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Home My WebLink About022-040-0660 a ' 1 5 1 1 •' ! ;s • j I 4 i 22-04-661, 0227040-066 SONOMA SHOOTING SOCIETY Schohr-,Ra' :elec)�I)ITrKJ_r.0 s4 1 ^KA�� •!+ -- ., v � -7!i Fl��'j yt. eauw*cf "..~Jou OROVILLE, CALIFORNIA . GENERAL CLAIM CLAIMANT: Sonoma Shooting Society (Larry K Casey) ADDRESS: 1073 French Ave. CITY & STATE: Gridley, 'CA 95948 IMPORTANT: October 29, 1990 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECFiV1Nr. cnnnc no ecovfrre DATE DESCRIPTION OF. CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to clerical error. Permit #3735-90E, AP#22-04-66, Receipt #84144, dated 10/25/90. Tota! ermi ees al -------------------------------- 52.50 TOTAL REFUND DUE ------------ -------------------------- $52.50 TOTAL $52 50 I, the undersigned, declare under penalty or perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 29th da er October .................................. y . 19 90, at Orovillecalif.' . .............. .......................................................................... ................... Si ature or Clalment I, the undersigned, hereby certify that, to the best or 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 ❑ (Check one) f t sem 29th October Dated this .................................... day of ............................. 1990at Orovlllecaur. ......... ........ ...... ... ...... ............................_. apartment Head or Authorized Depu ` Dep`' 440-002 Cod 4210500 Code ............................................ Code ................................................PAYABLE FROM COI1S Permits FUND ................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. F; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Omkille,"�Galifornia 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 22-040-066 ZONING A40 BUILDING PERMIT OWNER Sonoma Shooting Society TELEPHONE 521-0690 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS c/o James Laier, P.O. Box 6835, Santa Rosa 95406 CONTRACTOR'S NAME Owner (Terrence Fitzpatrick) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Schohr Ranch Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other elec SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New Addition❑ Remodel[] Utilitiesg Installation❑ Other ❑ Describe work: well elec Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS t00 AMP OR LESS 10.00 O. OU Main service EA. ADD'L 100 AMP 2.50 2•50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense 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 S. ADDNST � DWELL DGOCCUPMOR 21h ¢sq ft NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS al (SINGLE OUTLET CIR. / EX. Occup( p OUTLETS OR FIXTURES 20 050t BAL@30 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.0 Pre ins Permit Fee $ 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 f 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 Countyof 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 against said County in copsequence of the granting of this permit. � Date Signature o Applicant — Ow r❑ Contractor ❑ Agent An OSHA permit is required forexcavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 52.50 E HAz CUA PARK SCHL PAR PD HD ISSUE Th;s permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date i Receipt No. 84144 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTIA !Pt F PUBLIC WORKS - BUILDING DIVISION ,< r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET OWNER 5o go LV1A 5�� In Al6 Proposed Building Use 6 �f��[_� Building Inspector Permit No. A. No % O? Date At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6, Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC'Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10., Fees. of $ ........................ 11. _Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18.' Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (ponstru tion approval required prior to occupancy) 0 Fre-Inspection forrequired Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner < �� 24!Recorded copy of'Agricultural Acknowledgment Statement !........ �G25. Letter of signature authorization ................................... i ' 26. ) 27. When yo issue the permit, process as follows: Mail off° er. Mail to contractor. a Telephone - and hold for.p.i.cku- at office. Deliver w./inspector. Other Appl i Date v o`� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By."t The following data must be submitted prior to permit issuance: (Circle new _item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date AV, TO VI i • F�-T qv� 7 O4 1 L L.S U1 ;f�,l�' A'i�i'�E� k I I• _.I i I � I ; I I I I I ' I II i � I � 1 I ITS ( - Y+ '1 ► I � -� - i 1 I I � � I I I I I S►� I i 111 i i I I I � � � � i I � � I �I� i'' � w _ i ' - I ( - � _ Z I }. 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