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040-260-084
- ^ - ' Lott R Du am 40-26-84 775-91B,P, MELLO, Joe v / ��u-r0O-O84 U HAAPANEN,R. 9305 LOTT RD. DUR CONt: ADONIS POOL ^ 1NEW POOL MASTER 50'_����,, � ~ / o C 1' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT PERMIT NO. tv,w Ila r ASSESSOR PARCEL NUMBER 40-26-84 ZONING BUILDING PERMIT OWNER Joe Mello TELEPHONE SQ. FT. OCC. BUILDING VAL ATION 1091900 OWNER'S MAILING ADDRESS 9857 Lot t Durham 8078 CONTRACTOR'SN AM TELEPHONE 909 r, 9090 UNE 15360 CONTRACTOR'S MAILING ADDRESS 7Lott Road, Durham Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1432538 Filing Fee $ 10.00 LENDER'S MAILI G ADDRESS Permit Fee $ 54300 ARCHITECT OR ENGINEER MP11n Con.-,t-riirtion LICENSE No. Plan Checking Fee $ 271 50 Energy Plan Checking Fee Penalty $ 5 00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS ✓ Permit fee $ QqC1 CM PLUMBING PERMIT Filing Fee 10.00 Each Trap 1A 2.00 34.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP / 0 �/rr - J b Water piping 5.00 10.00 Each qas water heater or vent 5.00 10.00 USE OF STRUCTURE SF [k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 10.00 Building sewer 5.00 10.00 Mobile Home 110.00e TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4 BR Permit Fee $ 64.00 Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP ORV OR LE LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declate under penalty of perjury (check one): (rbv I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions ode and my license is in full force and effect. License No. 24S©e / Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ( DWEACCLLING GS.CCUP.tr\ I 21AQsgft 95,85 NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9A 5030 Ex. Occup. our ETS P(RESID.)REA.) 1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. 1Virin 9 15.00 Permit Fee $ 128.35 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 2 Split Cooling 3T 9 2 12.00 Hood 3.00 3.00 Ventilation 4 3.002. 0 permit Fee $ 9.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against a lab lilies, judgments, costs, and expenses which may in any way accrue agains aid Coun. cons uence o the granting of this per Date �' ' gnature f Applica t - OwnerR Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspipction Fee $ 30.00 occ CONST PE TOTAL FEE $ 1 ,110.85 HAZ CUA PARK ISCHL FLD PAR WDDs Th;s p it is hereby issued under sion t Ihe qQte County Code and/or wor ind cat abov f which fees IRECT PUBLIC BY PERM T EXPIRES Date the applicable provi- resolutions to do have b6en paid. WORKS Dat Zd�oT 0 Receipt No. 70715 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY"OF BUTTE - 6, ARTME'.NT OF PUBLIC WORKS - BUILDING DIVISION w ` N\99LINTY (;ENTER"RIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLXCATION DATA SHEET Permit No. / OWNER � L L A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by. preparer of plans........ ° 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature onlplans . . 5. Hazardous Material Form .................................... !........ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ..............':. 8. Engineered truss details and layout in duplicate (required prior to plan check)��- 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees aid 3. % Ut C D School District fees paid ............ Z 4. Sanitation approval from i O Health Department 1 City of Chico plumbing permit.. ... I 16. Plot plan and business license'approval from City of (see City for other requirements) 17. Planning approval for (A) Used (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW -79. Driveway permit (construction approval required prior to occupancy) Z R� 20. Pre -Inspection for required ... Pre-Inspec. request to 21. Contractor's license information (No., Name Style, Classification�lding Inspector (Date)} 22. Certificate of Work mans'Compen sation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... - - Recorded copy of Agricultural Acknowledgment Statement ......... 2 . Letter of signature authorization ................................... o6 !eS✓a2 r— 2- 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl i nt Date �� G Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent _Health Dept. ' Fire Dept. Other Date By. The following data must be submitted prior to pe mit ' - uance: Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: y / Ont a r, designer, owner, was advised of above required data by_phone_-jnail—counter by�date (Eont�actorldesigner, owner, was advised of above required data by . phone_mail_counter by &A' date���� Plans checked by Date ' �� Plans approved by ��— Date Sets of plans on hold in File cabinet r AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance i 22,9 -5— Za�I`il� 5'6 z6 0 ,,�� e � lyle// owner location AP # Driveway permit 9'010 G 9 Cf has been issued for the above property. n b sign ��re date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation.Clearance GPI Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply pinal clearance O.K. for: Water Supply Clearance for v\ bedroom mobile' home. Other NOTE *** ��--' Date Sani Tian COUNTY OF BUT - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 DG� APPLICATION AND PERMIT ASSESS PAR�CEy NUMBER n �',ONING BUILDING PERMIT OWN R �� TELE HO E _786 SO. FT. OC BUILDING VALUATION O WN $, ILINADO SS CONT DR'S AM �/� S (/10 TELEPHONE -7— C— 2,0 CONT � R'S 1.1AI LL Appq ES� / 7 L/�f' CONS CTION LE R ��i UNKNOWN Fireplace b0 Total Valuation Sj ' ''') L LENDER'S MAILING ADDRESS of AR T O ENGIN R LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 'aa ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS (.� Energy Plan Checking Fee $ Penalty Permit fee $ PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap Solar or heat pump water heater Water piping 200 o 20.00 5.00 fi V Each qas water heater or vent 5.00 4a. USE OF STRUCTURE SFJ] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 (f Mobile Home S G ev 10.00e TYPE OF WORK Newco Additi ❑ Remodel❑ Utilities[] Installation❑ Other❑ Describe work. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10.0DMP 0RSLS ESS 10.00 p r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Of my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 S NEW CONST,( OR AOONS. DWELLING OCCUP.e ACC. BLDGS. New coEsrR ULTI:OUTLET NON.RESID BRANCH CIRCUITS yx2sgft ' 2.50 ea SINGER APPARATUS e ( SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20LCP3O eALd 30c Ex. OCCU FIXED APPLES. OR P• ouTLETs (R ESI D.) EA.) 2,00 Temporary service 10.00 drQ Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ jdZ , 3S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling r0 Hood 300 t Ventilation Q0 Permit Fee Z4r Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Butte to enter upon the above-mentioned property for inspection purposes. y I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ON occ CONST TYPE r TOTAL FEE $ . / M r �� HAZ CUA PARK SCHL FLD I I PAR PD HO ISSUE Th:s permit Is nereby issues unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT .EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F.,.DUPLEX &•MISC. ONLY) Bldg. Permit # o2f C/7' $FO OWNER A.P. # ele ' 4 - e� GENERAL /I. Zoning requirements: (sideyards and number of permitted living units). 2' Valuation. Plans signed by designer. Energy Design and Compliance. 6Existing violations on property. 6• Items on data sheet. PLOT PLAN Complete parcel size and dimensions. • Setbacks, sideyards, easements, etc. • � t Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on -creation map or compliance document. FAU & FAS road setback. VT (V11? VT AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). r Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). -'Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). �GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 0 -'Garage firewall, door size, and closer (Sec. 503(d)(3)). 1-"'1 - 3'0" exterior exit door (Sec. 3304(e)). 2 -:'-Fireplace and wood stove location, alcoves, and clearance. �-: Smoke detectors (Sec. 1210). DET Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT -FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711'& 3306(j)). 4 Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) -4--'-'Exterior plaster - weep screeds (Sec..4706). -f Proper roof pitch for roof covering (Chapter 32). —6: ' Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. -i0' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ..I -I -.-Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). i11L -'Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. �oise requirements on duplexes. -1- Adobe soils - special foundation design. -17 --Retaining walls requiring design. 1-8-rUnusualshape, size, or split level house requiring lateral design. 1 -9' --Flashing at all exterior openings. .*'~bturl to DPW AGRICULTURAL STATE14F.K OF ACKNOWLEDGEMENT FOR.RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior. to issuance of a building permit. '11 -le pr.opert.y described herein .is adjacent to l.and or included within an area zoned ACCEPTED FOR RECORDING for trgr.i.cu Ltur. 1. purposes, and residents AT 8:01 A.M. of thi.s Irroilrc•rLy may he subject to incon- ven.i onces or d i.scomfort err i s i.ng from the Jv("I 9O use oC agr.ic:u! t..ura l chemicals, including, but 110E l.imi.Led to herbicides, pesticides,• and rl..i l.ircrs; and from the pursuit fe 13UTTECpU� f c, oa gr.i.cci.1 t.ura1. era Lions i ncluding, .-RECORDER but not. I:im:i I:ccl to cultivation, plowing, spraying, prrin:ing, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agrictd- Lrrr.al zones which have as a priority use for productive agricultural purposes, and resi.dow s within sa i.d zones and on adjacent property should be prepared to accept such i nconven i.erue or d.iscomforL from normal, necessary farm operations. AIJ that real property situate in the County of Butte, State of California, (1c•:,cri,bed as fol.'1.ows: See Attached. Date: August 27, 1990 P Y OWNERS: State o1- California On this the —Zth day of AlLgust 19_ go hofory me, ) SS. the undersigned Noeary Public, personally appeared County of Butte ) Joseph J. Mello and Carol Ann Mello------ ® Personal] y known to mu. [:] Proved to me on the biis is of satisfactory ev.iden(•c. to be the person(s) whose namejs) are subscribed to the within instrument and acknowledged Lhal taey executed the same for the purposes therein contained. TN WITNESS WHEREOF, I hereunto set my hand and official. seal. D. K©E-NIG Present A.N., No. o 2NOTARY PUBLIC-CALIFOANI.44ot;ry Public 0 Butte County ■ ■ i� My Commission Expires June 30.1992 ■ / Order No. C-50941 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: Parcels 1 and 2 as shown on that certain Parcel map filed in the Office of the County Recorder, County of -Butte, State of California on December 11, 1987 in Book 109 of Maps at pages 56 and 57. A 1 M [ >0 1LST ♦2p IRI 6 f WESTS F.29 C [ K♦Tt1' [ Fw a_ 'RST ZSa Ip RST =11/IM.) 0 WEST 20.42 WEST 2050 (A.) F r 06'0000' W ppp M O. -W W pO 0%4) 0N) =—. m1a1 Oo' V 012 (.4) ISO, Wm[ COURT ROAD w - O. 62 M 43 . 30w 1 a®m To 107 M 37 PCL I EAST SOS[ W) WE}K CIR..21 1aTM mli]1 1 rarn� OLU w ivroceWo c� " ^��1 MgTMO e2r.30 ROAD 42 �� CO1T 77♦5f C o'i r or'DooP IS mxn M 30TTI00' IS COLOR 340 EASEWD(T FOR CIT F d A AL WATER CO—AR yo TO BE RE3EAVEO M DEL" PARCEL 2 6.51 ACS, t C -.<-ociN1 Q3Y 10 . K Cal ALLOT. 31 DR) 1 SC Com,T. A. LO[.f '= saie• [ h•2 �� »7 COR �sD 1.4107.6 WI Z •• Z3 J W. COR ALLOT. 0 10% LOCAr10M OF [1TDi1R MOT O[F1ED, TNEREsEASEYEXf of RECORD 107 faWTT 6C T OAA K OO SCALE r = loo' LEGEND f SET SI•-V."elf FOUO RALIOAO SPS2 -OFO -D REA- RC.[ no • FC -0 OPEN om V. ,O _ F= Vv. EV RC2 0 ALL . ES9♦CS O CALCLU7[O /'O*ffMR OFLT J)jDOOR1V MAPI.PA"I 6.• 1008M OF IW3. PACE 71 31 OF LUP3.PAC( S3 m7 OF --MPAGES S7 • 31 100K 12 OF MAN'S PAGE N `/- .5 G SURVEYOR'S CERTIFICATE T♦1 YAP WU R,cP-M h w q M — OKCnOI AIO WAS CC—M FROM scam DATA AAO q o eA� V0+ A FEW SUMI -... CONa++.iC WTW M REOrEIE]FT3 MOLESTO. ACT ALOCAL OF—Akce ATM MOLEST oM AO CAM SCOTT OM CROSIER l —7. '• •� S I -e... :�. 1 K]ODT STATE 1MAr TTS PARM T co.F To TlE A'reo m q E 9 CCPCM T COrOR1O.Atlr VEE TEM ATME r.v, F AAR. M1 WOl•Ai�R w 7171 • '• AREO F All O M CNMACT[R AM OCCIr1 M PmRne POKATCD. VR-R♦A-.♦LAr1L �� � 4.�• `� 03 -isr9sa, u0 TE WatAE wK eE AIL' qf0 �yy fJ�1 `gid 3 alicCYr TO LMA61 TK ARKT RETUCEO K PARCEL 1 y Tp ^w ROIAID R RDP[R L of Io i 11 650 ACS, S $ S 2ravoo' [ 0SOT + •: w n I R [S -w V IO1J 1� �wQ g O 3 o c � ss � ,ter �� '� S 3]`O•T% [ ¢T[TOO.00 y �tj 113 oc W at W 1 Op• W [ 3n? W 84 M 79 ` y / ROM M WEST tlt OF ALLOT3fNT Y flil M O XJY LOT DOOES WrOaOSE. W. COR ALLOT. 0 10% LOCAr10M OF [1TDi1R MOT O[F1ED, TNEREsEASEYEXf of RECORD 107 faWTT 6C T OAA K OO SCALE r = loo' LEGEND f SET SI•-V."elf FOUO RALIOAO SPS2 -OFO -D REA- RC.[ no • FC -0 OPEN om V. ,O _ F= Vv. EV RC2 0 ALL . ES9♦CS O CALCLU7[O /'O*ffMR OFLT J)jDOOR1V MAPI.PA"I 6.• 1008M OF IW3. PACE 71 31 OF LUP3.PAC( S3 m7 OF --MPAGES S7 • 31 100K 12 OF MAN'S PAGE N `/- .5 G SURVEYOR'S CERTIFICATE T♦1 YAP WU R,cP-M h w q M — OKCnOI AIO WAS CC—M FROM scam DATA AAO q o eA� V0+ A FEW SUMI -... CONa++.iC WTW M REOrEIE]FT3 MOLESTO. ACT ALOCAL OF—Akce ATM MOLEST oM AO CAM SCOTT OM CROSIER l —7. '• •� S I -e... :�. 1 K]ODT STATE 1MAr TTS PARM T co.F To TlE A'reo m q E 9 CCPCM T COrOR1O.Atlr VEE TEM ATME r.v, F AAR. M1 WOl•Ai�R w 7171 • '• AREO F All O M CNMACT[R AM OCCIr1 M PmRne POKATCD. VR-R♦A-.♦LAr1L �� � 4.�• `� 03 -isr9sa, u0 TE WatAE wK eE AIL' qf0 �yy fJ�1 `gid 3 alicCYr TO LMA61 TK ARKT RETUCEO K 70�La, 1 / 41Pf ROIAID R RDP[R L of COUNTY SURVEYORS CERTIFICATE TTo MAP CV—G—S WRx N T 1 0IS'EKl[TS or M i'w, AW ACT AAo LOCK QRC 4CL "TED _ 1Q /7/P7 _ RWM ovi RCL M2� CAIFTT S4RKTq RECORDER'S CERTFICATE a.AT:�x AT eMoai a CMDAQ ROPLI fAWTr 1 CRLl63 COURT RCOROG .T ovvrT ) K moomLoa BASIS OF BEARING THE &A3D W OEASS C FM Z;:Zf [ 6 M CEMTFJLSE OP LOTT ROAD eETWEEM FOAO RAEROAO SP1MS A.L MORrK REN DOM 1 OF MAP3, PAGES 06. IL PARCEL MAP OF A PORTION OF ALLOTMENT 18 OF THE DURHAM STATE LAND SETTLEMENT FILED IN BOOK 8 OF MAPS, AT PAGES 16, 17. 8 IS SEC. 29A3Z,T.22KR2E.M. At BUTTE COUNTY CALFORNIA FOR DAVID SCOTT A.P. MO 404ML T �w 'rSl'1'I'!'I'I'I'r!I'r!I'I!I'I'I)r!1�1)Ilr�l)111)i1.111111LIIIIIIItIIIIIIIII11�IIn!1!11111pIIIIIII111111i111r111i11r111�ir_11111111rrrmI7711!1111111111111111111fill1I1111111111firlrirlrlrlrlllrlllrl111 1 A r Ali'+�'7.�:w4•�:y4,^Srli'iii'�"=dt1��j.'aY:arm!'d#.k���#tai'•i'tai'i�'i'dish`'�n�,,+rw�;�iW+W-1^'Y.;•.���'�;�'✓'T?Y�`."{'{e'�=t•�i[��;+�-'�;'i"�X'yr-�"'Rrs'i1y,;"'�!,;��s:*�`�'��"t+ts."•*-.ys-�.c'. • 't :r'�; wi .; }� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form'per Building)' A.P. Number L�fj - Z (o Building Department No. School District ZD U S b City r-7.1 County F::�J Jurisdiction Property Owner •M E LL D - Project . Location/Address L --o I I L� Subdivision Lot Number Residential Development: ` Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial': 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building AepArtmeAt Representative Date.. y (Floor Plans reviewed by School District Personnel) ` District Id No td . School District certifies that O%--- (Applican Name) (-Phone Number) (5treet dress) (City) :)' (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $��'a, a. p representing square feet. c ool District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 5 lso-36908 ReLurif to DPW Z AGRICULTURAL'STATEMENT OF ACKNOWLEDGEMENT F09 RESIDENTIAL DEVELOPMENT Section 26-8.1 of- the Butte County Code requires this acknowledgement be recorded prior- to issuance of a building permit. ; 90-03690.8 1 Rec Fee 9.00 `[Tiee ro rt:y described herein is adjacent P P" J � Cash 9.00 to Land or included within an area zoned Recorded 1 for agr.i.cuiLur.al purposes, and.,,. es:i_dents Official Records 1 i of this property may be subject toincon- County of ven:i.ences or d i.scomforL ar:i.s.i-ng from the Butte use of agr.:ic:ult..ural chemicals, :including, J. Grubbs but not .Limited to herbicides, pesticides, Candace and fert.:i l.izcrs; and from the pursuit Recorder 28 -Aug -90 CD 3 of agr.i.cu.ltura1. ope:raLi.ons including, 8:01am but not: Jim:iced to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabI.ished Bahric.u.l- Lur.a.1 roues which have as a priority use for productive agricultural purposes, sand r.esi.dow s within said zones and on adjacent property should be prepared to accept such inconven-i.encc or discomfort from normal, necessary farm operations. All that r.eaa property situate in the County of Butte, State of California, as follows: See Attached. FE Date: August 27, 1990 State of CaliforniA County of Butte ) On this the _,7th day of A =St f, 19_x, before me, SS. the undersigned Notary Public, personally appeared Joseph J. Mello and Carol Ann Mello------ © Personally known to me. ❑ Proved to me on the basis of satisfactory ev:ideiic.:c. Lo be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same .for the purposes therein contained. IN W1:7NESS WHEREOF, I hereunto set my hand and official seal. -D. KOENIG PresenL A.P.,NUor � � � ( b NOTAR YPUBLIC-CAButte County IFORN144otgry Publ.-ic: T; . My Commission Expires June 30,1992 ■ a - 1 t90-36900 - .:.saae_b:Y4WFY •i.w.s._.__.._.r...��.y_.w�...�.rw..•�r..•-.w.o+w.:r..c��•wr.s...-•�uc4'�W[awYtla:i. .. ._ _ ... . Order No. C-50941 SCHEDULE C. The land referred to herein is described as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: Parcels 1 and 2 as shown on that certain Parcel map filed in the Office of the County Recorder, County of Butte, State of California on December 11, 1987 in. Book 109 of Maps at pages 56 and 57. WEFT •LOO 4 ISPEWST I� [ KK C 5 OV4 r E x602 82 M 43 W =39 WEST Ww•1 107 M 37 P0. I R ereo[s- c x666 vJOT roup WEST 50.00 4�•7 D T 10.•0 W) MGM 0=9 WLS wE3T 2020 (R•) IIORTM q3a• W [ R 00•o0oc r ii• D zoaoP LO ex3o 0,00 orara0 r ADS, WHO R 3D'O! w 1.0.• W [� jai= 1P011TK OOS,T I R 00 -DOGS r ppp M Y'0200' w e>.M R 00'00 r q.0 W UI•) 1 ��- — TI129 • R Or WOO' W "ll..1 \ r w aTvooO . q•AT (1114) - °e �'� j w o•r000v W IOi.n ' . J�' R 3 oro** 1r O3.0f 3•n It 40 WIDE te a` gu cA.sovFr roR ma, COLMT ROAD W eontl� l o RAPOSEs �- SOOO 1 2aTT PARCEL I 6.50 ACS, t b$$ a gb t yj 3 33' ,OG c 4 R 33'06' r 6U 84 M 79Too �'ga 4rr+j / -EAz MI W r IM. Copt ALLOT. r W 00•~ L IIDTE LOCA TgM Of FA.F,.rT NOT DEFPM TIEREiORE EASELENT OF RECORD NOT 3HOWIf DK T OA P6 00 OWNER'S CERTIFICATE - a3 PARCEL MAP w SCiD1,.v.uopw :- IF RAEAOAO sPa raAo REBM RCE "SS S*� OF � o�RPiE` n SCOTT. A MAPeam MAR AS W QARATE OF THE STATE LAND DK a-. • 4BT W70K K M IAIDOt1CIED, TT. W TIE OAT PCRSOI MIOSE COP00TT 0 PECC SS, TO PA33 CLEPW MYTO SAD LAPD NO A WTART PUBLIC' M APO FOR SAP STATE PEASORALLT APPEAPm DAw SCOTT_ PCIMPOUT I MASCOT COKRNT TO M PREPAAATKAP AO PECODATIOII OF SAID YV V SIPOWR HMGK hyo KM TO At OR -2 PROVED TO K CR TIE SASS OF SATOFACTORT EVKJICE TO K M PMA �. !•_: ' t" �'' ` BUTTE COUNTY CALFORNIA N4E TOM TWY )XCLrr •TR p {ld %1' /��✓ DAVID R 4e0rt L� G� `d =' 3 APPOSE EDGAR TOD Iu0 ACT lL"' f= TO Ii TWAT TIE" L7EMID M aILLc .rrreu n Pwo .Po orPnAl sEs� SE COR SE. w I M TIPS PARE Iw 1 STAT[ T SAASSY&%W"T COPFOPOO TDM APPTIOVI D OR caDTTIDrw1T APPROVED TD(TATIVE PW. F ANY. Ke4hBuh/ r ROAD _ / ALL LPC -04n Art w M CIIARACTEA APa cc r M rosno.e PaCATED. X .. IIKPRhlw BASIS Of BEARING_ y 4 - 6e AAD M MoiA T3 AAE OA r DE C -S69 it /n9 -.s& PARCEL 2 6.51 ACS. S 3 26`9000 [ - q] 07 R 26 -or W 109A (RI l PIOME: M wEJT LVE OF AL LO"ADIT W WAS ADAISTED DT M COMPIu3 RLLE ADJWTSENa AS M OIOOMAL LOT DOES NOT CLOSE. 6 SCALE r = loo* � Q 6 PARCEL t LOCATIONS! MAP I. PK.0 - SURVEYOR'S CERTIFICATE PARCEL MAP w SCiD1,.v.uopw :- IF RAEAOAO sPa raAo REBM RCE "SS \ "I MA► WAS PREPARED BY W OR van W OF THE STATE LAND 30.00 STR► OEEDW TO M COYRT yc AID P Kcopams SA4L PIO RECTION Aro WAP CoAP32D FROM RECOAD DATA Aro OA 0 aA= IA•OK A FIELD SLRvE" N CCPFOP—i - WRF Tw KaiEYE)TTS OF M •--��. .... OF MAPS. AT PAGES 16.17. 8 18 hyo Ti>OPVll90P MAP ACT AIO LOCAL OAOMAKVC ATM �. !•_: ' t" �'' ` BUTTE COUNTY CALFORNIA yK,ym >< T OF DAVO SCOTT OK OCT09EP1 t au. IERAaT T =' 3 FOR SE COR SE. w I M TIPS PARE Iw 1 STAT[ T SAASSY&%W"T COPFOPOO TDM APPTIOVI D OR caDTTIDrw1T APPROVED TD(TATIVE PW. F ANY. >� ALAI ACT APD LOCAL aIDwARrL ROAD _ / ALL LPC -04n Art w M CIIARACTEA APa cc r M rosno.e PaCATED. +. r '�,.;.`. .� •3 BASIS Of BEARING_ y 4 - 6e AAD M MoiA T3 AAE OA r DE G PARCEL 2 6.51 ACS. S 3 26`9000 [ - q] 07 R 26 -or W 109A (RI l PIOME: M wEJT LVE OF AL LO"ADIT W WAS ADAISTED DT M COMPIu3 RLLE ADJWTSENa AS M OIOOMAL LOT DOES NOT CLOSE. 6 SCALE r = loo* � Q 6 PARCEL t LOCATIONS! MAP I. PK.0 LEGEND - aiFC:CIT To [kW-[ M SLfMY TO DE RETRACE •w PARCEL MAP w SCiD1,.v.uopw :- IF RAEAOAO sPa raAo REBM RCE "SS \ -o- FO.0 OPER M v. raAo I.P. RCE. 29"3 OF THE STATE LAND Fav no , ED aS.G XC ". COR ALLOT. r INCIMq IL PICPIER -L Pb . OF MAPS. AT PAGES 16.17. 8 18 hyo I COUNTY SURVEYOR'S CERTIFICATE BUTTE COUNTY CALFORNIA • DOOOK 02 OFF MAAPP PIL ACE TW MAP COIFOISO PPTR M REERT GLWSE 3 OF M FOR Eg 5 >� ALAI ACT APD LOCAL aIDwARrL ROPER ASSOCIATES IS ER6[EERS® SurvEYORS DATED /7�� _ 06442.2004 044 "WrE LOW y PA Bo[ ••9 CISCO, CAL/ORP" G MEET I Of 2 SPEET3 'P SI wk n CwFF RCi Plan +• u e COIMTT LRKTPI Lu So nw wi A!�"PP,• -O RECORDER'S CERTFN:ATE TO //TQ• DAT OF N7 1GG, OO, AT YMM DOOR OF AT A3SOCIArk p AT M K 3T OF ROF[JI CAIDAC[ 1 Cow" Kp"A COUCuIOEA aITT DwTT,) R LL Csa„LPp �_..Ls�,Ei J ' BASIS OF BEARING M m •AOr SE -4 FOR T10 SLftv[T 0 M �z�9 Lu CEWrIEMPE OF LOTT ROAD WrWFEK FCLAID RAAAOAO sP/Z3 AS, MORTK PEA GOOK D OF MAPS, PAGES K - 1[, LEGEND PARCEL MAP w SCiD1,.v.uopw :- IF RAEAOAO sPa raAo REBM RCE "SS OF A PORTION OF ALLOTMENT 18 -o- FO.0 OPER M v. raAo I.P. RCE. 29"3 OF THE STATE LAND Fav no , ED aS.G XC SETTLEMENT FIMLED IN BOOK 8 o CALCLaATED P'OPPT Aar OF MAPS. AT PAGES 16.17. 8 18 1 DO« D OF Man. PAOE3 r - • rP) BOOK e• of MAPS. PAGE TS SEC. 29 6 32. T. 21 N. R. 2 E. MDAI. ISOM 59 OF MAP3. PAGE 69 DOCK 107 Of 30 PAGES3T • BUTTE COUNTY CALFORNIA • DOOOK 02 OFF MAAPP PIL ACE FOR DAVID SCOTT ROPER ASSOCIATES ER6[EERS® SurvEYORS 06442.2004 044 "WrE LOW PA Bo[ ••9 CISCO, CAL/ORP" MEET I Of 2 SPEET3 AP. PO, 4046.07 I.Ililllilllll�lr!� nylll!�Ill�ll��llltll��ljijl�l.llt►tll��lll�ll��lll�ll(:�I�I�II���II�II�t,�Itll�tlll�ll��l(I�II�1 11�It��lillllrtl mTfrTm n llllllllll�llltl�ltltl�l�ltlll�l�l�lll�llltltlllllllllllllll: CO 9 1 :n 3 .$) U� co COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:, 916-538-7541 DATE Joe Mello 9857 Lott Road RE: Permitappin 32847-90 for new SF Durham, CA 95938 A.P. # 40-26-84 With reference to the above subject: " Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER We need the following information: Mobilehome Utilities Installation Sheet. Mobilehome Installation Information Sheet Typical Plan Sheet' List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information.or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: XXX 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte -County Planning Department, 7 County Center Drive, . .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. We cannot find G for your house on Lot 1 Lott Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, Linda Sexton William Cheff Director of Public Works /Chief.F. Glander f Building Inspector 5` August 22, 1990 County of Butte Building Department 7 County Center Drive Oroville, CA. 95965 Re: Structure for Joe Mello Lott Road, Durham, CA. AP No. 040-260-084 Gentlemen: At the request of Mr. Joe Mello, I have investigated the flooding potential of the above referenced building site. The recently adopted flood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 -year flood from Butte Creek. The base flood elevation has been approximated for this particular area based on an analysis prepared by the F.E.M.A. consultant and provided to us by the Butte County Department` �of Public Works. It should be noted that the consultant's analysis was based upon "the best available information at this time" which included the U.S.G.S. quad sheets and is not a final design. Because the analysis ignored the existing levee system it is very conservative and is acceptable as a reference until a more complete study is prepared. A temporary benchmark (railroad spike in the centerline of Lott Road near the Southeast corner of the parcel) has been set near the building site. The elevation of the temporary benchmark is 152.51 U.S.G.S. based upon County Benchmark TBM # 12A, Lott Road 3 -Wire Levels, RD #41273, Page 16. The finish floor elevation of the residence shall be at elevation 154.16 or above in order to be above the 100 -year flood. The elevation was established using linear interpolation of the F.E.M.A. consultant's cross sections. I trust this provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. ogtiOFESSIpy Very Truly Yours, No. C 5? ' Mark Adams RCE 34257 Exp. 9-300011( cc: Joe Mello C Ib3`- `NG Pp?�o August 22, 1990 County of Butte Health Department Memorial Way Chico, CA..95928 Re.: Structure for Joe Mello Lott Road, Durham, CA. AP No. -040-260-084 Gentlemen: At the request of Mr. Joe Mello, I have investigated the flooding potential of .the above referenced building site. Based on field review and historical knowledge, it is my opinion that the site is not subject to .flooding due to a ten year event storm. I trust that this 'provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. �oQgtiFESS�Q�,. Very Truly Yours, • N4. C 57 Mark Adams RCE 34257 Exp. 9-30-91 cc: Joe Mello C/V1�-� August 22, 1990 County of Butte Health Department Memorial Way Chico, CA. 95928 Re: Structure for Joe Mello Lott Road, Durham, CA. AP No. 040-260-084 Gentlemen: At the request of Mr. Joe Mello, I have investigated the flooding potential of the above referenced building site. Based on field review and historical knowledge, it is my opinion that the site is not subject to .flooding due to a ten year event storm. I trust that this provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. QgoFESS/-% Very Truly Yours, Me. O 57 Mark Adams a RCE 34257 Exp. 9-30-91 cc: Joe Mello�,� _. .Y .a. ..:� � .bih ?.rhr r,.,r Af. ...va�...,,�RF•r ...,. -v.,, �."c-•+'y,,,•..,fuy' m -r r '�-n„�, '�,q...r.-. ...-.. �v...y,,,p,.5 ra cr,'r.yTvr,...,+., BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 07T/'J(p - gT Building Department No. a.�.+. School District o (tf�Cirty = County rVI Jurisdiction Property Owner' e A- Wo Project Location/Address ©s p U1^ C!041.1 Subdivision Lot Number Residential Development: a Sq. Footage # of Living MHI Addition (Group R,) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior J, Roofed Areas) Building epartment Representative Date "(F-loor Plans reviewed by School District Personnel) District Id No. , School District certifies that «.L—,CLQ L✓�1J . � .... (Applicant Name) (Phone Number) Q t (Street Address) / (City) (Stat"e) _ (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing +square feet.` chool District Representative Date, PAID BY CHECK NO. REMARKS: BANK NO L° PAID BY CASH r` . white -applicant, yellow -building department, pink -school district. SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538-7541, APPLICATION AND PERMIT PERMIT NO. AA ASSESSOR PARCEL. NUMBER 40-26-84 r ZONING A5 BUILDING' PERMIT --- OWNER77�� Joe oA.DDRESS TELEPHONE 343-7867 SO. FT. OCC. BUILDING VALUATION 156 CoV to R 4,680 OWNER'S MAI'LIING 9857 Lott Rd, Durham 95938 CONTRACTOR'S NAME Mello Const TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR EV ;WEEP, _ LICENSE NO. Plan Checking Fee $ 25.25 Ener Plan Checkin Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9305 Lott Rd Durham Permit fee $ 100.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFffK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New Addition[*_Remodel E:Utilities _ Installation[] Other ❑ Describe work: Lsci� Permit Fee $ 12.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6000 AMOR P LOR ESSLESS 10.00 Main service EA. ADo'L too AMP 2.50 CONTRACTORS LICENSE LAW I declale under penalty of perjury (check one): ❑' I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code an my license is in full force and effect. �� f License No. Classification._ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING oCC OR ADDNS. ACC. BLDGS. �¢jfj� '/z¢sgft 3,90 NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20®50Q eAL990 FIXED APLNS. Ex. Occup. OUTLETS P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities .15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemedyevoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemnify and keep harmless the County Of Butte against all ' i ties, judgments, costs, and expenses which may in any way accrue a• inst aid C unt consequenc of the granting of this permi % X �/ - Date gnatur' of Appli Dont — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0 ion of structures over 3 stories in height. deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TO L EE $ 12 .65 HAz. CLIA PARK sc FL cp P l D. Is E This permit is hereby issued under the sions of the Butte County. Code and/or work indicated ab ve for which fees OR PUBLIC By PERMIT EXPIRE Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83791 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ss COUNTY OF BUTTE -.DEPARTMENT OF PU®LIO WORKS • BUILDING DIVISION /Y COUNTY ®EN7EA'bRIVE - OROVILLE, CALIKOpNIA 069K- TELEPHONE' 018/638-7641 1 PERMIT APPLICATION DATA SHEET .�. Permit No. OWNER Ly ' A. . No. Proposed Building Use 4 �- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4: Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees, aid ................................................. �13. 1A r a � cool District fees paid .............. — z--�f� 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept. _Fire Dept. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Other Date By (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall --/-counter by date Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder Date Ila COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A9 E330R PARCEL go NUMB R -On �74E ZONIy.y BUILDING PERMIT OWNL'�E/T_R'' ''//•��•//I//''//�f / 0 TELEPHO E SO. FT. OCC. BUILDING VALUATION OWNER 5 MAI LINGCA S- 9 /_ u r a m 45 CONTF�ACTO 'S NAME /�// TELEPHONE COpLT,RACTO 'S MAILING ADDRESS J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LE R'S MAILING ADDRESS 9�ki _ _ Filing Fee $ .0.00 Peal;: Fce $ ARCH17ECT OR L.v ,I;JEF_R LICENSE NO. T Plan Che^':Ing Fee $ AR HIECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee n $ Penalty $ BUIL.CING ADORES' O o it- (4 Permit fee $/OMKI PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFV1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition R m d II❑ U 'lities ❑ nstallatio Other ❑ Describe work: // 41 t D In Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP V OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.yyL OR ADONS. � ACC. BLDGS. LrJ , �1 !z¢sgft v NEW CONST R. ULTI.OUTLET NO N.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2005Ot e AL030 Ex. Occup. OUT LETS PRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE 1p HAL CUA PARK scHL FLp PAR PD I Hp. ISSUE permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date , Receipt No. WHITE-O.P.W..'/ELLOW-A3aC33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT Y FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on 19acies 1 - 7. O.M.B.—No. 30.67-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION R Eamlttsuraitt� Cortioanwa'i ti =:; A EA BUILDING STRED)RES ETS @icludi!nj Apt.,'Unit, Suite, and/or Bldg. No.) OR P.O.' ROUTE AND BOX NO. ' Company�.(li4lie Numtie¢ ;;_ ;, SgCA -s93,5� PROPERTY DESCRIPTION (Lot and Block umbers, Tax Parcel Number, Legal Description, etc.) A -FN deo-2�-og2� BUILDING USE (e.g.,Residential, Non-resid ntial dd on, Accessory, etc. Use Comments section if necessary.) � ec e a2 Y '-•--- �8d2--� LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: l—I GPS (Type): ( W. - ##' - ##.## or ##. ) XNAD 1927 I-1 NAD 1983 LI uses Quad Map !—I ower: SECTION B - FLOOD INSURANCE RATc MAP (FIRM) INFORMA-nON 81. NFIP COMMUNITY NAME GnMti+UNITYNUMBER 62 COuK NAMES 83. STATE B4.'MAP AND PANEL NUMBER B5. SUFFIX B6. FIRM INDEX _ DATE B7. FIRM PANEL EFFE T1VE/ EASED DATE B8. FLOOD ZO E(S) B9. BASE FLOOD ELEVATION(S) (Zone A0, use dept of flooding) B 10. indicate ire souse or the Base Flood Bevanon (BFE) data or base flood depth entered in B9.. L-1 FIS ProfileFIRM . . (_j Communi eterrnined -,1-1 Other (Describe): th B11. Indicate e elevatidatum used for. the BFE inB9' NGVD 1929 - _j NAVE) 1988- 1. Other (Describe): B12. Is the building.located in a Coastal Barrier Resou System (CBRS) area or Otherwise Protected Area (OPA)? Yes I'No Designation:Date:- SECTION C - BUILDING ELEVATION INFORMAT10N (SURVEY REQUIRED) C1. Building elevations are based on: I_IConstruction Drawings' �_iBvilding Under Construction' rnished Construction. 'A new Elevation Certificate will be'required when construction of the building is complete. C2. Building Diagram Number i (Select the building diagram most similar'to the building for which this certificate is being completed -see pages 6 and 7. If no diagram aacurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Al -A30 jAH, A (with BFE), VE, V1 -V30; V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from, the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use a space provided or the Comments area. of Section D or Section G, as appropriate, to document the datum conversion. Datum R `Z ConversioNComments •-----Elevation-reference-mark-used—P—��--5�5--.- - Does the -elevation reference mark used -appear. on -t - -.._ -No ❑ a) Top of bottom floor, (including basement or enclosure)/ — ft(m) ❑ Top of pert haigher floor ark — fL(m) e c`�O `� NN • 8.40 ��`' C3 c) Bottom of lowest horizontal structural member (V zones only) — ft.(m) 2 o . i44 P• C) d) Attached garage (top of slab) /JA _ R(m)' E co spa e) Lowest elevation of machinery and/or equipment W m r�1 08 . �. servicing the building. ft(m) 26 f) Lowest adjacent grade (LAG) 152 • ft (m) z' ❑ g) Highest adjacent grade (HAG) _ ft(m) �Q ❑ h) No of permanent openings..(flood vents) within 1 ft above cent grade 01A � %�T GjVI - ❑ .i) Total.area of.all permanent openings (flood.vents) in C3h sq. in. (sq. cm) 'e1122 !F SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be. signed and sealed by a land surveyor, engineer, or architecf authorized by law to certify elevation information. ! k�rtify that the informadon in Sections A; B, and C on this certificate represents my best efforts to interpret the data'available. I- understand �th�atA any ;else+ statement tray be punishable by fine or Jinorsonment under 18 U S Cods Section 1001 CERT1p IFIE 'S C:E LICENSE NUMBERE�G& /� r �)p3 TITLE ADDRESS i 7 weNk"a, LAN CITY 6.,qlco STATE^ A ZIPCOD �SIGNA�� DAE73 „qA Fnegn R f �4 Al Ir: C(i 1R rliR C`flr� i ,nlr i6 T iC1Fi RFaI AC �_� Af I RR�iiCli iC ,=ii,Tii ,nL� Z lik IMPORTANT: In these spaces; copy the corresponding information from Section A. l� Foriiisuranm.Cbmp nytUtl e=;:::':;;•. BUILDING STREET ADDRESS (IncludinA t., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. rFoli_cy Nurnbec:. 43 05 L G PA CITY STATE ZIP CO L.CompanV-NAI:E Number; SECTION D - SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenttcompany, and (3) building owner. COMMENTS 1-1 Check here if attachments. SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED). FOR ZONE AO and ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3. If the Bevation Certf'rcafe is intended foruse as supporting information for a LOM/i or LOMR-F Secdon C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see 'pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2 The top of the bottom floor (including basement or enclosure) of. the building is L -L -18.(m) 1-1-1in.(cm) �_1 above or L__1 below (check one) the highest adjacent grade. --E3.-for Zone AO--only.-1f-nuflood-depth-number-is-available- is-the.top of -the -bottom -floor elevated -in accordance -with -the -community's- _ floodpiain management ordinance? 1-1 Yes 1-1 No L-1 Unknown. The local official. must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BEE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1-1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local .official who is authorized by law or ordinance to administer the community s floodplain management ordinance can complete _ _Sections.A_ ,..B, C_(or_E),. and -G. of_.this -Elevation Certificate- Complete the applicable -items) .and_sign .below. G1. 1-1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify e'evation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 1�1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5: DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 97. This permit'has been issued for. 1-1 New Construction 1--1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site. is: - ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DA i COMMENTS Check here if attachments P;=MA Fnrm R1 11 Ai ire QQ RFPr Arai=C At I PRFUi(N 19 Pi 1171nki-q E D TIAL 40-26-84�11J 2847-90B,P,E,M ` MELLO, Joe Lott Rd, Durham (new sf ) • OFFICE COPY Address 30 /1-67r GAS O ----------- Meter Meter By — 12_ /' Date ELECTRI� h Meter By J Date��'%�' OFFICE COPY Address c r GAS Meter By Date Rant J ELECTRIC �— I Meter By Date OFFICE COPY Address- 'U05 It T rt GAS Meter By Date I ELECTRIC Meter By_Date JOB FINALED (Date) Signature J=OK �. O=Not OKNot = Not Readyable IM O B fL E * KO IM E S Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /' L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 ` Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK = Not Applicable = Not Ready 4 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR Plans OK exce t q's t���Zo1/1ng-Set acks-Ease nts_ood SLoe ElFtg., Main; Soils-Elec. G d. -AL/" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Gca&�/ py" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth !K emwalls, Main; Steel-Blockouts-Wrapped . Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped PiV - ireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test jo.'gas Pipe; Size -Anchors ax"water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 1 ; Clearance -Material -Support -Ins. . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ,f -p- krsetatiea /z.t, .T61s &-i- ids/ mw. aox8rr FLOOR slpi5r Sc.,.y/c6i✓ RooAA Date Sp -6-L Card B-1 [.;yr, Date Card B-1 Date �Z,.ta,cpCard B-1 6a, Date �t?_o(/ Card B-1 GG Date PLUMBING Permit OK except tf's 1 . Water Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; ° & Ancho -Nail Protection . 5— v.: T -Fittings nchor-Nail Protection , Shower Pan; T irst Floor -Tub Access N. Test Tub & Shower, Second Floor -Tub Access 21: Gas Pipe; Size & Anchors Date -f5 -i Card B71 /' Date Card B-1 Date L1 - 1%iApard B-1 (—,r Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 26'Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled t Romex Installed Close to Edge of Studs & C.J. Equip. Gr nd made up w/Mech. Fastners-Bore Gas & W 27 Appliance Circuits in Kitchen & Conductor Size/GFI 2YSubfeed Wire Size / / ga. Cu or AI A.C. Wire Size Q�/ ga. Cu orA1? 2BfRange Circ. /a ga. Cu or I ven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 3 . Service -Riser Conductors & Ground -Main Disconnect 3 . Equip. Clearances Panels-Motors-Mech. Equip. 32 -'Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date - , C 1 Card B-1 Date Card B-1 Date Q -f 9, -XI'l Card B-1 Date Card B-1 Date MECHANICAL Permit OK except k's 54 A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 34 Condensate Drain & Overflow; Size & Grade F6rnance-Ve4 Access -Comb. Air -Return Air Vent -115 outlet 36. Attic Access & Platform if Furnance in Attic Date I_Tc, Ct Card B-1 GC Date Card B-1 Date Card B-1 Date Card B -1 - Date FRAMING (Plans) OK except N's 39!'Sils, Proper Material & Anchors g6KWalls Studs -Nailing, Spacing & Bracing -Plates -Sound e mg ver Girders & Floor Nailing 01 Draft Stop i s rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & m- 'ze & Bearing Date FRAMING (Continued) anrs- ost Caps -Anchors -Connectors Cing. Joist-Rftr. ies- r m oo a - russ-Shthng.-Rfng. d . Fireplace Ties or Type A Flue -Fireplace Throat clearance 4F. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions iOe,f. arage Fire Protection Framing 5;e,Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits `a Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 59.'Dlvwood on Roof Overhang -Attic Vents -Rafter Outriggers ailina Veneer 5"Occo Mesh -Drip Screed -Fd. Vents-Underfir. Access Area -Glass 58. Shear Walls; Nailing -Bolts sWMion-VMffs-Ce11in s fieInfiKfa'tion-WalIs-W1—ndows Date 1_15.4i) Card B-1 Date Card B-1 Date Q -Ja.0 l Card B-1 �'� ., Date Card B-1 Date FINAL Plans OK except #'s 1. Ext. Steps -Door & Sidelight Protection -Landings 6eSmoke Detector 6,�iFurnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 . edroom Exiting & Bath Fixtures & Tub Access -Spa 6eElec. Trim & Subpanel; Breaker Sizes & Labels U -Stairs & Rails W. 'Fireplace or Stove; Clearances -Hearth 89. E' c. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter I27 -Garage Fire Door; Swing -Landing -Closer 78. A. . Duct in Garage -Damper JA- Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7S:--Plb., Elec. & Mech. Equip. Listed for Location ec. Receptacles in G e; (G. F.I.) -Rome x Protection 7k,Msulation-Foam-Looked in Attic 0 Yes 70.-Ituard Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 8 Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 84_& ucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbingye Nmyc IFtoob 8VVents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 8<`Water Well; Disconnect, Electrical, Plumbing 85rT:xterior Elec. Trim; G.F.I. Receptacle -Underground 8 entilation Throughout House I;J/G s Protectio Correction rom Previous pections Gas T -Meters Tagged; EI ric 0. Water & Sewer Connected -C/O to Grade -HD Approval En gy Compliance Certificate -Other Ce cafes Date- �6Z11 Card B-lEYVZ Date Card B-1 Date Card B-1 [.(^ Date Card B-1 Date $>?3%� Card B-1 GC,' Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) MAY 15 191 13:27 SEQUOIA SUPPLY 1 707 864 ;'?F P. IT, Al C I F I C AT E 01 F '' ,•. O HN 4p� t @ C E 4i UNDERSIGNED MANUFACTURER - - I;. that the products identified below and on attached sheets Nos,ERE,���y���T/��° with the Collective Mark of the AMERICAN INSTITUTE- pr _ - are marked T1MBL-f� CONSTRUCT-IQ,'V (AITC) ".a1` ir)ce� and were manufactured in conformance with applicable provisions of Amerir_:�n !gyrational Standard I ANSI/AITC A190.1-1983, Structural .Glued Laminated Timber, and that such manufacture ha,' Y ' ' beer, at ourpiant in Ridr'i�e, Q _ approved by the Inspection Bureau of the Ah1E.fliCAN INSTI hUh }dant ha a c�rclt y control system`;. and inspected periodically by such Bureau. Gr 71"fE�R CONSTRUCTIG�� I The manufacture of these members compiles with the manufacturing and faoricati Chapter 25 of the Uniform Building Code. ng provisions of JOB NAMS JOB LOCAT:ON a 3n5 r r ±t RA-Llrham�' CUSTOMERS ORDER NO. _ q Q � II Q l n r, � OATS �.L,F�AnFG:t•S ORDeR ' 0 r`p C; i�E?IlDc:1^� h$V(_, _-- b� SiGNATURf `✓ u�G��r� 24F V4 COMPANY _ i`1 f� •I 'f c •-� i y p +• r c TITLE OLlZ,I d i�C)n't.r��•'/%/- 0:.7c / AITC cBY CcRTIFIE'`; that the said company at its Said P,4r:t is licensed by the AMERICAN INSTITUTE, OF TIMBER CONSTRUCTION to use the AITC Coilective Mark in respect of products which comply .with applicable provisions of said Standard, that 'che adequacy control system in effect at said plant is periodically ins;aected and verified by the Inspection tBur4aa o the AMERICAN INSTITUTE OF TIMBER.CONSTRUCTIOi`J, and chat, in,.he judgment of AITC, said company is capable:of complying with ng and testi applicable manufacturing provisions of said Standard in respect of products manufactured at said plant. Conformance: wi', i the Star,darld yin respect Of any specific or particular product is the sole re'sponsiblliry of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product rneeting tfte said Standard and that its plant is oerindically inspected and verified by the AITC Inspection Bureau. AITC FORM 18CA . AITC Cerlrlrcale No: 30' 028 A 1 AMERICAN INSTITUTE CE TIMBER CONST RUC TON 1983 AMERICAN INS -{TU c + d. i, T_ OF T1N;aER CGNST i . RUOTtoN owner: LOCATION ROOF Material Thickness(inches) Y ;Petnit No. ENERGY CERTIF I -C A T ION A. P. No. DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value)_______,. EXTERIOR WAIL. Material Fiberglass baits Brand Name O�Pn�-corning Thickness(inches)___ 6,,, Thermal Resistance(R Value) R1�_9`___ CEILING Batt or Blanket Type Fiberglass batts Brand Name Owens-Corning R38 Thickness(inches) 12" Thermal Resistance(R Value)___, Loose Fill Type Fiberglass Brand Name Owens-Corning .Minimum Thicknesi(Inches) 16" Number of Bags 43 Wt. per bag'R3�5___lb. Area covered(ft. ) 2151 Thermal Resistance(R Value)_„_____T, FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 6,111 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value)— R19 Brand Name Thermal Resistance(R Value)r_______, Brand Name Thermal Resistance(R Value)-,,;�.�, I hereby certify that the above insulation Was installed in the above building in conformance With the State of California Energy Requirements, LOERKE INSULATION CO., INC. 499150 ZSIGNA RMNAME/OWNER STATE CONTRACTORS LICENSE NO. May 22, 1991 RE OF INSTALLA. ON APPLICATOR DATE I hereby certify the above insulation and all required items ee shown on the Building Department approved plana and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. /OWNER (Please print) STATE COIWCTOR S LICENSE NO. n 0 QENERAL CONTRACTOR OWNER DAT A THIS CERTIFICATE MUST BE OR FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING, January 1984 NOTES I r tr t i h r r f� RESIDENTIAL d -f -I U 04-260-084 01-1063 HAAPANEN, R. 9305 LOTT RD. DURHAM CONT: ADONIS POOL NEW POOL MASTER _ f II SPECIAL CONDITIONS II CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTIQN ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) L� V Signature "V" d = OK 0 = NOt OK ,, - = Not Applicable • = Not Reny MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG Cert. of Occupancy 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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, COYgRS, CARPORTS GARAGES (Plans) OK except #'s o ' Requirements -Setbacks -Easements ings; Soils -Size -Depth -Spacing -Connectors -Steel ecks; 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-Rttrs-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 44IN AL (Plans) OK except #'s Se cks- sements Soil ompaction-Structure Stability 3Dol Structure; Steel -Connections -Thickness r ead Men -Lining . Elec.; Receptacles and Lighting, Distance-GFI 5. lec.; Pool Lighting; 15 Volts-GFI Elec.; Enclosures; Conduit Entries -Terminals -Listed Y'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 10:`�mb.; Cir. Test-Wat�pply Test �1iL+l��� .,& LiahtNiche Date ' -e/ Card B-1 to Card B-1 Date jVP Card B-1 Date Card B-1 1(0 �� flaHn5 �koSC �4f/ D ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (. Date 46. 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.-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. 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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes C) 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 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 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-Mech. 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 ❑ Yes 82. Following Insild./Drive J Yes J No/Walks J Yes :) No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-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: YC,JNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-79roville, California 95965 • Telephone (530) 538-7541A / _/Og,g T No. (Rev. 12/96) APPLICATION AND PERMIT (p •'�S ASSESSOR PARCEL NUMBER 040-26C-08 ZO"' 16- BUILDING PERMIT OWNER HAAPANEN. R. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9305 T= R. DURHAM est 20 000.00 f CONTRACTOR'S NAME ADONIS POOL TELEPHONE CONTRACTORS MAIUNG ADDRESS 19 -PRE -0,01 RIJN CT_ CHI= CA 95973 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 20 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 23.00 SUIL§JgRES= RD • DURHAM CA T7'p7�^*� �y LVJ Energy Plan Checking Fee $ $ PERMIT FEE $ 250.00P LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ff� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL MASTER 507-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 Q20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee I 20.00 Main Service sao°0.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force d effect. G �� License Class Lic. No. _ yOWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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' co en do insurance .c nd poli number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. SLDS. 3.5¢FT: (commencing NON -RE ID MOLT C.OUTLET C° 7,50 POWER APPARATC a swGLE ourLEr aR. Ex. Occup. OUTLET ORFDnURES BAL@':50 Ex. Occup.oFlxuriErs A= °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ sn on MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need noTl5e completed if the permit is for wok 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 9 1 should become subject to the workers' compo ions o s 3700 of the Labor Code, I shall forthw' o ith ovisions. _ ate J_�/ ature o Applicant - ❑ Owner 'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TVPE TOTAL FEE $ 335.00 HA2. � D. FE IMP D. X FLOOD A p EL X f HD X 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. By Date D 1 PERMIT EXPIRES ON l0 fe ReceiptNo. 35.00 WHITE-D.D.S.-B.D. NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -M ,. jCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 1 PERMIT /D� 3 (Rev-. 12/96) APPLICATION AND PERMIT SC' ASSESSOR PARCEL NUMBER L/C) `'u, O ` iOrallo/1 —10 10 /SNE BUILDING PERMIT OWNER ,/J y � SO. FT. ! OCC. BUILDING VALUATION r/ o� rho�o� owNADORESs L f`r hoQ J/L 1216-1 CONiRACTO / J �o � TELEPHONE 97 co Rap i-(Aoo�a� f-- A o •j C t- CONSTRUCTION LINDER Fireplace �NDEy MA"AIM ADDRESS Total Valuation S ARCHrrECT OR FNWAM _ ucem" NO' Filina Fee S 20.0 Permit Fee ARcWECT oR eNwn®►a muAM ADORE90 Plan Checking Fee $ SU DNOADORESS 2 C) ,� _ n Energy Plan Checking Fee S y�ii FLL1 l3 PERMIT FEE : 2 - LOT NO• LOT suawm10N Kms ,OGS PARou MAPSAC PLUMBING PERMIT Filing Fee 20.0, Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilshome ❑ Other Spec" Solar or heat pump water heater 23.00 Water piping 15.00 l0-' Each as water heater or vent 15.00 TYPE.OF WORK New ❑ Addition ❑ Remodel ❑ Uil ties 0 7� Installation ❑ Other ❑ Describe Work: ! `f 7— l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 4 PERMIT FEE- = 3� ELECTRICAL PERMIT Filing Fee 20 -OC Main Service 20=CN= 23.00 0-6 20 --- -- A ' ^Ex. 3 / j� Q _ . Main Service 2— To 1—A 48.00 NEW caaT. Ov= OOCUP. 3.5¢S OR AODNS. a ACC. eiDs. NEW CONST. ON•R®ID. rwu�TFounET @7.50 P9NOLEO APPAUS a O RATq0. Occup. oVREr OR FDRURas 200 1.00 OR Ex. Occup. otrtttis ®1O. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood8.50 Ventilation PERMIT FEP. S Mobile Home Installation Fee i 1 Energy Inspection Fee S OCC CONST. TYPE TAL FEE; ,,a. O. Fee! o/ HD 69U£ 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 I (Da to) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: %f I A /a A /1iy� ASSESSOR PARCEL NIJ WER: Y Proposed Building Use: Building Inspector: At time of permit application, I was advised t e following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- . E14. 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! ------------------ 0 6. -----------------❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 1:17. --------------------------------------------------- ❑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.-----------------= ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 1 . Impact fees as shown on the attached schedule. ----------------------------------------------------------------- California Department of Forestry plan approval/fees. --------------------------------------------------------- 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- f anitation and plot plan approval 4� H1 A. -Health Department. ------------------------------------------ ❑ 15. City of Chico plumbing permit . ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------------------------- ; _ ❑ 17. Planning approval for (A) Use: n (B) Parking: -------------------------- -�-® ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainag�ke,! ,g al Parcel. ----------------------- --- , - ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) E12 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) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- v- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- J ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: When you issue the permit, process as follows El Mail to owner, [--]Mail to contractor. ❑ Telephone �' �� 7 and hold for pickup at ChllCa offr�O.Pelith inspector. Applicant: - ^)ate: �5- "'W Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep tro'y1 r Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departure r: Date: By: 1. Index permit application for the above items numbered: 11 Plan Check List 2. A items required: ontract designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, byDate: actor, 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, own_q, was advised of the above data by ❑ phone, ❑ mail; o Building DC�counter, by Date: Plans reviewed by: Date:, Plans approved by'c•; ^Y Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transferby f Date: venml/ rnnv - liana,-t_t ..f Tln.,ol.,...,,o,.t ce....:,.e.. D..a.7:_,_ 11:_.: _: __ • {, _'y. i. l..c ,.. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D Owner Location AP# Plan Approved for: Sewage Disposal Cl Water Supply: Public Private Well Clearance for dwelling. 'Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date t '- i Mandatory Measures Checklist: Residential MF-IR ti ProlectTille _ a��7Q� NOTE- Lowrice crsidential buildings subject to the Standards mus contain these mrsaucs rrpnB a of the eomPlianec. L-approach used 'tuns marked wish an u Project ct Address Butldtng Pamt[ N on the Ccutirtr..- or Com Trask (e) li be set rtrautrc+rsetru read ...._.: _ , Compliance— When this checklist is incorporatedaminto U+e �ng�t compliance Ljj01f�t be considered b all _ componentpermit doeumrnts. wu rarures asa shau GL. whether they arc shown cI54w hhas in the documcnu or on N checklist only frasioru far the mandarpry rnc�vaes Chucked By / Daae DoeumentaLlon Author .' . Telephone Fnfvr-Ment Agency Use Only DESCRIMON DESICNER EMjtCiMEM BUILDING DATA Glass Area 95 Glass _ Building er+velapeMeutires 1 North • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. Condi 'on Area Number of Stories �_ ',' -�� LL §2.5352(br Looe au insulation manufactures Labeled R-valuc. Slab sed Floo .. Number of .Units �.0 �7• ' 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (dots not apply to . ; exterior mass watts). " rT Single Family Detached (SFD) [ ] Addition-Alone West /90 ��- e' 12-5352(k).. Slab edge irijaaiioo:water a ra 'S J trarmnission rate no9=w9=wthan 20 h uuA�onte no PC=" cher" 0.3 watc vapor Single Family Attached (SFA) [ ] Existing Building Skylight p [ ] Multi-Family (ms) [ ] Existing-Plus-Addition Total ""�^ §2.5311: Insulation sp«irlid or installed meets California i . CEC) y standards. Indicate type and form. gY Commitsion'(CEC) quality / T O §2.5352M Vapor barriers mandatory in Climate Zones 14 and 16 only. " ^ : BUII,DING SHELL INSULATTON•' •. ' 42.5317: Infiltation/EarrloationControls Component Insulation a. Doors and windows between conditioned and unconditiOnC(I .:. • 'dg w spaces fined to limit air dcsi I.00a12011/COn3ITle:3t$ b. Doors indpws ccnificd, .. ; R-Value a . (c, to ata e, r i.el, etc.)" w Wall.....:. .� / pcctalmfilaauonberrscrtnsalkdtac -°_—� i ply �42-5351 meas Clked and EC quality c windows v.cathcrsaippcd• an joints am :..• Wall .............. standards. comply ..:'•_ : a 12-5352(d).- Installation of Fete laces �. Roof .............. I. Maory and factory-built freplacex luvc Roof ............:. —`�_— gni ctur g.ntakcwhitlkidam�paand - s '• Floor ............. c Flue damper and control glass door J -� z No continuous. burning Floor. gas pibtt appwrd. aa,uot HVAC and Plumbing System Measures .:, Slab Edge ..... 52-5352(8) and 2-5303: Space conditioning equipment siring: attach a'culadons. r §2-5352(h) and 2-5315: Setback thermostat on all applicable heatin GLAZING h g� ' Shading I3eYiCeS ' §z-531e,(a>: Ducts cortswcted, installed and insulated per Chapter 10. 1976 UMC Glaring :Area Glass §2.5316(b} Exhaust per controls. Type Interiors have dam : Orientation s Exterior Overhang Framing Type §2-5314(cr Gas-fired space heating equipment has intermittent ignition devices (sin double) (roller blind. etc.) s §2-5314: HVAC Overheads and faucets,ertiRedbytheCEC j (ItadGSCrOCn, etc•) e9i710) (ittetal/wood) t equipment, water heaters, sho . i No tT17 ( L §2-53520: Water healer insulation blanket (R-12 or gseatu) or combined in ' insulation (R-16 or greater): fust 5 feet of i t3 or greater). North ( ) Pipes closest to tank insulated (R-3 or grrater). §2.5312(Eacep6on 1): Pipe insulation on steam and seam condensate return & recirculating 3 East piling. _ a East ( ) _ §2-5318(d)- Swimming Pool Heating South ( )_ I- System has �_ X On/off switch on heater. i SOU r11 b. Weatherproof instruction plate on heave: g West / t .. c Plumbed to allow for solar. . _ \ ) ,tea 2 75 percent thermal effiiciency. 2 J West ( ) 3. Pool cover.. ' Directional I' ' '• Skylight....... x211 .:: j. s. water inlet - 1 Lighting and Appliance Measures - THERMAL MASS 1 r 42.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens tad bathrooms. 1 Type/Coveting Area Thickness 12.5314(c): Gas rued appliances equipped with intermittent ignition devices. t (Slab/eXposed,ult eke.) (inches) §2.514(a): Refgeaos,rfgeto-((sfesebOn(itchen, bath ercczus•fc¢ersand0uorecuttlamp ballastcertified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of Compliance lists sir binding foam= and ormance Title 24. Chapter 2-53 and Ti@e ?A. Chaptc�2, Subd3apter4 Article I of the Califotm Adminisneeded ttraticPl�dc This HVAC SYSTEMS Minimum Duct certtficate has been signed by the individual with overall design Type (furnace, air Efficiency Location Duct Output Manufacturer/ # ;» retain a Copy of it and u-ansmit the certificate to any sutuequc �nsib�ry•� � building owner, who shall conditioner, heat um) (SE, SEER.HSP plaserof the building. " F7 (aeric, etc.) 'R-Value tuh ora roved a tial j` S 7P Designer _�L Building Owner Name: Tim Address: Maximum Fumace Heating Output: gNh Tekplwnc HOT WATER SYSTEMS O�\'` Lie. Tele+'°"C Tank Manufacturer/Model # �� 1 System T (Storage as, etc.) Capacity ora roved equal) S cial a t� s " � � (�} (si • tame) - - (desk) (si6nattac) (date) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Names Documentadon.Aur. tho Enforcement Agency , 1itkJFi:rrn . Name: R -value One Two Three " R-0 -17 1. Ceiling Insulation 5 R-11 3 .2 4 Number of stories 0 0 .. 0 R -value One Two Three 1 • R-0 -103 -49 -02 II i R-19 -8 -4 -2 0.40 -95 R-30 -2_ .1 .1 - -22 0.20 R38. _ 0 0 0 -17 -8 U -value 0.08 -11 -6 -4 ' 1 0.50 -176 -84 -54 -1 4 0.30 -102 -49 32 1 0.00 0.10 -26 -13 -8 Ventilation Crawispace -55.----18 0.08 -18 -9 -6.. . One Two 0.06 -11 -5 -4 -5. R-5 0.04 -4 -2 -1 y» - -2 0.02 0.00 .4 11 2 5 :: 1 3 -2 4. Slab Edge Insulation 14 _-' - Number of Stories 2. Wall Insulation R -value One Two Three ' R-0 Single Single - 0 R-5 8 5 Family Family Multi - 6 3 R -value Detached Attached Family 0.90 -4 R-0 -68 -51 34 .1 0 R-11 0 01 0 0.60 6 R-13 .... 2 .. . _ 2 _ 1 6 3 R-19 8 6 4 16 I 17 u0.80-7-_ -1 •..:: i 12 ..:..:. j -.16 .. .153 :114-76 4 9 13 0.50 -91 -68 46 ( 10 0.30 -47 36 .....: ', -24 3 3 0.10 0 0 0 -12 4' 8 0.08. 4 3 2 -9 :^ 9 0.06 9 7 ._. 5 3 7 10 0.04 14 11 7 3 9 - Ili' 0.02 19 •14 10 -1 10'- 13'----15 0.00 24 18 12 J -4 14 _..16._18_... (sQ 20 Water 22 i199 120x; 1700 2200 2700 Heater 3. Raised Floor Insulation to to '. Type. Insulation In Floor 2199 2699 more so SG Number of stories R -value One Two Three " R-0 -17 -8 5 R-11 3 .2 4 i R-19 0 0 .. 0 R-30 3 1 1 j U -value 11 3 3 5 2 : na .51 to --0.60 , -144 -70 -46 0.50 -120 -58 38 0.40 -95 .-46r, x+.M 0.30 -69 •34 _ - -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 ' 0.06 3 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -55.----18 '-"-10 Number of stories ----2-- 5 .: R -value One Two Three R-0 -11 -7 -5. R-5 -4 -4 3. R-11 -2 -2 -2 R-19 -1 .2 -2 4. Slab Edge Insulation 14 _-' - Number of Stories -5 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 21 34 -7 0.90 -4 3 .1 0.80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 .12 8 4 S. Infiltration (Air Leakage) Specification . Points 7. Shading (Shade Open) Standard ---Etrective Percent Glue Eff. % Glass • 6l (> 0 Stories Stories 6. Glass Heat Loss JCFA One %Glass North -East South :West Skylight 18 .5 1 . 4 1 Total 16 4 2 5 1 - - -- U -value 12 3 3 5 2 Percent 11 3 3 5 2 : na .51 to ..41 to .31 to 0.30 or ' Glass Single Double .60 .50 .40 less 50 -121 -53 -39. -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 '. -21 -' -13 ' - -4 4 12 29 -58 -20 •12 -3 5 12 28 -55.----18 '-"-10 8 -5 •17 .23 -21. ----2-- 5 .: 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 ' ' -1 "- 7 14 25 46 -14 -7 0 ._.7 3 2 1 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 d 1: 6 . 11 . ..is .. 18 -26 3 2 7 ' 12 16 I 17 -23 -1 3i _ 8 12 17 j -.16 .. -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4' 8 11 '15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 - Ili' 14 17 19 9 -1 10'- 13'----15 -- 17 20 8. 2 12 14 _..16._18_... (sQ 20 7. Shading (Shade Open) % Glass 3• f_ x ---Etrective Percent Glue Eff. % Glass • 6l (> (percent glass x SC) Stories Stories Effective JCFA One %Glass North -East South :West Skylight 18 .5 1 . 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 _ na " 11 3 3 5 2 : na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 12 2 7 1 3. 4_..• . 2 2 6 1 34 2 3 2 .......4 2 5 3 -,_L ,4 0 3 1- 3 3 ro Zt 2, 1 3 2 0 0 1 0 3 1 1 -1 .1 -1 2 0 -1 -2 -4 .2 0 na = not allowed 3.5 2 �. Shading (Shade Closed) 10 Effective Pet, t Glass 6 ' .. 8 .... 'x 9-/• .. (percrnt gtaa x SC) 4.5 3 • FJfeclile 11 %Glee North Eta South West Silty N 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 • -50 -46 na 12 -8 .29 -40 37 na 11 -7 .26 36 -33 na 10 -6 .23 31 -29 -74 9 -5 -20 -27 -25 35 8 -5 •17 .23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 1 -6 -8 -7 .23 0 -4 .5 .4 -16 -2 -1 -9 q.. 1 . -4 • 0 2 3 4 .3 0 m art el^II'Pd 0 0 0 9. Interior Thermal Mass % Glass 3• f_ x Interior Stab Floor Raised Floor Eff. % Glass • 6l (> Mass Stories Stories SEER JCFA One Two ,Three One Two Three 6,$'_ x 0.0 -8 -5 -4 .2 -1 .1 '.0.1 • � -8 -5 3 -1 0 0 - 0.37 -7. - -4 - -2 - 0 1 _ • - 1 0.5 F.-6 r 3 -1 1 1 2 0.7 -5' ' =2 - -1 -•-•- 1 - 2 0.9 !-1 '-- • 0 2 3 2 3 -5 1. +15 ;1.1 -4 1:3.•;3 -1 '.. A 3 4 0 1 4 4 5 1.5 1 2 4 i" 5, 5 -20 -1 121 4 5 a; 6 7 25 r" , 0 3 5 7 47) 8 3 8.9 -5 3.5 2 5 791_,_ 9 .. 10 4.0 .. 3 _: 6 ' .. 8 .... 'x 9-/• .. 10 4.5 3 ,10 7 8•• 10 11.1 11 5.0 4 7 9 .11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 `6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 - 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 120 ----15 Exterior Single-'. Single - 7 Wall Family Family Multi 20 Macs Detadied Attached ' ' Family 0.00 0 0 0 020 3 2 1 0.40 5 4 3 (SEER xduct efnciency) 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 -25 or -24 to .1410 1.20 13 12 8 16 or 1.40 12 13 9 -15 -5 1.60 10 13 ' 11... more 1.80 10 " ' 12 .. 12 -25 •21 200 10 11 13 -9 11. Heating System -12 -11 -9 -7 3 4 SE or HSPF -5 (assumes ducts In attic) .. - 3 .. -2 Sum of 13 _ 0 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15.. -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 :6.88 3 3 3 2 2 1 0.80 7.33. 8• 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 -7 0.95 8.71 20 18 "' 15 13 11 8 26 ERective SE or HSPF 15 (SE or HSPF x duct eMciency) 8 Effective -25 or -24 to -14 b :4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73. -64 -56 -47 38 -30 na 3.41 45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 815 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 -2 Zonal Control Adjustment Two+ System Type _ 3 2 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System % Glass 3• f_ x SC 7-7 _ Eff. % Glass • 6l (> b. East c. South ,r•? ,3•- _ x 3• /- x SEER ->f - d. West 6,$'_ x (assumes ducts In attic) Interior MasslCFA = -� Sim of 7-10 -25 or -24 b x1410 -4 to +6 to 16 or SEER less ... -15 1 a +5 +15 more 8.0 -14 -12 - -10 3 -6 -4 8.5 -9 -7 -6 -5.. •.3 3 8.9 -5 -4 -4 3 .2 -2 9.0 -4 3 -3 -2 .2 .1 9.5 0 0 0 0 0 0 1 10.0 4 3 3 2 2 1 •. 10.5 7 6. 5 4 3 2 -11.0 '10" 9 7 6 4 3 120 ----15 13 11 9 7 5 •,_13.0 20 17 I 14 12 9 _ 6 Efredive SEER (SEER xduct efnciency) St:% of 7-10 0% Effective -25 or -24 to .1410 -410 +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 •21 -17 -13 -9 6.0 -12 -11 -9 -7 3 4 6.6 -5 -4 -4 3 .. -2 .2 7.0 0 0 0 0 0 0 8.0 9 8 fr 5 4 . 3 • 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30' - 26 22 18 14 9 13.0 33 '29 24 20 . 15 10 5 Zonal Control Adjustment S4 20% -10' 8 7 6 4 3 Lodes'' No Cooling System Installed 1.8 2 22 24 27 29 3.1 3.3 One -5 -4 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Detached and Attached 0.9 1.1 Unit Size (sQ 1.8 Water 22 i199 120x; 1700 2200 2700 Heater Gadd or •� b to to or -- Type. Type less :1699 2199 2699 more so SG None 0 :t. 0 0.. 