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1 Lyman C e l27 ��� _ 3 �� 1,7 S/S Jus, son., ' .of 'es i s - w _ rid ey of 1 Gri- ey o onll, Permit 2..85-,P,E,M(new sigle family ( 87 f--Gridle-y Lyman Coe - - S/SJusteson Ave.;app.885.'W,of W.Biggs- Gridley Rd:lot 19, Gridley Colony#l, Permit �#4037-77BP,E,M(new,sin�e �g 3JfamiW,y_ e contr. Polly Pools Inc Oroville t■r- Permit #1277-79B,P,E news ( private swimming pool/SF) (./h� F T ; - - 37 r Contr: Polly Pools, Oroville Permit#1922-79P(Pool heater) t .. c I _ 4 f ov�S �,�. 0 0 5 PERMIT NO. 4Cy7-77B,.F,E,M PERMIT EXPIRES /07 OWNER TOWNER Lyman Coe CONTR. Mmr' LOCATION (A.P, 22-24-36port. ,.,SIS Justeson Ave.,app.885'W.of W.Biggs-Gridley "d�., lot 19, Gridley Colony#ll, Gridley Temp. Power Pole Called PG&E Va Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date (Signature) _ "r COUNTY OF BUTTE — DEPARTMENV OF PUBLIC WORKS BUILDING INSPECTION RECORD r BUILDING BUILDING ((;ont'd) PLUMBING Setback -Z Firewall Soil Piping Formsoe Parapets , 1st Floor Main Bldg. Restroom Fini h 2nd Floor Footings Windows 3e 7e, 3rd Floor Stemwall - Siding To out Slab Roof Sheathing B Water Piping Piers � Roofing 2 ,--zff Garage Fdn. Vents Fixtures Footings Stemwall c,Z Garage Vents Insulation Water Htr. Heaters Slab Car rt Po Footings Prov. for p sical y_ handica ed Conformance f ex. structure Appliances �---- Gas Piping & Tes , Temp. Gas oZ oZ- 7 Slab Final Sanitation Patio IRE L CE Final Footings Footing % ,i ELECTRICAL i FI Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Z Scratc oeHeatin Service Brown Cooling Temp. Pole Finish Ducts C7 -7-04-:21L _ Underaround Interior Lath -I VentilationO 7I Permanent v G Door Closer Final Final Mir MOBILEHOME UTILITIES ----------•------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH )ME INSTALLATION - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DAT REMARKS OR CORRECTIONS ,Z4 �o, o � dty (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA, TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: JvSI)6?/,u 4� Street Lot Number Tract No. EXTERIOR WALLS Manufacturer s�. Thickness/Type �' R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: ManufacturThickness No. Bags/ Wt./Bag Sq. Ft. Covered 2—d 30 R Value FLOORS Manufacturer Thickness/Type R Valu .l SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACT nR_� LICENSE No. 7 BY TITLE — DATE INSUJLATIqN CONTRACT�HAWKIN,S INSULATION CO. LICENSE No. 215-925 BY TITLE DATE Z 7 7 - COUNTY OF BUTTE ,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —� Oro'vi14e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .+ 1UFrWQ6nLQkVES UI the %,Uunly UI omit: to enter upon the above-mentioned property for inspection purposes. -4 XOA-e-DateaW17 Signature of Permitee or Agent Receipt No. _ /(079181-3 White-D.P.W. — Yellow -Assessor — 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 above for which fees have been paid. DIRECTOR OF P BLIC WORKS By rT Date %% BuKing permit expires Date y - -Li- 7 e BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Addr ss D el p one Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Q Building Address $ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 1,00 101 S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 — ning Vprificafion Onl Each gas water heater or vent 1.50 A. P. o. _ _ � ZOi.rf+ Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es Sa �on FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking D I ( 60' R/W Im roveme P Lawn sprinkler system 2.00 �Plaanns Bldg. Plon� Recd el prowl Plans prowl Permit Fee $ NEW ADDITION UTILITIES ❑ OTHER [:] ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 0 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS T' OR ADDNS. ( AC 5 UP.') 2¢Sgft NEW CORE ST MULT -O ET NON-RESID. ( BRANCH CIRCUITS) 2.50ea - NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)ram BAL�1 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 � !, ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rul I certify that in the performance of the work for which this xpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. �@ FEE PERMIT FILING FEE $3.00 Heating 0 Cooling Ventilation Hood 2.00 Permit Fee $ $ 17 1- 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 TOTAL PERMIT IfEE hh $•{ .+ 1UFrWQ6nLQkVES UI the %,Uunly UI omit: to enter upon the above-mentioned property for inspection purposes. -4 XOA-e-DateaW17 Signature of Permitee or Agent Receipt No. _ /(079181-3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By rT Date %% BuKing permit expires Date y - -Li- 7 e OWNER Dv &.---Zoning requirements 91'�aluation. 3. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F.', DUPLEX,r&'MISC. ONLY) Bldg. A.P. (sideyards'and parking). or Architect (if required). B. PLOT PLAN ,er., Complete parcel size and dimensions. 4—Setba'ck$, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. Permit # 037_ 77 # a- C. FLOOR PLAN �-Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). &--Required windows for second exit (Sec. 1404). 44,,Allowable glazing for energy requirements (20% max. per State law). _.Human impact glass (Sec. 5406). a- Required room sizes, ceiling heights.(Sec. 1407). ?�—G.F.C.I.'s in baths and exterior outlets (Sec. 210 -8). - &_.Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment: _Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. lQv-Garage firewall, door size, and closer (Sec. 503(d)(4)). -1 - 3'0" exterior exit door (Sec. 3303d). M_ Fireplace location. Z3--Smoke-detectors (Sec. 1413). D. STRUCTURAL DETAILS 4,.Foundation plan complete enough to construct building. a;.--F�ltoo.r construction details complete enough to construct building. W -,—Elevations and wall construction details complete enough to construct IK --Roof construction details complete enough to construct building. 4:-- Fireplace construction details and calc's if over one-story in height. 6'___qwf-ficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR F--GCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3. Guardrail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). 44. ---Exterior plaster - weep screeds (Sec. 4706 & 4708). I6' Proper roof pitch for roof covering (Chapter 32). 11 —Rafter ties or bearing ridge beam. OL, --Garage door or porch header sizes. f -r Adequate bracing. building. (State law). 10. Living area over garage- complete 1 -hour separation required including supporting walls and posts, etc. 11. Two (2) exits on -three-story dwellings 4(Sec. 3302). PERMIT N0. 1277-79B,P,E PERMIT EXPIRES —O OWNER Lyman Coe 'CONTR. Polly Pools, Tnc-, proville LOCATION (A.P. 22=24-137 ~J, SIS Justeson Ave., app.885'W.of W.Biggs Gridley Rd.,'lot 19, Gridley r y X f C ' t Temp. Power Pole Called PG&E Temp. Elec. Serv. x Called PG&E 1 Temp. Gas Serv. Called PG&E - JOB ' FINALED V/ (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback (v- Firewall Soil Piping Forms—Z Parapets 1st Floor in BidRestroom Finish 2nd Floor Windows 3rd Floor ` emwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rough V Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. _:t Scratch Heating Service O4 Brown Cooling Temp. Pole -� Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final %^-- - 9 7 CIO MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal t Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS ORCORRECTIONS 71 SD M 771 (NOTE: An entry must be made on this form each time you visit the job site.) Owner Z Mailing Ad/dress Contractor Mailing Address 090 Building Address COUNTY OF BUTTE ---7. DEPARTMENT OF PUBLIC WORK 7 County Center Drive r - Oraville, California 95965 Telephone: 534-4541 () APPLICATION AND PERMIT BUILDING 42 � SO. FT. I OCC. BUILDING VALUATION ITelephone No. 01 -Ilve— 0 A. P. No. Z ^ — / Zoning & Planning F on Fire Dept. Fire Zone Use Permit EOA ParkingParcel Parcel Ma 60' R/W Im rovements /Pia/ns' Declaration P p _Bldg. P anI' s Recd Parcel oval PIa proval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER' Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: 11A4 1_/199 -M „LA) �D / License No. 3S1(a% 3 Classification_ C'S 3 ❑ I am exempt from the Contractors License Laws of the State of California. 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. 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. X Date ,5 3 - % Signature of PermitZe for Agent Receipt No. 7��45� S White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace $ Total Valuation ELECTRICAL Permit Fee FEE Plan Checking Fee &/or Penalty $3.0000V Permit Fee OR Main service 100 AMP ORSL=SS PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .� Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ali ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.0000V .O OR Main service 100 AMP ORSL=SS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OR ADONS. \ ACC. BL GS.CCUP. N� 22sgft NEW CONSTR. (MULTI -OUTLET NON.RESID BRANCH CIRCUITS J2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUR{OUTLETS OR FIXTIIRES 50@25¢ BAL@t04 FIXED APP LNS. OR EX. Occup. LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.001 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 42 114, 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. DIRE rF PUBLIC WORKS R Date i/wIding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — O`roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT M-W-M.1rop"P authorize re esentatives of he County of Butte to enter upon the above -menti ed propert f inspection purposes. XDate Sige o Permitee or nt natu Receipt No. White-D.P.W. — Yellow -Assessor — 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 above for which fees have been paid. e&tRr;CTFJ OF PUBLIC WORKS By--QDaate/► Building permit expire Date � -t--b - BUILDING Owner C. SQ. FT. OCC. BUILDING VALUA Mai I i ng Address Telephone No. ++ Contractor O 1 rt Mailing Address Y Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan S Checking Fee&/or Penalty Permit Fee (A E�-� ` PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 `' r-, Repair drainage or vent piping 1.50 A. P. No.- Z — 3 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 ons ec Parcel Approval Plans Ap royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 4. SD $ um ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING 1 OR ADDNS. ACC. BLDGS.CCUP, 4') 20Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State alifornia Bu ss & Profes ions Code under the name St Ie 0 Y NEW RESID, MULTC CR T NON.CONS � BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS.5, NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiaES B L@; EX. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 License No. Classific ion Mobile Home Facilities 15.00 Misc. Wiring 7 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 Lbws relating t7building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ I authorize re esentatives of he County of Butte to enter upon the above -menti ed propert f inspection purposes. XDate Sige o Permitee or nt natu Receipt No. White-D.P.W. — Yellow -Assessor — 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 above for which fees have been paid. e&tRr;CTFJ OF PUBLIC WORKS By--QDaate/► Building permit expire Date � -t--b - DECLARATION REGART)Ii`:G LOTS OP. PARCELS i NOT COMPARED -WITH ORIGINAC'DOCUMENT I. certify that as owner of the.property acquired by deed in Volu7e Fae i Official Records of Buttei County, (App (% i -_� �j -� -moi ?4-�, I an requesting permission to build or install an additional living ii -nit or. this. orooerty. I.will not divide the aforementioned property for sale;. lease,., rent, or *irarcing unless all applicable land division laws and nav requirements are coni- plied with. I am conversant with the present zoning regulations affecting: the a -forementioned property, and declare that.I shall not violate same. I represent that t:e proposed use of the additional living unit is and that further I'shal1.not change this proposed use of the additional livirg.unit unless and until I receive written approval therefor from the CoLLity of Butte: I fully understand that pursuant to Charter 20 or'.. the 3ut.te.County Coda -anal §11535 et seq of the Business and Professions'Code that if I, in the•futuTe, sell.,.l.ease. or finance the area.on or adjacent to said improvement without fully complying with the applicable laws and .ordinances, that I shall be guil-ty of. a =.sdemeanor an d. therefore, subject tothe,aforesaid penalties and inprxsonmen.t pursuant to law. Further, this statement. shall be properly.acknowledgzd and recorded at viae request of the County ofButte. OFFICIAL RFECCR^ Oirrter . BUTTE 000?i _:1 due �f 1 AVI 1977 Address I L% .60 COUNTY RE{: i;;:?F--: FEE &` , 27 .5909.. Dae. --------------------------------- �T. TE OF CALL'F0Rd.LA } ss CCUNTY OF Butte ) On this 16th day of August 1977 , before nye, Walter D: Summers a Notary Public in and for the County o.i Butte State of California, residir_g therein, duly .co-�*is- .sioned and sworn, personally appeared. Lois Ann Coe knotv-n to ne to be the person whose na:.ie is subscribed to the. within instr�:ent and acknowledged to me that she_ executed the same. IN '`,ITESS 1%-!4ERE0F I have hereunto .set -:y hand and a=Fixed ry official sell in the Co_inty of giI}tP the day and year in this certiri:a�e first 'above . written: Cr. F Iry G....