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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION9 A
7 County -Center Drive - Oroville,_Caiitornia-.95965 - Telephone (916) 538-7541 I ERMIT NO.
APPLICATION °AND PERMIT
ASSESSOR PARCEL NUMBER 021-070-039
ZONINGCitBUILDING
PERMIT
OWNER Mar art Cutt"g
TELEPHONE
SO_ FT. OCC. 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