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HomeMy WebLinkAbout066-250-00266-25-02 GENE JOHNSON 75 WoodbUryDr, PPCC#4, lot 375,Magalia Permit#7123-79B,P,E,M(new S/F) 66-25-2 Will iatp Faughh���/�/g/� 6243 Woodbury Dr, Magalia Permit # 2392-82B(woodstove)SF contr: John Sparks,Paradise. 0 r i i k t 1 I I I`1 1 IIr 66-25-02 GENE JOHNSON 75 WoodbUryDr, PPCC#4, lot 375,Magalia Permit#7123-79B,P,E,M(new S/F) 66-25-2 Will iatp Faughh���/�/g/� 6243 Woodbury Dr, Magalia Permit # 2392-82B(woodstove)SF contr: John Sparks,Paradise. 0 r u 7123-79B P E M PERMIT NO. t PERMIT EXPIRES OWNER GENE JOHNSON Gittld ��"Oiy✓� CONTR. owner LOCATION (A.P. 66-25-02 ) Futric£ �� l -75 Woodbary Dr, PkN4, lot 375, Magalia ®%G 75 l / fcyt� v PZk"7AI iK, Al t,/W6� - i Temp. Power Pole Called PG&E 7-lj Temp. Elec. Serv. 0 Called PG&E Temp. Gas Serv. Calked PG&E F 9 —� ` NALED �� /'' C) (Date) . (Signature) 1 i Temp. Power Pole Called PG&E 7-lj Temp. Elec. Serv. 0 Called PG&E Temp. Gas Serv. Calked PG&E F 9 —� ` NALED �� /'' C) (Date) . (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback %�_dZ: %&e 4.- Firewall r •v Forms/o2 -,?7, moi' m� Parapets Main Bldg. Restroom Finish Footings�Z�Z Windows ,l- _ p `® 'StemwaII /off -Z7 7ze W Slab Roof Sheathing a -1 -7 -Yo 4�9 Piers Roofing Q0 Sewer - Garage Garage Vents Insulation -- D Footings/,Z, Zy 7ii Prov. for physically handica ed Conformance of ex. structure Stemwall /1---17 7$, -* Final Slab_Y_ j ,, 2 FIREPLACE Carport 1 rl Footings Throat - O Slab Final e ''I'a p, Patio .••>I FIRE SPRINKLERS Footings Masonry Walls SA, Relnf. Steel /�7-e�7 �9 Bond Beam _ - Framina.-"i/,(/- kv av BUILDING (Cont'd) PLUMBING 4.- Firewall r •v SoPI Piping'LS Parapets 1st Floor -- © as Restroom Finish 2nd Floor Windows ,l- _ p `® 3rd Floor Siding To out / C7 Roof Sheathing a -1 -7 -Yo 4�9 Water PIping Roofing Q0 Sewer Fdn. Vents 00 Fixtures Garage Vents Insulation -- D Water. Htr. Heaters Prov. for physically handica ed Conformance of ex. structure A llances Gas Piping & Test . Temp. Gas -* Final Sanitation FIREPLACE Final ..� -a Footing C - ELECT AL Throat - O Rou h Final e ''I'a p, Fixtures .••>I FIRE SPRINKLERS Motors 1�' Zl-- V� FZ7 Stucco Final Subpanels O ,I Mesh MECHANICAL Grd. Fault Prot. ",, o Scratch Heating - d a Service Brown Cooling 7-7-1- f o 4D Temp. Pole Finish Ducts d Underground wInterior Lath Ventilation Permanent � - 49 Dooi Closer r p Final Final j2 - p , MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ' MS2Bl6EHFME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage . Gas Piping DATE REMARKS OR CORRECTIONS X- rqL 4/l s/o� "' vo /1 aw "",4 Q 46; 1' �G f�i'9 t4 ��� fid- D��o�sd� ��s-/ oti• t7wr/ - 05�A�£ G/ce /% (� ��2pJ DnJ All% �OOLQ/ `�C�/� T/K / fJ�GsZE• COdf�2% ! _,ro Aar Gngto 5,r,1kG/o-V0e S�G��r(NOO An Ary must be made on this form each time you visit the job site.) a f11wY7 y 7 "1 wq 221�p _,how v`31°j*,' S`OT ' L �iy ��o �► shoo ./ �`a � �P ss373p� l y3 lrlq�-c -t SP 7P7 fy\j ss t P L U M B I N G Check List Pe it Under or Stage D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. �* (8) Wrapping. (9) Test - including "Ts% (10) Additional test not required.* Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. Wa �(6) Dissimilar metals. (7) Service regulator installed or not required.* s: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. Frami tae (Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps.`,(8)'Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz.,"runs, loop, wet, etc. `® (14) Additional 2nd floor test not required.* Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. —�'as• (1) Size. (2) Materials. (3) PR Valve Drain. ater Heater: (1) Vent. (2) . Location. (3). PR Valve Drain. Q Final D.W.V.: (1) Connected to sewer system. (2) Special systems. ,j3 Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. --E -_9 s: (1) Test. (2) Connectors. Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 M E C H A N I C A L Check List Permit Underfloo Sta e • erfloor Supply Plenum: (1)' One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. Ducts: (1) Size. (2) Material's. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. om ustion Air: (1) Size. `refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. Framing Stage ting: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. cts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. "frigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. final ating: (1) Accessibility. (2) Combustion air. (3) Safety controls. Electrical connection. (5) Fuel shut-off. Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant*1 5/79 t E R S E T _ r r COMPANY ® LICENSED CONTRACTOR •' Phone: 342-4764 P.O. Box 628 — Durham; California 95938 INSULATION (Batted or Blow Date 18 _ THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street V Lot Number Tract No. EXTERIOR WALLS Manufacturer y Thickness/Type R Value I CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer hickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS 1 Manufacturer_ Thickness/Type �-., R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE INS ATIO ONTRA OR LICENSE NUMB R 1�E5 B TITLE DATE SAVE ENERGY - INSULATE! ( DATE) ACCEPTED H I FIRSETYCOMPANY (Authorized Representative) E R S E T ,: RRpR COMPANY a,l LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date :3' 21! n 19 _ THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE'OF CALIFORNIA; 1N THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS � Manufacturer Thickness/Type / R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer \Thickness No. Bags Q Wt./Bag Sq. Ft. Covered tl 1 R Valuey� FLOORS 1 Manufacturer Thickness/Type , R Value f SLAB ON GRADE Manufacturer - Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR' LICENSE NUMBER BY // STI\TnLE 6 - DATE C� INSULrATlO ONT/RAnC�(T�OR AJY �� �r.�� ( �� I Ir FNSE NUMBI R �� TITLE 1`i,lxr+�u/`� DATE SAVE ENERGY - INSULATE! ( DATE) ACCEPTED N RSET COMPANY r! (Authorized Representative) 0 RESIDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION C(iMPLT.ANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIRE'ME:NTS HAVE BEEN INSTALLED IN C NFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT� - --- / location) BUILDING PERMIT NO . 2.�. % f A. P. NO.. �� THE FOLLOWING ILAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge V� 1'dn. Walls ;4 Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER_ APPROVED WTR.11 R. I.-" GLA Z ING Single Clazed &tl Special (:insulated) CERT. & LABELED WDS. / & SLIDING DRS. V WEATHERSTRIPPED DRS. v" BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH T11E ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Si0nature of (please print) Insulation Applicator State Contractors 1,1cense No. General Contractor/(tinier. Name (please print) Signature of General Contractor/Owner Date / G State Contractor License No. -yq 7 y THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL :INSPECTION AND SfIAL.L BE POSTED IN A CONSPICUOUS LOCATION WITHIN TRF. DWELL. ING . , .f i 0 RESIDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION C(iMPLT.ANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIRE'ME:NTS HAVE BEEN INSTALLED IN C NFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT� - --- / location) BUILDING PERMIT NO . 2.�. % f A. P. NO.. �� THE FOLLOWING ILAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge V� 1'dn. Walls ;4 Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER_ APPROVED WTR.11 R. I.-" GLA Z ING Single Clazed &tl Special (:insulated) CERT. & LABELED WDS. / & SLIDING DRS. V WEATHERSTRIPPED DRS. v" BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH T11E ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Si0nature of (please print) Insulation Applicator State Contractors 1,1cense No. General Contractor/(tinier. Name (please print) Signature of General Contractor/Owner Date / G State Contractor License No. -yq 7 y THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL :INSPECTION AND SfIAL.L BE POSTED IN A CONSPICUOUS LOCATION WITHIN TRF. DWELL. ING . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 /�/f /y - Telephone: 534-4541 ' //� APPLICATION AND PERMIT AA QUU IUI ILV IGFlIO0OI1LQL VCA UI 11` I 1 I,,VUllly UI DUUC 1U CALCI UNUII Ulti above-mentioned property for inspection purposes. X Date Signature of P itee or Agent Receipt No. S�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 GR PUBLIC WORKS By Date Bilding permit expires Date y — `F'? o BUILDING Owner Gw J owzt SO. FT. OCC. BUILDING VALUATION oto AVE3� Mailing Address 8 T � C 70 � �� CHI /© 9S921. Telephone No. Q UMe Zo 0 Contractor Mailing Address Fireplace (� Total Valuation Telephone No. Per ' Ie, 00 Building Address Ian Checking Fee& r enalty O ee Z SC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each TraD 2.0 t�V It eG Ll LoT :?% CJ P L1(%- Repair drainage or vent piping 1.50 � VZ A. P. o. Zoni g Planning Water piping f � 2Q0 Each gas water heater or vent 1.50 F s Saoon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking Parcel EOA Plans Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 gans R!c� 2 Parce mval Plans A proval Lawn sprinkler system 2.00 NEW EV ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 1,oa $ PLM'p 33 Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 :5, eX-) 00V OR LES Main service 100 AMP ORSLE SS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. A N GSccUP. 4\ 2�sgft , 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 st le of: %( NEW RESID. MULTI.OUTLET `/ NON-RESID. BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS6, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 50@25¢ BAL@1 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 Z[I am exempt from the Contractors License Laws of the State of Celifomia. Permit Fee $ y, 56 $ q. � 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 00 Heating ()II/(..t/�/T� X0,00 00 !40, P Cooling T CID y,C)C) Ventilation Hood 2.00 0 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 $��OC; TOTAL PERMIT FEE $ QUU IUI ILV IGFlIO0OI1LQL VCA UI 11` I 1 I,,VUllly UI DUUC 1U CALCI UNUII Ulti above-mentioned property for inspection purposes. X Date Signature of P itee or Agent Receipt No. S�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 GR PUBLIC WORKS By Date Bilding permit expires Date y — `F'? o w _ ... -a.��. waw a'ra�/'�s�� '..ro7�z....r�s�'aC3�A��.��'" ... w �r-��-�.-�...� E�..: ^'��M+++mc:;"ci✓i�= 1PNi'i @I'U Via. - 1 � ( ' �� t COUNTY OF BUTTE-'DEPAR.TMENT OF PUBLIC WORKS PERMIT NO._ 7 County Center Drive - OrovillW-California 95965 - Telephone 916/534-4541C. ,' _ � 7 .• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 6; 4, 7, 3— ZONING BUILDING PERMIT OWNER_ �V" r A- AU& 1q TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME .'0,4Q SPA12 S TELEPHONE i7- CONTRACTOR'S MAILING ADDRESS %d 7 6, 2- < R wc, C) P, pw,4&e,l Fireplace 401 v -- CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ADDRESS PLUMBING PERMIT F i l Ing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californg95965 - Telephone 916/534-4541 APPLICATIA AND PERMIT ASSESSOR PAR EL NUMBER && - 2,S— Z--- - ZONING BUILDING PERMIT OWNER tVA4 P TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Z26,----' Fireplace �® _-- CONSTRUCTION LENDERO UNKNOWN ^ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 ' 6 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION %-5— NAME a C, PARCEL MAP I Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other �/t Describe work: 57Y,1.1-& 7Z;PE��.U,b1A1y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELING OR ADDNS. ACCLBL GS.CCUP.y) 20 sq ft CONTRACTORS LICENSE LAW I declal nder penalty of perjury (check one): F am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe n 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 NON-RESID R BRANCH cIRCT rs 2.50 ea NEW CONSTR. / POWER APPARATUS S) . NON-RESID, \SINGLE OUTLET CIR. Ex. OcCUp OUTLETS OR FIXTURES BAL@1 (FIXED APPLN5. OR Ex. Occup. OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring - 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. 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 3.00 Ventilation Permit Fee 3 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and k p harmless the County of Butte against all iabilities save, costs, and expenses which may in any way accrue agai st said my in ce o t e granting of this permit. X Q 0 �.� Sig atu of Applicant — Ow ❑ Contractor 1;�_ Agent ❑ An permit is required for excavations over 5'0" deep and demolition or construct- ion of ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. JPARCFLJ PD No ISSUE This permit is'hereby issued under sions of the Butte County Code and/or work indicated above for #hich D REC OR PUBLIC By PERMIT EXPIRES Date the applicable provi- Date resolutions to do fees have been paid. WORKS D /D/ O u Receipt No. CPeY� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT