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HomeMy WebLinkAbout078-210-012B07-2350 078-210-012 MISCELLANEOUS Re -Roc REROOF 24 SQ COMP 5341 FARLEY ST PHILLIP AND LEONA HENRY OL) �>.e-),';�, a DODGE, William 552-66B 5341 Farley St., Or ille (add patio cover) > -i5— 7 III 1 � � Q � � \ �--�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5341 FARLEY ST Owner: Permit NO: B07-2350 APN: 078-210-012 PHILLIP AND LEONA HENRY Issued Date: 11/19/2007 By GLB Permit type: MISCELLANEOUS 5278 MARGO LANE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 11/18/2008 Description: REROOF 24 SQ COMP (530) 534-9380 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: PHILLIP AND LEONA HENR% Building Garage RemdUAddn 5278 MARGO LANE OROVILLE, CA 95966 Other Porch/Patio Total (530)534-9380 FEE INFORMATION DBMSC Re -Roofing $144.50 Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B5343 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit rs or one hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/19/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 11/19/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN) Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR 0Agent for Owner Elgent for Contractor ASSESSOR COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE 4:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5341 FARLEY ST Owner: Permit No: B07-2350 APN: 078-210-012 PHILLIP AND LEONA HENRY Issued Date: 11/19/2007 By GLB Permit type: MISCELLANEOUS 5278 MARGO LANE Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 11/18/2008 Description: REROOF 24 SQ COMP (530) 534-9380 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: PHILLIP AND LEONA HENR`. Building Garage RemdUAddn 5278 MARGO LANE OROVILLE, CA 95966 Other Porch/Patio Total (530)534-9380 FEE INFORMATION DBMSC Re -Roofing $144.50 Total Charged` $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B5343 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/19/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date �1, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. The Contractor's License Law dows not apply to an owner of the property who builds or' mproves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the perisil or one hundred dollars ($100) or ess. MI AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 11/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/19/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ter the above mentioned operty for inspection purposes. I hereby certify that I am the Property er or am author' t on the property owner's behalf. 11/19/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner 1:1 Contractor OR: Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip rA BUTTE COUNTY DEPARTMENT OF DEVELOPMENT *SERVICES BUILDING PERMIT APPLICATION OFFICE M (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT IGNATURE X F --� ." 6 - 2,4c) PERMIT NO. BIN # PROJECT LOCATION AP# in -7 l d -o l 7 - City r \ e 0A, F5z;76 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 V p S Sq FT -Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \ For office use only: OWNER INFORMATION LagLa t ame r Type Const. Fi Na m , , Mailing Addre s 9-29 CityOcoj .11e_ Zip State. Zip Phone�3 _ �O Fax E-mailAIAr b S Ya'1 ` +�lt✓'.� APPLICANT IGNATURE X F --� ." 6 - 2,4c) PERMIT NO. BIN # PROJECT LOCATION AP# in -7 l d -o l 7 - City r \ e 0A, F5z;76 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 V p S Sq FT -Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \ For office use only: CONTRACTOR Name Type Const. Address (� e City to Zip Phone Fax E-mail Fax Lic. # Phone --34 0 Class APPLICANT IGNATURE X F --� ." 6 - 2,4c) PERMIT NO. BIN # PROJECT LOCATION AP# in -7 l d -o l 7 - City r \ e 0A, F5z;76 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 V p S Sq FT -Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \ For office use only: ARCHITECT/ENGINEER Name Type Const. Address (� e City 52�whxr State Zip Phone ( Fax E-mail Phone --34 0 State License Number APPLICANT IGNATURE X F --� ." 6 - 2,4c) PERMIT NO. BIN # PROJECT LOCATION AP# in -7 l d -o l 7 - City r \ e 0A, F5z;76 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 V p S Sq FT -Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \ For office use only: APPLICANT INFORMATION Name Type Const. (� e Address 52�whxr b � City ( State Zip Phone --34 0 Fax E-mail C c viol APPLICANT IGNATURE X F --� ." 6 - 2,4c) PERMIT NO. BIN # PROJECT LOCATION AP# in -7 l d -o l 7 - City r \ e 0A, F5z;76 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 2 V p S Sq FT -Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \ For office use only: Zoning FloodZone SRAYes No Occ. Type Const. ' 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 Reroof, Siding, Retro -fit Windows, Mechanical, Plumbing and Electrical Permits Drop & Go To utilize the drop and go you must submit the following: ❑ Completed building permit application ❑ One check for each permit. NO CASH!!! Fee Schedule: REROOFS 1k Re -roofing All types up to 20 squares $116.00 + $28.50 for each additional 5 squares SIDING & WINDOWS ❑ Siding all types up to 400 square feet $116.00 + $28.50 for each additional 400 square feet ❑ Replacement windows NON-STRUCTURAL per 5 $116.00 MECHANICAL ❑ Residential: a/c units, furnaces, wall heaters, heat pumps, package units, duct work only, evaporative coolers, vent fans (single duct) per each unit $58.00 PLUMBING ❑ Gas System (first outlet) $58.00 + $9.15 for each additional outlet ❑ Building Sewer $58.00 ❑ Water Heater per each $58.00 ❑ Water pipe new/repair $58.00 ❑ Drain -Vent Repair/Alterations $58.00 ❑ Backflow Preventer (first 5) $58.00 + $9.15 for each additional ELECTRICAL ❑ Single Phase Service/ Retag — Residential $58.00 ❑ Temporary Service (each) $58.00 ❑ Temporary Pole (each) $58.00 ❑ Miscellaneous Residential Wiring $58.00 If a fee is not listed above for the type of project you are proposing, you will need to sign in at the counter and wait for the next available Permit Technician to assist you. Applicant will be contacted after processing to sign the building permit. *All writing must be legible* *All items must be placed in a "Drop & Go" envelope and placed in the Development Service Drop Bog* The Department of Development Services is not responsible for items that may be lost or stolen from this box. Revised 5.23.07 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) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ° 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. ° 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' 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 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 thier own employees, without a license 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 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. 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 UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PI�PcI440 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT._(( YES R NO) 2. I(A�AVE 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: REROOF 24 SQ COMP Reference Number: B07-2350 Applicant Name: PHILLIP AND LEONA HENRY Owner's Name: PHILLIP AND L NA HENR AP # : 078-210-01)2 Signature of Property Owner: DateC��/ - /% LOT BLOCK TYPE OF I PERMIT NO. I PLAN NO PERMIT A.P. - taN;@F'-2 r LANNY PIXLER 0JL 24 Las Plumas Way, Oroville PIXL R, Lanny 380-69B 347-69B ermtfr 984-74B,E (enlarge living _� 358-69P* rm. & add den & storage) --- _382-69E* i /�/ CO2 24 Las Plumas Way, Oroville sueDly CONTR: O.W. Clinkingbeard, 2195 Ithica St. R RUSSELL TAYLOR '1 24 Las Plumas Wa Oroville (foundation only for addition),�...QJ 5-/S Way, (*corvert bedroom to bath and add bedroom DATE permit#856-85B(remodel/SF) i .permi0893- F,M(convgarage to liv) Per * 85-8-88B(lst renewal/893-87) 3 3341-90P TAYLOR, Russell 24 Las Plumas Way, Oroville (sewer piping/sf) 1 92-1409B,P,M TAYLOR, Russell 24 Las Plumas Way, Oroville- cooler & reroof/sf-9� s' PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT D—DEMOLITION 600.1 IQ 1VNId SM313 W 930NVIlddV V S3Mf11Xld NI•HDf10M 31VO 'DIS 31VO 'DIS 31VO D13 31VO 9I3 31VO DIS SM39Wf1N llWM3d 1VNId S1N3A 9 S3ONVI'IdfdV 3NI I M3M3S ONldld M31VM 1531 3MI1SS3Md SV9 NI-NJf10M 31VO DIS 31VO 'DIS 31VO ''VIS 31VO DIS 31VO ''DIS im38W(1N 11WM3d w'/ rr n tjm t ibr �iwr 7Ta1 /7r7 -r S'IVAOIddV DAW7I39 x210330 NOI.L33dSNI r 31VO 'DIS 31V0 '91S 31VO ''JIS 31VO 'DIS 3J�VO 'DIS 31VO 'DIS 31VO 'DIS 31VO 'RDIS 31VQ 'JIS 31VO D13 31VO 'DIS 31VO r2� m m �> rm rZ n� 7Cm �i 1z I AA Z 5 _ i� �� �n xI -Dim =A -1 �� =A D 3 0 -Nim m0 Imn 0 20!01 O�>I F) "Z Z Cm. 3z Ai S'IVAOIddV DAW7I39 x210330 NOI.L33dSNI r „ytr..,wY►�•'�-+d.�04�'��'°.^:@.�d,tfYl'i`�.,�4i�Fv�•'rjNlRyz ”`-`�', COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERI ,NO 7 County Center Drive - Oroviller California 95 65 - Telephone: 916/538-7541 ! ZT PERI APPLICATION AND F&RMIT 7 ASSESSOR PARCEL NUMBER ZONING g 1 " BUILDING PERMIT OWNER FADDRESS TAMF TELEPHONE76C(XIP 533-9583X15)VW SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING OROVILLE60 l/ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 1.560 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ry� % P11 tWAY l n R F, Permit fee $ 46,50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF[J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: M EVAP COOLER A14D REROOF _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A To 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �• 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 OR ADDNS. ( MACC. BLDGS. 1 3.54sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7661�AL 46 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating EVAP 10.00 Cooling g Hood 6.50 Ventilation Penult 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_�jjabilities, judgments, costs, and expenses which may in any way accrue again-st said County in cpnsequenc f the granting of this permit. q X t/x ' Date ` (- 1 2► Signature of Applicant — Owne + 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 FEES 71.50 HAz I DFEES I IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- j sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. N 6IRECTOR'OF PUBLIC WORKS BY , k i fii' r �/ Date . PERMIT EXPIRES Date '1 ^ -13 115765 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE`- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -Or, iille. California 95965 - Telephone: 916/538-7541 APP :'CATION AND PERMIT 9 RM0. No Yq, /, ASSESSOR PARCEL N -UMBER Y -36-55-12 ZONING BUILDING PERMIT V OWNER RUSSELL TAYLOR TELEPHONE 533-9583 SQ. FT. OCC. BUILDING VALUATION 26 S COMP 1 560 OWNER'S MAILING ADDRESS 24 TAS PLUMAS WAY OROVILLE CONTRACTOR'SNAME OWNRR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,560 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee -41.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 46.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: NEW EVAP COOLER AND REROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 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.N OR ACDNS. ACC. BLDGS. _37.50 3.64sq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20 76 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID,)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject /50 / to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating EVAP 10.00 Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ins said County in caonsequenmof the granting of this permit. XII `x ,� Date -S— I •— 9 12 Signature of Applicant — Owner` Contractor ❑ Agent ❑ '01work 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 S Ener Inspection -Fee Energy S occ CONST TYPE TOTAL FEE $ 71.50 HAz DFEES I IMP I FLOOD I COF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or in_dicat a ove for w ich fees ' IR TO OF P�BLIC By PERMIT EXPIR Date (� applicable provi- resolutions to do have been paid. WORKS i �Date0_/__qZ , f � Receipt No. 115765 !KNIT[-D.P.W., YELLOW-A58[9sOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov.11er California 95965 - Telephone: 916.'538-7541 APPL(rATION AND PERMIT ASSESSOR PARCEL NUMBER -3 (0 - SS- %Z 2"ONING BUILDING PERMIT OWNER �5 e 1U� TELEPHONE 533- S93 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDg,. SS �� f �V M 5 0/00 CONTRACT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5 b LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ cj ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ , SO PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G W 61s.651 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In"stallation[ Other Describe work: A16 -W 6:7114P tf0 016[2 /+/ J0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 LJ 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 Main service 200A TO 1000AI 37.550 NEW CONST. ( DWELLING OCCUPM OR ADDN5. AGC. B 3.64 sq.ft. NEW CONSTR- RANCHUTLET OU NO BRANCH CIRC 'ITS ^ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES A L. 764 P Ex. Occup. OUTLFIXED TS (RESID )REA.) I 3.00 l Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 The permit is for $100.00 (valuation) or less. F -1I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ 10 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES �- HAz I DFEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. f57 �� NNITE•D. P.W„ YELLOW-A55[390R, PINK -INSPECTOR. GOLOENROD•APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Cent^ r Drive, Orovi.Ile, CA 95965 Phone: 916-538-7541 L•� 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 materials for construction of the proposed property improvement (yes or no) e S 2. I (have/have not 01Wt- - signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to -provide portions of this work, but -I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date `% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the California Health and Safety -Code. _ - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. f .� �. � .. ! . f r �� � t �, • � ., .. . � � M1 1 ' �� ' 4 . e t { f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATIONiNg PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-55-12 ZONING + a BUILDING PERMIT OWNER RUSSELL TAYLOR TELEPHONE t SO FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 24 Las Plunias Way, Oroville. GA 9SQ66 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO�TNSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 24 Las Plumas WA.V 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 f Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities O� Installation❑ { Other [J Describe work: _ Sewer Piping _ f MIN Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification 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 GOCCUP.&\ oR ADDNST ( DWELLING S. / 2yz2sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRITS 2,50 ea POWER APPARAC TUS &\ (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES eLo 2AL@30 FIXED EX. Occup. OUTLETS P(RESI 0.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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.. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply, to all County Ordinances and State Laws relating to building construction, and'hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 ia granting of this permit. X �C �sl�. :�� 1n� Date ( IZ�{ I �l(� t��--t--�� 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 i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HAz CUA PARK SCHL ELD PAR PD HD IssuE This permit is nereby issued under sions of Atte Butte County Code and/or work A6dic'4ted above for which fees DIRE F PUBLIC By EXPIRES Date the applicable provi- resolutions to do habeen paid. �i O S t 9/24/90 Receipt No.9/24/91 WHITE-D.P.W.. YELLOW-ASSESS0 , PINK -INSPECTOR, GOLDENROD -APPLICANT X, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 0404, Clalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �Z3, �� ASSESSOR PARCEL NUMBER 36-55-12 ZONING BUILDING PERMIT OWNER R1J9';FT.L TAYLOR TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS l CONTRACTOR'SNAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnne UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition Remodel[] Utilities® Installation❑ Other ❑ Describe work: Sewer Piping _ MIN Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ElMobileo 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 ACDNS. ( ACC. BLDGS. I 2/4sgft NEW CONSTR. ULT' -OUTLET NO..RES,. BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@30¢ aAL@30 \\ Ex. Occup. ou LETS ED ( R RESID )EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. H 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. 61 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 again id County in consequence of granting of this permit. %� Date Q Z q Signature of Applicant — Owner �] ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ip height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL AL E FEE HA2 CUA PARK PAR PD I HO I ISSUE This permit is nereby issued under sions of a Butte County Code and/or work ndic ted above for hich fees DIRE PUBLIC Y9/24/90 EXPIRES Date.. the applicable provi- res tions to do ha been paid. S 9/24/91 Receipt No. WHITE-D.P.W.. •EL LOW -ASSES 90 . PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE OR PARCEL NU MBE D" ZONING BUILDING PERMIT , c4 TELEPHONE - SO. FT. OCC. BUILDING VALUATION OW R'S MAI ING ADD CON TEL PHONE w V - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR CTI0 LENDER VII I C - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITE, T OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ . PLUMBING PERMIT Filing Fee 10.00 oEach y/0V Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF14 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 d Mobile Home S I G I W 10.00e TYPE OF -WORK New Addition❑model❑ Utilitie ' Installation❑ Other Describe work: 'DF W 1 V7 t7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 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 ❑FIXED 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 Main service EA. AOD'L tOO AMP 2.50 NEW CONST. DWELLING OCCUP.p OR ADDNS. ( ACC. BLDGS. ) /:¢sgIt T NEW NON-RESICONSTR MULTI-OUTLCETS D BRANCH CIRI 2 .50 ea (POWER APPARATUS h) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES20 PSOC e ALO 30 APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Signature of Applicant — Owner❑ Contractor ❑ Agent -0 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 $ cc FEE $ D I FLD I PAR Po HD IssuE Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-AS3E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ONTNER-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 materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 4kj G- signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name W 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 I Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following parsons to provide the work indicated:l Name Address . �Mr Phone Type of Work Signed: ? �_ Property Owner Social Security Number Date _I�o A NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ..1 PERMIT NO. 984-74B,E P E M r INH UTIL. (PERMIT NO. ;1 PERMIT EXPIRES _/ — /CR— i OWNER Lanny Pixler 6ONTR. LOCATION ,(A.P. Owner 36-55-12 24 Las Plumas Way, Oroville N �i u Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB — FINALED 6, �5 (Date) ra�� (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDIN9, BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footing Windows — / 3rd Floor StemwaIi Siding To out Slab Roof Sheathing — / — % Water Piping Piers Roofing Sewer Garage Fdn. Vents — Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final 'ACZ3 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing / — �% Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final n "-12& DATE REMARKS OR CORRECTIONS 0010Z�1; C/ COUNTY OF BUTTE ; .aEPARTMENT OF - PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 r7 % Telephone: 534-4541 !Jy L7[ APPLICATION AND PERMIT authorize representative ty of Butte to enter upon the above -m tioned prop y for inspectin p poses. I Date �' ` Signa reof P m tee or Agent /' Receipt No. � _746 1, _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions 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 / Building permit expires Date....',%��7..".............. BUILDING Owner a 14 14 SQ. FT. OCC. BUILDING VALUATION I Mailing Address vv J phone Tele1;,41? Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address 71 V PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 f �� A. P. No. 6 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W o FIreDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 i g. la Recd a Plans Approval Permit Fee $ $ NEW ADDITIONK UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 P Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Lig fixtures d10 _I Rec ps., sw es & fi tlets o�z5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner s to become subject to the Workmen's Compensation Laws of kCaornia. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representative ty of Butte to enter upon the above -m tioned prop y for inspectin p poses. I Date �' ` Signa reof P m tee or Agent /' Receipt No. � _746 1, _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions 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 / Building permit expires Date....',%��7..".............. Permit#856-85B Russell Taylor 24 Las Plumas Jay, Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. _,Z. � r .1Y�0 — ,� .✓ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 5,`7SR3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, ko , 1_�VJo+, CONTRACTOR'S NAME r C -i rrN;r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0%, Sn Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /tv,Q-1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Al.A Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ a0, BUILDING ADDRESS n/ %� S u.rtA ltia.,, t,` PLUMBING PERMIT Filin Fee 10.00 g Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 91 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 , Mobile Home S G W 0.00 e t t TYPE OF WORK New Addition❑ Remodel0 Utilities❑ Installation❑ Other E:1 Describe work: (,,j e- e-4r-),ir !nl NoN "_-. Air'. .Aj1 r(r. t1 1 ila rJ e1CI �r LLQ rte C C. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 \ Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. t - 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElI 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 MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTPOWER APPARATUS & / NON- RRESID. (SINGLE OUTLET CIR. Ex 20@sOQ . Occup(o OR FIXTURES BAL@30Q I FXED PPLNS. OR IXED A EX. Occup. UTLETS (RESID,) EA.) 1 2.00 O Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 15.00 / Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare underenalt of : P Y perjury 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. a 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 3.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I �' X f �� ��-F—Q I ��- —� Date 3 - I Signature of Applicant — Owne�E 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is herebyissued under sions of the Butte Cunty Code and/or work indicated above for which DIRECTOR OF PUBLIC --" ;, J_,'7 Y + ��` `% PERMIT EXP IRES Date thea applicable rovi- resolutions to do fees have been paid. WORKS Date 3 2 i r. Receipt No. .3 7 - *R © 3 WHITE-D.P.W.. YELLOW-ASSe SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Gali-fornit 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ECRM I T NO ASSESSOR PARCEL NUMBER ._, ZONING BUILDING PERMIT OWNER r-- RV551r_-�a t'u� TELEPHONE 533- Xse RZ SQ. FT. OCC.1 BUILDING VALUA ON OWNER'S MAILING ADDRES •� W i� CONTRAC1OR'5NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ SO . 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ GYM ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 20,00 BUILDING ADDRESS a,lam&s wc, PLUMBING PERMIT Filing Filin Fee 10.00 Fee Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFIK Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New Addition [I Remodel Utilities❑ Installation❑ Other ❑ Describe work: ___Mov«d00-e IM I►tor>J (o�u�t%ya W� 1 ' �eTU QPln/ QOL/`0.Q �SldPjyC••Q, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2 0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea &` NEW -CONSTR POWER APPARATUS . / RESID. SINGLE OUTLET CIR Ex. Occu 20®g°a p�OUTLETS OR FIXTURES eAL0300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again id County in conse uence of the granting of this permit. X-3_2+_$� 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 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 20,00 OCCUP. GROUP I TYPE of CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above 'for which F PUBLIC By^( PERMIT EXPIRES D4 J `� the applicable provi- resolutions to do fees have been paid. WORKS Date - Z6 �3lstories Receipt No. 70 - all 3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E i JOB FINALED (Date) Signatu 893-87B,E,M PERMIT NO. PERMIT EXPIRES -3,3 - OWNER RUSSELL D. TAYLOR CONTR. 0W111 -?r ASSESSOR PARCEL 35-55-12 24 Las Plumas Way, Oroville LOCATION i o v Y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E i JOB FINALED (Date) Signatu COUNTY OF BUTTE ;{ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89.1-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE S�-0 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7) /T _ ,-// --,i _ l/ X "? /_ _ .1// . - _ 0 t(/ ' Inspector —��' Date —// - pp ENERGY INSTALLATION CERTIFICATE 'Building Owner 90 ->SF Lt- I AVLQ2 Building Permit # Building Location 4 L�� PLJI-�tAS L,1pe'1 O[Zayt_`a..LCA . Ck5 ` 4 - DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material cif Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name 6W&'x'-- Thermal Resistance(R Value)N Brand Name HAIJ'AL..l_ S Thermal Resistance(R Value)L� Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con - for with requirements of Chapter 2-53 of State of California Energy RequirementE. D . '(� L0 SL„ FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. �tl -89 SIGNATURE OF INST.ALLATIO PLICATOR DATE I hereby certify the required features, devices, and equipment, a5 Building Department plans and attachments have been installed and ance standards and Chapter 2-53 of the State of California Energy t2Jssc — -'�D• a141D%- BUILDING CONTRACTOR/OWNER Please Print) (FIM -1 NAME) 2- -tv' .c e_ © .QX1 SIGNATURE OF BUILDING CONTRACTO OWNER P.0 ssE&4- Z. ( wajocz - HVAC FIRM NAN OWNER Please Print) shown on the approved conform to the appli- ,equirements. STATE CONTRACTOR'S LICENSE NO. -4-11-8c� DATE STATE CONTRACTOR'S LICENSE NO. LAAAIX� SIGNATURE OF HVAC CONTRACTOWN R 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. SEPTEMBER 1988 V = OK . - 0 - Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'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 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date • Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = nlof Ready tApplicable = ISoRESIDENTIAL (Single and Duplex) , Date AUNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) _t. Zoning requirements -Setbacks -Easements 4 & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. - e droom-Rise-Run-Landing-Fire Protection --- 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ 00 on oo verhang-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. r 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing-Aee_a-6Ias lProtection-Skylights-Plastic 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test _ 55. hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test-Anchors-Regulator=Service Test 11. 12. Elec 'c: Underground en_um_s & Ducts; Clearance -Material -Support -Ins. 3. V_ Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date ; Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date��� Card -BI Date ' Date _ FINjL-jPlans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except H's F xt: Steps -Door & Sidelight Protection -Landings Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub_& Shower, 2nd Floor -Tub Access Gas Pipe Size & AnchorsSr.- Date _ _Card -BI Date Date - Card -BI Date Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection . Bedroom Exiting I' & Bath Fixtures & Tub Access �FJec': Trim & Subpanel; Breaker Sizes -Labels Stairs -& Rails X69 r1? lace or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int. & Ext. �- tt�Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's ge Fire Door; Swing -Landing -Closer 68. C. Duct i Gara -Damper Gard B -I Card B -I 20. Fixture &Transformer Clearance -Ins. Protection �2�1. Elec. Receptacles Spacing -Lights &Switches at Doors ✓« Size Boxes & No. of Conductors -Stapled 2 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & WaterOudid 25. ante ircui s i hen &Conductor Sizen. 26.tze _ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. u or AI -Oven 6irc. / / ga. Cu or AI, Insulated Neutral Yes No - - 28.- er on uctors & Ground -Main Disconnect -- - --- - - 29. nces: Panels-Motors-Mech. Equip. 30. Clveh oesCTei Light -Shower Light _ ---------- ��Di DatA !% Card -Bi Date Date Card -BI Date Wtr. Htr.;learance-C Connecto - In Garage; ove Floor-Mec tion Plb., Elec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.L)-Romex Protec. Insulation -Foam -Looked in Attic C] Yes --Rails &Deck Construction -Post Caps Vents & Crawl yole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following inDrive [Yes E] No: Walks E -717 -E -717-[I No; Planters Yes [J -No Planters❑Ye - co; Brown -Finish lJnit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. �aiBr.weil; Disconnect, Electrical, Plumbing eT0. E for Elec. Trim; G.F.I. Receptacle -Underground TTilation throughout House a ss Protection Date MECHANICAL (Permit) OK except N's 83 lfctions from Previous Inspections . _ G -t3st-Meters Tagged; Gas -Electric Cara -BI Caid-131 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ - _ _ Vent Fan. Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ Attic Access & Platform if Furnace in Attic _ Date Card -BI Date _ Date Card -BI Date 8 ater &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates -- -� -- - Card-BIDate r - and -BI Date d- - Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com lents at Final: 'Ils, Prooer Material & Anchors _ 7. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38.43-,��ver Girders & Floor Nailing 39. Owl, glop -., rni woof) -- 4 fed-eeiT_n9shairs_-Chases-Tub - -, 41 - - & Bearing 4 42. F angers--P5'T daps -Anchors -Conned ors 43.e�ST-�iTfr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnq. 44. A Flue -Fireplace Throat 9--45-. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. 1310- WiRii'"•" atexiting Doors -Sill Hgt. & Dimensions 47. e-Fn�tectton Framing .--- -- - . - - - - - - _ - 4 - ­ -.- (NOTE Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND *PERMIT (?;,PrRM;'N0 . ASSESSO =ARCEL N=M E$ O)` ZONINP BUILDING PERMIT OWN vS TELEPHE SO. FT. OCC. BUILDING VALUATION OWN EIR 'S MAI LI G AD DR 1,01 Ll C NT ACTOR'S NAME TEL PHONE CONR TO 'S MAILING ADDRESS Fireplace CONS R CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 L NDER'S MAILING ADDRESS Permit Fee $ ARCH)TgECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS kos Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 Solar or heat pump wa heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas wat9Aeater or vent 5.00 USE OF STRUCTURE SF% Duplex❑ Mobilehome❑ Other ECI FY Gas pipin ystem 1 - 5 outlets 5.00 Buildipefsewer 5.00 Mo ' e Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ ilities ❑ Installation❑ Other Describe work: ncc✓�� �© 1 FC 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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) ❑ ossa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNSCONST. DWELLINGCCUP GS . yz03gft NEW CONSTR U TI.OUTLET 2,50 ea NON* BRANCH CIRC ITS (POWER APPARATUS el SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20®50Q e AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 E IT 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, judgments, costs, and expenses which may in any way accrue against sal my in consequence of th ranting of this permit. X { jQ: Date Signature of Applicant — Owner 0. C actor ❑ 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 $ Q,o% TOTAL PERMIT FEE $ occuP. CONST.TYPE I FLO D AR D ND s u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By / PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datel— Z ./r y Receipt No. WHITE-D.P.W.. YELLOW-ASBCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIeWORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFQRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Y OWNER Proposed Building Use Permit No. / % ✓ A. P�� . No. S s Building Inspector Date c- 1� At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in upl` icatellriplicate, signed by preparer�lans. 3 - 14 4. Complete engineered plans and calcs, with wet signature on plans. i 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of 49-3-0 fr Non -Heated and AC Buildings. Fees of $ , , , , . , , . Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner El, Mail to owner ❑•), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, e;,�11e ,nsoeat— (Date) 18. 19. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the perjii pr gess as follows: Mail to wrier, Mail to contractor. Telephone StJJ 7) -Cl -eland hold for pickup at ��#" ffice, Deliver w/inspector. Other Applicant `✓LIn to Copy of plans sent Health Dept., Fire Dept.,. Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by_ date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder - Hours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Departme6t of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 materials for construction of the proposed property improvement (yes or no) V;'�, . 2. I (have/have not) J!fd)s signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date --s NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A"'(Additions) Owner Ru ss c t -L- yL O _ Climate Zone Permit # Floor Area.' 3 346 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing"non-conditioned space that is converted to conditioned space., Remodeling of existing conditioned space is not included. ZONE 11 %ONE 16 APPLIES TO NEW AREA It CEILING R-30 AR9 WALL R-11 FLOOR R-11 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.6 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) It DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT I& MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING 45 SE40W V NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr - s (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr ' (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) 13Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) or other approved methods, section 2-5352(g), and fill out the , following: Heating: Winter design temperature °, elevation ', heating load BTU 7 elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.,S.E. chart'or other approved system (form 465) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OCT PLICART J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT 0/ 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICATION AWPERMIT ASSES OR PARCEL NUMBER 36-55-12 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION RUSSELL D. TAYLOR OWNER'S MAILING ADDRESS 24 Las Plumas woroVille CONTRACTOR'SNAME TELEPHONE 1st renewal ermit OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is NONE Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 FEE $ 22.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ NONE "Energy Plan Checking Fee $ ARCHIEnergyOR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 32.25 24 LAS PLUMAS WAY PLUMBING PERMIT Filing Fee 10.00 Each Trap J 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SF•t_1 Duplex❑ Mobilehome❑ Other Cony. garage to living_ Building sewer ff0_00ea sP C, Mob le Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Contractor 1st renewal of permit #893-87 ELECTRICAL PERM9-i Filing Fee 10.00 Main service 600V OR LESS10.00 100 AMP OR LE Main service EA. AOD'L 100 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCC y2¢sgft 1 declare under penalty of perjury (Check One): OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRCI (POWER APPARAand Professions Code and my license is in full force and effect. SINGLE OUTLET IR.I License No. Classification -Ex. OCCUp�OUTLETS OR FIXTURES 509300 eAL930 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 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 Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code ; for thilyeason Permit Fee $ ' Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p natty of perjury (check one): i MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling 1 shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject penult Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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. TOTAL PERMIT FEE $ j2.25 1 also agree to save, indemnify and keep harmless the County of Butte against Occu P. CON3T.TYPC SCHOOL FU)OOJ PARCEL P11 ND 133UE all liabili ' ; judgments, costs, and gxppnses which may in any way accrue I I I ts id unty in cons th granting of this per •'t. This permit is hereby issued under the applicable provi- Date Pign.,Su,.of sions of the Butte County Code and/or resolutions to do Applicant — OwnerW ontractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excava ' ns over 5'0" deep and demolition or construct- IRECTOIa OF UBLIC WORKS ion of structures over 3 stories in h9pight. 5-07_g" Receipt No. By. Date 3-23-89 WHITE-D.P.W.. YELLOW-A3SE3301t. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date P COUNTY OF BUTTE - Department of Public Works 4 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 materials for construction of the proposed property improvement (yes or no) Yi-S _. 2. I (have/have not) WIL 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 _-WA- 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 p ovide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date "3-22—r, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.