HomeMy WebLinkAbout069-600-0571 L t
' D2UOL&S GEYER C STRUCTION INC.
Ian-
. E, Circle,. Heritage Est., Oro,
�,P,E,M(new S/F) L-6 SLK
i
HERITAGE INVESTMENT C0,9-60=
Permit#3976-88B,P,E,M('t com ete work
started under 1.525- SF
69-60-
Per t #4150-89B
• (1st Renewal ( I
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069=600057.a-a'ti t,'• .r;,'a. ra
06-1497+,-jz,
;'ROBINSON, JOEL' f Y�
'.'86 SEGURA DRN, OROVILLE
f Cont: OWNER
RE ROOF(CONDOS&GARAGE4i
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061497
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/22/2006 APN: 069-600-056-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 86 SEGURA DR ORO
Map Index:
Date: Contractor:
Description: REROOF 2 CONDOS AND 2 GAR (55)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROBINSON FAMILY TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
ROBINSON, JOEL AND ELIZABETH
signed statement that he or she is licensed pursuant to the provisions of
TRUSTEES
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
928 E EVANS REIMER RD
she is exempt therefrom and the basis for the alleged exemption. Any
GRIDLEY, CA 95948
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: ROBINSON FAMILY TRUST
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
ROBINSON, JOEL AND ELIZABETH
provided that such improvements are not intended or offered for
TRUSTEES
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
928 E EVANS REIMER RD
proving that he or she did not build or improve for the purpose of
GRIDLEY, CA 95948
sale.).
❑ 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:
❑ I am E em t under Article 3 of the usi s n ions Code
DateOwn r
WORKERS' COMPEN A ON DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comp) it those provi 'ons.
Date:
Applicant:JL 44
WARNING: Failure o ecure workerscompensation 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.
� 6- - �6 _f
CONSTRUCTION LENDING AGENCY
This permit is hereby i sued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions t o o indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY Date:
Name:
%))
ON
PERMIT EXPIRES
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have -read this application, that the above dnformation 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 dpcuRent of Butte County. I hereby
authorize represe s off ButtCounty to e n the above mentionedfor inspection purposes.
jproperty
�� v� rlJr " Signature: v a
Print Name:
Date: L J
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
M(55) x --
®�TT�' BUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
24 HOUR tNSPECTIONO: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OPPrCE e: (730) 533-7341
A FEE WILL RE REQUIRED AT TIME OFAPPLIC4TION
C®V �1jt� Website: www.buttecounty.net/dds
—PLEASE PRINT CLEARLY"
APPLICANT SIGNATURE
X
Fo offlee use onl
OWNER INFORMATION
Last Name
Lti irst Namp O G
�
Addr s
Book
City
+, le
State
Zip �� y
Pho
0 ^ yL 3 . G
Fa
E-mail
APPLICANT SIGNATURE
X
Fo offlee use onl
CONTRACTOR
Name
V
Address
Book
City
State
State
Zip
Phone
E-mail
Fax
E-mail
Lic. aY
Class
APPLICANT SIGNATURE
X
Fo offlee use onl
ARCHITECT/ENGINEER
Name
Type Const.
Address
Book
"tom
State
Zip
Phone
Fax
E-mail
State license Number
APPLICANT SIGNATURE
X
Fo offlee use onl
APPLICANT INFORMAT40N
Name
Type Const.
Address
Book
City
Planner
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
Fo offlee use onl
Zoning Flood Zone SRA Yes No
Occ, I
Type Const.
Subdivision' Name Map
Book
Page Lot #
Planner
Date Approved:
®VEK FUtK �1.6I3fM11 I 1 AL e[�,.Iaytr��ntG1. � .�
PERMIT
Ivo, r 4q�
BIN Al
...�cr1rJA
Policy Number
Carrier
It hiring anyone other than license contractors, a cerdflcate of worker's I
compensation must be shown at the time of permit 13s-uance.
--
O 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'aftor expiration, a new application, plans and fee will be
K:1F0RMS18UILDING FORMSX91dgApplSubRgmts.doc Page 1 of 2
REQUEST 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.
Received by: Amount: - : E
r l
Receipt #: Sheriff
Cj U _ SMIP
— ..._._
Dat �, jl VY�/. - -_� , ,-•
REV 8-12.05
To ggwrl NOSNISON 16bL9080E9 6T:IZ 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 J HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
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
Butte County Department of Development
Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
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 protect 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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance. ,
o 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 Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors 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 contractor 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 Contractors' State License Board's
automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
awl dk-'-
.ie/L— k- Scott RutherfordVion Manager, Building Divi
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
0
K
(1525-83)
3976-88B,P,E,M
PERMIT NO.
12/12/89
,.PERMIT EXPIRES
HERITAGE INVESTMENT CO
`<AWNFii
Owner
CONTR.
69-60-12
ASSESSOR PARCEL
1,,
WCATION -&E� Ian Lee Circle, Oroville
:i
•y�
f
'temp. Power Pole
•
Called PG&E
Temp. Elec. Service
Called PG&E
s.
'Temp. Gas Service
'li
r
Called PG&E
`JOB FINAL
Signatu
= OK
0 = Not OK
= Not
Applicable MOBILE HOMES .
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'l- ft.
/ /"Nat. or/ /"L"ft./ P'LPG
7. Utilitv Clearance
Card -131 Date Card -131 Date I
Card -131 Date Card -131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -81 Date Card -131 Date
Card -131 Date Card -81 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
t 1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.;• Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -131 Date
Card -81 Date Card -131 Date
= OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
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 -Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
.15. Insulation
Card -B1 Date Card -B1 Date
Card -81 Date Card -131 Date
Date PL BING (Permit) OK except #'s
Water Ht. Vent- s -Combustion Air -Baffle
Water Pipe & Anchors -Nail Protection
D.W.V.; Fttngs & Anchors -Nail Protection
19. Shower an; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Date ELFWRICAL (Permit) OK except #'s
. Fixture & Transformer Clearance -Ins. Protection
pec. Receptacles Spacing -Lights & Switches at Doors
S' i�f Boxes & No. of Conductors -Stapled
ex Installed Close to Edge of Studs & C.J.
ip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al W
29. Range Circ. /Y / ga,�S�r AI -Oven Circ. / / ga. Cu or Al.
,JKsulated Neutral Yes No
.vice -Riser Conductors & Ground -Main Disconnect
Qf Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
44
Card -B1 Date ,/ Card -131 Date
Card -131 Date Card -131 Date
Date MEC ICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card-BM/Jj Date Card -131 Date
Card -81 Date Card -B1 Date
Date FRA G (Plans) OK except #'s
avt1w,115roper Material & Anchors
s Studs -Nailing, Spacing & Bracing—Plates-Sound
Beat g Walls over Girders & Floor Nailing
4 r top in Walls (rat proof)
4 ire tops; Furred Ceilings -Stairs -Chases -Tub
4 Bader & Beam -Size & Bearing
Date FRAM! Continued)
4 . a ers-Post Caps -Anchors -Connectors
ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-
Fire lace Ties or Type A Flue -Fireplace Throatea
a-Aq1"ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
49,td :-Windows or Exiting Doors -Sill Hgt. & Dimensions
ar e. Fire Protection Framing
erty Line Firewall & Openings
Ex oors-One T -Check Garage -3rd story, 2 exits
h80-9tqjks"Width-Headroom-Rise-Run-Landing-Fire Protection
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. S g -Nailing Veneer
S co Mesh -Drip Screed -Fd. Vents-Underflr. Access
GI 'rig Area -Glass Protection -Skylights -Plastic
ajar Walls; Nailing -Bolts
89'lnsulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81 Dated -/7 Card -81 Date
Card -B . Dat Card -B1 Date
Date FINAL (Plans) Ok except #'s
Ext. Steps -Door & Sidelight Protection -Landings
m ke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
edroom Exiting
Ct6- F.I. & Bath Fixtures & Tub Access -Spa
LZS-Efec. Trim & Subpanel; Breaker Sizes -Labels
emirs & Rails
Fireplace or Stove; Clearances -Hearth
-6915-1-ec. Outlets at Wood Panel; Int. & Ext.
it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
c. Outlets & Receptacles at Kit. Counter
SJVZrGarage Fire Door; Swing -Landing -Closer
t -Z3 -A -6 -Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In G age; Above Floor-Mech. Protection
, Elec. & Mech. Equip. Listed for Location
OkO Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
78-GUard Rails & Deck Construction -Post Caps
79 ents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
dowingins Id.; Drive es ❑ No; Walks es ❑ No;
Planters ❑ No
ucco; B n -Finish
tJ1Qq X.C. Unit; Disconnect, Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Disconnect, Electrical, Plumbing
ig xterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
ass Protection
Corrections from Previous Inpections
-aAs-Test-Meters Tagged; Gas -Electric
90. Wa r & Sewer Connected -C/O to Grade -HD Approval
444 -'Energy Compliance Certificate -Other Certificates
92. Roofing Ce tificate
Card -131 Date fbCard-B1 Date
Card -131 Date V Card -131 Date
Card -B1 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541"
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
ER
A routine'inspectio ificates that the following violations of County Ordinance
exist at the ab a address and should be corrected. Please notify this office
when corre on of work is completed. If you have any question pertaining to this
matter r need additional explanation, please contact this office immediately.
Date4Inspector
5..� -
COUNTY OF BUTTE `
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541 M,
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
b4;
OWNER PERMIT NO.
.N
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
ri
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
y
Inspector � /' Date J
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Inspector � /' Date J
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PERMIT NO. 152—PB,.P,E,M
PERMIT EXPIRES
OWNER DOUGLAS GEYER CONSTRUCTION INC.
CONTR. owner
• ' �,
ASSESSOR PARCEL
Ix
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LOCATION 85 Ian-Lee Circle, Heritage Est, 0 o
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73
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Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
M
JOB FINALED (Date)
ii.
Signature
r
J•=,OK,
0 Not OK
= Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) C),, cxcept k _
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-Enc.fioLres
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
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/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
%(-= OK
0 = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� = _ '
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
onin_g requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
tg. ain; Soils-Steel-Elec. Grnd.- Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- /l 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
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
,73
P ers-Fireplace Ftg.-Steel
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
Fall -Fittings -Test -2 way C/O -Sewer Test
Gas Pipe; Size -Anchors
j
ater Pipe; Test -Anchors -Regulator -Service Test
1
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
QPd'Bl
ate Card -BI Date
Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
-r-
Wafer Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor-Ducts-Mech. Protection
1 Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
1Z�._Sbower-Pan; Test, First Floor -Tub Access
K8,
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
04.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
.*+ ,
63.
Fireplace or Stove; Clearances -Hearth
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date . Card -BI Date
Card -BI
Date
Date Card -BI Date
LECTRICAL Perrri-t OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection69.
Elec. Receptacles Spacing -Lights & Switches at Doors/70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
22.
Size Boxes & No. of Conductors -Stapled
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.4
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners nd Gas V Water
72.
73.
Insulation -Foam -Looked in Attic E) Yes
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in K', hen & Conduc Si
_
26.
Subfeed Wire Size / / a: Cu or AI -A. Wir Size / / ga.
AI
74.
75.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
Following instld.: Drive E] Yes ❑ No; .Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
27. Range Circ. / / ga.u AI -Oven Cir / ga. Cu or
Insulated Neutral ❑ s o I
28.
Service -Riser Conductors rLydzmain DisqonnecK V
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panel ±A ors-Mech. q p.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light- ower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -B
D to
81.
Ventilation throughout House
Card B-1
Date Card -BI
Date
82.
Glass Protection
Date
MECHANICAL (Perrr,it) OK exc pt 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
Comments at Final:
Date FRAMING(Pians) OK except q's
36.
Sills; Proper Material & Anchors
_
37.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
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-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
�i- t r- " ,,rr ` i, l � ? Permit
{'tq ENERGY ERTIFICATION '
A. P. Nt7 . '
DESCRSPTLON OF INSULATION
i 4 k : BRAND NAME
1: �;;' .�. --t -- -- - THERMAL RES.-,_......�
, rfYK Itf'fk h'Abl -
:1A" ,7'R 0-L F BERG AS'S= _ BRAND NAME Cy AX' TEBD y
'1'� ry;iFSfx
-� THERMAL RES. fr�
f
. ATT OR BLANKET TYPE BRAND NAME - CE AINTEED
'1 H I CKNESS a _ TRERMAL RES : 4- c
LOOSE FILLTYPE 'INL� AE•F ITZBRAND NAME _ GER All TE:'p
TIIICKNESSTHE AL RM RE,S.
t: LOOR . ELEVATED
M T&R- "T. F'I13ERGULS-S BRAND NAME GERTAINTEED��
THICKNESS THEREAL RES.
FLOOR, SLAB
A A T E R I A L. $ RA P7 �+ NAME
THICXNE55 THER;.AL RE`a'. �
_ a ,
FOUNDATION WALL
MATERIAL BRAND NAM11-
THICKNESS
--
I HERESY CERTTEY '1'NAT THF. ,.ASi.ALLBP' IN THE ABOVE -
BUILDING IN CONFORMANCE M'1TH f4t;A "A'I:. 01r lzkil `ENBOGY --REQUIREMENTS.
SHASTA INSULATT
FIRM NAME OW N�j 'r ATR CNx}rF� .,—L-�1 �,•:a& V--- 0 . -
I hereby certify the abov ivy%oA1dt:icn and 111, cgeiired items -as -shown
on the -Building Depart. apprv,ved plants aiw a1.tach%;cnt3•have been installed
as required by the Sto :a of L'jI.ifornia E tier-vr Requirements. c _
All equipment, devices` and m6tdfi-o1a Are of 'the qualit.y,. prescribed,- or
are specifically approved.. by 't -he "Stare o£
FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRA-CTOR'.S LICENSE NO.
•
SIGNATURE OF GENERAL CONTRACTOR OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval and a copy shall be posted,'within the building.
JANUARY 1984
. fir!-��`-�_��� • 1
toyizzq
LAND OF NATURAL WEALTH AND BEAUT'
tc' DEPARTMENT OF,PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
T•I.v^eye: (916) 534541
WILLIAM (3111) CHEF
November 2, 1989 Directo
Heritage Investment Co. RE: Building
#5 Handel St. C Permit No.
Oroville, CA 95965 Expires _/2_,��
• (A.P. No.—(�1_�, 0 �7 )
Dear Sirs:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date of
the permit, the permit shall be renewed for 1/2 the original Building Permit
Fee (plus a $10.00 'riling Fee"). The renewal permit will e�,tend 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 re
this office together with the fee turned to
shown. :Please return all copies of -the
application form.
Thank you for your prompt attention concerning this matter.
A
Yours very truly,
William Cheff
Director of Public Works
JFG:aj F. Clan
Attachments: Permit Building Inspector
Perm -t Application
Owner -Builder Information
•Owner -Builder Verification
cc: Building Inspector -
Chico - 196 Memorial Way/89I-2751 Paradise - 747 Elliott Rd/872-2961; Est. 57
17
7 11
LAND OF NATURAL WEALTH AND 8 E A U T Y
DEPARTMENT OFRUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534--".541
WILLIAM (Bill) CHEFF
November 2; 1989 Director
Heritage Investment Co. RE: Building Permit No.
#5 Handel St. Expires_
Oroville, CA 95965 (A.P. No.
Dear Sirs:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date 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
ander
f JFG:aj hf
F. Gl
Attachments: Permit Application ieBuilding Inspector
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Chico - 196 Memorial Way/891=2751 Paradise - 747 Elliott Rd/872-2961, Est. 57
COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 D
APPLICATION AND PERMIT VZ
ASSESSO. PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNE
C
T LEPHONE
J
SQ. FT. OCC. BUILDING VALUATION
OWN 'S MAI LINDRESS
CONTRACTOR' ME
TELEPHONE
04
CON TOR'S AILING ADDRESS
LffireplaZe
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checks Fe
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
6� t _�
O
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
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New [__J Addition❑ Remodel❑ Utilities❑ Installation[] Other
Describe work: _
f 2, t Z� r 6� jytf ,�—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one':
1
F1 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.&)
OR ADDNS. ACC. BLDGS. I
'/zQsgft
NEW CONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS e
(POWER
OUTLET CIR.
Ex. OCcu p(OUTLETS OR FIXTURES
82 A0 L®030s0e
FIXED T5 . OR
EX. QCCUp. OUTLETS (RESRESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
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
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, ju gments, c ts, and expens s which may in any way accrue
against said Cou y in conse ence of the a ting of this permit. `
Date �/�9P C7
re of Applicant — Owner Contractor ❑ Agent ❑
:OSHA permit is required for exc, vations over 5'0" deep and demolition or construct-
ion of structures over 3 storie�+s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
jQ
TOTAL FEE $ 6
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HD Iss
This permit is hereby issued under
Bions of the Butte County. Code and/or
work indicated above for which fees
ECT O UBLIC
BY
PERMIT EXPIRES Date ! —
the applicable provi-
resolutions to do
have been paid.
WORKS
Q�
Daate ' ?'�I -"
/-2 ^
Receipt No. <� -5 /
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE = Department 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 aie 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, Oroville, CA 95965 Phone: .916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
.f 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 materials for construction of
the proposed property improvemen r no)
2. I Ghave not) — signed an application for a building permit
for the proposed work.
3.. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to.provide the work indicated:
Name Address . Phone Type of Work
Sig n ed :
Prope
Socia
Date
NOTE: This Owner -Builder Verification is s-ent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed -and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSO .PARCE.L. NUMB -ER 1
,
ZONING
BUILDING PERMIT
O WNE -- _ -t - '--�1
c
T LEP HONE
-02 )
SQ. FT. OCC. BUILDING VALUATION
OWN 'S MAILIN OR ESS
CONTRACTOR • ME
TELEPHONE
CON TORS AILING ADDRESS
irepIa e
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
'
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checkl Fe
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
_262t_ 0t
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 [k Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
r0�-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service tOO AMP 00V OR ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I,
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.d
OR ADONS. ( ACC. SLOGS.
, /20sgft
NEW CONSTR. ULT' -OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES
p
200sat
eALosa
Ex. Occup. OUTLETSPIRESID IREA.)
2.00
Temporary service
10.00
Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE E $ 6
6
HAz
CUA
PARK
SCHL
PAR
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.
DIRECTOR OF PUBLIC WORKS
By Date
0c0eat r x•.910 =c nate / > —/-1) —
Receipt No.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
f7M�Nr.
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERZON
Z
G
g L
BUILDING PERMIT
OWN R
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
t?
OW ER'S MAILINPJJADORss
.s X��J_� pv:��'L.
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee M,,:5L,,_,
,$ I S -0—v
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
t
Permit fee
$ 94U V v
PLUMBING PERMIT
Filing Fee 10.00
)-ire ai1"Cl`e.
Each Trap
/0 2.00 Zq o -o
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00 50--o
Each pas water heater or vent
5.00
,�,� USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 5-o-0
Mobile Home I S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: t9o,".dk fi e_ t"i 0 %t S � � e�
I,L,V r21-
Permit Fee
r
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR LESS
10.00 0 . D-0
Main service EA. ADD'L 100 AMP
2.50 ,SO
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.OI
OR ADDNS. ACC. SLOGS.
, hQsq ft c
NEW CONSTR.I.OUTLET
NON.RESID BRANCH CIRC TS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20050t
L@300
FIXED
Ex. Occup. OUTLETS PIRESIO.ILNS REA.T
.t
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 0-0
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notce 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 1,,QjA
0.0 6 ,0-0
Cooling %
6 0-0
Hood
3.00
Ventilation
Permit Fee
$ as•6�D
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, in mnify and keep harmless the County of Butte against
all liabilities, judgmen , osts, and expenses which may in any way accrue
against said Cc ty in c s quence f he granting of thl p rmit
X I' Dat —
Sig ure of Applicant — Owner ❑ Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" d� nd d olition or construct-
ion of structures over 3 stories in height. c�
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
oCCUP.
C0NST.TYP'ZJ
SCHOOL FLOOD PARCEL
PD Ho
S9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IREC PUBL
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees ave been paid.
RKS
a e
Receipt No. ®
WHITE-D.P.W.. YELLOW-AsSCSSOR, PINK -INSPECTOR O -AP
COUNTY OF BUTTE - D-FAR.TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
1 1
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
6G'-2,a
TELEPHONE
SQ. FT. OCC. BUILDING VACU-ATZ/-
OWNER'S MAI LrNV ADD 5S
CONTRA OR S NAM TELEPHONE
CONTR C R' MA G A OR SS
r
Fireplace
Mao,
CONSTRU T ON L DE
UNKNOWN
Total Valuation $
U
Filing Fee
$ 10.00
LENDER'S MAILING RE S
Ad
Permit Fee
$ d
ARCHITECT OR EN EER
1-=1
Plan Checking Fee
$
Penalty
$
ARCHITECT OR N 5 M I NG ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
v ,� , ( _ �� ��� _
O /�V
Each Trap
2.00
Repair drainage or vent pi -ping
5.00
Water piping
LOT NO. SUB vi N NAME
C_ C
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFVDuplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
C!i
Lawn sprinkler system
5.00
Y
TYPE OF WORK
Newel,
ew Addition ❑ Remodel ❑ Uti I•ties ❑ I stal lation ❑ Other ❑
Describe work:
Permit Kee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS•00
^�
Main service EA. ADD•L too AMP
2.50 ,
NEW CONST. DWELL CuP. III
OR ADD NS. (ACC. I
Q ft
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 an my license is in full force and effect.FIX
License No Classification /J
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR 1. u LET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTPOWER APPARATUS
NON- R RESID. (SINGLE OUTLET CIR,e
50@25C
Ex. OCCUp OUTLETS OR FIXTURES BALLmi
ALISIS
Ex. Occup -(OUTLETS P(RESID )OR EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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 Od
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, gments, costs, and expenses which may in any way accrue
against said my in conse ence of the granting of this permit
X ,-� /Date
S nater Appli t - wner Contractor L`J Agent ❑
An O A ermit is r red for excavations over 5'0" deep and demolition or construct-
ion of s uctures over stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
t7_3
f�
I TYPE 0 CONST.
'�,�
I V
PARC7L
t/
Pa
yD
ISS
-This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR T=Date
By
PERMIT EXPIRES Date ��—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
G A
z
�/�
Receipt No.��'l lQ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1 '
DESCRIPTION:
Alk that certain lot, piece or parcel of land situated, located and lying
in the County of Butte, State of California as shown on that certain plat
entitled "RECORD OF SURVEY, A PORTION OF N.W. 1/4 SEC. 18, T19N9 R5E, M.D.M.
BUTTE COUNTY CALIF. FOR Pu U BRADLEY" Prepared by Geddis Driscoll and
Associates, Engineering Surveying Planning, Oroville, California, dated
November, 1980 and recorded January 28, 1981 in Book 78 of Maps, at page 44,
Butte County official records, and more particularly described as follows:
COMMENCING at a point on the South line of the Northwest quarter of said
Section 18, said South line being also the North line of the Oroville-
Wyandotte Fruit Lands, Unit No. 5, recorded July 20, 1928 in Book 8 Gf 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 -z
point of commencement, North 860 39' 06" West, along said subdivision line
and Westerly prolongation thereof, 327.83 feet to the Southwesterly line of
the Highway 80 feet in width and being the true point of beginning; thence
leaving the 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 170 32' 49" East 362.70 feet to a point; thence along the arc of'a curve
to the right whose radius is 4,040 feet through a central angle of 08" 34'
10" a distance of 592.28 feet to a Doint: thence continuing along the South-
westerly line of said Kelly Ridge.Road South 080 58' 39" East, a distance of 489.29
feet to a point; thence continuing along said Southwesterly line of Kelly
Ridge Road along the 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.
et•m to DPW
NOT COAkPARED Q
" P' ^rrIIAGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT OFFICIAL
Section 26-8:i of the Butte County Code requires this acknowledgemertiF(%OiiDS R£`i;r: ::.
be recorded prior to issuance of a building permit. OCT �8
9 17 A.1-; JQR,
The property described herein is adjacent to land or included
within an area zoned for agricultural',purposes, and residents of LEANO[i
this property may be subject to inconveniences or discomfort arising RK�C080EA
from the use of agricultural chemicals, including, but not limited to herbicides,FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations includingg
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,land
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 )
PROPERTY OWNERS:
on tnis tae day of
before me, the undersigned Notary
appeared
1 19
Public, personally
I
STATE OF CALIF?Nr )ss
COUNTY OF llt tt3 )
o„ October 28, 1982 r
before me, the undersigned, a Notary Public in and for
said State, personally appeared DOUGLAS GEYER )6YdX
me (s)
o
acknowledged
E
a
personally know n to me (or proved to me on the
ie purposes
c
E
basis of satisfactory evidence) to be the persons who executed the within Instrument as
ii
President d,, on behalf of
DOUGLAS
Ind and official
98
GEYER COM RST UCTION INC.
the corporation therein named, and acknowledged to me that OFFICIAL
C
SIAL
such corporation executed the within instrument pursuant to its.—x�! ;, ANGELA D. HENDERSHOT
by-laws or a resolution of its board of directors. NOTARY PUBLIC • CALIFORNIA PRINCIPAL OFFICE IN
WITNESS my hand and official seat. BUTTE COUNTY
1 MY CONMlSSION EXPIRI: SEPT 1. 1996
Telephone
' . ,.. 533-2000
North Burbank Public Utility District,
.
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
'DISTRICT APPROVALAND 43-83
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:
Applicant Address:
DOUGLAS GEYER CONSTRUCTION, INC.
2330 Lincoln St., Suite #2, Oroville
Applicant Phone No.: 534-651.3
Property Location (s). 85 Ian -Lee Circle, Oroville
Heritage Estates Subdivision -Pad #2
A. P. No. (s):
72-01-13
Fees Paid: $250.00 N.B.P.U.D. Connection Fee and
SC -OR $900.00 -Regional Facility Charge due.
Application for service approved'.
North Burbank
Public Utility District
May 20, 1983
Inspections) made and successful test(s) observed:
Location: Date:
North Burbank Public Utility District release to close permit:
Date: By:
APPLICATION FOR SEWER CONNECTION AND SERVICE FROM NORTH BURBANK PUBLIC
' UTILITY DISTRICT- CONNECTION PERMIT
' hereinafter referred to as
"Applican , being We property owner or owner'a agent desiring sewer service, hereby
requests the North Burbank Public Utility District, hereinafter referred to as "Dis-
trict" to connect Applicant's sewage disposal line to the North Burbank Public Util-
ity District's Sanitary Sewer System and to provide sewerage.service.
Location of prop rty: ��A AaIZ_C� g2e� A. P. No.
Subdivision Lot Block
-0� In District '
❑ Out of District
Kind of Service
Residential
❑ Rental -B--Residence
❑ Duplex ❑ Apartment
❑ Industrial
❑ Commercial
Remarks
Number of E.D.0 s.
this permit
Multiplication fcto.r
,�Ciu�uc.
*Monthly charges ��
a
� /, a o
* Connection fee
_ey
* SC -OR Facility charges
Total amount payable
this permit
Service to be in accordance with the conditions hereinafter set forth and the
ordinances and rules and regulations adopted, or to be adopted, by the Board of
Directors of District, all of which applicant agrees to abide by and fully perform.
Applicant Agrees to pay for such service at rates and charges as established by the
District from time to time*
Connect i -'fees and ility charges may be refunded in case of inability &o -build.
ApplicantIng Address of.
Phone No z_ .2
Name of Owner if not Applicant
Mailing Address of Owner
Phone No.
CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE
1. The District, its officers or employees, shall not be liable for damages to
persons or property occasioned through the installation of any sewer connection, or
sewer service provided for by District.
2. In accepting this application District does not hold itself liable to the
Applicant for failure to perform any of the obligations imposed upon it or assumed
by it under .this application if such failure shall be caused .by accident, Act of God,
fire, strikes, riots, war, lack of capacity in SC -OR sewage disposal*plant or'Dis•e
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-of-wayP said work to be bonded.
6. Work under this permit is to be performed and approved within one year of
the date shown below. Renewal of permit after one year requires payment of any in-
crease in connection fees and/or SC-OR.Facility charges.
7. District verification form must be issued simultaineously with this permit.
u,9.ymerit on above application required
prior to final inspection. Payment NORTH--BURB PUBLIC UTILITY DISTRICT
received by cash 0 check [I
$ Date Cr .
By Date
Permit
* Payable in the amount current at time payment is made.