HomeMy WebLinkAbout042-580-041WEBB BROTHERS 42-58-41
781, Heron_ Ln, lot .-14, SI.lve. tree, IThic�
Conti; Webb Homes 7�Permit#307-87B,P,EM
new s'n 7e fa i �)
042-580-041.- PERMIT#97-0822
BOELMAN, George
1781�Heron Ln., Chico: �17
,Cont: Perfection Pools
New Pri Swimming, Poo]���L��
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WEBB BROTHERS 42-58-41
781, Heron_ Ln, lot .-14, SI.lve. tree, IThic�
Conti; Webb Homes 7�Permit#307-87B,P,EM
new s'n 7e fa i �)
042-580-041.- PERMIT#97-0822
BOELMAN, George
1781�Heron Ln., Chico: �17
,Cont: Perfection Pools
New Pri Swimming, Poo]���L��
,a =r1n
ILO.
a
RE -61 E TIAL
r 042-580=041 PERMIT#97-0822
BOELMAN, George
1.781 Heron Ln., Chico
Cont: Perfection Pools
` New Pri Swimming Pool
i
,1
01,
's
u!-
14
JFINALED (Date)
ignature
V=OK -
0 = Not OK
Not Ap
•=Not Realdyble MOBILE HOMES -
Date
MOBILE HOME UTILITIES (Plans) OK accept #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer Location-Iml-Fall-/O-Concrete
4. Water; Location-Tes asement Needed (Sketch)
S. Electricity; Location•Clearances-Gmd-/ /Amp•Co trete
6. Gas; Location-TesPA'rap; / AJL
/ /Nat or/ /'t'ft./ /LPG
7. Well Clearer & Disconnect
8. Utility Clearance
Date Card B-1 Data Cana 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 -D ncWahe•Ccnnector
4. Electricity; MH Test-CrossoeraBreakers-Clearances
5. Dram; MH Test -Fall -Flex Connector _
6. Water, MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 8-1
MISCELLANEOUS
Date DECKS, COVERS; CARPORTS, GARAGES (Plans) OK except #'s
1.. Zoning Requirements -Setbacks -Easements
2. Footings; Sw1sSb&Dep"padng4ConnectorsSted
3. Decks; Girders and/or JcstrDeddng•BradngStaim-Rails
4. Wood Awn.; Posts-Beams•Rftrs.-Connectors 1.
Shthg.-Rfg.-Bracing.
5. Alum. Awn.; Cdumns•CkmnectionsSplioe De Ercf=res
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sts-AnchorsStuds-Rftrs-Trusses
9. Siding; NailingAteneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -landings
Date Cab B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOPns) OK except #'s
. Se asements
ils., Compaction -Structure Stability
3. Pool Stricture; Steel -Connections -Thickness
Dea n Linin
yRs�eptaces and Lighting, Distance-GFI
lec Lighting; 15 Volts-GFI
sures; Conduit Entries -Terminals -Listed
Metal wX-Circulating Equip.aieater
lec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Endosums-Panelboardsans. to Main in Conduit
-9rMeal�Be�artment Approval
T . lumb.; Cir. TesEWater Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 4ZC4 Date Card B-1
fav-s7i'
0 = OK
OK RESIDENTIAL (Single & Duplex)
- = Not Applicable ,
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning-Setbacks-Easments-Flood-Slope
2.
Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
5.
Stemwalls, Main; Steel -Blackouts -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.
Pienums & Ducts; Clearance-Mater:al-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 E-1
Date
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
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
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 Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-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.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Comments at Final:
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & 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 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-Conector-
In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htc; 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 (G.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 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• - . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER •
042-580-041
ZONING
ASR
BUILDING PERMIT
OWNER
GEORGE BOELMAN
TELEPHONE
895-0143
SO. FT. OCC. BUILDING VALUATION
EST 13,000.
OWNERS MAILING ADDRESS
1781 HERON LN. CHICO CA 95926
CONTRACTOR'S NAME
PREFECTION POOLS
TELEPHONE
895-0437
CONTRACTORS MAILING ADDRESS
R77 F 20TH ST., CHICO, CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
144.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDING ADDRESS 1781 HERON LN., CHICO
Energy Plan Checking Fee $
$
'
PERMIT FEE $
187.00
LOT No
SUBONISION'SNAME
PARC L P
PLUMBING PERMIT
Fling Feel 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other SWIMMING POOL
SPECIFY
Each Trap 1
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 U Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER ;505-94
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoonoRLEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. '/
License Class �–� Lic. No. �� G �oY'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by •section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
7 1 have and will maintain workers' compensation insurance, as required by Section
` 3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' ���satioD insurance carrier and policy number are:
Carrier /y4� Z�%r;
Main Service 200A TO t000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLOS.
SO
3.50FT.
NE 'OS
NON-RESIDT MAUj,ILCTI OUTCW
@7.50
POWER APPARATUS
a SINGLE OUTLtT CIR.
Ex. Occup.OUTLET OR FURORES
I.00
BAL � .so
Ex. Occup. ouTEit s AE.SIo.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL ELECTRIC
30.00
PERMIT FEE :
50.00
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number c4i 4A 24_1 .S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
wor ers' compensation provisions of section 3700 of the Labor Code, I shall
fo 'wit co with those provisions.-- —� --
X Date 2-z
Signature of'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 is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FE $ 272.00
Z.
D. FEES IMP FLOO
_
CDF
PARCEL PD
A
HD
ISSUE
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 I
PERMIT EXPIRES ON 2 9
De
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CA' UFEX NIA 95965 - TELEPHONE (916) 538-7541
A.
PERMIT APPLICATION DATA SHEET
6e -e..
OWNER �
%S�e
/^ _e�.JA.
P. No .
Proposed Building Use
/�' 01
S bS - 5 `7'
Building Inspector C Date L ZL S
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1, All items have been submitted . ........................................
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . .............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $.........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer ...................
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit . ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. . ..........
Planning approval for (A) Use: (B) Parking: . .........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). ... .
Pre -Inspection request
Pre -inspection for required. . . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization ......................... `" ............. .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
Whevou issue the g7� pit, process as follows: Mail to owner. Mail to contractor.
Telephone ' and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mailounter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541/ -p -7P MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT '
ASSESSOR PARCEL NUMBER / 2_ � �/'�O _r /
%
ZONING S
12-
BUILDING PERMIT
OWNER 0 �y A1�1
'o/��_,t
PHHONE� ��
.105r
SO. FT. OCC. BUILDING VALUATION
O�
OWNERS MAIUNG IRE �' _ A ( ^ / If /i�L 9 c7J /C.�
�••✓/v [rL
(`NAME r 'J
CONTRACTOR'S
)
le zrL Fe -c- 0 o/� `9 o s - oY3
TELEPHONE
CONTRACTOR'S MAILING ADDRESS 'L /' Zi
C-7 -?fi lr
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ �0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20'00
Permit Fee $ //
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2
BUILDINGADDRESS 7 dz
Energy Plan Checking Fee $
GuC
PERMIT FEE $ _
LOT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 13 Other ✓J� D %
SPECIFY
Solar or heat um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New/l('Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: � -c//5 e� �Q Ste/ �f
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE _
ELECTRICAL PERMIT Fling Fee 20.00
Main Service noon OR. mos 23.00
LICENSED CONTRACTOR'S DECLARATION
L
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale. -
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I -shall
forthwith comply with those provisions.
X Date
Signature of 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.
Main Service ( xooA To ,000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACc. BLCCS 3.52FT;
NEW CONST.
RES O. MAUI OUTLET @7.50
POWEPPARATUS
8 SINGLER AOln'LET CIR.
20
EX. OCCu OUTLET OR FIXTURESBAL '.5DO
FIXED APP .OR
Ex. Occup. ouTL 7 RESID. EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
e., e- raee—o ( 3
PERMIT FEE $ s�
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ Z r% Z
HAZ. i D. FEES
IMP FLOOD COF
PARCEL PO HD I ISSUE
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
(Date)
Receipt No. / 2) 7 b
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 3 7-87B,P,E,M
PERMIT EXPIRES _ 414/ - -
OWNER WEBB BROTHERS
CONTR. Webb Homes
ASSESSOR PARCEL 42-58-41
�7 LOCATION 1781 Heron Ln,lot 14, Silverteeell Chic
OFFICE COPY
Address / -
GAS
� Meter By
ELECTRA+
IC e
Meter By Date
OFFICE COPY
Address
d
d
GAS
! Meter By `
Date
ELECTRIC
d Meter By. y ,,
Date
,
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Tern c ....
JOE
COUNTY OF, BUTTE
DEPARTMENT OF PUBLIC WORKS
' • 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matSgs;=i need additional explanation, please contact this office immediately.
Inspector_ —Date.— _
L
COUNTY OF BUTTE
DEPARTMENT OF PUBIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER ' PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. if you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
` VVI
Inspector Date
I
Owner: Webb Homes _ Permit No.
E' N E It G Y C 'C R T' I F I C A T I 0 N
5ilvertree II Subdivi-LCn. I1411S.t ('haro Lot0-4
LOCATION A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALI.
Material Fiberglass
Thickness(inches) �.
CEILING
Batt or Blanket Type Batt
Thickness(inches) 10"
Loose Fill Type Insul-Safe III
Minimum Thickness(Inches 11"
Area covered(ft.2) 1gQQ
Brand Name
Thermal Resistance (R Value)
Brand Name Certainteed
Thennal Resistancc(R Value) R-13
Brand Name Certainteed
Thermal Resistance(R Value) R-30
Brand Name Certaintced
Number of Bags 30 Wt. per beg 25 lb.
Thermal Resistance(R Value) R-30
FLOOR, ELEVATED
Material Brand Name
Thickness(inches) Thermal
FLOOR, SLAB
Material
Thickness(inchcs)
.Width (inches)
FOU14DATION WALL
Material
Thickness(inc Iics)
Resistance(R Value)
Brand Name
--
Thermal Resistance(R Value)
Brand Name
Thermal Resist:ance(It Value)
I hereby certify that the above insuliation was installed in the above building
in conformance with the Stag. of CAlife-rnia Energy Requirements.
Shas .a Tnr, i ation __ 272041
ttt N,t '/Ol'ISTA7'1 COTiI'I?.1=OR11'3) LICENSE N,0.
February 11, 1937
SIGi:ATURE 07 INSTALIATI0N APPLICATOR --_ DA'iE
I hereby ccrti.fy Clic. ab insula0.on and all required items as shown on 10!a
Bulldi.n g i)i:palrtC;Cnt appl'Ov('.(-I plains and aLLacb;iients have bCen .int:taiicd a(3
rc-quiced by t:i)e Stilts of I-ncrgy R.equiren:enis.
All equipriect, clevi.ces 111(1 mr•?.: , :. "t.> are of the quall.t:,,' I)ra::cri-?:.L J cr a::c
sper-i.fi.c;:l.ly appruvcd by tl(s „_...L^ ot. C,i311torllia-
("Iua5c pri.nt:) STATZJ,
4/v, r/, � A
2
SI N TU . OF t:PCULRAL CONiRACI'OR OWNER DATE.
THIS CERTIFICATE MUST BE ON -I0E WI'
INSPECTION APPROVAL AND A COPY SIIALi
IE BUILDING DEPARTMENT PRIOR TO FINAL
POSTED WITHIN THE BUILDING.
V = OK
0 = Not 01,
- = Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
Date UND LIOOR (Plans) OK exceptIf's
Date FRAMING Continued
�ing equiremen ts-Se tbacks-Easements
ty Line Firewall & Openings
ytg ain; Soils -Steel -Flet. Grnd.-• / /" Fig. Depth
4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits
- 3-' g., Garage; Soils -Steel- / /" Fig. Depth
' th-Headroom-Rise-Run-Landing-Fire Protection
eties & Decks; Soils -Steel- % /" Fig. pth
od on Roof Overhang -Attic Vents -Rafter Outriggerss,
WF.,
Main; Steel-Blockouts-Wrapped-S
iding-Nailing-Veneer
;Garage; Steel-Blockouts-Wrapped-SI
St esti-Drip Screed-Fdn. Vents-Underflr. Access_
�S�remwal
Fireplace Ftg.-Steel
_
5 Glazing Area -Glass Protection -Skylights -Plastic
Fall -Fittings -Test -2 way C/O -Sewer Test
55_-SHeac-ftIIs; Nailing -Bolts
91 Gas Pipe; Size -Anchors
Water Pipe: Test -Anchors -Regulator -Service Test
!&,W7
Electric: Underground
12. Plenums &_D_ucts;'Clearance-Material-Support-Ins.
-13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
-
Card -BI Date Card -BI Date
Card -BI DateA(&3 Date
Card -BI Date t Card -BI Date
Card -BI Date' Card -BI Date
Card -BI Date Card=B1 Date'
Date FINAL (Plans) OK except N's
Date PLUMBING (P$rmit) OK except q's
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
W r H .: Vent -Access -Combustion Air
i _ at - ipe; Test & Anchors -Nail Protection
1 '. .V.: Test-Fttngs & Anchors -Nail Protection
r Pan: Test, First Floor -Tub Access
1 Sh Tub& Shower, 2nd Floor -Tub Access
t Gas Pipe_Size &Anchors
Card -BI Id'o ) Date _ Card -BI _ Date
Card -BI Date ����� Card -BI Date
58. Furnace; Ve is -Clea ce-Comb. Air- Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
Bedrrom Exiting
' G.F.I. & Bath Fixtures & Tub Access
..Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. &-Ext.
Kit. Fixt. & Appliance; Grnd:-Air Gap -Cooking Clearance
. Elec. Outlets & Receptacles at Kit. Counter
Date ELE I.CAL (Permit) OK except p's
Garage, Fire Door; Swing -Landing -Closer
�• A.C. Duct in Garage -Damper
2 F Lure &Transformer Clearance -Ins. Protection
21. le.c. Receptacles Spacing Lights & Switches at Doors
22. ize'Boxes & No. of Conductors -Stapled
2 �e. Installed Close to Edge of Studs& C.J.
2".frGround made up w/Mech.Fasteners-Bond Gas &WaterGuard
liance Circuits in Kitchen &Conductor Size
2 tdffed Wire Size / / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At
d Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
ulated Neutral Yes __j No
vice -Riser Conductors & Ground -Main Disconnect -_
2 quip. Clearances: Panels-Motors-Mech. Equip.
3 Clothes Closet Light -Shower Light _
-=-- -.-- -
Gard B -f Date'�� Card -BI Date - _
Card B•I Date Card -BI Date
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
Plb., Elec. &Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑Yes
Rails &Deck Construction -Post Caps2
Fdn. Vents & Crawl !sole Door -Drainage & Woo arch Clearance
Looked under Floor ❑ es
7 Following instld.: a Yes 0 No; Walks Yes ❑ No;
Planters ❑Y o
Stucco; Br w Finish
A.C. Unit; i onnect-Clrnr_erkr. JJCond. Siz 5V Outle
Sents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
-'*0- Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout &use
Glass Protection
Date ME ANICAL (Permit) OK except N's
Corrections fr Previous Inspections
. Gas eters Tagged: Gas -Electric
3 C. Ducts. Insulation &Support _ - -
3 nt Fan: Exhaust above Insulation —
Condensate ain & Overflow: Size _& Grade _
F ace Access -Comb. Air -Return Air_ Vent -_1 15V outlet
Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI _ Date -.- _
Card -Bt Date Card -BI Date
Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
--
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date �
Card -BI . Date Card -BI Date
Date FR NG(Plans) OK except q's
Com+lents at Final:
3 lls; Proper Material & Anchors
3 Wal Studs -Nailing, Spacing & Bracing -Plates -Sound
3 ear' g Walls over Girders & Floor Nailing
39. at Stop in Walls (rat proof)
4 ire Stops: Furred Ceilings -Stairs -Chases -Tub
& ----•�---�----
4 der Beam -Size & Bearing
4 Hangers -Post Caps -Anchors -Connectors -
hn1Yj/Ging. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
frbV replace Ties or Type A Flue -Fireplace_ Throat
43/ n c Access: Size & Romex Protect ion -_Draft Stop -Ins. Baffles
4, dim. Windows or Exiting Doors -Sill Hgt. & Dimensions --
Garage Fire Protection Framing
_._.
- _
- -- -- ^ —_-__ -- —
-
—
(NOTE: An entry must be made each time you visit job site)
J=OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
., z
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane Iboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
'APPLICATION AND PERMIT
PERMIT NO
l �
n
ASSES PARC L NU ER
ZONIN
BUILDING PERMIT
Ow
ER
TEL PHONE
SQ. FT. OW. I BUILDING VALU TION
`
OW]LING AD RESS 1^ 1
TRACT 'S NAM
CO19(2
Dt
TEPHONE
(/
_ 4,6
CONTRACTOR'S MAILING ADDRESS
Fireplace t
CONSTRUCTION LENDER
UNKNO
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHI CT OR ENGINEERLICENSE
NO.
Plan Checking Fee
,$ /s;
Energy Plan Checking Fee
$
ARCHI EC OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
r h
Permit fee
;
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
91 2.00
C`
Solar or heat pump water heater
20.00
LOT N .
SU DI ISION NAMEPARCEL MAP
►�— /
Water piping
5.00
Each qas water heater or vent
5.00 00
USE OF STRUCTURE
SF [V Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 DO
Mobile Home S G W
10.00 ea
TYPE OF WORK
New 17CI Addition ❑ Remodel D U' lities [ Inst Ilation Other ❑
Describe work: �r.i ,n 4 _
lAel
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 000V OR LESS
100 AMP OR LESS
10.00
Main service EA, ADD•L 100 AMP
2.50
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.
�7('? S
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 ADONS. ( ACC. BLDGS. hltsgft
NEW CONSTR. MULTI-OUTLET_2,50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS e)
(SINGLE OUTLET CIR.
/
EX, Occup\OUTLETS OR FIXTURES DAL@30
eALeso
Ex. OCCUp. OUTLETS IIRESID ) FIXED APPLNS. REA.1 2.00
Temporary service 10.00
o Mobile Home Facilities 15.00
Misc. H 15.00
9
Permit Fee ;
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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 subjectpermit
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
(11
Fee
;
12 &60
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 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 my 'n c ns nce 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 $
TOTAL PERMIT FEE $ LA
OCCUP,
CONST.TYPCF
S' Lo
PARC
P ND ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
By 2��_
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date C —
��
Receipt No.
WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
cvUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION _
7 COUNTY CENTER DRIVE Y- OROVILLE,CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER W—eZ A t A. P No. 58 7`
Proposed Building Use ii/- S /- Building Inspector Date ;24iU
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 p eparer 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. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature author izat'on. 4 n
`0. Sanitation approval from �� I c0 �sP W� lealth Dept..:l
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ).
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Prednspec. request to (Dote)
17. Pre -Inspection for Required, Building Inspector
1 -! Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the a 1t,�proces5 as follows: Mail tooJo/wner, Mail to contractor.
XTelephone / and hold for pickup atC��! r �ifice, Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. 42
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date—
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date—
Plans checked by Date Plans approved by /2 Date-�
Sets of plans on hold in File cabinet AP folder
Copy—DPW
- Flours: 10:00 a.m. - 3:00 p.m.
-- ans an"O=do s MUSS' be
,�___. __ _ \ ®n he ? pt all times -an �.'t i unlawful to
`'m ., g a or alteraf 6h . _unlawful
without
r
'1 i te:240spa ent of Publlo �9
r o
A wback of 6 ft. from the
,'o,03 Ppeperty lines and a setback ...
° of 50ft. from #ate road _ L 1
centerline shalt be clear 6f
structures or equipment&xc�t
i
Nj
for g;2 ft. eaT.
ve,overhan '
LZ
c _
IZAI�
WE OOPM
T
C , [ OUIL TMENI
PRO
------ E;
:� „0
. �.,... • r.�. ` NT ..PLAIii2Z`�
-.PLAN,
w- -t
}1646- SQ FT .A
— 'l" .,.{..t j' `• � '•�Y ,- iJ..: � ' M' 1�✓ ' _ 4 ' YID "t ..- �'w { t' •. ,a
zt_ " 17X11 x
N_rr.'�'�.r-.'
has complied with J
regarding
on Assessor ce
payment of fees *fSchool Imps Kit.,
0-4
4M.11
Up W*UX4C%S
0;91RMXE 24
—,., n9 etrict Certifies tha
req1ircmants Of
a. 1,
9
--vowc" FEE.__..
Return to DPW AGRICULTURAT STATEMt,�l OF ACKNOWLEDGEMENT e
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this NOT COMPARED WITH
property may be subject to inconveniences or discomfort arising from ORIGINALDOCUMENT
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Being a portion of Lot 25, as said Lot is shown on the Map entitled,
"Map of the Second Subdivision of the John Bidwell Rancho", which Map
was filed in the Office of the Recorder of the County of Butte, State of
California, on September 17, 1900, in Map Book 5, at Page 27, more parti-
cularly described as follows:
C014MENCING at the Northwest corner of said Lot 25.; thence along the
North line of said Lot 25 East 120.00 feet to the true point of beginning
for the herein described parcel; thence from said point of beginning and
continuing along said North line East 532.23 feet; thence leaving said lot
line South 601.73 feet; thence West 223.97 feet to a point on .the Westerly
line of Bidwell Avenue; thence along said Westerly line the following
courses and distances: North 25° 42' West 70.69 feet; North 470 34' West
99.00 feet; North 800 55' West 66.00 feet; and South 720 24' West, 146.20
feet; thence leaving said line North 504.74 feet to the point of beginning.
Date: 9/2 �/� L
raId�Zeim n
el,
oy, e A. Storz
State of Ca ifornia )
Butte ) SS.
County of )
y/
9Date
Date
On this
me, the
IPR .PERTY 71RI
c
r Y -2— 8k2
Oou as A. Heimann Date
the 2-d 7` day of September , 1986 , before
undersigned Notary Public, personally appeared
Joyce A. Storz and Gerald J. Heimann -------------------
---------------------------------------------------------
---------------------------------------------------------
/ / Personally known to me. (ZX.X Proved to me on the basis
■nunsnnsnnnuEEnsEsnEEEEE,,,u,,,,,,,,nuunEt� —
OFFICIAL SEAL of satisfactory evidence.
-' RANDY COY _ to be the person(s) whose names) are subscribed
- NOTARY PUBLIC _ CAUFOANIA : the within instrument and acknowledged that they
COUNTY of eurrE ' executed the same for the purposes therein contained.
to
omm. cxp. Moy 5, 1989 = IN WITNESS WHEREOF, I hereunto set my hand and official seal.
nnrussEns,,,,,s,,,,unsnsunEE
' . No . ro /Y- - O�/ Mo r t
No ry Public
�f CSC � F
r-,�rV )5- -
P
I? W/
M¢,.
built WUN
i
License #566654
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