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Home My WebLink About033-078-00233=0 78-2 Orville Douglas E/S dirt d.,app.2000''N.of 3-Ve <ro f �- & Co m ) Long Bar i _ �� oville .Permit#30'B8z7 9 P (utile- > EL C. . A GA V SU TR-, TURE Q. CO PACTION ST REQ.. eount* or Autte OROVILLE, CALIFORNIA / GENERAL . CLAIM CLAIMANT: Orville Iouglas ADDRESS: 235 Col i=la Way Oroville CA. 932M 95965 CITY & STATE: IMPORTANT: July 18,, 1978 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) I AMOUNT Decided not to place mobilehome on property. arm AppIn. - , - Receipt 0177498- - -Retatn Plumbing permit fee ----- $33.00 ft g fee ------- Amount of refund due -------------$30.00 Electrical permit fee --- $27.50 3.00 - Amount of refund due ------------- Jg4.50 Total Permit Fees Refund Due -----$54.50 Land Developuent Fee Refund ------ TOTAL REFUND DUE -----------------$79.50 $79:50 ! TOTAL $79150 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19......, at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropfiation a or Specific Board Approval 0 (Check one) for the some. 18th July 78 Oroville Dated this 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. PROS• SUB. 0BJ. CLAIM N0, INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. _ _ r f f • J ... I J. r �J J ♦ I INSTRUCTIONS to CLAIMANTS j 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_d.elivered. Claims must be certified by th_ a claimant -and* -submitted to the De- - c partment head for approval. Upon approval the Department head will forward claim to County Auditor 'fog payment procedure.. J D& not file with the County Audiior first.' Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. J 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. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive ,i-- Or4ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aUUIUI1Le Ieplebel.lilllVeb UI lne UUunly UI OUlle lU enlel Upun lne above-mentioned pr p ' for 'nspe+ction p oses. Date Signature of Permitee orAg Receipt No. White-D.P.W. - Yellow -Assessor - Pir.k-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 Building permit expires Date Date BUILDING Owner / // C� �.U'�) L.. SQ. FT. OCC. BUILDING VALUATION t Mailing Address; t9 W oo �1—(—�2 Te ephone No. rs q S Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address .S �l �AW D Plan Checking Fee&/or Penalty Permit Fee ,d,e/ PLUMBING No.1 @ FEE �,; C w77i:,AP n A �I �� PERMIT FILING FEE $3.00 Q Each TraD 1.50 r Alpair drainage or vent piping 1.50 gar Aq A. P. No.3 — a Zonin P Water piping 1.50 QO Each gas water heater or vent 1.50 Todsl 1 Sanitation Fire Dept. Fire Zone , Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Improvements Each additional outlet .30 Building sewer 5.00 6r60 Bldg. P ns Recd Parcel oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES E4 OTHER ❑ -Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 Single Family ❑ Duplex ❑ liAobiI Home Others ❑ Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 V AMPP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. // DWELLING OC cup- !M OR ADDNS. % ACC, BLDGS. 2P 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 st le of: y NEW CONST P. BRANCH CIR T NON.RESID ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS e NON .RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES1 50@254 BAL@1 Ex. QCCU /FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �L -30 R1I 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 County of Butte a certificate of Workmen's Compensation Insurance. VI I certify that in the performance of the work for which this IN 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 -1 @ 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 Land Development Fee $ S®( TOTAL PERMIT FEE $ s aUUIUI1Le Ieplebel.lilllVeb UI lne UUunly UI OUlle lU enlel Upun lne above-mentioned pr p ' for 'nspe+ction p oses. Date Signature of Permitee orAg Receipt No. White-D.P.W. - Yellow -Assessor - Pir.k-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 Building permit expires Date Date