HomeMy WebLinkAbout071-190-01371-19-13 --1� - v" V '
- : .
C. F. H10 ';� r� �.
S/S pri.rd.,app.2 10 Off o
E" LumthiRd. , ' Mills an -
..3 P,er��i � k�2 8Q-B,P,E,M �ew s'n 1e
� ' r
71-19-13
F.-Hjort
r
„S/S pri.rd.,app.2/10 mi -off NW/S
x"•Lumpkin Rd.,'50'S.of Mills Ranch Rd:,'
Feather Falls
�' '.Permit
#3425-78B
)P,,E,M(new single
family)
' f �
. a
��._,� ani
~ .PERMIT NO. 3425-78B,P,E,M
PERMIT EXPIRES,
"OWNER
C. F. Hjort
�CONTR.
owner
71-19-13
;,'LOCATION (A.P. )
S/S pri'rd., a0p.2/10 mi.off NW/S Lumpkin
4
Rd., 50'S.of Mills Ranch. -Rd., Feather Falls
1
• 4v
_ .. 4
iF
i
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E ••7
Temp. Gas Serv.
Called PG&E
/JOB
av/
FINALED
(Dat r,
(Signature)
• rr ,
S
COUNTY OF BUTTE-'DEPARTMENT,OF PUBLIC WORKS
BUILDING INSPECTION .RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback - 57.5 Firewall —2:N Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish .2nd Floor
Footings Windows —I 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Q Water Piping 7 cl—I
Piers Roofing Sewer
Garage Fdn. Vents Fixtures �!
Footings Garage Vents Water Htr.
Stemwa l l Insulation Heaters
Slab Prov. for phsically Appliances
Carport handicaped
p Conformance of ex. Gas Pip ng & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final 1 C
Footin s Footina ELECTRICAL
Masonry 411S Throat fir^ Rough
Reinf. hSteel 5 —IS' -2 Final -Fixtures " �
Bond Beam — ! FIRE SPRINKLERS Motors
Framin _ Test Water Htr. G-....�
Stucco Final Subpanels
Mesh A MECHAN AL Grd. Fault Prot_
Scratch Heating 'Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
116ENOME INSTALLAT!PN - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE- C?� REMARKS OR CORRECTIONS
• &ID
/ I . ecf�-ice --i=
kezw it
(NOTE: An entry must be made on this form each time you visit the job site.)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CON ERVATION REGULATIONS G
AT ,SIS Pe! kb �n°1 I OF O)�S �.LL � J® � F. dam// ( -L
(location)
BU ILD ING PERMIT NO. 3 (4, --I� —7- A.: P . NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge. Illi"4
Fdn. Walls ll!
Floors _
Walls
Ceiling/Roof
Ducts 'IV+
Circulating Pipes
APPROVED HEATER -�
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT.-& LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS _
INTERMITTENT IGNITION D/EVICES
CERT: APPLIANCES 2/
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name M .C4JA.i%&/t—
Signature of o (please print)
Insulation Applicator l",� , (oEg
State Contractor"
License No.
General Contractor/Owner Name
(please print)
Signature.of ,
General Contractor/Owner C, Date
State Contractor
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
J7 W
,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center p• Oroville, California 95965
Telephone: 534-4541Q J1
APPLICATION AND PERMIT
BUILDING
Owner SO. FT. OCC. BUILDING VALUATION
r;j
Mailing Address /..� �� R 4:::- � JC A
Teleph�v No.
"
Contractor
Mailing Address
fireplace
Telephone No.
Total Valuation
d
Permit Fee
Building Addre s
Plan Checking Fee &/or Penalty
Permit Fee
lM
I, PLUMBING No. @
FEE
pp
PERMIT FILING FEE
$3.00
•_3r
Each Trap 7
1.50
C)
Repair drainage or vent piping
1.50
-+� —
Water piping
1.50
, 9T)m9
A. P. No. — J Zo
Each gas water heater or vent
1.50
/
FSS San ion Fire Dept. Fire Zone Use Permit
Gas piping system 1 - 5 outlets
1.50
Parking Parcel
EQA Plans Declaration I Parcel Map Improvements
Each additional outlet
.30
Building sewer
5.00
Bldg. Plc c'd Parc proval Plans royal
Lawn sprinkler system
2.00
NFW ADDITION UTILITIES ❑ OTHER ❑
Permit Fee
$
21
$
ELECTRICAL No.1 @ I
FEE
PERMIT FILING FEE
$3.00
Single Family Duplex ❑ Mobil Home ❑ ❑
Main service SS
1000V OR L 0 AMP OR LESS
5.00
Others
Main service EA. ADD'L loo AMP
2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW
OR ADDNST AC LI � S UP. Y)
22sgft
CONTRACTORS LICENSE LAW
NEWRESID. BRANCHMULTI-O T
NON.CONS ` BRANCH CIRCUITS)
2.50ea
I am licensed under the provisions of Chapter 9, Div. 3, of the
NEWCONSTR. POWER APPARATUS 0
NON . RES I D. SINGLE OUTLET CIR.
State of California Business & Professions Code under the name
Ex. Occup{OUTLETS OR FIXTURES I
BAL@10a
st le of:
y
Ex. Occu FIXED APPLNS. OR
p. OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
License No. Classification
Q1 am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee
$
$ -
MECHANICAL No
@
FEE
WORKMEN'S COMPENSATION INSURANCE
PERMIT FILING FEE
$3.00
I am aware of the provisions of Section3700 of the California Labor
Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑1 have placed on file with the County of Butte a certificate of
Cooling
Workmen's Compensation Insurance.
7a I certify that in the performance of the work for which this
Ventilation
�t permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Hood
2.00M3,o
California.
Permit Fee
$$
0
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.
A i
2&�
Date
Signature o"it
of
Permitee or Age
Receipt No. / `� r� 6 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee $
TOTAL PERMIT FEE "*69 hs
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 PUBLIC WORKS
By Date %R
;�Zllnq permit expires Date 7-517
1
P,
F1
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
t
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CO ORMANGE I H CURRENT EN GY ONSERVATION GULA. ON
AT
(location) p
BUILDING PERMIT N0. 9- j — /O A P. NO.67���%^D'
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Glazed
Fdn. Walls Special (Insulated)
Floors _ CERT. & LABELED WDS. �1�
Walls & SLIDING DRS. �� 6
Ceiling/Roof WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pi es INTERMITTENT IGNITION DEVICES-
APPROVED
EV CES- '
APPROVED HEATER Gt
CERT. APPLIANCES q r Le '—
APPROVED WTR.HTR.
I'DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED -
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERRTIFICATE AS SUBMITTED.
Insulation Applicator Name L 1-9IFE//CE z4," t7 O/5Z
(please print)
Signature of
Insulation Applicator
Sta Contractors
License No.
General Contractor/Owner Name /yG
(please print) T
Signature of 7 (�
i General Contractor/Owner Date — 1,/ .- l /
St to Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
91-91PIRIalrin, I at .
Nd Tr OT161
6161 o z on V
0/70nd :10
Zro
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT -ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO. AiP. NO.
' e •
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULAT ION : GLAZING:
Slab Edge Single Glazed'
Fdn. Walls Special (Insulated)
Floors CERT. & LABELED WDS.
Walls & SLIDING DRS.
Ceiling/.Roof WEATHERSTRIPPED DRS-.
Ducts BACK DAMPERED FANS
7
Circulating.Pipes INTERMITTENT IGNITION _DEVICES
APPROVED HEATER CERT. APPLIANCES G
APPROVED WTR.HTR. y
.47
I DECLARE THAT -ALL REQUIRED ITEMS AS NOTED ABOVE HAVE�BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name 4< JZ
1 Signature of (please print)
Insulation Applicator
S e Contractors
License No.
General Contractor/Owner Name
(please print)
Signature of r ��
General Contractor/OwnerYlv�L Date
tate Contractors
License No.
' THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
.r.
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
4 1
91Ss►s�r�r
§'!c �I��II,OIs¢je�o�
6,161 o e �n b ��
r
eoutd* q "Buri
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: C.J. Hjort
ADDR ESS: 1457 Carlton Dr.
CITY & STATE: Concord, CA. 94518 IMPORTANT:
June 19 1978 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
Decided not to build. (Permit Appin. #2180-78B,P,E,M -
eceip -AP 71;49-13)
Building permit fee ----- $136.00
Retain 1/3 of fee ------- 45.33
Amount of refund due --------------$ 90.67
Plumbing permit fee ----- $ 16.50'
-
Retain filing fee ------ 3.00
Amount of refund due ---$ 13.50
Electrical permit fee --- $44.05
Retain filing fee ------- 3_.0__U_
Amount of refund due --------------- $ 41.05
Mechanical permit fee --- $ 5.00
Retain filing fee ------- 3.00
Amount of refund due -------------- 2.00
Total Permit Fees Refund due ------$147.22
Land Development Fee R—efUnia due ---
TOTAL REFUND DUE ------------------$172.22
$17Z.22
TOTAL
$17F.22
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......, a[................................. 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 there is a Budget Appropriation or Specific Board ApprovalF__I (Checkone) for the some.
Dated this 19th de Y of June 19 78 at Oroville 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.
PROD•
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
a
INSTRUCTIONS jo.' 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.
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.
A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive – Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnonze representatives of the Lounty of ttutte to enter upon the
above-mentioned property for inspection purposes. �f Q
%( r Date 14—: 7l 7v
Signature of Permitee o 0gent
Receipt No. 1 7/ A :2
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
By Date
Building permit expires Date
BUILDING
Owner!
�, OKI
SQ. FT. OCC. BUILDING VALUATION
bT 51 7,M00
Mai ling Address /#S77
T gq 6 (p,00
I�f GU✓1.�
'
Telephone No.g
® TtFiNi p4,spbo�l
® Qo
a. 4 E!!±S 71 01,6b
Contractor
Mailing Address
Fireplace
66.00
Total Valuation 4,28.00
Telephone No.
Permit Fee tD
Building Address / Qr i Ul9- , OA a D 't
Plan Checking Fee&/or Penalty
Permit Fee
rP BO
W 4L.Q 6-0" $
PLUMBING
No.1 @
FEE
lie 1'�� /
/`t�1
PERMIT FILING FEE
$3.0061—
OO
Each Trap 1.50 _ QO
Repair drainage or vent piping 1.50
A. P. No. 1 —19 — Zoni a
Water piping
1.50
Each gas water heater or vent 1.50
Fbds' I
voe S ion
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel ap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plbr ec'd
Parcel rovol
Plans Approval
Lawn sprinkler system 2.00
NEW CK ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ (y
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.00
3,00
Main service 600V OR LESS
100 AMP OR LESS 5•00
Single Family Duplex ❑ Mobil Home❑ Others ❑
Main service EA. ADD'L loo AMP 2.50
'
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ACONS'DDNST ( DW Y CUP. Y) 22sgft 4110Y
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:
NEW
NONR LET
.CONSTONST ( CIRCUITS)
BRANCH
2.50ea
NEW CONSTR (POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L25
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
, 6-
$ Q�
MECHANICAL
No. @
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
Workmen's Compensation Insurance.
E4I 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
,00
Heating
Cooling
Ventilation
Hood 2.00 ,O0
Permit Fee $ 0-0
$ TFC
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
$ 1915–M
TOTAL PERMIT FEE
$ <
autnonze representatives of the Lounty of ttutte to enter upon the
above-mentioned property for inspection purposes. �f Q
%( r Date 14—: 7l 7v
Signature of Permitee o 0gent
Receipt No. 1 7/ A :2
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
By Date
Building permit expires Date