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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