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Home My WebLink About022-240-10022-24-.100, r92`2026B GRACE LUTHEREN CHURCH 1763 Grace'Ave, City of Gridley` contr :...R & R' Const reroof/sf r t/ i P � v f s a f a _ - _-- -- -�"foo O.2- s (c��(�,i(�ilf �r-1 .j.`-24-100 92-2026B �^ GRACE LUTHEREN CHURCH 1763 Grace Ave, City of Gridley contr: R & R Const r reroof/sf # l Z` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlve - Orovllle,'CalI45rr;e 96985 - Telephone: 918.'538.7541 C �- APPLICATION AND PERMIT GRACE LUTfMM 585 MAGNOLIA STREET GRIDLEY CONTRACTOR'S NAME R & R CONSTURCTION CONTRACTOR'S MAILING ADDRESS 655 GRAND AVE OROVILLE: CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 1763 GRACE AVE LOT NO. I SUBDIVISION NAME USE OF STRUCTURE SF EN Duplex❑ Mobilehome❑ Other TYPE OF WORK New Jr Addition LJ Rem��odeI I Utilities❑ Describe work: WM CW BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Installation C Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fully force and 'effect. License No. Y!_L( 1E r 3 Classification L) ❑ I, 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 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. 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 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, judgmentst-&sts, and expenses which may in any way accrue against said County in c nsequenc of the granting of this permit. X � , Date < f �� ir% Signature of Applicant — Owner ❑ Contractor K Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 117132 52.50 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit Fee $ Contractor 1 ELECTRICAL PERMIT TELEPHONE 533-5184 / 18.50 �! Fireplace NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. // UNKNOWN Total Valuation $ 1920 @ 5•00 Filing Fee $ 15.00 Permit Fee $ 37.50 Ex. Occup( OUTLETS OR FIXTURES LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ Temporary service Penalty $ Mobile Home Facilities Permit fee $ 52.50 PLUMBING PERMIT FilingFee 15.00 15.00 Each Trap 1 5.00 TOTAL FEE Solar or heat pump water heater 20.00 HA2 I D FEES I PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SPECIFY Mobile Home S I G I W @ 15.00 Installation C Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fully force and 'effect. License No. Y!_L( 1E r 3 Classification L) ❑ I, 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 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. 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 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, judgmentst-&sts, and expenses which may in any way accrue against said County in c nsequenc of the granting of this permit. X � , Date < f �� ir% Signature of Applicant — Owner ❑ Contractor K Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 117132 52.50 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit Fee $ Contractor $ ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOAl _ 1 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEWC CONSTR ULTI-OUTLET NON -REST D• BRANCH CIRC ITS @ 5•00 POWER APPARATUSh SINGLE OUTLET CIR. 6.50 Ex. Occup( OUTLETS OR FIXTURES 20 @ 760 Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 GCC CONST TYPE TOTAL FEE Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Energy Inspection Fee $ GCC CONST TYPE TOTAL FEE $ 52.50 HA2 I D FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of thetButte County Code and/or resolutions to do work indic ted abov for which,,fee`s have been paid. DIREC siOF PUB6CrWORKS By; l Date PERMIT EXPIRES Date /-//:I 4� 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Call,forn1a-,95965 - Telephone: 916.'538-7541 APPLICATION 'AND PERMIT PERMIT N0. ' ASSESSOR PARCEL NUMBER 22-240-100 ZONING A BUILDING PERMIT OWNER GRACE LUTHERIN CHURCH TELEPHONE r;�Q. FT. OCC. BUILDING VALUATION 32 S (� 1720 OWNER'S MAILING ADDRESS r 585 MAGNOLIA STREET GRIDLEY� CONTRACTOR'S NAME R & R CONSTURCTION TELEPHONE 533-5184 CONTRACTOR'S MAILING ADDRESS 655 GRAND AVE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1920 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 37.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1763 GRACE AVE GRIDLEY Permit tee $ 52.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W=+ @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: REROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOAI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I� IiX"I 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. C " _2 �j License No. / � J / Classification ❑ I, 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 NEW CONST. DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. / _37.50 3.6Qsq.ft. NEW CONSTR ULTI.OUTLET S NON.RESI• BRANCH CIRCUIT DPOWER @ 5.00 APPARATUS & SINGLE OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20 76d Ex. OCCUp. OUTLETS FIXED P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring :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 1 15.00 Heating Cooling g 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 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 osts, and expenses which may in any way accrue against s` id County in c,n equenc of the granting of this permit. X Date e _/d _C_1 Signature of Applicant — Owner ❑ Contractor N Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 117132 52.50 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HA2 I D FEES I IMP I FLOOD I COF I PARCEL I PD I HD This permit is hereby issued under the applicable provi- sions of t Butte County Code and/or resolutions to do work i Ic ed ab �whic*hshavebeen paid. DIRE UBORKS (Atl � By Date o 7 PERMIT EXPIRES Date