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HomeMy WebLinkAbout021-010-039C 021-01-0-039 00-0968 SCHEFR,RON 1426 OREGON ST., GRIDLEY CO: SELIG CONST. n NT VINYL. SIDING C 021-01-0-039 00-0968 SCHEFR,RON 1426 OREGON ST., GRIDLEY CONT: SELIG CONST. VINYL SIDING 6-- 2 ��% COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIyIdION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-? 41R T NO! (Rev. 12/96) APPLICATION AND PERMIT �f Ccc -'l� ASSESSOR PARCEL NUMBER i --n1 n-nin ZONING BUILDING PERMIT OWNER gnri et^1tx TELEPHONE Sia SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1476 OREMN ST r. CONTRACTOR'S NAME + 0,F1,Tr, u'QT TELEPHONE CONTRACTORS MAILING ADDRESS lip 5 I MnR R td T NT, 07, m r CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ on • 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRE$SA 1w_r.) ORF,_:WI ST, r-RIT)LFY Energy Plan Checking Fee $ $ PERMIT FEE $ 133, n0 LAT NO. SUBDNISroNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Q VINSInTNG Describe Work: YL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @=.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VR LE Main Service 20 A OR LESS 23.00 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 fo•r,�a and effect. ^ License Class 1 % H I t Lic. No. �// oq2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUR OR ADDNS. ( 8 ACC. BLDS. SO 3.5QFT. T. NOWRESID. MULTI -OUTLET 97.50 POWER APPARATUS 'POWER OUTLET CIR. �(, Occup. OUTLET OR FD(TURES A20 @ 1.00 Ex. Occup. OunFrs AEsIDOE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. I ❑ 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 work eys cpmpensation insurance carrier and policy numb are: Carrier / 41 / �1Lr,) 1 LL_ �l1[�f%n�//'j�/ /� (/i • Policy Number r (The above sections need not be 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 3700of the bor Code, I shall forthwith comply,with those p ovisions. X Date y G LJ Signature of Applicant - ❑ Ownei_/O Contractor ❑ Agent! An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 133.0() HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HO ISSUE, This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have `B i/t�. u/Dante PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receipt No. '/7rf WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING Dimt§ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 41 DO,yN (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 091-01-0-039 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 6,500 OWNERS MAILING ADDRESS 1496 OREGON ST, GRIDLEY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS q,q',l MORROW LANE 0, CHIGG CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ . 90.00 ARCHITECT OR ENGINEERS MAIUNCI ADDRESS • Plan Checking Fee $ 2q nn BUILDINGl�gD&ESS OREGON ST, GRIDLEY 4L(� Energy Plan Checking Fee $ $ PERMIT FEE $ 133.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pum water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other LJf( Describe Work: VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'DOA OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full fo g and effect. %— License Class 1 % Lic. No. �!! oq r 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 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 46.00so CCS.U000A NEW CONST. DWELLING OCCUP. 3.SQF°; OR ( cDNS. Mu ou NON RESIDON . @7.50 POWE. APPARATUS 6SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. OLniTETSRa .DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 works�s c nsation insurance carrier and policy numb r are: Carrier L �[ F fl(t/ll �a %�F�hA/l`r,/ al ra • 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 f I should become subject to the workers' compensation provisions of section 3700 of the orde, I shall hwith comp' wit ose provisions. X Date Sin a of Applicant - ❑ Owne ❑Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 133.00 HAZ. D. FEES IMP FLOOD COF 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 f hich fees have been paid. ' ©� at / EXPIRES ON �® l Date Receipt No.PERMIT 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 (530) 538-7541 � (Rev. 12/96) APPLICATION AND PERMIT CO -6m. ASSESSOR PARCEL NUMBER/�, l �- /D O ( l ZONING BUILDING PERMIT Ow 16 41" C?N e TELEPH NE 1No/ S3 -��Z- SO. FT. OCC. BUILDING V UATION - _ OWNERS MAILII D ESS �( l�—FCl/ CO O NAME 7 TLEPHONE w CONTRALTO 5 NO AQDR�So z � t C u ��!( CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIMGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel )k Utilities ❑ Installation ❑ Other ❑ Describe Work: GAJ% //1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 22000A OR LLEESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNE-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 am exempt under Sec. Business and Professions Code for this reason 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 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.) ❑ 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 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. Main Service 2ooA To I000A 46.00 NEW CONST. OWEWNG OCCUP. SO OR ADONS. ( a ADC. BLAS. 3.5¢FT: T. INON.RESID. MULT.10. .Ei @7,50 a s0 o T S EX. Occup. OUTLET OR FIXTURES e 0 @ 1.00 Ex. Occup. o TiErs AE�sID°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE d TOTAL FEE $ HAZ. D. ES IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 2L1Q ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT