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HomeMy WebLinkAbout024-300-017 ------------ a __. 24-30- ll7..,- roy Hilbers''�®� corner/of Larkin & Glenn Ellen Dr., i t #17, Gordon Estates, Gridley rmit #5IN- 76B,P,E,M(new,sigle family) INALE'. 024-300-017 02-2 4�j. DADDOW, DAVID & JANIE 1594 GLENN ELLEN DR., GRID ! RE -ROOF I I i a __. 24-30- ll7..,- roy Hilbers''�®� corner/of Larkin & Glenn Ellen Dr., i t #17, Gordon Estates, Gridley rmit #5IN- 76B,P,E,M(new,sigle family) INALE'. 024-300-017 02-2 4�j. DADDOW, DAVID & JANIE 1594 GLENN ELLEN DR., GRID ! RE -ROOF 024-300-017 " 02-2694 DADDOW, DAVID & JANIE 1'594 GLENN ELLEN DR., GRIDLEY RE -ROOF r i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION W 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541.�r ?FRMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-300-017 ZONING BUILDING PERMIT OWNER DAVID & JANIE DA TELEPHONE SO. FT. OCC. BUILDING VALUATION i OWNERS MAIuNG ADDRESS 143 0BERM t A CONTRACTOR'S NAME 004M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1994 GIM ELIEN poll ev!$ Energy Plan Checking Fee $ -l!x PERMIT FEE $ 61.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFYO 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 30 SO QW Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A600V OR LEOR LESSSS 23.00 I I 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 Lic. NO. 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a Acc. BIDS. 3.5,s NON•REESID MULTI-OurLET 07.50 POWER APPARATUS 8 SINGLE OUTLET CIT. A0 @ 100 EX. OCCU OUTLET OR FIXTURES B 0 Ex: A Occup. OFlxuTELE°TSA oDEEA. 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 (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 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 Y`i r� I�.Gtr���'V Date �' ZV " _ 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. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 61,00 HAZ. 1 O. FEES IMP I FLOOD I CDF PARCEL PD I HD I 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. ye/WON/cCt� B` .(�CJtReceiptNo. PERMIT EXPIRES p fe 363818 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUMBER 024-300-017 ZONING BUILDING PERMIT OWNER DAVID & JANI TELEPHONE -1,00 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 143 OBER> CON��T�RRA7ACTTOpR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1994 cum EuR DRIVE, CRIDLEY Energy Plan Checking Fee $ PERMIT FEE S 61.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SOU 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 ❑ Udlities ❑ Installation ❑ Other XX Describe Work: REROOF 30 SQ COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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 CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( 8 ACC. S. So SO 3.5¢FT: NEW P61D. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 00 SAL -.50. FlXED APPLNS. OR Ex. Occup. OUTLETS RESID. Ea 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. ❑ 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 (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 witWhose provisions. _ X / Date �c�' o nat re of Applicant - ❑ Owner ❑ Contractor ❑ Agent A OS A permit is required for excavations over 5'0" deep and demolition or construction o stru tures over 3 stories in height.�- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees haveb PERMIT EXPIRES ON the applicable provisions Resolutions to do work n paid. ate D fe Receipt No. 363$18 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing Y'� s pte�a. Please complete and return this information at your earliest opportunity to avoid nooepgr'y�r in processing and issuing your building permit. No building permit will be isiimd iiottl 8ds verification is received. I personally plan to provide the ajor labor and materials for construction ofthe proposed property im vement : YES �', ` NO 13, 2 I HAVE U• HAVE NOT O signed an application for a building permit for the proposed wi0& 3'.. I have contracted with the following person -(firm) to provide the proposed earms Onwedw NAME:' -ADDRESS: CITY: PHONE: COZYMACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I- have hired the following person to eoordina&e, supervise, and provide the major work: NAME: ADDRESS: CM: PH0Li-E: CONTRACTOR'S LICENSE NO. 5. [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 NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 409 California Health and Safety Code This verification trust be cenrl&d Md returned to our office before ►ve are permitted to issue the permit OVER 7 r r ! e - OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing Y'� s pte�a. Please complete and return this information at your earliest opportunity to avoid nooepgr'y�r in processing and issuing your building permit. No building permit will be isiimd iiottl 8ds verification is received. I personally plan to provide the ajor labor and materials for construction ofthe proposed property im vement : YES �', ` NO 13, 2 I HAVE U• HAVE NOT O signed an application for a building permit for the proposed wi0& 3'.. I have contracted with the following person -(firm) to provide the proposed earms Onwedw NAME:' -ADDRESS: CITY: PHONE: COZYMACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I- have hired the following person to eoordina&e, supervise, and provide the major work: NAME: ADDRESS: CM: PH0Li-E: CONTRACTOR'S LICENSE NO. 5. [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 NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 409 California Health and Safety Code This verification trust be cenrl&d Md returned to our office before ►ve are permitted to issue the permit OVER 7 OWNER BUILDER INFORMATION � Ce_. ?rope--^ An application for a building perrmt has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible parry of&wm onsnch a permit. Building permits are not required to be signed by property owners unless they are personally per5oanio it k own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required bylaw to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including material and other costs) is 5300 or more for the entire project, and such persons are not licensed as eoatraetors or subconc3ctors. then you may be an employer. ♦ Ir you are an emplover, you must register with the State and Federal Govertunents as an employer and you are subject to several obligations including*state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be Financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For rnere sceci;ic information about your obligations under Federal Law, contract the Internal Revenue Service (and, it you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law. cer.cact the Department of Benefit Payments and the Division of Industrial Accidents. If the strutu cre is intended for sale, property owners who are not licensed contractors are allowed to perform their work persorally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. trnformation about licensed contractors may be obtained by contracting the Contractors State License Board in your community er at 10:0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. !'Nm rely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: Tlr:r 0wrter-Bui1der Info rmafion is required by Seedlon 19830 of the California Health and Sajery Codes OVER PERMIT NO. -4 5933-76B,P,E,M PERMIT EXPIRES o���/�, OWNER Leroy Hilbers CONTR. owner LOCATION (A.p. 24-30-17 SW corner of Larkin & Glenn.Ellen Dr., Lot #17, Gordon Estates, G 'dl a. 4 i. Temp. Power Pole Called PG&E Temp. Elec. Serv. fi Called PG&E— Temp,. Gas Serv. Called PG&E JOB FINALED (Date) 01 (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback h �� Firewall ��7 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin/�,�/%� To out Slab Roof StieathlngjgZ a OZ Water Pi in PiersRoofing Sewer Garage Fdn. Vents // .7 —7AA11. Fixtures Footings Stemwall r Garage Vents v��e/ Insulation Water Htr. Heaters —7 Slab � Carport Footings Prov, for physically handica ed Conformance of ex. / structure, � 10 Appliances �, Gas Piping 8 Test ` Temp. Gas e � Slab Final Sanitation Patio FIREPLA Final Footings Footing ELE TRIC Masonry Walls Throat %% Rough Relnf. Steel / Final �l 7 Fixtures Bond Beam FIRE SPRINKLERS Motors 7 �7204 MeshC3C MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown _ Cooling 7 Temp. Pole Finish �% Ducts 3 Underground Of Interior LathVentilation Perrnane t Door Closer Final / Final DATE REMARKS OR CORRECTIONS >/(/�7 gld=1 "ev 00, ®� (NOTE: An entry must be mads on this form each time you visit the job site.) ,• . �� r .> THIS IS TO CERTIFY TA T ]W6ULATION HAS BEEN INSTALLED IN CONFORMANCE ,WITH 14' -HE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUiLI) G LOCATED AT: (i 1 S Street Lot Number Tract No. EXTERIOR WALLS , Manufacturer �hicknessjy' pe R Value l -, CEILINGS �'" I Batts: Manufactures 2-C142:1!Thickness 6 R Value / Blown: Manufacturer � �/� Thickness No. Bags Wt./Bag Sq. Ft. Covered—/— R Value—�� g FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation --inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR -LICENSE N S IM TITLE — DATE INSULATI CONTACTOR: AWKINS, INSULATION CO. LICENSE No. 215-925 BY TLE= DATE— COUNTY OF BUTTE—G­DEP.ARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Tel eptlone: 534-4541 APPLICATION AND PERMIT autrlurlce r se Ves or the county of butte to enter upon the above -me I e prop rty for i pection purposes. X Datda4 Signature/of Permitee or Agent Receipt No. 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 �p BY D e ildin9 permit expires Date 11 -?•-77 BUILDING Owner �.� /���s SQ. FT. OCC. BUILDING VALUATION /,70.06 7 Mailing Address � -3 13x 7 �G� S l q3Z-oa �+ o Telephone No. -3_f 3 O 0 G LO Ia. 0 a Fireplace_47�P 00 Contractor Total Valuation Z900400 Mailing Address ��i/V�%L Permit Fee;017--/- o Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 12-V-00 2 Building Address ���k��" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3-00 Each Trap 1.50 -0O -' Repair drainage or vent piping 1.50 Water piping 1.50 1 , 5r Each gas water heater or vent 1.50 �, 5 0 A. P. No. / �d -�' Za� nnin ��//�� g Flee��1,s W C tion Fire Dept. Fire a Use Permit Gas piping system 1 - 5 outlets 1.50 1-.,5-0 additional outlet .30 Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd K Parcelproval Plans provol Permit Fee $ Q NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.000-O Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST.DWELLING OCCUP OR ADDNS, ( ACC. BLDGS. ) 120 sq ft O NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEWCONSTR. (POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califo79 Bus, ess & Professions Code under the name style of:� �° rt Ex. Occup(OUTLETS OR FIXTURES)@'� BAL@1 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 License No. _� G 927 % Classification / Misc. Wirin 6.25 g ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 441 VO 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 for Workmen's Compensation. 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 9.00 - Heating OQ/n /}�v. / �'�� 00 Cooling q roN a -,Y.00 Ventilation Hood 2.00 J-00 Permit Fee $ 3. O $ - 10Z 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 TOTAL PERMIT FEE,ZOI �j0 autrlurlce r se Ves or the county of butte to enter upon the above -me I e prop rty for i pection purposes. X Datda4 Signature/of Permitee or Agent Receipt No. 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 �p BY D e ildin9 permit expires Date 11 -?•-77