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HomeMy WebLinkAbout058-220-018. James Gall i/111-k4t Permit 49.'-76P,E(util.,mH) GAS SUP RT STRUCTURE REQ. ItIV- rm FEE 0 t GA A SUP Ali: COMPACTION TEST REQ. Permit #5390-NMH'I Issued 58-22-18 058-22-0-018 96-1966 13372 CONCOW RD., OROVILLE PROPANE TANK.GENERATOR/MH DEM CHANCELLOR, ANTHONY ir � MISCELLANEOUS Electric Pan'ei /3TNEW ELECTRIC SERVICE DUE TO'B','.13372 CONCOW RD.CHANCELLOR, ANTHONY b � '_� alql� v\A'��nq �� , 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: 13372 CONCOW RD Owner: Permit N0: B08-1466 APN: 058-220-018 CHANCELLOR, ANTHONY Issued Date: 7/29/2008 By GLB Permit type: MISCELLANEOUS 13372 CONCOW RD Subtype: Electric Panel OROVILLE, CA 95965 Expiration Date: 7/29/2009 Description: NEW ELECTRIC SERVICE DUE TI (530) 534-9844 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: CHANCELLOR, ANTHONY Building Garage Remdl/Addn 13372 CONCOW RD OROVILLE, CA 95965 Other Porch/Patio Total (530)534-9844 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8127 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 7/29/2008 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 COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR Contractor's Signature Date WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by E] CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 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.). Cartier: Policy Number: Exp. Date: ct (This seion nee not be completed if the permit is for one hundred dollars ($100) or ass. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and - e that if I should become subject to the workers' f 7/29/2008 compensation provisions of Sectio 00 of the Labor Code, I shall forthwith comply with those provisions. '"Owner's Signature Date 7/29/2008 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 personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit: I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr arty_ er or am auth ri act on the propsers behalf. ' CONSTRUCTION LENDING AGENCY r— 7/29/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 'Natne of Permittee [ ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner © 11 Contractor OR ElAgent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -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. 1.21rBv1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY PROVEMENT OR NO) �� I (HAVE I V NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO S. 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: NEW ELECTRIC SERVICE DUE TO BUTTE LIGHTNING FIRE Reference Number: B08-1466 Applicant Name: CHANCELLOR, ANTHONY Owner's Nan Signature of AP # : 058-220-018 Date:7 4; '-� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 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 CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Tip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail WI _ PROJECT LOCATION Al er '�C] Property Address city lac/ S 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. t'G EGA Sq FT- Living Garage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 4 For office use only: Zoning I FloodZone SRA Yes No Occ. Type Const. 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: 13372 CONCOW RD Owner: Permit No: B08-1465 APN: 058-220-018 CHANCELLOR, ANTHONY Issued Date: 07/29/2008 By GLB Permit type: MISCELLANEOUS 13372 CONCOW RD Subtype: Demolition OROVILLE, CA 95965 Expiration Date: 07/29/2009 Description: DEMO PERMIT DUE TO BUTTE Ll (530) 534-9844 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: CHANCELLOR, ANTHONY Building Garage RemdUAddn 13372 CONCOW RD OROVILLE, CA 95965 Other Porch/Patio Total (530)534-9844 FEE INFORMATION DBMSC Demolition $0.00 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 from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/29/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date Z;' A�S OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE L—J 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and 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 a completed if the permit is for one hundred dollars ($100) or less.) ❑IAM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I 2)/2008 shall not employ any person in any manner so as to become subject to the Workers' i 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 's gigriature Date provisions 11-1 / 07/29/2008 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 Stale laws relating to building �gnature Date .WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. 1 agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and allclaims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter th ve mentioned prop for inspe ' n purposes. I hereby certify that I am the Property o` m author' to a e props wnefs behalf. 07/29/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Narde of Permittee [S N] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner � Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLOGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer. and you are subject to several obligations including state and federal 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 IS RECEIVED. [ 1. } I PERSONALLY PL 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY �IMPROVEMENT YE NO) 2�(g:VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS PHONE CONTRACTORS LICENSE I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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: DEMO PERMIT DUE TO BUTTE LIGHTNING FIRE Reference Number: B08-1465 Applicant Name: CHANCELLOR, ANTHONY Owner's Name: CHANCELLO , ANTHON AP # : 058-220-018 Signature of Property O er I ,z Date: z% BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE M (530) 538-7541 FAX #: (530) 538-21.40 A FEE WILL BE REQUIRED AT TIME OF APPLICA 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 CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER 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 PROJECT LOCATION Property Address . Z C b 4, Vo `j 2av-' S WORKER'S COMPENSATION Policy Number Carrier ffhiring 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ZoningT. Flood Zone SRA I Yes I No Occ. I Type Const. • -� PEWMIT.,NO. 4308-77B PERMIT EXPIRES /%� / OWNER Jim Galli CONTR. Acro—Lume, Oroville LOCATION (A.P. 58-22-18 ) E/S Concow Rd.,app.2 mi.N.of Camelot Lane, Concow Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E `I jOBJ13 FINALED 0 (Date) (Si nature)" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B ILD NG BUILDING. (Cont'd) PLUMBING SetbackIV Firewall Soil Piping Forms Parapets 1st F I or Main Bldg. Restroom Finish 2nd FI or Footings Windows 3rd FI or Stemwall Siding To out Slab Roof Sheathing Water Ploing Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Car Carport Footings Slab r pehysically handica dde of ex. Conformance structure 4 Final Appliances Gas Piping Test Temp. Gas Sanitation Patio FIREPLACE Final Footin s ARVZn7 7 Footina JELEJ6TRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam F RE SPRIN41LERS Motors Framing Test Water Htr. Stucco Final Sub aneIs Mesh WCHANICAL Gird. Fault Pr t. Scratch Heating Service Brown Cooling Temp. P e Finish Ducts Under r and Interior Lath Ventllatlo Penman nt Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Ped stat Water Piping Sewer Gas Piping MOBILEHOME INSTALLATIP - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) YCOUNTY-OF BUTTE — DEPA•RTMEI�ff OF PUBLIC WORKS 7 County Center Drive. — Urpville, California 95965 d Telephone: 534-4541 APPLICATION AND PERMIT nUuiv — 1aF4V0V1ItQl1vv UIC %,UUII Ly UI DUMC LU CALCI U(JUII UIC above-mentioned rope f r in pection purposes. i X` Date �Z % 5' nature of Pe Ne. Ag%ent Receipt Nnt/ / Whi This permit is hereby issued under the applicable provisioKs of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR bFFPUBLIC WORKS BY Date '7— / 7 Bur (ding permit expires Date /' 7 " BUILDING Owner ,-J/ ' LL SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor AC . Total Valuation (R Mailing Address 9N 6.7-/� U J Permit Fee Plan Checking Fee &/or Penalty -2a 0.14-(—L �� Telephone No.o. N Permit Fee $ 7t aT Building Address 3 _ 2 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 nAJ Cd1AJ�� p/77 ®(� y�S Each Trap 1.50 _ �,_ Repair drainage or vent piping 1.50 Water piping 1.50 /° / /j �} K Each gas water heater or vent 1.50 �^('' A. P. No. VJ ('j -"�� D Zoning &Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 F e W S ion FireDept. FireZone Use Permit Building sewer 5.00 EOA I Parking Parcel Pla Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel kpproval ns Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 ' L� , �./�/� NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2¢sq ft NEW CONSTR. (MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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: WCOZIng—[��l � ' J� 44'r Ex. Occup(OUTLETS OR FIXTURES)50 @25R 109 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (REST D.) EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 License No. �7 Classificatio Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FJ 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 $ nUuiv — 1aF4V0V1ItQl1vv UIC %,UUII Ly UI DUMC LU CALCI U(JUII UIC above-mentioned rope f r in pection purposes. i X` Date �Z % 5' nature of Pe Ne. Ag%ent Receipt Nnt/ / Whi This permit is hereby issued under the applicable provisioKs of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR bFFPUBLIC WORKS BY Date '7— / 7 Bur (ding permit expires Date /' 7 " 4- ' I PFAMI,T.NO. 4969-76P,E PERMIT EXPIRES iy / ,OWNER James Galli t CONTR. owner LOCATION (A.P. 58-22-18 E/S Concow Rd.PP•`'� a mi.N.of Camelot Lane, Concow Tern VPower Pole Called PG&E T mp. Elec. Serv. q �? �� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) -NOBIi,i;HOME, I19S`CAhLAr.y),N INSPECTION CHECK LIST 1. Is the mobileh.omt� located aai�i.h required separation from lot lines and buildings and generally conform to plot plan? Ya'' NN - 2• Does the mobilehome have required clearances above ground? (Sec.5085) YeX No 3. Are foot.in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes,/ No 4. Is the mobilehome level.? (Sec. 5088) Yes -4 No 5. If more than a single unit rossover connections properly installed? (Sec. 5088) Yes No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes,! No �B. Test - Does water piping withstand working pressure or 50 lbs, air test? %e No C. Backflow - If coach is not State of Califoroved, does station have backflow device and pressure -relief valve? Yes NoP*-71 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? No B. "Does it have minimum l;" per foot slope and is it properly supported? Y No `C. Are any leaks detected in drainage system after running 3-g llons of water through each fixture including washing machine standpipe? Yes— NoV D. Ifcoach is not State of Cali a approved, does station have required trap and vent? Yes 'No 8. Gas Piping and Gas Vents A. Connectot - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 long? Note: All piping is to be at least as large as the mobilehome gas line iril t a out reductions other than the mobilehome connector. Yes No B. Test OK as per following proc ure. Y s T _ 1. Open all appliance connec r' alve . 2. Shut off appliance burne nd pilo a ves. 3. Air test with manometer 1 "-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cali rated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn, on gas, test, connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enaitglt to provide adeqLMte ampc:!rage to mobiloliame (must equal rating of mobilehome (,iitk i -.;t-inir!.um o 100 amp) and other facilitias on lot, i.e., water pumps, "ara,-,e, cabana, cttL:.',' Yes No B. Is ther-� proper. clearances . around panels? YeSL No' _ C. Is power supply cord or feeder assembly properly fused? Yes *Yes/I/ D Is continuity tesL satisfactory as per the following procedure? NG 1. De -energize electrical wiring, syste,.-ii,of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, hWE: been disconnected, 3.- Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one load of a Lest instrument to the mobilehome grounding conductor and apply t1le oi-h,2ic 11cad to each • slipp,y corIlLictor, including neoLral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure., the poider supply cord or feeder assembly conductors shall be connected to the site ser -vice equipment. A further continuity to -L -,hall then be made between L.he grounding electrode and the chassis of the 111.0bilehome. Upon saLisfactory completion of theelectrical tests, the lot or site ser -vice equipment may be approved Tor energizing. ;.D, is job card signed by Health Departmeat for water and sanitation? ion? 0 Il. if everything okay, sign off card and til;; services. I& MOBTLEiJOME DATA Manufacturer and/or Namestyle Length Vehicle Serial No. //Z A I — State Ident if icat ion No. 4de;;Lional Information or Comments: L a r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Firewall Parapets Restroom Finish Windows Siding - Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Provfor physically handicaooed Conformance of ex. FIREPLACE PLUMBING SolI Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping7 Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test — Temp. Gas Sanitation Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam . FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interlor Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS vv (NOTE: An entry must be made on this form each time you visit the job site.) M - }•_ , . .` COUNTY OF BUTTE - DE:PARTMENT OF PUBLIC WORKS • - 7 County Center Drive — OroGille, California 95965 Tel ephbne: 5344541 APPLICATION AND PERMIT ��oZ Do� BY Date--f�- f 16 Receipt No. _ 00, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant �Hing permit expires Date � C 77 s BUILDING Owner dig A4 ZFS A // SO. FT. OCC. BUILDING VALUATION Mailing Address PFO / o6(. © � / r c Telephone No �L7 JS ` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address F �`�� CtUlvt'O�+�I %� , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 u� � k 6m,, Alo IQ Tln 6 r a M [a Each Trap 1.50 IIJ A./COw I Repair drainage or vent piping 1.50 Water piping 0-p RiRT3(eti '� A. P. No. �O '� Z. -- /� Zo I g annin Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fees a� W.C.ion Fire Dept. Fire Zone Use Permit Building sewer OZ� EOA Park)ng Parcel Plans Declaration Parcel Ma P 60' R/W Im rovement • P Lawn sprinkler system 2.00 Bldg. Plans Rec'd. Parcel A roval Plans pprovol Permit Fee $ 0'2i $ Qt 191 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5�ev Main service 6, 00 AMP ORSLESS 5.00 6N. Main service EA. ADD•L too AMP 2.50 2, y -a Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGLING OCCUP. &) 22syft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTL T CIR. 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 St le of: Y P Ex. Occup(OUTLETS OR FIXTURES)50 @2# BAL@100 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 s, t1p License No. Classification Misc. Wiring 6.25 r 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 1.1-4 732 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 91 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 $ $ 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 esentatives of the County of Butte to enter upon the above- ti e5,pqperty for inspection purposes. \ X Date ! 76 Signature of Permitee or Agent TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF OBLIC WORKS ��oZ Do� BY Date--f�- f 16 Receipt No. _ 00, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant �Hing permit expires Date � C 77 s jog= - - - -- - -- -- ------ -c N i * 00: 440 i " : ' ♦ i 7 " - - ' - All -- utility--connections.–sha-LI_.-be ___-- -- .. located within 4 ft. outside the ne.a.rl C third' section of- the- ivobile - _ on t e left (road) side of the_ - ho e. 4 00 30 A 4er it will be required for the -installation- of 'the- mobilehome . 41 Z 17 / LF -Hui 4JA J E- 3 Y - (00U Q? — ' �� dk � i ���� 7�r• ' Septic system and location n%- �– `, • ®� I. l ���� M. ff � l�rrL��-rte � _ to be as per . r • Butte County Health Dept. Re - Butte n The 94 Setback shall be 5 ft. from l� the side property line and 50 ft. from urrements. ��i the centerline of the road, permitting /o Q�- a. maximum -of a 2 ft. eave overhang: A f R 0IPIETY . in 4AltUF_;Z. d P- 578- ZZ dAME s I f k 0TH! - 6ALCJ! BUTTE COUNTY NOTE:—'All Materials & Workmanship Shall Be in . . this set of plans- %'MUST W - 3UILDING DEPARTMENT Accordomce with RPconn17P_d Good Practices and kept on the job at all times and it is unlawful to - of a clual+, pre--crin-d for the. Specified use in the ((�� hh make any changes. or alterations on.. same. without ^ R.O V P V- l Ueiform building, Plumbing'4 Machanical Codes and - - •,- -�-- ------ - •!� P P t6-mational-Electrical Code:.- - -- - _-,-written permisson from the Department of Public - - - - Works,oun o •.. - N r ty Utt9. • j- li MCNEIL REALTY LAND INVESTMENT PROPERTY MOUNTAIN HOME SITES I lnn�. •. RANCHES ACREAGE MOBILE HOME LOTS'. • - - �'�" LOREN G. McNEIL REAL ESTATE BROKER (916) 534-1547 689 ORO DAM BOULEVARD P. O. BOX '1066 OROVILLE, CALIFORNIA 95965 To: Butte County Health Department & Public works I have authorized Loren McNeil of McNeil Realty to make application for Septic Tank Permit and'for a Building Permit. The Mobile Home will be 12�x 60 All Electric and requires 200 Amp Service. r} Very truly yours, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIIe, California 95965 Tel epWne: 534-4541 APPLICATION AND PERMIT 5�9 �.y.. .'�"!�� By Dated—tS-7te Receipt No White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant - iIding permit expires Date BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ZZ 14Ai P Each Trap 1.50 ,344 0 Repair drainage or vent piping 1.50 Water piping 1.50 /n� l.I ton 0 Each gas water heater or vent 1.50 �� y A. P. N,9. p�— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 � Each additional outlet .30 FEVsJ Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel oval PI Approval Permit Fee $ NEW ❑ ADDITION ❑ UTIL TIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER 60 Mairi service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW OR ADDNST ( ADWECCLBLDGLING OCCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR . 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 St le Of: Y �-+ f i cam►A Ex. Occup(OUTLETS OR FIXTURES)@250 BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 mporary service 10.00 'Mobile Home Facilities 15.00 License No Classificatio Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee ' WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so to become subject to the Workmen's Compensation Laws of Calif nia. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 4$ I certify that I have read thi's 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 Count0f Butte to enter upon the above-mentioned property for inspecti urposes. / X Date — �" •N! OC �Q TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS �.y.. .'�"!�� By Dated—tS-7te Receipt No White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant - iIding permit expires Date 1 � MOB ILEHOME .SUPPORT DATA 7�Mobilehome Mfr. Setup Model No. Year _ Width (ft.) Length // ,,,, (ft.) Expando Size �ft.x ��ft. (Draw supp�tails•below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with.the County of Butte)- - Sin le — a Et Footings (check one) _ 7 1� / 1. Wood. either pressure treated or Center Center Support a� fdn-. grade. .. Support Footing Sizes Locations (in.) �, 2. Concrete pad. 3. Other,: specify - kin.) —- — - — — — - Supports (check one) Concrete block 411 FEt:T�in x Ll 2. Concrete piers (in.)( n.) 3. Steel piers 4. Other, specify Typical Support ( in. x in.x n.)Footing Size .(in.)( n.) 4 ! ;Z aJ Pier Spacing Spp acing t. in.) (in.) (in,) — Overhan _..�--- ink g BUTTE COUNTY *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUILDING DEPARTMENT APPROVED a/y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit?. Yes No ( If yes, furnish permit number OR ' Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach.fields and clear of all -setbacks and easements? Yes ,4,,::::f No ( If no, clarify 5. What is the mobilehome electrical rating? --------------- U - ;,`-` � ,�� Amps tt��77"�""� 6. What is the mobilehome site service rating? -----------------= Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mob site service?-----------------------------------------------��- (If yes, identify the load and size: (Load) Yes (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- * C ' YP g ?----------------------1/--��/` 10. What is the type of as service. r-" - Natural 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? --------------------- --------- (B,.) (This information not required if pipe length less than 6 ft. on natural gas or -legis-s than. 50 ft. on LPG.) a III 058-22-0-018 96-1966 # GALLI, JAMES Y. CONTR: MARAllO ELECTRIC 13372 CONCOW RD,, OROVILLE PROPANE TANK GEHERATOR/MH qui n OFFICE COPY Address OFFICE Copy Address ------------ GAS t By Meter B Date: t E r F=L 11 C Mete e e vv -` 4--d COUNTY OF BUTTE -DEPARTMENT OFDr-VELgPMENTSERVICES BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-220-018 zOru BUII�ING PERMIT -it OWNER jamas Balli TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13372 marazzo electric / CONTRACTOR'S NAME 299 plumes dr orovi,lle, , §VNE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCE E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 13372 Concow rd PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT No. SUBDNIS IONS NAME PAR EL MAP Solar or heat pump water heater 23.00 Water piping - 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY + Each gas water heater or' -vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PROPANE TANF - (FOR STANDBY GEN MTOR) Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceEOOV OR LESS ( 2OOA OR LESS ) 23.00 Main Service ( 200A TO IODOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �� License Class `� (i Lic. No. 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, ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. Na. OR ( a ) 3.5Q F7 LTI-ACCUTLEBLDS CNSS. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES BAL @ ,:50 Ex. Occup. FIXED APPLNS. OR p (OUTLETS (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION � I 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 _ Date l�+j _L`6 Signat of Applicant - ❑ Owne)l Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structu es over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 7$•00 -• HAZ. D. FEES IMP FLOOD`' CDF PARCEL PD HD I ISSUE 10Z This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo�%e for wh ch fees have,(been paid. l �t By 4 ate PERMITEXPIRESON (Date) Receipt No. 2025M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-220-018 ZONING BUik6INGPERMIT OWNER jades Balli TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13372 marazzo electric CONTRACTOR'S NAME 299 plumas dr oroville, 59 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation $ Filing Fee $ 20.00 LENDER'S MaUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 13372 concow rd PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PROPANE TANK — (FOR STANDBY GENERATOR) Mobile Home JSJ G1 W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION L I hereby affirm undei 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. Q License Class C'] f, Lic. No. (p l�FIXED OWN WILDER DEGLARAT ON 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 NEW CONST. DWELLING OCCUR OR ACDNS. ( a ACC. BLDS. ) SO. 3.S¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE APPARATUSOUTLET us ) ,. Ex. Occup. (OUTLET OR FIXTURES) BAIL20 @ 1.0050 Ex. Occup. ( OUTLETS (RES D.S. OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43,00 Contractor 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 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) A 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. 0 X Date �4 • �� C Signat of Applicant'- ❑ OwneN Contractor ❑ Agent An OS ermit is required for excavations over 5'0" deep and demolition or construction of structu es over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated 0efor wh' h es have By PERMITEXPIRESON the applicable provisions Resolutions to do work e n paid. �jDate 9C D 7 (Date) Receipt No. 202564 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT