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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. n 0 f � - 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 �— rr 1 I p 1 A" 4" C /� •. 7 +� 1"' :- t � � �, � .j:.. � 7,'r f ' (, a ��a'.� .f i ^ i "� `� �'. } v � '�?• 4 � ! i.r � _L �,. � � pf7 .f r.r . - ,. --tk ,J:' iP V Lc ,.clf.•J_ "I �LJi i^.. -'. Y� x� `M ; i f • . 4 _.. ...c.,rxt+•a.wu.....�.r.•.sT....ty.•..a +-..wtw::-rr.r�>n.r + •---� . .. .. ... k.�--..w•+..w:_+,..�+.........-...�-..,+...K'.�+.,..z..wwti� .- .y...r : ''ti.., S. i :+-...-..+.j•..•. �.... .,:.�.. n, �i.i1-..5+•�e:.,,': • k G.. .[,r L`....�"'.. .n... ry,.-- � . •,., .. -a yt-.�_.i:-... �-..�'�' N jcM T'rtese parcels are for assespmt purposes o111y alta nay not constitute teg4� p4rC!'ts- . ' T.18N. R.H. 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V _ 10 AC PM 88-6 62 82 AMU S - W c 46 45 42 a A$$es8oi'e Map No. 2r5 24�-•��-r> PALERh10 503 t +uws sue. MAR. ex. Pc. 3t ® M31911 -x7 County lof B�u�tte, Calif. a r� (25-01 r ',+„ t1k 3 r. 3x 19 .- � �. U 25 -24-19 ille Tate Lone Tree Rd. app.4/10 mi.N -of ermo Rd . , Palermo mit 4985-77P E ti FE . 1. ,MH) ORT STRUCTURE ACTION TEST REQ P: r ,---�_' k � C/ 9'6, 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