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HomeMy WebLinkAbout063-290-058a-- 7,_ ..r .. i r .7_,', eye i_ _ � zM . �,_ t � y . 4 _ . '� K ' .s• R` �.�F s/" R `.•.._. � -.:'� - yi � A`�v-'� e�. 'l`'..+r � �.. .rte. ... !} �'i- - -" ••'� \,.,�•r �� _ — ^c."'� Zolton A. Phi lips End of Santo D ox E. 1 Hwy:; 32 r _ _ Permit 5 P E Permit 18 5 P util A. 1 F • � L r i C.01 N �I T p OROVILLE.- CALIFORNIA GENERA. CLAIM CLAIMANT: Zolton A. Phillips ADDRESS: Rt. 1, Box 168-A CITY & STATE: Oroville, CA. 95965 IMPORTANT: December 12, 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Applicant decided not to place two (2) mobilehomes on property,, i _ PP ns. #bi0-75 n - , Ript #138091) Appin. #6180-75 - Plumbing permit fee ----- $33.00 Retain filing fee -------:3.UU Amount of refund = --------------$30.00 Electrical permit fee --- $23:00 Retain i u1g tee ------- 3.00 Amount of refund --------------- $20.00 I Appin. #6181-75 - Plumbing permit fee ----- $33.00 - a-infi i`t ng fee ------- 3.00 Amount of refund --------------- $30.00 Electrical; permit fee --- $23.00 e al -n filing fee ------- Amount of refund --------------- IZL.00. Y TOTAL REFUND DUE --------------- $100.00 $10(.60 I � _ i i i. TOTAL $10 , 00 I,' the undersigned, declare under penalty of perjury that the services or articles claimed have beenperformed or delivered,and that this claim is true and correct as stated. I 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+ i livered and that there is a Budget Appropriations or Specific Board Approval F__I (Checkone) for the same. Datedthis .................................... day of ............................•. 19......, at ......................... :.... . Calif. ..... ............ ................................._........_...............,..:.. ' Department Heed. or Authorized Deputy j Dept. Exp. I 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. I t. i COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Droville, California 95965 �� Telephone: 534-4541 APPLICATION AND PERMIT •"Y """"'•"•��� •� VU4 y Vi UUl N VIILVI UVUII Intl above-mentioned property for inspection purposes. AX rz, Date % RecZ9nature of Permitee or Agent tNo.O ,?z 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 Date Building permit expires Date BUILDING OwnerSQ. d i� FT. OCC. BUILDING VALUATION Mailing Address e-7 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address •. l� G //(/%`p PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 O® r 0X G . � 0. Each Trap 1.50 LC/ 3 J Repair drainage or vent piping 1.50 Water piping 1.50 Q 0C) C Each gas water heater or vent 1.50 Z A. P. No. — 3 3 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F AISITW. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 leCC) EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 g. Plans Recd I Parcel Approval Plans Approval Permit Fee $� NEW ❑ ADDITION ❑ UTILITIES Z[ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.O© Main service eOOV OR 00 AMP ORLESS5.00 0o Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 EA. ADD'L 100 AMP 1.00 Main serviceNEW CONS.// OR ADDNST 1 ACCLBLDGS.DWELING CCUP. &) 2�syft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)BA@�C 109 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FT �( E21 -am exempt from the Contractors License Laws of the State of California. Permit Fee 3� O6 $ (� 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. ,Ccertify that in the performance of the work for which this permit is issued I shall nQt 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 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $. •"Y """"'•"•��� •� VU4 y Vi UUl N VIILVI UVUII Intl above-mentioned property for inspection purposes. AX rz, Date % RecZ9nature of Permitee or Agent tNo.O ,?z 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 Date Building permit expires Date • FILE MEMO h / AP NO. OWNER �T1 S At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and cales. 5. Fees of. $ __/6Letter of signature authorization. P 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information.. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By Date /A —47— 7 � Bldg. Inspector �amoamaaamamosaammaammm®anomaaamamaamaaaaaaaamammmmamaaaamaana�aamaanammamm�aa�mmmaaaa�a��a����a■ When permit is issued, process as follows: Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone 5. Other and hold for pickup. aoaaa�aaaaaeaasaaa�maaaaaaaaasaaaaaaaasaamaaaaaeaaaaaaaanaaaaaaoaaaaasaaoaaaaaaaaaaea�aaaaeaaaao� During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2: Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date aaaosaecoa==ecoc=aaaaeae=aaamaaeaaaa_asaaas aaaa aaaammamm a aaa mmammaamomamama aamaaaaaaaa■ Addi ional Proce4sing or Notes:`� -� T-, COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965/ J%� 7� � Telephone: 934-4541 `/F�/ / APPLICATION AND PERMIT •..Y•....v•....•.r ...s • a„r vvul,ay V vuaac — .I V. u)JVII IIIC above-mentioned property for inspection purposes. JI) PL X Date/Q -% S Signature offf Permitee or (gent Rec i t N0 �J�2© j 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 Date Building permit expires Date BUILDING Owner ,0 ® .A411 p SQ. FT. OCC. BUILDING VALUATION Mailing Address o,r o o — (f ®� Telephone No. Fireplace Contractor (� �Lc Total Valuation Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee _ Building Address /!/%D PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,0 d � z E (r O Each Trap 1.50 Repair drainage or vent piping 1.50 1 -114 ( Cr ® Water piping 1.50,/O,DO Each gas water heater or vent 1.50 ? A. P. No. �p �— 3 r Zoning & Planning Gas piping system 1 -5 outlets 1.50; O, C)0 Each additional outlet .30 FeW. . Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q 49c EQA s Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 d�PPlal g. Plans Recd Parcel Approval Plans Approval Permit Fee $ 3r(_9Q $ �� c NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S,. QO Main service V OR LE 100 AMP ORSLESS 5.00 SOQ ' Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING LCCUP. &\ OR ADDNS. ACCBLDGS. I 20 sq tt NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS (k NON.RESID.-1�SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) @@1 104 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 _5 O License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee 9, -D0MECHANICAL Q 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. ��. 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. No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 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 TOTAL PERMIT FEE QC •..Y•....v•....•.r ...s • a„r vvul,ay V vuaac — .I V. u)JVII IIIC above-mentioned property for inspection purposes. JI) PL X Date/Q -% S Signature offf Permitee or (gent Rec i t N0 �J�2© j 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 Date Building permit expires Date • FILE MEMO t r OWNER l W AP N0. _5r6 •-,43 3 —!:2:3 At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: By 1. 2, 3. 4. 5. ✓ 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate. Complete engineered plans and calcs. Fees of, $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information.. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. lamaamaQamamQ!lmmmQ!lmmmmmaQaammamlQamQaQmaeammQamaaQammamaaaQQammammaQmaamlalmlmaammsas!!!!!!!!■ When permit is issue/d, 2. 3. 4. 5. process as follows: Mail to owner. Mail to contractor. Deliver with inspection. Telephone Other and hold for pickup. U man mama a am a a am mom a mom mom a =a a cam= a am==== ==cc mom mmZQ am am== ========a= mom mom; During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2., Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6, Plans checked and/or approved by Date ae=coeaaeo=___��--�����--aeaoaoaam-aaaa fly - Additional a aAdditional Rrocesrsingaor Notes: _ A, December 12, 1975 Zolton'A. Phillips RE: Refund Two (2) C/o Hugo C.,Hogan Moblehome Utility Rt., 1, Box 168-A Permits Oroville, CA. 95965 Dear Sir: With reference to the above,subject and your request for arefund on the above -noted permits, we are.attaching, herewith, A claim form to be:signed by you where indicated. Please•returti to this office at your earliest convenience for processing. Yours Very ,truly, Clay Castleberry Director of.Public Works J.P.. Glander JFG:dd Assistant, 6irector . Attachment FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For InformationV) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way i