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89 SEG URA`DR;.GRIDL '
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buuecounty.net/dds
Permit No: 06-1489
Issued: 6/22/2006
Address: B`l 'S e—,5 v C,0-,
Area:
Owner: JOEL ROBINSON
APN: 069-600-054
Applicant: JOEL ROBINSON
Map Page:
Permit Type: RE ROOF
114
Description: RE ROOF
216
AREA
Flood Zone: SRA Area:
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses 129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Bui ing Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type I
Building
IVR I INSP DATE
Do Not Insulate Until Above Sighed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
_ Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
nsignia:
Insignia-
Public Works Fina
538-7681
Fire Department/CDF
538-6837 txt 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 T - 25
-rrolect anal is a Uernticate of Occupancy for (Kesidential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM TRI: DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
•7
069-600 054 w 06=1$489
E ,'-69-6.. 0
NOTES i CROBINSON,: JOELL ra•
(�89'SE61J A DR, GRIDLEY ,
; Coln-COWNER
RE ROOF
' APN:
Owner.
Site Address:
s= Contractor.
P
j Type of Permit:
• N
Permit No.
u
SPECIAL CONDITIONS
CHECKED BY
Q SRA
0 FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
0 SPECIAL INSPECTION ITEMS
Q VERIFY
0 USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
0 REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
0
Al
�
d
.f
a
SPECIAL CONDITIONS
CHECKED BY
Q SRA
0 FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
0 SPECIAL INSPECTION ITEMS
Q VERIFY
0 USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
0 REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
0
Al
�
d
.f
SPECIAL CONDITIONS
CHECKED BY
Q SRA
0 FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
0 SPECIAL INSPECTION ITEMS
Q VERIFY
0 USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
0 REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
0
+=OK
O =
Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -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-Clmcs-Grnd 'Am -Concrete
6 Yard Gas; Loctn-Test Wrap Nat or LPQ
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-DImcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation
14 Exits
15 Cert of Occupancy
16 HUD LabeUlnsignia Numbers Serial Numbers
—DATE ID E C K S•C O V E R S'C A R P O R T S •G A R A G ES
1 ZoningSetbacks-Easements
2 Ftgs; SailsSz-DpthSpacing-DnnctrsSteel
3 Decks, Girders/Joists-0cking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg•
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Fang; Sills-AnchrsStuds4fts Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
-P
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Eiec Rcptcls/Lting; Distance-GR
5 Elec Pool Lting; 15 volts-GF1
6 Elec.Enclsrs; Conduit Entries -Terminals -tasted
7 Elec Bonding; Metal w/5-Crcltng Egp-Htr
8 Elec Grndng; Eqp w/5'.Crcitng Eqp-Pool ightg
Boxes-En6isrs-pnlboards4nsultn 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'$ lop -4P 0`a'
t
Pool Drawing
b, ,
i zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg DRth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
13 Plenums & Ducts; Cimc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
DATE FRAMING
RESIDENTIAL (Single
& Duplex)
DATE IFINAL
DATE JUNDEWFLOOR
DATE IPLUMBING
i zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg DRth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
13 Plenums & Ducts; Cimc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
DATE FRAMING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub '& Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs '
59 Fire Sprinkler; Test
60 Yard Gas_Piping
DATE IM E C H A N I C A L
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pitfrm If Furnace in attic
17 Sills Proper Materials & Anchrs
DATE IFINAL
18 Walls Studs-Naill ig Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SldeLt Prtctn-Landings
19 Bearing Walls over Girders .& fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams -S1 &' Bearing"
69 Bedroom Exiting
23 Hangers-Posf:Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Ace -Spa
24 Ceiling Joist4 tr Ties-Purlin-Roof Brac-Truss
71 GFI Arc Fault
25 Frplc Ties or Type A Flue*F Ic Throat Clrnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic A&; Sz &Rmx Prtctn' -Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frpic or Stove, Clmc-Hearth
28 Garage Fire Prtctti Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs'
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cirnc
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 Ot trgrs
79 AC Duct In Garage -Damper.
_ 33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
81 Plmb; Elec & Mech Eqp Listed for Loan
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace InI)Ext Wali 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
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb. Appinc-Frplc-Clmc to Opngs
DAIE JELECTRICAL
90 Wtr Well, Dscnnct, Elec, Pimb
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 VnUtn 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 I ispctns
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 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
_
47 Subfeed Wire Sz ❑ CU or ❑ AL
98 Address Posted
AC Wire Sz ❑ CU or El AL
99 Fire Sprinkler
48 Range Circ ❑ CU or ❑ AL
Oven Circ ya ❑ CU or ❑AL
Insulated Neutral ❑Yes ED No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrnes pnis-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.
1-31�Z�Cf:Z']
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: 069-600-054-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 89 SEGURA DR GRI
Map Index:
Date: Contractor:
Description: REROOF CONDO AND GAR W/COMP (26)
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
7000) of Division 3 of the Business and Professions Code) or that he or
928 E EVANS REIMER RD
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
❑ I, as owner of the property, am exclusively contracting with
licensed. contractors to construct the project (Sec. 7044, Business
_
and Professions Cade. 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 Artic a of the Busines . an s oris Code
VVunder
Datd3LS� Owne
WORKERS' COMPENS T N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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:
Total Square Ft: 0 S. F.
Policy#:
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
forthwith comply with thosq provisions.
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.
45516-7 I (e - ,
CONSTRUCTION LENDING AGENCY
This permit is hereby issued der the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do ated ab a for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
te
Name:
By: Date:
' C/
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & 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 dottLLpent of Butte County. I hereby
authorize representatives of Butte County to a er on a above menttNstiioned property for inspection purpos s.
h � 1
Y
Print Name: Signature: - —
Date: b
caner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
i
BUTTECOUNTY
0 o DEPARTMENT OF DEVELOPMENT SERVICES
0 0 - BUILDING PERMIT APPLICATION
0 0 AND SUBMITTAL REQUIREMENTS
24 HOUR tNSPECTIONN: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
O i7 gir• 6 OFFICIr N: (370) 3311-7341
oC ® A FEE WILL RE REQUIRED AT TIME OFAPPLIC4T/ON
Website: www.buttecounty.net/dds
—PLEASE PRINT CLEARLY"
1 n
AP LICANT SIGNATURE
X � �~
Fo oNlce use only:
OWNER INFORMATION
Lost Name`�
b L� irst Namp O G ✓
Addr s
City C=,
• „j lC
I "�
Stale
Zip �� y
Pho
0 , y -a 962
Fat1b7
E-mail
7"
r
AP LICANT SIGNATURE
X � �~
Fo oNlce use only:
CONTRACTOR
Name
I Type Const.
Address
Map Book
City
I Lot #
State
Zip
Phone
__Other
Fax
E-mail
7"
r
Lic. t1
Class
AP LICANT SIGNATURE
X � �~
Fo oNlce use only:
ARCHITECT/ENGINEER
Name
I Type Const.
Address
Map Book
City
I Lot #
to
Zip
Phone
__Other
Fax
E-mail
7"
r
State license Number
AP LICANT SIGNATURE
X � �~
Fo oNlce use only:
APPLICANT INFORMATION
Name
I Type Const.
Address
Map Book
City
I Lot #
State
Zip
Phone
__Other
Fax
E-mail
7"
r
AP LICANT SIGNATURE
X � �~
Fo oNlce use only:
Zoning Flood Zone SRA Yes No '
Occ,
I Type Const.
Subdlvision' Name
Map Book
ITa—ge
I Lot #
Planner
Date Approved:
OlIER FOFZ 51.1I3MI I I AL t'Cr_WUllQCrotCF% t 0
• ` PROJ_C
f AP#_sq. .C�
PERMIT
NO
66BP'
BIN #
cross i.. 1j
WORKER'S COMPENSATION
Policy Number
Carrier
h hiring anyone other than license contractors, a corUflcate of worker's
compansatlon must be shown at the time of permit issuance.
Aft
•d
KZW- 10-L15
0{ -;
Sq' FT= r... -,.�s— a� ayo ----� �+Yc� � �,_��, • _--_.—I
IO Proposed Change o%Occupancy
(Note previous use)'
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application atter expiration, a new application, plans and 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 foes for work plan checked and other department costs are not
Amount::iU
;Rp�
Bldg
SRA
Receipt M
Sheriff
C-155 E "1
SMIP
__Other
Date �
�-
7"
r
Total
K:IFORMSkSUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2
REV 8-12.05
in _AgtiA NOSNIS06 160L9080ES 61:1Z 900Z/0Z/90
,... , , :.
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
SIGNED:
PROPERTY OWNER:
L0A.13
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
(1524-83)
r PERMIT NO. G�473
PERMIT EXPIRES
OWNER HRRTTAGE INVENT
CONTR. owner -
ASSESSOR PARCEL 6-9-60—nn
LOCATION 88 vrezille
q.
i
S}
n
Y
Temp. Power Pole
ff Called PG&E
jemp. Elec. Service
Called PG&E
'Temp. Gas
Called I
JOB FINALI
Signatu
..��. till
LAND OF NATURAL WEALTH AND
D-EPARTMENT OF,PUBLIC WORKS
BEAUTY
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534_4541
November 2, 1989
WILLIAM (Bill) CHEFF
. Director
Heritage Investment Co. RE: Building Permit No.3.? 7
#5 Handel St. E:{pires 1
Oroville, CA 95965 (A. P. No.
