The URL can be used to link to this page

Home My WebLink About024-300-008J.P - 024-3 J. B. DORNAN '?—Jg SIS Glenn Ellen '#8, Gordon Estates, Gridley CONTR: LeRoy Hilbers, Gridley Permit 4218-73B,P,E,M (new single fam. a f: J.P - 024-3 J. B. DORNAN '?—Jg SIS Glenn Ellen '#8, Gordon Estates, Gridley CONTR: LeRoy Hilbers, Gridley Permit 4218-73B,P,E,M (new single fam. a CWD �r i PERMIT NUMBER - B /218-73B,P,E,M P C E f PERMIT EXPIRES OWNER J. B. Dornan CONTR: LeRoy Hilbers, Gridley LOCATION (A.P. 24-30-8 S�S Glenn Ellen Dr., Lot 8, Gordon Estates. Gridley 7+ d k t, COUNTY Or BUTTE Department of Public Works BUILDING INS'0EC•TI.9N RECORD Zoning Setback �%�crf�'-�' -- �� Forms Foundation Piers & Girders Fireplace o Rgh. Plumbing /�"' ''%i�� Bond Beam Lath & Plaster —7 -7 Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. ,l -" Wtr. Htr. -� Furnace'— "' Kitchen Vent �% v� �^ Firewall Garage Vents"' -' Sanitation & Water ELECTRIC GAS BUILDING Temporary. —off - Temporary '� �} l� — Cert. of Occup. Final Final �' '- Finaly DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Orovi lie, California 95965 / �'— Tel ep4lone: 5�4-4541 APPLICATION AND PERMIT authorizer pr en ativ=DatY_,&,A-1_2—Z3 of Butte to enter upon the above -m io ed opeurposes. Signal r o Peimitee or Agent Receipt No. Z/ LI -2 -5_/ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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. DIRECTOR PUBLIC WORKS By Date i j - 7-F - -7 Building permit expires Date .... <<' z8_:z� BUILDING Owner �3- � SQ. FT. OCC. BUILDING VALUATION Mailing Address 00o .7 - .%Telephone Tel ephon eNo. Fireplace d Contractor Total Valuation -� Mailing Address — Permit Fee -7 G' Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Go Building AddressSA ` _ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -J 04 Q% -el e --69, Each Trap 1.50 13.5-0 a Repair drainage or vent piping 1.50 Water piping 1.50 �, D Each gas water heater or vent 1.50 1,66 A. P. No.Q 14 44- 3v — t+ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ 2 d G� 1$7Ed NEW ❑i-- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 3: Additional meters, each 1.00 Sub -panel (12 or ess) (more than 12) o v �-�/ Single Family E Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures al d 0 qq�s_ sw ch s & fix meets 20bZZ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor 'a Business & Professions Code under the name style of: u t l G' R - H96d, Ex. an or F.A. FVrn. Motor1.00 "rJ Evap. cooler, gar. sp.orD.W. 1.00 od Air coat er or heat pump Water pump o -v Mobil Home ftacilities 5.00 Temp. Power Pole 5.00 License No. ,q •1 /� Classification 02� 1 �_, Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 170 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability Ffor W rkmen's Compensation. 7 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ✓ Heating Q/ Cooling 7- - Ventilation �o , Hood 2.00 Permit Fee $ ff' $ Q — 1 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 elating to building construction, and hereby TOTAL PERMIT FEE $ �y ?% authorizer pr en ativ=DatY_,&,A-1_2—Z3 of Butte to enter upon the above -m io ed opeurposes. Signal r o Peimitee or Agent Receipt No. Z/ LI -2 -5_/ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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. DIRECTOR PUBLIC WORKS By Date i j - 7-F - -7 Building permit expires Date .... <<' z8_:z� ,[;�nil{jfarji F t+..; �r1g Q tk F.kylf , v}j� n.., } t4 4 ii "'j, + rr. tit i t 71 f F F � �' � '•� A `� �� Ff: « , • ,IANTI JB A ?} Fp�;rtAl r % 't'Y j • , Fii�+ . }{{j} {' 1569,GLEMNLLEN ' GRIDLEY 1 F t F1C� , v { .. E k • +} tjjl: itr, ls.. t;' OUR •ROOFIN REROOF ' 1 •1' F , M , I ftt 41 fill uji ,i r' r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042911 LICENSED CONTRACTORS 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 Issued Date: 10/05/2004 APN• 024-300-008-000 the Business and Professions Code, and my license is in full force and License Class : C-- 3 7 License Number:? -74/SS 41 Site Address: 157 g? CY1e707 .Date: la-S-o�i Contractorlcc-4 Couiti,fl::: S hoc•;,.{ Map Index: Description: REROOF W/COMP TEAROFF (33) OWNER -BUILDER DECLARATION J hereby affirm under penalty of perjury that I am exempt from the ,Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JB DORNAN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1569 GLENN ELLEN signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: JB DORNAN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with . licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:, FOUR COUNTIES ROOFING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3 CRUSADER COURT ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 343-1416 Date: Owner: License #: 774554 WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: 57�a 7,4 FuyW Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy a: 17a 00 - -7 3— o 3 ❑ I 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 the 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, 1 shall forthwith comply with those provisions. U u Date: lo —S=a /� Applicant: kL e, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING,AGENCY— This permit is hereby issued under the applicable provisions of the Butte County Code 2nedor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions o do ork indicated above for which fees have been paid. (� By: l'P� D��a11te: Name: PERMIT EXPIRE -' V Address: (" Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. .1 hereby authorize represepptativeess ofButte.Co my to enter upo the above mentioned property for inspection purposes. '-� v ' Print Name: ` Signature: Date: D ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor . . BUTTE.,COUNTY ., , DEPARTMENT 'OF DEVELOPMENT `SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE:'(530) 538-7636 !.CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name /7 N Address /S & 6! 1 ENn,' JE K.r A✓ ' City GR_d State CSL Zipq vf$ Phone g'y(o g 73 Fax E-mail APPLICANT NAME CONTRACTOR Name. feov ov"1 �5 /0 Address 1, C� a(C C Y_ CityCA (c o Fax State C Zip 9 3 Phone 3v / i& Fax L 3 S-2 7 y E-mail Vic.#i7 Yss I/Claws 3 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State - Zip Phone Subdivision Name Fax E-mail State License Number APPLICANT NAME Name - Address 7y City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const Subdivision Name Map BookPage Lot# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMSWILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 PERMIT BP BIN # LOCATION 4�Property Addr. 2:L�,(J ess S��"e Cross Street WORKER'S COMPENSATION Policy Number a'7 3 Carrier F J S7`"I- If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address Description or Scope of Work: tA Roos Co --n /0 Sq. Footage p Structure Built without Permits ❑ . Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Refunds can only'be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. v Recei ed by: Amount: Bldg SRA Receipt #:'�� Sheriff SMTP ` Date:) Other i.� � I _ C� '_"' �' Jlr /�' I �'✓ Total REV 4-30-04