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02+054-045 00-2797
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1295 GILSTRAP GRIDLEY CA 95948
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024-054-045 00-2797
NELSON, RON
1295 GILSTRAP GRIDLEY CA 95948
CONTR: JE JOHNSON ROOFING
REROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT _�qqq
ASSESSOR PARCEL NUMBER
024--054-045
ZONING
BUILDING PERMIT
OWNER
12 : So to
TELEPHONE
846--�ii435
SO. FT. OCC. BUILDING VALUATION
39 Z ZSt�00
OWNERS MAILING ADDRESS
1295 GILSTRA.P GRIDLEY 95948
CONTRACTOR'S NAME
JE JOHNSON ROOFING
TELEPHONE
671-9228
CONTRACTORS MAILING ADDRESS
1156 10INEY DR YUBA CITY 95991
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 2280.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee $
BUILDr21;J E "1TS1RAp CRIDLE
Energy Plan Checking Fee $
$
PERMIT FEE $
74.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 Iff
Describe Work: RUOFF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2�o. oa LLEEss
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 G —3 9 Lic. No. "S SS I `i
OWN WILDER 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 1000A
46.00
NEW CONST. DWELLINGOCCUP.
OR ADDNS. ( 6 A.C. BLDS.
SO
3.5¢Fr.
KKWN,RESiNEWCOp.' MULTI.OIRCUITS
@7,50
POWER APPARATUS
8 SINGLE OLITLEr CIR.
E7(, OCCU OUTLET OR FDCTURES
20
BAL 5
FIX1.00
Ex. Occup. DUT�TS pOR
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.
L�( 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 s"%at -f C, Fii LA 0
Policy Number r
(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 lth those provisions.
XDate i%"fG ".��-t�G
Signat re of Applic t - ❑ Owner ❑ Contractor ❑ Agent f-.
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height. t
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEES 74,00
HAZ.
D. FEES
IMP
I FLOOD
I COF
PARCEL
PD
HD
I ISSUE
�/
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated atibve for which fees have been paid.
6� /
r u r '0
t ' Date
/�
PERMIT EXPIRES ON 1 AI
Date
Receipt No. �UVU-5I/''/4.UU
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'. i
(Rev. 12/96)
.-.- �"-�-.r.r..rr..• �..• �+.`++..-w+r^ r. ,...-+^....^�-r-u�..v.rT.i.r.,-ww-�.M•t�i+-.—^.+T- +r� r+T-..... I/..+.
. V
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 0 PERMIT NO.
APPLICATION AND PERMIT
Q1��
ASSESSOR PARCEL NUMBER
024-054-045
ZONING
BUILDING PERMIT
OWNER
NwAdt6o VA
TELEPHONE
846-4435
SO. FT. OCC. BUILDING VALUATION
38 2,280:00
. OWNERS MAILING ADDRESS
1295 GILSTRAP GRIDLEY 95948
CONTRACTOR'S NAME
JE JOHNSON ROOFING
TELEPHONE
671-9228
CONTRACTORS MAIUNG ADDRESS
1156 WHINEY DR. YUBACITY 95991
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2280.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIUTtt5TEtILSTRAP GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE $ 74.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF 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 IN
Describe Work: REROFF
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service "DA oR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I 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.POWER
License Class e. �3 9 Lic. No. 5 8 "� (
OWN WILDER 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.
❑ 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
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 ;jjn Le , t.Z iii
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.)
❑ 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 ith those provisions.
X Date (%°"/%"2l'3G _
Signre of Applic t - ❑ Owner ❑ Contractor 13Agent
An O IA permit is required for excavations over 60" deep and demolition or constructio
of structures over 3 stories in height.
Main Service 200A TO tOooA 46.00
NEw CONST. D,E Ur OCCUP. 3.5Qso
O ADD s. (
hereby
MUL�TIo n
NON - Fr
RESID. 97.50
APPARATUS
8 SINGLE OUTLET CIR.
.00
EX. OCCU . OUTLET OR FDMRES BAL O I.50
Ex. Occup. oimEis AEsM.DEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
I D. FEES I IMP
I FLOOD
CDF
PARCEL
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 ve for w i h as have been paid.
Date
PERMIT EXP S ON
ee
Receipt No. 309031/$74.00
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) .. Cq 6. APPLICATION AND PERMIT - AV
ANIESUMPAmcm-REFI _ o d mN" BUILDING PERMIT
OWMA �- f�J f� /
OL'�t'� 3S
SO. FT. OCC. BUILDING VALUATION
owrals MAUNo AS- � �L.. 60 (D!•�! S�
CO►RRIICTOR't NA►e
VV
eo►@TRucnO" uDmEJI
Fireplace
,���
Total Valuation =
ARCWTECT OR EMI& ER
uaKE NO.
Filing Fee E 20.00
Permit Fee E
ARCNMat OR o+or+Ems MUM ADOResi
Plan Checking Fee S
SULDMADID
Energy Plan Checking Fee =
i
PERMIT FEE _
IDTNO.
PARCEL NAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome O Other
`°E"ry
Solar or hent pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New O Addition O =0Udh"Installation O Other O
Describe Work:
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE _
ELECTRICAL PERMIT Filing Fee 20.00
Main Service p/A OORR mss 23.00
*PERMIT FEE PAID $
SRA $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $ �C
h
*RECEIPT NUMBER V
* TO BE PUT INTO COMPUTER
Main Service 20" to IOWA 48.00
CONST. DWElilq occuP. 3.52.
OR ADDNS. i ACC. FIDS.
R.* 7.,.T MUITFOtlTLtT @7.50
PS0 APPARATUS
i SINOIE OVrUR C.,
Ex. Occup. OUnV OR FIXTURES aw 0 1.00
Ex. Occup. sio.�EwL 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEt t
Mobile Home Installation Fee =
Energy Inspection Fee L
OCG CONST. TrPE TOTAL FEE S
NAL D. FEES GIP MOD COf PARC:77 ND -"S'
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
PERMIT EXPIRES ON
n.