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HomeMy WebLinkAbout069-370-008-37-8 Van: Meter,"P�; t n 38 `Oikc`rest` , Orovi+ ,ems f t -•; �.° contr`. SantoOr Q► , Permit ��25 ;E,M(cofiv. a e to ` family oom�& add dec`c�s/SF) `IL ' 0(rvxrN�� - 37-8 Gene Pond 38 Oakcrest Dr, Oroville R ;w ' 'Permit '4A2316 -79B, (conv.garage to, family room/SF) s St -3 7"08 Permit##5935-80B(inst. wood burn- ing stove) r� f � r ' I I " I'._. ��_ I 1 T P.I=RMIT NO. 23,16-79B,E r y_ PERMIT EXPIRES d - x t. J OWNER Gene Pond 34-37-8 CONTR. LOCATION (A.P. owner 38 Oakcrest Dr., Oroville i _ - J Temp. Pier Pole Called PG&E Temp Elec. Serv. Called PG&E Y Temp. Gas Serv. Called PG&E JOB ` FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION RECORD A BUILDING BUILDING (Cont'd) Scratch PLUMBING Setback irewall Soil Piping V Forms A Parapets 1st Floor A Main Bldg. Restroom Finish 2nd Floor Footings Windows CI 3 6Lo 3rd Floor Stemwall Siding To out ILITIES------------------ Elec- Service Slab t Roof'Sheathing Water Piping Sewer Piers Roofing Sewer Water Piping Garage I Fdn. Vents Fixtures DATE (� Footings Stem wa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Temp. Gas est Slab Final CSP Sanitation Patio FIREPLACE Final Footings Footing ELECTRI.CAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing �- ;Z—% S Gtr_ , Test Water Htr ------ Mesh ME HANICAL suo aneis Grd. Fault Prot. Scratch Heating Service Brown V Cooling Temp. Pole Finish A Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Iq— b MOBILEHOMEU ILITIES------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE (� -� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE-DEkk' TMENT OF PUBLIC WORKS J 4 7 County Center Drive — Oroville, California 95965 TeleS}tione': 5x34-4541 ��/ r APPLICATION ASVD PERMIT ^ ((� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpose . X Date e I Signature of Permitee or 0gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol enrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above hich fees have been paid. DI ECT R F P��WORKS D�+�1 Building permit expires Date �J BUILDING Owner 6 SQ. FT. OCC. BUILDING VA TION to Z 4tE2 -3 Ce Mailing Address 9 O `L C iTelehone No. -0 2O Contractor Mailing Address Fireplace Total Valuation � 7 -3(p Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 % Repair drainage or vent piping 1.50 A. P. No. L� — ?j% — Zonln fanning Water piping 1.50 Each gas water heater or vent 1.50 F W Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 ���� Bldg. Plans"ftec'd Parcel oval Plans AOporooval Lawn sprinkler system 2.00 NEW ❑ ADDITION XL UTILITIES ❑ OTHER Permit Fee $ 60give — lL ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , OV 600V OR LESS Main service 100 AMP OR LESS 5.00 Pul 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 EA. ADD -L 100 AMP 1.00 Main serviceNEW CONST./ DWELING OR ADDNS. ( ACCLBLDGS.0 UP 6) 20sgft J_,, qV 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 le of: style NEW CONSTR MULTI -OUT T NON.ONS � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXT41RES g L'; 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 M 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3, w $ MECHANICAL No. @ F_EE 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpose . X Date e I Signature of Permitee or 0gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol enrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above hich fees have been paid. DI ECT R F P��WORKS D�+�1 Building permit expires Date �J i%. �J • 1 PERMIT NO. 5335-80B PERMIT EXPIRES 12/2/81 j OWNER EUGENE POND CONTR. t + ASSESSOR PARCEL 34-37-08 r LOCATION 38 Oakcrest, O oville r t i I t i t Temp. Power Pole_ Called PG&E i Temp. Elec. Service Called PG&E_ Temp. Gas Servic Cal led PG&E r JOB F;NALED (Date) ( � Jw Mal Signature J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) _ _ Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic . 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except p's 68, A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. 74. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Perrr,it) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's gotCComments at Final: 36. Sills; Proper Material & Anchors wo. (i SJT5v Lt eve_ J2.b -lJ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ w f Lf5r _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing _41._Header 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBE^a ZONING - _Q9 BUILDING PERMIT OWNE�h'`' TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MA N ADD ESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ 0. ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ \ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN DDRE PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 ro Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: - _e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 CONSTR ULT' -OUTLET 2.50 ea NON -REST D. BRANCH CICU IRC ITS NEW CONSTR. ( POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 50@ BALEIOs FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor 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. I 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. MECHANICAL PERMIT FiIIng Fee 3.00 Heating Cooling Hood 2.00 Ventilation _�+ permit Fee $ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costsd expenses which may in any way accrue g st said C my in conseq nc of the granting of this permit. Date % z—Z—y� Signature of App iCant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Q OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D C rR.PUBLIC By PERMIT EXPIRES Dat /a the applicable provi- resolutions to do fees have been paid. WORKS Date�- --'3--C\ ]p�/ si Receipt No. 41 � V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 2305-18R,E4M PERMIT EXPIRES r OWNER Van Meter CONTR. Santoni Const., Orov;llP LOCATION (A.P. 34-37-8 ) '38'Oakcrest Dr., Oroville s Temp. Power Pole_ Called PG&E Temp. Elea Serv.— Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT 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 StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 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 MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALL/LTIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) i J"BaW OROVILLE,.CALIFORNIA GENERAL CLAIM CLAIMANT: Santo>ni Construction ADDRESS: Boa 9450, Woodleaf Star Route Oroville, CA. 95965 CITY & STATE: IMPORTANT: February 1, 1979 SEE INSTRUCTIONS DATE OF CLAIM: _. ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner (Phillip Van Meter) decided not to build. ; • ce$� AP 34-37-8) Building permit,fee ----; $52.00: Retain 1/3 of fee -- ;Amount of refund due --------- ------- $34.67 Electrical permit fee •-- $22.95 - -R-e-tain.-filing fop ------1-00 :Amount of refund due ----------- $19.95 Mechanical permit fee --- 7.00 - - —3 00 A� i Amount of refund due --------------- 4.00 TOTAL REFUND DUE - $58.62 $58:62 I TOTAL $58L62 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 articlesspecified above have been performed or de- livered and that there is a Budget Appropiiation ❑ or Specific Board Approval(Check one) for the same. lst February 79 orovilYe Datedthis .................................... day of ............................1 19......, at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM...............................................................................,............ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ. SUB. OBJ. CLAIM. NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB.• SUB -DIST. I ti INSTRUCTIONS to CLAIMANTS All claims against the county, must.b_e iteinized, 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 foi .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. 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. I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 l APPLICATION AND PERMIT , authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Js.i.�� A& --t,- Date .571/2 Signature of Permitee or Agent Receipt No. Z 7700 i 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. DIRE R OF UBLIC WORKS Date (v —X e6� Building per it expires Date BUILDING ca OwnerJkpi/ SQ. FT. OCC. BUILDING VALUATION a ---a ( Mailing Address00 3ag Telephone No. Contractor Mailing Address O Fireplace ,CD o Total Valuation 00 r' 19&11 Telephone No. - ZZI r Permit Fee . Ve p Building Address Plan Checking Fee&/or Penalty Permit Fee ,Op PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ' QW6 Ut LL Repair drainage or vent piping 1.50 A. P. No. —�? -- D Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fdee Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' Improve Each additional outlet .30 Building sewer 5.00 Bldg. ans Rec'd Parcel A rov Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION . UTILITIES ❑ OTHER Permit Fee $ $ p �yly,lccZ 6a ELECTRICAL No. @ FEE ( Gll PERMIT FILING FEE $3.00 ©O 00V OR L Main service 100 AMP ORSLESS 5.00 ,0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 gt, 5'-0 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW-'Up OR ADDNS. ACLL G 91 120sqft ,,e4 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: y P-Aue- lYf, Y_/4/tI r0 A1/ NEW CONSTRES,., ULTI.O TL T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS&J NON-RESID. SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTURES BAL@11J Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �iSJrO License No. Classification-A6Ew/r1,2,4L Misc. Wiring 6.25 ❑ I 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. 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 3,C�c7 Heating Cooling�y (' Ventilation Hood 2.00 Permit Fee $ 700 $ 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 $ TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is Js.i.�� A& --t,- Date .571/2 Signature of Permitee or Agent Receipt No. Z 7700 i 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. DIRE R OF UBLIC WORKS Date (v —X e6� Building per it expires Date PERMIT APPLICATION WORK SHEET Permit No. OWNER l JU A L/--T-z44 A . P. No. Zoning_ Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price.(explain) 3. DPW Valuation (show): 0 At time of permit application, the applicant was advised the following data or.information must be submitted. prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3.. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs--------------- ------ 5 Fees of $ - --------- -- ---- Letter -- Letter of signature authorization --------� �- - 7. Sanitation approval. ------------------ ---------- 8. Planning approval for Q 1_ �J Workmen's Compensation Insurance Certificate. ------------ 10. -----------10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy ---------------------- 12. Access declaration• ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy- -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Impr vements lans required & DPW approval. ----------- O 9 Ot ------ »e - 2 it r-- By Date dg. Inspect During plan, checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. _ 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold ,for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health -Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Rdtic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies.- Date Plans Sent A. Fire Dept. B. Other