0 0 1.7 or Solar 12 °' 8 6 5 .. 4 3.2 HP - •HWR 9 5 4 3 3 4.7 4.9 WSB 5 3 3 2 2 SO% 09 POU _ 8 5 4 3 3 21 SE None 37 -24 -18 -15 .12 l . Solar -1 -1 .1 0 0 i HVIR -18 -12 -9 -7 -6 6.1 WSB.. -25 -16 -12 -10' -8 1.8 POU -18 _ 12 •9 _7 .6 n None -5 3 -2 .2 -2 4.3 Solar 7 • 5 4 3 2 5.6 POU . 3 2 1 1 1 IE None -28 -19 -14 -11 -9 2.5 Solar 8 5 4 3 3 _• , POU -10 ' 3 -5 -4 •3 5 Multi -Family (Indfrldual units) 5.6 5.9 6.1 UM Size (sQ 1.11.3 Water 1.5 699 700 1200 1700 2200 Healer credit or b to b or Type T" less 1199_ 1699 2199 more SG None 0 0 0 0 .• 0 or Solar 14 7. 5 4 3 HP HWR 9 5 3 2 2 3.3 VISE 9 4 3 2 2 4.6 POU 9 5 3 2 2 SE None �45 -23 15 -11 •9 15 Solar 2 1 1 0 0 27 HWR '-23 -12 -8 •6 '-5 4 WS8 -25 -13' .8 -6 -5 --- EQU_ - 12 8 3 5 IG None -8 -4 .3 -2 2 - Solar 6 3 2 1! 1 2.8 POU_ 1 _ 0 • 0 0 '-0 F_ None 30 -15 .10 ' -8 5.1 54 s -Solar 18 .9 6 4 4 - POU : -8 -4 .3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD Measures Point Scores 1. CeiIingInsulation or G R -value 1381 U -value [0.030] 2. Wall Insulation or R -value [ 111 U -value (0.098) 3. Raised Floor Insulation R 19 or R-value[191 U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Or R -value (01 F2 factor (0.77] Standard Type [double] U -value (0.65] 0 . 7 -t-- % Total Glass 1161 Sum 13 a. North % Glass 3• f_ x SC 7-7 _ Eff. % Glass • 6l (> b. East c. South ,r•? ,3•- _ x 3• /- x ->f - d. West 6,$'_ x e. Skylight Interior MasslCFA = -� 8. Shading (Shade Closed) % Glass SC m�. e 2 ss - 1t.MIKv.r1 • . t TYPE I MASS (URIC • 4.2• les exposed slab) ` 1e. rp.e.e .1 •el 0% SX 10% 1S% 20% 25% 30% 35% 40% 45% SM 55% 60% 6S$: 70% 75% W% 85% 90% 95% 100% 105% 110Y. 115% 120% 125• 0% 0 02 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 23 2S 27 2.9 32 3.4 3.6 3.8 ! 4.2' 4.4 4.6 4.8 5 S3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2T 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 .. 4.8 5 S.2 S4 20% 0.3 0.6 0.8' 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 S 52 5.4 SS 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 25 28 3 32 3.5 3.7 39 4.1 43 4.5 4.7 4.9 5.1 . S.3 5 6 so 40% 0.7 09 1.1 1.3 1.5 ' 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 S.7 59 SO% 09 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 22 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 66.2 60% 1 12 1.4 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6 3 65% 1.11.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 '2 22 25 27 2.9 3.1 3.3 3.S '3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% -1.3 15 13 19 _ 21 23 Z5 27 3 3.2 3.4 3.6 3.8 4 4.2 4,4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 80% 1.4 - 1.6 1.8 2 --22 2.4 26 2.8 3 3.3 3.5 3.7 3.9.- 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 ' 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 SS 61 W%"' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.1 5.9 6.2 64 66 68 95% 1.6 1.8 2 22 25 27 29 3.1 33 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 62 6.4 6.7 69 100% 1.7 19 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% ' 1.8 2 22 2.4 2.6 28 3 13 35 3.7 3.9 4.1 4.3 45. 4.7 4.9 5.1 S.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2) 23 25 21 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 -6.5 6.8 7 7.2 120% 2 2.3 23 2.7 29 3.1 3.3 ' 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.1 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures Point Scores 1. CeiIingInsulation or G R -value 1381 U -value [0.030] 2. Wall Insulation or R -value [ 111 U -value (0.098) 3. Raised Floor Insulation R 19 or R-value[191 U -value [0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Or R -value (01 F2 factor (0.77] Standard Type [double] U -value (0.65] 0 . 7 -t-- % Total Glass 1161 Sum 13 a. North % Glass 3• f_ x SC 7-7 _ Eff. % Glass • 6l (> b. East c. South ,r•? ,3•- _ x 3• /- x ->f - d. West 6,$'_ x e. Skylight .-7 x = -� 8. Shading (Shade Closed) % Glass SC Eff. % Gla a. North 3 x • 4 4 = b. East 44_t-;_. x _ c. South 3• a" x = d. West 6 x = e. Skylight .7_ x = 9. Interior Thermal Mass TYPE 1 MASS AREA $ COND. FLOOR AREA ' Interior N-,ss/CFA ' 10. Exterior Wall Mass TYPE 2 MASS AREA 9 11. Heating System Zonal Control? ( Y / NIZ ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Exterior Wall Mass NDn. JUVR AREA • /�- x SE or HSPF Data Efficiency [0.78) Effective SE or [0.72/6.6] HSPF 10 AS _x SEER [9.5] Duct Efficiency (0.74] Effectiva S [ -031 Sum 7.10 #Z Type [SGI Credit [none] Point Tota BUiLOING O` N -S N UIL ING`ST,REET DDF - r 'y X121 -IA IL FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONALFLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A -PROPERTY OWNER INFORMATION • E l-jP_J , V- 11A H4 A,1 e Al ESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. i cSTA`ITE O.M.S. No. 3067-0077 Expires July 31, 2002 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) alp a BUILDING USE (e.g., Residential, Nan -residential, Addition, Accessary, etc. Use Comments section if necessary.) LATITUOEILONGITUOE (OPTIONAL) HORIZONTAL DATUM: ' SOURCE: L_ GPS (Type): ##.W or ##J"440) VIAD 1927 ; L_J NAD 1983 L_J USGS Quad Map L_J Other: SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME 63. STATE B4. MAP AND PANEL NUMBER _ Lti c)6 BS. SUFFIX 2-0 88. FIRM INDEX ; DATE 87. FIRM PANEL EFFECTIVE REVISED DATE ' ' 08. FLOOD ZONE(S) L .B9: BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 5- � 810. Indicate the source of � ,th.;e Base Flood Elevation (BFE:) data or base flood depth entered in B9. ( FIS Profile Lgl FIRM I Community Qeterrriined �I Other (Describe): 611. Indicate the elevation datum Used for the BFE in B9: LXI NGVD 1929 (_( NAVD 1988 L_1 Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (CPA)? L—} Yes No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on:Construction Drawings" I IBuilding Under Construction' L_IFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number,- —" (Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones A1 -A30, AE AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AC Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum Used for the BFE in Section B, convert the datum to that used forthe BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area pf Section D or Section G, as appropriate, to document the datum conversion. Datum VD iq`Lc( ConversionlComments Elevation reference mark used Ith Does the elevation reference mark used appear on the fIRM?_... -- Yes L No ❑ a) Top of bottom floor (including basement or enclosure) ® ft.(m) 0 b) Top of next higher floor _ ft.(m) eyl %N, ❑ c) Bottom of lowest horizontal structural member (V zones only) ft.(m) ❑ d) Attached garage (top of slab) _ ft.(m)y5, ❑ e) Lowest elevation of machinery and/or equipment s� n .. `U servicing the building A. 9 ❑ !)'Lowest adjacent grade (LAG) ft (M) ❑ Highest adjacent grade (HAG) ft.(m) e . 9), 9 a l Q h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ❑ i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) J f yf SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION '`?his certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data availacle. d understand that any false statement may be punishable by nne nr)mrnnscr!menr CERTIFIER'S NAME !CENSE NUM E TITLECOMP NY NAME ADDRESS -- CITY ST TE ZIP COD_ - SIGNATU DATE ELEPh N SMA Fnrm R1-31 Al Ir; AQ CrP RG\/FRCP Cinr_ Pr)p r:r1NTINI 14TinN RPPI AC FC AII PPPvint IG r_n1TIr1NC I11I t - - - 1 IMPORTANT: In these spaces, copy the corresponding information from Section A. For insui BUILOING STREP ACORESS (including Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. L CITY S TATE Campari, mP a n M - SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) . ........ . 'Company: ance Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building a . w*ner. COMMENTS A F fii13 LJ C-0 d A4 _Z 12 11 Check here -if attachments SECTION E - BUILDING ELEVATION INFORMATION .(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without EFE), complete Items El through E4. If the Sevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be Completed. E1. 8 uil di ng Diagram Number _ (Select the building diagram most similar to the building fa r which th is certificate is b ei 9 g completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is L_LJ ft -(m) L—L—lin.(cm) L_J above or L_J below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next', higher floor or elevated floor (elevation b) of the building is LJ_J ft(m) L_L _Jin.(cm) above the highest adjacent grade.., E4. For Zone AO only: If no flood depth number is available, is the tap of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes L_J No 1_1 Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR:OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, 8, and E for Zone A (without a F-EMA-issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHON Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. L_J The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. L_J A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued SFE) or Zone AO. G3.,j _I The following information (items G4 -G9) is provided for community flood -lain management purposes, G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY I . I ISSUED G7. This permit has been issued for . L_J New Construction L_J Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. 9FE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE CA T E COMMENTS 1_1 Check here if attachments 7w U