HomeMy WebLinkAbout039-210-05639-21-56 4-4'
ALAN HESE T//V�' SDgITH, James J.. 1724B
E/S F ' RENEWAL - 3421B 1505P
4'
P' -T - -- - - 33 gE
e n co 9-21-56
P # 51 9P,E,(heating) O
greenho se approx. 3/4 mi. off Hegan Lane on Fimple,�- Ch"
(move -in)
L
if
39-21-56 4-4'
ALAN HESE T//V�' SDgITH, James J.. 1724B
E/S F ' RENEWAL - 3421B 1505P
4'
P' -T - -- - - 33 gE
e n co 9-21-56
P # 51 9P,E,(heating) O
greenho se approx. 3/4 mi. off Hegan Lane on Fimple,�- Ch"
(move -in)
. t1
7
'Duf&OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: � � KES EL -1- I C
ADDRESS: ` O X (_Q I S
"
CITY & STATE: C4 `(G 14 Qs t J -L IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: o / 2 q 9 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE { DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
lEt n1 L C 14,111) f AL FC- S
--6
—
----- -
%� l�(�iC pi/1%G. • RV it•D1A)C- t"p I I
__ _9
— --
15 US&A r42 /qGQ1f LTuRA LPO&O� vims.No permits
required. i —
(Permit Appin. #6510-79P,E,M - Receipt 129798 - AP 39-2156 & 39-22-22)
i
Plumbing permit fee -----$ 4.50
Electricalpermsfee ---$ 9.25
(Mechanical permit fee --- 8.00
(TOTAL REFUND DUE --------$21.75 $21.75
j I ,
l
TOTAL $21.75
- I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or dei:vered, and this
claim is true and ,coorrre,�ct as stated.
Dated this ,,,,,,,,t/1„�/ day of ��..G 197 9at,,,,,,.,,, Calif. / j�!/y'y
1 •- ienature of CIsimar.:
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have b= -%n pe': arm-. , tie- -
livered and that there is a Budget Appropiiation ❑ or Specific Board Approval0 (Checkone) for the same.
Dated this .............. 29th dap of Oct. 79 ' Oroville
............................. 19......, at Calif.
Department Head -or Authorized D epi: -.y
Dept. Exp.
Code • ........................................... Code PAYABLE FROM r
DO NOT WRITE BELOW THIS LINE. - AUDITOR'S USE ONLY
VENDOR j DEPT. i
CODE I &SUB. I PROD.
SUB.
OBJ.
j CLAIM
NO.
I INVOICE 1 INVOICE I GROSS
N0. ! DATE I DISC. I AMOUNT
—
ENCU7AB. SUB -01ST.
I
�
7
COU vTY OF BUTTE — DEF:ARTP,1` N1" OF PUBLIC 4VORV,
j 7 County Center Drive -- " Oroville. California 95965 DL/(�/�-/'�
Telephone: 534.4541
APPLICATION AND PERMIT'
UUu,y vi oui,c w clnct UPVII LIM
above-mentioned pr iy for inspection purposes.
k t.Fit -e -- ' Date��
Signature. of Permitee or Agent
Receipt No. 2g7T3"
White-D.P.W. - Y•ellow-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.
DIRECTIOR OF PUBLIC WORKS
��y--- ----- -
Date—
Building
ateBuilding permit expires Dale —,—
C•:vner-�t r� E
---'" L r`7�i1 -
_ SCS. FT.
OCC.
BUILDING VALUATION
— ---
- -- --- ---
Mal Address,) +
bl. 1 S
_.—
--
-- —
eele`phone tic. _
—
Contractor
tilailing Address
Fireplace
-- --
--
Total Valuation
---
----
-
Telephone No.
Permit Fee
--
Building Address S �-/ /Y? AO
r_
_r QC..—_.� -''�^ �-/!�
Plan Checking Fee&/or Penalty
—
ermit Fee
PLUMBING
$ ---
J
No n FEF
PERMIT FILING FEE_
_
33.00 ,3
;
- — -- - - -
4�
A. P. No. o .�1 --5 Z.. -2-?— nng & Planning
�.
fees �FireDept.1 Fire Zone Use Permit
Each Trao
1,50
Repair drainage or vent piping
Water piping
Watera�
Each gas water heater or vent
1.50
1.51
1.50 i
Gas piping system 1 - 5 outlets
1.50
EGIA narking ! Parceltach
—�-Pians�Declaration
Parcel Map
I 60' R/W
I Improvements
-
additional outlet
.30
_
Building sewer -�
5.0_0
_ _
parcel Approval Plans Approval
NEON ADDITION UTILITIES OTHER
stem s
Lawn sprinkler • y
2.00
Permit Fee
-> 0 11�,i�L�/417LtC
---_--Y —"_ -
Singis• Family )1 Duplex Mobil Home s
---
_
p
CONTRACTORS IC AWl
I am licensed under the provisi s apter 9/ni.3. Of the
State of California Business & P i ns Coe under the name
style of:
— —
License INi.- Cla sification _
I am cxerrpt cto)sjcAse Laws of the State of Califomi�..
i
WORKMEN'S COMPS S TION INSUIRANCE
I am aware of the provisions of S tion3700 of the California Labor
Code ,0ich requires every employer to be insured against liability
for Workmen's Compensation.
E] 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 c7, to become subject to the Workmen's Compensation Laws of
C,aIiforn"a.
ELECTRICAL mc.
PERMIT FILING FEES
@ FEE
3.00
53.00
•%
v
J
sr
� ���,•..
Main service 6GOV OR LESS
100 AMP OR �_E� i
55.00.
Main service EA. A>O•L 100 AMP �
oT�Tscev "--1
Main service tan AMP OR SEs;
2.50
25.00
Main service EA. AOO•L 103 AMP
1.00
NF_W CONST. ! OWe LLING OCCU-. S1
OR AOONS. 1 ACC. SLOGS. 1
NEW CO N 5 T R. (MULTI -OUT LET
hION.RESIO, ` BRANCH CIRCUITS)
12t; sq fL
2:5_0ea
IqLN CONSTQ (POWER APPARATUS 9,
tJGN•RESiA_—_\5!=iGI__OUTLET C'R. f.
—
Ex. OCCUCIOUTLETS OR FIY. Fats)
Ex.. Occup. { F I ''o A� PLNS. OP
OUTLFTS {RE.SIO.) EA) 2.CO
Temporary service 10.00
_
Mobile Home=acilities 15.00
Misc. Wiring f>✓Q, Lij Q 6.25 ZS
--
Permit Fee
MECHANICAL No @ FEE
PERMIT FILING FEE_
Heatir:g '75 M
Cooling —
Ventilation
Hood •
Permit Fee
$3.00
I 2.00
1
co
I certify that I have read this application and state that the abovey
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
i)
UUu,y vi oui,c w clnct UPVII LIM
above-mentioned pr iy for inspection purposes.
k t.Fit -e -- ' Date��
Signature. of Permitee or Agent
Receipt No. 2g7T3"
White-D.P.W. - Y•ellow-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.
DIRECTIOR OF PUBLIC WORKS
��y--- ----- -
Date—
Building
ateBuilding permit expires Dale —,—
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT Y� v
e
authorize representatives of the County of Butte to enter upon the
above-mentionSd pr y for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. �����
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
Building permit expires Date
Date
BUILDING
Owner LPA) C-_
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P 3 R -DX t
to
eIephlo o —
Contractor 2
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address S D/�� t
r FI�J/�
Plan Checking Fee&/or Penalty
Permit Fee
O 0-' i N L -1V
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3y Q
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. -5 2�"
Doing a Planning
Water piping 1.50
Each gas water heater or vent 1.50
es I
W .
wSae4�
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 jC>
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
d
Parcel A
Plans Approval
Lawn sprinkler system 2.00
171- le
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Ud
Permit Fee $ .Id
is
(37C 080 AL P Ivan [ % 14&AVA)a
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 16E
'
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
j^ 0 �l
IV
v U
Main service OVEAMP OR LESSR e00V 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST \ % ACC. BLDGS.CCUP.*8, 2d 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:
y
TLET
NEw RENSTR BRANCH CIRCUITS)
NOW CON D BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. (POWER APPARATUS .&,
NON RES,D. SINGLE OUTLET CIR. 1
250
Ex. OCCUD(OUTLETS OR FIXT11RES g L 1�
Ex. Occup. FIXED APPLNS. OR
P•� OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring FC a (.-F�,� 6.25 ZS
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Ci 15
$ 71,
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 subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 3j,00
Heating 7 rJ
Cooling
Ventilation
Hood J 2.00
Permit Fee $ 9106
$ X 10C
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
$ S
%
authorize representatives of the County of Butte to enter upon the
above-mentionSd pr y for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. �����
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
Building permit expires Date
Date