OUTLET OR FIXTURES B20 O 1. 0 FIX Ex. Occu OUTLETS pp .D� 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ LL nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HC ISSUE This permit is hereby Issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above f4whifees have been paid. By ate PERMIT EXPIRES OND.D.S.-B.D. De e CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT oNO. (Rev. 12/96) APPLICATION AND PERMIT er— ASSESSOR PARCEL NUMBER ` 0 06) ZOw"O BUILDINGPERMIT OWNER V,4646_ /! TELEPMONE SO. FT, OCC. BUILDING VALUATION OWNERS MASUNG ADDRESS 5 / /f f///{!'/''•%S CONTRACTOR'S NAME / i 1/ � L O (� (/(/ T E�/ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 ARCMRECT OR ENGWEERS MAILING ADDRESS Permit Fee S Plan Checkinq Fee S BU4.DINGAD7S b Energy Plan Checking Fee S S PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 U:SEOFSSi}tJCTURE E3SF ❑ Duplex MobilehomeOther sPECIFv Each Trap .00 Solar or heat um water heater 233.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WOR New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service �w on Lsa 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLM OCCUP. SD OR ADDNS. ( 6 ACC. BLAS, FT. NEW CONS MULTI.OUTLET 97.50 NON•RESID. POWER APPARATUS 8 SWGLE OURET C10. Ex. Occup. OUTLET OR FIXTURES ZO ® 1.00 SAL 9 .50 EX. OCCU 70 APPLNS- OR oLmt�s ESLD. E. 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ f) MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ HAL 1 D. FEES IMP I FLOOD I CDF PARCEL PO YW LSSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON re Attention Property Owner: An "owner -builder" building permit has been applied for in your name and,bearing your signature. Please complete and return , this information at" your earliest opportunity. " to' 'avoid unnecessary delay in processing and issuing your.building permit. No building permit Will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction . of the proposed property improvement: YES[ ] NO[X]. 2. I HAVE[ ] HAVE NOT[ ] signed an application fora budding permit'for the proposed work. :z 3. I have contracted with the following .person `(firm) to provide the.` proposed construction: NAME: - ADDRESS: CITY: , PHONE: CONTRACTOR'S LICENSE -NO. 4. I plan to provide portions of this work, but I have hired the= following person to coordinate, supervise, and provide the major work: ' NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following. -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK C.¢rrr-/. e-.v✓e'tr Le B'? SIGN D: PROPERTY OWNER: i SOCIAL SECURITY NUMBER: DATE: cl6 �gq— /q9 - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are` not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer'and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks" for"you if you do not carry out these obligations, 'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 NOTES ;; ado-���✓��� RESIDENTIAL 99-1695 PERMIT NO. _ JACOBS FAMILY TRUST_ 7034 Greybeard Lane, Butte Meadows Contr: Donald W. Carr Open Deck �l f ne D \ r ov i SPECIAL COMMONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,JOB FINALED Signature CHECKED BY V= OK ' 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready ' 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 Date Card B-1 Date Card B-1 MISCELLANEOUS DateRECKCOVERSAAWORTS GARAGES (Plans) OK except #'s 1 ni equirements-Setbacks-Easements A-Rtings; Soils -Size -Depth -Spacing -Connectors -Steel ° ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures r 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./ PLPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 5t.; Steps -Doors -Landings 1.2. Braced Wall Panels Date Card B-1 Date Card B-1 Date Z/ Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements FINAL (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector Elec.; Receptacles and Lighting, Distance-GFI 6. Water; MH Test -Regulator -Connector Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch Health Department Approval 11. Cert, of Occupancy Plumb.; Cir. Test -Water Supply Test 12. Permanent Foundation Only; License Decal Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS DateRECKCOVERSAAWORTS GARAGES (Plans) OK except #'s 1 ni equirements-Setbacks-Easements A-Rtings; Soils -Size -Depth -Spacing -Connectors -Steel ° ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures r 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof Shthg-Roofing 5t.; Steps -Doors -Landings 1.2. Braced Wall Panels i Date Z/ Card B -i Date Card B-1Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability t 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche �jDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = 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 Date 7. Slab, Steel -Wrapped Hangers -Post Caps -Anchors -Connectors 8. Piers -Fireplace Ftg.-Steel 48. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 51. 11. Water Pipe; Test -Anchors -Regulator -Service Test Property Line Firewall & Openings 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation 60. Brace Interior/Exterior Wall Panels 61. Date 62. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes :] No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEAAy+IT o (Rev. 12/96) APPLICATION AND PERMIT "' 119 ASSESSOR PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT OWNER JACOBS FAMILY TRUST 707 TELEPHONE E538 -8103 SO. FT. OCC. BUILDING VALUATION 0 4,221.00 . OWNERS MAILING ADDRESS 1385 MANZANITA COURT, SANTA ROSA, CA 9540603 CONTRACTOR'S NAME CARR, DONALD W. NE TE877-6094 CC77 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4,221.00 ARCHITECT OR ENGINEER GREG PIETZ Uc V5719 Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7034 GREYBEARD LANE, BUTTE MEADOW Energy Plan Checking Fee $ $ I PERMIT FEE S • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ]I Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK �169VER_f) BE— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER 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. 000-1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall T'th compl r with those provisions. X Date on 4, � � � atur of Ap ❑ Owner ❑ Contractor ❑ Agent An OSHA pe is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To +000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( i ACC. BLDs. 3.50FT: NE.W.R.M. MULTI-OUTCET 97.50 POWER APPARATUS a SINGLE ovrLEr cIR. Ex. Occup. OUTLET OR FURES 20 @x'00 DRBAL @ .SO Ex. Occup. OUTELETS R.,6 °ER. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ T TY� TOTAL FEE $ 138.80 HA2. D. FE IMP FLOOD COF Pr D U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q 9g D to Ory 2-v c) Dete Receipt N 273570/$168.50 0. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Ngo /jO ✓ /j / zowNo 61 BUILDING PERMIT Water piping 15.00 OWNER .T �. �L ItV04/ 707 HONE SO. Fr. OCC. BUILDING VALUATION Gas piping system 1 - 5 outlets 15.00 OWNERS MARINO ADD S9 Building sewer 15.00 Mobile Home I S I G I W @20.00 CONTRACTOR'S NAME 9��1 ! TELEPHONE PERMIT FEE S MAAJNO ADDREIIS OCONTRACTORS Main Service paL OR LESS 23.00 CONSTRUCTION LENDER Main Service 200A TO 1000A 46.00 LENDER'S MAIUNO ADDRESS Fireplace ,00 Total Valuation Is ARCHITECT OR ENGINEER Z LICENSE NO. % Flip Fee $ 20.00 ARCHITECT OR ENGWEERS mouuNG AD REss Permit Fee S �O Plan CheckingFee Ex. Occu 0U�sAWLN .OR. 5.00 BUILDING ADDRESS � �e Za Energy Plan Checking Fee S Mobile Home Facilities 20.00 $ 3E.60 PERMIT FEE $NS LOT NO. SUBONt4pM NAME PAtCEI M USEEO`FSTRUCTURE SF Duplex ❑ Mobilehome Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ /Y I PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 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 paL OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINTI OCCUP. so. 3,5¢ OR ADDNS. ( 6 ACC. eLDS. FT. Ntw CONST. MULTI -OUTLET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTIFT CIR. Ex. Occup. OUTLET OR FIXTURES 20 ® 1.00 BAL @ .SO Ex. Occu 0U�sAWLN .OR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FElt $ Mobile Home Installation Fee $ Energy Inspection Fee $ O occ cors�T. roE TOT FEE $ -Z• I D. FEES I P FAD I CDF I p 0. I PD 10 UE �.-► �r M This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ate COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: � Co -�� ASSESSOR PARC ER: �� ®(� '� 3/ Proposed Building Use: L 13C,/ - G Building Inspector: Date: "7 a 3 _ c? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. --------------------------------- -------------------------------------------------------- ❑9 anufactured Home data and installation instructions including Tie Down Specifications.------------------ 10. Fees of $ o�_I � 0 ---------------------------- -------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------------------------------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 1 Flood elevation certificate.----------------------------------------------------------------------------------------= 14. Sanitation and plot plan approval C-141CO O Health Department. ------------------------------------------- �L) ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking:-------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on - (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------------ --------------------------------------------------------- ❑29L 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- Other: Wh you issue the permit, process as follows ❑ Mail to owner, ❑Ma' to contractor. G� GCi �'Ielephone and hold for pickup at office. D fiver with inspector. 0W Applicant: Date: joIlutGo Copy of Haz-Mat form sent ❑ Health Department, El Fire Department, Air ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department; ❑�r: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Biildi �qg kiq,'o ounter, by date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r• H. USE ONLY Plot Pr.n Atlsehed Roar Plan Atter: to r Sent to B.D. 42/ �c•_tobs 7o3g lrey,�cl �y-t��'to—o3I Owner Location AP# Plan Approved for: Sewage Disposal se Water Supply: Public Private Well ?s' Clearance for -d- i AV ellne,-Other Hold final for: Final clearance O.K. for: NOTE: C ° �o Tl�i► r/�✓ l FiS/s lL `7-- 27— T7 Environmental Health Specialist Date 8/96 P11 T RUMB& BUTT f EE o ITQL HEALTH J U L 2 31999 Chico, CalNomia r- L. OO p !, i_ v.2 10 it BASE fL000 r=-I-r=vA710H Fof l9a fz C, e L- % -11, 1 r7 Mill, rir4, rLoog. r--Lt.�-v. 4�I And :vhcn recorded mail ,o Building Division 07 County Center Drive Oroville. Ca. 95965 COPY of Document Recorded 22 -Jun -1999 1999-0027029 Has not been compared with .original BUTTE COUNTY RECORDER AGMCUL]MRAL STATEMENT OF AQ00WLE0G-KENT FOR RE31DENTI" DEyJL0PMNT Section 26-8 of the Butte County Code requires this acknowledgment to be prior to issuance/of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes. and residents of this property may be subject to inconveniences or discomfon from the use of agricultural chemicals, including. but not limited to herbicides, pesticides. and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte, State of California. described as foiloivs: ............ ..... ......... 011011111AO St A POW on "m n0VVM* 6m of the Southwslet quwwr of Secim 28, rcwn*W 20 N01h, R1111198 4 Ron, IMAIL& M. from whM a suftbrd Slog County RnaapWMM M MN V #0 Not It W t MMW of weld quarter VM*M bash South 90.40042" Wast a dMUMM of 282.17 feet; omen rw"V Nod t 86.08 f6" to tha Nortstiww corner tit Lot 4 of 1ho oreseftn`: SuMMgj n; thsnt a loath 06'3otoo" Eat 180.00 feet; dWao South 05.60 fast to a point On the nar# tdy bank of Rim G"k' the MMWV bank of &af OvA tha ftomft two oowraas, South 67.18.52' VVaat, 60.42 f"t, South 67.90.470 VllM 47.89 taati amwe "M northWIV bank Woo 58.27 feat; the wo Mordr 36.01 flet to ths point of Date: PROPER rlra;�x IA. 6 y 1-499 r A State of California j County of So►.K)t-.fl ) t' On J LA O E 15.19q9 before me, ST"e of H O LS , 1F K3, K ioT-A P -Y TRA 3 L I C, personally appeared 3EP_E A .7A t_O3S a r\j S AQA LCE .TA CO dS aersonall% known to me (or proved to woe an the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that Ad/OWthey executed the same in ttjs/ttr/their authorized capacity(ies), and that by IVS/Itkr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) Acted. executed the instrument. WITNESS my hand and ofrrcial seal. li11YMHOLM „ r Comtbslonflo71m s Notary MOO Coffomid Signature Seal: Esc na C Mty ~ My Comm. Expires Sep 4.1999 VOTE TO RECORDER: DO YOT RECORD THIS SIDE A.A.- ;A GRICUMRAL STATgMEW QF ACKNOWLEDGEMEN`F Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the tectal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners titust sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive. OroviIle (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division it 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER dl,N.: 14' 99 (MON) 13:52 MID VALLEY TITLE TEL:530 893 1833 P.005 TO JERE A. JACOBS AND SARA LEE JAC08S, TRUSTEES OF THE JAC08S FAMILY TRUST DATED JULY 24, 1888. (Adjusted Parcel) All that certain real property situate in the State of California, County of Butte, described as follows : Beginning at a point an the northerly line of the Southwest quarter of Section 29, Township 26 North, Range 4 Rest, M.D.O.& M. from which a standard Butte County monument marking the Northwest corner of said quarter section boars South 880-40'42" West a distance of 262.17 feet; thence running North 65.09 feat to the Northwest comer of Lot 4 of the Hraw ton's Subdivision; thence North 86030100" East 150.00 Beat; thence South 66.68 fast to a point on the northerly bank of Butte Geek; thence along the northerly bank of Butte Creak the foitowing two courm, South 67016'52' West, 60.92 feet, South 671038147" West, 47.89 feet; thence leaving said northerly bank West 68.27 feet; thence North 96.01 feet to the point of beginning. Containing 0.285 acres, more or less. . «.w.. v ...-c Vis,. -..-.r air....-. _ 9.t=vm,�:..c r----fq/skt�•t^�-h- 9i"�vr� v,�`_ .. -snr . �,.►�'.� _ q'! • •Y i 060-019-031 99 694'99=....�/'� JACOBS FAMILY TRUST" /�0�4. - s F. 7034 Greybeard Lane, Butte Meadows Contra .Unknown }, T ,1 { ower for SF dwelling Gas heater z.,, i 1. 1 ti ri COUNTY OF BUTTE - DEPARTMENT EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, iforniaV95965 - Telephone (530) 538-7541 .rr PERMIT, NO. (Rev. 12/96) APPLIC'AT ON ANDPERMIT ASSESSOR PARCEL NUMBER -031 ZONING BUILDINGPERMIT OWNER I JACOBS FAMILY TRUST TELEPHONE SO. FT, OCC.l, BUILDING VALUATION OW - S MAILING ADDRESS 1�85.MANZARTA COUgT, SANTA ROSA ' NTRACTOR'S NAME'-"1J\tJNrlf0WNTELEPHONE r - - 535-8103 , r. Ll CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER IFiling Fireplace LENDER'S MAILING ADDRESS ,�' Total Valuation $ ARCHITECT OR ENGINEER UCENSENO. Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7034 GREYBEARDF LN, BUTTE MUD 1SIi0�1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAMEI _ >. PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE —i SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK i! New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ ` ' Describe Work: T_ GAS SEATERIF Gas pipinstem 1 - 5 outlets 1 5.00. Building sewer 15.00 Mobile Home I S I G I W @20.00 r> PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.'A OR LESS 23.00 - y a LICENSED CONTRACTOR'S DECLARATION r< 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. r . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sate." Bl✓ras owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATIONMECHANICAL 1 hereby affirm under penalty of perjury one of the following declarations: 1 ❑ 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 wbich 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.) EjJ"certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manlier 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. XC�L��--- �� Date ai�lTcli! r/ 4 nate' a of A licent ❑ Owner ❑ Contractor ❑ Agent �Srcf J Pp 9 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zocA TO tOooA 46.00 NEW CONST. DWE 2r OCCUP. OR ADDNS. ( a ACC. BLDS. S O 3.5QFr. N CO MULTI.OUTLET NON RESID. @7.50 POWER APPARATUS a sINGLE oUrLET cIR. Ex. Occup. OUTLET ORFDTUREs BAL20 ®':550 P 5.00 Ex. Occup. ourE>�°rs M.) ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FES S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35. 00 HAz. o FEES IMP FLOOD CDF PARCEL PO HD ISV, 1/ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B Y PERMIT EXPIRES ON % - I the applicable provisions Resolutions to do work been paid. Date �"' vg/ a 3►' g Uce Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FIRE DAMAGE• REPORT OWNER: LOCATION: q 0-54 CONTRACTOR: DATE TO INSPECTOR: tQ PERMIT HISTORY:( )NONE DATE: �OUIDD A.P. # 0 D - a3 J ZONING: L) (k) AS FOLLOWS: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes V1 No Condition r Electric currently On Off Gas: / Natural �i Propane None Currently On ✓ Off Obvious Problems: /V'O Sanitation: Plumbing Working Well Working Potable Water of Obvious SewageProblems ` Description of Damaged Area: t J Estimate Valuation of Damaged Area: s� 0 910 `j �� 'B'v' n I Condition of Mobile Home: Condition of Utilities: Inspector*_ Sketch building on reverse and indicate area of damage. CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 11 08/08/2000 INCIDENT NUMBER LOGGED BY JAMC REPORT TIME 11:10 LOCAL FIRE NUMBER RO TIPPIT - STATE FIRE NUMBER 376 I net CfaM Fi... • ANirurc BI CASE NUMBER MEDICS LOCATION 7034 GREYBEARD LN PRA 117 ECC ❑ RP EAGLE SECURITY PHONE NUMBER 1-800-8819 REPORT METHOD Seven Digit Emerg j WILDLAND FIRES ❑ ESTIMATED ACRES0� FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOW E-MAIL I BY JAMC TO STA11 OTHER FIRE 7-DAY LOGGED ® INITIALS CRS INCIDENT NAME GREYBEARD MEDICAL AIDS PSA/OTHER START DATE 08/06/20001 START TIME 110:48 HAZ MAT DIAMOND# 1.1 ` - COMMENTS CAUSE EQUIPMENT LAND USE DOMESTIC i ALARM RESIDENTIAL STRUCTURE, FIRE LOCATED IN UPSTAIRS ACRES[— 01 'TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 10000.00 SAVE 200000,00' INJURIESIFATALITIES ❑ # CIVILIAN INJURIES # CIVILIAN FATALITIES I EMD ❑ OES ❑ l'-01 U1 # FF INJURIES 0# FF FATALITIES 0 ♦F, ♦ ' New Incident .' r FC-40 INFORMATION FC-40 ❑ DATE OF FC-40 INC AGENCY INC # INC P# ' FC-40 COMP DATE FC-40 COMP BY iCounty Notifications © EARS Hard Copy Recieved © EARS Checked Agenst EARS Computer ' ❑ { =NOTES r RESIDENTIAL a 060-090-031 199-0612 PERMIT NO. JACOBS FAMILY TRUST }. }�b� Greybeard Lane,-Bulte Meadow I Contr: Unknown - # new SF Ab I F1SPECIAL CONDITIONS,: .CHECKED FLOOD CERTIFICATE'REQ.• ; FIRE SPRINKLERS REQS= �'r + ` "� I OFFICE COPY d 's" s ' Address 1.. GAS ee Meter By Date �- DCe 9.1. �. ELECTRIC p Meter By l�v�-�' ^ Date +� — C•On 5 t c Gfi �i'lOOd rr �O5ele-JaJ-► &n term fi-t c o,+ e r r1Y�-- ri3Is�3 11 JOB FINALED (Date) ii11A 4 Signature } ,/ = OK 0 = Not OK i - = NotAppli°able . * = Not E teady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 11. 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Soils; Special MH Support Sketch Date 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Soils; Compaction -Structure Stability t 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 4. 7. Well Clearance 8 Disconnect Elec.; Pool Lighting; 15 Volts-GFI 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. 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 12. Permanent Foundation Only; License Decal 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 #'s 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- Bea ms- 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements t 2. Soils; Compaction -Structure Stability t 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK = Not Applicable = Not Ready Date RESIDENTIAL rfloor ( lans) OK exce ieib cs-Ease menlsOld Main; Soils-Elec. GrAa.-/j Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel-/ /" Ftg. Depth walls, Main; Steel-Blockouts-Wrapped 6temwalls, Garage; Steel-Blocko Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. PieAs•Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 , gas Pipe; Size Anchors - Yard Gas Piping; Size Test ter Pipe; Test -Anchors -Regulator -Service Test 13 lenums & Ducts; Clearance -Material -Support -Ins. #. orders -Sills -Anchor Bolts-Joists-Vents-Criooies 1F. Access & Ventilation 16. Insulation Date Date C Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 101^1ater Htr.; Vent -Access -Combustion Air Baffle 8. ater Pipe; Test & Anchor -Nail Protection 9. .W.V.; Test Fittings & Anchor -Nail Protection 26. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access Furnace Vents -clearance -Comb, Air -Connector - Garage; Above Floor -Ducts -Mach. Protection Gas Pipe; Sixe & Anchors Bedroom Exiting Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ge-Fixture & Transformer Clearance -Ins. Protection 2 Elec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2$/'rAppliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 307—Flange Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral I] Yes O No 34!Service-Riser Conductors & Ground Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 1+� Smoke Detector Date' Zj Card B• Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation -37�ondensate Drain & Overflow, Size & Grade 38—PQFnace-Vent Access -Comb. Air- Return Air Vent 115 outlet - 1 A tic Access & Platform if Furnace in Attic Date y{ Card B-1 Date Card B-1 Date Card B•1 Date Card B-1 Date FRAMING (Permit) OK except #'s O.,$its Proper Materials & Anchors 41. yMfls Studs -Nailing Spacing & Braces -Plates -Sound 42. aring Walls over Girders & Floor Nailing 43.,J;?faft Stop in Walls (rat proof) 44 Fre Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing f1, L, ill dingle & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 4�,._Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48._,Fireplace Ties or Type A Flue -Fireplace Throat Clearance 9. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles 56- Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing 'P operty line Firewall & Openings 3. Pt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54 -."Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 59- Siding -Nailing Veneer ucco Mesh -Drip Sc ed -Fd. Vents-Underflr. Access 5V,61azinq Area-Glas rotection-Skvliahts-Plastic Shear Walls; Interior/Exterior W Panels 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 6 t. Steps -Door & Sidelight Protection -Landings moke Detector Furnace Vents -clearance -Comb, Air -Connector - Garage; Above Floor -Ducts -Mach. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 9. Stairs & Rails ?-fireplace or Stove, Clearance -Hearth lec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7 _ Elec. Outlets & Receptacles at Kit. Counter 77 Garage Fire Door; Swing -Landing -Closure 7e A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location 7 . Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 7 . nsulation-Foam-Looked in Attic e)dGuard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following Instld./Drive J Yes :) No/Walks ] Yes :1 No/Planters :1 Yes ] No 8d Stucco Brown -Finish 8 . A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing 87!Exterior Elec. Trim, G.F.I. Receptacle -Underground 8 entilation Throughout House 8e Glass Protection 90 C rrections from Previou Inspections 97 Gas Test -Meters Tapo, Gas -Electric 9 yWater & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94" Address Posted Date ?A Card B-1 (i SCJ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ak COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Cgnter Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev.1e496) - APPLICATION AND PERMIT di ASSESSOR PARCEL NUMBER 060-090-031 ZONING U BUILDING PERMIT OWNER JACOBS FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 S74 R 809 00 . OWNERS MAILING ADDRESS 1385 MANZANITA COURT, SAN' ROSA 95404 Co✓ g I Z 00 CONTRACTORS NAME UNKNOWN ( 707) TELEPHONE8.103 _N+ 04. UU CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER PEITZ LICENSE NO. C21283 Film Fee $ 20.00GREGORY Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 386.43 BUILDING ADDRESS GREYBEARD LANE, BUTTE MEADOW Energy Plan Checking Fee $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 .07 Each as water heater or vent 15.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 BEDROOM 2 BATH Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ 136.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AOOR. LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. • I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Al 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' compensation laws of C ' c rnia, and agree that if I should become subject to the wor s' compensati p visions of section 3700 of the Labor Code, I shall fort comply wit those rovi ions. X Date _ Signat e o Applica t - Owner ❑Contractor - Agent An HA permit equired for excavat s over 5'0" de p and demolition or construction of structures over 3 stories in height. Main Service 200A TO XIIIA 46.00 NEW CONST. DWELLING OCCUP. 3.5¢x: 55.09 OR ( . A.Cou�TLFsr NEW CONST. NON-RESID. @7.50 APPARATUS PowERLE OUTLET CR. 8 SING Ex. Occup. OUTLET OR FIXTURES BA2L Q 1.00 L O .50 FIXLNS Ex. Occup. DLIrEis RssID°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 98.09 MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURNANCE 15.00 Cooling WALL FURNANCE 15.00 Hood 6.50 6.50 Ventilation 2 4.50 9.00 PERMIT FEE $ 65,5 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 cc CONST. TOTAL FEE $ /1399 - .5 HAZ. D. F IV I FLOOD CDF p HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indico fort or hich fees have been paid. , AQP/'L�/ By w �-� ate( PERMIT EXPIRES ON ZZ fe ReceiptNo. 998989 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Q� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev.1 P,/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER : D-090 —'03 J z6UNCI BUILDING PERMIT OWNER c J .r u TELEPHONE SO. FT. OCC. BUILDING VALUATION S 9 f✓ OWNER'S MAILING ADDRESS _ n CONTRACTOR'S NAME o �Al 7,r'7 TELEPHONE CONTRACTORS MAUNG ADDRESS CONSTRUCTION LENDER Fre IB,Ce�-CC-) SZ•�C) LENDER'S MAIUNG ADDRESS Total Valuation 5 ARCHITECT OR ENGINEERLICENSE C p e I2 NO. 2 9 3 Filing Fee $ 20.00 }}�� Permit Fee 5 5 ,90 , o -a ARCHITECT OR GINEERS NO ADDRESS Plan Checking Fee 38 $ BUILDINGADDRESS re ct-r Energy Plan Checking Fee $ &-0 $ '(523-73-- O23.PERMIT PERMITFEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 SF fa Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tr 7.00 , &oUSEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 15 0'0 Eachas water heater or vent 15.00 cY0 TYPE OF WORK New &,f�ddiltion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: &L4- Gas piping system 1 - 5 outlets 15.00 e� Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT -FEE S wo ELECTRICAL PERMIT Fling Fee 20.00 80LESS Main Service 220GA oa UESS 23.00 0130-V LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 lt I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 in height. Main Service 200A TO LSA 46.00 NEW CONST. -:=G OCCU OR ADDNS. 6 ACC. BIDS.P. 3.5.,SOsO SO T. rNLON-RESID. muLT,"o, ET Q7,50 PS04 APPAR 1 8 GLE OVILEr CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL O I.50 Ex. Occu . aunE. CR o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 HeatingIAj t „� c4 0-+0 ewtinrg 1,5 00 Hood 6.50 Ventilation `%.5V .oma 157, 1 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ c ?�- CONST PE V TOTAL FEE $ HA2. D. FEEB IMP D (OF PARC PD HD ISSUE This permit is here y Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro �stories Receipt No. -7 Z WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J' t COUNTY OF BUTTE, DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION � 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: tf 7�'', ASSESSOR PARCEL NUMBER: Proposed Building Use: s Building Inspector:- Date: At time of pe`irmit application, I wa advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 1:11. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings,. ------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------- -------------------------------------------------------------- ❑9.,Manufactured Home data and (installation instructions including Tie Down Specifications.-----------------= /0 Fees of $ ', ACQ ` 3-------------------------------------------------------------------------------- - L�7'11. Impact fees as shown on the attached schedule. -------------- - ------------------------------------- ---------- - 2 California Department of Forestry plan approval/fees. ---- -- --- ` /Z 9 , "t'1 j. Flood elevation certificate. ------------------------------------------------------------------------------------- /` r Lt�l� ����14am. Sanitation and plot plan approval Health Department. -------------------------- ------------- -r- - Z ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- Liv,,v-� Planning approval for (A) Use: O K I (B) Parking: -------------------------- W18. Contact Land Development about ❑ In rovements ❑ Drainage, ❑ Legal Parcel. �----&--im •1 '� �0 S 99 9`1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ k2.Workers' Compensation carrier and policy number.----------------------------------------------------------- (aver -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24�tter of signature authorization. -------------------------------------------------------------------------------- � 5. Recorded copy of Agricultural Acknowledgment -Statement---------------------------------------------------- � ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - --------------- ❑30. Other: When you issue the permit, process as follows Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup atAwn Deliv wi inspector. J ;1 ApplicantDate: C py f Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Aate: By:Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:Date: By: _191. Index permit application for the above items numbered: / lan Check List 2. Additional items required: �t v Contractor, designer, owner, was advised of the'above required data by ❑ phone, []—mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the ibove required data by ❑ phone, ❑ mail, ❑ Building Division counter, by; Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by�C: Date: Contractor, designer, advised of the above reqt0red data by ❑ phone, ❑ mail, ❑ Brldin ivi ie counter, by `k Date: Plans reviewed by: / / L Date: / Z 9 Plans approved by: Dater • Sets of plans on hol m ❑ Plan Cabinet -0 A.P. folder. Note transfer by: Date; f' VP.Ilnw ('.nnv - T)PTArtmPnt n T1--l—m—f Q-;- 0 :1..__ T:..:..:...- I V TO: Building Department FROM: Environmental Health I SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Alan Attached�'Cf Floor Plan Attc ed �S Sent to B.D. kf 5ae-obs Environmental Gn�va Lam,. Go�o90-031 Owner Location AP# Plan Approved for: Sewage Disposal -*c Water Supply: Public Private Well X Clearance for -dwe Other ,6o/, cak>' zAl rec. r,77. � �•�%Lizn-ayal ,bq,9`�oG on �ESOltR77cot�.Ue��r..,vc✓%%ivf��Di/I�.AYm'�krr�f w L1�J, Hold final for: Final clearance O.K. for: NOTE: :5r -,,,1 -,;g -s,s� i,�sa�ec✓-3D-�'. Environmental Health Specialist Date 8/96 i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER -A eAz- e %a I.a %lu s A.P. # PROPOSED BUILDING USE DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ %-- Revised Plan Checking Fee ....... $ "- 2. SCHOOL DISTRICT FEES Pot.rc-' r" 5 cam. (paid at District Office) . SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq. ft.) x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq -ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _1 ' •' SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER ' Aw- 258,182, 3 3/. 9g At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be c ged during the p ecking process. APPLICANT DATE 3/7') Pursuant to Gow4ment Code Section 66020, you are hereby notified that items 2,3,4,5,6,8;9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). 0 Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) r t 7 <� SR. '1� ::� � .e •,.Aa• .•th f • j 1 �rY`�w` .. 3 '•'•, � r # . COUNTY OF BUTTE • b • . DEPARTMENT OF DEVELOPMEI�'.SER�ICES :,BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 . SCHEDULE OF FEES_ DUE , ,'OWNER a w A.P. # D- Q 9e 7,0 PROPOSED BUILDING USE 1i/ .u, br. DATE �R RECEIPT # DATE REC ' 1. BUILDING PERMIT. FEES -- Balance, Due . .. .... $ L' —Additional '- Fee's Due ........... $ -= Additional Fees Due........ $ -- Revised Plan Checking Fee ...... $ n 2. SCHOON DISTRICT FEES 1 t r 4 at'D (paid :istriet dffiee) r J b . .. SHERIFF FEES (Paid at. Building Division)--+ Residential x $360.00. $4., Units nM, z' 4 } Commercial' (sq.ft:). x. $0.03 = $ ;1. Sq.Ft: 4. URBAN AREA FEES' (pat Bpilding Division) . ,, .. Residential (per unit)' X : _ $ n - #Units Amt. Commercial (sq. ft.): x =$ Sq; Ft. Amt. .5. RECREATION DISTRICT FEES (paid at District Office) . `6. THERMALITO DRAINAGE DISTRICT. FEES t, $510.00 (paid aC.Building .Division) v SRA FIRE INSPECTION AND. PLAN CHECK f •. .$89.00 (paid at,Building Division); ��` �� 7 � �`..��--^•' 8. _ WATER TENDER FEES (Battalion # ) $200.00( paid at' Building Division) , 9. CSA 87,TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the. above fees are required to be -paid prior to issuance of the building permit. t These fees • may be 'ch ged during the p c ecking process. , r ..y} n • • 1 . APPLICANT • lir' "� % 1 f c� , +DATE' •i Pursuant to'Gov ent Code Section 66020, you are hereby notified that items 2,3;4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date, of. approval of the project or from the imposition of the above mentioned items during which you may Protest. The requirements for protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner L ,..- `T'ev 2/97) April 8, 1999 Greg Pietz, Architect 383 Rio Lindo Ave. Chico, Ca. 95926 Assessor Parcel Number: 060-090-031 Building Permit Number: 99-0612 BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 The above referenced building plans were reviewed by this office. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Please be sure to include on the resubmittal the engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Provide additional information and/or make revisions to plans, specifications and calculations as follows: A" Lot is located in flood zone A. Provide a flood elevation certificate which shows finished floor ,Vjmnimum of one foot above flood elevation. &ffPlot plan and floor plan that you have submitted for permit does not match plot plan and floor p an submitted to health department for their approval back in 1997. You will have to submit the new revised plans, both site and floor plans for an additional approval. -3. You must record your lot line adjustment before permit can be issued. The ridge beam over den and header to support said beam are not identified on your roof framing plan. Please show sizes of beams on plans. ,,5! Energy calcs need to be signed by documentation author and proper forms should be used [March 19961. East elevation should be 23 square feet of fenestration [count entire door opening]. Gas wall furnace must be capable of heating all habitable rooms to 70 degrees. Wall heater shown in present location is incapable of meeting the requirement. Wall heaters are generally designed to heat the room they are located in and up to one additional room. Provide manufacturer's specifications on the unit you are using, reposition unit to heat entire lower floor and provide a second unit on the upper floor. 7. Plan will be sent out for structural review, however lines 1, A abd C do not meet requirements of the UBC for bracing for the following reasons: Line 1 wall panels at second floor are not On «n exterior wall. Second floor, because of shape of roof does not have braced walls in two 5' Zo'1 �i��oYn-,fie-n pvovldej �Skozv-,3 �dv:� .0 ! perpendicular directions. [Section 2326.5:4.6] Lines A abd C at second lovel do not have a minimum of 4x8 panels of required bracing, again because of shape of house. While the structure may meet bracing requirments in a professional [engineered] analysis they do not meet code and must be revised. ,,e Because roof is not conventionally framed what is the method of attachment of ceiling joists to roof rafters? Is bathroom wall a bearing wall for ceiling joists? Plans have been sent out for structural review. Additional re-chek of plans will not be done until all items have been returned for review. If you have questions about any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Si cerely, Marthtney Plans aminer 2 RESIDE -MAL AL PLAN CHECKIN GUIDE SNGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER:, �0. coh5m Tru s'� BUII,DINGP Eit PLAN CHECKER: N,j W A.P.NUMBER: 0(00-709a-031-1 GENERAL: (00709a-031- GENERAL: �-Zoning requirements: (side yards and number of permitted living units). _ x Valuation. ,3' Plans signed by designer. _ 'Ir Proper description of work on application. Existing violations on property. 6 Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). �P•l.� 7'IA�I �I� Recorded notice of violation. PLOT PLAN' /�/� ��o+n A. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. 4. Grading, fills and/or drainage. Flood hazard. : " Special conditions on creation map (Noise, SA.A., Fire Sl ririklers, Water Tender, -Trees, etc.). ' X F.A.U. & F.A.S. road setback. ,8r Building or utilities across lot lines (Record form). FLOOR PLAN: ,1! Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Section 1203). 3. Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9 Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). - Minimum of one 37 exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. \ .STRUCTURAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). (� 2. Standard bracing or engineered design (Section 2326.11.3). v` Clerestory requiring balloon framing and/or engineering. u�l Three story building requiring engineered calculations and plans. / 5. Foundation plan complete enough to construct building. �� �^d'1 Floor construction details complete enough to construct building. L 7 Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 9 Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. jSr Special Inspection requirements. 16. Header size. June 1997 3.2 NUSCELLANEOUS ITEMS TO LAh OUT FOR: Stairway details: landings, . L end run, head clearance, handrails (Section I OOo,. ,2:' Guardrail details (Section 509). ,! Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). X Proper roof pitch for roof covering (Section 1501). ' .6� Roof covering type - (fire hazard). ,7! Foam insulation - protection. 36" halls and stairways. = y fY Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. je Two exits on three - story dwellings (Section 1003). ,I -r. Underfloor access and ventilation (Section 2317.7). JZ' Attic access and ventilation (Section 1505). lT Combustion air for fuel burning appliances - L.P.G. requirements. J4' Noise requirements on duplexes. 15. Energy design. Flashing at all exterior openings. (D7 C.D.F. responsible area requirements. J&^ Automatic Fire Sprinkler Systems (Section 310.10) 19. For 4ePection Jacket: ✓ Flood Hazard/Elevation Certificate _ SRA Requirements i Special Inspection Requirements Automatic Fire Sprinklers . 0 June 1997 3.2 \` GREGORY A. PEITZ ARCHITECT 383 Rio Undo Ave. h . . � � � � e S • Z / • c} (� YO , I Chico. CA 95926 (530) 894-5719 j yi,� �Le� - Ar r z r_ S 7i 4� P14 V7 �cs a ►� S -2 / `(� c.J (Gt ✓t 5 �Q (/..o . '/'_o -P -r g "t �i� �•�-t..Ti<.<.f %J P r 101le� D - i /{zi c Lt p f .� o f'' of O'n !J! O�- O r�•" n � -* � r"� f/n ��S 4 -le ell, dN /ted '�4 A-1 leer �0"s I APN: 060-090-031 -- Plancheck Comments lerre & Sally lacobs Residence 1. O.K. 2. O.K. 3. O.K. 4. O.K. 5. O.K. 6. O.K. 7. O.K. 8. O.K. 9. O.K. 10. O.K. 11. O.K. 12. O.K. Charles). Roberts, PE (530) 538-7541 APN: 060-090-031 -- Plancheck Comments ]erre 81 Sally ]acobs Residence 1. Provide lateral analysis of wall lines 1, A U C. Please note that 33% increases are not allowed for offset shearwalls, (fasteners, stresses, etc.) 2. Page 3 of the calculations show that Fb = 963 psi for DF -L No. 2. 1991 NDS Table 4A has a value of Fb = 875 psi for DF -L No.2. Please clarify. 3. Snow load used on pages 1, 3 and 4 of the calculations differ, please clarify. Also state source of snow load value. 4. Call glue -lam ridge beam out on plan and associated hanger hardware. 5. Is ridge beam a simple span condition or is it a multi -span condition. If multi -span condition, check if a 24F -V8 glue -lam is required. 6. Provide supports for 5-1/8"x 10-1 /2" glue -lam at 3'-0" window. 7. Sizes called out on plan for the posts supporting the ridge beam, at the stairs, differ between first and second floor plan. Provide post design 81 size clarification. 8. Provide post -base hardware of the posts supporting the ridge beam. 9. Note that second floor plan on sheet 1 shows a 9.4' shear wall and calculations show 6.4' shear wall, please clarify, (no change req'd.) 10. Provide hold-downs at foundation at wall line 2. 1 1.. Adjust shear wall capacities to NER-272 report dated September 1, 1997 for the use of 8d box nails. 12. Where is section A/5? m School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form,: per Building) O. Building Department No. `pQ• ��D �trJ Jurisdiction: ° City ®County 7 r Property Location/Address Subdivision Residential Development Commerciayl ndustrial M No of Living Mobile Home Units Installation IDs t r New Addition Lot No. t ................................................................................................................... Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation inspection): ' ............................................... ........... ........ Sq Footage t' i f nans rewewea oy ocnooi uisinc[ rersonneii (Including Exterior Roofed Areas) Date Di ict Identification No. % / U C/ ` School District certifies that j� (Applicant) (Street Address) (Phone Number) 2.=GMT,+ 09 A- Ck . 47T`5'd Y (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing /57Y square feet z / 1 /I . School'District Representative Paid by Check # Remarks: I by payment of $ 36 IAB 2926 $ FULL MITIGATION $ ;r Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely "written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA1, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 110/981dmm 0 I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid unneeess in processing and issuing your building permit. No building permit will be issued until t1�is verification is received. 2. 3. 4. I personally plan to provide the major labor and materials for construction of the proposed: property improvement: YES Ef NO C3 I HAVE HAVE NOT ❑ signed as application for a building t for the �'�r.P � gn PP � 8 P� proposed aro�>*C I have contracted with the following person (firm) to provide the proposed construction: a N® ADDRESS:.;; - ih PHONE:S.3o 6 7 -2 - 6 oyc1 CONTRACTOR'S LICENSE NO. :.: f. I plan to provide portions of this :work, but I have hired the'followmg person to coot+dici% .: siipervise, and provide the major work: NAME: ADDRESS: r rrv- 7 PHONE: CONTRACTOR'S LICENSE NO. ' 5. I will provide some of the work but I have contracted (hired) the following persons to pravi�de the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL, SEC � E : DATE:) Iceb NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of llu California Health and Safety Code. This verification must be completed "d returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder ofproperty. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. -Building permits are not required to be signed by property owners unless they are personally perfoniting their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a buginess license from the city or county. They are also required by law to put their license number on all permits for which_ they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you Aduld: be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. : ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations.including state.and.federal income tax withholding, federal social security,tazes,;. workers compensation insurance, disability insurance costs, and unemployment compensation eontn'butions. . Y. t:. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are espec ally.sedous with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations tmder State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only undef limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814.- Please complete the "Owner Builder Verification" �n the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. ivl ger, Building Inspection NOTE: This Owner-Builder,lnformation is required by Section 19830 of the California Healdr and Safety Code - OVER ^ C81 S Jp BUILDING PERMIT SITE PLAN CHECKLIST APN: C> O d Building Permit No.:40 — O �- Proposed Use: SFD 0 MH 0 Rds. Accessory 0 Ag. Bldg. O Commercial 0 Industrial O Other: Zone District: General Plan: 1 The Proposed Use Is: Permitted: Not Permitted: Requires a Use Permit: Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map? No: Yes: Book/Page U N f?_0C Rl DG i� D �3 Map Conditions? No: Yes: , See reverse side Use Permit: Variance: Dev. Agreement: s Applicable Setback Zoning Code Streets & Hwy. 'Fire Prevention Subdivision Map Front 2SJ P�L. Side S 3 Side, street —( Rear j Height �— Parcel in Land Conservation Agreement? No: Yes: , Check Use Parcel in North Chico Specific Plan? No: X Yes: , Check NCSP Zoning Parcel in Floodplain? No: Yes: -><, Zone: ° ° Panel No.: ObOD i'-? — 00 7 e�_ C_ Z Parcel in Enterprise Zone? No: � Yes: ,Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other: Landscaping Requirements: OK as shown Other Comments: Reviewed By: �12 Date: L -i — S-- 1) C 0 CHECK SPECIAL CONDMONS WHICH APPLY TO PARCEL: UNLESS OTHERWISE. NOTED. 40 - 1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting replacement trees of equal number and not less than _ gallon size. r _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be retained as part of the project, shall be fully protected through the use of root protection zones (RPZ). During construction, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trunk to the . dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at least 16" above the ground and the upper strand shall be no higher than 48" above the ground = _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entitilements must be obtained: a California Fish and Game 1604 Streambed Alteration permit and an Army Coups 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. —9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish 8t Game at 916-355-7010. —10. A traffic mitigation fee for each new or additional living unit shall be paid Pay the amount of $750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. _ 13 14 K:\BLDGCH4.FR.M 2 ` { POINT SYSTEM SUMMARY: CLIMATE 'ZONE MR /_z Project Title Date- 701 BUILDING DATA Fenestration Conditioned Floor Area _1 S i Number of Stories Area % Slab / Raised Floor North /DLJ �o. 6, 7 East Check all applicable Unit Type condition(s): South--�-+-�--_- [ ] Single Family Detached (SFD) [ ] Addition Alone' West [ ) Single Family Attached (SFA) [ 1 Existing Building. Skylight 4) - — O [ j Multi -Family (MF) [ ] Existing Plus Addition Total .7 Cp .SCORE ARD Measures Point Scores 1. Ceiling Insulation or 0— R -Value U•Value 2. Wall Insulation or 0-- U, Value 3. Raised Floor Insulation or G —R`-V�al'ue U -Value 4. Slab Edge Insulation ' �- or G R -Value F2 factor 5. Infiltration Any Ducts in. Unconditioned Space? (Y / N) Q 6. Fenestration Heat Loss :3_ 43 TYp U -Value Total % Fenestration Sum of 1.6 7. Fenestration Heat Gain % Sc Ef. . % Shade Fenestration Shade Open Fenestration Eff. Ratio n North 7 x 6 3_ East �, y� x South - 3p?_ x = r West 2 � x Skylight �y� x = Overhangs? (Y / N) , 8. Interior Thermal Mass_ or % Exposed Slab Int. Mess/CFA 9. Exterior Wall Mass Ext. Wall ass Sum 7-9 10. Heating System G ° x = p �o D OL45* AFUE or HSPF Duct ElTiciency Effective AFUE Zonal Control or HSPF Adjustment 11. Cooling System _116— x .. _ • �_ SEER Duct Efficiency Effective SEER Zonal Cont�rgl a–�r Cira=R Adjustfr�ien i 1 C tl�l 1.2. Water Heating t,1 ING DEPARTMEW System 1 �� E -- -�- z ''S . Heater Type Energy Factor Ext. Ins.,R-Value Auxiliary Input Dist utign I= Q LJ System 2 i^s Heater Type Energy Factor • Ext. Ins. R -Value Auxiliary Input Distribution Point Total. Point Goal: Revised .March 1, 1996. -CERTIFICATE OF COMPLIANCE::.. RESIDENTIAL (page 1 of 2). CF -1R rrojeci i me - 7 i ea. do" s Project Address Pe,1 Documentation Author Tekphone . Compliance Method (Package, Point System or Computer) ' •Climate Zone GENERA INFORMATION Total Conditioned Floor Area 7 y fiZ Building Type: )W _ Single Family Addition. (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North out East / West P All Orientations (input o on in degrees and circle one) Number of Dwelling Units: Floor Construction Type: Slab �FI (circle one or both) BUIL12ING SHELL INSULATION Construction Component insulation Assembly Type R -Value U -Value Wall Roof Roof Floor Floor Slab edge FENESTRATION Fenestration Area Orientation Of) Front Front Building Permit # Plan Cheek / Date Field Cheek / Date Location / Comments (attic, garage, typical, etc.) Shading Devices Fenestration Interior - Exterior U -Value (roller -blind, etc,) (shadescreen, etc.) Left-Z— Left ( ) Rear Rear ( ) Right ( -� Right ( ) Skylight Skylight Overhang Framing Type (yes / no) (metal, wood, vinyl) THERMAL MASS Type / Covering Area Thickness Location / Description (stab, exposed, tile, etc.) (at) (inches) (kitchen, bath, etc) ._ EW Revised March 1, 1996 • VITT - TI•� • T •A1.• " CERTIFICA'T'E OF COMPLIANCE: RESIDENTIAL (page 2 of 2) CF -1R �. J a C-4 e A& to �4 S Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUF. or HSPF) (ducts, attic, etc.) R -Value Type (split or backaQe) Cooling Equipment Minimum Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap, cooling) (SEER) (attic, etc.) 'R -Value Type (split or package) Water Heater Distribution Rated' Number Input (kW In System oi� Btu/hr) 1. For small gas storage water heaters (rated Inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby toss. For Instantaneous gas water heaters, list rated input and recovery efficiencies. COMPLIAN .F; STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, parts I and -a or the California Code of Regulations, and the administrative regulations to implement them. This certificate has b. -.-.n sign -I by the individual with overall design responsibility. When this certifieate ofcompliance is submitted for a single building plan to Luilt in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. Designer or Owner (per Busi ss and Professions Code) Documentation Author Name: _� Name: > / Title/Firm: Title/Firm: Address: Address: Telephone: Lic. t1: . / EnT'orcement Agency Name: Title: Agency: Telephone: Telephone• Ir (date) / (sig re) "�"���:k.�SS�idiiErl. �>�(!� �� kr,�`r Y: MI �.� n.•;• (signature / Stamp)*(date) Revised March 1, 1996 Til' A Energy' External Tank Factor or Tank Capacity Recovery Standby' Insulation _(gallons) Efficiency Loss (9/6). R -Value 570 , 57 —i 7. 1. For small gas storage water heaters (rated Inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby toss. For Instantaneous gas water heaters, list rated input and recovery efficiencies. COMPLIAN .F; STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, parts I and -a or the California Code of Regulations, and the administrative regulations to implement them. This certificate has b. -.-.n sign -I by the individual with overall design responsibility. When this certifieate ofcompliance is submitted for a single building plan to Luilt in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. Designer or Owner (per Busi ss and Professions Code) Documentation Author Name: _� Name: > / Title/Firm: Title/Firm: Address: Address: Telephone: Lic. t1: . / EnT'orcement Agency Name: Title: Agency: Telephone: Telephone• Ir (date) / (sig re) "�"���:k.�SS�idiiErl. �>�(!� �� kr,�`r Y: MI �.� n.•;• (signature / Stamp)*(date) Revised March 1, 1996 Til' A MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this -checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when, completed or enter N/A if not applicable. li 1 _ ti Revised March 1, 1996 1 Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent 0 -value in metal frame walls (does not apply to exterior mass walls). • §150(d): Minimum R•13 raised floor Insulation in framed floors; minimum R-8 in raised concrete floors, §150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0perm/Inch. §118: Insulation specified or Installed meets insulation quality standards. Indicate type and form. _,.,••, §116-17: Penestration Products, Exterior Doors, and Inflltration/Exflltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products have label with certified U -value; and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.. §150(f): Special Infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air Intake with damper and control e. Flue damper and control 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System. -Measures: §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. §150(1): Setback thermostat on all applicable heating and/or cooling systems. §150(j): Pipe and tank insulation 1. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (114 or greater) 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/external insulation.. 3. All buried or exposed piping insulated In recirculating sections of hot water systems. 4. Cooling system piping below 551F insulated. 5. Piping insulated between heating source and Indirect hot water tank. • §150(m): Ducts and Fans I. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §114: Pool and Spa Heating Systems and Equipment. 1. System Is certified with 78% thermal efficiency, on-off switch, weatherproof operating Instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional Inlets and a circulation pump time switch. §I 15: Gas fired central furnaces, pool heaters, spa heaters or household cooking appl lances have no ; � t k r�;, continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Blu/hr) Lighting Measures: irt1 Ali;� ��, § 150(k): 40 lumens/wan or greater for general lighting in kitchens and rooms with water closets; and recessed celling'fixtures are IC (insulation cover) approved li 1 _ ti Revised March 1, 1996 1 LOAD SUMMARY *Use normal force method *Exposure B *Basic wind speed: 75 mph P = Ce Cq qs I Walls P =-.62 * 1.3-* 14.5 * 1.0 = .0117 ksf < 15 ft. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20, ft. P = .72 * 1.3 * 14.5 * 1.0 = :0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0-= .0143 ksf @ 30 ft. Roofs 2:12 to less than 9:12 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf < 15 ft. P = .67 * 1.0 * 14.5 * 1.0-= .010 'ksf @-20 ft. P = .72 * 1.0 * 14.5 * 1.0 =.:011 ksf @ 25 ft. P = .76 * 1.0 * 14.5 * 1.0 = .011 ksf @ 30 ft. Roofs 9:12 to 12:12 P = .62 * 1.1 * 14.5 * 1.0 = .010 ksf < 15 ft. P = .67 * 1.1 * 14.5 * 1.0- .011 ksf-@-20 ft. P = .72 * 1.1 * 14.5 * 1.0 = .012 ksf @ 25 ft. P = .76 * 1.1 * 14.5 * 1.0 ='.012 ksf @ 30 ft. 22:114 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS %ol ko� o 0 i 70 = CO���7 �Br 2. z Y ic- Pro I .c;o,1 Z,. Co 7. $'L q9 I JT /� -7 y ,� a N N N I --I.- I.- 161 W W Im W lu mix 4nk1lin moo �r '- N .t arva r r r rnr /�2 _ 9g,cl erod 46 �. Ala 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS OA�: - -� {..�.. ..,.r.�--.tr..�..._S_ r _ r-' �-.i. _J �. 1 _..__. _. �.. _,y.__ �+._ _. ..-.'}•---•..�.. _ { _.� 7_. f. y.� .. .Y. _ .� _` �y. r _`.a• _.,}.^ _ .�F ."""'.---!""`..-.-�..---ii'�".""—w-'.""y'.,...o--""y'.-'-•-.� ."+--.�.-.-.--.. -.- .�..._.� . _ .....- _ _ .f T_'_"....-.._ ___i""..T-_."�.� ��'�'...�.�.._ ...�'.-��%'1 ._ _ ....... ..:.� , r,...�,._,., _ ll���ll . * .� ' ______! _�.._�- _ ....._ _ _ �. _._ _ � _ ._, � ..._ .... .._ - - .' •- ), _ - - '�._._ _�- _ .-`-mow.- ��ir 22-141 50 SHEETS 22-142 100 SHEETS 22-144 200 SHEETS 1..+.j. -_r ._.S ._.i.1'• w.e.. ....�.—+.�--'�S+-.r. �.1 ..r ..._ - ._-r• .. _ _ .. _,� _. •' __:r _. �-..�. —..`�. _ L.__. _t_a-.-_-i_..- __ _ _ .V.`• _ •. _..' _ i i 1 r.. •�r ., , r W W W xxx N to to / , Or coo C4 = e. c C4 a c . , _........_ t AAA , j/tx, eg rl /7 Y i. ) • , � � a 1✓V � �. ... .. __..;. ..1 —....._, ....�.....,f..�., _a....«..{._.. _` t .��t r ..c_ t... �_t. t...:..' w }. t., ..i . ' N N N Coe N O O �C C4 14 N N N C N h GREGORY A. - PEITZ ARCHITECT. 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 Structural Cal.culations For: 6;Y 4.< :,A �C No. C 21283 REN. CN �� CC" fez - Ile 7-'.: -ze) 41 9171 j t 9 7- LAND DEVELOPMENT OROVILLE I CHICO BUILDING I ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. NAME OWNERS Y5–:,S NUMBER 60 -031 , PRINT LAST NAME FIRST ,� / ADDRESS/ LOCATION: � /J�i¢%2D Z) COUNTY ZONING DESIGNATION: V FLOOD MAP: A FLOOD ZONE: ' APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: . - �J�r4C�Sdik! LC.A PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: D DEED REFERENCE: © D R. �8.3 SEE I Sc ,4,P-) LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO 31TIONS: fJ2iFS�G ToN,S � Sy Q 4% LAF -C–' 6 ��//y2� C6/? �i�Yl GDT g Vv/r/4 CON rJ/ 7`ioN� 6 STA -CSS L L�9 /o/z/y8 MAP INFORMATION: DATE OF RECORDING: LOT_ BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT . PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline _ 3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect t6.a public water supply. —9. Connect to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures. in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. —19. Wood stoves and fireplace, inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. r 21: 22. 23. 24. 25. 26. LD 6/98 FORMS\BLDG PERMIT CLEARANCE ere A.z' Jacobs" 707.538.0683 P.02 VENT CAP AS.SEMBLY Cozy's simple vent systern is provided with each unit and rninhiiizes installation expense by eliminating d6stly ductwork. Durably con - C I ! structed of stainless and galvanized steel, the vent assembly is rain proof, prevents back - drafts, provides fresh air for unit combustion (large tube) and exhausts Combustion prod - I I LICIS outside (ismall tube) the hor-Ac;. The vent Cap includes af-safety screen to prevent entry by small animals. Standard vent tits up to a 9" thick wall. Optional vent extension kits are available — 15" (zll models) and 24" (CDVI-5 & CDV25 only), THERMOSTATICALLY MANUAL SPARK IGNITER CONTROLLED Convenient push button pilot flame light'eir' SLOWER 4 eliminates need for matches or other installs in minutes and is pro - lighting tools. wired to simplify installation. Slower mounts inside Cabinet and delivers a blanket of warm air at floor level where it is needed most. INSTALLATION TEMPLATE is packed in each Blower with variable speed control switch functions carton to allow convenient location of screw holes, vent automatically as unit heats up and cools down. opening and gas inlet. Requires 115 VAC. 55 CFM, tz 0 BN— Ira e. M VI 4V! 'b 5! oil LH 22 :Aii 0, i� 314 0 Uj 11.�! fill! il . . .•. ....... .N. A. . . . . . . . . . 'E3H !V�iiii`,iii�lii!ji'l-� N .. ........ V: if I;;-4 9R 1 j'1iRP14 I R Rl! .9 R VX1 V 60 01 lll '18 ii. 'I i�!' i14h0V;ii`: in ;i P oii tit; i � : ;;; if :1. 1: 145,1 VN t IrlciudeI;-- fAl" Finor (1o;mir.rn .1.1 A. snntli fta, Corilie SNE Move L'o. WSW Tin o'o- ai,82,9i d e May -26-98 12:06P Jerre A- Jacobs 707.538.0683 P.01 Date: 26 May 1998 To: Michael Vieira Building Division Butte County Public Works Department Fax: 530-538-2140 r From: Jere Jacob 1385.=nzanit Court Santa Rosa, CA 95404 Tel_ 707-535-8103 Fax: 707-538-0683 Subject: Lot 4 Braselton Tract, Butte Meadows, A# 60-090-031 Here is site drawing we discussed this morning. I have also included a copy of Landon Engineering's drawing showing the south property line adjustment that Sierra Pacific Industries has agreed to help resolve. The area labeled "Conflict Area" is property owned by SPI which they have agreed to sell. Once the sale is completed we will fife with Butte County for a boundary line adjustment. Stuart Edell is familiar with this part of the deal. Finally, a copy of the Assessor' Map is also attached I would appreciate your comment about the proposed building footprint (26'x 36) in relation to the creek and lot lines. As I mentioned on the phone, Environmental Health has issued Sewage Disposal and Well 'permits. I understand that final building placement will be subject to the building permit review process. But, as the prospective buyer of Lot 4• it is important for me to know as much as possible about the feasibility of our planned use of the property. Thanks for your help and please call if you have questions. Attachments: Site Plan Landon Engineering Drawing Assessors Map Page 1 of 4 j�i-lefvr-7 (�O'ts-4� May -26-98 12:06P Jere A. Jacobs 707.538-0683 P.02 F /1 s, L' i b 1 0 (l _ rr IL t� a^ + 0 p � 1 � LM sol o , 44 kp l.t e APPROVED i 0. Butte ;°tjn Nealth s i $t �nviPonn e d .i � e �Aj .1 l �/ May -26-98 12.06P Jere A_ Jacobs 707_538.0683 • _ '4 � 1 a � I i � �.° j ', a f,'�tl � •. o C9 CO LL i la J N r Z1b Q 51 Q J e fi Q� tr i P.03 CJ 7 9 ; � Q 51 Q J e fi Q� tr i P.03 May -26-98 12:07P Jere A. Jacobs 707-538-0683 Its qj�L- pp IL 16L Cl Lai SO lk cA 0i Q7 L CD� II ®R I r C P_04 1 � Ai 7511k7 r:•� x x. _