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_ 2411-6 1 f SCHELL, Arthur 24-66B _
44 - • - - 166-66E (S) 23-66E
EUGENE ALMO ���LQ.� � ,� 3
SE/cor Nelson 17-66P
avenue Gilstrap; Gridle Y
Coritr. BUrl E. Woodward, Gridley - 1
s/e.corner Gilstrap & eilson Ave.
Permit#1313-82B,(reroof)SF. , , Grid�iey j
(add i tion &repairs I-
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovill California 95965 - Telephone 916/534-4541
APPLICATION OD PERMIT
PERMIT NO.
1
ASSESSO€,PARCEL NUMB R
q— ) � —_-I!
ZONING
a
BUILDING PERMIT
OWNER,.,-,.,
L.
TELEPHONE
S0. FT. OCC. BUILDING YALLIATION
OWNER'S M IL(7y ADDRESS
_
CO 4%RACTIR\'SS NtE r
V Ir czj
TELEPHONE
i
CONTRACTOR'S MAILING ESS ADD
}! , ip ' J
Fireplace
CONSTRUCTION LENDER
CS T�
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /90
ARCHITECT OR ENGINEER
M
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN ADDRESS
p S �-�,
v e
PLUMBING PERMIT
FiIingFee 10.00
/
Each Trap
1 2.00
Repair drainage or vent piping
5.00
I
i
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MA
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition [-PRemodel ❑ Utilities ❑ Instal lati P. ❑ Other �
Descri a work: ( I�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 ORORSLESS
5•00
SL
!l t h
Main service EA. ADD'L 100 AMP
2.50
NEW CONST'DWELLING OCCUP.)
( y
OR ADDNS. l ACC, BLDGS.
2¢ sq ft
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 agd my license is in full fgtce and effect.
License No..�G� ��"� �-� Classification
EJ 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
NEWCONST 1. u L T 2.50 ea
•RESID BRANCH CIRCUITS)
—NON
NEW CONSTR. (POWER APPARATUS 61
NON.RESI (POWER
SINGLE OUTLET CIR. /
50 a a¢
Ex. Occup(OUTLETS OR FIXTURES BALei
FIXED AP LNS. OR
Ex. Occup.(OUTLETS (RESID,I EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring7.50
Permit Fee
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
y� 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 shal I 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 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[—I
agn t said Co myfin consequence of the granting of this permit.
I `; - I_
X (\ r 1 r f. ` 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 $
TOTAL PERMIT FEE $
OCCUR. GROUP
I TYPE OR CONST.
PARCEL PO
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
R— cTop PF PUBLIC
/J
By.
PERMIT EXPIRES Da r'rl
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_ !
—Date
-/ Rl - �1
Receipt No. i 1C 9
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, California x,965 - Telephone 916/534-454 3 3 g�
APPLICATION AN PERMIT
ASSESSO PARCEL NUMBE ti
—
ZONING
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. -OCC. BUILDINQ YALLIATION
OWNER'S M IL G ADDRESS
CO Rt A; �QR'SE
V I 1Lk
TELEPHONE
TRACT 'S MAILING ADD ESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI ADDR s 11AA
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
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
—/ USE OF STRUCTURE
SFE Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ ities ❑ In tallati ❑ Other
a work:
'a
k NN XV�/ '��� 5
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
ES
Main service 100 AMP 10V OR ORSLESS
5.00
CIO L
Main service EA. ADD'L 100 AMP
2.50
OR ADDNS. ACCLLING BLDGS.CCUP.y)
22Sgft
CONT CTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$
and Professions Code a d my license is in full f e and effect.
License No 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 CONSTP_ I.OUTLET 2.50 ea
NON-RESD BRANCH CIRC ITS
NEw CONSTR. (POWER APPARATUS a�
NON-RESID. SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES_ BAL@@1
FIXED APPLNS, OR
Ex. Occup. (. LITLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
N('' 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.
MECHANICAL PERMIT
Filing Fee 10.00
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 agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
n
ag ' t said Co my consequence of the gr nting of this permit. o
%i. f I Date_ —i� O
Signature of Applicant — Owner ❑ Contractor ❑ Agent JV
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-R"TOfillF
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I H11 I IrSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
PUBLIC
By
PERMIT EXPIRES Da �
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�//y �
. A — r�3
Receipt No. ' R ! �
WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT