HomeMy WebLinkAbout021-110-040•;021=11-0-040 2-318B
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cBRIDE,. "Charles
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of Little, Gridley
C'ONTR: Joe Wright,, P, Box. 674; Gridley
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONINOV0 Is G+).
1
BUILDING PERMIT
OWNER
Charles McBride
TELEPHONE,
846--2977Iv
SO. FT. OCC. BUILDING VALUATION
S`ryry S- 1,140.00
OWNER'S MAILING ADDRESS
1418 Vermont St., Gridley 95948
CONTRACTOR'SNAME JTELEPHONE
Pr de Roofing Co.
'-
846-0502
CONTRACTOR'S MAILING ADDRESS
P.O. Box 1134 Gridley
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$1,140.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $L
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING 1ADDRESS8ermont St. ,
4A! 8 Gridley
Permit fee $40.5�i
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other EN
Describe work: Reroof w/comp
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600VORLESS j$.50
200A OR LESS
Main service 200A TO 1000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full for a and effect.
License No. 612809 Classification C-36
❑ I, as the owner, or my employees with wages as their sole compen-
sation, 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& 3.64 sq.ft.
OR ACDNS. (ACC. BLDGS.
NEW OUTLET
NON•RESID. BRANCH CIRCL IITS @ 5.00
POWER APPARATUS.8.
(SINGLE OUTLET CIR.
20 76
Ex. Occup( OUTLETS OR FIXTURES AL R 464
EX. Occup. OUTLETS P(RESID. IFIXED APLNS.REA.) I 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
EX I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Coolin g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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, judgments, costs, and expenses which may in any way accrue
agai said County in consequence of the granting of this permit.
X 7 9 ,* --n Date .7 ,.�/
Si-n�re of Applicant o Owner
Signature pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations aver 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 40.50
HAz
DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
(SSU
This permit is hereby issued under the applicable provi-
sions of the1Butte Count ode audio resolutions to do
/ , qf� r r
`Mork indlc ted aA, r hich f�eshave been paid.
DIRECT' PURL 'FORKS
By � I Date,
PERI1yHT EXPIRES Date
. t
Receipt No. 1,1,5
WHITE-D.P.W.. YELLOW -ASSES OR, PINK -INSPECTOR. GOLDENROD -APPLICANT
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. �J
ASSESSOR PARCELL/ NUMBER
A `-in
ZONING
BUILDING PERMIT
OWNER
L ��` -�_� da
Charl-9.
TELEPHONE
6 77
SQ. FT. OCC. BUILDING VALUATION
`�r�''� • 1,140.00
OWNER'S MAILING ADDRESS
_f'rn' L u. �.. i C�
4��:r.0r,, Gric._Tr 9 �:i
CONTRACTOR'S NAME
Pry!e Roofing Co.E.
TELEPHONE
Z. 6 - 055 02
CONTRACTOR'S MAILING ADDRESS
C .Gx 11 , sr ? dle'
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$1,140.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$[ .
ARCHITECT OR ENGINEER _71
IE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
_
0
41'c-r.G10..t-, S L. , Gridley
Permit fee
$c0 0
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF R1 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ®
Describe work: 'Re.rcOf 'u./comp
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO IOOOA1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ,Jo. 61 26.0 Classification C 4
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ACDNS. (ACC.
_37.50
3.64 sq.ft.
MULTI -OUTLET NEW CONSTRESID, RANCHUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS
SINGLE OUTLET CIR.
( e
Ex. Occup(OUTLETS OR FIXTURES
20 F;
FIXED APLNS.OR
Ex. QCCUp. OUTLETS (RESID,I EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Coolin g
Hood
6.50
Ventilation
permit Fee
$
LContractor
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 authorize representatives of the Countyot
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, judgments, costs, and expenses which may in any way accrue
agnid County in c sequence of the granting of this permit.
X.� Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $40.50
HAz
1 11 FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
ED
Issu
This permit is hereby issued under the
sions of a Butte C u t ode an
work � dic ted a e which a
DI R C P B
By
PER EX IRES Date
applicable provi
o esolutions to do
ave been paid.
ORKS
Dat
Receipt No.
WHITE-D.P.W.• YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT