HomeMy WebLinkAbout022-240-128022-24EMORE, 96-1724 B ,
� STOPPLEMORE, Gaylord �j��`�
464 Macedo, Gridley 4A—1
(reroof/SF) comp Double J. Rfg
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022-24-0-128
STOPPLEMORE 96-1724 B''.
464 Macedo Gaylord
, Gri4ley
• (reroof/SF) comp Double J. Rfg
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 r PERMIT NO.
APPL16ATION AND PERMIT
ASSESSOR PARCEL NUMBER 22-240-128
SRI
BUILDING PERMIT V,
OWNER GAYIORD STOPPLDIORE
TTZONING
tS " 205
SQ. FT. OCC. BUILDING VALUATION
27 COP IP 1,620,00
OWNERS MAILING ADDRESS 464 MCEM GRIDLEY
CONTRACTOR'S NAME DOUBLE. J ROWING CO
-=2791
CONTRACTORS MAILING ADDRE�50 SAL'LDON AVE GRIDLEY
[,7�
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $7
1 6_D.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $39,00
ARCHITECT OR ENGINEER
UCE11SE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 464 14ACED0
PERMITFEE $ 59.00
GRIDLEY
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO. SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF Q; Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ca
n
Describe Work: REROOF W/CW
—
Mobile Home S I G W 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service 0 OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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 Classf - - 61 Lic. No.
-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.
❑ 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
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( a ACC. BLDS. ) 3.52 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL @ .50
Ex, Occup. (ounEtDrs PES Sj ea) 5.00
OWNER
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
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 insufancearrier and policy number are:
Carrier .S�',' �_ FGAJ
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number 1:. ' � ? -%1 t1iJI T 2-q&
(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 �_� J -f!
_ on
Signature of Applicant - ❑ Owner Ctr_actor ❑ 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 Is
occ
CONST. TYPE
TOTAL FEE $ 59.00
HAZ
I D. FEES
IMP
I FLOOD
I CDF PARCEL I PD I 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.
By Date 6 lei
PERMITEXPIRESON�7 3[) A 7
/ / (Date)
ReceiptNo,2 O 2 /�
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
F1
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-75,61 PERMIT NO.
APPLICATION AND PERMIT - z2z
ASSESSOR PARCEL NUMBER 22-240-128
ZONING SRI
BUILDING PERMIT
OWNER GAYLORD STOPPLEMORE
TMT4295
�j(}(�
SO FT. OCC. BUILDING VALUATION
27 CO P 1,620.00
OWNER'S MAILING ADDRESS
464 MAC)I?.DI� GRIDLEY
CONTRACTOR'S NAME DOUBLE J ROOFING CO
T'EA +E 2791
CONTRACTORS MAILING ADDRES280 SHELDON AVE GRIDLEY
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation $ 1,620.00
Filing Fee $ 20,00
LENDER'S MAILING ADDRESS
Permit Fee $ 39.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 464 MACEDO
PERMITFEE $ 59.00
GRIDLEY
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF OX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: REROOF W/COMP
—
Mobile Home I S I GI W 1 @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service000v OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
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 t = 3!5 Lic. No. - (� lit V
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
NEW CONST. DWELLING OCCUP. \ SO.
OR ADONS. ( 8 ACC. DS. / 3.5¢ Fr.
NEW CONST. MULTI-OUTUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00
BAL 0 .30
Ex. Occup. (oFIXEEDrs a SE I.OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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( 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 insuu nce parrier and policy number are:
Carrier 5$ 2wTG rmu d
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number &&64P 2*72. CINIT 2-19.3
(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 ��30—_'f
Signat of Applicant - ❑ Owner O'Contractor ❑ Agent
An O A 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 Is
GCC
CONST. TYPE
TOTAL FEE $ 59.00
HAZ.
I D. FEES
I IMP I FLOOD
I COF PARCEL
I PD I 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.
By Date ? 196 ht
PERMITSPIRESON
(Date)
ReceiptNo„2—d 2
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT