HomeMy WebLinkAbout027-083-013r
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271- 083-13
KENNETH WAGNER '®� ®�
1 7295 Citrus Ave., °tPaler'mo/4q
�Permit -##5389=75B'(repair'earthquak r M?
COMPLAINT TO INSPECTOR damage to class A Flue) j
Z�027-083-13
q NEW OWNER_ ti, —
Elizabeth,Shourds
-7295. Citrus_ Ave. ,--Palermo
' CONTR: San Juan Pools,Sacramento j
:Permit 1764-77 P,E (plumbing & elec.
only for pool) •
9
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PERMIT NO. 5389-75B (EQ DAMAGE)
P
E
M
'r IVIH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Kenneth Wagner
I owner
wner
LOCATION (A.P. 27-083-13
7295 Citrus Ave., Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing .
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
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
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE �y REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPASTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi Ile, California 95965 115 3 / �-
' Telephone: 534-4541
APPLICATION AND PERMIT
authorize epresentatives of the County of Butte to enter upon the
above -m ti ned property for inspection purposes.
2-4 04"'� Date4g' l- Iz PX!5v
Signa re of itee 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 UBLIC WORKS
BY C'rp Date
uilding permit expires Date _
BUILDING
Owner `J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
a
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Tlephone No.
e
Jfjt
Permit FeePLU
I
Building Address �q�
INNo. @ FEE
MBG
PERMIT FILING FEE $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
A. P. No. C7 ^ -- () P 3-/-3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
a '
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than] 2)
Single Family,0 Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesbel a2
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1_00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
rbi I am exempt from the Contractors License Laws of the State of California.
Permit Fee $dAd
$
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.
'J4I certify that in the performance of the work for which this
ermit ,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.1 @ 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
TOTAL PERMIT FEE
authorize epresentatives of the County of Butte to enter upon the
above -m ti ned property for inspection purposes.
2-4 04"'� Date4g' l- Iz PX!5v
Signa re of itee 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 UBLIC WORKS
BY C'rp Date
uilding permit expires Date _
GtORGE Pe 'JOHNSON
REAL. ESTATE BROKER
• 6233 FAIR OAKS BLVD. 537 EAST MAIN STREET . . 6801 UPPER PALERMO ROAD
CARMICHAEL, CALIFORNIA 95608 GRASS VALLEY, CALIFORNIA95945 OROVILLE, CALIFORNIA 95965
PHONE 482-0892 PHONE 273-2963 PHONE 533-3422
R
r ,
s
PERMIT NO.
1764-77B,P,E
PERMIT EXPIRES
OWNER Elizabeth Shourds
CONTR. S'an- Juan Pools, Sacramento ?
LOCATION (A.P.
7296 Citrus Ave . , Oroville
Temp. Power Pole
Called PG&E
Temp. �rE+Yec. Serv.
9141d PG&E
Te p. Gas Serv.
Called PG&E
JOB s `�
JOB
(Date
az
(Sig rg ture)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
;�UILDING�.1 BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaI I
Insulation
Heaters
Slab
Carport
p
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas PI in &Test
Temp. Gas
Slab
Final
Sanitation
,Patio
FIREPLACE
Final
Footings
Footing
ELECTRI
Masonry Walls
Throat
Rough _3�3
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors y
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground 3`
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E ME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965 /� J
Telephone: 534-4541
APPLICATION AND PERMIT
auulul—c IcNlcacnlau vca UI LIIC L.UUIILy UI Dutty lU ullml upull 1r16
above- entioned property for inspection purposes.
X Date Al—
i
l—
Sig ture 6
f Permitee or Agent
Receipt No. 14 D 2 y5
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 b aid.
DIRECTOR F P BLIC WORKS
Xui
Dateing permit expires Date
BUILDING
Owner S'6`0 D 5
SQ. FT. OCC. BUILDING VALUATION
S
Mailing Address
Telephone No.
Fireplace
Total Valuatio
Contractor
Mai I i ng Address 01 4 4
Permit Fee
Plan Checking Fe-/orPenalt
_G y/
t" 3
Telephone No.
2 —?3 7 3
Permit Fee $
is
Building Address7� ` ,s4� �„�R
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3,00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 /,S a
Each gas water heater or vent 1.50 1 a
A. P. No. � '7 —p _ / 3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F - es
n Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
arcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. ans Recd
Parcel Approval
Plans Approval
Permit Fee $ o
$ 1
NEW � ADDITION E] UTILITIES ❑ OTHER ❑Q
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 moo
/
CJ�y 9c
Main service 1,00v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP O OR LESS
-
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. AOD'L 100 AMP 1.00
tJ� Q
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. 20sq ft
NEW CONSTR. MULTI -OUTLET
NON -REST D• ( BRANCH CIRCUITS) 12.50ea
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
st y le of:
Ex. Occup(OUTLETS OR FIXTURES) BAL @2�1
x. ccu FIXED APP LNS. OR
EORESID,1 EA) 2.00
P•(DUT LETS (
Temporary service 10.00
Mobile Home Facilities 15.00
License No.. 3 �Q g� Classification C—C-5 2.3
l� S'rrp,,1,,,,c 6.25 (,
Misc. Wiring ?,,,L
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ q57
$ 9 T) --A
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
LzJ 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 $
$
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 FEE
$
auulul—c IcNlcacnlau vca UI LIIC L.UUIILy UI Dutty lU ullml upull 1r16
above- entioned property for inspection purposes.
X Date Al—
i
l—
Sig ture 6
f Permitee or Agent
Receipt No. 14 D 2 y5
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 b aid.
DIRECTOR F P BLIC WORKS
Xui
Dateing permit expires Date
CLAIMANT:
emwt*- 4 Xtd&
OROVILLE, CALIFORNIA
GENERAL CLAIM
San Juan Pools of Sacramento
ADDRESS: ' P.O. Box 664
West Sacramento, CA. 95691
CITY &STATE: IMPORTANT:
DATE OF CLAIM: April 20, 1977 SEE INSTRUCTIONS
ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Permit not required for pool structure. (Partial refund)
PP n. #1764-77, - Otmer, Mrs. Elizabeth Shourds
AP 27-08-13)
Building permit fee ----------------- -----------�
$S6
00
I
TOTAL
$56
00
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 Approprlation Q or Specific Board Approval ❑ (Check one) for the same.
Dated this .................................... day of ............................. 19....... at .............................. . Callf.....................................................................................
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.
(
INSTRUCTIONS t0 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 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.
BUTS COUNTY PUBLIC WORKS
DEPT.
fir_, • REQUEST FOR EARTHQUAKE INSPOION. 2 l
Date CC5 -z
-T_T_
Name Telephone
(last/name) (first name)
Address�-
-�
Directions
ITEMS OF CONCRRN:
-------=-----------=-------=-=INSPECTION
Date
=== % ®
NATURE OF DAMAGE:
t
Danger:
Action: 149
Inspectoi���
REQUEST FOR EARTHQUAKE INSPECTION
Date
Name
bU l Xt UUU N1TX PUBLIC: WORKS
1,569 A DEPT.
a ss/
Telephone
(lash name) (T,irst name)
Address
7
Directions
IT IS OF CONCERN-
-
O
INSPECTION Date
NATURE OF DAMAGE:
r_
3 3 - .3q Z Z,- �- .�v✓�► ��
CWL
Danger:
,000j;Ze�G Tri'
J -')
Inspector