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066-390-030 PERMIT#j94-1436 390-r
CONNER, SHAWN - 030
13767 GILFILLAN, MAGALIA
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0667390-030 PERMIT#94-1436
CONNER, SHAWN
13767'GILFILLAN, MAGALIA
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OFFICE COPY
Address
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 .i PERMIT NO.
APPLICATION, AND PERMIT ���?� ' �`/
ASSET6'R j9= -b30
Zo"'"r +_1
BUILDING PERMIT
owNEP 1..iiii1 0D
TEE"E8113
SQ. FT. OCC. BUILDING VALUATION
OWN1JJttll��
jj o Gilfillan. Magalia
CONTR;KOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILD IT��(�� anGilfill, Magalia '
3
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
IMAP
Solar or heat pump water heater
23.00
Water piping
15.00
LOT
UBDIVISION'SN �}
?�ga is Hts
PARCEL
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF I Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other.
Describe Work: Elec ser Ch
n@20.00
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
!
Main Service ( 800V OR LESS )
200A OR LESS
23.00 23.00
M ain Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( & ACC. BLDS. )
SO,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, 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)
,4 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.50
OR
Ex. Occup.OUTLETS RESIFIXED (RESTPPLN.O.) EA. )
( E
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23,00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
�0 I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor <
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County info sequence of the granting of this permit.
X/ Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
LTOTAL FEE $ 43.00
HAZ.
I D. FEES
I IMP
I FLOOD
I COF
PARCEL I PO
HO
I E
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.
D�IREC1TOR.OF-PUBLIC WORKS
By •' '�!! r',1.�< j i ✓ Date 11 �~ /
C
PERMIT EXPIRES ON J'/��J I
(Dote) .
b
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please,eontact this office immediately.
%'ILY- C Jn/N L C S I vnl >
Date 6 Inspector
REV 11/91
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Gglifornii 95965 - Telephone (916) 538-7541 PERMIT 190.
APPLICATION AND PERMIT
ASSES$QVRCF•{yQIU1ER030
ZONING
BUILDINGBUILDING PERMIT
°WNtHAWN CONNER
X877 -8113
SO. FT. OCC. BUILDING VALUATIO
OWNE!);S,�A Ny AKMIIXKX Gi.lfillan, Magalia
CONTRf�}TO/R'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
13767 Gilfillan, Ma alfa
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT N UBDIVISION'S N
`48 & 'I�agalia HtS
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF 6Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W � 20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel CIUtilities 1:1Installation ❑ Other IR
Describe Work: EleC Ser Ch
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 200AORLESS ) 23.00 123.00
Main Service ( 200A To IOOOA ) 46.00
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( & ACC. BLOS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
FT I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL. @ .50
Ex. Occup. ( OUT E°TS RES D.°EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ 43.00
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in o equence of the granting of this permit.
X Date Z.
Signature of Applicant - ❑ Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ•
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
I I E
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.
DIRECTO IC WORKS
By Date -SlZS'
('
PERMIT EXPIRES ON
[Date)
156405
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�=�'�"�1'�,ry.^l"�,`r'�..l�+r.r.nwc�..Y.�-`l�"�!v"ti-r.......tjrY^''h.lM.,,Y'�.y.•Y'�f-v.'r 'w^^+r-3%�trv'!1�Y 1^'"'e.u.:+r-'{r,,,,y.,.4.7�-�.rr-1�.-n„�`.-.,,(••'.,r«a,K4i.�,,/'z'..�^..dl"rr.��:-"
COUNTYOF BUTTE - DEPARTMENTOF0EVE-LOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER C n IV V 5 2 � U1 4, -JAI A. P. No. 0 holo -3 9n- 630
Proposed Building Use G.G< `M4fLc t,✓G Building Inspector GG Date -S"- /9-9 c(
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
1 8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ....... ..................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department .
15. City of Chico plumbing permit. ......... '.............................. .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). sp
20. Pre -inspection for required. .. o e ";ding Inspector! -_(Date)
21.
21. Contractor's license information. (No., Name Style, Classification). .............. �.
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28, Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
/Telephone s -77-A (tZ and hold for pickup at i', 12 ANIIrs office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permiffor above items No, r► 4' 1
2. Additional items required: "
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
Department of Development Services
Building i7ivision
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit.. No building permit will be issued until this verification is received.
1. I personally planto provide the major labor and materials for construction of the proposed property improvement
(yes or no)
2. I (have/have 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 Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. 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
Signed
Property
Social Si
Date cf
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.