The URL can be used to link to this page

Home My WebLink About024-300-00700 024-300-007 99-11796 SOUZA, Earl 1571 Glenn Ellen Drive, Gridley Conlr: John Blcnkush Re roof01 3 01 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califoinia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q'1" 17YA,, ASSESSOR PARCEL NUMBER 024 ZONING SRI BUILDING PERMIT( OWNER -• SOMA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 1571 GLEN EUEN DR., GRIDUIT 95948 31 1860.00 CONTRACTOR'S NAME I TE!fP ,��y-7 JOHN BLENVISH CONTRACTORS MAILING ADDRESS ^ 10A21 TIMBERCOWWAYO CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1960, ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1571 GLEM Et.t�+..N DR.. GRIDLEY Ener Plan Checking Fee $ Energy 9 $ PERMIT FEE $ ' LOT NO. SUBDIVISIONS NAME PARCEL -MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 01 Duplex ❑ Mobilehome ❑ Other ' SPECIFY Each Trap 7.00 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 ❑ Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOV OR UE Main Service 20 AOR 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 in4ull force and effect. '"�. �j // License Class t Lic. No. ( 3 -! 1�% 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 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 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.) I certify that in the performance of the work for which this permit is issued, I shall Q. -'IL 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,pr isions. ,X � - A lip Date Signature of Applicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUPSO OR ADONS. ( d ACC. BLDS.. 3.5¢FT. pjpN qI.T. ANCHO CIRCUITS @7,50 POWER APPARATUS A SINGLE OUTLET CIS. @'.50 EX. CCLI OUTLET OR FIXTURES O 8AL @ .50 Ex. Occup. GUnEEDrsWRES,6.) ELNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTA FEE $ 63.00 FEES IMP I FLOOD I CDF PARCEL I PD HD SSUE This permit is hereby issued under the applicable provisions ofin the Butte County Code and/or beentp id to do work indicated above for which fees have been aid. Bye, f. % Date �? PERMIT EXPIRES ON Date Receipt No. 27131e74 I74'a6 WHITE-D.D.S..D. CANARY-ASSE SOR `" PINK -INSPECTOR GOLDENROD -APPLICANT -CANARY-ASSESSOR w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT iK'— 1796 ASSESSOR PARCEL NUMBER 024-300-007 SRI ZONING BUILDING PERMIT OWNER R0 Z TELEPHONE SO. FT. OCC. BUILDING VALUATION 31 1860.00 .OWNER'S MAILING ADDRESS 1571 GLEN ELLEN DR GRID EY 9�59p48� CONTRACTOR'S NAME JOHN BLENKUSH TEJJ4N F`'1121 CONTRACTORS MAILING ADDRESS 10423 TINH E CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 186n- o ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1571 GLENN ELLEN DR., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF EX 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 ❑ Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service p A 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 ' II force and effect. -y �J ial / '� License Class Lic. No. / o `� (p J 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 Main Service TO 46.00 W:U200A OCU000A NEW CONST. DWEWC. OCCUP. OR AODNS. ( a Acc. BLos. s0 3.5¢FT: NEW CONST. MULTI.OUTLET NON•aESID. 97.50 POWER APPARATUS 8 SINGLE OIJR AP= CIR. Ex. Occu OUTLET OR FDRURES B2' p I:so Ex. Occup. ouriFrs RPP ESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) 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 orke{s' compensation provisions of section 3700 of the Labor Code, I shall forthvv!! co with tho r sions. r A * Date ji Sign of Ap cant - ❑Owner ❑Contractor ❑Agent A HA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 63.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD 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. O By PERMIT EXPIRES ONITE-D.D.S.-B.D. (D, te rReceiptNo. % i CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM NO. (Rev. 12/96) APPLICATION AND PERMIT lqzr-i7`�..� ASSESSOR PARCEL NUMBER /l , 4 Soo -0 0-7 ZON"O s� / BUILDING PERMIT OWNER Np y� TNE �MOr SO. FT. OCC. BUILDING VALUATION OWOWNERSMALJNG ADDRESS % Celll el ; CONfMCTOR'S NAME D / -f7 /'✓1 TELEPHO14E�/� ` / OONTAACTOR'S MAILING AODRBSS ,/� C..(/ 12 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation S ARCNNrECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee S p ARCHITECT OR ENGwEER S MILLING ADDRESS Plan Checking Fee S BUILDING ADDRESS/ /I �� r� Energy Plan Checking Fee S PERMIT FEE _ '061 LOT NO. SLBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPMIFr Each Tr 7.00 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 ❑ �tUtilities ❑ Installation ❑ Describe Work: /Pe �d U Other ❑ Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service pw LOR Lsa 23.00 - — - ---- -Main ( ITemporary ' I ' Service aooA TO t000A 46.00 NEW CONST. DWELING OCCUP. 3.5dso. OR ADONS. 8 ACC. ELDS. NtW CONST. MULTFOUTLET NON-RESID. @7.50 POWER APPARATUS & SINGLE OULLEr CIR Ex. Occup. ov ET OR FIXTURES 20 ® 1'00 SAL .30 F 0 APPLNS OR Ex. Occup. Ovn.s ESLD, FIN 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TTPE TOTAL FEE $ 679, NA D. FEES I IMP I FLOOD CDF I PARCEL I PO HD 16SUE 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 e/el