HomeMy WebLinkAbout033-140-0220
33-14-2
DOROTHY DEPPLER
328 Canyon Highlands, Orovi
PF rmit#2h44-87.P.(mov.e.gas-lin-401.
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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Dorothy Deppler
ADDRESS: 328 Canyon Highlands Dr.
CITY 8 STATE: Oroville, CA 95965 IMPORTANT:
September 24, 1987 SEE INSTRUCTIONS
DATE OF CLAIM: p ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT 'RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #266444--877P,
Receipt #89724, dated 8/7/87, A.P. #33-14-22).
Total fees paid------------------------------ $25.00
Retain filing fee ---------------------------- $10.00
TOTAL REFUND DUE------------------------------------------ $15.00
$15
00
TOTAL
$15
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.
/i 7L (^ (/
Dated this 4 ` .... ` 1....... day of � 1'�l:t^ 19 O �1 at � � 1% l (' ... Calif. ••�1 �et'ure••' l%e�l�m � .� •.••••••
ff ............ .......... Irl 4! `......
SI o� C
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h e been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) [or ae
Dated this.............24th day of .... S pjt! mM erl9....$7at .......Oroville Calif. ..............................................
apartment Head or Authorize uty
Exp
Dept. Code PAYABLE FROM C. n Permits
code.............4.4Q.-QQ2........... .......4210500...............................4.......r................:.................................................. F uxD
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
;,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _
APPLICATION AND PERMIT
ASSESS,913 PAL IJ.1 R
ZONING
BUILDING PERMIT
O
I- rofity
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW ER' MAILI ADORE \ /�
n Ll U
CON CTOR'S NAME /
11 & V—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTF JCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I ECT OR ENGINEER
DhC
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 'A^
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Trap
2.00
/rEach
(2
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ RR odel ❑ UU' ities ❑ Inst Ilation❑ Other CR
Describe work: ' SUV ?9,0 ,� �1 h ('F _
10/
0 . O
Permit Fee
$ 11PS a
r
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p i 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 No. Classification
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.N\ I
OR ADDNS. 1 ACC. SLOGS. I �20sgft
NEW CONSTR. U TI.OUTLET
N-RESID BRANCH CIRCUITS2.50 ea
_NO
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex, OCcup(OUTLETS OR FIXTURES 20050S
eAL030
FIXED APP LHS. OR 11
EX. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
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 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 10.00
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 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
—� i
X s(Jltnl� Date
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
$
Energy Inspection Fee $
is
TOTAL PERMIT FEE $ o/
Occup.
CONST.TYPC
I
I FLOOD
PARCEL
PD
1 ND
1 ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indiabove for which
IRE F PU
BY
PE IT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
^
natp /
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
19
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'COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,.Oroville,.CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541'
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 proposed property improvement (yes or no) S .
2. I (have/hoz) 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:
Property Owner +
Social Security umber
Date9
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.
CHECK:aBy
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
N O T I C E
Post job card In a safe, conspicuous place. Do not remove
until all required inspections are made and building Is
approved for occupancy. Plans must be available on job.
A. P. No.
Owner coot
Contractor OU4 ne ✓'
Permit No. Expires g
PERMITTEE MUST CALL
FOR INSPECTIONS
INSPECTION DATE INSPECTOR
Footings
Piers
Underground Conduit
Do Not Pour Concrete Until Above Signed
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Do Not Install Floor or Slab Until Above Signed
Do Not Cover Until Above Signed
Fireplace Footing
Fireplace Throat
Do Not Continue Fireplace Until Above Signed
Stucco Lath
Scratch and Brown
Do Not Cover Until Above Signed
Sewer Service
Water Service
Plumbing Final
Electrical Final
Mechanical Final
Buildina or MH Final
DO NOT OCCUPY UNTIL ALL
THE ABOVE IS SIGNED AND THE BUILDING
OR MOBILEHOME IS APPROVED
FOR OCCUPANCY
CHICO - 196 Memorial Way - 891-2751
OROVILLE - 7 County Center Dr. - 538-7541
PARADISE - 747 Elliott Road - 872-6307
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 NU B R
ZONING
BUILDING PERMIT
OWNER ter. I
TELEPHONE
$O, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
�'�`` r J,
CONTRACTOR'S NAME/ j
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
�+
UNKNOWN
Total Valuation Is
FilingFee
$ 10•00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
v(,
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS - / f ) (
• i ( 6, V/ !t //i l .lOr���
Permit fee
$
PLUMBING PERMIT
Filing Fee - 10.00 '.
t
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 0 Duplex[-] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G 1W
0.00 ea
TYPE OF WORK
New [-I Addition❑ Remodel❑ Utilities [I Installation❑ Other
Describe work: /l4 l/ i�
/j"ff,
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
El 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-
V 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
GOCCUP.S+\ /z¢sgft
oR ADDNSCONST. DWEACCLLING
S./
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occu BAL030
p OUTLETS OR FIXTURES 20@530
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.I EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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 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 10.00
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 County in consequence of the granting of this permit.
1
Signature of Applicant = Owner ElContractor ❑ 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
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYPe
I
I FLO..J
P777
ND
I 139uE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS /
B / ! , Date
y
PERMIT EXPIRES Date
Receipt NO.
WHITE-D.P.W.. TELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT