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Home My WebLink About024-190-003I F. 024-19- 00- 1309 KHAN 478 CI ANDON AVC,Ey13. -G-M D Ly' J- r CONTR: DON SCRIBNER NEW ROOF AND REROOF ff JO V.01N 10 ��i: -c' -. wy--we•s�-� nim!Y �'Slv��-eat�i'��y�}' vl%lk\SC�'•i�,S2'�.�•.�•., ..��.y�;y�:i 024-19-02, 00-1309 KHAN FAR 4SI(- 478 CLANDON AVE.`GRIDLEY CONTR: DON SCRIBNER NEW ROOF ANDAEROOF 77, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 rt,,PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT " ,ff ASSESSOR PARCEL NUMBER 024-190-031 ZONING BUILDING PERMIT OWNER than 18II arms TELEPHONE SQ, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8215 LARKIN ROAD, GRIDLU 95%8 EST .5,500 CONTRACTOR'S NAME TELEPHONE DON =IBM CONTRACTORS MAILING ADDRESS 2996 PMINGMN RD., LM OAK 95953 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ,500 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 81 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 478 CLANDON AVE., GRIDLEY Energy Plan Checking Fee $ PERMIT FEE $ 124.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Describe Work: NEW ROOF AND RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I WF_ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 80.0V OR LESS Main Service . 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.POWER License Class Lic. No. �_ 7r �0 Z 3 d OWNER -BUILDER UCI:LARATION 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 To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.50FT, NON-REOSID MULTI LET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20Q1'0° BAL. p .w Ex. Occup. ouF' ED R 6.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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. ❑ 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 I 'r A - t V It, /4 D MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Policy Number 1# '4 !7!50 J (The above sections need not a 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X r. -1 r All--eDate /n -1.4- 0d Signatureof Applicant - ❑ Owner Fri Contractor ❑ 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 $ Occ CONST.TYPE TOTAL FEE $ 124.00 HAZ. D,FEES IMP FLOOD COF PARCEL PD HD I 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. (' 00 —Dat/f- ` I PERMIT EXPIRES ON (7 / �� 0 I eta Receipt No. 4 LjUUI 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) APPLICATION AND PERMIT 10- ASSESSOR PARCEL NUMBER 024-190-031 ZONING BUILDING PERMIT OWNER Khan Farms TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 8215 LARKIN ROAD GRIDLEY 95948 EST 5,500 CONTRACTOR'S NAME DON SCRIBNER TELEPHONE 695-3038 CONTRACTORS MAILING ADDRESS 2996 PENNINGTON RD LIVE OAK 95953 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 5,500 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 478 CLANDON AVE., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 124.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Describe Work: NEW ROOF AND RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 M000V OR LESS Main Service 200.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 fu force and effect.PowFa License Class Lic. NO. , OWN WILDER 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S. ( a ACC. BLDS. SO 3.5QFT. NOR EW CO NEW CONST. MULTI.OUTLET 97,50 APPARATus a SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES BAL @ 1,50 Ex. Occup. oFlx�eEo�A PM.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ 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. ❑ 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 I I -A -r R PU A Policy Number 1G3?5:,0 J (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 Pk��.4 /- I,I�7--Q�, _ Date 6 —1 9 - 0 d Signaturere of AppTicant - ❑ Owner 59 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TV TOTAL FEE $ 124.00 HA2. D. FEES IMP FLOOD CDF PARCEL Pp HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. �J-at `� PERMIT EXPIRES ON Q Date Receipt No. 294825 / $124.00 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) 538-7541ERMIT (Rev.l2ryS) �, APPLICATION AND PERMIT 0 _ !pj Affeffo11rA11ea►a1�a s0i110 BUILDING PERMIT owtu SO. FT. OCC. BUILDING VALUATION pr"017 °° O 00fATftjCT*H LOO6k g s S_3 Fireplace LcloawAs RA AMMM Total Valuation = ARCI-Mcr O11 VQL4n11 _ LCO49 NO. Filina Fee t 20 Permit Fee t =' A,,C"T :r ool crof+Ms WJU►a Aooaess Plan Checking Fee i — •J1Q1OAMOK= L0 SCJ � EnergyPlan Checking Fee i t p /� PERMIT FEE _ It 0 10TM0• e"°°"1°10"� r� MAP PLUMBING PERMIT Fling Fee 20 Each Tr 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other Solar or heat pump water heater 23.00 Water piping 15.00 Each use water heater or vent 15.00 TYPE OF WORK New O Add'dion O Remodel O Utilities O Installation O Other O Describe Work: 1 Gas piping Ustern 1 - 5 outlets 15.00 Building sewer 15.00 Mob1° Home S G W 020.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20 Main Service ,00„ 011 vest 23.00 Main Service aooA To IOWA 48.00 —NEW COP477 owaim Occvv. 'ra at. 3.St On AOONf. ( • ACC. n "OMNO�O. YU iT plu @7.50 P,0 AIFlrn.Er d1LMMTIe � 7 O 3000 Ex. Occup. oUnfr on nmmce a,LL ° �,� Ex. Occup. O n �,u. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 2C Heating Coolin Hood 6.50 Ventilation PERMIT FEE ! Mobile Home Installation Fee = Energy Inspection Fee = occ comer. "' TOTAL FEES NAL O. FEES imp FLOOD I COF ►#Atex FO This permit is hereby issued under the applicable prcvis of the Butte County Code end/or Resolutions to do indicated above for which fees have been paid. By PERMIT EXPIRES ON Date LU z 00 Cie LU U CL-, U-1 :D CL