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HomeMy WebLinkAbout069-600-055EVER CONSTRUCTION INC, .. ` ee 'rcle, Heritage Est; 0 ovill: •if3 E,M(new S/F) G- 69-60 HERITAGE INVESTMENT•CO. } Permit#3974-88B,P,E,M p work a: ' 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' -0 t w'f i I . . y o y4. ` r � p ti. r F5 y4. r i ti. r F5 cfli c�i i coi o l 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 J , W ®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" RTI. i'� Kana BLAND 1.% J�7L. TM .. . t• -v - All arc spec:ifxcr_1L) ��.'�. .<'Ir..,l' 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., li Q ti� ti lit t3 Ossa os `zt _ o N. 00 Ql- jor O � h m Z? .10 Nkk h N o 05 LL' 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 PD 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,