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HomeMy WebLinkAbout033-140-0220 33-14-2 DOROTHY DEPPLER 328 Canyon Highlands, Orovi PF rmit#2h44-87.P.(mov.e.gas-lin-401. r r s' I ` 1 Y t 0 outd* 4 j"Bufte 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 w '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