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