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Home My WebLink About021-230-047021-230-047 PERMIT#97-1195 LOWERY, Chuck 153 West Evans Reimer Rd., Gridley Cont: Prydefin& /97 Reroof/SF COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P R T No. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER 021-230--047 ZONING BUILDING PERMIT OWNER MCK LOMY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RRI ffiRp IN CONTRACTOR'S NAME ntbE ROOFING CO W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ 1 BUILDINGADDRESS 153 WEST EVANS REINTEREnergy Plan Checking Fee $ t GRIDLEY $ PERMIT FEE $ 49.00 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE V SF ❑, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump 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: e red 4 Gas piping system f - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLEE: S 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.�, z License Class C -3Y LIC. NO. 9-08 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 ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. SO 3.5a FT. -=N-RES..MULTI.OUTLET CIRCUITS,50 @7H POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE @ I'0 BA20 @ .so Ex. Occup. OUTLETSPRE D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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, 1 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. ___ Date 406 "� 9 •__– --� — Signature of Applicant - 11er OwnContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEE IMP FLOOD CDF PARCEL PD HD ISSUE v This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have l By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date C Date / Receipt No. d �% % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OV-DEVG-LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califorr�a 95965 - Telephone (916) 538-7 41 P MI NO. (Rev. 12/96) APPLICATION AND PERMIT �% ASSESSOR PARCEL NUMBER 021-230-047 ZONING BUIL ING PERMIT OWNER CHUCK LOWERY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS IRRINEXXINi NIX !L CONTRACTOR'S NAME PR�'DE ROOFING CO TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ f 10 ARCHITECT OR ENGINEER LICENSE NO. t.2 Filing Fee $ 20.00 Permit Fee $ 29-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 153 WEST EVANS REIMER Energy Plan Checking Fee $ $ GRIDLEY PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 ❑ ities ❑ Installation ❑ Other Y3 Describe Work: &r66 Gas piping system 1 - 5 outlets 15.00 Building sewer . 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oA mss 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.f z License Class �� LIC. NO. OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ ],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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BFT, SO EW M NNON•RESIDCONS.T. ANCHULTI-OUTLI cuET 97.50 PSINGLE OWER APPARATUS 8 OUTLET CSI R. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. OUTLETSREESID.OEA 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with t ose provisions. r Date 406 --o �' _ Signature of Applicant - ❑ Owner JIM Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 49.00HD HAZ. D. FEES IMP FLOOD CDF PARCEL PD 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. Ba kAV Date &/? /e; PERMIT EXPIRES ON P & /�' Date Receipt No. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT