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HomeMy WebLinkAbout058-340-004A.P. 58-34-4 ESTILL P. EARLS 8001-- off mi. no. Concow Jade Sho . Concow Permit 762-73B,P -7W 113 (new single family '05&-34 -0-004 96-0955,B EARLS, Bob I - 13512 Cc �4-�o IR�ad, Or'ovil]Le (rdroo f/comp) Alladin Roofing ES 8 0 ml'T 0 Pe (new w L 0 0 Permit single 35 1 r e ro 058-340-004 04-2638 BELL 13512 CONCOW RD, CONC Cont: RELIANCE PROPANT- GAS LINE & INSTALL INS TqA� 8'-0695.t, 058-340-004 MISCELLANEOUS" HVAC Change Out I I t- .1- yi I " -1, . I NEW HVAC DUAL PACK 13512 CONCOW RD BELL, GERALD & ELWYNN I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13512 CONCOW RD APN: 058-340-004 Owner: BELL, GERALD & ELWYNN Permit No: B08-0695 Issued Date: 04/16/2008 BY TMP Permit type: MISCELLANEOUS 4265 MOUNTAIN PINE LN Subtype: HVAC Change Out Description: NEW HVAC DUAL PACK CONCOW, CA 95965 (530) 532-4792 Expiration Date: 04/16/2009 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: SECO HEATING AND AIR SECO HEATING AND AIR Building Garage Remdl/Addn 4320 ANTHONY CT, SUITE 1 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 ROCKLIN, CA 95677 Other Porch/Patio Total (916)652-6755 (916)652-6755 FEE INFORMATION DBM Heat Pump (Package Unit) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7031 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SECO HEATING AND AIR 888629 / C20 C38 / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 042 Z 04/16/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date -11. 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 the work himself or herself or through his or her own employees, provided that such improvements I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 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.). OI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the PREFERRED EMPL( WKN1275722 05/01/2008 Cartier: Policy Number: Exp. Date: (This section nee not a competed if the permit is or one dollars (s100) or ess. Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 04/16/2008 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision . 04/16/2008 ' / X �v {� Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its Bath,officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. 1 hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to 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. 04/16/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY Name of Permittee [SIGN] Print Date 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. (7jAgent for Owner @Agent for Contractor FILE COPY+ Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name 'be-111 �J(` irst Name Address O, W City O v ` State Zip Fax Phoney� O Ire APPLICANT INFORMATION CONTRACTOR Name NamelJ��� Address l� •,� +t Address r� d- O Ire 4� City Glc. Phone Stat CA—ll Zirpy(�5� Phone,%%_ Sa.._66- Fax State License Number E mail '�dA •SP(� Planner Lic. #%app Date Approved: I cia> SC APPLICANT INFORMATION ARCHITECT/ENGINEER Name ity fl� 11e, Address Zip"(� City E-mailViJQ.'5e�6k1\C . V►� State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name 5cco �'1�•�-� Address i 5x) ity fl� 11e, City kckuh State Zip"(� Ph oneq Fa G��( E-mailViJQ.'5e�6k1\C . V►� APPLICANT SIGNATURE X For office use only: Q Zoning ity fl� 11e, Flood Zone WORKER'S COMPENSATION SRA Yes I No Occ. LENDING AGENCY Type Const. - Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSM3UILDING FORMS1BldgApplSubRgmts.doc PERMIT 0(a BP BIN # PROJECT LOCATION Q Property Address 35►� cor ,-o w ity fl� 11e, Cross Street WORKER'S COMPENSATION Policy Number &n 5 15 D -o Carrier -- 1 I <(Lk bk 1h VJav�C2. G" h e - If hiring anyone other than license contractors, a certificate of w ker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther Total REV 8-12-05 40- } M a Heating, Air conditioning and Refrigeration 4320 Anthony Ct. Unit #1 Rocklin, CA 95677 Office: (916)652-6755 Fax: (916)952-6759 Contractor License #888629 April 16, 2008 From: David S. Edwards To: Building Departments Re: Building Permits This letter serves as notification that Arturo Mendez is authorized to pull permits on behalf of my company, SECO Heating, Air Conditioning and Refrigeration, Inc. If you have any questions, please feel free to call me at (916)652-6755 Sincerpli, David S. Ec*ards Owner / J OFFICE COPY- Address RS& �C - �'�.-►G �cJ GAS q Meter By Date ELECTRIC Meter By Date BUTTE COUNTY PERMIT NO. 0OUTTE•0 DEPARTMENT OF DEVELOPMENT SERVICES gp042638 o e BUILDING PERMIT 0 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) e ';�` ' - o OFFICE #: (530) 538-7541 FAX#: (530)538-2140 - WEBSITE: www.buttecounty.netldds 11i LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed *under provislons of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date- 09/08/2004 APN: 058-340-004-000 the Business and Professions Code. and my license is in lull force and effect77y G License Class: License Number. Site Address: 13512 CONCOW RD CON Date: t' G e' Convector. hf i n Map Index: Description: GAS LINE & INSTALL LP INSERT P • OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I em exempt from the p Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construc6 eller, Improve, demolish. or repair any structure, prior Owner: BELL GERALD & ELWYNN to its Issuance, also requires the applicant for such permit to file a 4265 MOUNTAIN PINE LN signed stetemenl that he or she is licensed pursuant to the provisions of the Contractor's Slate License Lew (Chapter 9 commencing with Section CONCOW, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-9780 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the ' applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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 Applicant'" RELIANCE PROPANE Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his or her own employees.. 6426 SKYWAY provided that such improvements are not intended or offered for PARADISE, sale. 11 however, the budding or improvements are sold within one CA 95969 year of completion, the owner -builder will have the burden of 530-872-9200 X206 proving [hat he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with r I licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly who builds or improves thereon, Contractor' RELIANCE PROPANE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6426 SKYWAY ❑ lam Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-872-9200 x206 Date: Owner: ' License #: 734318 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 (his permit Architect: is issued. Engineer: �I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code• for the performance of the work for which this permit is Issued. My workers' compensation insurance carder and policy number are: Carder: S;j(,4c r✓,1 Total Square Ft: 0 S.F. Policy#: /L/ 7722—G Z Valuation: $0.00 Census Code: ❑ 1 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. andagree 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. Date: Applicant: . WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($700,000)• in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4-12 310 4'56 --- C) code. Interest, and attomey's lees. ( '7 CONSTRUCTION LENDING AGENCY - This permit is h reby issued under the applicable provisions of the Butin Cnunly Cola en vor I hereby affirm that there is a construction lending agency for the Resolution to b work Indicated above for which lees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) q I -8" O Name: Byi o Q Dale: -RES Address: PERMIT ON: Dale ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505.25533. and 25534 of the California Health and Solely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to eller the substance of any official rm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. " Print Name: , °•�� Signature:- `' % r n � G � Dale: 0 Owner 0 Contractor 0 Agent for Owner IR:Aga^In for Contractor () J>DC&- /,� 60/ r LL P4 Gj/f5 �`GS� i i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541',FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP042638 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/08/2004 APN: 058-340-004-000 the Business and Professions Code, and my license is in full force and effect.— %/ 31 License Class: License Number: Site Address: 13512 CONCOW RD CON Date: Contractor: MIA/ &1'42 -MIL Map Index: Description: GAS LINE 8r INSTALL LP INSERT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires•a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BELL GERALD 8r ELWYNN to its issuance, also requires the applicant for such permit to Ale a 4265 MOUNTAIN PINE LN signed statement that he or she is licensed pursuant to the provisions of CONCOW, CA the Contractor's State License Law (Chapter 9 commencing with Section' 7000) of Division 3 of the Business and Professions Code) or that he or 95965-9780 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars'($500).): ❑ 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 Applicant: RELIANCE PROPANE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 6426 SKYWAY provided that such improvements are not intendedoroffered for PARADISE, CA 95969 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-872-9200 x206 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does.. not apply to an owner of property who builds or improves thereon` Contractor' RELIANCE PROPANE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6426 SKYWAY ❑ 1 am Exempt under Article 3 of the Business and Professions Code" PARADISE, CA 95969 530-872-9200 X206 Date: Owner: License #: 734318 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 Architect: is issued. Engineer: 1KI have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _541:4e_ F✓A Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: I%/ 7722-0 Z ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I. should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the • cost of compensation, damages as provided for in Section 3706 of the Labor 4-12- 3-1 Z) +567 code, interest, and attorney's fees. l/ CONSTRUCTION LENDING AGENCY This permit is h reby issued under the applicable provisions of the Butte County Cody anrUor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolution to work indicated above for which fees have been paid. (� By: 1�i Date: Name: PERMIT X RES ON: (" �' ) S— Address: (Dater ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officiaURrm or document of Butte County. .1 hereby authorize representatives of Butte County enter upon the above mentioned property for inspection purposes. �ftt�oo Print Name: Lp /� °✓Qn Signature: O.001 Date: � G G 0 Owner 0 Contractor 0 Agent for Ownerent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #- (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. ,0`1-2638 DATE: / oq APN. 4::::)5g3 -.34.o - SS'34Q' COLI- ZONING: NEAREST CROSS STREETf TRACT/LOTt SITE ADDRESS: 6q o� CITY, ZIP: OWNER NAME: ,Tear el PHONE: 1' 3 STREET ADDRESS: J ca ca.) FAX CITY, ZIP: O�Q ✓ j;11 e, EMAIL APPLICANT NAME: G PHONE: STREET ADDRESS: FAX: CITY. ZIP: E-MAIL* CONTRACTOR NAME: RELIANCE PROPANE - DBA WOOD HEAT & S1 ONE 872-9200 ext. STREET ADDRESS: 6426 SKYWAY FAX CITY, ZIP: PARA DT SE CA q5q6q E-MAIL' LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: oil.?' # LP _ X;5e__� ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: 41 Date: Receipt number: 4./ 23,91 Amount Received:-� Z06 6 j 058-34-0-004 96-0955 B. EARLS, Bob 13512 Concow Road, Oroville ` (reroof/comp).Alladin Roofing } k , - 1 r a , k • t ♦ � 1 f / J k � k � r a ' COUNTY OF BUTTE -DEPARTMENT OFD VELOPMENTSERVICES = BUILDING -DIVISION 7 County Center Drive - Oroville, C ifornia 95965 - Telephone (916) 538-7541 PERMIT N_O.� APPLIPATI N AND PERMIT r ASSESSOR PARCEL NUMBERZONNG. "0'58-3�i0-04k � FR5 BUILDINGPERMIT OWNERBOB EAASOWNERS TELEPHONE LEPHO EL86J �►'''V SQ. FT. OCC. BUILDING VALUATION O. MAILING ADDRESS iR 2 �F �y J PTI CONTRACTOR'S NAME M A .T ilTT� R �TO.EPIIONE L � A _'EN CONTRACTORS MAILING ADDRESS _� - 11595 MILLER PEAK RD OROVILLE, 95965 Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation Is 960.00 _ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $7-5.OU ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 1' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS �• Penalty $ BUILDING ADDRESS - f 13512 CONCOt3, RD 't PERMITFEE S 45.00 PLUMBINGPERMIT Filing Fee 20.00 • •f OROVIM t i Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP r: Solar or heat pump water heater 23.00 Water piping 15.00 -. USE OF STRUCTURE �! SF ,111 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 ❑ 'i I Describe Work: REROOF W/o)" 4 — I) If Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 - CONTRACTOR'S DECLARATION j I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. { License Class +�--� / Lic. No. J �.,Q 3 V/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason:Mobile ❑ 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 OCCUP. OR ADONS. ( a ACC. BLDSLICENSED so. 3.5Q UTLE NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 0 @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (ourLEr OR FIXTURES ) BAL 0 �:� FIXED APPWS. OR Ex. OCCup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 1 WORKERS' COMPENSATION DECLARATION , • 1 hereby affirm under penalty of perjury one of the following declarations: CEJ, I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of. the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 -�4 ,? -" c+-, cr MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation r PERMITFEE. $ Contractor Policy Number j 1(„ 9 '9 410- 41 C/ (The above sections need not be'completedrif the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 &/ � t/ Date �` Z - & =r�---/ — ---- —----- Signa{u'Fe of Applicant - ❑ Owner ❑AQontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE J 5.Af� TOTAL FEE $ ` 00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date i "� ' PERMITEXPIRESON .`� /? _ / 7 I (Date)` Receipt No. w'ri WHITE-D.D.S.-B.07. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVF.LOPMENT SERVICES - 7 -County Center Drive - Oroville, Calif 'nia 95965 - Telephone APPLICATITORAND PERMIT BUILDING DIVISION (916) 538-754 /, v MST !� ASSESSOR PARCEL NUMBER 058-340-004 FRS ZONING BUILDING PERMIT OWNER BOB EARLS T 534NE6869 SO. FT. OCC. BUILDING VALUATION 16 COMP 960.00 OWNERS MAILING ADDRESS 1351-2- CONC-014 RD CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 11595 MILLER PEAK RD OROVILLE, 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 960.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2 CONCOW RD PERMITFEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISION, NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 10 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: RFRnnF W/('.nMP Mobile Home S I G W I @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class �.'—� j Lic. No. S_3 L, 3 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. ❑ 1, 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 ( 8 ACC. ) SO. 3.S¢ FT. CNS. UTLEBLDS NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER ( a SIINGLE OUTLETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES aAL 0 .50 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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' com ensation insurance carrier and policy number are: Carrier Gi ! MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number C (The above sections need not a completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 _ �Z"—� �_ �2� Sig at a of Applic t •• ❑� Q�ntractor ❑ Age--- An OS A permit is required for excavations over 60" deep and demolition or construction of structures over 33 stories in height.601, Mobile Home Installation Fee FE — Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. I D. FEES I IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY Date PERMIT EXPIRES ON (O provisions to do work paid. 7 e) Receipt No. 1!T<3 % WHITE-D.D.S.-B.D. CA A -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NUMBER - B 7 P 762-73B, P E PERMIT EXPIRES - -Q 7--74- OWNER Estill P. Earls ,r CONTR:. owner `:'-, LOCATION (A.P. 58-34-4 ) 800' off e/s Oroville-Concow Rd. 910 mi. no. Concow Jade Shop, Concow z r J 1 i . r� I Zoning Foundation -/ Rgh. Plumbing��5 Rein. Steel Framing Qf" Wtr. Ntr. t914 Firewall ELECTRIC Temporary Final���' DATE 7-12; COUNTY OF BUTTE. Department o/ Public- Works BUILDING ,INNSPECTION RECORD Setback d��"`T �� Piers & Girders Bond Beam Gas Piping & Test Plmg. Topout Furnace Garage Vents GAS Forms `' T — Fireplaceelk— :Z—/ 9 —1-7-T Lath & Plaster Found. Vents Rough Elec. '3 '� Kitchen Vent 7 ZZ Sanitation & Water BUILDING Temporary Cert. of Occup. Final �'�� �� Final �7 -17----7 REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivi3 — loroville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �/ �/ L' F Telephone No. 1 Fireplace GU Contractor Total Valuation J Mailing Address Permit F e g E D Telephone No. Permit Fee $ Ou $ G"G Building Address � � `f ��1� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 i Each Trap 1.50 461 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Zoning & Planningro Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W. C. a o FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma /W ImprovementsLawn P sprinkler system 2.00 Bldg. PlaZIGc'd Parcel Approval Plans Approval Permit Fee $ $ G NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Mal service incl. 1 mete 3 Additi I meters, each 1 1.00 Sub -panel 2 or less) (mor an 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook or Oven 1.0 Water Heater or ac ea er A0 Light fixturesQb? a1010 Receps., switches & fix1qJtlets 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: Hood, Ex. Fan or F.A. Furnilwtv, 1.00 Evap.cooler, gar. d' r 1.00 Air conditigaefor heat p Wat ump 1/1 obil Home Faciliti s 5.0 Temp. Power Po 5.00 License No. Classification Misc. wiring DfI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen'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 authorize representatives of the County of Butte to enter upon the above-mentioned props y for ins tion purposes. X` Date Signature of Permitee or Agent `, ,s/• Receipt No.10 4 S -I 3' White-D.P.W. - Yell o�• 'fie r�T� e MOJ 2olde� cant 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 PUBLIC WORKS By Date .A ^ �� Building permit expires Date ,3 -- Z1— Zy M4. C -lay Ca aV, 6" Depanhneat of /Pu6.Ci c WoAd Quite corm# 7 Country Centex Derive olwvi,,U; Ca,Ci poria P 1 � 43 BZak:ng oaf Derive Swuupa le, Califomia Augwt 6, 1972 At&- Y. F. yZZndeic Af. A. P. 58-34-384 Dean Scn.• In aepa,?dA to gout .lettea of Augwt 2, 1972 a6oui the +&,UU19 on out palopenty in Ae. Concvro a4ea, we umU not uoe Pt -living guairtew. Id puapoje .i4 fox .d;tvaage of equ p- ment and nn&-& .6 needed ;to cmpwve #are awa. We unuld .Cine an electucal pewu t Pt a pouw-a pule and a do a pe=U ;to .lag a waiea .Cine. If Zi .r d peluni a6.le, I ruvu d .Cine A. R. Anderton ;to #tate out #armee pew td :in mg name. YOUMA tValy, C� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS rr pp 7 County Center Drive — troville, California 95965 �1• ICr����� Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �1 Date y e eceipt No. iy a! — \White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIR TOR OF PUBLIC WORKS BY Date Z Building Permi xpires Date BUILDING Owner s SQ. FT. OCC. BUILDING VALUATION Mailing Address �� 3 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address o /s 0PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �~ �— 3 ¢ Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 FirAdbone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6'O Main service incl. 1 meter 00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets ima 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat ump Water pump �O Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ s $ a 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. ❑I have placed on file with the County of Butte a certificate of Workmen'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 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 In9lrumentation r groo^ion $0.07/$1000 Evaluation $ TOTAL PERMIT PERMIT FEE $ •' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �1 Date y e eceipt No. iy a! — \White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIR TOR OF PUBLIC WORKS BY Date Z Building Permi xpires Date ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS c- 7 County Center Drive — Qrovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property �for �inspection purposes. Date Signature of Permitee or Agent J Receipt No. ( 0 r? 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. I DIRECTOR OF PUBLIC WORKS By `�ate Building pe it expires Date ....... ....... _....._... BUILDING Owner ! .� -SQ. FT. OCC. BUILDING VALUATION Mailing Address i Tel eph.n% No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address _ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 dZl/` r' l0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. j ` 3!�— Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 GP X-2 — Main service incl. 1 meter D Additional meters, each 1.00 Sub -panel (12 or less) (morethon 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Ove1 1.00 Water Heater or Space FTeater 1.00 (J Li ht fix ubola i0 RCWs., swi - es & fix out ets 6 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler,gar. dIsp. orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring -- 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. �. 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 X17 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ �j Q I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Ji authorize representatives of the County of Butte to enter upon the above-mentioned property �for �inspection purposes. Date Signature of Permitee or Agent J Receipt No. ( 0 r? 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. I DIRECTOR OF PUBLIC WORKS By `�ate Building pe it expires Date ....... ....... _....._... d I Y .. f'�� Yti { - I � • A•)r{.S; 4�Ytf 4i , y •, FN= e •. ti' 0074 �i QRQVIL L F, CALLF, '< • -1 � Z �ritu coup% Recorder°s Ofce LE, CALIF. tin, OROVIL _,•' �� �•i•:,. „ . i' ., rte;. 24730A .. .. _. � . r.. •' t'-�1���� ��� •r{� r - ,�_� .f•r. �� .mac• T--.. ,"RECORDING REQUESTED BY Y AND WHEN RECORDED MAIL TO F NAME Estill P. Earls ADDRESS CITY & STATE �c" •7 «NT /�it i/.C: ��' Nv" Title Order No. Escrow NO. -- 0 R,f) S o. FMAIL TAA STATEMENTS To NAME 11 11 ADDRESS CITY & A' 7­-71 STATE L �/� ��/- J OP;fS MAR 23 14 46 01373 1.011iSE K;.L'El:ufR ' ec'UNty rtt_"cOFc'D �r FEE 24739 �PAC'I"A,@QY�.�MISj4jNFE fOR R C*]RR '"; d3E l i �I��►t�li�ilc�� ,Oilit �PIY�lYCp ��e� WESTERN TITLE FORM NO. 105 . FOR VALUE RECEIVED, ESTILL P. EARLS and EMMA MARIE EARLS, his wife, GRANT to ESTILL P. EARLS and EMIMA MARIE EARLS, his wife, as JOINT TENANTS all that real property situate in the unincorporated area of. the County of Butte , State of California, described as follows: A right, of way for road and public utility purposes over a strip of land 60 feet in width, lying Southerly of and adjacent to the following described line: Commencing at the Northeast corner of the Southwest quarter of the Northeast quarter u1. Section 2, Town sh'p 22 tiort'":, Rj-,jge !i .c 5f:�.U.P,.. & M. ; thence North 89°58' West,along the North line of the Southwest quarter of the Northuasc quarter of said Sec- tion 2, a distance of 323.56 feet to the point of beginning for the herein described Line; - t'hen-c.e`from tsaid "poiift 6'F' beginriii g" continuing North 89'58' West, along said North line, a distance of 763.56 feet, more or less, to the centerline of the Concow Flea Valley Road and the end of the herein described line. Dated_ March 20, 19 73 Estill P. "Earls STATE OF CALIFORNIA County of On •2%'-,124, 1 L6 , 197_• before me, the undersigned. a Notary Public, in and for sai3O State, personally appeared r known to me to be the person whose name •5 r 4:•`-` subscribed to the within instrument, and acknowledged to me that hem executed the same. Notary Public BUTT£ COUNTY PLAIIi +t; Ct7Eu MAR 2 G 1973 OROV1L'LE, CALIF. .�L.LG-� ~'1 �!%i - / /�•L !o' C L ,t�. f/% �G'L/-Gil.-.l Emma ML:t ic, Earls FOR NOTARY SEAL OR STAMP F(C-, OFFICIAL, SEALMARGERY H. LEENOTARY PUBLIC-CAL'FOPNIASANTA CLARA 'COUNTY VlyCommisslonExpiresJuly1.1976 385 �o. Nsloria Ave., Sunnyvale. CA. 94086 MAIL TAX STATEMENTS AS DIRECTED ABOVE SOD, or i •'i-': - to 0 M