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Barbara Price
1219 French Avenue, Gridley
Permit #1193-82B (reroof w/shingles)SF
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT16N A PERMIT
PERMIT NO.
�Q
ASSESSOR PARCEL NUMBER
J` L/
ZONING
BUILDING PERMIT
OWNER3 �r
l 11-3, �.
C Y �, 1%
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE Sl � �
r �
fr�
CONTRACTOR-51NAME
00 I n
TELEPHONE
�u16,y z3-7
CONTRACTOR'S MAILING ADDRESS
4: 0 rd
Fireplace
CONSTRUCTION LENDER 1 +
N � J
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ NO U
ARCHITECT OR ENGINEER
NV
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 5i, 00
BUILDING ADDRESS
I I dr. J ,o
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MA,�P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
^/ USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
9
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Rem))ode1 ❑ U ilities E Installation❑ Other Ea-
Describe work: PC toT-n(A)NA, LA) o0,4
Permit Fee
$
' Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LESS5.00
(�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST'( DWELLING OCCUP.N)
OR ADDNS. ACC. BLDGS. /
22 sq ft
CONTRACTORS LICENSE LAW
I declare.under penalty of perjury
p y p I y (check One):
✓e
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
�.- j '� %y I�
License No. Classification
❑ 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
NE w CONSTR I -Du LET 2,50 ea
NON-RESID BRANCH CIRC CU,
NEW CONSTR /POWER APPARATUS e)
NON-RESID. %SINGLE OUTLET CIR.
50 @ asa
Ex. OCCUR(OUTLETS OR FIXTURES BAL@1
FIXED APPLNS OR
Ex. Occup. �OUTLETS (RESIDJEA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating
Cooling
Hood
3.00
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 County Ordinances and 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.andrkeep harmless the County of Butte against
all liabilities, judgments, costs',yand expenses which may in any way accrue
against said County In consequence of'the granting of this permit./'/�/
X •�"/ -� / (� `� �f/ Date `� / /1' % �Y)
„_ :
Signature of Applicant — Owner E:1 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
$
TOTAL PERMIT FEE $ Is1! �
OCCUP, GROUP
I TYPE OF CONST.
I
PARCEL
PD
HD
99UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above, . If h fees have been paid.
�' "~--�DIRECTOR,OF'PUBLIC WORKS
By —.7\� %', _ Date
PERMIT EXPIRES Date
Receipt No. %, + t4 s I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V /
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, C.a!,ifornia 95965 - Telephone 916/534-45 / f �sIs
��
APPLICATiONN AIND PERMIT
ASSESSO PARCEL NUMBER
— .��
ZONING
BUILDING PERMIT
OWN 58YVJ_TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING AD S
CON RACTCOR TAME
TELEPHONE_
`/'%/L�IJ2
CONT ACTOR'S MAI 1 SS I
e
Fireplace
CO STRUCTI N LE DER
�^
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ /21 010
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water .piping
LOT NO.
SUBDIVISION NAME
'
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 92` Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ R odel ❑ U ' lities ❑ Installation ❑ Other
Describe work: LN �oc>(
�s
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. DWELLING OCCUP.N�
OR ADDNS. ACC. BLDGS.
2G sq ft
CONTRACTORS LICENSE LAW
I declar nder 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.
�1 /
License No. 3173 � 2: Classification
❑ 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 CONSTR I -OUTLET 2.50'ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR /POWER APPARATUS 6\
NON-RESID, (SINGLE OUTLET CIR. 1
so zg¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
EX. OLN
Ccup.(OUTLETSP(RESID IREA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
�❑ !lie 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.
Heating
Cooling
Hood
3.00
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also " e to save, inde if n ep harmless the County of Butte against
all Ii i ies, jud e t expenses which may in any way ccrue
again id CO e c ofFthe ranting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor �Agenr
An OSHA permit is required for excavations over 5'Q" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ fl
OCCUP, GROUP
I TYPE OF CONST.
PARCEL PD
I ND I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicat abQyefor wh'Lch
R O ELIC
By.
PERMIT EX ES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
n
Date 21
�'j
I r `
II
Receipt No. (0I b� !
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANT