HomeMy WebLinkAbout079-190-043JACK BERINGER
10 Regent Loop, Oroville
Contr: All Seasons Htg & AC
Permit#k1951-81F,E,M(install dua
pack)SF
079-190-043 06-1055
NELSON, TODD
{ 10 REGENT LOOP, OROVILLE
Cont: OWNER .. _ \!
RE ROOF
t �
g�-043
Butte Ct U /y-lyU-U43 _. '+e r vv-iv✓� I aara
IN O T tz S � � count�l NELSON, TODD,
' d 10 REGENT LOOP, OROVILLE
Issol sa I Cont: OWNER
RE ROOF
KESTDENTIAL
APN: Permit No.
Owner.
Site Address:
A
. �
Contractor-
Type of Permit
t
b
f '
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. I.
1
i
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SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
,
DATE JOS FINALED- �r � ( t
SIGNATURE: GZILA 6&40
= OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FalUC/O-Concrete
' 4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat ❑ . or LPO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Dnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs
10 Drain; MH Test -Fall -Flex Cnnctr
' 11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
IS Cert of Occupancy
16 HUD LabeUlnsignia Numbers Serial Numbers
DATE D E C K S•C O V E R S'C A R P O R T S `GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils -Sz-0pthSpacing-CnnctrsSteeI
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills=Anchrs-Stu ds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance -GR
5 Elec Pool Lting; 15 volts-DF1
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Grndng; Eqp w15' CrcItng Eqp-Pool Ightg
Bokes-Encisrs-pnlboards-lnsultn 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
r s`
Pool Drawing
= OK
= Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Opth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth_
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
69 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 Girders-Sills-Anchr Bolts,) oists-Vnts-C ripples
15 Acc & Vntltn
161nsulation
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Ctiannel
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 Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/ExI Wall pnls
38 Ins ultn-Walls-Geitings
39 Infiltration -Walls -W ndws
s
DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clmc4ns Prtctn
41 Elec: Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 9 ❑ CU or DAL
AC Wire Sz ga ❑ CU or [:JAL
48 Range Circ ga ❑CU or (DAL
'Oven Circ ga ❑ CU or ❑AL
Insulated Neutral 0Yes ED No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrnrs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
ugit PLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Pctctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub-Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
0
DATE MECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtmfVent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
O d 0
DATE FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc.
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 Lottn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters Q Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn 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
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.
BP061055
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
��O
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
l
I VV
Issued Date: 05/08/2006 APN: 036 -
the Business and Professions Code, and my license is in full force and
effect.Site
License Class: License Number:
Address: 10 REGENT LOOP ORO
Map Index:
Date: Contractor:
Description: REROOF W/COMP (15)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: NELSON, TODD AND WILYNDA
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
54 PIONEER TRAIL
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
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
95966
violation of Section 7031.5 by any applicant for a permit subjects the
530-589-2534
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 anNELSON,
Applicant: TODD AND WILYNDA
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
55 PIONEER TRAIL
sale. If however, the building or improvements are sold within one
have the burden of
OROVILLE, CA
year of completion, the owner -builder will
proving that he or she did not build or improve for the purpose of
95966
sale.).
530-589-2534
❑ as owner of the property, am exclusively contracting with
::c
iensed 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:
❑ 1 am Exempt under Article 3 of the Business and Professi Code
Date: Owner:
WORKER OMPENSATION 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.
❑ ' 1 have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy u:
Total Square Ft: 0 S. F.
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARN G: Failure to secure workers' compensation coverage is
unlawful, d 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 hereby issu 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 ' dica above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
� • G
Name:
BY Dat
PERMIT EXPIRES O
Address:
Da
❑ 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 document of Butte C nty. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
,(
a0 IQ'Qr
Print Name: 17 Signature:
Date: 8
' Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR 114SPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE TWILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.nettdds
**PLEASE PRINT CLEARLY
OWNER INFORMATION
Last Namei l 6 LS 0
iV
ast Name
Address s T_ O N a'k_ 4L-
City!�
State C
Zip
Phone S ZS 3
Fax
E-mail
CONTRA OR
Name
Address
City
State 7i
Zip
Phone
Fax
E-mail
Lic. #
TEWS
APPLICANT INFORMATION
ARCHITECT/ENGINEER'
--Name- - - - -
--- - --- - - -- - -�-- - ---------- - ---------=- -- - -- -
Address
Zip
City
Fax
State
Zip
Phone
Page
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICA ML S GN RE
X
or office use onI .
API
Zoning
Flood Zone
SRA I Yes I No
0cc.
Policy Number
Type Const
Subdivision Name
Map"
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERAHT
ae. i� 5
BP
BIN #
PROJECT LOCATION
API
Property Address
Citl
o lav
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
if hiring anyone other than license contractoM a certificate of worker's
compensation must be shown at the time of permit Issuance.
LENDING AGENCY
Name
Address
Sq FT- Living G� c� Garage Open V Cov
Structure Built without Permits
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 after expiration, a new application, plans and fee will be
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 cbecked and other department costs are not
Receipt #
Date4o(,
Amount: / ` Bldg I I
SRA
Sheriff
SMIP
Other
�' Total
-\
SUBMITTAL & PERMIT REQUIREMENTS.
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK.
❑ 1. Site plans, 3 or 4 sets,.signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate.(if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans,
all in duplicate
❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and.wet-signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review
(May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
-- ❑-----4,-NPDES-Form-----
- - ------ --- -- --- - -- - --- - - ....-- .._._..---------- --- --- ---
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required). .
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew Action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on pen -nits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
K:IFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
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 [v] NO
2. I HAVE [--4 1 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.netldds
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"'-b`uilding
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,
Scott Rutherford Vion
Manager, Building Divi
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
;�k�i�.RECORDING
REQUESTED BY
Mid Valley Title & Escrow Company
AND WHEN RECORDED MAIL TO:
Todd R. Nelson and Wilynda S. Nelson
6't' P/ onece &- 4;%
Oroville, CA 95966
Recorded I REC FEE
Official Records I TAX 198.88
County of I
Butte I
Cffi= J. BRUBBS I
County Clerk-Recorderl
I
I BY
89:815111 2ii-Apr->M I Page 1 of 2
IIII III III � IIII I III III II II ILI I I ��
Above This line for Recorders Use only
A.P.N.: 036-58D-008-000 File No.: 0403-2315351(CB)
GRANT DEED
The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $196.00; QTY TRANSFER TAX $0.00;
SURVEY MONUMENT FEE $
X computed an the consideration or fun value of property conveyed, OR
computed on the consideration or full value less value of Bens and/or encumbrances remaining at time of sale,
X unincorporated area; [ ] City of, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michelle Mignon Bunstack, a
married woman as her sole and separate property
hereby GRANTS to Todd R. Nelson and Wilynda S. Nelson, husband and wife as joint tenants
the following described property in the Unincorporated Area of , County of Butte, State of California:
LOT 88, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -WYANDOTTE TERRACE UNIT NO. 2-,
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON MAY 4,1962, IN BOOK 27 OF MAPS, AT PAGE(S) 31 AND 32.
Dated:04/24/2006
Aq
Mic Ile Mignon Bunst
Mail
Mall Tax Statements To: SAME AS ABOVE
h
A.P.N.: 034-S80-008-000
STATE OF 01A )SS
COUNTY OF
Grant Deed - continued
File No.:0403-231SM
(CB)
Date: 04/24/2006
On Qv before me,
Notary Public, personally appearedMr r' K ft Ox S�'A personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(les) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal. CHARITY D. BERRY
Commission X1657898
' Notary Public - Calitomia
Signature County
My Comm �
Exp. AP .(a
14, 2010
My Commission is: 1 l This area for o>rdal notarial seal
Notary Name:, Notary Phone:
Notary Registration Number: County of Principal Place of Business:
Page 2 of 2
4
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�� Jack Beringer
10 Regent Loop, Oroville
All Seasons Htg &•AC
► �= - -- Permit#1951-81P,E,M (dual Pak)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, _Ialifori!ia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUiFdBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S. NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER" UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee .3:00
Each Trap
2.00
_
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[. Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service i$o AMP ORV OR LESS5.00
Main service EA, AOD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLOGS. OCCUP,&)
20sgft
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 CONSTR ULT% -OUTLET
NON -RE SIDBRANCH CIRCUIT 2.50 ea
NEW CONSTR. I POWER APPARATUS &
NON.R ESID. %SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 50@tea
BAL C0't0T
Ex. FIXED APPLES. OR
Occup.( DUTLETS (RES% D,) EA,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
r1i
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
Ventilation
2.00
--- - - - -
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.
1 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 G Contractor G Agent G
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
$
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
99DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No.
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
V COUNTY OF BUTTE - DEPARTN
G'ENT OF PUBLIC WORKS P RMIT NO.
7 County Center Drive - Oroville, A' fornix 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PA EL UMBER
�(�_nE[-BUILDING
ZONING
PERMIT
OWN
T-Ac - ek'101,0 0,f �
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAII�ING ADD ESS
l7� -e,•t ko no Oro tj I
CON A �OR' 9M��,
l
TMI-I 3/NE
ry�
V
CONTRACT'S MA LING ADDR
7 %r!1 SS /
CONSTRUCTION L D
UNKNOWN
Fireplace
Total Valuation
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS � / ,
Q��-7GN / Lade
PLUMBING PERMIT
Filing Fee 1600
Each Trap
1 2.00
Repair drainage or vent piping
2.00
o �VI ,&
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
C)
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: � S'TL �U�— P
Permit Fee
$ p
Contractor
ELECTRICAL PERMIT
Filing Fee MOO
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP,&�
20 sq 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 andmy 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 CONSTR. MULTI-CUTL
CIRCTITS)
2.50 ea
NEw CONSTR. ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@1
FIXED \
Ex. Occup.(OUTLETS PIRESID ILNS KEA./ 2.00 �d �
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee
$ .SC•
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ he permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W: C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such'
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee /¢)00
Heating ' M000 5-00
Cooling <<�_ 1-6 f.1 000s rz 5700
Hood
2.00
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 Countyof
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
againgid C ntyin consequence f the granting of this permit.
X Date ti � � �
Sign atut, 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.
Motiile'Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ ✓_ �(�
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
HO
ISSUE
This p it is hereby issued under the applicable provi-
sionthe Butte County Code and/or resolutions to do
wor i is ed above for which fees have been paid.
1 ECTOR OF PUBLIC WORKS
,� o
-� y�1 /x_ G%���0' -
PERMIT EXPIRES Date r /��/D(� Z
Receipt No.��O��
WHITE-D.P.W., YELLOW -ASSESSOR,, PINK�INSPECTOR. GOLDEN ROD-APPL I CANT GOLDEN ROD -APPLICANT
-AN