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HomeMy WebLinkAbout031-281-072LI 31-281-72 Ted inge eathe Ave v"ille ` r: Ye �Bi r?OOroville 9-80B,PJ"' single 31-281-72 David Harrod 880 Feather Ave., Oroville FeiuiiL # 337-8lb,Y,F;M new4single familyry 31=281--7f2 Permit�:Q6-82B(wood burning stove/SF) 0 It kO tPERMIT NO. 337-81B,P,E,M l PERMIT EXPIRES 2 1 OWNER Dave Harrod .a CONTR. owner ASSESSOR PARCEL 31-281-71�, LOCATION 880 Feather Ave., Oroville I i Temp. Power Pole ' Called PG&E -- emp. lec. Service g�I Called PG&E Temp. Gas Service Ca/LED(Datel-A i JOB FI Signatur i r J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready ' MISCELL'ANEO'US Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements b 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except b's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1• Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line rZ7-i 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector ' 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances' 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert.,of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date a Card B -I Date Card -BI Date — Card -BI Date Card -BI Date ' b ry • k J = OK 0 = Not OK - = Not Applicable - * = Not Ready RESIDENTIAL jSingle and Duplex) ' Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) oni requirements -Setbacks -Easements 48:" Property Line Firewall & Openings Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth -49—ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth br Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ft hes & Decks; Soils -Steel- / /" Ftg. Depth /X _Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 411'-Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding-Nailing-Veneer —6-6temwalls, Garage; Steel-Blockouts-Wrapped-Slab -5S^ Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - —Bier Fireplace Ft,. -Steel -54 Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 46 Shear Walls; Nai ing-Bolts -17-'Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test �L 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. qP713. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card BI Date Card -BI Date I Card -BI Date Card -BI Date Card -BI Date Card -BI Date -1 (- Card -BI Date Date FIN OK except N's Card -BI Date r Card -BI Date Date PLUMWNG (Permit) OK except q's t. Steps -Door & Sidelight Protection -Landings Smoke Detector QjZ W Ht.; Vent -Access -Combustion Air ; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; Test & Anchors -Nail Protection 1 W.V.; Test-Fttngs & Anchors -Nail Protection edroom Exiting 47,--&ftwer Pan; Test, First Floor -Tub Access G.F.I. &Bath Fixtures & Tub Access est Tub & Shower, 2nd Floor -Tub Access 61. . Elec. Trim & Subpanel; Breaker Sizes -Labels St ' s & Rails 9. Gas Pipe; Size & Anchors ire ce or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. &Ext. Card -BI Date Card -BI Dateit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Fire Door; Swing -Landing -Closer uct in Garage -Damper ix ure & Transformer Clearance -Ins. Protectionr. Htr.; Vents -Clearance -Comb. Air -Connector In Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights itche t Doors _Ib., Elec. & Mech. Equip. Listed for Location 2 Size Boxes & No. of Conductors St eceptacles in Garage; (G.F.I.)-Romex Protec. Ue:RoOx Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Appliance Circuits in Kitchen & Conductor Size ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Guard Rails &Deck Construction -Post Caps 7T. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Blies 27. Range Circ. / / ga.Q AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral es E) No 75. Following instld.: Drive es L] No; Walks YYes ❑ No; Planters Iles E) No ervice-Riser Conductors & Gr -Main connect �' E 76. S ucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -30-Clothes.Closet Light -Shower Light '4g -'Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. UT Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date / Card -BI Date W. Ventilation throughout House Card B-1 Date Card -BI Date Glass Protection Date MECH AL (Perrr.it) OK except N's We'Correct from Previous Inspections 84. Gas Test -Meters Tagged; Gas -EI i C. Ducts; Insulation & Support 85. W r r Connected -C/0 to Grade -HD Approval v' Vent Fan; Exhaust above Insulation gmrnergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet -85. attic Access & Platform if Furnace in Attic Card -BI Date/—//::2Z Card -BI Date Card -BI Date / Card -BI Date C -BI Date rd -BI Date Card -BI J5 Date Q Card -BI Date Card -BI Date Card -BI Date Date FRA G(Plans) OK except q's mal: 3W . S' Is; Proper Material & Anchors W IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound _ —Ao-ppring Walls over Girders & Floor Nailing 3 aft Stop in Walls (rat proof) - Fire Stops; Furred Ceilin s -Stairs -Chases -Tub . - der & Beam -Size & Bearing - - gers_Post Caps -Anchors -Connectors - - Cing. Joist-Rftr. Ties -Purl in - Roof Brac.-Truss-Shthng.-R fnq fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting DoorsSill Ht. &Ctimeosinnc Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 19;j Memorial Way, Chico — Phone: 891-2751 7 County Center. Drive, Orovi Ile — Phone: 534-4541 'kyway antd Ellliioottt Road, Paradise — Phone: 872-2961, Ext. 57 000°3MNQ40QH H(gV0Q ° BUILDING OR PROPERTY ADDRESS 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 ag explanation, please contact this office immediately. / Inspector crp m RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE—� WITH� CURRENT ENERGY CONSERVATION REGULATIONS AT K0 (location) / BUILDING PERMIT NO. j )7 �! AP' N0. 3 THE FOLLOWING HAVE BEEN INSTALLED AS PER—APPROVED—.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge N A Fdn. Walls /V Floors /✓tm Walls' Pi- l\ 77 Ceiling/Roof 12-2-2- Ducts 1-22Ducts iv 0 Circulating Pipes k—ff APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed A14 Special (Insulated)_ f).&AeLt CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. A -e • BACK DAMPERED FANS p✓, INTERMITTENT IGNITION DEVICES i CERT. APPLIANCES A/ p.. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name 'D -D, Signature of (please print) Insulation Applicator State Contractors License No. q60. 37D General Contractor/Owner Name Signature of (please print) General Contractor/Owner ` Date State Contractors License No. Y 6D ^ 3 2 y THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive-_0roville, California 95965 -'Telephone 916/534-4541 7 — APPLICATION AND PERMIT �C ASSESSOR PARCEL NUMBER .- /— z0 / WILDING PERMIT O W N En TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDR CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 6 C)o CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING LIDDRESS Permit Fee $ 4! ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS g� Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities ❑ InsVI lation ❑ her Describe work: U 1-11 I r -0—.te�,t/.� t .� i �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main service 600 AMP OR LESS 1 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. (DWELLING OCCUP.ej� OR ADDNS. ACC. BLDGS. 2P sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business90 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) ❑ 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 CONSTR -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. @ 25¢ Ex. Occup(OUTLETS OR FIXTURES 100 IXED APPLNS. OR EX. OCCup.(OUTLETS (RESID.) A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring / 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. Heating 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 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 Co my in consequence of the granting of this permit. •y X Date — Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavati s over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ AV TOTAL PERMIT FEE.AF$ ___— occuP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated ove for which IREC PUBLIC By. PERMIT EXPIRES Date the applicable pro\.i- resolutions to do fees have been paid. WORKS Date nL— I — Receipt No. Qj WHITE-D.P.W., Y SS --INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' 3 APPLICATION AND PERMIT ASS ESSC\R/ ARCEL 7S/-7MBER� \•J( ZONI4r, BUIL ING PER I OInE� �'NVE p���� TELEPHONE S33-7V� SQ.FT. OCC. BUILDING VALUATION 2-P 7'K/✓,co OWNER'S MAILING ADDRESS 3_5W o2 49,>ao P 3 Go . o0 CONTRACTOR'S NAME A /C TELEPHONE /LQ L (�/V cooOD CONTRACTOR'S MAILING G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3'��Q� O C ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -po A CHITECT O EN INFER na-� SSOG�i�i c JS LICENSE NO. Plan Checking Fee $ (�S, po Penalty $ ARCHITECT OR ENGINEER'S_MAILING ADPRESS QQI/�L( Permit fee $ BUILD NG ADD ESS g�� /_LS PLUMBING PERMIT Filing Fee 10:00 Each Trap gi 2.00 &.vo Repair drainage or vent piping 5.00 DpwIt-&G Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,--/ USE OF STRUCTURE SF I Duplex❑ Mobilehome❑ Other SPECIFY Building sewer _a0 Lawn sprinkler system 5.00 S _, hcay— t TYPE OF WORK ,�,� New 9" Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP .ORSLESS 5.00 J •0Co Main Service EA. ADD"L 100 AMP 2.50 215-0 NEW CONST. DWELLING O�Kl05S:N) OR ADONS. ACC, LDG ���SS VV B 20 sq ft 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. PLicense No: Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NON -RESIT R. BRA cH CTRCT Ts 2.50 ea NEW CONSTR. / POWER APPARATUS I& NON-RESID. (SINGLE OUTLET CIR, EX. OCCUp OUTLETS OR FIXTURES gA�•2 IXED APPLNS. OR EX. Occup. �p UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 ALT Permit Fee $ , Contractor 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 beccme 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Fj00 CO 4C -4T (/ P Cooling QRZ% -OrJ Hood 3.00 �,Cv Ventilation Permit Fee $ �3 ��p 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. 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 f "� D -�-�---1- Signature of Applicant - Owner Contractor Agent r!work An OSHA permit is required for excavation over 5'0" dee and demolition or construct- ion of structures over 3 stories in height. 1-7 al Mobile Home Installation Fee $ TOTAL PERMIT FEE occ . iouP TYPE OF CONST. PA cEL P MD rssuE 1 This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECT F PUBLIC ByDate PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. = %O1 IT WHITE-D.P.W.. YELLOW -ASSESSOR, PINK - INS ECTOR, Dja PPL. CANT THERMALITO IRRIGATION DISTRICT ri. 410 VRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 157 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: i1 X 6 Feather Ave. Owner's Name: Ye Olde Barn Builders Date: January 27, 1981 Address: 3571 Oro IM Bangor 1,9" Acct. No: A.P. No.: 31-281-72 Phone: 533-7495 No. Units: 1 �- Applicant/Agent: NSA Agents Proof: Address: Fees: Phone: Application` $ 6 00 J� Arrearage Preliminary Review Date: Date: January 27, 1981 CSA 26 Remarks: *SCOR Regional Fiiclity Chatge and CSA #26 Connection SC -OR Charge to be clue and payable prior to connection to the sewer 1st No. S.C. collector system. Charge to be amount in effect for connection feetat time of.connection to the system. Other \ 11 I 6 -1o2 -Fl_ Total Fees 6 00 ,✓ t� V��d-o//� e5lq-o'2C,� g1' 0 0-01 (7"e Collected By: 107/81 Date: Field Review By: Date: — i / - P , r Remarks: /v r -f i MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Q Date of TID approval of completed building se e early .cq irgction). ' ` El 30•days,after,date •above, or-on.date �of-D.P W.•approvaIf- p p1e;%ISeAt building.sewer,.whi:ch..ever-comes � -first-(!'existing-construction' priorto•Mar.-5,.19?di��St� l; is r ❑ -180-days-after -date-above; or-above;-of-D:P:W.. approval-of-completed•building. sewer, .which.ever_comes first-("new•construction'" after•Marr5, 1974):— PO MST EXPIRES Aid£.YEAR FROM DATE - U1, ISSUE DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID CLAIMANT: — ADDRESS: _ CITY& STATE Oroville, CA. 95965 .IMPORTANT: October 15, 1980 SEE INSTRUCTIONS . DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES eou&* OROVILLE, CALIFORNIA. GENERAL CLAIM Henry T. Runge Jr. 14 Sabine Rd. i DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT' ( INVOICE INVOICE NO. I DATE j Owner decided not to build. (Permit Appin. #3199-80B,P,E,M - I GROSS I AMOUNT --F-Retain -- 1P__t#-3-9289—AF 31— 8T_72_ Building permit fee paid ----- $204.00 i plan c ec ee-------- Amount of refund due -------------------$136.00 ; I Plumbing permit fee paid ----- $ 26.00 , Retain 1 ing tee ------------ Amount of refund due -------------------$ 23.00 I Electrical permit fee paid --- $ 28.60 etain tiling tee ------------ , Amount of refund due -------------------$ 25.60 Mechanical permit fee paid --- $ 13.00 Retain filing fee ------------ 3.00 Amount of refund due -------------------$ 10.00 Total Permit Fees Refund due -----------$194.60 Land Development Fee Refund due -------- LL5.00 ----------------------- TOTAL REFUND DUE $219.60 $219!.6o I I i I TOTAL $2191.60 ' i I, the undersigned, declare under penalty of perjury that the services or articles claimed have been I gn p y p � y performed or delivered, d, and that this 1 claim is true and correct as stated. Dated this / / de of ,,,0-- 19 '�=, at, •`1`�t—�.,, Calif. .................................. Y ...................... ...... ........... ......... o„/.......................... ........ Signature of Cla..imant I, the undersigred, hereby certify that, to the best of my knowledge, the services or articles specified above have been pe onned or de- livered and that there is a Budget Appropriation 0 or Specific Board Approval ❑ (Check one) for the same. ,,.,aa ,_. 15th ,.r October _80 Oroville /^_.:r .................................... . . ............................. .............................. I ---.................................................................................... Department Head or Authorized D eputy Dept. Exp. • j Code Code .................. PAYABLE FROM ........................ ........... FUND 1 DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR ! DEPT. I CODE & SUB. j PROD. SUB. OBJ. ( CLAIM NO. ( INVOICE INVOICE NO. I DATE ! i DISC. I GROSS I AMOUNT ENCUMB. I I SUB -DIST. i i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. VJ 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 i O. APPLICATION AND PERMIT &J, a ASSE�Oj2 PAR E NUMBER J�7/ �.,.. ZO ING BU16MNG PERMIT owN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' INA ILING ADDRr I J TRACTO 'S N TELEPHONE .� CONTRACTOR'S M_ILIITG ADDRESS STR TIO LENDER UNKNOWN Fireplace Total Valuation $ +� L NDER•S MAILING ADDRESS tipJt I 'a Permit Fee $ ARCHITECT OR ENGINEER 1p re- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A .D �OEss PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 6QO Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 10b Lawn sprinkler system 2.00 "Z710_,C_ ,-� TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other ❑ Describe work: Permit Fee $ p Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. ACC. BLD n) 20sgft 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) ❑ 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 NON -RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &� NON.RESID. SINGLE OUTLET CIR. Ex. Occu 50 @ 25C OR FIXTURES BAL�10C P�ouXED A FIXED APP LNS. OR EX. QCCup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. IVI 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. MECHANICAL PERMIT Filing Fee 3.00 Heating T 44, On Cooling Hood 2.00 Ventilation Permit Fee $ 7 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 against said County in con ence of th granting of this permit. X Date _ ,`� -?_,&o Signature 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 $ Land Development Fee $ ^ TOTAL PERMIT FEE OCCUP, GROUP —3 I TYPE OF ONST. V' PARC L ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. � 2.-2=d- 9 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I J, 1 lily ! t I I lu i I u I 1 , � I 111 �� .. 1 t I I i r. a� a Y. tld,u wN f,n +uawr x,., of �wu irl� 11r w I 1 I � .,:; , ,, , ,.,. ,.. ;.r, . r ", II:.,, , :,� ..."I, � .. I:,. ,..., ,.;..:;r.. , :" 111: .y.. q wrl,,.:. � Y., , I rl: :.. ,. :,... r.: , 1 .. „ :i .. ,: ,. ,�h 4 t1'L , # �y I11 t; 1. :.. ,. .,, .. r r . :� I._.. �.. ,, I. ,.: .... r.. _,. r , , L. ,. I _I . , ... _ I � , .: I. � I ,t .. . ,c �. r '� .. , n , . „ � I .... ,'a r . r r rl :'. , x - , ...�:. ...:.� .... ,.: I , P a a. , , 1r.. U .. r r r h r r i.. , 1 , t I 1. _, r , h ,.. f,. , _. : r l ,. r ^r ,.. , L , r. V , .. r ,. , r , r 1 _ W 1, u , 1 '..'. 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