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Home My WebLink About021-230-0719021-23-0-071 #98-2510 CASTA, MR. 654 BLOCK RD. GRIDLEY GEORGE ROOFING REROOFF//IHS /1Ilpl-!ig, y<"ai" c+� w?,^�• ..,..y•1 .�r'iiy: iF{9,`'.i `y`�`:'�r'u3N• '`'4�i r �.,elt1;� _ 'S"�r" 's ,rTa ",�4r,M;).. . J•+.:1..r, ,,,. y CC�"M` Cyi�.^.L^r+.`. s.-,�•0}`moL�i y �'��ia•2'".J r6,,sw • F,x�.�y"q'Y_- wy .i`+tNrFt.;.Ir"`F1,- L".-dir j-Z-, i.,.F,�>:•ry• .+:a •vxy„r y t.rf`�,«w rw. r -rpt •i'e } 0021-23-0-071 #98-2510 CASTA, MR. ' 654 BLOCK RDS GRIDLEY ` GEORGE ROOFING REROOF g • f • is , ' - ' � ,� r ' ` " I iii �• • a i �� ' ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541rPERMITO. (Rev. 12/96) APPLICATION AND PERMIT G0 �J10 ASSESSOR PARCEL NUMBER ^ 1� �. ZONING BUILDING PERMIT OWNER Casta Mr. TELEPHONE 533 N-3562 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 654 Block Ad., GridleV, CA 95948 2400 Coma 1440.00 400 BUR 520.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd., Oroville CA 95960 CONSTRUCTION LENDER ,. LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 1960.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 654 Block Rd. Gridley,CA (� Energy Plan Checking Fee $ $ } PERMIT FEE $;_65.00 65 0 •. LOT NO. SUBDIVISION'S NAME PARCEL - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 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 ❑ Utilities ❑ Installation<❑ Other ❑ Describe Work: Composition Shingles / BUR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. IS I G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A 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 force and effect. License Class C-39 C-14 Lic. No. , 452266 OWNER -BUILDER DECLARATION a, 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 dote work, and the structure is not intended or offered for sale. A,❑ I, as owner of the property, am exclusively contracting with licensed contractors to consffct the project. �. ❑ 1 am -exempt under'Sec. X .;.Business and Professions Code for this 40101, reason's Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING Occup. so OR ADDNS. ( a ACC. IS.S. 3.50FT. NEW CONST. NON -RES D. MULRANCTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. zop 1.00 Ex. Occup. OUTLET ORFORURES BAL 50 FIXED APPLNS. OR Ex. Occup. . OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 i _ 4, z x PERMIT FEE $ '+ WORKERS' COMPENSATION DECLARATION I=hereby affirm"Vnder penalty of perjury one of the following declarations: ❑ 1 have avid will maintain a certifica4 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. El I have ancdwill maintain woikers' 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 Legion Insurance Company MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number _ W(; 10537019 (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. _ �_ f ,d/�r Date � F — X �i / �� j��. 161 S gnatureof/ Applicant. - ❑ O Jner ❑ Contractor [J� Agent ! / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height T Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE 4t 65.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutionsid to do work indicated above for which fees have been aid. By� i .... / ( _ ! Date PERMIT EXPIRES ON /L��//r / /Date Receipt No. �' Jim WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT lv COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rew12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^' i ZONING BUILDING PERMIT OWNER Casty Mr. TELEPHONE 533-3562 SO. FT. OCC. BUILDING VALUATION 2400 Com 1440.00 OWNERS MAILING ADDRESS 654 Block Rd., Gridley, CA 95948 400 BUR 520.00 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd., Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1960 , 00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 654 Block Rd. Gridle CA Energy Plan Checking Fee $ $ PERMIT FEE $ 6 5 , 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IS 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 ❑ Utilities ❑ Installation,] Other ❑ Describe Work: Composition Shingles / BUR Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V0Main Service zo.A 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 force and effect. License Class C -39 C -14 Lic. No. 452266 OWNER -BUILDER DECLARATION 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 Main Service To X000A 46.00 NEW CONST. DWELLING .0UDS. SO W OR ADDNS. ( a ACC. BUDS. 3.5QFT; NEW CONST. MULTI -OUTLET NON RESID. ANCH CIRCUITS 97.50 POWER APPARATUS a SINGLE OUrLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL @ I.50 FIXED APPLNS. OR 5.00 Ex. Occup. ourLETs RESID. EA. 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 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 Legion Insurance Company Policy Number WC I 0537019 (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 forth comply ith those rovisions. / X _ Date G SI re o pli an - ❑ O ❑ rector Agent An OSHA p is required for excav i over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HA2. D. FEES IMP FLOOD CDF PARCEL Po HD 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. , DatOoq, _ PERMIT EXPIRES Dat Receipt No. 2�J�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT