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Home My WebLink About079-320-01236-6-4-1-2- Ellis 6-64-12Ellis Foser E/S Wahoo Ave.,. ��.,80'S.of a Mir da, Oroville c t%M 'n Springe Chi o P i`s # 9-77B ,M(newsfn le Family) G CLAIMANT: ADDRESS: emmt* at xuw OROVILLE, CALIFORNIA GENERAL CLAIM Elvin Springer Rt. 2, Box 75 CITY & STATE: Chico, CA. 95926 IMPORTANT: June 22, 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. (Owner: Ellis Foster - PERMIT #6359-77B,P,.E Receipt #166156 -'AP 36-64-12) Building permit fee ----- $121.00 M - eta of fee ------ . Amount of refund due --------------$ 80.67 Plumbing permit fee ----- $ 18.00 - Retain- ng fee ------ 3.00 Amount of refund due --------------$ 15.00 Electrical permit fee --- $ 28.80 ng fee -------.00 Amount of refund due --------------$ 25.80 Mechanical permit fee ----$ 13.00 -Reta n tiling fee -----------3.00 Amount of refund due -------------- 10.00 Total Permit Fees Refund Due ------$131.47 Land D eluMent Fee Re -n ------25.00 TOTAL REFUND DUE ------------------$156.47 $156.47 TOTAL $156 47 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 articles specified above have been performed or de= livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. 20th June78 Oroville Datedthis .................................... day of ............................. 19........ .............................. , 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. INSTRUCTIONS to_::UAIM NTS 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 th6` Department head will forward claim to County •Auditof for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials dor_ .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 p`reeeeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. • Y PERMIT NO. 6359-77B,F.,E,M PERMIT EXPIRES OWNER Ellis Foster CONTR. Elvin Springer, Chien LOCATION (A.P. 36-64-12 ) E/S Wahoo Ave.,app.280'S.of LaMirada, Oroville Temp. Power Pole_ Called PG&E Temp. Elec. 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 I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab. Car rt Po Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL neinT. steel I Final I Fixtures Bond Beam FIRE SPRINKLERS I Motors swcco 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 MOBILEHOIdE INSTA L TI - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) 'low s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �_ 77 ~ Telephone: 534-4541 '' APPLICATION AND PERMIT 1 _ X Date Z Signature of ermiteee ory gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county c;ode and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF DUBLIC WORKS � By 1 Date- Building ate Building permit expires Date ./d,7rq0-7d"" BUILDING Owner ,� pS"��— SQ. FT. OCC. BUILDING VALUATION W60 C Mailing Address -0 00 Telephone No. Fireplace Contractor _ y� Total Valuation Mailing AddressIR Permit Fee Plan Checking Fee&/or Penalty I Telephone No. Permit Fee _ Building Address ,v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 --(n� ' T Each Trap 1.50 In Repair drainage or vent piping 1.50 Water piping 1.50 ening y�rific4 4 VAt� Each gas water heater or vent 1.50 A. P. No. ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 / Fk s adyl 1UFI Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration .di�el�l� P 60' R/W Im r Improvements Lawn sprinkler system 2.00 Bldg.PI s Recd / P rce Approval PI Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600V .11 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVEV Main service 1100 AMPOOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST,OWE OR ADDNS. ( ACCL M P &) 2(tsgft r r NEW CONSTR. (MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the under the name e style o State of Cali forni Business & Professions 2?"e74,7 .�� Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2j FIXED APPLNS. OR Ex. Occup.(OUTLETs (RESID.) EA) 2.00 Temporary service 10.00 S 26 Mobile Home Facilities 15.00 /'�1 License No. 300 t/ u Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $0 $ ag n 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 hWfor kmen'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 Heating V.0O Cooling Ventilation Hood 2.00 C3 Permit Fee $ $13 Ta) 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 Q, TOTAL PERMIT FE This permit is hereby issued under the applicable arovisions of 1 _ X Date Z Signature of ermiteee ory gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county c;ode and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF DUBLIC WORKS � By 1 Date- Building ate Building permit expires Date ./d,7rq0-7d""