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HomeMy WebLinkAbout030-183-002.r ZI Fred & Ga y Dillah S / S Oro , a Th r S t , e 1 Pe 80- , (new's 1 family) Y 30-183'2 •Y NEW OWNER d' i J.W. •CHAPPELL SIS Oro Dam Blvd, app 400' E of 12thM� �;. • � St., Oroville � Q Permit #4094--79P,Put, R { fM ELEC o A GAS I" doclor i3 COMPACTION TVREQ SUPPORT STRUCTURE RE x t. Q30-183-002 - ,r PERMIT#94-1740.µ -• t STOTT OUTDOOR ADVERTISING ` � s 1141 ORO DAM WEST, OROVILLE ELE FOR -FREE STANDING -SIGN" `ir�S. li + T. i i a 'I 4;-,. a I I THERMALITO IRRIGATION * DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA'95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION. AND CONNECTION PERMIT Service Addre'ss:' ' Owner's Name: a7.4q. C:t► {gel!Date: Ju -1 2f;., I�5 Address: Ii -,,I Uzo Dari 61vc,,, + Acct. No: 011042uo ' t;x•tatt ��?.r wee. 959b5 E. �t1-l.t�a-b(�a A.P. No:: Phone: 'x`33'-1324'.No. Units. Applicant/Agent: '` Agents Proof: Address: ; .. a Fees: Pione: Application $ SU U1) Arrearage _ Preliminary Review By: Date: CSA 26' 1''oI1 4n Remarks: P(_IX t,'t. L -o ';: �4xisl:.lriq inoIj>..hair : . SC -OR ibuo ou Ma iLzi t-ci-tnect. Oump Jta 4) oil •'t, i.2i °iso. ,fire 1 st mo. S.C. cxz; rt-xtly 'Lot)Q gai.lols sep>~rC %IzAtiX. { , Other il:k?E: t:P i;re Hist a1'Ltd W1!.111 Cad.&, Lr2Ct: -Sti t :i if.`Zdi:10n8. � j' Total Fees x �r/ Collected By: s. ra,• i '.}h fJl �'r-. L/.� �i•1-t�L�I �l-F +!I" .\�1.. !./ / /Q '1 Date: Field Review By A/0 s"✓.%•,t,r Date: �%`' `�_ 1? 41 Rer`rarks: r �� �, i•, if r i,i/z 47) /,f �'N% l�l� k h�1/!`' kM MONTHLY SERVICE CHARGESWILL COMMENCE AUTOMATICALLY •UPON: ❑ D3te'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). , ❑ 1$0 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 TIO r D307183-002 Y' PERMIT#94=1740 '. �• • STOTTOUTDOOR 'ADVERTISING r ''•: 1141 -ORO DAM WEST,4-QR0VILLE ELE -.FOR FREE STANDING SIGN , i t ' n • V F r ' J1 {' t r 'r. t'h :OFFICE COPY Addre s w 3 a`_ .. r Me -ter By Date' ELECT1I c Meter By � r 'r. t'h :OFFICE COPY Addre s w 3 a`_ GAS• Me -ter By Date' ELECT1I Meter By � r 'r. I� f COUNTY OF BUTTE - DEPARTMENT OFOEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 41 —PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-183-M2 ZONING C2 B ILDING PERMIT OWNER- S= OUTDOOR ADVERTISING TELEPHONE 343-3235 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 7209. CHICO 95927-7209 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 1141 ORO DAM WEST OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex El Mobilehome O Other FREE STANDING SIGN SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ElOther El Describework: 100 AMP SERVICE & BRANCH CIRCUIT FOR SIGN PERMIT FEE $ Cont ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 23.00 23. 00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S0 OR ADONS. ( & ACC. BLDS. ) 3.50 FT.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ 1.50 Ex. Occup.FIXED APPwS. OR (OUTLETS IRESID.1 EA. ) 5•D� ry Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 SIGN CIRCUIT 26.00 WORKER'S COMPENSATION INSURANCE 1eclare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. '>U -I have placed on file,with the County of Butte Dept. of Development Services, Building Division al Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 69,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabilitie% judgments, costs, and expenses which may iri any way accrue aga•nst said Coun' i consequence of the granting of this permit. X 1�%vG/ ' + ` °� Date Z / `� Si natur of Applicant - Owner ❑ Contractor'-❑' Agent (/ An OSH� permit is r€q' fired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 69.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD Ho ISSUE 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 ave been paid. By to �4/ 91 4 PERMIT EXPIRES ON (Date) _2 _ _ Receipt No. 1629914j WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK%INSPECTOR GOLDENROD -APPLICANT P I � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING�DIVIION7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -PER IT O. APPLICATION AN® PERMIT ASSESSOR PARCEL NUMBER 030-183-002 ZONING C2 ILDING PERMIT OWNER ' STOTT OUTDOOR ADVERTISING TELEPHONE . 343-323°5 SQ, FT. OCC. BUILDING VALUATION OWNER'S.MAILING ADDRESS PO -BOX 7209, CHICO 95927-7209,, , CONTRACTOR'S NAME OWER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S MAILING AGGRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ " Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1141 ORO DAM: WEST OROVILLE _ PERMIT FEE $ 1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 . LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome O Other FREE STANDING SIGN SPECIFY Gas piping system 1 - 5 outlets • 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑; Addition ❑ Remodel ❑ Utilities ff Installation ❑ Other ElPERMIT Describework: 100 AMP SERVICE & BRANCH CIRCUIT FOR SIGN FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 j Main Service ( 00AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect.x. �L(cense No. Classification y� I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reasonSIGN NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( 8 SINGLE OUTLET CIR.) i Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Occup. FIXED APPLNS. OR EO p• ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 00 WORKER'S COMPENSATION INSURANCE I eclare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept..of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this.statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 69.00 Contractor - MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit• judgments, costs, and expenses which may in any way accrue against said Coun i consequence of the granting of this permit. X Date Z /Z 4— • S natur of Applicant- wner CI Contractor ❑ Agent n OSH permit is r quired for excavations over 5"0" deep and demolition or c0 tion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 69.00 HAZ. D. FEES IMP FLOOD CDT PAgCEL PD HO I UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated ove for which fees a been ' By PERMIT EXPIRES ON (Date) provisions to do work paid. r Receipt No. 162991 i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROb-APPLICANT r i r "Nr I 1. COUNTY OF..BUTITE ` Department of b6elopment Services Building Division r, Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 ; Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 a. ` OWNER -BUILDER VERIFICATION 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 peimit. 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 proposed property improvement (Yes or no) ; 2' I (have/have not) signed an application for a building permit for the proposed work. ` r k 3: I have contracted with the; following person (firm) to provide the proposed construction: " lName` . • t Address City - Phone . Contractor's License No., • t 4. I,plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and ll provide the major work: f l Name ` Address City Phone Contractor's. 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:. i Property Owner- ` Social Security. Number ; / Date Z < w ' NOTE, This Owner -Builder Verification is sent to you'as required by Sections 19831 and 19832 of the California Health•and Safety Code. r This verification must be completed and returned to our office before we are permitted to issue the permit. ` t,;• � ' � ,L _ s���: .. F.i -1�` �;; ; �. -� o, �..�_� c Flinn . ............... I MVI: .......... 4-4-14c4V FYI vrf I L.....n. A 2:f 4p to —q0 cReft. 5w) X1.0- C-0 46 LA ca !t pr I SIM .A.q .1 -114-0 P -'&D J 2 1 11.0 4--(w - 25C1 m ­ -1-T / .1 all . a 14 .0.1�'w . io IX to Rik DS67;�7 OWN. CHKO. 0 K. O cc t w (P P4 .... ............. m ­ -1-T / .1 all . a 14 .0.1�'w . io IX to Rik DS67;�7 OWN. CHKO. 0 K. O cc t w (P 3-41 All S Ida tji. :s I' Nv 44 W) L)A H `2L\J. - LL .. I I L L 14 FAIC.104"IC GAS AiND ELECTRIC 4�(,'?VANY 1. SAN FRANCISCO, CALIFORNIA .... ............. I fl: BMW ;% mr I �muum %mm� 3-41 All S Ida tji. :s I' Nv 44 W) L)A H `2L\J. - LL .. I I L L 14 FAIC.104"IC GAS AiND ELECTRIC 4�(,'?VANY 1. SAN FRANCISCO, CALIFORNIA ,.,t ..T S. •....•may _w n,..�—. 3`� rr ._.. ._.. _ ,.` -_ n •'.ten. v PERMIT NO. 4094-79P,,E � PERMIT EXPIRES r> OWN E R J.W. CHAPPELL :. •�CONTR. owner + °;"LOCATION (A.P. S/S.Oro D m Blvd, app 400' E of 12th. St, Ori t i r E n _ Temp. Power Pole ? ! Called PG&E = Temp. Elea Serv. t Called PG&E Temp. Gas Serv. 1; Called PG&E JOB FINALED ` (Date) �' (Signature) , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION. RECORD - r, ' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall SolI Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish • 2nd Floor Footings 9 Windows 3rd Floor j Stemwall Siding LL To out t Slab - Roof Sheathing Water Pi In Piers - Roofing Sewer Garage Fdn. Vents ` Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters i Slab Prov. for physically Appliances Carport . handica ed Conformance of ex. Gas Piping&Test Footings structure Tem . Gas Slab Final Sanitation r Patio FIREPLACE; Final i Footings Footinil ELECTRICAL - ' Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam 'FIRE SPRINKLERS Motors `Framing Test Water Htr. 'Stucco Final Subpanels } 'Mesh MECHANICAL " Grd. Fault Prot. +r Scratch ' _ Heatina Service' ' i # Brown • Finish Cooling Temp. Pole Ducts , Underground Interior Lath, 'Ventilation Permanent a +Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal ' Water Piping' ; Sewer Gas Piping '-OBILEHOME 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.) , pop A4. COUNTY,OF BUTTE — ' QEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'California 95965, Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county. or t+utte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permito Agent - "�r .. Receipt No. S� - 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. °•� DI TO F PUBLIC WORKS By Date "permit expires Date��7 ��- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION +. Mailing,Address Oy2n Telephone No. s Contractor Malling,Address Fireplace ; Total Valuation Telephone No. Permit Fee = Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. ' . @' FEE, PERMIT FILING FEE- $3.00 Each Trap.1.50 , Repair drainage or vent piping 1,50 A.'P. No. 30� .. 90t� 122oning & anning- Water piping •1.50 00 Each gas water heater -or vent 1.50 s, SII ion Fire Dept. FireZone 'Use 4nnit Gas piping system 1 - 5 outlets 1.50 ,®(, EOA Parking Plans Parcel Declaration 1f - Parcel Map :60' R/W• Improvemen s Each additional.'outlet .30 Building sewers'- " 5.00 000 Bldg.ans Recd `-ilarcel roval PlansApproval. Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ . ELECTRICAL No.1 FEE • l PERMIT FILING FEE $3.00 vS Man service 600V OR LESS ii 5.00- 100 AMP OR LESS .' - Single Family.❑, Duplex ❑ Mobil Home Others ❑ Main service I=A. ADD'L 100 AMP 2.50 • ' ` - '. OVER Main service 100 AMP OR LESS 25.00 1 Main service EA. ADO'L 100 AMP 1.00 NEW CONST.// DWELLING OCCUP. 4, OR ADDNS. l ACC. BLDGS. 22 Sq ft,- - 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: a t` ~ NEW CONSTR. MULTI-OUTL T BRANCH CIRCUITS) 2.50ea . ` I .NON-RE-SID,C NEWCONSTR. POWER APPARATUS 9 • - NON -RESID. (SINGLE OUTLET CIR. � Ex. OCcuD (OUTLETS OR FIXTIIRES BAeL@1*1 EX. Occup. (// FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home.Facilities15.00 ,db ? 71 License No. Classification Misc. Wiring - 6.25 • I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ 5 $ MECHANICAL ' - . No. @ 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. . 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 subiect to the Workmen's Compensation Laws of California. ` 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 Laws .relating• to, building construction, and hereby . Land Development Fee $ TOTAL PERMIT FEE $ Z autnonze representatives or the county. or t+utte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permito Agent - "�r .. Receipt No. S� - 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. °•� DI TO F PUBLIC WORKS By Date "permit expires Date��7 ��- a t All ' utility connections shall be located .within ft. outside the rear third section of . the mobile home on the left (road)', side of the mobile home. The I Setback shagbe S 0 frog ft C side property line and ft. from the, ^( centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but:entirely out of all easements. permit will be require �y l ' nstaUction of the mkb NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and r of a qualify prescribed for the Specified use in the Uniform Building, Plumbing 8c Mechanical Codes and the National Electrical Code. . =s 4b P!j tm b� r. BUTTE This set of plans and specifications M -, Inept on the iob at all times and it is unlawful to �UILQING mr..ite any changes or altArrn}ions on same without. Q� ; , written permission from the Department of Public Works, County of Butte. /.4 A rr a I for th® - lehome. * ' E COUN DEPA I O ,r ' Outte, qoud* OROVILLE, CANNNLIFORNIA GENERAL CLAIM Dillahunty.Construction CLAIMANT:' I ADDRESS: Rt'. .1', Box` 134 •- CITY & STATEN Biggs., C". 95917 ' ' IMPORTANT: EE DATE•OF CLAIM: 2/22/77 ON REVERSE SIDES SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner sold property.'':(.Permit Appin.'#6580-76B, Receipt,#129542, --Gary +- - re aunty i ' Building ,permit fee ------ $10,0.00 • - e a n . , o . tee --37.3311 t -Land Amount of refund due ----------- Developmentfee ------------ -- --- ---TOTAL;REFUND TOTAL; REFUNDDUE ---,------ --- $91.67 $91.67 i TOTAL $91.67 ;1 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....Oroville Calif.* alif ............................................................... Signature of Claimant r I. 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 '.Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. I 22nd Feb. 77 Oroville Dated this .................................... day of ............................. 19......, at .................. :............ . Calif........................................`..........................................:. t Department Head or Authorized Deputy { Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM.........:.....................:...........................................:................ FUND ' DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY E VENDOR'' [ CODE + DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 1 i { x o . } INSTRUCTIo -S,..to-. C M ROTS All claims against the -'county must tie 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. r _ _ , .- , .,. � �. , ,�. ...` .. ,+f4... i'" rt'•� i .. ' 1. .. �. _ ...� - v1.'rr,�' y �:r .. y er15.t P .-_ .r F -- ti t•...�r-T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • .__ ._ - 7 Coµnty Cer�ter Drive — Uroville, California 95965 i �f 90 + Telephone: 534-4541 lC� APPLICATION AND PERMIT , i t BUILDING OwneryCC/ SO. FT. OCC. 'BUIL ING VALUATION19 , Mailing Address �� ��y $' 6 • O -0 /GG 5 Telephone No. G $ ` Fireplace Contractor` 44,tit5 Total ValuationI P, Zb I0 Mailing Address Permit Fee. p Plan Checking Fee &/or Penalty Telephone No. Permit Fee -$ a Building,Address �' O P '0120-0�Q 194 -PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A' - •©t /2—'e"rol Each Trap 1.50 Repair drainage or vent piping 1.50 Water, piping 1.50 _ periiCatioaa 01t1y, Each gas water heater or vent 1.50 A. P. No. c7 — `�� -- ®OZ �Zoniinngg & Plan 'ng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FjVs WV. San51,on Fire Dept. F i re Zow Use Permit u) ing sewer. 5.00 EOA Parking Parcel Plans Declaration Parcel Map 60' RA 'Improvements1. Lawn sprinkler system 2.00 - 'Bldg. Plan ec'd-O �P_orcel Approval Plans Approval Permit Fee , $ $ NEW r5r ADDITION ❑• UTILITIES ❑ .OTHER ❑ ELECTRICAL No. @ FEE - PERMIT FILING FEE - $3.00 - Main service 6001 OR LESS 5.00 100 -AMP OR LESS. Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service .,,too AMP OR LESS 25.00 Main service EA. ADD'L.100 AMP 1.00 •' � NEW CONS. D ELING OR ADDNST ( ACCLBLDG S.0 P ) 2¢sgft , NEW CONSTR. MULTI-OUTL T NON-RESID. (BRANCH CIRCUITS) 2.50ea - - • NEW CONSTR. POWER APPARATUS & - NON•RESID. (SINGLE OUTLET CIR. i 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 o�S� r v '• �hu� •_ Ex. Occllp(OUTLETS OR FIXTURES)HIS ' BAL@1 FIXED APPLNS. OR Ex.Occup.( OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 1; , Mobile Home. Facilities 15.00 License No. -�4 Vis, ;7Classification 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. y ❑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.. t -- 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 Laws relating to building construction, and hereby TOTAL PERMIT FEE $ uuuwiicc IcNicoVMQLIVca Uf LIM I�UUllly UI'DUIU: tU CfILUI UPUfI lflt3 • above-mentioned property for . spection purposes. X Z Date Sig a of PPe�ermir Agent Receipt 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