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058-170-043
AP 58- 7_-4�3Q>-�- - . � ..✓ GARY FREEDMAN STR' s/s Dogwaad Lane, app. 000'�`S _+ Consow Rd, Concow are U-_/ f .Permit# 4614-74P--1�0-04 ' 05 " i F ' Electric Panel. •,cS F MISCELLANEOUS - ELECTRIC F LOT BLOCK SUBDIV. NEW P WER POLE AND OCCUP. WIRD C TYPE OF GREY, DENISE TRUST J a PERMIT NO. PLAN NO. DATE ISSUE. ATE ISSUED R F M O R FSG PERMIT + i ., I I I ! PERMIT DESIGNATION DEPARTMENT OF ! BUILDING AND SAFETY B—BUILDING E—ELECTRICAL U—USE PERMIT P— PLUMBING TV—RADIO-TV ANTENNA V — VARIANCE T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT HM —HOUSE MOVING EP — ENCROACHMENT D — DEMOLITION 600.1 m =OWL Q� 79COJOAMI INSPECTION RECORD PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES @ APPLIANCES METERS FINAL PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE BUILDING APPROVALS fm aZ Z OiQ 1= OLL= J O IL Z EW Zy fr Z - Ir IL o= O= OW �1- a►- hJ xF5 FQyQ ? W ZIL OW aF I PXX Wd W �� Z� V m wJ OQ OLL V 5 w LL � ,� j Z i LL SIG. DATE SIG. DATE SIG. 1 DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PL11MR17W APPRnvAT.Q PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES @ APPLIANCES METERS FINAL PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile C www.buttecountv.net/dds www.buttegeneralplan.netC� tl ' ADMINISTRATIVE PERMIT FOR SPECIAL TEMPORARY TRAVEL TRAILER — 2008 BUTTE COUNTY FIRES* Owner: CAREY, DENISE TRUST I Phone #: Mailing Address 4023 KAKINI ROAD E-mail Address: Applicant: ZINKS REMODEL Phone #: 5308469940 Assessor's Parcel Number: 058-170-043 Street Address of Site: 3997 KAKINI RD The temporary travel trailer is allowed until June 24, 2010; however, the use of the travel trailer will fall under the jurisdiction of Butte County Code Section 24-300(c) following the issuance of a building permit for a residential unit (stick -built or modular home). *Any requests to extend the temporary use will be required in writing prior to expiration. I CAREY, DENISE TRUST certify that the above information is correct. Owners' Signature: Date: — Ze�poO TO BE FILLED IN BY PLANNING DIVISION Administrative Permit: ADM08-0024 I Date Verified Existing Structures: Zone: Received: 09/11/2008 EH Clearance Received: Date Approved: 09/16/2008 Date Expires: June 24, 2010 Planning Approval by: [PLANNER] * Temporary Travel Trailer permit specifically for those properties with residences impacted by the 2008 Butte County Fires. Residences not impacted by the 2008 Butte County Fires are eligible for a Temporary Travel Trailer pursuant to Butte County Code Section 24-300(c). Date revised: August 6, 2008 K:\BUILDING\Fire Storm 2008\Forms\ADM_Special Temp Travel Trailer -08 Merg Doc.doc °1. Butte County Department of Development S &vices TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net ,n vrn 0% - 00a APPLICATION FOR ADMINISTRATIVE PERMIT FOR SPECIAL TEMPORARY TRAVEL TRAILER - 2008 BUTTE COUNTY FIRES* Owner: 01 W -V I I Phone #: Mailing Address: 2 �� E-mail Address:' -Applicant: l Phone #:_Rb a,� Assessor's Parcel Number: /� Street Address of Site: fl ('I v i v) I . IC0(i(I /,Yl V�Q ht7 The temporary travel trailer is allowed for a maximum of 24 months from the date of the event; however, the use .of the travel trailer will fall under the jurisdiction of Butte County Code Section- 24-300(c) following the issuance of a building permit for a residential unit (stick -built or modular home). I [OWNER NAME] certify that the above information is correct. r Owners' Signature: Date: Temporary Travel Trailer permit specifically for those properties with residences impacted by the 2008 Butte County Fires. Residences not impacted by the 2008 Butte County Fires are eligible for a Temporary Travel Trailer pursuant to Butte County Code Section 24-300(c). FAC/DROC Date revised: August 6, 2008 ' ; SEP 1 1 i 2006 K:\BUILDING\Fire Storm 2008\Forms\ADM_Special Temp Travel Trailer -08 BC Application.doc RECEIVED �-S 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: #L3 KAWI RD Owner: Permit No: B08-1381 APN: 058-17C-043 CAREY, DENISE TRUST Issued Date: 7/21/2008 By GLB Permit type: MISCELLANEOUS 4023 KAKINI ROAD Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 7/21/2009 Description: NEW POWER POLE AND ELECTR: Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: D T G ELECTRIC D T G ELECTRIC Building Garage RemdUAddn P O BOX 8923 P O BOX 8923 CHICO, CA 95927 CHICO, CA 95927 (530)321-6233 (530)321-6233 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8025 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License D T G ELECTRIC 825782 / C10 / 10/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors 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 X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil five 7/21/2008 penalty of not more than hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR ❑ 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 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Lection 3700 the Labor Code, for ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; 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 Carrier: Policy Number: Exp. Dale: Contractor's License Law.). (This section need not be completed if the permit is or onhudreddodollars ($100) or less.) F1IAM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Comp ation Laws of California, and agree that if I should become subject to the workers' X ]/21/2008 com nation provisions of Section 3700 the Labor Code, I shall forthwith comply with those Owners Signature Date pro/ isio s. ' — _ X t 7/21/2008 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 State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for 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, personal injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 1C�?, -4 7/21/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner contractor OR; DAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "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. APPLICANT INFORMATION OWNER INFORMATION Last Name Name First Name c. Mailing Address A) City Cleo City nState Phone Zi o� Fax E-mail E -mai APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR Name � � G � Address Fax City ! Stat Zi o� Phon V ` 3 Fax E -mai State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip ; City Fax State Zip Phone Tax— E-mail State License Number APPLICANT INFORMATION Name -vcCz Address � ^ X/ City State Zip ; pone d Fax mail PROJECT LOCA TION AP# l L 7 Property Xddress 7 e city WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than 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. &v6p' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use ont Zoning Flood Zone SRA Yes No Occ• Type Const. 4+1 PERMIT NO. " P E 4 .J M i {MH UTIL. d PERMIT NO. 4614-74P,E PERMIT EXPIRES C— OWNER Gary Freedman #CONTR. ##*LOCATION (A.P. 58-17-43 ) - t s/s Dogwood Lane, app. 1000' E. of Concow Rd, Concow Area J. T S T-eW. Power Pole 4 Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. iJ-IFCalled PG&E OB INALED B COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Pi ink Piers Roofing . Sewers Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped A pliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS duo- ?dw.r S- COUNTY OF BUTTE — - DEPARTMENT OF-PUBLI W KS 7 County Center Drive — .OroviIIe, California 9596 Telephone: 534-4541 APPLICATION AND PERMIT au LI[OrZe (EP1eSeJJLaUVe6 VI inty uuunly of Butte to enter upon the above-mentioned property for inspection purposes. X Date / 1,61',73 Sign u/re of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R OF PUBLIC WORKS 100 ev B tt Y tDate Building permit expires Date ........ ,�„,T.6............ B LDING Owner & SQ. FT. - OCC. BUILDING VALUATION Mailing Address �O� a Telephone No. O Fireplace Contractor gg UJ I,//` {Z, Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressS i�Cs �tJ�a PLUMBING No. @ I FEE PERMIT FILING FEE $2.00 00 v /000 - Cr�r✓G> -�� Each Trap 1.50 (�pNGOt.J I Repair drainage or vent piping 1.50 , :5-D Water piping 1.50 { Each gas water heater or vent 1.50 1,5-0 T 'TM WO A. P. No. 8 - � Y3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 _ Each additional outlet .30 esSa it o ire Dept. Fire Zone a ermi wilding sewer 5.00 5, O EQA Parking Parcel Plans Declaration Parcel Ma 0' R/W P Im rovements P Lawn sprinkler system 2.00 BI g. s Recd Parcel pproval Plans . pproval NEW ❑ ADDITION ❑ UTILITIESg OTHER ❑ Permit Fee $ $/0 OC 'ELECTRICAL No. @ FEE PERMIT. FILING FEE $3.00 3.00 Main service incl. 1 meter ��Qp Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home kq, Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b21 al10 Receps.•, switches & fix outlets 2 llb LM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i Hood, Ex. Fan or F.A. Furn. Motor' 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 C7 Temp. Power Pole 5.00 i Li nse No. Classification Misc. wiring Lvj I am exempt from the Contractors' License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE i 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. i ❑ I have placed on file with the - County- of.Butte- a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ / QI au LI[OrZe (EP1eSeJJLaUVe6 VI inty uuunly of Butte to enter upon the above-mentioned property for inspection purposes. X Date / 1,61',73 Sign u/re of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R OF PUBLIC WORKS 100 ev B tt Y tDate Building permit expires Date ........ ,�„,T.6............ Ap 4 58 47,- LI 3 -.Vlz AC -9915 -A This set of plans allltl� ws MUST 6@ it is unlawful +0 -kept on the job at J times and the TYl' n,4,p, anv chnn9es Or. alfernt;ons on spree wil "IOU'b!' c rn -m-ro""ORnt Of P'L wri4ten Perm'sSion frO wg'At' Colinty".Of Butte. All ufil;iv c' y. 6nneef sons shnll -be located within 4 ft. outside the rear third sec+;04, of The mobile hcrae On the left (road) -side of the mobile SPP#"c system and IQ.cclt;on ca -I 6-0-1 to I -e. as per Butte ' County Health Dept. Re.- quiremenfs. IOX41J, TRAILIEK-% 0V% Iqop mo Ibi L F_ HbAu&' .477w7/k_SJ ',TheASWcpSef6ccir , sh'd'Il be 5 ft, from the side property line and 50 ft. from e centerline of the ror7cl, permi+#;n- I anift u'iQfa2fh.e'aveoverhang. i LEGAL. ak$EmEwr Oro VILLC- -Z 0 too. ..RTE.70 Cvnitp�y gyp. Sr LAKE LANE BUILDING DEPARTMr-NIT r APP`0V. -71 (oil r Yy! e IZ61 j3o ` t 5401.1 n �ond SI TE �I - ---- . - ... _..... ..... ... _ ............- - . - .................. -..................- . - - - .. - ---....._-----_ ------------ ....... _........... ........... - - - ---------------- . -......- . 3 00 M � M T rt� FAC/DROC _ SEP 1 1 -•�-�-� 2,008 fief`' - RECEIVED J age i Assessor's Pare Number 0 � ® � © 0 — u 0 C Scale: 9 °' = O er Name�e-ry.. PRey -0.6"Ot 9 � SiteLocation Contact Nae Zrn�%S iQ,�� PheneS46=9q4C7