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HomeMy WebLinkAbout065-510-021A.P. 5ge-24 i -1 . • _ . ,. ED JEPPESEN ,- 205 Coutolenc Rd . , 'Mag lia , 4 STREF , . ....�. _ ermit 1723-72B (garage for mobile h e )�� r� 4 A.P. 58 n••.1iFFFF , nT•. ..,1� • ..'�.. / %:... .......... ........ LOT BLOCK suBDly. 205f Coutolenc Rd.rMa a�1'a �..... Permit 168-73P,��% (utilities for Amo 11eIYlon REMARKS - . . '' � „ ._ ' 065-510-02]on }B08-0987- •,, A MISCELLANEOUS;n y!•'•Demoliti - DEMOLISH MOBILE HOME ON SITE,,t;14565COUTOLENC RD `..-..WELLS, DANIEL`• TYPE OF PERMIT PERMIT NO. PLAN NO. _ DATE Issue:- ". -� CK. i Jr PERMIT DESIGNATION: B—BUILDING P— PLUMBING DEPARTMENT OF T—TRAILER BUILDING AND SAFETY E—ELECTRICAL U—USE PERMIT TV — RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM—HOUSE MOVING EP—ENCROACHMENT , +D — DEMOLITION 600.1 n r 3 m A v T D 0 4 m m r C Q 3 r y ;a_ m m 0 Q O 3 0 Z A Z v p I IV i O C y 0y m C O m D v Z m to Z. � m m m C D y 3 p Q D D to D Z 1 Q Z m n m i Q i Q D A i m i ni 0 Q _i Q i Z i Q y m O m m Q m m Z m v m m m Ul m m m i Q m O UI a i D m i m Gl Q FORMS, Q O O 1 FOUNDATION m m m N v 'm Q REINFORCING D O i m y 1 Q m O pl Q m FRAMING O O -DI INTERIOR m m Q LATH O O -al In r 3 m A v D 0 4 C m r C Q 3 r y ;a_ m m 0 Q O i 0 Z A Z v p I IV i O C y 0y 0 3 O m D v Z m to Z. � m m m C D r 3 p Q D D m D Z 1 Q i Q n m i Q i Q m m i m i ni 0 Q i Q i Z i Q y m m m Q m m m v m m m D m m m i tll m UI 0 LOCATION. D i m Gl y FORMS, Q O O FOUNDATION m -DI m Q v 'm REINFORCING D Q i m y 1 Q O m to m FRAMING �I D m> D 0 m m y C A a NUMBER O m 0 Q O i r D A p v p I O i O 0.0 y 0y 0 y O m Z v Z m 2 Z. m m Z C D 3 p Q m D m D 1 Q i Q i m i Q i Q i m i m i ni m Q i Q i Z i Q Ul m m m m m m m m m m m m tll 0 LOCATION. 'm y FORMS, O FOUNDATION -DI m 'm REINFORCING Q v 1 STEEL m to FRAMING Q O INTERIOR 1 m y LATH Q O D i m PERMIT NUMBER O y 0 y O y 0 to 0 y 0 y O N O 0.0 y 0y 0 y O y D D D D D D D D D D D D 1 Q i Q i Q i Q i Q i Q i Q i ni i Q i Q i Q i Q m m m m m m m m m m m m LOCATION. FORMS, FOUNDATION REINFORCING STEEL FRAMING INTERIOR LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL 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: 14565 COUTOLENC RD Owner: Pennit NO: B08-0987 APN: 065-510-021 WELLS, DANIEL Issued Date: 05/29/2008 By KEJ ' Permit type: MISCELLANEOUS 14565 COUTOLENC RD +. Subtype: Demolition MAGALIA, CA 95954 Expiration Date: 05/29/2009 ' Description: DEMOLISH MOBILE HOME ON SI (530) 873-3820 Occupancy: Zoning: TM5 Contractor Applicant: Square Footage: WELLS, DANIEL WELLS, DANIEL Building Garage RemdUAddn 14565 COUTOLENC RD 14565 COUTOLENC RD MAGALIA, CA 95954 MAGALIA, CA 95954 Other Porch/Patio Total (530) 873-3820 (530) 873-3820 FEE INFORMATION DBMSC Demolition $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7490 _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 WELLS, DANIEL OL:CRW_00408378 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, a ler, 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 X 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 ' 05/29/2008 [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 00 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: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 nee not be compile -ted if the permit is for one hundred dollars ($100)oror est ❑ 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 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 05/29/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 05/29/2008 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 HUNDRED THOUSAND DOLLARS $100,000), IN ADDITION TO THE COST OF COMPENSATION, ( injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the properly owner or am authorized to act on the property owner's behalf. , 05/29/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner ❑ Contractor OR: Agent for Owner DAgent for Contractor _ ASSESSOR COPY Lender's Address City State Zip r r PERMIT NUMBER - B P k: E rl, PERMIT EXPIRES OWNER Ed Jeppesen "'KCONTR: owner LOCATION (A.P. 58=24-21 �. 205 Coutolenc Rd., Magal:ia (west side of Coutolenc Rd. 22 mi. no. of Al Magalia) 73 Ei �r 1 f a ! COUNTY OF BUTTE ' Department df'Publ,Fc Works r BUILDING INSPECTION RECORD Zoning 'Setback �.� / /—/� �` 'Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam .Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing ✓ Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent • Firewall Garage Vents Sanitation & Water ELECTRIC- `�� Temporary 9-;7 GAS BUILDING T Temporary Cert. of Occup. ` Final final Final (�(1-113 9� DATE REMARKS'OR CORRECTIONS q-2-` K, Gl/ 7 /T COUNTY OF BUTTE — 'DEPA'RTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 (� Telephone: J22d2MbcRxDcR25c 534-4541- 7,2 34,-4.5417,2 3 _ 22-13 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentionyd property for inspection purposes. X _i:Date Signature of P o gent Receipt No. I' U C•7 b SF if 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. _ DIRECTOR OF POBLIC WORKS BY Date /-7-f —2�/Z Building Permit Expires Date 7 r BUILDING Owner 49, V P SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ?dclIvo ralvco,8d 71Fireplace Contractor 4_1/5,— — ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address Q Cd f/liG PLUMBING No. @ FEE PERMIT FILING FEE $2.00 00 �C jG Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 SO Each gas water heater or vent 1.50 A. P. No. j �Z — ,Z Zoning Gas piping system 1 - 5 outlets 1.50 3�0 Each additional outlet .50 Fire Zone Fire Dept. Sanitation �� Planning Building sewer 5.00 o p O Plans /1 Fees 4 W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ O $ j0 0 d /E ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3. Qd 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 ESC Oven, Cook -top or space heater 1.00 Liqt fixtures s'p Reeeps., swi c es & fix outlets 20025 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 pump Water pump Misc. wiring "A p _ O a License No. Classification F11 '® i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ) 3.2-F 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 jjPermit Instrumentation for r groo^ion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE 1$23.z authorize representatives of the county of Butte to enter upon the above-mentionyd property for inspection purposes. X _i:Date Signature of P o gent Receipt No. I' U C•7 b SF if 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. _ DIRECTOR OF POBLIC WORKS BY Date /-7-f —2�/Z Building Permit Expires Date 7 r M COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORpCS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT auurvnce representatives or the County of Butte to enter upon the above mentioned property for inspection purposes. X01-A�-41—qDate 7 Signature of P 't 7JJIAgent Receipt No. _ 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. DIRECTOR OF PUBLIC WORKS By Date L— Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Cl Fireplace Contractor Total Valuation Mailing Addresslli_a� Permit Fee Oo Plan Checking Fee &/or Penalty Permit Fee $ A61 $ /1:5-11910 Building Address d PLUMBING No. @ FEE PERMIT FILING FEE $2.00 f 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. 8—a_ I oning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone 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 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 �- Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets 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 pump Water pump Misc. wiring License No. Classification I 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. RA 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ tate r Fee for St[Dg Motion $0.07/$1000 Evaluation nStrumentation Program $ $ Q TOTAL PERMIT FEE $ /0 auurvnce representatives or the County of Butte to enter upon the above mentioned property for inspection purposes. X01-A�-41—qDate 7 Signature of P 't 7JJIAgent Receipt No. _ 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. DIRECTOR OF PUBLIC WORKS By Date L— Building Permit Expires Date