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Home My WebLink About056-140-06356=14-63 Robert Ross SIS Mendocino00 d: Cohasset M ermit #4998-80B,P'E ew sing family) ! _ �t'� Cfll � I d' I edun OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Robert L•. .Ross ADDRESS: Box 58C, Cohasset Stage Chico CA 95926 CITY & STATE: 31 IMPORTANT: March 18' 1981 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 build. (B1dg.Permit Appin..#4998-80B,P,E - Receipt #4n89 ---KP 5.6-14-63) Building permit fee paid ------------ $281.50 Retain plan c ectee ---90.50 Retain filing fee ------- 10.00 Toral---------- $100.50 ---- $100.50 Amount of refund due -------------------------------$181.00 Plumbing permit fee paid ------------ $ 32,00 Amount of refund due -------------------------------$ 22.00 Electrical permit fee�paid---------- $ 64.20 eain tiling fee ------------------- Amount of refund due-----a------------------------e 54.20 TOTAL REFUND DUE .----------------------------------- $257.20 $25720 TOTAL $257.20 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or d1v red, and that this ' claim is true and correct as stated. 1 ' 17th March 81 Chico Datedthis ......:........................... day of ............................. 19......, at................................• Calif....:.��.�.......:� l . Signature of Claimant I 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 Approvals (Checkone) for the same. Dated this 18th da of March 198A..,at Oroville Calif. ....... ...... ..... ... ....... .. ............. Y ............................................................ ...... ............. ........... ........ .. .............. Department Heed or Authorized Deputy Dept. Exp. Code............................................ Code .....................:.......:..................PAYABLE FROM .................................... .......,............ ................................... FUNND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE i DEPT. & SUB. PROD' SUB. OBJ. I CLAIM NO. INVOICE NO. INVOICE DATE DISC. I GROSS AMOUNT ENCUMB. SUB -DIST. i I I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIO"ND PERMIT ASS ESSO PARCEL ZONINGe;l— , BUILDING PERMIT O ER ELEPHON �� SO. FT. OC BUI DING VALUATION / WN '�ILING ADDRESS C' r n` RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER* UNKNOWN Fireplace Total Valuatio $ LENDER'S MAILING ADDRESS Permit Fee V, 100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ c BUILDING ADDRE f/6 am PLUMBING PERMIT Filing Fee c Each Trap 2.00 Z a Repair drainage or vent piping 2.00 Water piping 5" LOT NO. SUBDIVISION NAME PARCEL MAP, / J— (o `i Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New)RfAddition❑ Remodel❑ Utilities Installation❑ Other E:1 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.99 Main service jp0 AMP ORV OR LESS5.00 0 Main service EA. ADD'L too AMP 2.50 , 5 NEW CONST. ( DWEL %1 •&� OR ADDNS. ACC G$� 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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- 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 R. ULT I.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ot Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee �- WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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, co ts, and expenses which may in any way accrue ag st said Coun c s u ce of the granting of this permit. ' X Date�O'��" 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 he' ht. Mobile Home Installation Fee $ Land Development Fee $ .� TOTAL PERMIT FEE $ OCCUP. GROUP TY P OF ONST. IPARZI H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, Califo?nia;95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /Z 5_5 A. P. No.: Proposed Building Use 5' Permit fee based upon: Complete Co tract Price L --DPW Valuation Other (.exp in) Building Inspector ...r Date / d�/�,_) At time of permit application, I 'was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. 1 Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... ' 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. 10. Letter of signature authorization../...................................................... Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. 616 Certiiffic/te,,oPogr i n'Compensation Insurance ........................ �r�tr-aet�r-s-License X13. Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see. addressbelow).................................................................................................. Pre -inspection for req Ired. Pre-inspec. request to got date dg sp or p,1 �15. �V Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant . �,1. Date 10—)— R Q Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of applipgTft, circle item.) 1. Index permit for above Items No. ( Iyl 2. Additional items required: (Contractor, Designer, was advised of above required data by Telephone Mail Other By Date�— ans Plans approved by OTHER: ArL Copy)DPW Date Date ISO (o — -S-O RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX,.&.MISC. ONLY) Bldg. Perm. 1 A. P. # 569— �� A.- GENERAL T... Zoning, requirements (sideyards and parking). aluation... . 3! .Signature by R.C.E. or Architect (if required). B. PLO,L PLAN WComplete parcel size and dimensions. Setback$, sideyards,.easements, etc. K. Other buildings or structures. .Grading, fills, drainage. C. FLO R PLAN' . . • mplete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1405). ,equired windows for second exit (Sec. 1404). 44' Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). /f G,F.C.L' s in baths and exterior outlets (Sec. 210-8). �! L'1-9ht fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. L.cations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. „ 1 Garage'firewall, door size, and closer (Sec. 503(d)(4)). / 1 -.3°0" exterior exit door (Sec. 3303d). Fireplace location. Smo1_e detectors (Sec. 1413). D. SWCTURAL-DETAILS -Foundation plan complete enough to construct building. Y Floor construction details complete enough to construct building. 3 X Elevations and wall construction details complete enough to construct building. 4�'Roof construction details complete enough to construct building. 55 Fireplace construction details and talcs if over one-story in height. < Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS rrEMS TO LOOK OUT FOR ,� CCX plywood on exposed locations and overhangs. ;/ Stairu y details (Sec. 3305). 3,:" Guardrail details (Sec. 1716). 44" Brick or stone veneer (Chapter 30). 5/ Exterior plaster - weep screeds (Sec. 4706 & 4708). Ptoper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam, 8/ Garage door or porch header sizes. 9Z Adequate bracing. 1W Living area over garage - complete 1 -hour separation required including supporting . 1 1! Walls and posts, etc. k, Two (2) exits on three-story dwellings (Sec. 3302).