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