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HomeMy WebLinkAbout021-070-039F3­ Co 0- ,,.ap '` a � , " - .......... .......... -,;�, W, 039,�,„r��:•.-:,x,.93-3117B M ayARGERT r a(iT .'i fiT 1. Y6§ �kf. lry>FC KOLPH; AVEOF A GRIURL -WOO�,r • �R,EROOF/SHED`-��r�w. ' w;�,`�',�.. " 66� � ��� � �'"t r+, "�`" '� f.�.'. 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BUILDING VALUATION OWNER'S MAILING ADDRESS 403 Randolph Ave., Gridley, , 17 et . ou- CONTRACTOR'S NAME Burl Woodward TELEPHONE46-6707 CONTRACTOR'S MAILING ADDRESS 1075 Laurel St., Gridley 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Js1,020.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEER LICENSE N Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 47.00 403 Randolph Ave Gridley PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome ❑ Other Detached Shed SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @25.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation O Other Q Describe Work: Reroof W�'Iet81 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO - 3.50 FT CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect.. License No° . 5' Classification 2 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) - @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Vis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,•jud ments, costs, and expenses which may in any way accrue against said County in c, 'sequennjcee of the granting of this permit. a X / I r.�!/ Date%// Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in'height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEES 47.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PID HD ISSUE This permit is hereby issued under the applicable of the Butt County Code and/or Resolutions indicated a ov�j fo which fees has been RECTOR O PIJBLI WORKS r By 1 fe _ / I _ PERMIT EXPIRES ON (Date) provisions to do work paid. Date -�17- Receipt No. 148710 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE 7 County Center DEPARTMENT OF DEVELOPMENT Drive - Oroville" oil tf rnia 95965 - SERVICES - BUILDING DIVISION / 3--�3" ` Telephone (916) 538 APPLICATION AND PERMIT -7541 ERMIT NO. ASSESSOR PARCEL NUMBER 021-070-039 ZONING )` Cit BUILDING PERMIT OWNER Mar ert Cutting TELEPHONE SQ. FT. OCC. BUILDING VALUATION J 17 Sq. Metal 1,020.00U- 2 .0403 OWNER'S MAILING ADDRESS 403Randolph Ave., Gridle CONTRACTOR'S NAME Burl Woodward I TELEPHONE 846-6707 CONTRACTORS MAILING ADDRESS 1075 Laurel St., Gridlev 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,020.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 23. 00 ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 47.00 403 Randolph Ave.-,-G1:id1ey. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Detached Shed SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1:1Addition O Remodel ❑ Utilities O Installation ❑ Other Describe Work: Reroof w/Metal PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BoavORLESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code oad mense is in full force and effect.,/ License No Classification '(� ❑ I, as the o ner, or my em oyees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ H.00 Ex. Occu FIXED APP.NS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare nder penalty of perjury (check one): ❑ T 's permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also a e to save, indemnify and keep harmless the County of Butte against all liabiliti , judgfnents, costs, and expenses which may in any way accrue against said Cou n c sP uence of the rantin4 g of this permit. G�-% Date gnature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE I TOTAL FEE $47'00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is reby issued under the applicable provisions of the Butt C unty Code and/or Resolutions to do work indicated ov fo which fees h been paid. CTOR 0, P WORKS By�--id4--Datey-17-9sE PERMIT EXPIRES ON ��� /Date/ 148710 Receipt No: WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT