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HomeMy WebLinkAbout030-181-023II 9 AP 30-181-23 E' *L. DILLARD /4 1.1.13_12th St., groviljge Permit# 4047-74P,Eelec--s-erv. '-z 'for ex. dwelling)* rep1ac-e-+mVk' 40,' k�ef,� i Evander Dillard 30- 81-23 i 1113 = C"12 Eh`S't" vi-- - ----- - � cont Linc Vill g le 0' ~ Perm - E 's PP T S CTURE Q • {•'COMP TIBN TEST REQ. 3 -181- M ovule coin. a� •o ��• - }� er 1 77 _-_- ued 30=18-23 in f 92-0282 DILLARD E.L. 1113 12th. St, oroville (re=pipe gas service)SF BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE - NAME DEPT. I DATE NAME DEPT i r 7... .� - .. s.. ,r., ,> .•+ !_ � `-� .. rl•.i:i. `ri -'+ . t +-�r r:-:.r*i^�e mh-'I, ,r. !LC''r� i:rrre'..-..� . • - . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-18M23 ZONING •. A R BUILDING PERMIT OWNER FIJI DILLAM TELEPHONE s34-0487 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1113 12th STREET OROVILI,E CONTRACTOR'S NAME OWINER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 1113 12th STREET OROVTLLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL` MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF© Duplex❑ Mobilehome❑ Other n SPECIFY ( Gas piping system 1 - 5 outlets 5.00 rj.QQ Building sewer 15.00 Mobile Home I S I G JW 0 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities F9 Installation ❑ Other ❑ Describe work: RE—PIPE GAS APPLTANCES _ .•.., Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soovoRLEss 18.50 200A OR LESS Main service 20CATO10o0A) 37.50 CONTRACTORS LICENSE LAW penalty perjury I declare under enact of ' y (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification 2"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) ElMobileo 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. / DWELLING OCCUP.B\ 3.54 sq.ft. OR ADDNS. 1 ACC. BLDGS. / NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 0 5.00 (POWER APPARATUZ (SINGLE OUTLET CI• Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. Ex. DCCUp. OUTLETS (RESID )REA.) I .3.00 Temporary service 15.00 Home Facilities 15.00 Misc. H g '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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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, ,shouId you become subject to the W. C. provisions of the Labor Code, you rni st'fortFiwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 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 Countyot 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, judgment`s, costs, and -expenses .-which may in any way accrue ,against said Countytin consequence of the granting.of this permit. X rz • A 11 Date 1 - , ! -7 � Signature of Applicant — Owner t ❑ Contractor ❑ Agent ❑ 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 S -.. Energy Inspection Fee $ DCC CONST TYPE . TOTAL FEE $ 20.00 f HA2 1 0FEES IMP FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi 1 sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIFfECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ES Date / �-' - Receipt No. 109612 WHITE-D.P.W., YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cat! torn ire 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -10 2 A ASSESSOR PARCEL NUMBER 030-180-023 ZONING J A R BUILDING PERMIT OWNER EL DILLARD TELEPHONE 534-0487 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1113 12th STREET OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 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 111312th STREET OROVILLE Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other a SPECIFY Gas piping system 1 - 5 outlets 1 5.001 5.00 Building sewer 15.00 @ 15.00 Mobile Home S I G IEt TYPE OF WORK rY� New❑ Addition ❑ Remodel❑ UtilitiesU Installation❑ Other❑ Describe work: RE—PIPR GAS APPY TANCER _ = I Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS 18.50 Main service 200ATO10o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License 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) El 1, 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. / DWELLING OCCUP.&\ 3.64 sq.ft. OR ACDNS. 1 ACC. BLDGS. I NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) \SINGLE OUTLET CIR, Ex. 20 764 p OUTLETS OR FIXTURES EX. OCCUp. OUTLETS FIXED APP(RESID )REA.1 I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g "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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q/( 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 15.00 Heating Cooling g Hood 6.50 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 Countyot 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 ainst aid Cou tyti c nsequ ce of the granting of this permit. y X Date / .. �! 2 $' nature of Applicant — Owner Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ DCC CONST -TYPE TOTAL FEE $ 20.00 I HAz DFEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do b work ind'ed afor which fees have been paid. i D OR OF PUBLIC WORKS By Date PERMIT EXPI P ES Date Receipt No. 109619 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;f k; r wXI y f _ t� ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet Ca-Ptornle,95965 - Telephone: 916,'538.7541 APPLICATION AND PERMIT PERMIT N0, ASSESSOR PARCKL N NtN BUILDING PERMIT OWNER EC �o TELEPHONE 6 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING RESS 7 W-3 7 h f 00 1- CONTRACTOR'S NAME awly 9;t_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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 ' Z-�.(, Q5 600 77 Permit fee a PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF,�? Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 U Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: , e 04__5 /0 <I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 • Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO10o0A) 37.50 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. License No. ClassificationAt F-1 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. DWELLING OCCUP.& DR ACDNS. ACC. BLDGS. 3.6Qsq.h. NEWCONSTR U TI.OUTLET NON -11 SID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 76d Ar FIXED APLNS. Ex. OCCUp. OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that 1 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 Countyot 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 consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 39stories oinehe ght Ions over S'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES��- HAZ I DFEES I IMP I FLOOD COF I PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 10 WHITE-D.P.W.. YELLOW-ASeCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 '. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally. plan to provide the major labor and materials for construction of the propo.sed property improvement (yes or no) S_. 2. I (have/have not)y signed'an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:j� Property Owner ��.y Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required*by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r n. t 0 (`PERMIT NO. 9 P E M MH UTIL. PERMIT NO. 4047-74P,E PERMIT EXPIRES —4-7S OWNER E.L. Dillard CONTR. LOCATION (A.P. 30-181-23 ) 1113 12th St., Oroville s I 3 } Temp. Power Pole Called PG&E / Temp. Elec. Serv.��—T 7 -7 r �" Called PG&E Temp. Gas Serv. j I Called PG&E A JOB-Y4 OB/ FINALED ! T ` • t (Date) ! (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 6--- 1. ,.., Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water PiRing k 0 —� 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 Z Slab Final Sanitation Patio FIREPLA E Final O 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 V Permanent Door Closer Final Final t, DATE REMARKS OR CORRECTIONS WA COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R S to 7 County Center Drive — Oroville, California 95965 ;�7 .Teleph'one: 534-4541 /(1— APPLICATION AND PERMIT A . Date 0 Signature of Permitee or Agent Receipt No. �ocy White-D.P.W. — Yel144s6710"ink -inspector — Goldenrod -Applicant By Date ! •9 g permit expires Date.../.5................. BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 7k Telephone No. — Contractor Fireplace Total Valuation ' Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address z y -/J PLUMBING No. @ FEE PERMIT FILING FEE 2.00 -_ Each Trap 1.50 1, Repair drainage or vent piping 1.50 Water piping _ 1.50 Each gas water heater or vent 1.50 j A. P. No. �Ci �'61— Zoning & Planning Gas piping system.l - 5 outlets 1.50 S�'+ f Each additional outlet .30 j FSS I Wp- I WAwn FireDept. Fire Zone Use Permit Building sewer 5.00 jr EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements p Lawn sprinkler system 2.00 61d4jec'd 40.14 pproval Plans lepprovol Permit Fee ,-1 Oki � J NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �_ i Main service incl. 1 meter .5 v ' t Additional meters, each / 1.00 Sub -panel (12 s) (more than 12) Ingle Family ❑ plex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ball �?o ` o ���,-,.•.a_�• Receps., switches & fix outlets 70-7(-23 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. wiririg ❑'Tam 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. ❑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 em p to an employ y 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Q /) .. l /1 ' As — 1 -7" 11--f TOTAL PERMIT FEE $ 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. nIQPrTnQ nG DI IRI I(` lAtnRllc A . Date 0 Signature of Permitee or Agent Receipt No. �ocy White-D.P.W. — Yel144s6710"ink -inspector — Goldenrod -Applicant By Date ! •9 g permit expires Date.../.5................. eaun of ✓Jut& "OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Mrs. Lela Dillard ADDRESS: 1113 12th St. CITY & STATE: Oroville, CA. 95965 IMPORTANT: March 29, 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 Board of Supervisors denied variance for 3rd dwelling on 3/1/77. (Permit Appin. #320-77 POE - Receipt #156547 - AP 30-181-23) Plumbing permit fee ----- $33.00 Electrical P23.00 Land Development fee ---- 25.00 TOTAL REFUND DUE -------- $81.00 $81.00 TOTAL $81.00 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 Appropriation ❑ or Specific Board Approval 0 (Check one) for the same. q; ai Dated this .........29th ........................... day of ........M............rch ......... 19...77..., at Orov.......................11e ....... . 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. OBJ. CLAIM NO. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. ' r 1� I ' r _ INSTRUCHONS ft 'CLAIMANTS , All claims against the county must be- itemized,, giving, dates .and.,.. character of service rendered or j 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 Iin Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 0 COUNTY OF BUTTE — DEPART ENT OF PUBLIC WORKS t 7 County Center Drive — Uroville, California 95965 r Telephone: 534-4541 v APPLICATION AND PERMIT BUILDING Owner� L � A r 1/.d N d � ✓ / SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ,�� /�GoL v LL ry+ do MoB.[e /a/o,N+ Total Valuation Mai Iing Address Z 9 1 / Ca4 JV &L W44 Permit Fee Plan Checking Fee &/or Penalty ✓o � 0 V G C Tel.7 q—e77 7 Permit Fee $ Building Address 'rh FeG T- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.e® Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping low /0-00 Pains Yerificefio-Onf.Each gas water heater or vent 1.50 A. P. N . 30 / 8 P - 3 Zo Ga's piping system 1 - 5 outlets +" 16-00 Each additional outlet .30 Fe W. Sanitation Fire Dept. Fire Zone Use Permit Building sewer J&V p.o EQA I ParkingJQ Plans u claration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ .3.3100 $3 OA NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3.00 • Main service 600V OR LESS 5.00 's-00100 P AMOR LESS Main service EA. AOD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 21 Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBL GSLING O,CCUP. &) 2¢sq ft NEW CONSTR. /MULTI -OUTLET NON.RESID. 1 BRANCH CIRCUITS) 2.50ea ' 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: Ir�rL�t y., f NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES)BA'L LLmi Ex. Occup (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 100..0000 Mobile Home Facilities 15.00 176,60 � License No: a WClassification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ „2 ,00 $ 00 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. 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 ZJ4 AJL4 D-PU +✓I 1=6 e-. �.SG< TOTAL PERMIT FEE $ aut-11— 1vP1tCJCIItaUveS UI mu Luumy UI CSURC to enter Upun the above-M7ent' ned property for inspection purposes. X te — Signor 1/0 f Permitee or gent Receipt No. %Mi 7 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 0 CLAIMANT: ADDRESS: &wd* of ' i0ufte OROVILLE, CALIFORNIA GENERAL CLAIM Lincoln Village Mobile Homes. 2628 Lincoln Blvd. J/ Oroville, CA. 95965 CITY 8 STATE: IMPORTANT: May 19, 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 Board of Supervisors denied variance for 3rd dwelling on 3/1/77. M-obilehome installer requesting refund on installation application (Owner: E. Dillard, Appin. #319-77MHI, Receipt #156546 -AP 30-181- 3) Mobilehome installation permit fee ------------------------------- $30.00 i TOTAL $30.00 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. XX 19th Dated this .................................. day of ............................ , 19......, et................................. 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 (Checkone) for the same. Dated this,,,,,,,,, .. 19th May 77 orovill ......................... day of ......................... 19....... at .............................. , 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. IT�U�CiIS2....to�-1ITS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices oFarticles furnished or delivered. t Claims must be certifiedby 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. r n _ ' 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 d 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. 4 � 6a a ♦R � - 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 _ gl� Telephone: 534-4541 APP.LICAT ION AND PERMIT ,, y v. uu— w cn tc1 uNvn tnc 6above-m ,ntioned property for inspection purposes. .c,c i� i., Date A al Signot re/of Permiteeee�orr Agent Receipt No. L� '7� 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 EvatiaX Pl LLf u SQ. FT. OCC. BUILDING VALUATION Mailing Address j q 34 n 0 Fireplace f / /[�!!1(.;._1 Contractor L j NCOLo�I LIt LLA ctL n76.}&& !,11} Total Valuation f Mailing Address � &qg [..f7 coLN YAL00 Permit Fee Plan Checking Fee&/or Penalty �LL� Telephq No. Permit Fee Building Address f C ?� �,�� ` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �l L/,c- 0 IA LJ a5T 's 1 Dca o 1� �/\!7'LJ 1) N 6 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. J j - 3Gas Zoning 8 Planning piping system 1 - 5 outlets '1.50 Each additional outlet .30 Fe W.C. -6aa+�a�ien- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel at'2.00 Declaron parcel Ma p 60' R/W ImprovementsLawn sprinkler system Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J -r f ,�yy[J �G•/ ( .ror Q t • ,50 � Main service 1000 OR_AMP LESSOR 5.00 Main service EA. ADD'L too AMP 2.50 Single Family El Duplex ❑ Mobil Home El Others ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service EA, ADD'L .too AMP 1.00 NEW OR ADDNST DWE( ACCLB OGS.NG CCUP. &) 22sgft NTR. (MULTI-OUTLET NEW COS 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: / ////�� ��%% %J - Z, mC,;L Iii LA�g /1,Zp ti✓1 f /7�Y/l ES Ex. Occup(OUTLETS OR FIXTURES)@@Q BAL@1 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � C4 License No. 10 GG -O 11 Classification Misc. Wiring 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. I have placed on file with the CoOnty 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 MECHANICAL @ I FEE —No.1 PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ /7� oig $ 56.00 TOTAL PERMIT FEE $ 3D jJt ,, y v. uu— w cn tc1 uNvn tnc 6above-m ,ntioned property for inspection purposes. .c,c i� i., Date A al Signot re/of Permiteeee�orr Agent Receipt No. L� '7� 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 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A. P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: - CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: ' Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever -comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID