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Home My WebLink About047-030-042' ---- '-- ' --�----�-------- 47-03-42 ^ . `Gloria KelleyCa a West Rd. '.of SoutHern�-P-A—c4l!*racks,Cana Permit NO 52 -7 $T , E (u t ilvt� MH - T IOT I jej'tLE^G61 S1>111S,IfWbRl �8tRUCTUkE REQ. 01—'k | ' / a r j - - - .. � � -4r r [. � v v" ..,.- !+! s I y� �� 7 ✓ ✓ ✓ ut m OROVILLE, CALIFORNIA / GENERAL CLAIM CLAIMANT: Gloria Kelley ADDRESS: Rt. 19 Box 474-B CITY & STATE: Chico, CA.. 95926 IMPORTANT: August 9, 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) AMOUNT Decided not to locate mobilehome on property. arm Appin. - , - Recelp 77692 -AP -03-42) -, Perinit fee - Plumbing- ---$23.1810 Retain filing fee --------- 3.00 UUC----------------- Electr.fcal fee permit $26.50 Retain filing fee --------- 3.00 Amours of refund due -01%50 Total Permit Fees Refund Due -------$43.50 Laud D elopment Fee Refund Due -1-25-7w TOTAL REFUND DUE ------- ------------ $68.50 $68-50 TOTAL $68150 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, end 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 Appropriation❑ or Specific Board Approval (Check one) for the same. Dated this 9th August 78• Oroville .. 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. PROD SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. IHSTRIDCTIONSto CL11�A.HTS 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-delivered. Claims must be certified by the claimant -and submitted to the De- partment head for approval, Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do r not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. 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. •r - 1 COUNTY OF BUTTE,- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone:' 534-4541 APPLICATION AND PERMIT autnorize representatives or the t,ounty or butte to enter upon ine above-mentioned property for inspection purposes. X Date _ Signature of Peerrm� itee or nt Receipt No! ZZ � 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 i 91 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address / C 0 r Telephone No . 0 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee / Building Address �, � Q �" Plan Checking Fee&/or Penalty Permit Fee p�y ke PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Zoning Yerificati O y Repair drainage or vent piping 1.50 t� A. P. N — O3' T �i A-! Zon. r Water piping Each gas water heater or vent 1.50 F P-115. S Fire Dept.Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 4-90 B I d Ions Recd Parcel A rove Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL- No. @ FEE PERMIT FILING FEE $3.00 —�Lo U600V �— OR Main service 100 AMP ORSLESS 5.00 0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 I ER Main service 10 0 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST.LBLDGS.LING Ccup, Y� 2¢Sgft C CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR / RANCH CIRCUITS) NON-RESID l BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID• SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@250 BAL@1 FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring 6.25 �Gl O a I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ✓I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation, Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation FF2.00 Hood 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 $ TOTAL PERMIT FEE $ Yy 51 autnorize representatives or the t,ounty or butte to enter upon ine above-mentioned property for inspection purposes. X Date _ Signature of Peerrm� itee or nt Receipt No! ZZ � 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 i 91 =r , . Z PERMIT APPLICATION WORK SHEET OWNER �,)��'llLc /t-_,,S� / Zoning Use Proposed Permit No. A. P. No. -517-or - YL Approved Not approved Permit fee based upon: 1. Complete contract price. ZPartial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been -submitted - -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------=------ 4. Complete engineered'plans and calcs. -------------------- 5. Fees of $ -------------------- Letter of signature authorization. ---------------------- D l� '. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy ---------------------- 12. Access declaration. ------------------- Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. Other ------ - By L sG�G Date Bldg. Inspect During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by 4. Plans approved by_ Date Date a pe t is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir'.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning' A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans 'Sent A. Fire Dept. B. Other