Dear Sirs:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date of.,
the permit, the permit shall be renewed for. 1/2 the original Building Permit
Fee (plus a $10.00 'Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.-
-Should
ate. _Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued..
_ If your construction is completed or,,shroville ould you have any question concerning
e O
this matter,'please' contact th
-� office.
Foryouur convenience, we are enclosing a renewal application form and an. owner -
builder form to be completed and signed by you where indicated.and returned to
..this office together with the fee shown. Please return all copies of -the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Chef
Director of Public Works
F. Glander
1 JFG:ajhief Building Inspector
Attachments; Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
-Chico - 196 Memorial Way/891-2751 Paradise -747 Elliott Rd/872-2961, Est. 57
i 7Z
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF,PUBL.IC WORKS
7 COUNTY CENTER DRIVE, OROVILLE,_CALIFORNIA 95965
Telepkene: (916) 534.1541
WILLIAM (Bill) CHEFF
November 2, 1989 Director
Heritage Investment Co. RE: Building Permit No.3'�dP
#5 Handel St. Ea pires_ ! L - /2 - 9
Oroville, CA 95965 (A. P. No. l„ 7- G v -
Dear Sirs:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date of
the permit, the permit shall be, renewed for 1/2 the original
Fee (plus a S10.00 _"FilingFee"' p o - Building Permit -
).. The renewal permit will extend the Building
Permit for an additional year from the Original expiration date. -
_Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued..
If your construction is completed or,should you have any question concerning
this matter;- please- contact the Oroville
office.
For your convenience, we are enclosing a renewal application form and an. owner-
builder form to be completed and signed by you where indicated.and returned to
..this office together with the fee shown. .Please return all copies of -the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
JFG:aj
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
C`�ico - 196 M
F. Glander
Chief Building Inspector
• emorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
1524 �g'3 g p,E,''N
- PERMIT NO. I
PERMIT EXPIRES
k OWNER DOUGLAS GEYER CONSTRUCTION INC'
r
CONTR. owner
ASSESSOR PARCEL
LOCATION 88 Ian -Lee Circle, Ox.oville
1
1
,r
Temp. Power P-1^ &:� "j
OFFICE COPY
Called PG�
AddressW LEA,
[—�
Temp. Elea Sei
qs
Called PG8 GAS Date_—,
IMete:, Y
ELECTRIC Date
Temp. Gas Servi Meter By
Called PG&I
JOB FINALED (Date)
Signature
J OK
O = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k'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)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
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 q's
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except H'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/0 to Grade -HD Approval
7.' Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -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-BIDate
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable
eady ble
Ready y RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
44' -Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
g., Main; Soils-Steel-Elec. Grnd.- Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel- // >"''Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
walls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
,_Z
-Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
lae-Water
Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Ckd BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Jhjj(�j
Date Card -BI Date
PLUMJ3ING (Permit) OK except q's
ys✓Syater Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor-Ducts-Mech. Protection
ter Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
st, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
W: 9
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -Bl
Date -1 Card -BI Date
4.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except p's
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20.
21.
22.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at D ors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
72.
73.
74.
75.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes El No
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bo as Water
25. 2 Appliance Circuits in Kitchen & Conductor Si11
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire ize / / ga. Cu or
27. Range Circ. / / ga. qiipr AI -Oven Circ. / g . Cu or Al.
Insulated Neutral ❑ es 0 N
28.
Service -Riser Condqktors & Ground ain Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; an of e . Equip. A
Clothes Closet Light-Showe
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date C -131 QateW
81.
Ventilation throughout House
Card B -I
Date and -BI
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
84.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
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 -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
_v
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
39.
40.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
_
42.
43.
44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
AUG 30 '90 08:12 SHASTA INSULATION
Owne14euz i*e
ejl�7
L
`�ENERGY
�. Q i V I
LOCATION
P.04
Permit No. ' - a `
RTIFI:
+r-O",►"'}r,��.-�t?;�'.!¢,.iu�s.Y{r,�,"f;�f; '�;^••r,,,l� �" ..i"4+'f`��,,,�KL9�.ik� «"'w�.+"y,ai<' K f ,��Y.
