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Home My WebLink About058-160-037.1 58-16-37 1983-90E LENTZ, James 12220 Contow Rd; Oroville (new elec ser)SF f 0 �B U Z5 --1-4 7 6- 058-160-037 M i ISCELLANEOUS Demo -Fire DEMO_ DUE T-02BUTTELIGB 12226-CONCOWRD------- LENTZ JAMES E JR SS, f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 12220 CONCOW RD Owner: Permit NO: B08-1476 APN: 058-160-037 LENTZ JAMES E JR SS, Issued Date: 7/30/2008 By GLB Permit type: MISCELLANEOUS 12220 CONCOW ROAD Subtype: Demo -Fire OROVILLE, CA 95965 Expiration Date: 7/30/2009 Description: DEMO PERMIT DUE TO BUTTE LI (530) 591-2468 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: LENTZ JAMES E JR SS, Building Garage Remdl/Addn 12220 CONCOW ROAD OROVILLE, CA 95965 Other Porch/Patio Total (530)591-2468 FEE INFORMATION Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: 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 frcm 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 1 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 7/30/2008 the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: Contractors Signature Date El1, 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: I HAVE AND the work himself or herself or through his or her own employees, provided that such improvements 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 El1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 need not be completed if the permit is oror onehundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: /ICE RTIFY 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 _ 7/30/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ow ers jgnature Date X 7/30/2008 I hereby certify that I have read this application and state that the above information is correct. I agree Signifure Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WAR N6' AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, FU 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 ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit 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 erty owner or am authoriz .to act on th roperty owner's behalf. CONSTRUCTION LENDING AGENCYP � 7/30/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction tending agency for N e PErm ee GNU Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner E] Contractor OR.Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip STT BUTTE COUNTY Fo DEPARTMENT. OF DEVELOPMENT SERVICES PERMIT 610, 0 BUILDING PERMIT APPLICATIONI` NO. 0 OFFICE #: (530) 538=754.1 FAX #:.(530) 53872140 o �� A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION I Website: www.buttecounty.net/dds BIN .# U..N: PLEASE PRINT CLEARLY "When filed, this -application and all supporting material becomes subject to the California Public Records Act. All public information' related -to this application is subject to public inspection and will be posted on the County's website.for.electronic.aecess. OWNER INFORMATION Last Name 3401" First Name :rAwteas Mailing Address 12-220 CQPJc� RID City OROv,f State Zip Phon f E -mai . - O APPLICANT CONTRACTOR Name CitybV Address Zip City. Fax State. Zip Phone Fax..„ E-mail Lid. # Class APPLICANT ARCHITECT/ENGINEER Name CitybV Address Zip City Fax State Zip' Phone Fail E-mail State License Number- umber APPLICANT INFORMATION Name h Address A�1� GW Olt) CitybV SteGA Zip Phon g, 81_24. Fax E-mail PROJECT LOCATION All Property Address-, �22 `Ct�1v oto p1D City. O RVI 5 'WORKER'S COMPENSATION Policy -Number; Carrier lf.hiring anyone,otherthan licensed 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: rr VU r l� 1f— Q �JZ7'tJ p S FT- Living Garage Open Cov B. Structure. Built without. Permits ❑ Proposed Change of Occupancy (Note previous use): . For office Zoning 11 ood Zone SRA Yes No Occ. Type C nst. . . Butte 'County Department at'Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 0 7 County Center Drive O Oroville, CA 85965 O (530) 538-7541 Telephone (530) 538-2140 Facsimile vtna vtt.buttecou nht.nefJdds BUILDING PERMIT APPLICATIONS REQUIREMENTS FOR THE DEMOLITIONOF STRUCTU S DESTROYED. IN THE BUTTE COUNTY FIRE S TORM 2008 Note: A building permit must be obtained for the demolition of any building or a portion thereof, including but not limited to debris and ash. This requirement includes mobile/manufactured/modular homes, single-family dwellings, garages, storage units and commercial buildings. This permit will -be used to assist the Assessor's Office in re-evaluating the value of the property. 1). Completed Butte County Department of Development Services building permit application.* Application fees have been waived'fot this permit. 2) If the application is being made by someone other than the owner. or licensed contractor (with written authorization to apply for the permit), California State Law requires that. an Owner -Builder Declaration be mailed to the property owner and returned to our office prior to permit issuance. Review and approval of debris and ash removal by Butte County Public Health and Public Works is necessary prior to issuance. 4) An inspection may be required by Butte County Development Services - Building Division, Public Health and Public Works if needed. 'When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. - 7/24/08 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECT03 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 Califorraa 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 contractDrs 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 requited to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contranors' 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 IS RECEIVED. 1 PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY n IMPROVEMEN ((YES R NO) E)AVE NOT) 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT 1 HAVE HIRED TI=E FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. 1 WILL PROVIDE SOME OF THE WORK BUT 1 HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMO PERMIT DUE TO BUTTE LIGHTNING FIRE Reference Number: B08-1476 Applicant Name: LENTZ JAMES E JR SS, Owner's Name: LENT�Z�JAMES E JR SS, AP # :058-160-037 Signature of Property Owns¢,: Date: yr .. ':CXNTY,OF"BUTTE - DEPARTMENT OF PUBLIC WORKS^ PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1983...90 APPLICATION.AND PERMIT ASSESSOR PARCEL NUMBER 58-16-37 ZONING )L 10 BUILDING PERMIT OWNER JAMES LENM TELEPHONE 534-6949 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _ Owner CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12220 Concow 'Road, Oroville 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 SFiE (XXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities❑ Installation❑ Other JR Describe work: new electric service panel (200 amp) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 21 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 Business and Professions Code and my license Is In full force and effect.SINGLE License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed;' contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING CCCUP.� Oew.011S. A ) ,h¢sgft ULTB OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20@50C BALD 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 • 00 Pre—inspection 15. Permit Fee $ 52.50 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 Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date (^—IS -30 Sig at a of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL $ FEE AL E 52.50 HAz CUA PARK PAR JPDJHDJ ISS This permit is nereby issued under sions of the Butte County Code and/or work indicated ab6ye for w ch fees DI EC R P ELIC By EX ARES Date the applicable provi- resolutions to do have been paid. WORKS Date i6l s Receipt No. 66856 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLICANTPERMIT f A_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 1983-90 APPLICATION AND PERMIT n A ASSESSOR PARCEL NUMBER 58-16-37 ZONING FR10 BUILDING PERMIT OWNER JAMES LENTZ TELEPHONE 534-6949 s4. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Owner CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12220 Concow Road, Oroville 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 pas water heater or vent 5.00 USE OF STRUCTURE SFJjXXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ffk Describe work: new electric Service panel (200 amp) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR L 00 AMP ORSLESS 10.00 10.00 Main service EA. ADD -L. 100 AMP 200 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 [� 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.troR ADDNS. ACC. BLDGs. ) 2/,zdsgft NEW CONSTR.ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. ) EX. Occu Occup(OUTLETS UTLETS OR FIXTURES 20050C 30t. FIXED APLNS Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 re— nspecti.on 15.00 Permit Fee $ 52.50 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this//permit. X Date & —Is —9 0 Sigat a of Applicant _1�7 O=�r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 52.50 HAZ I CUA I PARK SCHL I FLD I PAR Po HD I IS;E This permit is hereby issued under sions of the Butte County Cc and/or work indicated a e for w ch fees C R If- BLIC 1 By PERMIT EX IRE'S Date the applicable provi- resolutions to do have been paid. WORKS Date �' Receipt No. 66856 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -•`: COUNTY OF BUTTE - DEPARTMENTOF { PUBLIC W ORKS ! 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 PERMIT N0. ��` APPLICCATION AND PERMIT •^ ASSESSOR PARCEL NUMBER U�0 0- �3ZONING — I (03-7�� _ OWNER - f6 .IL TELEPHONE BUILDING PERMIT- OWNER'S MAILING ��'�✓ SQ.FT. OCC. BUILDING VALUATION ADDRESS • CONTRACTOR'S - TELEPHONE CONTRACTOR'S MAILING AODR ESS CONSTRUCTION LENDER Fireplace UNKNOWN Total Valuation $ ' LENDER'S MAILING ADDRESS Filing Fee I ARCHITECT OR ENGINEER Permit Fee $ 10.00a i LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee BUILDING ADDRESS Penalty $ L$ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 LOT NO. SUBDIVISION NAME Solar or heat pump water heater 20.00 PARCEL MAP WaterI In P P 9 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SF 11 Duplex❑ MobilehomeC] Other Building sewer5.00 —E. --O0 SPECIFY Mobile Home S G W 0•00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[:] Other Permit Fee -, Describe work: _�n��y �/ $ v �d Contractor :J ELECTRICAL PERMIT Filing Fee 10.00 i Main service 100 AMP OR001 OR 10.00 /0•� CONTRACTORS LICENSE LAW Main service EA. ADD'L too AM 2.50 • I declare under penalty of perjury P Y P j y (check one): oR ADDNST ( DACCL BLDGS.CCUP, Y20sq ft 1 ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER and my license Is In full force and effect. License No. ( APPARATUS tr1 `SINGLE OUTLET CIR. Classification ❑ I, Ex. OCCUp�OUTLETS OR FIXTURES 20®30¢ e0150 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is Ex. Occup. ouT 0 A PIRESID IREA.) 2.00 not intended or offered for sale. (Sec. 7044) Temporary service 10.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ! ❑ I am exempt under Sec. ,Business and Professions Code Misc. Wiring 15.00 U"6 l Y�,$ Si for this reason S °apa ' Permit Fee S Contractor ! WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The is MECHANICAL PERh11T Filing Fee 10.00 permit for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling a Ishall not employ any person in any manner 1 so as to become subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Mobile Home�lnstallation Fee $ Ordinances and State Laws relating to building construction, and hereby authorize representatives Energy Inspection Fee $ of the County of Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, TOTAL FEE $ costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. HAz CUA PARK scHL Fro PA PD Ho ISSUE X Date This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ cions of the Butte County Code and/or resolutions to do work indicated above for An OSHA permit is required for excavations over 5'0'• deep and demolition or construct- ion of structures over 3 stories in height. which fees have been paid. DIRECTOR OF PUBLIC WORKS 1 Receipt No. k & /,A -(,o 1 BY WHITE-D.P.W.• YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Date PERMIT EXPIRES Date COUNTY _OF BUTTE - P tn.nt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for 4.n 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-) jr signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (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 persons to provide the work indicated: Name Address . Phone Signed: Property Owner Social Security NTu. r _� Date �•_�S'-Qf� — (hired) the following Type of Work 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. PRE -INSPECTION 0;'NER:_s ��AM M LP/YliZ IM, LOCATION: IZZZO (�,� cin (T j2� P. - . b 3 CONTRACTOR: ZONING t -C 16 PERMIT HISTORY: F:J NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: DATE TO INSPECTOR Co- fg-96 OCCUPIED CHAS ELECTRIC �_] HAS GASHrSSANITATION-FACILITIES Q HEATED -COOLED EaPERSON CONTACTED OTHER COMMENTS: ACTION COMMENDED: ISSUE Q HOLD FOR OTHER: BY DATE Z d D COUNTY OF BUTTE, 'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive'- Oroville, California 95965 - Telephone: 916/538-7541 1983-90 APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 58-16-37 ZONING FR10 BUILDING PERMIT OWNER JAMES LENTZ TELEPHONE 534-6949 S0. FT. occ. BUILDING VALUATION - OWNER'S MAILING ADDRESS Owner CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12220 Concow Road, Oroville 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 JRXXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ffk Describe work: new electric service panel (200 amp.) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee , 10.00 Main service 1001 OR LE 0 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2 0 2.50 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 NEW CONST. DWELLING OCCUP.� DR ACDNS. ACC. BLDGS. ) �Z�SQft NEW CONSTRESIO, ULTI.OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES 200S0t eAL030 FIXED PR Ex. Occup. OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Pre -Inspection 15.00 Permit Fee $ 52.50 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 said County in consequence of the granting of this permit. X Date I S —9 0 Sig at a of Applicant — OwnQ 'aer Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 52.50 HAZ I CUA I PARK I SCHL I FLO I PAR P I HD. I ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC n•. the applicable provi- resolutions to do have been paid. WORKS n_._ unci