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HomeMy WebLinkAbout022-340-005GENE Ju-steson' Ave 400 of W Biggs- -'-..West � �MILLEN,, &�k/S �Gridley - - - '- / . " ` 22-34-05.* 4259-90B DEWSNUP, Chris ,'428'Justeson.Rd, Gridley (reroof /SF) � ` | ' . � � . , , U ` | � ~ � '~ ~.^`�- \1 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'95905 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO., ASSESSOR PARCEL NUMBER 22-34-05 ZONING SR -1 BUILDING PERMIT OWNER �tT)FW,MTP CURTOWNER'S TELEPHONE SO. FT. OCC. BUILDING VALUATION 34 sq. ! MAILING ADDRESS 9R7, Gridley 4 CONTRACTOR'S NAME Nimic,hprey wqtructi TELEPHONE CONTRA TOR S MAILING ADDRESS 1408 Hazel St, Gridley 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5 1W LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 428 Justeson Rd Gridley Permit fee $ 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 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ 'X Duplex❑ Mobilehome❑ Other Reroo£ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New f_1 Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Reroof/SF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ 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 No. 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.pI OR ACDNS. ACC. BLDGS. ) , 2/zQsgft NEW CONSTRESIO, BRANCH NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS SINGLE OUTLET CIR.e ) EX. Occu o p UTLETS OR FIXTURES 20e50m eAL030 FIXED Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Home Mobile H me Facilities 15.00 Misc. 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 g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state thai the above information is correct. I agree to comply to all County *Ord inaricbs 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 save, indemnify and keep harmless the County of Butte against all Iiabi11 s„ 11 9 costs, and expenses which may in any way accrue against` id oun in onsequence of the granting of this permit. X/Th: Date -/,;—I Signature of Applicant — Owner, Conrracro. ❑ Agent ❑ An OSHA permit is required for ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL' FEE $ 66.50 EAz cuA PARK SCHL Ego PAR PD Ho ISSUE0 s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abgve for which fees have been paid. IRE!TOROF PUBLIC WORKS By mat/e PERMIT EXPIRES,/ Date / / I '7 / Receipt No. 84693 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT F 41 COUNTY OF BUTTS - DEPARTMENT OF PUBLIC WORKS ERNO. 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 22-34-05 SR -1 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 sq. IUU1 1408 Hazel St, Gridley 95948 CONSTRUCTION LENDER LENDER'S MAILING A ARCHITECT OF BUILDING ADD ENGINEER ENGINEER'S MAILING ESS i:eson Rd. Grid T NO. ISUBDIVISION NAME USE OF STRUCTURE SF nX Duplex❑ Mobilehome❑ Other Reroof SPECI UNKNOWN PARCEL MAP TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Reroof/SF 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 and my license is in full force and effect. License No. 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 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. Not ce 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. 4agree save, indemnify and keep harmless the County of Butte against judg s, costs, and expenses which may in any way accrue oun in onsequence of the granting of this permit. Date �/2licant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Fireplace Total Valuation 1 $ 5,1 Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home T—ST G W MOM ■ EME M�m 0�0 Permit Fee $ am PROM 10.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLOGS. 2h¢sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 l SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20@50C 9AL@ 30 EX. Occup. OUTLETS (PRESI 0.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I Permit Fee S Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 66.50 HAZ CUA I PARK I SCHL I FLD I PAR PD HD I ISSUE Th;s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab ve for which fees have been paid. gMWF OR,OF PUBLIC WORKS Receipt No. 84693 1 By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPI Date k� COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING -RU-1-LD I Na.PERMIT __._____-- OWNER j� SN TELEPHONE SQ..FT. OCC.1 BUILDING VALUATION / V OWNER'S MrING A DRESS � 60 Ai;.� Y 1st yg CONTRACTOR'S NAVE nTELEPHONE b g 7 CONTRACTOR'S MAILING AD ESS n S �i //Ji et Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is © 17 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ X56+ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee R$.. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r#_00 Each Trap 2,00 ?5Q'y I 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I -ties ❑ pinstallation❑ Other o Describe work: SO ��/ `z�/_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESIO I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. % License No.3S Classification ❑ 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) 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 too AMP 2.50 NEW CONST. DWELLING OCCUP.s OR ADONS. ( ACC. SLOGS. �2¢sgft NEW CONSTR.ULTI.OUTLET BRANCH CIRC ITS 2.50 ea PO ER APPARATUS e (SINGWLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL930 e ALa 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 1 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. ❑ 1 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 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-rpentioned 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. �( l'• ;'.' _-.. Date Signature of Applicant — 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 h i ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE T TOTAL FEE $ - 7 HA2 I CUA PARK I SCHL I FLO PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. fI WHITE•O.P.W,. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT too �' ow - o� 7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 915=538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security N er --� Date 2 _=L/ — l� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit: