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Home My WebLink About056-390-003Mary Carol'nto 1 J'5 e/s Hwy. 32 ap o 7 ftNN. o f San*os r f 1 Halvig-H& C - tr n, radise - ermit 011-78B,P,E,M (ne SF 6 I O f CLAIMANT: emad* of qua OROVILLE, CALIFORNIA GENERAL CLAIM H & R Construction Co. ADDRESS: 6910 Sunset Way J� CITY 8 STATE: Paradise, CA. 95969 IMPORTANT: June 5, 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 Owner (Mary Carol Santos) decided not to build. (Permit Appin. - , , , - Receipt #177472- RM A.P. 56-05-26 Building pe=it fee ----- $169.00 Ret In 1/3 of e ------- Amount of refund due -------------- $112.67 Plumbing permit fee ----- $ 16.50 Ret in filing fee ------- . Amount of refund due -------------- $ 13.50 Electrical permit fee --- $ 50.35 Retain ftling fee ------- Amount of refund due -------------- $ 47.35 Mechanical permit fee --- $ 17.50 Retain filtg fee --------3.00 Amount of refund due -------------- JL4.50 Total Permit Fees Refund Due ------ $188.02 Land Development Fee Refund ------- . TOTAL REFUND DUE ------------------ $213.02 $213.02' _ TOTAL $213. 2 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. 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 [:J or Specific Board ApprovalF__J (Checkone) for the same. June 78 Oroville Datedthis ............................ :....... day of ............................. 19....... at .............................. . Callf..................................................................................... 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. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 1 r INSTRUCTIONS::"t:o-_LLAIMANTS All claims against the county must be itemized, giving dates. and , character of service rendered or work performed,. quantities, _d I e t 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 not file with the County Auditor first. Claims should be presented to_ .o.£ficials. for_ ..approval immediately . upon completion of services requested or material ordered. Claims are paid every.Tpesday;-howevtr, same must be approved by officials and in Auditor's office 'Bo foie precee"diag"Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: k4-4541` APPLICATION AND PERMIT •-r•- �••••-•• •j••+ • •�• v •y v, a,u•w — .na uFv uic above -me tion prop r y f r inspe n purposes. X « Date r ignature of PermiteNe or Agent Receipt No. t 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 J 11 i BUILDING Owner Ti� SQ. FT. OCC. BUILDING VALUATION Mailing Address '51T 1 lir Telephone No. f Contracto �'� Ab- I )P—A--_h ce.,o.c bah Mailing Address g Fireplace oeo. Total Valuation �r e Te ephone No. 77- n? ,�;— Permit Fee 010 Building Address a Plan Checking Fee&/or Penalty Permit Fee d! PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , �Q Each Trap 1.50 �i jGAC�) Repair drainage or vent piping 1.50 A. P. , �- �'>' Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es IQ.� Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration arcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd 4:1arcel A rov Plans Approval Lawn sprinkler system 2.00 NEW ADDIT 0 UTILITIES ❑ OTHER ❑ Permit Fee $ S`b ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ®Q SinSingle Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR CONST. DA I G CUP. 'i') 20sgft 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 of: NEW RESID.CONSTM NC L T 2.50ea NON .ESI D. � BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS .&, NON.RESID. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES g L21 style Ex. Occup.(FIXED APPLNS. OR OUTLETS (R ESI D,) EA) 2.00 Temporary service 10.00 R 1; Mobile Home Facilities 15.00 6/ License No. YL/ CI ssification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ "� $ IS -0 13 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 3� ot_, Heating op *-- Cooling b,re:3rl1 Ventilation Hood 2.00 Permit Fee $ ® $ 1 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 Is 8, TOTAL PERMIT FEE $ •-r•- �••••-•• •j••+ • •�• v •y v, a,u•w — .na uFv uic above -me tion prop r y f r inspe n purposes. X « Date r ignature of PermiteNe or Agent Receipt No. t 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 J 11 i