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069-600-056
. __.. fr -moi _ +" - • ' DOU S GEYER CONSTRUCTION INCL �� + Ian- Circle, Heritage Esta Orovill ermit�� �5a�,1 3., P., E.,,M (new. S /F.), L-5 f3L . .� Permit#3975-88B,P,E,M(t69-6om work star ted under 1526-83)SF Permi 149-89B (1st Renewal �w �� vll 069-600-056 .i., ;T-`w� '�06=1497L ROBINSON, JOELF.;�.+ '87 SEGURA DR, OROVILLE�c - COL OWNER .`'.7y !p•-ZS%d`�j. RE ROOF(CONDOS&GARAGE) a 0 � ® � l � �� r--- __- -�--- - P'sK T a ... 06=149T-�. ' NOTES ' Ko6rmsoN,(JOELP---4 bra 2=3 " r 1 86 SEGURA DR. OROVILLE�� Cont: OWNER RE ROOF(CONDOS&GARAGE) 069-600-b56 06-1497• „ROBINSON, JOEL ! Na , rr�87'SEGUT6 DRFOROVILLE'+S ++Cont: OWNER ; t RE ROOF(CONDOS&GARAGE) SPECIAL CONDITIONS CHECKED BY SRA 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 t SPECIAL CONDITIONS CHECKED BY SRA 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 PERMIT NO. BP061497 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: 069-600-056-000 the Business and Professions Code, and my license Is in full force and effect. License Class: License Number: Site Address: 86 SEGURA DR ORO Map Index: Date: Contractor: Description: REROOF 2 CONDOS AND 2 GAR (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 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 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' Stale License Law does not apply to an Applicant: ROBINSON FAMILY TRUST owner of property who builds or improves thereon, and who does pp 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.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ bl mElem t under Article 3 of the usi s n ssions Code Dat Own ` WORKERS' COMPEN A ON 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: 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 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp/ it those 311 •ons. Date: Applicant: WARNING: Failure o ecure 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. 36,q- �b �(� CONSTRUCTION LENDING AGENCY This permit is hereby i sued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutions t o o indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . BY ate: t✓ Name', PERMIT EXPIRES N Address: 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 dpcvRent of Butte County. I hereby authorize represe s of ButtCoun y to e . n the above mentioned for inspection purposes. )property Print Name: r " Signature: Date: La� a Owner ❑ Contractor LlAgent for Owner CIAgent for Contractor B. C. Building Permit 01-16-04 pg 1 •=OK 0 = Not OK MANUFACTURED HOMES MISCELLAREOUS-. DATE PERMANENT FOUNDATION - SOFTSET' "J 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctri-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd -Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Ff or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Ctmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electiicity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE --.. D 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-CnnctrsSteei 3 Decks, Glyders/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 Frmg; Sills-AnchrsStuds4fts-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing . 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE JPOOL.S - 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries Terminals -Listed 7'Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Box,S-Enclsrs-piilboards4nsultn-to Main Conduit 9 Health Dept Appivl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide e`4!P d;' m` �y, Pool Drawing 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DRth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Docks; 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-RglirService Test 12"Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops, Furred CeilingsStairsmChasers-Tubs 22 Headers & BeamsSi &'Bearing• 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Jotst-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue*Ic Throat Clmc 26 Attic Acc; Sz &"Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtcth Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IWExt Wail pnis 38 Insultn-Walls-Ceilings 39 Infiltration Walls-Wndws Ole e`er DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn -� 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appine Cires In Ktchn & Cndctr Sz GFI _ 47 Subfeed Wire Sz pa ❑ CU or ❑AL AC Wire Sz ya ❑ CU or ❑ AL 48 Range Circ Qa ❑ CO or ❑ AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral [::]Yes [:j No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nall Prtem 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping MECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frple or Stove, CImc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper - 80 Wtr Htr; Vnts-Gime-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Oscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitnthru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler o`er o' o`er 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. BP061497 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/22/2006 APN: 069-600-056-000 the Business and Professions Code, and my license Is In full force and �� effect. Site Address: License Class: License Number. 8R'SEGURA DR ORO 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).): 1 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' 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.). ❑ 1 am E em t under Article 3 of the usi s n ssions Code 1 - ('Y) - � _ _� � I ,n F , I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy Q� 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 comp) it those pi Date: - Applicant: WARNING: Failureo ecure 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: Map Index: Description: REROOF 2 CONDOS AND 2 GAR (55) Owner: ROBINSON FAMILY TRUST ROBINSON, JOEL AND ELIZABETH TRUSTEES 928 E EVANS REIMER RD GRIDLEY, CA 95948 Applicant: ROBINSON FAMILY TRUST ROBINSON, JOEL AND ELIZABETH TRUSTEES 928 E EVANS REIMER RD GRIDLEY, CA 95948 Contractor: License #: Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: hereby igsued under the applicable provisions of the Butte County Code and/or �do�co1Jt indicated above for which fees have been paid. By: ---i PERMIT EXPIRES _6 ❑ 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 d ent of Butte County. I hereby authorize represe s of BuutttCoun y to e n the above mentioned property for inspection purposes. Print Name:���� Signature: Date: / c Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor e. C. t3wlding vermttui-io-u4 pg 1 . '.' (1526-83) 'PERMIT NO. 1 X975-88B,P,ETM -PERMIT EXPIRES 19.11 g.jR9 OWNER HERITAGE INVESTMENT CO CONTR.' Owner ASSESSOR PARCEL 69-60-11 $:oCATION #861Ian Lee -Circle, Oroville r 3 x ,l d. ,J ,Temp. Power Pole Called PG&E ,1 r Temp. Elec. Service— i Called PG&E r; i� .Temp, Gas Service Called PC"- JOB FINALES Signature = OK = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-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. 8 Frmg• Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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 Card -131 Date Card -131 Date Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -131 Date Card -131 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -61 Date Card -B1 Date Card -61 Date Date PLU N -G (Permit) OK except #'s kf�ater Ht. Ven- cess -Combustion Air -Baffle Water Pipe a Anchors -Nail Protection 40, D.W.V.; Jbs,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 -131 Date Card-BDate Card -81 Date Date ELE TRICAL (Permit) OK except #'s k.-FJx4ure & Transformer Clearance -Ins. Protection . El_w. Receptacles Spacing -Lights & Switches at Doors i Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. E •p. Ground made up w/Mech. Fasteners -Bond Gas & Water 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. r AI -Oven Circ. / / ga. Cu or Al. Insulated Ne ral Yes No er ce-Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 32. C;letl es Closet Light -Shower Light -Spa Light W. Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MEC GAL (Permit) OK except #'s C. .ucts Insulation & Support ent 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 -131 Date Date FRAMI (Plans) OK except #'s 3 ills roperMaterial & Anchors jq,Wal Spacing & Bracing -Plates -Sound 4 earing Walls over Girders & Floor Nailing 4 rStop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub ,44eader & Beam -Size & Bearing Date FRA"G (Continued) ers-Post Caps -Anchors -Connectors AVClng. Joist-Rftr. Ties-Purlin-Roof rac.-Truss-Shthng.- g. replace Ties or Type A Flue- replace Throat tic ccess; Sizerotectio raft Stop -Ins. Baffles . dr . Windows or Exiting Doors -Sill Hgt. & Dimensions ge Fire Protection Framing *I-Prgperty Line Firewall & Openings x oors-One T -Check Garage -3rd story, 2 exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection y d on Roof Overhang -Attic Vents -Rafter Outriggers idi Nailing Veneer . tugMesh-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 58. Sh r Walls; Nailing -Bolts sV'Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Dated/% Card -81 Date Card -B Dat i g�Card-B1 Date Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings L63'Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting (fG.F.I. & Bath Fixtures & Tub Access -Spa Elec.. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails replace or Stove; Clearances -Hearth 6,13 ec. Outlets at Wood Panel; Int. & Ext. Wit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance I Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection L79-Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. �sulation-Foam-Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 7 . n s & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instl .; Drive .0-Ye's ❑ No; Walks es ❑ No; Plante es ❑ No ucco; Brown -Finish nit; Disconnect, Electrical, Plumbing &3 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84-getet-Wett`Disconnect, Electrical, Plumbing 185 erior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House L5 ass Protection $8. Corrections from Previous Inpections ters Tagged; Gas -Electric 90. Walef& Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date 3 and -B1 Date Card -B1 Date Card -61 Date Card -61 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) �.!�.,�wS-.f3e'1'-+�e4.x:/s"s'.►.�;,r�.+8f.$•;.Z'.r'-...,.�+�;..s4+`.MR.•'s="+W,.:«..�....`+�nvlY>7t' 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 CORRECTION NOTICE 0I 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 c rrection of work is completed. If you have any question pertaining to this m r, or need additional explanation, please contact this office immediately. Y � _ Date ..3 4 Inspector%�• 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 CORRECTION NOTICE R ,, - 13 RMI T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately.. Inspector v,/� �/ Date o I PERMIT N0. AL 6--83B,P,EnM PERMIT EXPIRES OWNER DOUGLAS GEYER CONSTRUCTION INC, _ . CONTR.. owc�er ASSESSOR PARCEL LOCATION 86 Ian -Lee Circle.Heritage Est.Oro III- -z- - Z. f-- � Temp. Power Po— Called PG& (,// OFFICE COPY Address_p (o Temp. Elea Serl f Called PG$ Meter By e I i ELECTRIC i, Temp. Gas Sery Meter By .'. Date i Cal led PG&_ t JOB FINALED (Date) Signature 'I- or, . 0 —. Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's pate DECKS, COVERS, CARPORTS, ETC. (Plans) OI( except N's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—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 N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except 11's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Lisled 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 Lghtg. 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-1 Date Card -BI Date Card -BI Date Card -BI Date _ Card B-1 Date Card -BI Date Card -BI . Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERF OR Plans OK except #'s Date FRAMING (Continued) die-roninaoquiirements-Setbacks-Easements 48. Property Line Firewall & Openings g., in; Soils-Steel-Elec. Grnd.- / Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- /e 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 walls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer alls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7.4Y_ier9--Eireplace Ftg.-Steel V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Size -Anchors 10 er Pipe; Test -Anchors -Regulator -Service Test 11. EieL'r Inderground 12. -Werwms& Ducts; Clearance -Material -Support -Ins. 13. Lairdeps-Mls-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date /� Card -BI Date Card -BI Date CaGd I LGt/Date _ - and -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date -Card-BI Date PLUWNG (Permit) OK except q's 57. Smoke Detector .7 (j, 7 ater Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection r fe 6y4el' Pipe; Test & Anchors -Nail Protection 1 ',D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting wer Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 8. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date - -E 9 Card -BI Date 65. 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 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protec on69. 21. 22. 23. 24. Elec. Receptacles Spacing -Lights & Switch Doors Size Boxes & No. of Conductors -Stapled I y j Romex Installed Close to Edge of Studs & M. 1 Equip. Ground made up/Mech. Fasteners o d Ga!A Watpl U 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits/n Kitchen & n cto ize 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / /^ C A.C. Wir i / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu o A ven Circ. / ga. u or AI, Insulated Neutral ❑Yes No 75. Following instld.: Drive E)Yes ❑ No; Walks ❑ Yes E] No; Planters Dyes ❑No 28. Service -Riser ConductorX& Ground-Wik Discon ect 76. Stucco; Brown -Finish 29. Equip. Clearances; P els-Mo - ch. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower ti1% 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 -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr.it) OK except N's 31. A.C. Ducts; Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 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 _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size _& Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45.Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) L r L . H.t�►i )] ;� rig � _. _ _ __-_ THY.'1-1A1,- 1 11 ; tiE AnUti'E s;dBUT.i TYO i HI i'H .HE STx'_'F OF i.:nLYP. :s'I`Ir;C'` ;. e+Y 1 t .` «t3 S�7t7:; 1:3511ILlC1C3`7 c'IdGI 31� r(3r�f13Yad l�i.fSa..i ! •�: v +� • + be;,3rv. . approved plass and attschme-ii;a h.1�t: �•i.c ' . 3 t Sro:zze of Califorrie anergy R-,qu'.rr-acrL •, � - � ��: , d:v;ir-ez- and muterials are of th" quality A-,c3cri' r- t it �,•r,,,r?I{I� approved by the St4te of Calif. ►►"I 3M rtarl>•✓ OWNER (PLEASE `PRINT) STAT$ CONTRACTOR'S LIC.1:1+i�C;. alts. S1G4ATU—RE OF GENERAL COWTRACTOR/WNNE'R DATE This certificate must be on file with the I3i1ILDING DEPARTMENT prior to final inspection approval and a Copy shall be posted within the building. JAKUARY 1984 17 LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF,PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF November 1, 1989 Director Heritage Investment Co. RE: Building Permit No. #5 'Handel Street Expires_ j 2 - / t -4P? Oroville, CA 95965 (A. P. No . - 4- 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 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 otfshould you have any question concerning this matter,* please contact thenrovi l le ' 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 F. Glander f 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 &Oajunj 7�;Li z e ID. OF NATURAL WEALTH AND B E A U T Y DEPARTMENT OFRUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 T•Iepnone: (916) 534541 WILLIAM (Bill) CHEFF November 1, 1989 . .. Director Heritage Investment Co. RE: Building Permit No. #5 Handel Street Expires_ 12 - 2 -,p 9 Oroville, CA 95965. (A.P. No. P _. ``.o _ // ) 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 'riling Fee").. The renewal permit will extend the Building Permit for an additional year from the original e--piration 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 orishould you have any question concerning" CD this matter,' lease contact the nroyille 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 �-/,•-ice /_�FGlander Chief Building Inspector cc: Building Inspector - 'Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 ..........:. ... . 7- - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER , T^L HONE �© SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING KESS CONT OR N M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ .J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 q' y4L E - ca 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 Z4 SPECT Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other Describe work: _ ` ,✓ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR SL_SS 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 I sthe owner, or my employees with wages as their sole Compen- 7---a'atlon, 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.ai/ OR ACDNS. ACC. BLDGS. , 2/z¢sgft NEWCONSTR. MULTI -OUT LET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@0920@500 FIXED APP LNS. OR Ex. OCCUp. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 911 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. Noll a to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me nt' ned property for inspection purposes. 1 also agree to save, indemnify and eep harmless the County of Butte against , an expenses which may in any way accrue all liabilities, judgment Lequenc against said ounty in co e thegranting of this p rmit. " %� Date ure of Applicant Own Contractor ❑ Agent ❑ HA permit is required for eX ovations over S'0" deep and demolition or construct- gnstructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD ISS E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees D) CT OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS C� Date Receipt No. -7 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER-BUILDEk INFORMATION Dear Property Owner: 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 anemployer, 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 Privez Oroville, 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 ma�r abor and materials for construction of the proposed property improvement no) 2. I �a /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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PARCEL_N.UMB-EAZONING BUILDING PERMIT '�"--- T L HONE R I - f J �-p \ I _ /1 91 i SO. FT. OCC. BUILDING VALUATION H CONTIn- C CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 ❑EX. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OC U -51 1/20sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER SINGLE OUTLET TCIR.US e� zoes0: Ex. Occup(OUTLETS OR FIXTURES eALO 30CI FIXED APP LNS. OR Occup. OUTLETS IRESID.) EA.� 2.0� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 CONTRACTOR'S MAILING ADDRESS Contractor Fireplace 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 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Ventilation. Permit Fee $ Contractor Mobile Home Installation Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �( Date ' Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit isrequired For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Filing Fee $ CONST TYPE 10.00 LENDER'S MAILING ADDRESS HAz Permit Fee rti $ SCHL FLD ARCHITECT OR ENGINEER LICENSE NO- Plan Checking Fee $ Receipt No. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ t J PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 ' 9 G v _� 5•�Each LOT±NO.SUBDIVISION NAME PARCEL MAP Water piping qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE 5.00 Building sewer SFx❑ Mobilehome❑ Other Home S G W 10.00e SPECIFY Mobile TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS 10.00 Main service 100 AMP OR LESS Main service EA. ADO'L 100 AMP P ' 2.50 • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 ❑EX. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OC U -51 1/20sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER SINGLE OUTLET TCIR.US e� zoes0: Ex. Occup(OUTLETS OR FIXTURES eALO 30CI FIXED APP LNS. OR Occup. OUTLETS IRESID.) EA.� 2.0� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor j ' 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 Mobile Home Installation Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �( Date ' Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit isrequired For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PO HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date I 7 I // -/ fid Receipt No. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE !�7L/ NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC/EL NUMBER ZO NGQ BUILDING PERMIT OWPR -1 k a �. Z � e.a/ _ C TELEPHONE 5S 1-OgSv SQ. FT. OCC. BUILDING VALUATION o a OwnlEyz sMAJLIN aO%�1 Sa ��'�l-� CONTRACTOR'S NAME d w TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O O O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 9Zr-p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee jC�(� $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee . 11-'0 $ , L9 162 PLUMBING PERMIT Filing Fee 10.00 j,, n "' C.o`f-L le— Each Trap Idl 2.00 g D.v`v 14 QA4 iL w It S+a f e 5 (—O V c l Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 _5&'D Each pas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -3 5.00 ,&ID Mobile Home FST W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: /7 d ,vi d Ae I -e- 41-,-1"1'A- 46 i -5a L— �3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 , Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classificatidn ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.m) y22sgft ,S0 OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC S APPARATUS &) (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES DAL090 Ex. Occup. OUTLETS P(RESID )FIXED ALNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 6 -7, o--Iqo Contractor 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 shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notic 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 6 0 0 0 0 13 k 1600 660 Cooling al �o0 6 o D Hood 3.00 300 Ventilation Permit Fee $ 02 0-0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against PD expenses which may in any way accrue all liabilities, judgment costs, an against said C unty in co equence the granting of this permit. Date ture of Applicant - Owner ElContractor 11Agent ❑ 1S'�?�SHA 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.35a•Vl OCCUP. CONST.TYPEJ SCHOOL FLOO PARCEL ND 99UE This permit is hereby issued under sions of the Butte County Code and/or work ( ted above for which DIREt,;F;7C y �eRMIT EXPIRES Date the applicable provi• resolutions to do fees have been paid. ORKS D to Receipt No. WHITE-D.P.W.. YELLOW-AeeE330R. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali-fornf% 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER /3 /�Q,P-T ZONING BUILDING PERMIT S 60�&NSIIVle^ TELEPHONE 6 -:n -N%5 SQ. FT. OCC. BUILDING VA _73OO STIO� SWG�! OWNER'S MAILING ADE 55 CQ NTRAC TOR'S NAM 5 S MAILING AD RESS �g CO TRAC�TOR'��� Cn�� E. :/lL6E e*— Fireplace 1A 1 O, Gb CONSTRUCTIO T�LENDER /t C' UNKNOWN Total Valuation is Filing g Fee $ 10.00 LENDER'S MAILING AD ROESS ������ Permit Fee $ 50 ARCHITECT OR ENGINEER IL!.CENSE NO. l Plan Checking Fee $ / Q70 Penalty $ ARCHITEC7 OR ENG EE 'S MAILING ADDRESS Permit fee $ 2`7 2,-S- BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 10.00 S& I .. , 1 — L -CC- c,i nom,' � — f-�V �c�ta Each Trap 2.00 Repair drainage or vent piping 5.00 Oea Water piping LOT NO.SUB/DIVISION 5 f°�j g- NAME _/�T�S IICSOT29q i -F �S/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF I_`� Duplex F-1 Mobilehome❑ Other SPECIFY Building sewer , OQ Lawn sprinkler system 5.00 TYPE OF WORK New Additio[] Remodel El Utiliti s❑g�Installation❑ Other [:1 Describe work' � // Permit Fee $ Q� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2:50 2, NEW CONST. ( DWELLING OC OR ADDNS. ACC . BLDG ®sgft .� '�� CONTRACTORS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): jay I}y�' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full for and effect. License No: Classification %j ❑ 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 CONSTR I-OUTL 2.50 ea NON -RE SID, BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS Q1 NON-RESID. SINGLE OUTLET CIR, i Ex. Occup OUTLETS OR FIXTURES B ®� FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ' Misc. Wiring 7.50 _ Permit Fee $ ,S 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. ❑ 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 manne4so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectZS to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 7,7, o 100 Cooling Z7- 6,00 6j'OD Hood 3.00 O0 Ventilation permit Fee S pU 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 constructi n, and hereby authorize representatives of the County of Butte to enter upo above-mentioned property for inspection purposes. I also agree to v ,indemnify and keep harmless the County of Butte against all liabilitie j gment , costs, a expenses which may in any way accrue against sai C my i onsequ a of the granting of this permit X ��� ate �� Sig ture otplicont er V Contractor Agent n OSH is requir or excavations over 5'0" deep and demolition or construct- ion of stru tuover 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Z�p� oceuP. GROUP TrPE ov NST. PARCEL PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BYDattee PERMIT EXPIRES Date —,a %� Receipt No. Z5 -&i7 WHITE-D.P.W., YELLOW -ASSESSOR, PINI, -INSPECTOR, GOLDENROD -APPLICANT 1V DESCRIPTIONS 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.M. 1/4 SEC. 1@, T19N9 R5E, M.D.M. BUTTE COUNTY CALIF. FOR PUS BRADLEY" prepared by Geddis Driscoll and Associates, Engineering S 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: COMMENCING 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 -z 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 Southwestcrly 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-Quincy 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 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; thence 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" East, a distance of 489.29 feet to a point; thence continuing along said 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" Fast, 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. E aC a LO C Cc .NOT COMPAP01 V41TA4 'S,2 1 •� ,nr tWcI,-IT. ,turn -,;to DPW "" AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 2�F1 FOR RESI ENTIAL DEVELOPMENT OFFICIAL p;ft rc Section 26-8'•i of the Butte County Code requires' this acknowledgeme>r�t CORDS REt:�; be recorded prior to issuance of a building permit. OCT 18 917 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of ILEANq 3;:Cxfh , this property may be subject to inconveniences or discomfort arisicng RIK-CQRDEA from the use of agricultural chemicals, including, but not limited to herbicides,FEE 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,sand 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 ) County of ) ,IN PROPERTY OWNERS: On this the day of , 19___, before me, the undersignedNotary Public, personally appeared STATE OF CALIFTNIA (as COUNTY OF U e On October 28, 1982 ' before me, the undersigned, a Notary Public in and for said state, personally appeared DOUGLAS GEYER c personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within Instrument as President $eifr�i" on behalf of DOUGLAS GEYER C0 RUCTION INC. me(s) -- acknowledged ,Ie purposes Ind and official the corporation therein named, and acknowledged to me that OFFICIAL SEAL such corporation,, executedthewithininstrumentpurauanttopa �:. r;��-,� ANGELA D. HENGECSHOT by-laws or a resolution Of its board of directors v �';jj ` NOTARY PUBLIC CALIFORNIA y PRINCIPAL OFFICE IN ' fr WITNESS my hand and official seal. BUTTE COUNTY MY COWAIS°ION EXPICf ; SEPT 7, 1986 5ignatu�j\j_ ���]� �� � . (This area for official notarial seal) _ Telephone 533-2000 North Burbank-Tublic-Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS 44-83 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. DOUGLAS Applicant: GEYER CONSTRUCTION, !NC. ---- Applicant Address:' NC.ApplicantAddress:' 2330 Lincoln St. Suite #2, Oroville Applicant Phone No.: 534-6513 Property Location (S): 86 Ian -Lee Circle, Oroville Heritage Estates Subdivision Pad #2 A. P. No. (s): 72-01-13 Fees Paid: $250.00 N . B . P ..0 . D . Connection Fee and $900.00 SCOR Regional Facility Charge due Application for service approved: North Burbank May 20, 1983 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: -- 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 "Applicant" being.the roperty owner or owner'a agent desiring sewer service, hereby requests the North Burbank Public Utility District, hereinafter referred to as "Dis- .trict" to connect Applicant's sewage disposal line to the North Burbank Public Util- ity District's Sanitary Sewer System and to provide sewerage service. Location ofpro ertys - A. P. No. � —D/ -13 Subdivision Lot ;T7 Block In District ' ❑ Out of District Kind -of Service Residential an'do ❑ Rental 43 --Residence ❑ Duplex ❑ Apartment ❑ Industrial ❑ Commercial Remarks Number of E.D.0 s* this permit Multiplication factor / 0 Monthly charges * Connection fee g7TD. Oy * SC -OR Facility charges 'g %(J• DU 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, byi 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* Connecta feesand ility charges may be refunded in case of inability tbo.build. a o ant Name of Owner if not Applicant -tea Ma Ing dress of Applicant Mailing Address of Owner Phone No 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-way•. 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. VA' ment on above application required prior to final inspection. Payment NORTH--BURBANX PUBLIC UTILI Y DISTRICT received by cash ❑ check ❑ , $ Date By Date Permit No. 4" * Payable in the amount current at time payment is made.