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HomeMy WebLinkAbout025-330-003025-330-003 06-1852 , YIEIRA,•MARY , , .r ,.. . ""F` NOTES `2065, HWY 70, BIGGS• _ . Cont:'RISSE'&A'SONS INC 'mooy WATER HEATER ""t .. r RESIDENTIAL APN: Permit Nm Owner. j Site Address- f Contractor. 1 Type of Permit i r rA CHECKED BY SRA FLOOD CERTIFICATE EQUtRED FIRE'SPRINKLERS REQUIRED SPECIAL. INSPECTION ITEMS VERIFY USE PERMIT CONDLIMdNS •SUBSTANDARD HOUSING LEITER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE ^IC I �z BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061852 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/02/2006 APN: 025-330-003-000 the Business and Professions Code, and my license is in full force and effect. License Class fS/ ' License Number: G -3�� Site Address: 2065 HWY 70 BIG Date:QS-0—L70 (contractor: �-� — — Map Index: Description: water heater replacement OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: VIEIRA MARY J REVOCABLE TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License.Law (Chapter 9 commencing with Section VIEIRA MARY J TRUSTEE 7000) of Division 3 of the Business and Professions Code) or that he or 2065 HWY 70 she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RISSE & SONS INC. such work himself or herself or through his or her own employees, PO BOX 67 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one RIO LINDA, CA year of completion, the owner -builder will have the burden of 95673 proving that he or she did not build or Improve for the purpose of sale.). 916-991-3030 O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: RISSE & SONS INC. pursuant to the Contractors' State License Law.). PO BOX 67 ❑ 1 am Exempt under Article 3 of the Business and Professions Code RIO LINDA, CA 95673 Date: owner: 916-991-3030 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 264815 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: otal Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person In any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.eo CONSTRUCTION LENDING AGENCY This permit is ereby issued under the able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is issued (Sec 3097 Civ.) Resolutions do work indicated agfor hick s have been paid. .-o performance of the work for which this permit By. Date: v Name: w �v PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505,125533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I i I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize represe a ives of Butte County to en er upon the above mentioned property for inspection purposes. =� Print Name: _ Signature: 4:!Ez " - Date: ❑ Owner W—COX ctor ❑ Agent for Owner ❑ Agent for Contractor b. u. ounomg rermn v i- io-vv py i +=OK o = Not OK MANUFACTURED HOMES DATE L—J PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Sails; Special MH Support Sketch 3 Sewer, Loctri Test; FaIUC/0-Concrete 4 Wtr, Loctn Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Gmd Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or L.PD Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH TestDemandValve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowrls Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers or eTs' o'` aTa no MISCELLANEOUS DECKS*COVERS•CARPORTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; SoilsSz4DpthSpacing-Cnnc rsSteel 3 Decks, Girders/Jotsts-0cking-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams-Rftrs�nnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice4Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Tnisses 9 Siding; Nailing VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 6t Steps-Doors4-andihsis 12 Braced Wall pnis _ 1 Setbacks -Easements 2 Soils; .CompactionStrucbrre Stability _ 3 Pool Structure; Steel-Cnncbts-Thickness Dead Men4Jning _ 4 Elec Rcptds/Ung; Distance-GFI 5 Elec Pool L ting; 15 volts-GF1 6 Elec.Encl ws; Conduit Entries-Terminals4hted _ 7 Elec Bonding; Metal w/5'-CrcItng Egp­Htr _ 8 Elec Grndng; Eqp w/5' Crdtng Eqp-Pool ightg Saxes -Encisrs-pnlboards4.nsultn•to Main Conduit 9 Health Dept App&! . 10 -Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr; Fencing -Alarms 13 Bar)dmg, Diving board or Slide Pool Drawing s� r y 0 = Not OK RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Fig Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Biockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftp -Steel 9 DWV; Fall -Fitting -Test -2 -way C/OSewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrne-MaterialSupport-Insultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders.. fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Furred Ceilings—Stairs—Chasers—Tubs 22 Headers & Beah;sSZ &•Bearing' _ 23 Hangers-P•osfCaQs-Anchrs�itncins 24 Ceiling JoisUbdr Ties-Purli -Roof Bray TnusShthg 25 Frpic Ties or Type A Flue=F' Ic Throat Cimc rp 26 Attic Acs; Sz &Binz Qitctp-Dra,ft Stop4ns Baffles 27 Bdrm Wndws or F_ziting 15oorsSill "t & Dimensions 28 Garage Fire Prtdri Framing -RC Channel 29 Prprty Line Firewall & Opng$' . 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrrn4Use4tun4Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts4ft fhrtrgrs 33 Siding-Nairing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtctnkyLts-stic . 36 Shear WallsSWalls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 tnsultn-Walls-Ceilings 39 1 nfi Itration-W al Is -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing•tts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz Qa DCUorDAL AC Wire Sz ga D CU or D AL 48 Range Ckc ya D CU or DAL Oven Circ o, D CU or DAL Insulated Neutral ❑Yes F-1 No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirnes pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 0�el Single & Duplex) DATE IPLUMBING 53 Wtr Htr, Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV-. Test Fittings & Anchr•Nail'Prfctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub* & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler, Test 60 Yard Gas Piping r DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade - 64 Furnace -Vent Acc-Comb Air RbTdVent 115 Outlet 65 Attic Arc & Pltfrin if Furnace In attic 0'4 �s} dr ya DATE FINAL 66 Ext Steps -Door & SideLt Prtctn4andings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv4lr-Duds-Meth Prtctn 69 Bedroom Exiling G 70 Fl A Bath Fxtrs & Tub Ace -Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Ctme-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Dobr, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech. Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GF) Ramex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb.Appinc-Frpic-Clme to Opngs 90 Wtr Well, Dscnnd, Elec, Pimb 91 Ext Elec Trim, GFl Reptel-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous IrispcIns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnndd-C10 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061852 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class—:2240-,-',5i—License Number: 45 30 Date:Ln6—O�--o(6ontractor: OC2 =�,= J?91­7_- /Zo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of .proving that he or she did not build or improve for the purpose of 'sale.). Issued Date: 08/02/2006 APN: 025-330-003-000 Site Address: 2065 HWY 70 BIG Map Index: Description: water heater replacement Owner: VIEIRA MARY J REVOCABLE TRUST VIEIRA MARY J TRUSTEE 2065 HWY 70 OROVILLE, CA 95965 Applicant: RISSE & SONS INC. PO BOX 67 RIO LINDA, CA 95673 916-991-3030 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. RISSE & SONS INC. PO BOX 67 RIO LINDA, CA 95673 916-991-3030 License #: 264815 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is Dereby issued and I hereby affirm that there is a construction lending agency for the Res o utions do work 'indicatednd��ii/c//ated performance of the work for which this permit is issued (Sec 3097 Civ.) rt, - nn /1/y'!' WIZ/ PERMIT EXPIRES Address: Li t' SS: Gd he Butte County Code and/, have been paid. Date: ~O D& ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represerdta(ives of Butte County. to a%er upon the above mentioned property for inspection purposes`. I❑ Owner @�_eontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ` $V T r BUTTE COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES ° i ° BUILDING PERMIT APPLICATION ° ° AND SUBMITTAL REQUIREMENTS o - _ ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o ° OFFICE #: (530) 538-7541 eO` A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION vii Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* t OWNER INFORMATION Last Name i YQ-- iml Name rr� r Address O (01 ` _�, 14 �o tTl City Dr�V I• State), Zipn 59 "/ Phone , g�f` - Zg� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name G'n t Co�S1_ Address Zjp q 5 (P73 City; Ao— State .1p S 13 Phone,, qq a 7S Fax 9 i(o q )'3003 E ail Planner Liic. #Z Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 'Q v � 1 _'l n 8 (1t.- � Address Zjp q 5 (P73 City Fax 300 State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name "j , m I Address 22. �,, S+►r�� City 'Q v � 1 _'l n 8 (1t.- � Slate � Zjp q 5 (P73 Phone i aQ Z -15 Fax 300 E-mail For office use only: Zoning G( Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO . BP:- BIN P:.BIN # PROJECT LOCATION AN v Property Address City Cross Street WORKER'S COMPENSATION. Policy Number c n j n f.� .—C_. Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. SMTP LENDING AGENCY Name Address 4 - Description or Scope of Work: Re C • o—WA Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS I Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �U Received by: Amount: Bldg SRA Receipt #: " U V�Q 4 7(o Sheriff I�" ►`�� SMTP Date: Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of.stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval .from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 w mse Mechanical Building Department une 1, 2006 Permit • Subject: Permit Requests , To Whom It May Concern: I, Gerald E. Risse, holder of California Contractors License # 264815, authorize Lin Meadows to request and sign permits for Risse and Sons, Inc. dba Risse Mechanical. He is our local service representative and will be pulling permits for water heater replacements in your area. Sincerely, 117 Gerald E. Risse President Risse and Sons, Inc.. dba Risse Mechanical I, 7225 26th Street / PO Box 67 Rio Linda, CA 95673 www.rissemechanical.com 916 991-3015 telephone 877 991-3015 toll free 916 9914843 fax NNOVATION, INTEGRITY AND OUAUTY FOR MORE THAN HALF A CENTURY Page 1 of 2 License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 264815 DISCLAIMER A license status check provides information taken from the CSLB license data base. BeforE on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071.17, only construction related civil judgments reported to the CSLB are .disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 08/02/2006 * * * Business Information * * * RISSE & SONS INC dba RISSE MECHANICAL P O BOX 67 RIO LINDA, CA 95673 Business Phone Number: (919) 991-3015 Entity: Corporation Issue Date: 08/27/1970 Expire Date: 11/30/2007 * * * License Status This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description C36 PLUMBING C20 WARM -AIR HEATING, VENTILATING AND AIR-CONDITIONING C34 PIPELINE C42 SANITATION SYSTEM Page 2 of 2 C-4 LBOILER, HOT WATER HEATING AND STEAM FITTING C-2 INSULATION AND ACOUSTICAL * * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 5SB103642167BC amount of $10,000 with the bonding company TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA. Effective Date: 01/01/2004 Contractor's Bonding History_ BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) GE EARL RISSE certified that he/she owns 10 percent or more of the voting stock/equity o corporation. A bond of qualifying individual is not required. Effective Date: 01/01/1980 * * * Workers Compensation Information This license has workers compensation insurance with the DEPARTMENT OF INDUSTRIAL RELATIONS Policy Number: 4505-056 Effective Date: 03/01/2005 Expire Date: None Workers Compensation History * * * Miscellaneous Information Date Description 112/25/2002]1 CLASS C38 REMOVED Personnel List SalesPerson List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy r