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568
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eaf Dr., Lot55 K.R.
34-74B (12 decks for MH
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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
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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
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• ,•#j- • . � � •• ' +�� ~ • y 1, / 1 \\� / � � U , l II t ;�/ _ 1 • ••r
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pew r�gu.,�d v,•�
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asp., �f�e •._
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aOj �.fit TBAGhf'
- • ;. "-; .ate BUTTE 'COUN'TY 7.
qj
BUILDING DEPARTMENT
7,045
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