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MARY V. BURDICK
W/S French ave, app 500' S of
the 'Ave' Gridley_
' Contr': Northvalley Ele, Gridley
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
` TeleplAne: 5=4541 `
APPLICATION AND PERMIT
autnonze representaiives or the county or tsutte io enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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 OF PUBLIC WORKS
By
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
BUILDING
Owner
SQ. FT.
OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1,50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. C.
Sarritation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
Parcel Map
60
F60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL NO -1 @ FEE
PERMIT FILING FEE $3.00
Main service e00V OR LESS
100 AMP OR LFSS 5•00
Single Family ❑, Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER eoov25.00
100 AMP OR LE55
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. 7i\ 2�Sgft
OR ADDNS. ACC, BLDGS. II
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business &Professions Code under the name
style of:
NEW RESID. BRANCH CIR T
NON-RESID, ( BRANCH CIRCUITS)2.50ea
NEW CONSTR. (POWER APPARATUS e
NON -RESID. SINGLE OUTLET CIR.
Ex. Occuo (OUTLETS OR FIXTIiRES 'B �@,
Ex. Occup.(OUTLETSP(RESIDIREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑I 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
Land Development Fee
$
TOTAL PERMIT FEE
$
autnonze representaiives or the county or tsutte io enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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 OF PUBLIC WORKS
By
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date
Date
COUNTY OF BUTTE — DE0ARTMENT OF PUBLIC WORKS
s 7 County Center Drive,..--noviIIe, California 95965 _7
Telephone: 534-4541 66
APPLICATION AND PERMIT An /
/V 14&1-/ V,
BUILDING
Owner a?
SO. FT. OCC. BUILDING VALUA
Mailing Address
dt4 1r_• `TS
Telephone No.
•3 8
Contractor N® II .i -SEG
Mailing Address O � ��
Fireplace
Total Valuation
Gal E, I
Telephone No.
Permit Fee
Building Addres - �-
-
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
S fRZA)1 VE. P.5,20/ Sr OF
PERMIT FILING FEE $3.00
Each Trap 1.50
LIT -17-c- 14VEp, C.;elb1,6 j'
Repair drainage or vent piping 1.50
A. P. No. 21 a / — ��
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fe
W. .
Saidt'atmon
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet 30
Building sewer 5.00
BIdg.cp..-arrr^Rec
Parcel AEprovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 TQ
600V OR L
Main service 100 AMP ORSLESS 5.00 6
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
C t / =
/F_
Main service OVER e00v 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
`
OR ADDNS. ACCNEW LBLDGS.CCUP. Y\ 22 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State"of California Business & Professions Code under the name
style of: J /
(P 7/i5�//��/�L-C�lydl
NEW CONSTR. BRANCHMULTI-OCIRCUITS)
NON.RESID � BRANCH CIRCUITS/ 2.50ea
NEW CONSTR (POWER APPARATUS 8
NON•RESID. SINGLE OUTLET CIR.
250
Ex. OCcuD{OUTLETS OR FIXTIIPES BAL `10¢
Ex. Occup. (OOUTLETS P(RESID,)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License Noa_0Nj3& Classification //O
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ p
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
rI 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood,, it .:; ! t'i I . 2.00
Permit Fee $
$
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 relatino to building construction, and hereby
Land Development Fee
$
_1�TOT;AL PERMIT FEE
$ OC
authorize representatives of the County of Butte to enter upon the
above-mentioned property_for inspection purposes.
Signature of Perlhitee or Agent
Receipt No.
White-D.P.W. — Yellow/Asses
Date - 7-72
— 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
JC -'above*foriwh,i''dh*feeslhave been paid.
l DIRE OR OF P LIC WORKS
By �` Date
permit expires Date ������
Fpufv,ry OB BUTTE
WORKS
S E P 11.1979
AM PM
71819110111IL9111213141516