COUNTY OF BUTTE {
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 .~
747 Elliott Road, Paradise — Phone: 872-6307.4
CORRECTION NOTICE
.s
OWNIM ERMIT 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 z'3
when correction of work is completed. If you have any question pertaining to this
matter, or need additional .explanation, please contact this office immediately. e3
:..,
nf
Inspector /" Date �f' �� s /
= OK
0 = Not OK
= Not Readyiable
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: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -131 Date Card -81 Date
Card -61 Date Card -61 Date
Date MOBILEHOME 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 -B1 Date Card -61 Date
Card -61 Date Card -131 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 -61 Date Card -131 Date
Card -131 Date Card -81 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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
= OK
0=Not OK
- =Not Applicable
= Not Ready RESIDENTIAL
(Single and
Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks;-Easements-Flood-Slope
Dat-�FRAMIN�r�4Continued)
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage;
$fingers Post Caps Anchors-Connectors
_ Soils-Steel-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils-Steel-/
Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
place Ties or Type A Flue-Fireplace
/"Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wra
-Wrapped
Throat
tti ccess; Si nce
6. Stemwalls, Garage; Steel-Blockouts-Wra
-Wrapped
a raft Stop-Ins. Baffles
dr •Windows or Exiting Doors-Sill
7. Slab; Steel-rapped ra
r-191. & Dimensions
arae Fire Protection Framing
8. Piers-Fireplace Ftg.-Steel
ro erty Line Firewall & Openings
9. D.W.V.; Fall-Fittings-Test-2 way C/O-Sewer Test
10. Gas Pipe; Size-Anchors
xt. oors-One 3'-Check Garage-3rd story, 2 exits
fairs
11. Water Pipe; Test-Anchors-Regulator-Service Test
12.
Width-He act roomRise Run Landing Fire Protection
Ywood on Roof Overhang-Attic Vents-Rafter Outri
Electric; Underground
55. Siding-Nailing Veneer 99ers
13. Plenums & Ducts; Clearance-Material-Su
14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
ucco Mesh-Drip Screed-Fd. Vents-Undertlr. Access
zing Area-Glass Protection-Skylights-Plastic
15. Insulation
58. Sljear Walls; Nailing-Bolts
Card-81 Date CaDate rd-B1
'insulation Walls Clg.
60. Inf'Itration-Walls-Wndws
Card-B1 Date Card-B1 Date
Date PLUMBING (Permit) OK except #'s
Card-B Date and-B1
Card-B DaDate
teS��
ater Ht. Vent-Access-Combustion Air-Baffle
and-81 Date
Water Pipe; Test & Anchors-Nail Protection
Date IN (Plans) OK except #Is
D.W.V.; Test-Fttngs & Anchors-Nail Protection
19. Shower Pan; Test, First
. Ext. Ext. e'ps-Door &Sidelight Protection-Landings
6 rcyafie Detector
Floor-Tub Access
20. Test Tub &Shower, 2nd Floor-Tub Accessurnace,
Vents-Clearance-Comb. Air-Connector-
21. Gas Pipe; Size & Anchors
In Gara e; Above Floor-Ducts-Mech. Protection
e om Exiting
11111, 11; F
Card B11 11 Date Card-B1
�.
Bath Fixtures & Tub Access Spa
D "e
Card 61 Date Card B1
n�rJElec Trim & Subpanel, Breaker Sizes-Labels
Date
— s
Date RICAL (Permit) OK except #'s
mac love, Clearances-Hearth
e & Transformer Clearance-Ins. Protection
utlets at Wood Panel; Int. &Ext.
Ele .Receptacles Spacing-Lights &Switches at Doors
• & Appliance; Grnd. -Air Gap-Cooking Clearance
i e Boxes & No. of Conductors-Stapled
utlets &Receptacles at Kit. Counter
ex Installed Close to Edge of Studs & C J
aye , ire Door, Swing-Landing-Closer
2lrW r Grow�a mane up w/Mech. Fasteners-Bond Gas &Water Duct i -Garage-Damper
2 Appliance Circuts in Kitchen &Conductor size/G.F.I.
r•. Vents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga
Cu or Al
Protection
Elec. &Mech. Equip. Listed for Location
29. Range Circ. / /
Ins ated Neutral or AI-Oven Circ. / / ga. Cu or Al.
Yes
-E+�Receptacles in Garage; (G.F.I.)-Romex Protec .
u ation-Foam-Looked in
No
3p13eryice Riser Conrii rt., a
uisconnect
Attic ❑ Yes
7 ai s & Deck Construction-Post Caps
quip. Clearances Panels-Motors-Mech. Equip.
• C�ethes Closet Light-Shower
79-._ a ls&..Crawl Hole Door-Drainage &Wood-Earth
Clearance Looked under Floor ❑ Yes
Light Spa Light
3 R ok Detector 9
BA-�Feftirwing instld.; Drive ❑ No; Walks
Card-61 Date Card-B1 Date
Rant est s ❑ No;
cco; Brown- Finish !
Card-Bl— Date Card B1 Date
8a A it; Disconnect Electrical Plumbing
Date MEC 11CA (Permit) OK except #s
8$e,nts Above Roof, PIb9• A liance-Firepl.-Clearance to
Open' gs. pp
3111�!H ucts Insulation & SupportDisconnect,"gall
El acincai Plumbing
em Fan; Exhaust above insulation
85 Exterior Elec.Trim, G.F.I. Receptacle-Underground a
36. Condensate Drain & Overflow; Size & Grade
I tion throughout House
37. Furnace-Vent; Access-Comb. Air-Return Air Vent-115 outlet
Protection
38. Attic Access &Platform if Furnace in Attic
orrections from Previous Inpections
as Test-Meters Tagged; Gas-Electric
Card-B1 Date Card-B1 Date
at r & Sewer Connected-C/O to Grade-HD Approval
Card-B1 Date Card-61 Date
Y Compliance Certificate-Other Certificates
oofing Certi icate
Date F G (Plans) OK except #'s
Card-8, Dat .. and-61
Card-B1 Date
• i1�Proper Material
Date Card-61 Date
Card-B1 Date
Studs Nailing, Spacing & Bracin g—Plates-Sound
4k�BiWing
Comments at Final: Card-61 Date
Walls over Girders & Floor Nailing
_r ft St.,N „� vvans (rat proof)
Fir tops; Furred Ceilings-Stairs-Chases-Tub
44.
eader & Beam-Size & Bearing
(NOTE: An entry must be made each time you visit job site)
a
U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
7 County Center Drive - OroviI46, Cali;ornia 95965 - Telephone: 916/538-7541 /Z 2 -1 11
APPLIGATMON- AND PERMIT
ASSESSOR PARCEL NUMBER
_ _
ZON G
BUILDING PERMIT
OWNER1�
Vf
T LEPHONE
SO. FT. OCC, BUILDING VALU ION
OWN R S MAILING D ES
�f
CONTRA, OR' NAME
TELEPHONE
CONTR CTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee y
$ 9 Cl, JO
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ tz J�
PLUMBING PERMIT
Filing Fee 10.00
--,
�~ G
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRU
SF Duplex❑ Mobilehome❑ OtherCTUR ����
SPECIF
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[:] Other ❑
Describe work: _
- 4-3,773—y�1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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.
License No. Classification
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
)1kfor 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.$)
OR ACDNS- ACC. BLDGS.
ysQsgft
NEW CONST R.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR. )
Ex. OCcu p OUTLETS OR FIXTURES
0050C -
2ALO
BL030
FIXED APPLNS- OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IYirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
pennit Fee
$
Contractor
1 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 liabilitie , judgments stsI and expenses which may in any way accrue
unty in onseque of the granting of this permit.
%�IA Date _
Scant Wner Contractor ❑ Agent
As required for a ovations over 5'0" deep and demolition or construct-
io�3 stories in eight.
aps�truaCtieurrmespaver
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ c J�
AL E
HAZ
CUA
PARK
PAR
PD
HD Issue/
(/
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRE TOR PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
``Date
Receipt No. 7 `� '
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE,,- beRartment of Public Works
7 County Center Drive, Oroville, CA. 95965
; 11
OWNER-BUILDER INFORMATION
Dear Property Owner:
Phone: 916-538-7541
An application for a building permit has been submitted in your name listing
yourself as the builder of the property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the
responsible party of record on such a permit. Building permits are not required
to be signed.by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may pro-
tect yourself from possible liability if that person applies for the proper permit
in his or her name.
Contractors are required by law to be licensed and bonded by the State of
California and to have a business license from the city or county. They are also
required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you
plan to subcontract, you should be aware of the following information for your bene-
fit and protection:
. If you employ or otherwise engage any persons other than your immediate family,
and the work (including materials and other costs) is $300 or more for the entire
project, and such persons are not licensed as contractors or subcontractors, then
you may be an employer.
If you.are an employer, you must register with the State and Federal Governments
as an employer and you are subject to several obligations including state and federal
income tax withholding, federal social security taxes, workers' compensation insurance,
disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations,
and these risks are especially serious with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law,' -contact
the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration).
For more specific information about your obligations under State Law, contact the Depart-
ment of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed con-
tractors are allowed to perform their work personally or through their own employees,
without a licensed contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to
secure an "owner -builder" building permit, erroneously implying that the property owner
is providing his or her own labor and material personally. Building permits are not
required to be signed by property owners unless they are performing their own work
personally.
Information about.licensed contractors may be obtained by contacting the Contrac-
tors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete and return the enclosed owner -builder verification form so that
we can confirm that you are aware of these matters. The building permit will not be
issued until the verification is returned.
JFG:dd.
Enclosure
Very truly ours,
J.F. Glander
Chief Building Inspector
NOTE: This Owner -Builder Information is sent to you as required by Section 19830 of
the California Health and Safety Code.
COUNTY OF BUTTE.- Department of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
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 m�a'o_r labor and materials for construction of
the proposed property improvement�eN->r no)
2. I (/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 City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work.:
Name
Address City
Phone Contractors 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
Signed:
Prope
Socia
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and,returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPUCATION AND PERMIT
PERMIT NO.
ASSESSOR-.P.A.RC.E.L_NUMBE_R
— — —%
OWNER --- - --- ----- --,
ZON G
I. G
BUILDING PERMIT
✓f
TELE
S0. FT. OCC. BUILDING VALUATION
OWN R'SMAILING D ES
Li f
CONTRA OR• AME TELEPHONE
i
CONTR TOR'S MA LING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee L �_
Checking Fee
$ SZ)Plan
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Energy Plan Checking Fee
$
Penalty
Permit fee
$
$ J�
Qti _ e
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
i1Solar
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTUR
SF [[Duplex❑ Mobilehome❑ Other ,ft!
SPECIF1
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service 1 OR LE
1 0000 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
provisions of Cha t. 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)
El I; as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO'L too AMP
2.50
NEW CONST. DWELLING OCCUP.y
OR ADDNS. ( ACC. BLOGS.
, /:¢sgft
NEW CONST R. U TI.OUT LET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050t
e AL0 30
FIXED APPLNS. OR
Ex. Occup. O
OUTLETS (RESID.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile. Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ IM0, jQ
HAz
I CUA
PARK
I SCHL
FLO
1 PAR
PD
HD
ISSUE
Th's permit is nereby issued under the applicable provi-
sions or the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date l)... 1 2— yC2— �/C)
Receipt No.
WHITE-O.P.W.. YELLOW-ASSE»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �NQ
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ p
ZO NG
, C_
BUILDING PERMIT
OWNER
ct _ eve v 4 -An a .v f C
TELEPHONE
S8i- L
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILIW ADDRESS
-mssIfA.4-de-1 501-ovI-e.-_-
CONTRACTOR'S NAME
O (A.) -*V Gr--
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 3 C> 0-"tlp ®
Filing Fee
ts 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ L 3 c c-0
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
to >~ ,-c'
c pEach
Trap
a 2.00 -A& •
l Q U j '
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00 a -o
Mobile Home I S G W
0.00 ea'
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installlation❑ Other
Describe work:-- C7 O -44 D or .54-'ar-Contractor
Permit Fee
$ 44,0, 6-C7
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OV OR ORSLESS
10.00 . g-0
Main service EA. ADD'L 100 AMP
2.50 r ()
CONTRACTORS LICENSE LAW
ena
I declare under penalty of (check one
p y perjury y (ec)•
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my license Is In full force and effect.
License
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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING occuP.a , �, O
OR ADONS. ( ACC. BLDGS. ) /20sgft
NEW CONSTR I -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
005091
Ex. OCCUp\OUTLETS OR FIXTURES 2000301
FIXED
Ex. OCCUp. OUTLETS P(RESID )REA.Y 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
77
Permit Fee $ 0-0
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 D00
Cooling �� T
�•o-�
Hood
3.00 ' 8-0
Ventilation
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and kee harmless the County of Butte against
all liabilities, judgments osts, and a penses which may in any way accrue
against aid Co ty in con a uence of a granting of this p�tt.
X Date
Si ure of Applicant — Owner ❑ Contractor ElAgent El
A 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 $ 5-1 • o—t�
OCCUP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
P11
ND
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work t ' a d above for which
DIRE tF PUB
P RMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
Date
4*
Receipt No.
WNIT!-O.P.W., YELLOW-Aee EDlOK. PINK -INSPECTOR, COLD ROD -APPLICANT
v COUNTY OF BUTTE : DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville.Califorhia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
!r l i 4
ASSESSPJ PARCEL BER
J�TELEPHONE
ZONING
BUILDING PERMIT
O Rip
EA 4
EES
SQ. FT. OCC. BUILDING VA-ETATlbfi
OWNER'S M IN AD
C TRACTOR'S AME
'V
TELEPHONE
3
ONTRAC 'S ILI G AD RESS
®�
rCONST`RUCYf.rN,7fR
Fireplace
UNKNOWN
Total Valuation $LENDER'S
Filing Fee
$ 10,00
MG ADl}D1'RE55
Permit Fee
$
A HITECT OR E NEER
LICENSE NO.
Plan Checking Fee
.$' T
Penalty
$
AI;CHITECT ENGINEE 'S MAILING ADDRESS
Permit fee
$ r
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
/SIV
g ' t _ LCe c1
Each Trap
2.00AM
Repair drainage or vent piping
5.00
Water piping
LOT NO.
3
SUB,DI1VIISIO NAME p����_
5� 4EF4 �' E-5 —I
PARCEL MAP
Each qas water heater or vent
•5.00
Gas piping system 1 -5 outlets
USE OF STRUCTURE
SF L�- Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ R odel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
1p�
Permit Fee
$ •� 1 '
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
00 JIM
G-10
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELL
OR ADDNS. ACC. B D
1 2�C ft
/ q
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 JJC(`od/e /and my license is in full jf�orce and effect.
31�C��x / /.i
License No. Classification
❑ 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
NON.RESID R BRANCH TLhT Ts 2.50 Be
NEw CONSTR. (POWER APPARATUS D)
NON.RESID. (SINGLE OUTLET CIR.
soa@1
Ex. OCCUp OUTLETS OR FIXTURES BAL�1
Ex. Occup. �O UTLETS FIXED P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
,DID
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 of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sa indemnify and keep harmless the County of Butte against
all liabilities, • gmentis cost and expenses which may in any way accrue
against said my 'n copse nce of the granting of this permi .
X '��� 7� ate /� �
Si orure pplic wner � Contractor �Agenr
An OSHA permit is red for excavations over 5'0" deep and demolition or construct-
ion of structuresGGo��ver 3 storiesrn/height.
Mobile Home Installation Fee $
�, a
TOTAL PERMIT FEE $ SD
OCCUP. GROUP
(Z-7�
TYPE of C NST.
e"T^
Yy--
F
PARC L
PD
ND
14
9 E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR T OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Qy
��ate
Receipt No. :a �� % /
WNITE-D.P.W., YELLOW -ASSESSOR, GOLDENROD -APPLICANT
r 2ENM4
NOT COA,PA. ED
_17e, DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT OFF10AL
oouti
Section 26-M of the Butte County Code requires this acknowledgementF^0i 05 R£r
be recorded prior to issuance of a building permit.
OCT ?8. 917 �;� �4A?
The property described herein is adjacent to land or included
within an area zoned for agricultural `faNBR purposes, and residents of L6RK � 6'C�SE1i .
this property may be subject to inconveniences.or discomfort arising C�ROEA
from the use of agricultural chemicals, including, but not limited to herb icides ,PFE
pesticides,.rnd fertilizers; and from the pursuit of agricultural operations including,
but no_ 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$,and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County -of Butte, State of California,
described as follows:
Date
SEE ATTACHED LEGAL DESCRIPTION
State of )
SS.
County of )
PROPET.TY OWNERS:
1N �
On this' the day of , 19
before me, the undersigned Notary Public, personally
appeared
STATE OF CALIFTNIA )gg
COUNTY OF BU
On October 28, 1982
before me, the undersigned, a Notary Public in and for
said State, personally appeared DOUGLAS GEYERc
personally known to me (or proved to me on the
basis of satisfactory evidence) to be the persons who executed the within Instrument as
President26VA "on behalf of
DOUGLAS GEYER CON RUCTION INC.
the corporation therein named, and acknowledged to me that
such corporation executed the within Instrument pursuant to its
by-laws or a resolution of its board of directors.
WITNESS my hand and official seal.
(This area for official notarial seal)
me(s)
acknowledged
to purposes
Ind and off is Lal
OFFICIAL SEAL
ANGELA
.-�,•I!
D. HENDERSHOT
.:.I.'r NOTARY PUBLIC • CALIFORNIA
PRINCIPAL
OFFICE M
BUTTE COUNTY
MY CONMISVON
EXPICI; SEPT 7, 1996
(This area for official notarial seal)
me(s)
acknowledged
to purposes
Ind and off is Lal
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. 18, T19N9 R5E, M.D.M.
BUTTE COUNTY CALIF. FOR P TER BRADLEY" prepared by Geddis Driscoll and
Associates, Engineering Su eying Planning, Oroville, California, dated
November, 1980 and recorded January 289 1981 in Book 78 of Maps, at page 44,
Butte County official records, -and more particularly described as follows:
00MMCING 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 Qf Maps,
at pages 37A and 38A, 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 4
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
2.18•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" Fast 1286.3
feet to a point at.the intersection of the centerline of Heritage Road and the
Southwesterly line of Kelly Ridge Road (formerly Hillcrest Avenue); thence
running alone the Southwesterlv line of Kell! 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 080 34'
10" a distance of 592.28 feet to a aoint: thence. continuing along the South-
westerly line of said Kelly Ridge.Road South 080 58 39" Fast, a distance of 489.29
feet to a point; thence continuing alorgsaid Southwesterly line of Kelly
Ridge Road along the arc 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 220 584, 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.
{ J Telephone
533.2000
North Burbank" Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND 46-83
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever. is applicable. :
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of'this verification form, signed.off by North Burbank Public Utility District,
must be -submitted' to Butte County.
Applicant: DOUGLAS GEYER CONSTRUCTION, INC:
Applicant Address: 2330. T,i nnnl n 3t _ 3ui tP #2, brnvi 1.1 P
Applicant Phone No.: 534-6513
Property Location (s): 88 Ian -Lee Circle, Oroville
Heritage Estates Subdivision Pad #2
A. P. No. (s):
Fees Paid:
72-01-13'
$250.00 N.B.P.U.D. Connection Fee and
$900:00 SC -OR Regional FAcility Charge Due
Application for service approved:
May 20, 1983
North Burbank
Public Utility District
Inspections) made and successful test(s) observed:
0
Location: Date:
L�
North Burbank Public Utility District release to close permit:
Date: By:
APPLICATION FOR SEWER CONNECTION AND SERVICE FROM NORTH BURBANK PUBLIC
UTILITY DISTRICT CONNECTION PERMIT
hereinafter referred.to as
"Appl cant", being th property owner or owner'a agent desiring sewer service, hereby
requests e. North Bu bank Public Utility District, hereinafter referred to as "Dis-
trict" to connect Applicant's sewage disposal fine to the North Burbank Public Util-
ity District's Sanitary Sewer System and to provide sewerage service.
Location of pro erty:,qP,C XX, �i '� A. P. No.
Subdivision Lot v2 Block
Q-- In. District
O Out of District
Kind of Service
Residential
❑ Rental ' 43--fiesidence
❑ Duplex O Apartment
O Industrial
O Commercial
Remarks
AUmUer V1 c..u.0 a. /
this permit
Multiplication factor
Monthly charge
* Connection fee
* SC -OR Facility charges 9d(/• O U
Total amount payable
this permit.
Service to be in accordance with the conditions hereinafter set forth and the
ordinances and rules and regulations adopted, or to be adopted, by the Board of
Directors of District, all of which applicant agrees to abide by and fully perform.
Applicant Agrees to pay for such service at rates and charges as established by the
District from time to time*
Connectio ees ity charges may be refunded in case of inability 6o build.
t
1 W, 5M '
�/f Vii,
Name of Owner if not Applicant
Mailing Address of Owner.
Phone No.
CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE
1. The District, its officers or employees, shall not be liable for damages to
persons or property occasioned through the installation of any sewer connection, or.
sewer service provided for by District.
2. In accepting this application District does not hold'itself liable to the
Applicant for failure to perform any of the obligations imposed upon it or assumed
by it under this application if such failure shall be caused by accident, Act of God,
fire, strikes, riots, war, lack of capacity in SC -OR sewage disposal 'plant or"Dise
tract lines to handle the,sewage or any other cause beyond the reasonable control of
the District.
3. District will not be liable for and Applicant shall hold District free and
harmless from damages resulting from interruptions in service or stoppage in lines
and District assumes no liability for damages to persons or property occasioned
through defective sewer lines, meters or other facilities.
4. All service lines connected to District's sewer mains'shall conform in all
respects to District's specifications. Installation shall be made at the sole cost
and expense of the Applicant.with actual connection to District's main by District
forces, All work to be inspected and approved by District.
5• Applicants are informed that it -is necessary to secure permits from the
County prior to doing work within County rights-of-wayv said work to be bonded.
6. Work under this permit is to be performed and approved within one year of
the date shown below. Renewal of permit after one year requires payment of any in-
crease in connection fees and:/or SC -OR Facility charges.
7, Distrjct verification form must be issued simultaineously with this permit.
•. VAytent on above application required
prior to final inspection. Payment NORTH -BU PUBLIC UTILITY DISTRICT
received by cash 0 check El
$ Date
By, ate;=nD —e-'
Permit No
* Payable in the amount current at time payment is made.