HomeMy WebLinkAbout069-600-050DOUG GEYER C-1 ------ — ONS RUCTION I11
NC.
X62 Ian Lee Circle, -Herita a Estates_,Or,
Permit��2030-82B,P,E,M(new }F)
69-60-Q�
HERITAG& INVESTMENT CO,.
Permit#3969-88B,E(to comple - . w,0 k� �j
started under 2030-82)SF rr(
069-600:050,111,
ROBIN
SON ` ' , . •-r"•: 06-1498
G
2 SEURDR.
A ORO VILL ". _ g:
'Cont: OWNER • vw
ROOF. tiAl
+ }��„_`, 069-600 050
MISCELLANEOUS;,Water Heater. C/O
WATER ABATER REPLACtM"''T`4 '
`• �i�rS��' � '�' a+'tYf� �"'V �s,�ESX'`4;; 11'jss.,d'1 "
KIM SAYERS
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2 SEGURA DRIVE
Owner:
Permit No: B07-2076
APN: 069-600-050
KIM SAYERS
Issued Date: 10/5/2007 By GLB
Permit type: MISCELLANEOUS
2 SEGURA DRIVE
Subtype: Water Heater C/O
OROVILLE, CA 95965
Expiration Date: '1.0/4/2008
Description: WATER HEATER REPLACEMENT
(530) 680-6116
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
RISSE & SONS INC
RISSE & SONS INC
Building Garage Remdl/Addn
PO BOX 67
PO BOX 67
RIO LINDA, CA 95673
RIO LINDA, CA 95673
(916)992-0875
(916)992-0875
Other Porch/Patio Total
FEE INFORMATION
DBP Water Heater (qty) $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4878
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
RISSE & SONS INC 264815 / C36 C20 C34 C42 C4 C2 /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect,
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X10/5/2007
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permil subjects
the applicant to a civil than five hundred
penalty of not more dollars [$5001;
Please check one of the following:
Contractor's Signature Date
a 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 Contractor's License
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]
the 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 improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: Dept of Industrial Ripolicy Number:4505-056 Exp. Date:
Contractor's License Law.).
(This section nee not a competed if the permit is or one un re ollars ($100) oror esTs.)-
❑ IAM EXEMPT under Section B. 8 P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 10/5/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 10/5/2007
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorise the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
10/5/2007
- CONSTRUCTION LENDING AGENCY
t HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN) Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR; Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X
PERMIT
NO.
d�
BIN #
PROJECT LOCATION
OWNER INFORMATION
Last Name
�C Irl L(i 1
First Name r
Mailing Address _
City
O J e—j
I State C4q
Zi .
O
Phone
1�
Fax
E-mail
Lic. # S
APPLICANT SIGNATURE
X
PERMIT
NO.
d�
BIN #
PROJECT LOCATION
CONTRACTOR
Name
�C Irl L(i 1
Address
--1*4ki.
'
City
�L
State _ Zip
Phorie•,
Phone
Fax Ccs 1 r S
E-mail
E-mail
Lic. # S
Class
APPLICANT SIGNATURE
X
PERMIT
NO.
d�
BIN #
PROJECT LOCATION
ARCH/TECTIENG/NEER
Name
J'V5 C_
Address
90S Q
City
11 w
State
Zip
Phone
Z
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
PERMIT
NO.
d�
BIN #
PROJECT LOCATION
APPLICANT INFORMATION
Name
J'V5 C_
Address
90S Q
City ` K
11 w
Sta e�
Zip 61
Phone
Z
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT
NO.
d�
BIN #
PROJECT LOCATION
AP# O/ _ /' nC)" O�'o' i)QO i
1�
Property Address
Q f i
City Otiov
-e.e
WORKER'S COMPENSATION
Policy Number W , A1C, o S
� J
Carrier
C .
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
l AfA IA
Sq FT- Living Garage Open Co
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning Flood Zone SRA I Yes I No
Occ.
Type Const.
069'600;051;r----- atYr�:,:,._'?�06;1498 �,I
T ROBINSON, JOEL ic' m ,----j
t SFq RA'DR-ORO_V_I —E
Cont: OWNER
RE ROOF
A
069-600-050 06-1498
,.,ROBINSON, JOEL Per. -It Na
2"SEGURADR; OROVIELE-3
Cont: OWNER
RE ROOF i
Contractor.
Type of Permit:
j
SPECIAL CONDITIONS
CHECKED BY
SRA r
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY +
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
,r
ti
•
.E
_.- ,
SPECIAL CONDITIONS
CHECKED BY
SRA r
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY +
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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 : License Number.
Date: Contractor:
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.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Stale 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
pursuant to the Contractors' State License Law.).
❑ . I am Exempt under Article 3 of the B sine s nd ions Code
Dat : 1" � Owner: v
WORKERS' COMPENSAT.LON 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.
❑ 1 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
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to 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
prions.
Date:
Applicant:
WARNING: Fail.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.
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.) .
Address:
PERMIT NO.
BP061498
Issued Date: 06/22/2006 APN: 069-600-050-000
Site Address: 2 SEGURA DR ORO
Map Index:
Description: REROOF 2 CONDOS & 2 GAR W/COMP (55)
Owner: ROBINSON FAMILY TRUST
ROBINSON, JOEL AND ELIZABETH
TRUSTEES
928 E EVANS REIMER RD
GRIDLEY, CA 95948
530-846-3862
Applicant: ROBINSON FAMILY TRUST
ROBINSON, JOEL AND ELIZABETH
TRUSTEES
928 E EVANS REIMER RD
GRIDLEY, CA 95948
530-846-3862
Contractor:
License #:
Architect:
Engineer:
)tal Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
This permit is her iss d under the applicable provisions of the Butte County Code and/or
Resolutions to de icated bove for which fees have been paid.
By: Date:
PERMIT EXPIRES ON:
❑ I 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 & 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 ument of Butte County. I hereby
authorize representatives of Butte County to enter upn the above (mentioned property for inspection purposes.
Print Name: �� `� r v Signature:
Date:
Owner ❑ Contractor ❑Agent for Owner ❑Agent for Contractor
B. C. Building PermitOl-16-04 pg 1
+=OK
0 = Net OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION SOFT -SET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-DIrncs-Gmd -Am -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
—DATED E C K S•C O V E R S'C A R P O R T S •GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Glyders/Joisb-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-C_nnclrsShthg,
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs Tnuses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Rooftng
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE IP O OL S
1 Setbacks -Easements
2 Soils; 'CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec RcptclsAAng; Distance -GR
5 Elec Pool Lting; 15 volts-GF1
6 Elec .Enclsrs;'Con dult Entries Terminals -Listed
7 Elec Banding; Metal w/5'-Crcltng Egp-Htr
8 Elec Grndng; Eqp vA' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboardsansultn to Main Conduit
9 Health Dept Apprvl
10 Pimb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
o hyo-
Pool Drawing
0 - Nat OK
RESIDENTIAL
(Single
2 Ftg Main; Soils-Elec Grnd Ftg DRth
&
Duplex)
DATE JUNDERFLOOR
I
DATE
5 Stemwalls Wain; Steel-Biockouts Wrapped
PLUMBING
1 Zoning -Setbacks -Easements -Rood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg DRth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; SoiisSteel-Elec Grnd Ftg Opth
55 DWV; Test Fittings & Anchr. Nall Prtcbt
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Wain; Steel-Biockouts Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fail -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test Anchrs-RgIUService Test
12: Elec Undrgrnd
DATE I M E C H A Nl C A L
13 Plenums & Ducts; Cimc.-MaterialSupport4nsultn
61 AC Ducts lnsultn & Support "
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv lnsultn
15 Acc & VnUtn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm I Furnace in attic
41
DATE
DATE FRAMING
17 Sills Proper Materials & Anchrs
DATE IFINAL
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
66 Ext Steps -Door & SldeLt Prtctn-Landings
19 Bearing Walls over Girders 8 fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
21 Fire Stops, ;Furred CeilingsStairs-Chasers-Tubs
In Garage; abv-fir-Ducts-Meth Prtctn
22 Headers &Beams -Si &'Bearing'
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlln-Root Brac TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue=Frplc Throat Clmc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Si &_.Rmx PrtcW-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clmc-Hearth
28 Garage Fire Prtcth Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper.
33 Siding -Nailing Veneer
80 Wtr Htr, Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
81 Pimb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnis
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Cirnc Dmge Planters ❑ Yes ❑ No
40 �
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE ELECTRICAL
40 Fxtr & Trnsfrmr Clrncans Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntitn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Ihspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Apptnc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs .
4T Subfeed Wire Sz ❑ CU or ❑AL
98 Address Posted
AC Wire Sz Da 0 C or ❑AL
99 Fire Sprinkler
48 Range Clic oa ❑ CU or DAL
Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
°a° °�s` 40
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrnes pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
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.
BP061498
B. C. Building Permit 01-16-04 pg 1
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: 06/22/2006 APN: 069-600-050-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 2 SEGURA DR ORO
License Class : License Number:
Map Index:
Date: Contractor:
Description: REROOF 2 CONDOS & 2 GAR W/COMP (55)
OWNER -BUILDER DECLARATION
1 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
Owner: ROBINSON FAMILY TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
ROBINSON, JOEL AND ELIZABETH
signed statement that he or she is licensed pursuant to the provisions of
TRUSTEES
the Contractor's State License Law (Chapter 9 commencing with Section
928 E EVANS REIMER RD
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
GRIDLEY, CA 95948
violation of Section 7031.5 by any applicant for a permit subjects the
530-846-3862
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
Applicant: ROBINSON FAMILY TRUST
pp
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
ROBINSON, JOEL AND ELIZABETH
provided that such improvements are not intended or offered for
TRUSTEES
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
928 E EVANS REIMER RD
proving that he or she did not build or improve for the purpose of
GRIDLEY, CA 95948
sale.).
530-846-3862
❑ 1, 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
pursuant to the Contractors' State License Law.).
Contractor:
❑ I am Exempt under Article 3 of the B siness nd ions Code
�
Dat : Owner-
WORKERS'COMPENSATJON 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
License #:
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy#:
Total Square Ft: 0 S. F.
I 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
forthwithcompaaly with those pr visions.
v l �� lJ
Date:
Applicant: 1'
WARNING: Failu 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
/ , J , , 5�-Vl
code, interest, and attorney's fees.
t„(C�✓�L/-ice/ �./
CONSTRUCTION LENDING AGENCY
This permit is her iss" d under the applicable provisions of the Butte'County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to d icated above for which fees have been paid.
C�
performance of the work for which this permit is issued (Sec 3097 Civ.)
1p as
By: Date: '* T
Name:
PERMIT EXPIRES ON:-
(Date)
❑ I 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 & 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 cKument of Butte County. I hereby
authorize representatives of Butte County to en r up n th1e above mentioned property for inspection pur os
L
L Z.�1'
Print Name:, V,y Signature:��/ V
�d� O
Date: y c
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
®vTD'�.` -%kALF-0 BUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
a BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
24 HOUR tNSPECTIOWN: OROVILLE: (530) 538-7636 • CHICO: (530) 891.2834
OFPrCP- a: (530) 538-7341
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounly.net/dds
—PLEASE PRINT CLEARLY"
ARCHITECTIENGINEER
OWNER INFORMATION
Last Name
•�
.,,6. LN irst Namp O G
Addr s
—
City
Lot #
State
Zip
Pho
0 96a
F '7911
E-mail
ARCHITECTIENGINEER
CONTRAC,TOR
Name
G-4
Address
Phone Fax
City
Lot #
State
Zip
Phone
Fax
E-mail
Lic. #
Class
ARCHITECTIENGINEER
Name ,
Address
City
Zip
Phone Fax
Email State License Number
APPLICANT SIGNATURE
r
Fo offlee use only:
APPLICANT INFORM' T/0N
Name
Type Const,
Address
City
Lot #
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
r
Fo offlee use only:
Zoning Flood Zone SRA Yes No
Om. I
Type Const,
Subdlvision' Name t!T!ggk
Page
Lot #
Planner
Oate Approved:
Carrier
PERMIT
Cf? , 1
BP
SIN k
— PROJECT LOCATMN-.,� _
N hiring anyone other than license contractors, a certificate of *vrker's-
eompgnsatkn.m���e.A-_._..__._.--- - J
Z+Yk
CA,
Sn FT- Llr'
O Proposed Change of Occupancy
(Note previous use)*
EXPIRATION OIF 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 end fee will be
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
OVER FOK bUt3ftlll I I AL Kr_WUttKctvactn I Q1 L
K WORMSIBUILDING FORMSIBldgApplSubRgmts.doc Page I of 2
TP ' FIFIW I NOSNI8021 16OL9080ES
REV 8-12-05�'`�
6T:IZ 900Z/0Z/90
<il
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES [>( ] NO [ ].
2. I HAVE ] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
wepu:193
PROPERTY OWNER:
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
(2030-82) -88B,E
3969
PERMIT NO. J� 9
PERMIT EXPIRES / �' A� — r/
OWNER HERITAGE INVESTMENT CO.
CONTR. Owner
ASSESSOR PARCEL 69-60-05
LOCATION #2 Ian Lee Circle, Oroville
z
a
P
�d
r
y
'Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
e
*IT
PERMIT NO.
PERMIT EXPIRES.—
OWNER
XPIRES OWNER DOUG MER• CONSTRUCTION• INC.,
CONTR. Owner'
ASSESSOR PARCEL
LOCATION #2 Ian Lee Circle, Heritage Est, Oro
Temp. Power Pole,,
Called PG&E `OFFICE'COPy
Address/ -4 llf L
Temp. Elec. Servi :t..CJC.�
GAS 1
Called M PG&E -
r By' ' 'Date'
ELECTRIC +CPS
Temp. Gas Servicu, Meter. By - '- Date
Called PG&E[__
JOB FINALED (Date)
Signature
J''= 'OK'
b _ NOUOK
Not Applicable MOBILEHOMES
= Not Ready
r
}
� 1
MISCELLANEOUS
t,
r
Date
DECKS, COVERS, CARPORTS, 'ETC. (Plans) 0, except H .
1. Zoning Requirements -Setbacks -Easements
Date MOBILEHOME UTILITIES (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 -Enc us;,ies T
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elea
Card -BI
Date Card -BI Date.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
. Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except k's
Date
_
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
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
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval °
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip,w/5'-Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10.. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
t,
t
A
}
t
}
J = OK
0 = Not OK
- = Not Ry•ble
* Not Ready RESIDENTIAL (Single•and Duplex) ^:
Date UNDER OOR Plans OK except #'s
Date
FRAMIN ontinued
oning requirements-Setbacks-Easem
ropert Line Firewall & Openings
tg. ain; Soils -Steel -Flet. G- /L�Y'Ftg. Depth
t. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel-/ Ftg. Depth
SO_Staers^Olydi
-headroom-Rise-Run-Landing-Fire Protection
4. Ftg. orches & Decks; Soils-Stee - / /" Ftg. Depth
5d--Pry-wood
on Roof Overhang -Attic Vents -Rafter Outriggers
5 emwalls, M teel-Blo ts-Wrapped-SI
52.
- e er
mwalls, Gar feel-Blo s-Wrappe
5zing
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Area -Glass Protection -Skylights -Plastic
7. iers-Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test way ew Tes
55
ng -Bolts
9. Gas Pipe; Size -Anchors
1 ater Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
B
/ d BI Date
BI
Date ,- Card -BI Date
Card -BI
Date Card -BI Date
C BI ate BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14. Wa1ecb{tr-yt Access -Combustion Air
37.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
16--tlP5%r Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17. ShowerTest, First Floor -Tub ess p (� Ja(
60.
G.Fi.Y. & Bath Fixtures & Tub Access
18. Test T hower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes abet
19, rat Plna sizes n^�^rs
62.
Stairs & Rails �,
63.
Fireplace or Stove; Clearances -Hearth
afi4
Elec. Outlets at Wood Panel; Int. & Ext.
Ca Date /p Card -BI Date
5•
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
66
Elec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
ZL ec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., E &Mech. Equip. Listed for Location
ze Boxes & No. of Conductors -Stapled
-
71.
Elec. Receptacles in Garage; (G.F.I.) Romex Prote .
mex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic EJ Yes
i� �• ppliance Circuit 'n Kitchen & onductor Size
73.
Guard Rails & Deck Construction -Post Caps
26. Subfeed Wire Size / a. Cu o -A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ./ a. Cu o -Oven Circ. / / ga. Cu or AI,
Insulated Neu ral Yes ❑No
75.
Following instld.: Drive ❑ Yes E]No; Walks Yes E) No;
Planters ❑Yes EJ No
erv' -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Br wn- lois -
2 quip. Clearances; Panels-Motors-Mech. Equip.
77
78.
.C. Unit; isconnect Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
3 othes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
CDate / land-BI Date Card -BI Date
C I Date �"
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date MECH L (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_ 32. Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate-OthCertificates
_33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform it Furnace in Attic
Card-BGff
Date Card -BI Date
-at e( _�� Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRAM Plans) OK except q's
Comments at Final:
Proper Material & Anchors
_Sills;
al; oto -Nailing, Spacing & Bracing -Plates -Sound
38/Be "_ alls over Girders & Floor Nailing___
C, 11 raft Stop i Is (rat pr
�[J 40 Fire s; Furred ilio s -Stairs -Chases -Tub
ader & Beam -Size & Bearing
angers -Post Caps-Anchors_Connectors -
t In oist-Rftr. Ties-Purli Roof Brac.-TrZS_nn.-Rfng.
ireplace Ties or Type lue-Fireplace Throat
` ttic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
`
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT E RGY CONSERVATION REGULATIONS
AT C i 2
(location) /
BUILDING PERMITi A:P. N0.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn.. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER U
APPROVED WTR.HTRR. --
GLAZING:
Single Glazed
Special ( Insulated)_
CERT. & LABELED WDS.
& SLIDING DRS. t.4
WEATHERSTRIPPED DRS.-
BACK
RS.BACK DAMPERED.FANS IL4,a
INTERMITTENT IGNITION DEq ICES h/
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of ( ea a print)
Insulation Applicator
tate Contractors
License No..
General Contractor/Owner Name
Signature of
General Contractor/Owner
ell
l
please print)
Date —
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING. DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC 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
>
BUILDING OR PROPERTY ADDRESS
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, 'plea
s
e
contact this office immediately.
\ Y
.T
Inspector '� Date
N
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC 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
BUILDING OR PROPERTY ADDRESS
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.
c
Date
Inspector
= OK
0 = Not OK
= Not Readyable MOBILE HOMES
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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Card -B1 Date Card -131 Date
Card -61 Date Card -81 Date
Date MOSILEHOME 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
Card -131 Date Card -81 Date
Card -131 Date Card -B1 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
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
Card -131 Date Card -131 Date
Card -61 Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
_
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -81 Date
Card -131 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al .
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Liqht-Shower Liqht-Spa Liqht
Card -B1 Date Card -61 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 . Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FIN (Plans) OK except #'s
isl'E,xt:-Steps-Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
lp arage; Above Floor-Ducts-Mech. Protection
Be room Exiting
& Bath Fixtures & Tub Access -Spa
E 'Trim & Subpanel; Breaker Sizes -Labels
6 irs & Rails
Fireplace or Stove; Clearances -Hearth
. Elec:-Outlets at Wood Panel; Int. & Ext.
it. .ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
7 Iec-Outlets & Receptacles at Kit. Counter
laolGarage, Fire Door; Swing -Landing -Closer
uct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Ib .•Elec. & Mech. Equip. Listed for Location
Elec Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
14"Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive es ❑ No; Walks es ❑ No;
Planters pies 0 No
48 Stucco; Brown -Finish
C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to
Ope•pings.
64 -Water Well; Disconnect, Electrical, Plumbing
8 . xterior Elec. Trim; G.F.I. Receptacle -Underground
@S. ' ntilation throughout House
or Glass Protection
Corrections from Previous Inpections
A . Gas st-Meters Tagged; Gas -Electric
291�9er & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -61 Date a and -61 Date
Card -B Dat Card -B1 Date
Card -B Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Galifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERT O. r/
ASSESSOR PARCEL NUMBER
6q- o -S
ZO ING
BUILDING PERMIT
ONr
,�r. �� t, esu
TELEPHONE
j5 s
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILI ADDRESS
CONTRACTOR'S NAME
N -L Jr—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
V�
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ ,&,v
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
/Sf Frj a i.5'Fet 4L
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISIdA NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S I G I IN
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: ___ C4M0Ie-it-e- wyr'k S 4-4-rl- 41 i
i
1.`�d6 1 d 4 af- ;f t°� �O�i�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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):
El 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
El 1, 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 OCCUP.61\ ,h¢sQtt
OR ADDNS. l ACC. BLDGS. /
NEW CONSTR MULTI -OUTLET 2,50 ea
NON•RESID BRANCH CIRCUITS)
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®e0t
eAL030
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00 0O 0
Permit Fee $ .3f
Contractor
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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 at
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, sts, and expenses which may in any way accrue
against said C my in co se uence of th ranting of this permit.
Dati—
Applicant — Owner El Contractor ❑ Agent ❑
ermit is required for excavations over 5'0" deep and demolition or construct-
;an over 3 stories in height.
tofstructures
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ , 6�
OCCUP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
PD
70J
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work i c ed above for which
DIR OF P
B
PERMIT EXPIRES Data
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1 �
Receipt No.
WHITE-O.P.W., YELLOW-ASSE350R. PINK -INSPECTOR. GOLOENROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NR
ZON
BUILDING PERMIT
Own
GY—
T EPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN 'S MAILINqDDRESS
C NTRACTOR'S NA TELEPHONE
121
C T CTO MAI NG DDRE 5
hlam f, -V `p
Fireplace
CONS R I ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LEND 'S MAILING ADDRESS
Permit Fee
$
ARCHIT C OR ENGINEE
U
LICENSE No.
Z
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EN[�TI(JEER 5 AI ADDRESS
v
Permit fee
$ .
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
2 j A -Q — L� C E
Each Trap
2.00 ,
Repair drainage or vent piping
5.00
0
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
124 U1 I ti
TYPE OF WORK
New Er ddition ❑ R odel Utilities ❑ Instal lation❑ Other ❑
Describe work: V V yx Z
S tl
CJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR LESS
RSLESS
00 ��„
C w
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWEL GGU P. pit
OR ADDNS. ACC. LD j�
I 2� ft L/
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
NEW CON5TR -OU LET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS 61
NON-RESID, SINGLE OUTLET CIR, /
Ex. Occup OUTLETS OR FIXTURES BAL@1
00
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.oL
❑ 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.
Heating
,
Cooling '"—
Hood
3.00 r on
Ventilation
Permit Fee
$D DO
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 Iiabiliti judgments, costs, and expenses which may in any way accrue
against s County in c quence of the granting of this perm' .
-2
S' not f App ' a Owner Contractor Agent ❑
An 0 permit i required for excavations over 5'0" deep and demolition or construct-
ion of structures storiesinheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ -RA
0c P, GROUIPA71PTYPE
OF CONST.
�j�j
A �v
PD HO
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR=te
By
PERMff EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
f 0 -2-5 F _Z—
/2 -5 P :3
��over
�3
Receipt Nci,Q c-1 �n 1 /
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
n 1
• ��� �— � ti, � � � ' � ��. Vii
DESCRIPTION:
All that certain lot, piece or parcel of land situated, located and lying
in the County of Butte, State of California as shown on that certain plat
entitled "RECORD OF SURVEY, A PORTION OF N.W..1/4 SEC. 189 T19N, R5E, M.D.M.
BUTTE COUNTY CALIF. FORBRADLEY" prepared by Ceddis Driscoll and
Associates, Engineering Suveying Planning, Oroville, California, dated
November, 1980 and recorded January 28, 1981 in Book 78 of Maps, at page 44,
Butte County official records, and more particularly described as follows:
CINMCINC at a point on the South line of the Northwest quarter of said
Section 18, said South line being also the North line of the Oroville-
Wyandotte Fruit Lands, Unit No. 5, recorded July 20, 1928 in, Book 8 of Maps,
at pages 37A and 38A9 records of the County of Butte, State of California,
and said point of commencement being distant South 860 39' 06" East, 305.19
feet (South 890 09' East, 305.56 feet, recorded) along the said Subdivision
line from the Northwest corner of Lot 148 of said Unit 5; thence from said
point of commencement, North 860 39' 06" West, along said subdivision line
and Westerly prolongation thereof, 327.83 feet to the Southwesterly line of
the Highway 80 feet in width and being the true point of beginning; thence
leaving the Southwesterly line of said Highway North 890 17' 44" West 82.18•
feet to the centerline of Rachel Drive, formerly the old Oroville-La Porte
Road; thence along the centerline -of Rachel Drive North 440 19' 44" West
1681.45 feet to a point. at the intersection of the centerline of said
Rachel Drive and Heritage Road (formerly Oroville-Ouincy Highway) thence
running along the centerline of Heritage Road North 240 37' 49" East 1286.3
feet to a point at.the intersection of the centerline of Heritage Rovd and the
Southwesterly line of Kelly Ridge Road (formerly Hillcrest Avenue); thence
running along the Southwesterlv line of Kelly Ridge Road -the following courses;
South 170 32' 49" East 362.70 feet to a point; tnence along the arc of'a curve
to the right whose radius is 4,040 feet through a central angle of 08' 34'
10" a distance of 592.28 feet to a Doint: thence.continuing along the South-
westerly line of said Kelly Ridge. Road South 080 58' 39" East, a distance of 489.29
feet to a point; thence continuing along said Southwesterly line of Kelly
Ridge Road along the are of a non -tangent curve to the left whose radius
is 2,040 feet through a central angle of 130 59' 27" for a distance of 498.14
feet to a point; thence continuing along the Southwesterly line of said
Kelly Ridge Road South 220 58+► 06" East*, a distance of 213.01 feet --to a point;
thence continuing along the Southwesterly line. of said Kelly Ridge Road
along the arc of a tangent curve to the right whose radius is 960 feet
through A central angle of 190 54' 33" for a distance of 333.58 feet to
a point at the intersection of said Southwesterly line of Kelly Ridge Road
with the North line of the aforesaid Oroville Wyandotte Fruit Lands, Unit
No. 5 and the true point of beginning for this property.
r10T COMPARED W1
,,.,•A:•:-,
`"rteturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT I
FOR RESIDENTIAL DEVELOPMENT OFFIGIec 1ivutTE
F;1')►i l�.
Section 26-8;-Iof the Butte County Code requires this aclaiowledgemen'iF-COiiDS REQ,,,, :'
be recorded prior to issuance of a building permit. OCT
17
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of Lo°'Eti �•-
LEANER RK
this property may be subject to inconveniences or discomfort ari- RCOROER
sing
from the use of agricultural chemicals, including, but not limited to herbicides, 2ZE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use.for productive agricultural purposes, I and
residents within said zones and on adjacent property should be.prepared to accept such
inconvenience or discomfort from normal, ne.essary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date
SEE ATTACHED LEGAL DESCRIPTION
State of )
SS.
County of )
PROPERTY OWNERS:
1N�
On this the day of , 19 ,
before me, the undersigned \Notary Public, personally
appeared
I
STATE OF CALIFTN A )gg
COUNTY OF U )
Or► October 28, 1982 r
before me, the undersigned, a Notary Public in and for
said State, personally appeared DOUGLAS GEYER XXX me (s)
acknowledged
pe(sonally known to me (or proved to me on the le purposes
basis of satisfactory evidence) to be the persons who executed the within Instrument as
President 2eitaff W on behalf of lnd and official
DOUGLAS GEYER COM RUCTION INC.
the corporation therein named, and acknowledged to me that OFF
such corporation executed the within instrument pursuant to its
by-laws or a resolution of its beard of directors.
WITNES
S
mmy hand and official seal.
Signatu
,t
ICIAI SEAL
ANGELA D. HENDEEcSHOT
NOTARY PU13LIC - CALIFORNIA
PRINCIPAL,OFFICE
IN
BUTTE COUNTY
MY COMM'S°ION
EXPIRE: SEPT 7, 1986
'This area for official notarial seal)