HomeMy WebLinkAbout068-350-100r
P
t JACK ED D ��8-35"'DO
270 w Ct. , 0AAv1 n
' Perm' 34-75B,P;E,K(new`SF) '
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PERMIT NO. L�13L� r/5B, Pa ESM
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1. MH UTIL.
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',PERMIT NO.
.� PERMIT EXPIRES `
OWNER Jack Edwards
�,CONTR.
LOCATION (A.P. 34=53-69 )
270
Mt. View 'Ct., OroviIIe
i?
s
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CA
Temp. Power Pole
i; Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMEKT,OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
'Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
f % 7 4- /
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Of .
CLAIMANT:
ADDRESS:
eoutd* q',-J1'3qW
OROVILLE, CALIFORNIA
GENERAL CLAIM
Jack Lrft*rds
187 fit. view Dr.
CITY & STATE: Orovi#let CA" 95965 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
dMlk
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
pow ev decided not to build.
(i;erwit 04134 „ s r
Build a€ s permit fee 004.00
eta >a113 of fee ..------
Amount, of, refund due A. •«.++.Nr. $ 69.33
-PiuW pemit fee -rw-i $ 19.50
����••.. r y.. �y y Qq
�Samut of refund due •�w..�N.������ � 16.50 ,•
VLectrical vomit fee. •-+ 0 27.69
Aw+o=t of re Und 44e 60
Meth 1 kical pati it fee rr1• 9.00
taft fittau fou -q-,
Ammut of raiurd due •�Rirwa�i��w��
TOTAL PXXUND DUr. _.«........._... 0116.43
$116.43
TOTAL
$116
43
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 they J. Budget AppropAvipo+❑ or Spec i%board �A p n (Check one) for the same.
Datedthis .................................... day of ..........tl................ 19....... at .............................. . Calif.....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
CodeCodePAYABLE 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.
INSTRUCTIONS' to CLAIMANTS
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
not file with the County Auditor first. .
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
r'
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.
COUNTY OF BUTTE — DEPARTMENT. OF, PUBLIC WORKS
�— 2�
7 Count Center Drive , Oroville.' California 95965' //
Telep;ione: 534-4541
APPLICATION AND PERMIT. - G v
auuwncc representauves of the L.ounry of tune tv enter upon ine
above-mentioned property for inspection purposes.
9L
X Date- eTI
Signature of Permitee or Agent
Receipt No. 3 y 17
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.
DIRECTOR0 PUBLIC WORKSc
BY Date_ /-�-�1�
Building permit expires Datey'"7, �,�
BUILD
Owner ACJ L j�W
SO. FT. OCC. BUILDING VALUATION
�.
7�';
��
c
Mailing Address /O UI (��.
l'jc
190 0 ()IL
Tel ephongo.
��3-a /�
'Fireplace 7150
Contractor W Iv W_
-Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
6
Building Address S U r�� Q�
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
3—
I
OP ' BUJP2 JL)U-
Each Trap 1.50
Repair' drainage or vent piping
1.50
Water piping 1.50
`� t✓so.t�
Each gas water heater or vent 1.50
A. P. No. -S„3 —
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
W. Saon
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Flans
Parcel
Declaration
Parcel Ma P
0' R/W
Im r
p ovemen
Lawn sprinkler system 2.00
Bldg. PI s Recd
Parcel Approv
Plans Approval
Permit Fee
$
$
NEW' ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL .
No.
@
FEE'
PERMIT FILING FEE $3.00
3'"
Main service incl. 1 meter
Additional meters, each _
1.00
Sub -panel (12 or less) (more Aiar 12)
Single Family Loo Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven. 1.00
/ m�
Water Heater or Space Heater
1.00
Light fixtures J'f 'bal 10
, sw' Yes & fix s 64
J/ L -
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws.of the State of California.
Permit Fee •
$
] 6�
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.
aI 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
Heating /UOi►'►
'
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
$
1610 1
auuwncc representauves of the L.ounry of tune tv enter upon ine
above-mentioned property for inspection purposes.
9L
X Date- eTI
Signature of Permitee or Agent
Receipt No. 3 y 17
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.
DIRECTOR0 PUBLIC WORKSc
BY Date_ /-�-�1�
Building permit expires Datey'"7, �,�
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