HomeMy WebLinkAbout024-150-028C
24-15-28
MARION.COX
318 Turner Ave, Gridley
Contr: Cal Pac Rfg, . Ranch Cordova
Permit#2854-86B(reroof/SF)
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2854-86B
Marion Cox
318 Turner Ave, Grid:
`COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS PE MIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
0 24-16-0-028-0
ZONING - 1
- BUILDING PERMIT
OWNER -
Marion Cox
TELEPHONE
846-2781
SQ. FT. OCC, BUILDING VALUATI
OWNER'S MAILING ADDRESS
318 Turner Ave Gridley, 95948
CONTRACTOR'S NAME
TELEPHONE .
5-
CONTRACTOR'S MAILI G ADDRESS
11257 m Rd — Rancho Cordova_,L_9_5 .70Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS �
Permit fee '
_
$
BUILDING ADDRESS
318 Turner Ave, Gridley
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF U Duplex ❑ Mobi lehome ❑ , Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
110-00e
TYPE OF WORK
New F1 Add ition❑, Remodel❑ utilities 1:1 Installation[] Other[
Describe work: Re—�fi rR with Dec=a-bond Tile
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service so0V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. l ACC, BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in tial force and effect.
b
License No. 379503 Classificatiori �' 3
❑ 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
NEWCONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
NEw CONSTR POWER APPARATUS &
NON.RESID. ( SINGLE OUTLET CIR.
Ex. Occup(O OR FIXTUREt20@500
BAL�30QY
IXEDTS
EX. OCCUp. OUTLETS P(RESID,IREA.2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT,
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ • e permit is for $100.00 (valuation) or less.
Rr 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities ents, costs, and expenses which may in any way accrue
against said ou ty in c e ce of the granting of this permit.
%� Date 9/11/86
Signature of Applicant — O er Contractor ❑x AgentEl
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 $
7ccuP. GROUP
I TYPE OF CONST.
I
I.PARCEL
P37
seuE
This permit is hereby issued under the applicable provi-
sions of the Butte County' Code and/or resolutions to do
work indic d above for which fee ve been paid.
RECT UBLI RKS
9
BY ate
?E RMI XPIRES Date a�.�'
Receipt No.
WHITE-D.P.W., YELLOW -ASSES R, PINK -INSPECTOR, GOLDENROD -APPLICANT