-.-�.-��..�� � C -:1U: lctary r tic . G1Y CO�.i;:;:�:.•=:I :.. ..'..5 CCI. `, i 47� - . eount* J10"fie OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Mr. & Mrs. Lyman Coe ADDRESS: Rt. 2, BOX 646 CITY & STATE: Gridley, CA. 95948 IMPORTANT: August 11, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Appin. #2885-77B,P,E,M - Recutpt #16188t - AP 22-24-36 putt.) Building permit fee ----- $130.00 - Retain 113 of fee ------ 86.67 Amount of -refund due ----------- -- $ 86.67 Plumbing permit fee ----- $ 22.50 - Retain ng ee------3.00 Amount of refund due ------------- $ 19.50 Electrical permit fee --- $ 51.00 Retain- g tee ----- 3.00 Amount of refund due -------- --- $ 48.00 Mechanical permit fee --- $ 5.00 - Retain- ng tee - -- - 3.00 Amount of refund due ------------ 2.00 Total permit fees refund due ----- $156.17 - Land Developmentfee refund --- 25.00 TOTAL REFUATD DUE ----------- I ------ $181.17 $181 17 i TOTAL $181 17 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a•Budget Appropriation or Specific Board Approval F] (Checkone) for the some. �7 Oraville Dated this .......1lt�1................. day of Aug,.................. 1 ....... at .................. e........ . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. i^ f INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approvaj. Upon approval the Department head will forward claim to Coun J Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to off els for approval immediately upon completion of services requested or material ordered. Claims are paid.every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 1> COUNTY OF E,UTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone* 534-45b1 APPLICATION AND PERMIT 77 �cN�cocn�aUvcJ UI ll lc %1UU11Ly UI OUllc lU CIIICI UPUII LIJU above-mentioned property for inspection purposes. X Date $ gnature%e of P/ermitee or Agent Receipt No. !/��/ White-D.P.W. — Yellow -Assessor — 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION ,SO 00 Mailing Address 00 O v fton one o 00 Fireplace ae-9 Contractor Total Valuation ov Mailing Address Permit Fee 470,40Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ QO Building Address �% ®� OKI PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 r7,00 Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 N� Tamping yarifioat' n 9Al, Each gas water heater or vent jr 1.50 J, tV0 A. P. a.— �Zo Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 [Building FJJ24 Sanitation FireDept.- Fire Zone IF Use Permit sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. ans Recd Parcel Approval Plans Approval Permit Fee $ s (j $ NEW ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DLO AWECC.LBILDGNG P. ) 22sgft qO , NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS & NON RES D. (SINGLE OUTLET CIR. 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) BA@L@1 Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 4 r ff l am exempt from the Contractors License Laws of the State of California. Permit Fee $ 00 $ 5710C I WORKMEN'S COMPENSATION INSURANCE I 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. r I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner 1 so as to become subject to the Workmen's Compensation Laws .of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ®® Heating Cooling Ventilation Hood L2.00 (J Permit Fee $3 --coo $ -370-4 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 TOTAL PERMIT F E La 0 $ J �cN�cocn�aUvcJ UI ll lc %1UU11Ly UI OUllc lU CIIICI UPUII LIJU above-mentioned property for inspection purposes. X Date $ gnature%e of P/ermitee or Agent Receipt No. !/��/ White-D.P.W. — Yellow -Assessor — 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date a , , , I , ��'�,l�T,',�-;,;"�"F?)-Pi�,,"�'�$'"'�'���, ,` lk"I'l A''"'I, I ". , , ,�,:, "� �_il 1 � I 1.1, �' Jtt..... ;'� ; , QQ'�' - P " 'L I'll, � I - ".� � �,�,n .1 ;'� , I. �l �,�Ir��`: "' �I, ifil i "'I . ,'jllj:��,;',,�r,lql I "'IlIrA , �,'tJ6i,44 I WWI 4"lowill I '1114 �IUL. , , ! 1 ,,, , ,'I �., � , 4"d �'.1 ,; J,��!�', It iil � !" i , _ ;'�, ,� , Q. "" I.- i'v, I ... �,�V� 1,1'�,,%'Il "11lw4"wjgywOW_ . 6" Y, "'I I Y. YU ',�" �0, �, 4, 0 W__ - , �'l �., _ -1 ", , �I,�.j,l��,qjLj, ;, NIC, , ��"' , - � I " ,�� 1, d ,� fF � p" 4- i 14����IIII 4 � �Tww"" -I "I,,, ..... A.��- , -I 4,1-! .. ..... I ��. 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