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HomeMy WebLinkAbout021-132-0191 21-132=�9 5- 1946 '89B` yt 4 1� 1 COOPER, Annette ^' r 492 W Liberty1'Rd,Gridley (((\\\ uu S Coritr �Soud'an Const. (reroof SF) U21-13-2-019 00- 35);'� t # JLOFLAND, DALE 7.7� 492 WEST LIBER , GRIDLEY CONTR: GEO E & SON ROOFING.' RE ROOF p 1 Y' I ;i • I I o a ' o 21-132=�9 5- 1946 '89B` yt 4 1� 1 COOPER, Annette ^' r 492 W Liberty1'Rd,Gridley (((\\\ uu S Coritr �Soud'an Const. (reroof SF) U21-13-2-019 00- 35);'� t # JLOFLAND, DALE 7.7� 492 WEST LIBER , GRIDLEY CONTR: GEO E & SON ROOFING.' RE ROOF p 1 Y' I ;i • I I 21-132=�9 5- 1946 '89B` yt 4 1� 1 COOPER, Annette ^' r 492 W Liberty1'Rd,Gridley (((\\\ uu S Coritr �Soud'an Const. (reroof SF) U21-13-2-019 00- 35);'� t # JLOFLAND, DALE 7.7� 492 WEST LIBER , GRIDLEY CONTR: GEO E & SON ROOFING.' RE ROOF p 1 Y' I 21-132=�9 5- 1946 '89B` yt 4 1� 1 COOPER, Annette ^' r 492 W Liberty1'Rd,Gridley (((\\\ uu S Coritr �Soud'an Const. (reroof SF) U21-13-2-019 00- 35);'� t # JLOFLAND, DALE 7.7� 492 WEST LIBER , GRIDLEY CONTR: GEO E & SON ROOFING.' RE ROOF ILI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 `` =ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021_ 15-- 2--019 ZONING BUILDING PERMIT OWNER DALE LOFLANT) TELEPHONE 846-496 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 492 V. LIBERTY RD„ GRIDLEY. CONTRACTOR'S NAME GEORGE & SONS ROOFING1589-4443 TELEPHONE CONTRACTORS MAILING ADDRESS 1090 MTZLETON, OROVILLF„ CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 492 W. LIBERTY RD— �:RIT1 FY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 ❑ Describe Work: RFR00F W/C%IP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LEs Main Service zoeoov ORoA oR LEsss 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. !POWER License Class Lic. No. /� � ss9� %�>� DECLARATIONFIXED 1 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 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 permitis issued. My worker cgmpens tion insurance carr' and policy number are:. Carrier ATQ. Policy Number ?— (The above sections need no 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 ith those provisions. / ' . Date 'Z tgna" ure of.JAp�1Iicant - ❑ Owner ❑ Contractor ❑ Agent,An OSHA per6t'rs required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. Main Service zooA To ,I000A 46.00 NEW CONST. - DWELLINGOCCUP. SO OR ADONS.., ( 4 ACC- Z'SS 3.5¢x' NEW ON REOSID. . MULTI -oma @7.50 RANCH APPARATUS UCIR. & SINGLE 0'P "LET 20 OUTLET OR FIXTURES Q 1.00OWNER-BUILDER �(, OCCU 2L 00 APPLNS.OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. I D FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE Thi . rmit is hereby issued under the applicable provisions ofe utte Court Code andfResolutions to do work in Icat d above h'ch feespaid. B &IZ7.100 PERMIT EXPIRES ON ,ate Receipt No. Z944_11Z Zli WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 611 -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ='�`=• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT w-:: ASSESSOR PARCEL NUMBER 021-13-2-019 ZONING BUILDING PERMIT OWNER DALE LOFLAND TELEPHONE 846-4861 SO. FT. OCC. BUILDING VALUATION 34 2,040 . OWNERS MAILING ADDRESS 492 W. LIBERTY RD., GRIDLEY CA CONTRACTOR'S NAME GEORGE & SONS ROOFING TELEPHONE 1589-4443 cDM NG ADDRESS 1090 HURLETON OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2,040 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 492 W. LIBERTY RD. GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF W/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I V I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa LE:: 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. ,(G // License Class 3 Lic. No. fJ 07`T 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 astheir 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 works compens 'on Insuranc�carre and policy number are: Carrier5��'e_ Q . 'f— Policy Number " l% (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' compe sation provisions of section 3700 of the Labor Code, I shall forthwith cc ly it h those provisions. X Date _ 2`�i r, C, of icant - ❑ Owner ❑ Contractor ❑ Agent An OSH per it required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.W Main Service 200AWEE TO tOaoA 46.00 NEW CONST. DEWNCiOCC. SO OR ADDNS. ( & ACC. BUDS. 3.5QFT: NPµ= -T SRANCIl@7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 0 0 I.00 Fj(, OCCU OUTLET OR FIXTURES BAL o Ex. Occup. ..FIXEDA" A�ID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE Thi rmit Is hereby issued under of the utte Coun Code and/or i#catfId above r h'ch fees have2Date PERMIT EXPIRES ON I the applicable provisions Resolutions to cJo work paid. �/ZZI/00 oate) Receipt No. 00 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 PERMIT NO. (Rev. 12/96) (r •/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER =aN� BUILDING PERMIT OWNER]®/r- "�/ / S FT OCC. BUILDIN VA ION OWNER'S MOYUb LAMAESa . 1 /1 AV Vff _ ' / _ DD D S 7-0 t? CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCMTECT OR ENGINEER'S 140M61NG ADDRESS BUILDING AODRE�f j ,;;� LOT NO. I SUBDNISION S NAME USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECffV TYPE OF WORK New ❑ Addition ❑ Remodel 0.Utifi6es ❑ I❑ Installation ❑ Other /� Describe Work: 1 /��n� / '�J Total Valuation Is yi��- Filing Fee $ 20.00 Permit Fee $ z�oaL oa Ess Plan Checking Fee $ 200A TO 1000A Energy Plan Checking Fee $ DWELLING OCCUP. SO S 8 ACC. BLDS. PERMIT FEE S MULTFOUTLEr BRANCH rlQrt, . PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 EX. OCCU . OUTLET OR FDRURES PERMIT FEE S EX. OCCU FIXED APPLNS. OR OLlTLtTS ESID. EA ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oaL oa Ess 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. 8 ACC. BLDS. 3.5QFT. MW CONS . NON•RESID. MULTFOUTLEr BRANCH rlQrt, . 7.50 EX. OCCU . OUTLET OR FDRURES Wa ''w BAL .SO EX. OCCU FIXED APPLNS. OR OLlTLtTS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I S MECHANICAL PERMIT I Fling Fee 1 20.00 6.50 PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee Is OCC co '” TOTAL FEE $ . D. FE6 IMP I FLOOD I COF I PARCEL I FD 1 110 1 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 PERMIT EXPIRES ON t.. 21-132-t9 " j 6-89B' COOPER, Annette 492 W. Liberty, Rd -"'"Gridley ' Contr:, Soudan'Const, ' (reroof/SF) FINALED -nix: f COUNTY OF BUTTE - DEPPRTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541" %f�/fj APPLICATION AND PERMIT t/ %'v' Q ASSESSOR PA UMB ZONING BUILDING PERMIT OWNER ` T HONE Z .� SO. FT. OCC. BUILDING VALUATION �. OWNER'S A LING -A igRE S5 i G ,�?_ , CONTR C OR'S NAM TELEPHONE S 1 CONT -^ C,TO SMAILING A V , 66 , ©�',,! Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ;,2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit feet' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:]Duplex ❑ Mobi lehome ❑ Other �� �r SPECIFY , Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _,c&lam �� .�Q i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .,V I am licensed under provisions of Chapt. 9, Div. 3 of the;Business and Professions Code and my license is in full force and effect. License NaS�i= 7� Classification I ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with Iicensed'contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.l1\ OR ADDNS, l ACC. BLDGS. / , /20sgft NEW CONSTR MU1-OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) (POWER APPARATUS eI SINGLE OUTLET CIR. 2000t Ex. Occup(OUTLETS OR FIXTURES DA 030 FIXED APLISIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi ling Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury `(check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. , . � 'N ❑ I shall not employ any person in'any manner so as to become subject to the W. C. laws of California. %. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Codi, you must forthwith comply with such provisions or this permit shall be deemed revoked. a Heating Cooling g Hood 3.00 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 County Ordinances and State Laws relating to building construction; and hereby authorize representatives of the Countyot Butte to enter upon'the'above-mentioned property for inspection purposes. I 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 consequence of the granting of this permit. t- r j �, X n.;.1./ , t/i t c iJ�. �% Date 61 1 ' i ' Signature of Applicant's Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oCCUP. CONBT.TYPE ISCHOOLIFLOO111PARC111.1 PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi-ceted above for which ,, DIREF PUB.10WORKS Zv � PERMIT EXPIRES Date n the applicable provi- resolutions to do fees' have been aid. p Receipt No. WHITE-D.P.W., YELLOW-ASGE350 . PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - D,. AkZMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N(/ So Q ASSESSOR PAR UMBEL 1(j!J ZONING BUILDING PERMIT OWNER T G PHONE SOS FT. OCC. BUILDING VALUATION OWNER'S MAI INGD/4RE W CONTR CTOR'S NAME I TELEPHONE s -C ON TR CTO S MAILING A ,Q Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $2100 LENDER'S MAILING ADDRESS Filing Fee ,$ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G w �G Permit fee $ i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P- ZQ0d5:'-_ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, DIV. 3 Of the BUSIneSS and Professions Code nd my license is in full force and effect. License N Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code . for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a , h¢sgft New eorNiSTR.( ACC. Bou LET NON.RESID ,BRA C CIRC S 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS FIXED P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department 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 W. C. laws of California. Notice to Applicant: If after making this statement, .should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and 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. I 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 con quence of the granting of this permit. X Date �- I c7 - Signature of Applicant/— Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $Z1f1 occuP. CONST.TTPE sLOoo cNooL P PARCEL PD ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work i ted abOVe for which DIRE PUB Y EXPIRES�D ate the applicable provi- resolutions to do fee have been paid. ORKS ate �"//9A� Receipt No. WHITE-D.P.W.. YELLOW-ASeESSO , PINK -INSPECTOR, OOLDlNROD-APPLICANT