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HomeMy WebLinkAbout069-100-022ORV 568 Pen — ---------- :ER !rl eaf Dr., Lot55 K.R. 34-74B (12 decks for MH � _ T� _1 _ ,�--_ - - - Chi �� �I !-- ,� p a. .tee "But • ' .i ' LL■■�� AUDIT CHECK LIST AUTHORIZATION LEGALITY ' OROVILLE, CALIFORNIA DESCRIPTIONS ,. ' GENERAL CLAIM AMOU`, NAME 6 ADDR E55 NAME CLAIMANT: EMPLOYEE -- SIGNATURES — VENDOR CODE --�-- DISTRIBUTION — y e�y� 1311 3!i97 _ ADDRESS: e:.hico' califa=ia 93326 CITY & STATE: IMPORTANT. 29 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE Certified As To County Charge and Computations. P. H. Seely, Jr.,Auditor Controller SUBMIT CLAIM TO DEPARTMENT RECEIVING. GOODS *OR SERVICES" By ......... ........................ Date:,,,,,,., DATE .DESCRIPTI.ON OF CLAIM (DESCRIBE .FULLY TO "AVOID DELAY) AMOUNT id+d'nat to have contra tsaar buil PX d -=.ids it I-uild in 'eO t13.00 rf:4CaLU 11'3 OX k00 4.33 C)i�v`i°C C+ lire C� .....e._—o...-..am TOTALS. 7 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. Dated this .................................. day of .............................. 19....... at ................................. Calif. ........................................::....................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or artic.les.specified above have been performed or de. ' livered and that the2) ,y Budget Appro_p�a�t' ❑ or Specific Boardd A�ppp ovallD .(Checkone) for the some. vill ary Datedthis .................................... day of '...... ;...................... 19....... at .............................. . Calif..................................................................................... . Department Heed or Authorized Deputy Dept..........................x p' PAYABLE FROM FUND Code................... Code.............................:................................................:................................................,............ 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. SUS.-DIST. 'ri!L-------------------- ' ve 1d13D3M tDNIf3157513+a 1V"vI"DI-- 10 N1¢0 �RUIM0 A31k 103 avtl coag COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT . / Owner U�U� Mai I i ng Address Contractor Mai I i ng Address Building Address Telephone No. x -.?.el— -2q-, one No. A. P. No. Zoning &Planning F pelfW. Fire Dept. Fire Zone Use Permit EQA I Parking Parcel Parcel Ma 60' R/W ( Improvements Plans Declaration P P Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION J2 --'UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No.v;?ZK—_gVd e_ Classification oodel I am exempt from the Contractors License Laws of the State of California. 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. ve 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. 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. X Date -Z ignature of Permiteeor g�entt Receipt No. 11:7 of tP1„ _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. BUILDING VALUATION lam //o/— Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee - $ PLUMBING No PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap, cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ FEE $ TOTAL PERMIT FEE Is [ari 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 -.._. . L {PERMIT NO. 1634-74B P E w M MH® PERMITMIT ?�®N0. � t } PERMIT EXPIRES�� r DOWNER Orville Baker }CONTR. Owner )- I LOCATION (A.P. 34-60-22 ) 568 Silverleaf Dr.; Lot 55, K.R. r z Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signatur Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final r Sanitation FIREPLACE Final Footing Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final• Subpanels MECHANICAL Grd. Fault Pr( Heating Service Cooling Temp. Pole Ducts Under rouni Ventilation Permanent Final Final REMARKS OR CORRECTIONS I EL i COUNTY OF BUTTE — DEPARTMeNT OF PUBLIC 7 County Center Drive — Orovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize represehtaus veor the County or Butte to enter upon the above-mentioned property for inspection purposes. X ai� Date--_? h51 - Signature of Oermitee or Agent Receipt No. / -oc- U / 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 BLIC WORKS By ate J�,17' 7V Bu' ing permit expires Date ................. %� 7. BUILDING Ownere!:51 S0. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressS SJ v� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 E� Repair drainage or vent piping 1.50 Water piping 1.50 // Zo Each gas water heater or vent 1.50 A. P. No. �Q—� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 � F& fps ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60 ' R/W Im rov ments P Lawn sprinkler system 2.00 '"� "' Ian Parcel oval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,® ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 EC Q Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 205 Receps., switches & fix outlets b 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. disp. 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 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. Elhave 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 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 TOTAL PERMIT FEE $ CJ authorize represehtaus veor the County or Butte to enter upon the above-mentioned property for inspection purposes. X ai� Date--_? h51 - Signature of Oermitee or Agent Receipt No. / -oc- U / 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 BLIC WORKS By ate J�,17' 7V Bu' ing permit expires Date ................. %� 7. COUNTY OF BUTTE — DEPARTI IENT OF PUBLIC 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AKo��3 ' BUILDING Owner / ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address //Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 a� Each Trap 1.50 ` Repair drainage or vent piping 1.50 Water piping 1.50 (, 5 Each gas water heater or vent 1.50 A. P. No. ��) �T �� n g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. S ' �on FireDept. Fire Zone Use Permit Building sewer 5.00 oa EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 .Plans Recd Parcel Plans Approval Permit Fee $ / (^� $ 0 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 "3.oa Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Sih ,(e Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 L Water Heater or Space Heater 1.00 Light fixtures bad 41 Receps., switches & fix outlets 2023 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. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S,oa Temp. Power Pole 5.00 License No. Classification Misc. wiring P11 -am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �� 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 W rkmen'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. 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 $ .1Z /I authorize representatives of the County of Butte to enter upon the above -menti fled property for inspection urposes. Date//_4 A7 Signature o Permitee or Agent Receipt No. 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 Building permit expires Date. Z-1 � this,setrof tans, � � . ' -.• ., ` ' -•�-t ..`p and specifications MUST be kept on the, job At all: times A'F'T-.-.- - i�/9%���_ •' a'nd 'it is unlawful to :1 make anyF Granges or alterations on same without ,, o 2 , WT tten P6ri6isson'jrbr, the ,De artment of Fubli ¢8 VWorks, ICbuniy If Butte. p yl ,» 49 ",t r! r' 9�. �8• R .,x ' `IOcat d'l'tY thirde kith connec t ," • ` I or) th sect! (n 4 ft tlo S - 1 h e left. d °f the vtS,de t �dl side Mob I he /e '' _` l ``•Of �e f he rn 0-7 • ,•#j- • . � � •• ' +�� ~ • y 1, / 1 \\� / � � U , l II t ;�/ _ 1 • ••r �,- -• •- � � ,/ �,(,a 1, .. , pew r�gu.,�d v,•� �. t• �tAr �� I ru • '�- � � O n¢� �!U ref •1 ' .. Q t • 7' t //. asp., �f�e •._ �t a i I ♦ �. ` QY O a I aOj �.fit TBAGhf' - • ;. "-; .ate BUTTE 'COUN'TY 7. qj BUILDING DEPARTMENT 7,045 7•,z4- ?.P i 00 y r