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Home My WebLink About027-070-023A.P 27-07-23�� Cleo Poe h S/ArMaple 1 Palermo W/of LED W/O PERMITS - 12/4/80) 27-07-23 IRENE. POE � 2490 Maple Avenue, Palermo Permit#3419-8213(reroof/SF) B07-0807 027-070-023 MISCELLANEOUS Electrical RELOCATE EX ELECT SERVICE TO F 2490 MAPLE AVE POE, CLEO & IRENE 01L_I.115 L.0 DEMO CGFv &. i it in 1 7 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 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 04/16/2007 Contractor's Signature Date - • WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; _ Carrier: Policy Number. Exp. Date: (This section need not be competed if the permit is or one hundred ($100) or less. 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X o tV04/16/2007 Signature Date WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2667 OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE F��II COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR 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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose, of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: (jL�—p 04/16/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to e r the above mentioned property for inspection purposes. I hereby certify that I am the grope r or am out orize�lp a n the progeny (con I'ehat{� (bl/ I///L�C/�_ 1V1 � A 6/2007 Owner Contractor Oji; Agent for OwnerEl Agent for Contractor FILE COPY 9 PROJECT INFORMATION Site Address: 2490 MAPLE AVE Owner: Permit NO: B07-0807 APN: 027-070-023 POE, CLEO & IRENE • Issued Date: 04/16/2007 By KCG Permit type: MISCELLANEOUS P O BOX 121 Subtype: , Electrical PALERMO, CA 95968 Expiration Date: 04/15/2008 Description: RELOCATE EX ELECT SERVICE 71' (530) 533-3321 Occupancy: Zoning: Q1 Contractor Applicant: Square Footage: POE, CLEO & IRENE Building Garage RemdUAddn P O BOX 121 PALERMO, CA 95968 Other Porch/Patio Total (530) 533-3321 FEE INFORMATION DBE Single Phase Service-Resid $55.00 , LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 04/16/2007 Contractor's Signature Date - • WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; _ Carrier: Policy Number. Exp. Date: (This section need not be competed if the permit is or one hundred ($100) or less. 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X o tV04/16/2007 Signature Date WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2667 OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE F��II COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR 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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose, of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: (jL�—p 04/16/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to e r the above mentioned property for inspection purposes. I hereby certify that I am the grope r or am out orize�lp a n the progeny (con I'ehat{� (bl/ I///L�C/�_ 1V1 � A 6/2007 Owner Contractor Oji; Agent for OwnerEl Agent for Contractor FILE COPY 9 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION - OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name , Firs e e Mailing Address City State Zip Phone Fax E -ma• CONTRACTOR. Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECTIENGINEER Name City Address Zip. City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip. Phone Fax E-mail APPLICANT SIGNATURE . X PERMIT NO. b07 ..020` BIN # PROJECT LOCATION Property Address City Orov l l le 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: Sq FT -Living Garage • Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: SRA Yes No Zoning Flood ZoTTy—pe—Const. Occ. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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. n 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 n 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 -CLSB (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 1S RECEIVED. 1. I PERSONALL . _ 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN S R NO) 2. 1( E/HAVE OT) 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 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: RELOCATE EX ELECT SERVICE TO POLE Reference Number: B07-0807 Applicant Name: POE, CLEO & IRENE Owner's Name: POE, CLEO & ENE AP # : 027-070-023/ Signature of Property Owner: _ Date: COUNTY -OF BUTT E.-'DEPART MENT-OF�PUBLIC fWORKS PERM T._NO. y" County Center Drive- OroviIIe,"California 95965,- Telephone 916/534-4541 APPLICATIQU AI&PERMIT SSESSOR PARCEL NUMBER . JZ . O.NING r 0, 1_�; ' • V _ `. BUILDING PERMIT. '.r OWNER 1. �EPHONE a , SQ.'FT S" ,.00C. BUILDING VALUATION . OWNE ' MAILING R S - •.5 r•♦. I C NTRACTO 'S NAME :' TELEPHONE - �'+ ,� ;• ' • 1 . •�' CONTRACTOR,'S_ MAILING ADDRESS , -" f '. •}.. -Fireplace C ONSTRUC TION- LENDER i" ,, UNKNOWN :* • . Total•Valuation r filing, -Fee , •;; „ '•$ ., -10.00 LENDER'S MAILING ADDRESS�•. - + `rpt Permit;Fee $ ' ARCHITECT OR -ENGINEER u + - •,; • �� L.ICENSE.NO. 1 • .. Plan Checking.Fee '• $ , Penalty s,_ ARCHITECT OR'ENG INEER'S MAILING ADDRESS, - . a a, r - Perniit,fee $ ' .601 BUILDING` ADDRESS , - - - •.. '' I - PLUMBING PERMIT > Filing Fee 10.00 `C .; r : " •, Each Trap` ' 2.00 Solar Water Heater •' ` 20.00 ; ," ' • , Water piping' 5.00 I� LOT NO. SUBDIVISION NAME , , -• - , - PARCEL MAP Each cas,water heater Or vent f• 5.00' i •� Gas piping system 1 - 5 outlets' 5.00 ,.USE OF STRUCTURE �', , q., . SF Duplex❑. Mobile ome❑' Other _ i SPECIFY Buil wer 5.00 ding.se Mobile'Home, S G W 10 -OC e a f 1. TYPE OF WORK '+� New Addition' Remo ❑ ' ❑ ti itie Installatio ❑ JO her Permit Fee'°f-;, '':' $ Contractor ' " ELECTRICAL"PERMIT Filing Fee 10.00 Describe' work^: E, t,� t Yl V- l , •7. - i •+ - SOOV OR"LESS _Main service 100 AMP OR.LESS , 10.00 I - Main service EA. ADD'L'100•AMP y 2.50 NEW CONST. /,DWELLING OCCUP.&\ 2y20Sgft I :OR.ADDNS. ACC. BLD GS. CONTRACTORS LICENSE LAW a '" , ' 'I , declare' under penalty;of perjury, - (check one)" s� 4: •-, ❑ I am licensed under provisions of''Chapt. 9;.Div. 3," of the Business• and Professions Code and my11icense is ih full force a6d effect. License No. •Cla$SIflCatlOn I, as the owner, tor,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) ❑ 1, as thelowner, am exclusively contracting with licensed contract— ors. (Sec..7044) - . "• ❑ I am exempt under. Seo. f , Business and Professions Code , , .NEW'C ONSTR. -:MULTI-OUTLET 2.50 ea NON.R ESI D, :BRANCH CIRCUITS NEW CONSTR.- � POWER 'APPARATUS &.1 NON -R ESID, SINGLE OUTLET CIR. / FIXTURES 20@50¢ Ek. Occup(OUTLETS'OFIXED A PPR LNS. OR .Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service'• ''' 10.00 'Mobile Home Facilities 15.00 Misc. Wiring t= + 15.00 ' 'Permit Fee, ° $ Contractor'' for this reason .''' PERMIT-.,, Filing Fee 10.00 WORKMEN'S'COMPENSATION•INSURANCE'MECHANICAL 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 BuildingiDepartment a Certificate of Workmen's'Compensat ion Insurance or•a Certificate. of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Heating' ^ Cooling .Hood ' Ventilation,' • ., to the W. C.,laws of California. n 0. 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 —. 4" Perm $ e it Fe ` •`.,", Contractor - i` !• t, " provisionsfor this permit shall be deemed revoked. I certify that -J 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. s • Mobile Home Installation Fee $ r ` • _ TOTAL PERMIT FEE $ , I also agree to save, indemnify and keep harmless the -County Of Butte.agalnst all liabil• ' s, judgments, costs, and expenses which may in any way accrue against ai County in con uence of the granting of this permit. X DateL� Signature of A uccnt Owner r + 9 PP Contractor,❑• Agent ❑ ,. •, An OSHA permit its required for excavations over 5'0;''deep and demolition or construct -.z' ion of structures over 3 stories in height. �•�'. _ �- OCCUP, GROUP t TYPE OF,CONST.PARCEL d ' PD HD ISSUE 'This permit is hereby issued under the'applicable'provi- sions of the Butte'CountyCode and/or resolutions to do work ',indic above f r which : fees have been aid. _ „Y, ., " p DI F PUBLIC -WORKS rti.. t. I -J By . , "Date 'PERMIT EXPIRES D e, } Receipt No. i� �. ��. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR,., GOLDENROD -APPLICANT• 1. T A • BUTTE COUNTY DEEARTM a OF PUBLIC WORKS SPECIAL INSPECTION REPORT LOAM asI Jill a A.P. V Date of Inspection 0 Tenant: x Inspector Building. Location• ken Type of Inspection requeste 1: -Housing 2. Financing 3. Change of Occupancy to 4. Other (specify) W �Sh�ry Present use, of buhAini 9LL 2dX.. A. Sanitation (Housing) 1. Water closet::. 2. Lavatory: . 3. Bathtub or shower: 4.. Kitchen sink:. 5. Hot and cold water to fixtures: ..6: Heating facilities:` 7. Natural light and.ventilation: 8. Room and space requirements: -9.. Bedroom window or'door for second exit: . 10. Infestation of insects, vermin, or rodents: 11. Connectior.'to sewage disposal: 12. Connection to,water•supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: I.' Wall construction: - 4. Ceiling and'roof construction: 5. Fireplaces:' .' 6. Coimnents. ' C. Electrical , 1.. S ery is e • and ground 2. Receptacles: 3. Fusing. 4. Comments: F D. Plumbing • *,. 1. Fixtures connected and vented: 2. Gas water heater: 3. -Gas heating':vents: • 4... Comments• c E. Other 1. Maintenance and repair: 2. Fire hazards:_ 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildin&s 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Rest-oon floors and walls: 5. Exits: 6. Improvements• _ 7. Zoning:_. 8. Comment.. - G. Field Problesus or Violations 1. Problem or -�'oAa kgive complete descri otion) : 2. What action taken (give complete description)4z 3. What action recomdended: T7 F. inforivation only - file. / B. Hold for ten (10) days, then write letter, ! / C� Write letter. 77D. "ither: