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078-220-004
i+ 2933-89B HORTON, Ronnie 8 Las Plumas Way, Oroville (reroof/SF) ' 7J �o A3 99-0909 HARRISON, Roy cmc <--z -oo 8 Las Plumas Way, Oroville 1 Contr: C.D. Construction / Single Family Addition NMIN M -23g0 Real; Ii$ -27A - 00q 16 Las plumes aY, 0 rovi ll e Rtow wafer Qi PGs Harrison, QD4 9 V&CCA . 11 ki NOTES _' ,. "kESIDENTIAL r 036-550-004 99-0909 PERMIT NO. HARRISON, Roy 8 Las Plumas Way, Oroville Contr: C.D. Construction Single Family Addition �/,�' SL4 r I , 4W, v pm ,h SPECIAL CONDITIONS CHECKED - BY SRA .T FLOOD CERTIFICATE REQ. .. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS '. VERIFY 14 —�t USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER C � tR. ! ` rb - JOB FINAL f Signatt /= OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Discorinect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS t Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures- 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date / Underfloor (Plans) OK except #'s V. oning- Setbacks- Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5 Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underaround 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date FRAMING (Continued) an ers-Post Caps -Anchors -Connectors tA;il�.mg. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. Flue -Fireplace Throat Clearance 49 Amw- Acza& • e:ao L. Qm`rotection-Draft Stop -Ins Baffles 50. 8drm Windows or Exiting Doors -Sill Ht. & Dimensions Oot-Garage Fire Protection Framing penings Doors -One 3' -Check Garage 3rd Story, 2 Exits Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer d -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic g- o Br a Interior/Exterior Wall Panels 1 Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 64 Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - Garage; Above Floor -Ducts -Meeh. Protection e6:-B_eftom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa _.,.-88-•Elec. Trim & Subpanel, Breaker Sizes & Labels �69rSt s Rails 70;. eplaceor Stove, Clearance -Hearth .1:-Etec. Outlets at Wood Panel, Int. & Ext. 72._Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance L7.Srftt3'c. Outlets & Receptacles at Kit. Counter - 74 Gafage Fire Door; Swing -Landing -Closure ct in Garage -Damper 76. Wtr-itr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection �c.& Mech. Equip. Listed for Location Mech. Equip. Listed for Location �Elee RgIceptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic uar -Rails & Deck Construction -Post Caps 8t._Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth -Cle-arance Looked under Floor D Yes --82r Following Instld./Drive 0 Yes Q NoMalks D Yes p No/Planters p Yes :)No tucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing -86- We15fs Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing �7 Exterior Elec. Trim, G.F.I. Receptacle -Underground -1 X88. Ventil tion Throughout House Glass Protection 90._Corrections from Previous Inspections _ pt -Gas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval orgy Compliance Certificate -Other Certificates . Address Posted i Date rd 13 ate Card B-1 Date I and B-1 Date Card B-1 Date \ Card B-1 Date Card B-1 Comments at Final: 14. Girders- SIIls-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Baffle 18. Water Pipe; Test & Anchor- N rotection 19. D.W.V.; Test Fittings chor-Nail Protection 20. Shower Pan; T , First Floor -Tub Access 21. Test Tu Shower, Second Floor -Tub Access 22. G ipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 ns ormerearance-Ins. Protection Receptacles Spacing -Lights & Switches at Doors Si xes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Meth Fastener - 2 pp iance Circuits in Kitchen & Conductor Size GFI �29.ire rze / / ga. u or •A.C. Wire Size / / ga Cu or AI 3 rc e / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31 Main Disconnect 3 earances Panels-Motors-Mech. Equip. 3&_C ,V>- ig t -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insul ' 37. Condensate Drai erflow, Size & Grade 38. Furnace- Access -Comb. Air -Return Air Vent 115 outlet 39. Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date -FRAMING (Permit) OK except #'s Si roper Materials & Anchors W Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 44. a Stops, Furred Ceilings -Stairs -Chasers -Tubs 5. Headers & Beams -Size & Bearino Date FRAMING (Continued) an ers-Post Caps -Anchors -Connectors tA;il�.mg. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. Flue -Fireplace Throat Clearance 49 Amw- Acza& • e:ao L. Qm`rotection-Draft Stop -Ins Baffles 50. 8drm Windows or Exiting Doors -Sill Ht. & Dimensions Oot-Garage Fire Protection Framing penings Doors -One 3' -Check Garage 3rd Story, 2 Exits Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer d -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic g- o Br a Interior/Exterior Wall Panels 1 Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 64 Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - Garage; Above Floor -Ducts -Meeh. Protection e6:-B_eftom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa _.,.-88-•Elec. Trim & Subpanel, Breaker Sizes & Labels �69rSt s Rails 70;. eplaceor Stove, Clearance -Hearth .1:-Etec. Outlets at Wood Panel, Int. & Ext. 72._Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance L7.Srftt3'c. Outlets & Receptacles at Kit. Counter - 74 Gafage Fire Door; Swing -Landing -Closure ct in Garage -Damper 76. Wtr-itr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection �c.& Mech. Equip. Listed for Location Mech. Equip. Listed for Location �Elee RgIceptacles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic uar -Rails & Deck Construction -Post Caps 8t._Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth -Cle-arance Looked under Floor D Yes --82r Following Instld./Drive 0 Yes Q NoMalks D Yes p No/Planters p Yes :)No tucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing -86- We15fs Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing �7 Exterior Elec. Trim, G.F.I. Receptacle -Underground -1 X88. Ventil tion Throughout House Glass Protection 90._Corrections from Previous Inspections _ pt -Gas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval orgy Compliance Certificate -Other Certificates . Address Posted i Date rd 13 ate Card B-1 Date I and B-1 Date Card B-1 Date \ Card B-1 Date Card B-1 Comments at Final: Insulation Certificate BUILDING OWNER: '46tL T BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Re r,BUILDING PERMIT 2yv, /L g Brand Name Thermal Resistance (R -Value) :y- . CEILINGf— — l�� � V` Ile Bau or Blanket Type � Brand Name X1.5 Thermal Resistance.(R-Value) _ le— 30 Thickness inches) f0 rr Brand Name Loose Fill Type Contractor's minimum installed weight/h lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material •0b Brand Name -eiC3� N - Thickness (inches) " Tiuermal Resistance (R -Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name ^;.rmal Resistance (R -Value) Thickness (inches) Declaration I hereby certify that the above insulation was installed in the building -at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code-. "G-ener C ntractor (Builder), Signature and Ti Sub -Contractor (Insulation Installer) S ignature and Title // Lic(�ense Number Com' Date License Number Date 66 CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION. VAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 110 =-o7d PERMIT P A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. `If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4- t t .Co (::;) Z;'> -A- _ 1/1 _ it l/t C C -t - Date Inspector�v REV 1 /92 �.,1, _ P,���.��^ _T' _'•'roc'R7waY"�,,',•..'ce,s.1N$.2+4' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 „CORRECTION NOTICE R PERMIT NO. A routine inspectio dicates that the following violations of butte county Ordinances exist at the above address a should be corrected. Please notice this office when correction of work is completed. If y have any questions pertaining to this matter, or need additional explanation, please contaytirvip office immediately. I� n'C)///U;6T44-L _SIII /✓0,49�1G /ter) REV 10/92 AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF APA :r , ... .� 1. a M„O ± { j S Certificate Cnnoormance. a r x� { ' �47343� z :Ce.rtificate .THE UNDERSIGNED MANUFACTURER.'HEREBY:CERTIFIES that -the structural -wood products ° 'identified- below and marked with a collective mark of.,American Wood Systems (AWS)':,were manufactured in accordance with the specifications indicated below: ; r (� ANSI A190.1-1992, for Structural Glued -Laminated Timber 4 `` .Standard :u ❑ `'` ❑ Proof ' loaded end joints -; L'dESTERN WOODS , Job Name ' CHICO, CA i JobLocation ` � 60641 571-8556. ' ''Customer's Order No. Date Mfgr's Order No' G Mike rt ight Technical Director: Signature Tide.' Will ette Ind. Vaughn,' -Oregon f' 0818-97' Company Address Date. IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the: above-.'' ,named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject • to regular audit by American Wood Systems, .such audit consisting Of the inspections with 'reasonable frequency of the manufacturing process, with adequate sampling to .verify the quality of glulam construction and the adequacy of glue bond. Q pRPOR,gj.Vl•`J'��ijo J :i ' r Thr• � �/ t� � < ,. :� >,�. . 1 by•. ti • 4'71, tir'. t i 7 Y Y.'1 k � i : Thomas.G. Williamson � .� Executive Vice President AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF APA 06/01/99 TUE 16:48 FA:Y 530 243 4027 !BOSS LUMBER REDDING CHICO [a 003 .,: av MOSS LUMBER CO., INC. ORIGINAL .ra VALLEY couaT . HECK D BY' ' FiOW DELiVE ED. 5321 EASTSIIDE ROAD • P.O. BOY 981450 CA 95928 • (530) 9560700 REDOING, CA 96G9E�1a50 •(BJD) 24x.0700 CHICO, - tr{• L pp ". y, y ri38' of ]iii,' i4.. . :n•��w �.,a'S1bS•Y��3.. `4'.Sr:'... i..a.'!w1'-.:.,.. SHIP HARRISON C D CONSTRUCTION TO: 8 LAS PLUMPS 9"' 43 EXECUTIVE AVE. ' OROVILLE, CA 95966-9264 OROVILLI`9 CA 14 ;LUE LAMS ABOVE IS 3-1!8'1X1211%14' _:�r; ..,:: :;OUR.r:. •':�;�23�4';i�5`,>','':', °�"..FROM ::: a=^ '1"X'�.��i•OTH."��:'',-... � :BID#=3 .ITEM:# : :.UNITS ' P,F7ICEJUN[T' 12101000B 14 5.81 EA 4 I LARATIC N ,nd•r•Igr ea SIRl.a and daau•a mm hrlJaAa b" Oni9tnal CamhBetar, OwFAr, SUclim that Me a anon evlhwuad djbni of tno Bacon Ana a to Be a In the ab m X11lab. M lf�j� puaillo BR�Mare work ol/nngro.er„•nbehalf at �ro no Rdnorl. l'rjm one rit. It is 1Seller ot&chra oil 9hte no Mro0anlertal �Ueeno Ser WP NMIC70 Gana t/aer9n• and any , o a, .Roreea et b.. hn8: All P.Rt 0+• aolence• aro lualea to a SERVICE CMARGE comat•Tea Oy . PerbNe 1211 of 1 r/PA PER MONTH .nbn b an ANNUAL PERCENTAGE c of low, N•, aw +AB n1 rtnnin Idto•IInO ate of Du,vtose. entl will Be aeltnquarn Ir not paid By the 30N• 1, "NCRI.E2 WILL PAY ACTUAL AND REASONABLE COLLECTION COST OCCAZIOHED By RR[ACN OF NIS OBLIGATION MI AEUNOER. PURCHASCIP WILL PAT REASONABLE ATTORNEY FeFS FOR COLLECTION OR ENFORCCUENT. 2. SHORTAGE AW0109 QUALITY CLAIMS MUST 09 MADE WITHIN THREII (Sl DAYS AFTER RECEIPT OF MATERIAL 3. AMY REM RETURNED FOR CREDIT MUST BE PRC•AUrMORLZED. a RESTOCKING CHARGE ON ALL RETURNS. I daratana Ine, any Rped•1 order Items CANNOT BE RETURNED. Any other i�@3.000•, :.: , ':AMOUNT, - 81.34 I' – –-..1..g1.IBT9S9L.....—_._..—......__ D CA SALES TAX 5.90 TOTAL 187.24 iUd o � X inwd=35— RECEIVED SY ra,TIONIt OF PURCHASC: I agree that I am Ilatle for all from$ purd10500. un —_ -,,turned It, eualoa, to your •.am, atlon •a to 0ualn •nd auanutf PpIOR to Iuu1n0 a credB, AND IS SuBIECT TO A 2571 RCSTOCK CHARGE ice. ��'� v �. �-�,�'Rt 6-r.+ ,..i.:.,� k� ` ; ;ti. •.. � �',�. ,, s �:l TH's IS LARATIC N ,nd•r•Igr ea SIRl.a and daau•a mm hrlJaAa b" Oni9tnal CamhBetar, OwFAr, SUclim that Me a anon evlhwuad djbni of tno Bacon Ana a to Be a In the ab m X11lab. M lf�j� puaillo BR�Mare work ol/nngro.er„•nbehalf at �ro no Rdnorl. l'rjm one rit. It is 1Seller ot&chra oil 9hte no Mro0anlertal �Ueeno Ser WP NMIC70 Gana t/aer9n• and any , o a, .Roreea et b.. hn8: All P.Rt 0+• aolence• aro lualea to a SERVICE CMARGE comat•Tea Oy . PerbNe 1211 of 1 r/PA PER MONTH .nbn b an ANNUAL PERCENTAGE c of low, N•, aw +AB n1 rtnnin Idto•IInO ate of Du,vtose. entl will Be aeltnquarn Ir not paid By the 30N• 1, "NCRI.E2 WILL PAY ACTUAL AND REASONABLE COLLECTION COST OCCAZIOHED By RR[ACN OF NIS OBLIGATION MI AEUNOER. PURCHASCIP WILL PAT REASONABLE ATTORNEY FeFS FOR COLLECTION OR ENFORCCUENT. 2. SHORTAGE AW0109 QUALITY CLAIMS MUST 09 MADE WITHIN THREII (Sl DAYS AFTER RECEIPT OF MATERIAL 3. AMY REM RETURNED FOR CREDIT MUST BE PRC•AUrMORLZED. a RESTOCKING CHARGE ON ALL RETURNS. I daratana Ine, any Rped•1 order Items CANNOT BE RETURNED. Any other i�@3.000•, :.: , ':AMOUNT, - 81.34 I' – –-..1..g1.IBT9S9L.....—_._..—......__ D CA SALES TAX 5.90 TOTAL 187.24 iUd o � X inwd=35— RECEIVED SY ra,TIONIt OF PURCHASC: I agree that I am Ilatle for all from$ purd10500. un —_ -,,turned It, eualoa, to your •.am, atlon •a to 0ualn •nd auanutf PpIOR to Iuu1n0 a credB, AND IS SuBIECT TO A 2571 RCSTOCK CHARGE ENGINEERED WOOD SYSTEMS Certificate "of Conformance Certificate 054054 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer,Program For Determining Design Stresses AITC 117-93 — Manufacturing — StanJ rd Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. .W U • c'��v��P 0 Rq,�11e` ��010 10 _ : 10 cZ= SEAL s3_ i`yt =C., 4118H IN G� ��`�•• I by Thomas G. Williamson Executive Vice President f z) ENGINEERED WOOD SYSTEMS is a related corporatic I of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street • P.O. Box 11700 • Tacoma, WA 98411-0700 Telephone: (253) 565-6600 -.Fax Number: (253) 565-7265 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION v ` 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT PdO. (Rev. 12/96) APPLICATION AND PERMIT �9Klt ASSESSOR PARCEL NUMBER 036-550-004 r 1 ZONING BUILDINGPERMIT - `"• OWNER HARRISON, ROY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 R OWNER'S MAILING ADDRESS 8 LAS PLUMAS WAY, OROVILLE CONTRACTOR'S NAME C.D. CONSTRUCTION TELEPHONE ' 589-2220 CONTRACTOR'S MAILING ADDRESS 43 EXECUTIVE DRIVE OROVILL•E CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS E 8 LAS PLUMAS WAY, OROVILLL Ener Plan Checking Fee Energy g $ 23.00 $ PERMIT FEE $ 250.90 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF /Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF W RK New ❑ Addition Remodel ❑ Utilities ❑ nslallation ❑ Other ❑ Describe Work: _��f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon o,I LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.i �nq License Class � Lic. No. �� t�h ( � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WOOL To 48.00 NEW CONST. DWELLING OCCUP. CCU OR ADDNS. ( a ACC. B.S. SO 3.50FT. 7.04 NEW NON -R SrIDT ANCH CIRCUI @7,50 TS POER d OUTLET CIR. ER APPARATUS Ex. Occup. OUTLET OR FDRURES 20 Q 1.00 BAL Q .50 Ex. Occup. ourLEEDTs A SE o.oew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating T 15.00 Cooling Hood 8.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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. X f��'_✓ _ Date Signature of Applicinntt - -❑- Owner Contractor ❑Age An OSHA permit is required for excavations over 5'0" deep a d demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 s .PE �% TOTAL F $ QA HA D, F IMP FLO CD P L D This permit is hereby issued under of the Butte County Code and/or indicated above for whi h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ _a;3 Data Receipt No. 264888 WHITE-D.D.S.-B.D. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARC&HUMMER S _ o ZO1 _ BUILDING PERMIT OWN" r TttDNONE SO. FT. OCC. BUILDING VALUATION OWNEAI MAL AO e S CONTAACTO NAI! TzL9P IONC . OONTRAGTOR7 MAR1N0 AD QONSTRUCTOON LEMIAI LENDER'S MAIUNG ADOMS Fire lace Total Valuation $ ARCNrtEcr OR ElXLNEEA ucENSE NO. Fling Fee S 20.00 Permit Fee $ bG ARCWMCT OR ENCMUR'S MA UNO ADORESS Plan Checking Fee $ p euaw+OADoaEss �y Energy Plan Chocking Fee t 01 CP �l PERMIT FEE t Z LOT No. SU80"10 MAC PAnoIM MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping -'IS.00 Each as water heater ent 15.00 TYPE OF WORK New 0 Addition 0 Remodel O Utilities O Installation O Describe Work: Other 0 Gas piping sysyml- 5 outlets 15.00 Buildino of 15.00 Mobile Home I S I G W 1920.00 PERMIT FEE _ ELECTRICAL PERMIT Fung Fee 20.00 Main Service °DOYOA o0R 23.00 ------------- ReceiptNo. WHITE•O.D.S.•B.D.• SOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 20" TO 1000A 48.00 NIE` OR DM. OwE11N0 . P. 3.50 OR AODM. L ACC. BLDS. NON•RESIO. MUlT40UntT @7.50 POWER APPAA W SdOLE i O CIR Ex. Occup. OvnEr OR FOM.., el 1.00 aAL 0 s0 OMD APPB.O sEx. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 2 Q MECHANIC PERMIT Fling Fee 20.00 Heating.cx> Cooling Hood 8.50 Ventilation PERMIT FEt: S -gip Mobile Home Installation Fee $ Energy Inspection Fee $ , O" CONST. NPf TOTAL FEES 8 e E NAL O. FEES IMP FLOOD I OOF PARCEL I FO I MO I SSU: 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. By Date PERMIT EXPIRES ON MAW �w;, ;,, y/">+e.�'Fps'v�Ma.•,-f:.�-�;�.,r-wr�""",;:t. � ;�4:r�t's•y'�]t;�,:�r�{�. -'V"'�+.y�.r�'(Mti^-�A'+'= i*�'�`..""Y ',"", ''1�i'�"1�i'�'�'e':�%'�+�'y�' ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: - rin r 0. go En ASSESSOR PARCEL NUMBER: Proposed Building Use: �'���, Building Inspector: , Date At time of permit application, I was advised the following data must be submitted prior to permit p ocessmg and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 1 ees of $ --------------------- ------------------------1 Impact fees as shown on the attached schedule.��-�� �r 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- . Planning approval for (A) Use: Q) 1;�:- (B) Parking: _. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ---------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------. ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------------------------------- ❑28. Existing violations and/or expired permits.--------------------------------------------------------. ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner,❑ppM��ail to contractor. &elephoneSg 1- 2-2--,4 Ci and hold for pickup at t rc{ - office. ❑ Deliver with inspector. (Date) d i Applicant: _ /r �tGl�t�JL Date: -'I y QQ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: AIF By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ) Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, byDate: Contractor, designer, owner, was advised of the above required data by C1phone, ❑ mail, ❑ Building ivi ion counter, by Dat . Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: von,,,,, r,,..,. rye..,,.-.....,...« ..rn,._...�_----• �--- - - ,-, , , ,_ to ut Count'' LAND OF NATURAL WEALTH AND BEAUTY i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 May 12, 1999 Roy Harrison 8 Las Plumas Way Oroville, CA. 95966 Building Permit Number: 99-0909 Assessor's Parcel Number: 036-550-004 This office reviewed the above referenced building plans. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. High expansive soil appears to be present on this parcel. If expansive soil is encountered, foundation will need to be designed accordingly by a California licensed architect or engineer. 2. Complete and return enclosed school fee form. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, David Wasney Building Inspector III. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form_per Building) School District nJeQVX4G45 4 J 4 Building Department No. A.P. Number —Jurisdiction: — City County Property Owner Property Location/Address V? ! A: &YM& W y , �ao6mc4A5 Subdivision Lot No. Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) Date Iripoor runs reviewed by scnooi usstnct versonneu District Identification No. / 0"Woiile C JC/)1C/fhz-rfSchool District certifies that (Applicant) 4s; L,tt , Plun l6L (Street Address) (State) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. �r�- f �' - �by payment of $ N/ representing ��� square feet. AB 292fi S '�� .. * .. - _ � i � _; 4 •.-en .� .. FULL MITIGATION. .. -ss - . � School District Paid by Check # r 5 -ay _r/17 Date Remarks: Cye fit• i- - (,l4ep %.�oo zz , kt-, Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98ldmm ............................................................................................................. 20 Residential Development © € Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) -Units. Installation .- t Conversion. - Permit.# '(No foundation inspection): Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) Date Iripoor runs reviewed by scnooi usstnct versonneu District Identification No. / 0"Woiile C JC/)1C/fhz-rfSchool District certifies that (Applicant) 4s; L,tt , Plun l6L (Street Address) (State) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. �r�- f �' - �by payment of $ N/ representing ��� square feet. AB 292fi S '�� .. * .. - _ � i � _; 4 •.-en .� .. FULL MITIGATION. .. -ss - . � School District Paid by Check # r 5 -ay _r/17 Date Remarks: Cye fit• i- - (,l4ep %.�oo zz , kt-, Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98ldmm _'t+.}n►7#�.*+rl{�y....�1 .�..a,7s.; W`vyp�,�,41 y '' `� °'f:H'� aS .^� PVT �',t �• A�..�',., s!:i,:-" '�k.�"'c'7�`''i"�'F I ',''"".v,'CY''' • J r. 1 r - �.\:+ Y�'�': r ! I`� r '�^' •I 4 36-55-04 2933-89B HORTON, Ronnie 8 Las Plumas Way,.Oroville (reroof/SF) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. , 7 County Center Drive - Orovilll, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZON,A.NG - f BUILDING PERMIT OWNER M l Dr.�v TELEPHONE s - l fps v SQ. FT. OCC. BUILDING VALUATION OWNEER S /AIL ,(AAD/DRESS / /� / / 4C— ( Ii Pd'\6f .i l.0 -11 6,0`11 It// CONTRACTOR'S NAME 0 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ J6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee = S• v D 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 SF19, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00, Mobile Home JSFG W 0.00ea TYPE OF WORK New F1Addition Remodel ❑ Utilities ❑ Instar tion❑ Other ❑ Describe work: r n or Penult Fee ; Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$ and Professions Code and my license is in full force and effect. License No. Classification 21/ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ACDNS. ACC. BLDGs. ) /z¢sgft NEW CONSTR U TI.OUTLET 2,50 ea NO N.RESIC BRA CH CIRC ITS /POWER APPARATUS e) %SINGLE OUTLET CIR. 20@Ex. Occup( p OUTLETS OR FIXTURES 8AL0eAL03030 Ex. OCCup. OUTLETS PP Ex. IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent.to Self -Insure. I shall not employ.any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making -this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed'revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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' aid County in c sequence of the granting of this permit. D ate �' S2 Signature of Applicant -`-; Owner CK_Contractor El . Agent 11work 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 $ TOTAL PERMIT FEE $�,�„r OCCUP, CONST.TYPEJ SCHOOL FLOOD PARCEL PID HD ss� This permit is hereby issued under sions of the Butte County, Code and/or indicated�/ibove fcr which OlRE TOR/.OF.PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 4;1e < y Receipt No. , pc/ WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK-INSPICTOR, COLD ENROD-APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95925 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER • 6 _ .Sv _ U c'C ZO NG BUILDING PERMIT OWNER IR e O r -TELE NE - l SSS S0. FT. DCC. BUILDING VAION .2- C i OWNER'S MAIL DRESS I'VIF A4 CONTRACTOR'S NAME V W T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2S.06 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ S oa 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 ma�yy{{ USE OF STRUCTURE SFq� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00ea TYPE OF WORK New ❑ Additio Remodel ❑ Utilities ❑ Insta on Other ❑ Describe work: Z> i' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license Is In full force and effect. License No. Classification d 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d , �z2sgft ACC. 6 NEW CONSTR� MULTIOUTLET NO N.R ESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 050t Ex. Occu 2 eA0L030 FIXED Ex. OCCUp. OUTLETS PREA.) 2.00 (RESID ) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 aid Cou ty ' C nse uence of the granting of this per it. Date �S /� 7Signatureof Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.^� Mobile Home Installation Fee $ Energy Inspection Fee $ O TOTAL PERMIT FEE $ Occup. CON9T.TYPE SCHOOL FLOOD PARCEL P11 I HD 139UE This permit is hereby issued under sions of the Butte Count Code and/or work indicate bove f r w ich 1 T BLIC By. PERMIT EXPIRES Date - the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. �f�S� WHIT[-D.P.W., YELLOW-ASSC330R. PINK -INSPECTOR, GOLDENROD -APPLICANT 11M COUNTY OF BUTTE - Departmdnt,of.Public Works 7 County Center Drive, Oroville, CA "95965 Phone: 916-538-7541 J " ti 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) y L S 2. I (have/have not) ►.!/E 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 Owne Social Security N er � Date 9I5 89 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.