HomeMy WebLinkAbout025-240-019Orville Tate 25-24-19
W/S Lone Tree Rd.,app.4/10 mi.N.of
n Palermo Rd. , Palermo""-' -
Permit ih4985-77P E ti1.,MH)
ELEC;
GAS
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
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Orville Tate = 25-24-19
W/S Lone Tree Rd.,app-4/10 mi.N.of
Palermo Rd., Palermo-
Permit4985-77P,E til.,MH)
ELEC. !
GAS
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ �—
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25 -24-19
ille Tate
Lone Tree Rd. app.4/10 mi.N
-of
ermo Rd . , Palermo
mit 4985-77P E ti
FE
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ORT STRUCTURE
ACTION TEST REQ
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COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive —t Orovi e, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
above-mentioned property for inspection purposes.
X (114 & /T ! / SCJ Date
Signature of Peermiteeo�r Agent
-
Receipt No. 1 (7 / teo CJ 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I n)s 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
Ownernml),me,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P.O, 1
TelNQ-Pr1M0 %Qj 2r e ho o.
Fireplace
Contractor
Total Valuation
Mai ling Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address S L
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 0
t
tM:216Each
Trap 1.50
Repair drainage or vent piping 1.50
24419 Yarificofiion Only-
Water piping 1.50 Q
Each gas water heater or vent 1.50
A. P. No. —�� —1
A— Z
Z°" I
Gas piping system 1 - 5 o 1.50
Each additional outlet .30
Flws
Sanitation FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. s ec'd
Porce proval I
Plans Approval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ®OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 ,
100 AMP OR LESS 5.00
Main service 600v OR LESS �O
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS,LING CCUP. &) 2¢syft
NEW CONST R. MULTI -OUTLET
NON-R.SID. 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
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL@1
Ex. Occup. (bUTLETs (RESID )REA) 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 $ `.
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
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
�
197
TOTAL PERMIT EE 1$114
above-mentioned property for inspection purposes.
X (114 & /T ! / SCJ Date
Signature of Peermiteeo�r Agent
-
Receipt No. 1 (7 / teo CJ 9
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I n)s 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
PERMIT APPLICATION WORK SHEET
' Permit No.
OWNER C1p �P l ��'� - 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):
At time of permit application, the applicant was advised the following data
or information must be
submitted pr'o o permit processing and/or issuance:
tevol.
Date Received
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 $
------------------------
moi! Letter of signature authorization.
-------=------------------
Sanitation approval- ----------------------------------------
8. Planning approval for
-_
9. Workmen's Compensation Insurance Certificate. ---------------
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. Improvements - plans required & DPW approval. ---------------
19. ther
ByellDatey-�2 .e
e/727
B1 g. inslector
During plan checking process, the following data
Before permit issuance;
all of the following
or information must be submitted prior to permit
items must be signed or
marked NA:
issuance:
1. Zoning use
1. Index permit for items
2. Legal parcel
above and.in addition the following:
3. Envir. Health
Plans Sent
-
A. Sanitation
B. Restaurant
C. Other
4. Public Works
Plans Sent
A. Street Imp.
B. Drainage
2. Applicant advised by Telephone
Mail
C. Permits & Fees
Other
D. Other
3. Plans checked bye Date-?-- 7v
5. Planning
4. Plans approved byDate .-
A. Use Permit
B. Variance
C. Other
When permi s issued, process as follows:
1. Mail to owner.
6. Other Agencies
Plans Sent
2. Mail to contractor.
A. Fire Dept.
3. Deliver with inspection.
B. Other
4. Telephone and hold
for pickup.
5. Other
r
I his set of plans and specifications MUST
kept on the job at all times and it is unlawfO +�
ma4� any cli_;gc's or alterations on same without
wrrh- en permission from the Department of Pub-
lic Works, County of Butte.
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
Pas,/) 'P. 2- 6'-- Z
Septic system and location'o -
to be as - per
Butte County Health Dept. Re-
quirements.
13, P zz�- "el s'8is = 7'7
BUTTE COUNTY
r BUILDING DEPARTMP
APPROVED
F
The 9134. Setback shall be 5 ft. from the
side property line and 50 ft. from the
0
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but
entirely �
out of all easements.
All utility connostions 0
located within 4 ft. outside the rear 3
third section of the mobile home s
on the left (road) side of the mobile
home.
Septic system and location'o -
to be as - per
Butte County Health Dept. Re-
quirements.
13, P zz�- "el s'8is = 7'7
BUTTE COUNTY
r BUILDING DEPARTMP
APPROVED