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HomeMy WebLinkAbout024-290-003AP24-29-3 .'f - `" J RY REED n/s Ho moi' Lane about 200' E. of,. Hwy 99, lot -,-.,.Sunset Village Sub' Gr&dley Permit# 2950-74B,P,E,M ! (new .single family) .,24-29-3 F- . ' F. Ramirez ,.. ,. NIS Ho is Ln�,i/lot E.o wy 99, Y 053�,& ,E(new b •n storage bldg_ 24-29-•03 - ! FIDENCIO RAMIREZ L 23 Hollis Ln., Gridley Cont: Richard Carter Cons uction r' Permit #1596-88B,E,M(add amily room & porch/SF.)? 7-3 Q -8$ f---- f � n D BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED _ DATE NAME DEPT. DATE NAME DEPT i e t-- u t ` 1596-88B,E,M y PERMIT NO. + • • - PERMIT EXPIRES D " OWNER FIDENCIO RAMIREZ CONTR. RICHARD- CARTER CONSTRUCTION ASSESSOR PARCEL 24-29-03 t{ LOCATION 23 Hollis Ln., Gridley 4y r .. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) %'`v itis' -e: • l`. „ Signature I = OK 0 = Not OK t i" ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch '4. '`' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3'Sewer', Location -Test -Fall -C/O -Concrete .," ` 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)' 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- V 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P'L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance ''�•_, �• 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses:, , 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 _ Date Card -131- ~ 'Date " 10. Roof; Shthg-Roofing Card -131 Date--Card-61 -- - . Date- 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - Card -81 Date Card -B1 Date _ 2. Footings; Size -Spacing -Marriage Line I •_ '�► '� �` Card -131 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector A =C' 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector ._ �''� 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -81 Date �-.-.. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -61 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test -� Card -131 Date Card -131 Date Card -61 Date Card -131- Date ` -- • _ _•_,•lam -_» W t1% ' r - V w• = OK 0 = Not OK - =Not Appi7`cable RESIDENTIAL (Single and Duplex) = Not Ready Date' UNDERFLOOR (Plans) OK except #'s I Date FRAMING (Continued) ( -V,k Z oning-Setbacks;-Easements-Flood-Slope Hangers -Post Caps nc o -Connectors P2-Ftg., Main; Soils -Steel -Elea Grnd.-// 7 1 Ftg. Depth ing. JgAVAftrLT46s_-P n-- Roof &1c_.-Tran-SMen_q_R 3. Ftg., Garage; Soils -Steel-/ P, Ftg Ftg., Porches & Decks; Soils -Steel-/ ,Steel-Blockouts-W /„ 6:. Stemwalls Gargge- Steel- Blockouts-Wrapped &%-7" 7' Stab; Steel -Wrapped t.8''Piers-Fireplace Ftg.-Steel 8 BANS-EaIL�ittings-Test-2 way C/O -Sewer Test 10 -&es -Pi e;-3iZS-Anchors ipe; Test -Anchors -Regulator -Service Test 12 FlectriG* Underground 12 PIP cts; Clearance-Material-Supprt-Ins. - - nchor Bolts-Joists-Vents-Cripples -15-4>fisvfatlQr� Card -131 Date u�%rCard-B1 Date Card -131 �� Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors=Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card- 1 Date Card -131 Date Card -61 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s xture & Tran 33 lec. Receptacles Spacing -Lights & Switches at Doors iz�_.Boxes & No. of Conductors -Stapled 2 o Installed Close to Edge ds & C.J. I&ISquip. Ground madeup-W/Mech. Fasteners -Bead -Gas•& -Water s in Kitchen & Conductor Size/G.F.I. 28. Sub e ire ize 7 / ga. Cu or AI-A.C. Wire Size / /ga. -ea-or-A4- ga. Cu or AI -Oven Circ. / / ga. Cu or Al. I Yes No - onductors & Ground -Main Disconnect anels- Motors- Mech. Equip. - ight 3 r Card -131 Dat -,jfj Card -B1 Date Card -131 Date Card -B1 Date Date MEC ICAL (Permi K except #'s - 2 A.C. Ducts Ins tion & Support 35. Vent Fan; Ex ust above insulation 36. Condensate Drain Overflow; Size & Grade 37. Furnace -Vent; ess-Comb. Air -Return Air Vent -115 outlet 38. Attic Acre & Platform if Furnace in Attic Card -B1 Dat!1kL,ZS !2SRrd-B1 Date Card -81 Date Card -131 Date Date FRA G (Plans) OK except #'s it roper Material & Anchors 4. alls Studs -Nailing, Spacing & Bracing-PlatepSeand ing r op in Walls (rat proof) 43'-Fi tops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing A& -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles s -Sill Hgt. & Dimensions 5ge it ing rewa penings t. s -One T -Check Ga s 5 i - om-Rise-Run-Landing' Fire Protection od on Roo verhang-Attic Vents -Rafter Outriggers 45-S1ding-NqAiorrg—Veassx-_- cess azi ea -Gla is ai - is n ation-Walls-Clg. nfiItratio n-Walls-Wndws Card -B1 Da •' and -B1 Date Card -B1 Dat Card -B1 Date Dat FINAL (Plans) OK except #'s XN11. Ext.,Steps-Door & Sidelight Protection -Landings "fik Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ---64-Bedroom Exiting . G.F.I. & Bath Fixtures & Tub Access-Spa -e6�-Elec. Trim & Subpanel; Breaker Sizes -Labels --6.7-Stairs & Rails ­66.Fireplace or Stove; Clearances -Hearth e9 Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance ----1. Elec. Outlets & Receptacles at Kit. Counter �Tt. Garage Fire Door; Swing -Landing -Closer ' 79* A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ----Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No X81. Stucco; Brown -Finish --88. A.C. Unit; Disconnect, Electrical, Plumbing �-08. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. a-9$. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 6.Ventilation throughout House "-.67. Glass Protection Corrections from Previous Inpections —BGeGas Test -Meters Tagged; Gas -Electric X99. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----99-Roofing Certificate Card -61 Date Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE ----.— .DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico _ Phone: 891-2751` 7 County Center Drive, OroviIIe— Phoae: 538-7541 " 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ,r nw�It: 0 PFMAIT AIl1 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ���/ v Date C/� COUNTY OF BUTTE -r DEPORTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this 4 I Inspector Da A / Owner: �iT�'� Permit No. ENERGY CERTIF ICATION Z3 POCLI S L� �:CRwt. - Z4 Z9•o3 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material .Thickness(inches) EXTERIOR WALL'S �Ma`teri`a1'- r.-1VgEc f � Thickness(inches) QCE IL ING Batt r Blanket Type Thickness(inches)1,� Loose Fill Type Minimum Thickness(Inches) Area covered(ft. ) FLOOR, ELEVATED ` Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand=Name L`Tge-r al Resistance (t R Va-ue) BrandName 16•"Ther�mal "Resistance(R�e) a' Brand Name `cr� ' Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby.certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. �) �M 't' STATE CONTRACTOM-S"L-ICENSE;NO:. C_VDATE__} Thereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed -as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed�or are specifically approved by the State of California. 7 ease print) THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. 4. January 1984 0 -E COUNTY OF BUTTE - DEF�RNT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLIC�;TION 'AND PERMIT WORKS PERMIT NO 916/538-7541 ASSESS R PA C NUMBER _ ��— 0 3 ZONI BUILDING PERMIT O N R TELEPHONE SO. FT. OCC.1 BUILDING Vf LUAON eL.. `O''LOWNER'S M� A DRE 5 - c:67 NTR CTOR' N ry 11 TE EPHONE ONTg ACTOR'S NG WESS , - L Fireplace - NS RUCTI N LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 I L ` Each Trap - 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 1 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas' piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition Remodel [:1tiIities Instal Other 1:1 Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 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 _ d �f1 my license is in full orce and effect. (p License No. Classification El 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 NEW CONST. DWELLIN m OR ADDNS. ACC. BL , h2sUft D NEW CONSTR U TLO LET NON.RESID BR ANC CIRC T 2.50 ea (POWER APPARATUS &I SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20080t SALO 32 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service _ 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 "r 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. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating 186tAid` 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. also agree to save, indemnify and keep harmless the County of Butte against all li 11ities, judgments, c s, and expenses which may in any way accrue again id County in cons s mit. Date �3 SignatuI of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ Q TOTAL PERMIT FEE $ 5 O P. CONST.TYPE yv JSCH00LJ.Fj:7AR,!;L.PDND 59UE Tis permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC P-W7 ByDate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � S NO. WHIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT • `"fes-� - . +. -.. ..-- -� .��.. .- y.. - "tel �� '.r .•. ti,. • _, �'1 .f � - - .. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV0kLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. OWNER 1—I J eflCt0 �G rY� IAC A- A. P. No. Proposed Building Use U . (zm{�SJF Building Inspector i3 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. _e 5.lans with Energy Design Compliance Statement . 6. �td� School District "Fees Paid" Stamp on Floor Plan. 7 Statement f Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . , . . 9. Letter of signature authorization.. . . 10. Sanitation approval from 0(Z) lll�,Health Dept. . . �% )19� 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. � l3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerE]) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate equired prior to plan check). When ou''issue the permit, process as follows: Mail 7too owner, Mail to contractor. Telephone �Q'�`F�� and hold for pickup at`✓ty office, Deliver w/inspector. Other Applicant ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). f 1. Index permit for above items No. IM 2. Additional items required: Contractor, designer, owner, was advised of above required data by!phone_maiI—counter by date Contractor, designer, owner, was advised of above required data by—phone _maiI—counter by date r p/ Plans checked by A4 Date g Jf- Plans approved by ._060 Date Cg- Sets of plans on hold in File cabinet AP folder Coov—DPW TO Buildina.Department FROM: Environmental Health SUBJECT:. Sanitation Clearance e Owner Location AP# Plan. Approved for: Sewage DisposalWater Supply Hold final for: Final clearance O.K. for: Clearance for NOTE:*** Water Supply Water Supply r r bedroom mobile home. Other I X d (1�� c� • Sanitarian Date FO R M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE `;'A"' (Additions) Owner/,�� ` /" �' ~ Climate Zone / ~ Permit # I Floor- Area , QU (2 - 1' The following data showing mandatory +and required features_of Package "A" shall be installed for additions -to dwellings. Additions `to dwellings include -room additions-, converting garages and patio's to fixing areas,_house moves -that add. footage and attic conversions, and any space tYiat is existing non -conditioned space that is converted to conditioned space., Remodeling of existing conditioned space is not included.' ZONE 11 ONE 16 APPLIES TO NEW AREA 4V CEILING _ • R-30 _.. _ 'R- 8 .._ ® WALL R1 .,.r_. .> <',R -1R41 FLOOR _'R-11 R- ® SLAB R-7 ? ,,,R ® GLAZING U-.65 (Dual) -.6 (Dual) SHADING SOUTH OPTIMUM OVERHANG e u > or _.36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL.INSULATION (Density). - tV INFILTRATION CONTROL (Weatherstrip.doors,•_-certifi.ed..Fzindows, caulking.) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - 'Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT.;,. ® MAXIMUM GLAZING 16% OF' AREA PLUS' REMOVED GLAZING -,O, 9'G�t v; L NO - NEW HEATING, VENTILATING, AIR CONDITIONING AND.HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION -SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. ll - OTHER 12/85 rtl HEATING. VENTIIATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number, solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ other (describe) *1 (B) Cooling Q � Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95'F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) Q Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels — 13 Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form 4i5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Cal o is Administration Code. SI URE OF BUILDING DESIGNER OR APPLICANT t, r eoutd* af �'tdta OROVILLE, CALIFORNIA GENERAL CLAIM F. Ramirez CLAIMANT: ADDRESS: Rt. 2, Box 427K CITY & STATE: Gridley, CA. 95948 IMPORTANT: May 16, 1078' 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 #2053-78B,E - Receipt x'6174923 - AP 24-29-3 Building permit fee ----- $17.00 Retain of fee ------- . Amount of refund due ------------- $11.33 Electrical permit fee --- $ 8.60 Retain filing fee ------- 3.00 Amount of refund due ------------- 5.60 TOTAL REFUND DUE ----------------- $16.93 $16,.93 TOTAL $16 93 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. Datedthis .................................. 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 Approvals (Check one) for the same. Dated thinM� ...................16th ................. clay of .............ay 8 Oroville................ 1 ......, at ..............................I Celif..................................................................................... 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. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. x` INSTRUCTIONS !o-.:CIAI.HvHTS 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 approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials 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. J COUNTY -OF BUTTE —. DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive - Oroville, California 95965 Tel eph F3: 534-4541 APPLICATION AND PERMIT GUInorize representatives Ot the County of Butte to enter upon the above-mentioned roperty for i ion purposes. X Date ignatureof Permr2x nt 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. 7ECT F PJJ4LIC WORKS BY Date S a ht_ Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r t �), 13 Tel hone No. Y-1 , Contractor Mailing Address Fireplace Total Valuation fj ' Telephone No. Permit Fee Building Address S -------------- Plan Checking Fee &/or Penalty Permit Fee o I{� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �-� �I Repair drainage or vent piping 1.50 A. P. No. cc++�� "� p� 9- 3 f cng & Planning Water piping 1.50 Each gas water heater or vent 1.50 F WL.C! S t ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv nts Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel A -oval Plans Approval Lawn sprinkler system 2.00 NEW Imo" ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE. $3.00 Q Main service 600V OR LESS 100 AMP OR LESS 5.00 �7r Single Family ❑ Duplex ❑ Mobil Home ❑ Others U Main service EA. ADD•L 100 AMP 2.50 t ,+ r Main service 'OOEAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CON T` OR ADDNS. C ACCLWEa(UP. 4) 22sgft 1 CONTRACTORS LL am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name $t le of: Y NEW , MULTI.OUTL T � BRANCH CIRCUITS) 12.50ea NON-RREBIESIDDICENSE NEW C ONST R. ( POWER APPARATUS 6 !ON _tON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXTI-RES 50@ G BAL@1 Ex. QCCU FIXED APPLNS. OR p!(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ o $ 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. 2I 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 $ $ 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 I Land Development Fee $ TOTAL PERMIT FEE $ c GUInorize representatives Ot the County of Butte to enter upon the above-mentioned roperty for i ion purposes. X Date ignatureof Permr2x nt 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. 7ECT F PJJ4LIC WORKS BY Date S a ht_ Building permit expires Date "1, I T PEI#MIT NO 2950-74B,P,E,M P {� E M MH UTIL. PERMIT NO. a PERMIT EXPIRES wNER Jerry Reed ?CONTR. 1'LOCATION (A.P. 24-29-3 ) n/s Hollis Lane about 200' E. of Hwy •99lot 3, Sunset Village Sub, Gridley y�4 ti y(. �j Temp. Power Pole J- Called PG&E Temp. Elec. Serv- Called PG&E 4 Temp. Gas Serv. t Called PG&E ti JOB FINALED 6 ' ( ate) (Signature) 41 C. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping w Forms Parapets ist Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal Sidin To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents G Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throa Rou h Reinf. Steel Final Fixtures Bond Bear FIRE SPRINKLERS Motors Framin L Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final r DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK,6 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 •' APPLICATION AND PERMIT V� authunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date o� / Signatur f Permiteeor Agent Receipt No. (//� 2 White-D.P.W.el Q -AC)&, — Pink -1 e�� �8 l .e� plicant This permit is hereby issued under the applicable provvsf,�y'� the Butte County Code and/or resolutions to do work a d / above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By� Date c1 • % Building permit expires Date....... �',l?...!�.?......... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ?��0 Gam-+` , ,� Z Z_ G- Teler�ne No ^ Q ��3o Fireplace %SO �— Contractor ©uin_Jt� j Total Valuation Z i Mailing Address I Permit Fee Plan Checking Fee&/or Penalty Telephone o. Permit Fee $ $ O Building AddressjJ .5 LLS PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 2?op O O/ Each Trap 1.50 17--0 G 1—d ! TRepair AGCY <Su7� drainage or vent piping 1.50 Water piping 1.50 Ct�L0L Each gas water h er or vent 1.50 / e SD A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa n Fi eDept. FireZone Use Permit Building sewer 5.00 EQA Parking Pla Parcel Declaration I P oe 0' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plrns Recd Pa el Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.aCi Main service incl. 1 meter Jr` f o0 Additional meters, each 1.00 Sub -Panel (12 or less) (more t an 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ran Cook -top or Oven 1.00 �. m Water Heater or Space Heater 1.00 Light fixtures bat Bio s., swi/diDs & fix ou I s z0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of theEvap. State of California Business,& Professions Code under the name style of: Hood, Ex. Fan or F. A.Furn.Motor 1.00 /„pp cooler, gar. sp. or 1.00 Z,00 Air c itioner or heat pum -� Water pump .00 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ' 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rI 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 Cal i forni a. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 ZYpQ Heating 160 7-0 OD 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 Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date o� / Signatur f Permiteeor Agent Receipt No. (//� 2 White-D.P.W.el Q -AC)&, — Pink -1 e�� �8 l .e� plicant This permit is hereby issued under the applicable provvsf,�y'� the Butte County Code and/or resolutions to do work a d / above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By� Date c1 • % Building permit expires Date....... �',l?...!�.?......... m r n It 6P I 141il- tc)L#jj ION w. 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