HomeMy WebLinkAbout069-600-055EVER CONSTRUCTION INC, ..
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69-60
HERITAGE INVESTMENT•CO. }
Permit#3974-88B,P,E,M p work
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' v started under 1523 )SF69-60
Permit # 48-89B1
(lst• Renewal O
.069-600-055
14 06-1490','
ROBINSON,JOEI:F
88 SEGURA DR,',GRIDLEY
Cont: OWNER s
RE ROOF'
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-'636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: 06-1490
Issued: 6/22/2006
Address: "$$ '>e—r--
Area:
Owner: JOEL 1 ( BINSON
APN: 069-600-055
Applicant: JOEL ROBINSON
Map Page:
Permit Type: RE ROOF
114
Description: RE ROOF
216
Flood Zone: SRA Area:
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
AREA
nimum 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/Stee I/Ho ]downs
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
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
M b'1 H Final
802
Inspection Type
IVR INSP DATE
Do Not Insulate Until Above Signed
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/Barriers503
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:
Insignia:
ire
istrict F
o t e Home ma
"PROJECT FINAL 801(wl ' Only)
*1Project Finalis a erti>icate o Occupancy or(Residential
PERMITS BECOME NULL: AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
E-.106 -600 ,055 ,alp 606:1490 v,
-NOTES i;ROBINSON . JOEL, CA t=-3
_ 88 SEGURA DR, GRIDLEY �o�•
lE �uOWNER' r'x�n*r•t+e.Oh
OOF
• _ • ..T..T..-.-..-� nit=� r� L
J' APN: Permit No.
Owner.
t r
ti Site Address: +
Contractor.
Type of Permit:
d.
SPECIAL CONDITIONS
CHECKED BY
0 SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
0 VERIFY
Q USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
0 ENCROACHMEN_ T PERMIT
Q REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED•� r` /
SIGNATURE
t> -
' r
i
SPECIAL CONDITIONS
CHECKED BY
0 SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
0 VERIFY
Q USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
0 ENCROACHMEN_ T PERMIT
Q REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED•� r` /
SIGNATURE
+=OK
e - Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE I Lj PERMANENT FOUNDATION Lj SOFT -SET i
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-DIrncs-Grad '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-Dlmcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs 0 Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia 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 E S
1 ZoningSetbacks-Easements
2 Figs; Sal sSz=DpthSpacing-CnnctrsSteel
3 Decks, Girders/Jolsts-0cking-13rcing
Stairs-DuardlHandralls
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors -
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
��� hyo -
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men4Jning
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries Terminals-l-isted
7•Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Gmdng; Eqp w/9' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pNboardsansultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
°'A
Pool Drawing
e = Not OK
RESIDENTIAL
(Single
&
Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
� canmgvewacKs-easements-r�ooaS�ope
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-Btockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic 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-RgWService Test
12. Elec Undrgmd
13 Plenums & Ducts; Clrnc-MaterialSupportansultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & Vntitn
16 Insulation
oa 0,4' o°d 4
m`
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nalling
20 Draft Stop in Walls (rat proof) -
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & BearimsSi &' Bearing'
23 Hangers-Posf'Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Cimc
26 Attic Acc; Sz & Riiui Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs •
30 Ext Doors -One 3' -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 Int/Ext Wall pnls
38 insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
-P . ya
DArE JELECTRICAL
40 Fxtr & Trnsfrmr C1rnc4ns Prtctn
41 Efec 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 Gmdng Electrode Bond Gas & Wtr
46 2 Appine Cires in Ktchn & Cndetr Sz GFI
47 Subfeed Wire Sz E:1CU or [_AL
AC Wire Sz [—ICU or [JAL
48 Range Circ ❑ CU or ❑AL
Oven Circ ya Q CU or DAL
Insulated Neutral QYes 0 N
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
Quo
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 Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas.Piping
61 AC Ducts Insulin & 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 & SldeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-fir-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Ace -Spa
71 GFI Arc Fault
72 Elec Trim & Subpni, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, CImc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr; Vnts-Clmc-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 lnsultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Cimc Dmge Planters Q Yes Q No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntitn thru 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
e
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.
1-31111- E I11
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: 069-600-055-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 88 SEGURA DR GRI
Map Index:
Date: Contractor:
Description: REROOF CONDO AND GARAGE W/COMP
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
(26)
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
Owner: ROBINSON FAMILY TRUST
signed statement that he or she is licensed pursuant to the provisions of
ROBINSON, JOEL AND ELIZABETH
the Contractor's State License Law (Chapter 9 commencing with Section
TRUSTEES
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
928 E EVANS REIMER RD
violation of Section 7031.5 by any applicant for a permit subjects the
GRIDLEY, CA 95948
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: ROBINSON FAMILY TRUST
provided that such improvements are not intended or offered for
ROBINSON, JOEL AND ELIZABETH
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
TRUSTEES
proving that he or she did not build or improve for the purpose of
928 E EVANS REIMER RD
sale.).
GRIDLEY, CA 95948
❑ 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:
Ellam Exempt under Article 3 of the sin s sions-Cod/e
V
DateLQ1Owner:
WORKERS' COMPENS I N DECLARATION
I hereby affirm under penalty of perju a of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
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
Architect:
insurance carrier and policy number are:
Engineer:
Carrier:
Policy #:
I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
- b
Date:
Applican L
WARNING: F flu to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is he by iss d under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to dicate above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
` G,
Name:
By P/ Date:
Address:
PERMIT EXPIRES
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 docu ent of Butte County. I hereby
authorize representatives ofButte County to center u(upN the above mentioned property for inspection pur o es.
c
( �f�� )D ` ' :_-) 1�
Print Name: f v v Signature:
Date:
Owner ❑ Contractor ElAgent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
Ifs J
_A4 L
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®VTMo ' '-kaV-liJ ""' tL5 BUTTE COUNTY
0 o DEPARTMENT OF DEVELOPMENT SERVICES
o BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
® 24 HOUR NSPECTIONN: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
r: ® OPPtCE ✓ : (770) 53a-7141
A FEE WILL RE REQUIRED AT TIME OFAPPLICA TION
C P(��jt� Website: www.buttecounly.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT SIGNATURE
Fd'office use Only;
OWNER INFORMATION
Last Name
irst Na••� mp O c-Addr
s
e.as a w• �r
City
�l�
State
Zipe7
Pho
0 , yL 3 - 6
Fa '79 11
E-mail
Lic. p
APPLICANT SIGNATURE
Fd'office use Only;
CONTRACTOR
Name
`r4
Address
Map Book
City
Lot #
State
Zip
Phone
Fax
E-mail
Lic. p
Class
APPLICANT SIGNATURE
Fd'office use Only;
ARCHITECT/ENGINEER
Name
I Type Const,
Address
Map Book
City
Lot #
State
Zip
Phone
Fax
Email
State License Number
APPLICANT SIGNATURE
Fd'office use Only;
APPLICANT INFORMATION
Name
I Type Const,
Address
Map Book
City
Lot #
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
Fd'office use Only;
Zoning Flood Zone SRA I Yes I No
pcc,
I Type Const,
Subdlvisiori Name
Map Book
Page
Lot #
Planner
Date Approved:
cif Cav�
PERMIT
No. I��6
��,
BIN Y
/ PROJECT LOCATION i
—•mit-�� U �`l� - -
Lruiih
WORKER'S COMPENSATION
Policy Number
Carrier U
11 hiring anyone other than license contractors, a certillcate of worker's
compensation must be shown at the time of permit Issuance.
Sq FT- Living UGarage Open Cov
Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use),
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUtST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees• plan
check fees for work plan checked and other department costs are not
refundable.
Receive by Amount: �v Bldg
SRA
Receipt #: Sheriff
SMIP
l _Other
`-1 O Tofel
OVhK I -UK ZIUMMI I I #4L, Mr-WU1rr`1T1L-1.
K:IFORMSI9UILDING FORMSXBldgApplSubRgmts.doc Page 1 of 2
REV 8-12.05
TA -AgVH NOSNI90a 16VL90BOES 61:TZ 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.
I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I planto 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:
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
° '. (1523-83)
�74—R$R,P,R,M
PERMIT NO.
PERMIT EXPIRES
OWNER HERITAGE
r
INVESTMENT CO
=CONTR. DomQ
-
ASSESSOR PARCEL
LOCATION �i
���>aT��,—AR-9lli-3-Ig
rr,
r
�r
r-.
;r
C=
�r
p
r
Temp. Power Pole
�i
j Called PG&E
tTemp. Elec. Service
-g
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
�C
.� Signature
rid
-.lil-
Heritage Investment Co.
#5 Handel St.
Oroville,.CA 95965
F�0-J'7.,
D OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF,PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Tslepnone:(916) 534-41541
WILLIAM (Bill) CHEFF
. Director
November 2, 1989
RE: Building Permit No.
Expires_. �(2 _,�01 Z _ - 0110
47 _
(A. P. No. �2_GD %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 o'f
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 orfshould 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
F. Glander
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 jr
ICNATi1RE QP G -E-11 ? -I' t�' °I:i.i; .qtr y : i Elt PIT
This ccrti.f tcate must with ::he DD (LDIAG LI'PANIMIENT prier to
final iawp�-r4iou approval i i.d copy sOiaf.1 be potted w thiA the tuilding.
JAfiU AR`d 1,)84
6"
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BLAND 1.% J�7L.
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-
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arc spec:ifxcr_1L)
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i.i cl"N4 E NO.
ICNATi1RE QP G -E-11 ? -I' t�' °I:i.i; .qtr y : i Elt PIT
This ccrti.f tcate must with ::he DD (LDIAG LI'PANIMIENT prier to
final iawp�-r4iou approval i i.d copy sOiaf.1 be potted w thiA the tuilding.
JAfiU AR`d 1,)84
Heritage Investment Co.
#5 Handel St.
Oroville,. CA 95965
.9 7
.► �
Dan ,= ,= -
D OF NATURAL WEALTH AND B E A U T
DEE PARTMEN T OFRUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
T.Iepnone: (916) 534541
wILLIAM (Bill) CHE=
Directc
November 2, 1989
RE: Building Permit No.Z -
Expires_ / Z -
(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 comDleted 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 ot.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
F. Glander
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, Ext. 57
_A
w
15;23-83B
PERMIT NO. � P , E ,M
PERMIT EXPIRES
!, OWNER DOUGLAS GEYER CONSTRUC//TION INC,
CONTR. owner
ASSESSOR PARCEL 72-01-13port
LOCATION 87 Ian -Lee Circle,Heritage Estates
Oroville
-1�111L - /_4- �/
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V = OK .
O Not OK
— = Not Applicable
- Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s ,
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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 #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except #'s
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability 4
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
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-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 Plans OK exce t#'s
Date
FRAMING (Qontinued)
elqll-on
re uirements-Setbacks-Easements
48.
Property Line Firewall & Openings
ej,Mai
• Soils-Steel-Elec. Grnd.- If--2t-Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel- e Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
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
emwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7
Pi s -Fir ace Ftg.-Steel54.
Glazing Area -Glass Protection -Skylights -Plastic
W. .: Fall-Fitti -Test- y C/ - ewer T t
55.
Shear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
ater Pipe; Test -Anchors -Regulator -Service Test
Underground
& Ducts; Clearance -Material -Support -Ins.
ers-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date / Card -BI Date
Date
FINAL (Plans) OK except q's
Car! -Bt" ate Card -BI Date
Date
PL
BING (Permit) OK except q's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
1? -W
4.
W ter Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
V�!t Pipe; Test & Anchors -Nail Protection
J.I$
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
S4a4er Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
A
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
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date 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 H's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.Ct Dupt i Gara e -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
W .; Vents -Clearance -Comb. Air-Connector-P.R.V.-
n a bove Floor-Mech. Protection
21.
Elec. Receptacles Spacing- fights & Switches at Doors
7
Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Co uct rs-Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Clos to 6dge of Studs & C.J.
24.
Equip. Ground mad p w/Mech. Fasteners -Bond Gas ater j
72,
Insulation -Foam -Looked in Attic C-] Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circu' s ' itch n & ro)dLjetA Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size T / ga. gru or MA,e Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu AI Circ. / / ga. Cu or Al,
Insulated Neutral E]�❑No
z77-
Following instld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No;
Planters El Yes El No
28.
Service -Riser Co dors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clea es; Panels-Motors-Mech. Equip.
77,
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
30.
Clothes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI ate
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts: Insulation & Support
83.
_
Corrections from Previous Inspections
84.
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
Date
FRAMING(Plans) OK except q's
Comments at Final:
_
36.
37.
38.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
_
39.
40.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-14ftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq,-Rfnp.
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 Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
l�
Inspector ! i� ��+� Date
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector' �� ���1�! �� Date J-- 0-5
r ti
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need`additional explanation, please contact this office immediately.
Date�'a Inspector�T
� N
Kk
47,
o.Q
Gift.,
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N.
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w -r +e^•-L�-''m.^,J :a^ "s" -r• �->. <"�:"_•� �,.. s.4 rt._r.c.t;. �rZ7+-'. di, .< .. , . .. _
/I1s ou w12 -Lad
�sz7t S 7 Siaa_-q]
COUNTY OF BUTTE
DEPARTMENT OF'PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307 '*
CORRECTION NOTICE
OWNER PERMIT NO. r
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.
L
.J
. tiS
,1
"Cw
yl
. yY�
Y
i
i�
Inspector/// Date
f r=
.a
= OK
0=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 - w
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-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131 •
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -81
Date Card -131 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
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -131
Date. Card -61 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Card -B1
Date Card -81 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card=61
Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
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 -B1 Date
Card -B1 Date Card -131 Date
Date PL ING (Permit) OK except #'s
greater Ht. Vent -Access -Combustion Air -Baffle
ter Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -B1 Date
Card B1 Date Card -131 Date
Date ELE TRICAL (Permit) OK except #'s
F re & Transformer Clearance -Ins. Protection
96�EI . Receptacles Spacing -Lights & Switches at Doors
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. or AI -Oven Circ. / / ga. Cu or Al.
sulated Neutral Yes No
S vice -Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
32. ,lothes Closet Light -Shower Light -Spa Light
AT Smoke Detector
Card-Bl&�f Date Card -B1 Date
Card -B1- Date Card -B1 Date
Date MEC ANICAL (Permit) OK except #'s
A. 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 -81 Date Card -B1 Date
Card B1 Date Card -131 Date
Date FRA NG (Plans) OK except #'s
39,"SiMs, Proper Material & Anchors
46'V)WIs Studs -Nailing, Spacing & Bracing—Plates-Sound
• BpaTing Walls over Girders & Floor Nailing
r ft Stop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
4#.-M6ader & Beam -Size & Bearing
Date FRAMING
e:. tj fgers-Post Caps -Anchors -Connectors
CI . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rf
it lace Ties or Type A Flue-%gKce Throa I a
ttic ccess; Size r ecti raft Stop- ns. Baffles
1p,ATrm. Windows or Ex"iting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
ro erty Line Firewall & Openings
xt. oors-One T -Check Garage -3rd story, 2 exits
tai Width -Headroom -Rise -Run -Landing -Fire Protection
A*11151-ywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
r5 ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
58. Spear Walls; Nailing -Bolts
. Insulation-Walls-Clg.
60AnfiItratio n-Walls-Wndws
Card -B1 Date44--/17 Card -61 Date
Card -131 DatejCard-131 Date
Date FINAL (Plans) OK except #'s
;,81- Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
(A2 -:'Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
,641�edroom Exiting
F.I. & Bath Fixtures & Tub Access -Spa
L66-16ec. Trim & Subpanel; Breaker Sizes -Labels
fairs & Rails
L68-f`Ireplace or Stove; Clearances -Hearth
Z;FYiec. Outlets at Wood Panel; Int. & Ext.
7 it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
lec.,PM lets & Receptacles at Kit. Counter
rage Fire Door; Swing -Landing -Closer
--7a-A-C. Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In 92 rage; Above Floor-Mech. Protection
, Elec. & Mech. Equip. Listed for Location
ec. Receptacles in Garage; (G.F.I.)-Romex Protec.
emulation -Foam -Looked in Attic ❑ Yes
Guard Rails & Deck Construction -Post Caps
79fdn-Vents & Crawl Hole Door -Drainage & Wood -Earth
Clear e -Looked under Flog ❑ Yes
ollowing in".; Drive es ❑ No; Walks Yes ❑ No;
Planters I 'es ❑ No
cco; Brown -Finish
A.C. Unit; Disconnect, Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
$#-WaTerWell; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
nt' ' n throughout House
lass Pro --
orrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -1314 it Date and -B1 Date
Card -B Dat and -B1 Date
Card-B1Da et Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER20N1
6 -_e, p -
G
a. L
BUILDING PERMIT
It
OWNER
e-; OL -e �NVC' e �' f�.
TELEPHONE
543 SL
SQ. FT. OCC. BUILDING VALUA
I N
t7
OWNER'S MAILI ADDRESS -
CONTRACTOR'SNAME
W AJ .0 i
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1 C
.0-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan CheckingFee
$ 15 &-0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
• O'`J
PLUMBING PERMIT
Filing Fee
10.00
/
�a� ���� ��I�` -
Each Trap
ej)l 2.00
02 o,o-O
/'0 U
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 5.00
Mobile Home S G W 0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: %'e- e. W e r %C S4 -A1 -`-c 4
/5a -3
Permit Fee $
• 0-0
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service eOOV OR LESS
100 AMP OR LESS
10.00
• 007
Main service EA. ADC'L 100 AMP
2.50
g,60
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one
P Y P er I Y( k : )
❑ 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
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
or sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
fors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.01 , SO
OR ACDNS. ACC. BLDG-. /:¢sgft
NEW CONSTR. -OUTLET
NON.RESI0 BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eAL0 0 00
Ex. OCCUp. OUTLETS FIXEDP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $ , b'D
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.
T1 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 D D o D /3 n -o
6 a -o
Cooling 7`' p -d
(B a
Hood 3.00 1
3 c z
Ventilation
permit Fee $
6-O
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, judgmRnt.s, costs, and expenses which may in any way accrue
agains aid unty i c nsequenc of the granting of this permit.
X Date --
Sin ura of Applicant - Owner F-1Contractor❑ Agent E]
An SHA permit is required for excavations over 5'0" deep and demolition or construct-D)OFP
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occu P.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
I PD ND
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work i ' ated above for which
P RMIT EXPIRES Date
the applicable
resolutions
fees have been
WORKS
Date W4,
provi-
to do
paid.
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CSlifornia:95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO
ASSES OR PARCEL NUMBER
.�
ZON G
BUILDING PERMIT
O WNE
e ✓f >r
TELEPHONE
SIJ
SO. FT. OCC. BUILDING VALUA ION
OWNER'S MAILIN RESS
CONTRA'CTOR' N_- ME
-.Pr KG
TELEPHONE
CON CTOR'S ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee ein 117-{
$ S -o
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checki e
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
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 STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIF
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I 1
110-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Des ribe work: _
7� —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6OOv OR LESS
t00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
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
NEW CONST. DWELLING OCCUP.N
OR ADONS. ACC. BLDGS.
,
2/z¢sgft
NEW CONST R. RANCH TLET
NON-RES, D BRANCH CIRC ITS
CIRCUIT
2.50 ea
POWER APPARATUS a
SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES
Ex. Occu
S AL00L03030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
15.00
Permit Fee
$
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.
Not ce 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
FiIingFee 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- entioned property for inspection purposes.
I also agree to save, indemnify nd keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty in onseque a of the granting of this ermit.
X Date
n ure of Applica t - own Contractor ❑ Agent ❑
OSHA permit is required for exr
ations over 5'0" deep and demolition or construct-
n of structures over 3 stories in ht.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 0 Ie __S,0
HAZ
CUA
PARK
SCHL
FLD
PAR
PD
Ho
ISSUE
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.
IREC OR PUBLIC WORKS
�rQ
By Date 12-
PERMIT EXPIRES Date Z — n -
Receipt No. �y� �
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DeyGrtment of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone\ 916-538-7541
OWNER -BUILDER 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 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-538-7541
le, CA 95965 Phone: 916
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&labor and materials for construction of
the proposed property improvement ye or no)
2. It/_,R.e/have not) signed an application for a building permit
fcYt hhe 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
Sign
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 - 6EPAR7MENT OF PUBLIC WORKS
7 County Center Drive - Oroville;'Califorhia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSO PARC L)NUMB[
ZONING
BUILDING PERMIT
OR
��nn
TELEPHONE
SQ. FT. OCC. BUILDING VA T N/
OWNER'S MA NG ADD
�6^
TRACTOR'S ME
TELEPHONE
r
CONTRA TOILI G ADDRESS
%j
Fireplace
CONST CTEN' R
UNKN WN
Total Valuation Is
Filing Fee
$ 10.00
LENDER )M ILING ADDRES$ /
N
Permit Fee
$
AR ITECT OR ENGI R
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT O NGI EER'S AILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
I -L cam•
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME I ,�
2LY— Z JWV_IT. EET
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
b
Lawn sprinkler system
5.00
�, / TYPE OF WORK
New ddition ❑ Utilities ❑ Installation❑ Other ❑
LSA ❑ R ode l
Describe work:
Permit Fee
$ f
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (D P•81)
R ADDNS. ACC.
OWELL /
'2 qft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businesse0
and Professions Code a d my license is in full force and effect.
7
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR - U LET 2.SOea
NON-RESID BRA CH CIRC ITS
NEW CONSTR.POWER APPARATUS 6
NON-RESID. (SINGLE OUTLET CIR.
@ 25¢
Ex. OCCUp OUTLETS OR FIXTURES gqL@1
Ex. Occup.(OUT OUTLETS P(RESID.)REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$ ,
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
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 • gments, costs, and expenses which may in any way accrue
against sai �nyco�sece.of the granting of this permi .
7i
X ate ? %� 8
Si ature pplicancaner Contractor Agent ❑
An 05 permit is re ' ed for excavations over 5'0" deep and demolition or construct-
ion of structures oover��3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ og
occUP. GROUP
))
TYPE OF CONST
�_
PARC
P
ND 15L/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D!R TO OF PUBLIC
BY `�»^�"�–Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. Q <rc) I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-`� NOT COAAPARED
-eti'urn` to DPW "' o n� • 11 AGRICULTURAL STkTU4E�-T OF ACKNOWLEDGEMENT 32
FOR RESIDENTIAL DEVELOPMENT OFF10A,
Section 26-8'•i of the Butte County Code .requires this acknowledgemeEitFCORDS ��,�, ;. ;,.)•�
be recorded prior to issuance of a building permit. p
The property described herein is adjacent to land or included
OCT �B 1-� ���QA!
within an area zoned for agricultural* purposes, and residents of CLERK
LEANORthis property may be subject to inconveniences or discomfort arising ��ROER
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, 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 )
a
PROPERTY OWNERS:
Or; this the - day of , 19 ,
be ore me, t,e undersigned Votary Public, personally
app=eared
11
STATE OF CALIFW4NIA I
COUNTY OF rillt tt3 I8�
On October 28, 1982
before me, the undersigned, a Notary Public in and for
said State, personally appeared ' DOUGLAS GEYER XXX
personally known to me (or proved to me on the
basis of satisfactory evidence) to be the persons who executed the within instrument
President 36'&M � on behalf of
LOUGLAS GEYER CO RUCTION INC.
the corporation therein named, and acknowledged to me that. Of FICIAL 5
MAL
such corporation executed the within Instrument pursuant to its U..a
ANGELA D. HENDERSHOT
NOTARY PUBLIC • CALIFORNIA
by laws or a resolution of its board of directors PRINCIPAL OFFICE IN
WITNESS my hand and official seal. BUTTE COUNTY
MY COMMISSION EXPIRIE SEPT 7, 1096
SignBtUfft.�M�-�,. ��(���\\-�.: �'��ifs,^ls�a Inr r.., �•-••
me(s)
acknowledged
Ie purposes
Ind and official
DESCRIPTION:
AU 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. 18, T19N, R5E, M.D.M.
BUTTE COUNTY CALIF. FOR PFM 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 440
Butte County official records, and more particularly described as follows:
COMKENCING 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 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
point of commencement, North 860 39' 06" West, along said subdivision line
and Westerly prolongation thereof, 327.83 feet to the Southwesterly line of
the Highway 80 feet in width and being the true point of beginning; thence
leaving the Southwesterly line of said Highway North 890 17' 44" West 82.18•
feet to the centerline of Rachel Drive, formerly the old Oroville-La Porte
Road; thence along the centerline -of Rachel Drive North 440 19' 44" West
1681.45 feet to a point. at the intersection of the centerline of said
Rachel Drive and Heritage Road (formerly Oroville-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 Kelly Ridge Road .the following courses;
South 17° 32' 49" Fast 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 08' 34'
10" a distance of 592.28 feet to a point: 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" 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.
Telephone
583.2000
North Burbank Fpblic Utility District
1960 Erin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND 45-83
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 Lincoln St. Suite #2, Oroville
Applicant Phone No.: 534-6513
Property Location (S): 87 Ian -tee Circle, Oroville
A. P. No. (s):
. Heritage Estates Subdivision Pad #2
72-01-13
Fees Paid: $250.00-N.B.P.-U.-D. Connection Fee and
$900.00 SC-OR—Regional Facility Charge Due
Application for service approved:
North Burbank
May 20, 1983 Public Utility District
a
Inspection(s) made and successful test(s) observed:
Location:
Date:
APPLICATION FOR SEWER CONNECTION AND SERVICE FROM NORTH BURBANK PUBLIC
UTILITY DISTRICT— CONNECTION PERMIT
hereinafter referred to as
"Applicant', being t property owner or owner'a agent desiring sewer service, hereby
requests a 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 System and to provide sewerage service.
Location of property: �, L A. P. No.Z� -67/—/,3
Subdivision Lot_A&��
#Ca Block
.3�In District '
O Out of District
Kin f Service
Residential aoll�
O Rental -ET--Residence
O Duplex O Apartment
O Industrial
0 Commercial
Remarks
Number of E.D.0 s. /
this permit
Multiplication f ctorO
*Monthly charges � i , o n
* Connection fee
* SC -OR Facility charges
Total amount payable
this permit ➢Y /. %,�. O v
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 es and ility charges may be refunded in case of inability 6o build.
Name of Owner if not Applicant
Ma ing Address 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
trict 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-ofawayr said work to be bondeds
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. Distract verification form must be issued simultaineously with this permit.
3,ayment on above application required
prior to final inspection. Payment
received by cash 0 check El
$ - - -- Date
By.
BU- K PUBLIC UTILITY D STRICT
ate
Permit No.
* Payable in the amount current at time payment is made.,
0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSES OR PARCEL NUMBER
I — i
ZONI G
CL
BUILDING PERMIT
OWN
„_ -� be STELEPHONE
S0. FT. OCC. BUILDING VALUATION
'
OWNER'S MAILIN ESS
CONTR TOR' NAME
TELEPHONE
CON CTOR'S M ING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 10.00
Permit Fee .�
Plan Checki e
$ �V
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
rl ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF [Duplex❑ Mobilehome❑ Other r-
SPECIE
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
O.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other
Des ribe work:
7r 7� —
E_ I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR 100 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
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.81
OR ADONS. ACC. BLDGS. /
/20Sq ft
NEW CONSUL I.OUTLET
NON•RESID BRANCH clRc ITS
2.50 ea
/ POWER APPARATUS Q)
\SINGLE OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES
p
200700
eAL03o
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
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 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.
X
,,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.
Mobire Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
1
TOTAL FEE $ o
HAz
cuA
!ATL
I FLD
PAR
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HD
ISSUE
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
By Date
PE9t1IT FXPIRFS n?tP I — I7 — x'1!1
Receipt No.
WMITC•O. P. W., YELLOW- ASSESSOR. PIYK•IY SPe^TJP. In,