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HomeMy WebLinkAbout030-110-066�(" 30-11-66 R & PATRICIA PURDY. +` 168 Grand Avenue, Orov it le5 f /� l F ' Contr : d Burl; Magalia • Permit#2 8-84P,E (util , MR) �,tELEC ' t I GAS COMPACTION TEST SUPPORT STRUCT RE 0•/ d7 30-,11-66 Contr :, mond Gilbert Burl, Magalia Per 2001-84M ', m E . I " f 1 � } I y �I • l � -2218=84R,; E (MH) PERMIT NO. PERMIT EXPIRES OWNER nORIM19 RONALD & PATRICIA PURDY CONTR.. Edmond Gilbert Burl, Magalia ASSESSOR PARCEL 30-11-66 r , LOCATION 1687 Grand Avenue, Oroville O FICE COP,)t ' Andress „x i 1 GAS' D� ac•' , Meter, ' ELECTRYC' ; ,r a e 'Meter r Temp. Power Pole Called PG&E Temp. Elec. Service w Called PG&E A k� Temp. Gas Service t. Called PG&E JOB FINALED (Date) r Signatur J = 'OK 0 = Not Ok = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (P045) OK except #'s oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 2fSe er; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracing ^-15fectricity; Location—Clearances—Grnd.—/g~ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. C BI Date Card -BI Date ? Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date '` MOBILEHWE INSTALLATION (Plans) OK except #'s oning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks—Easements v>Kootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining glectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Dr in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig. Boxes—Enc losures— Pane lboards— Ins. to Main in Conduit zits; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B -I ZP Date and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 11 f 13 4 +7r r V = OK 0 = Not OK - = Not Applicable RESIDENTIAL- (Sing,le and Duplex) - * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15, Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70.'Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71.1 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation- Foam- Looked in Attic E] Yes 73. Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27, Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive , ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Card B -I, Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except q's 81. 82. Ventilation throughout House Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39.Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng,-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number t;= " '�' for the following location: Owner Owner's Address Mobilehome Mfg. LModel Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Y41LN A 1 A PWI330 -IF'uo-.x i 11 1 i t r 1• !�+ t FI;II9tA3'fE�if)'.1'I `)j�� f1iS�r 3anf:Ir707J3 (a �'i:;lLiili_tti {;`.i;3(I EE :1 gfSlOf'.9ilUvStl 'Iii7 tiui-`Yq i9imu tZ avits'3J1!1.i:((C.bl, iSlninlzi8;} :r ({J �t) �__�._ _______._ :i�ai.t:>:I.)I �rai'rru�fa3 s��•1v7.._...__.._—_.�._.__._'yc�:nna ! ..__..__ ar:a•. _.._...r�.--- [si)a%? _.._._— ....-------..___...�#c:; s(aod:-1rrio'Y`, j 1 ; _.______.._._,._._.`-»_�.......__ .UYI Sli9:: �_� ________.._.�._.___..�..__._ •L'i'r: £'.Ii1�18Gt (r:FB iiR'Jf. U1 bacl :)F-.! f3 `.)VUtiiiad.1 ;F U9Ta5A ci tT Ali trr 7d Di (iu`? I -s V..4.0 - >:rti9 .t::lir>;:n: - wctiHY ,y�r„r,Q - �•Yiii`d'J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 'OWNER / PERMIT+ A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector.,! �! ''� ' -!-� •r-- > Date --,17--1 L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE (11 /1 D,-/ -;ZI r � yf OWNER / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspectorlt Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKs 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTI INN TICE OWNER � / � PERMWW A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this malp.9, additional explanation, please cog tact this office Immediately. Inspector DateC ��� COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, Californifi 95965 - Telephone 916/534-4541 APPLICATION AND 'PERMIT77 PERMIT NO. ASSESSOR PARCEL NUMBER ' p3v _/ , Q .,Q .� ZONI G 5 BUILDING PERMIT - I:2/ 4 I'MT<L f� u �� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4a= CONTRAC TOR'S.NAME r7 -i/ 494 d ey;7` rl r�i TELEPHONE 3 o QS" CONTRA C TOR J� MAILING ADDRESS /� 1r.2 5-.6 s-�lcxC✓ Gu,vdAa� �i ! ew- Fireplace CONSTRUCTION LENDER W UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS - - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ 14COD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ;TrS7 r e PLUMBING PERMIT Filin Fee ,o.00 9 Each Trap 2.00 Solar Water Heater 20.QO 9N 4 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome e Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK � New ❑ Addition ❑ Remodel [:1Uti lit'Installation R /' Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): M -"'I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y _2? License No.�Y�-�'%f �- Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCHCIRCUITS) NEW CONSTR. POWER APPARATUS &) NON-RESID. ( SINGLE OUTLET CIR. 2oea0c TS OR FIXTURES E L®300 Ex. OCCUp(OUTLFIXED PR Ex. OCCUp. OUTLETS IRESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation p@rmit Fee $ Contractor 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 COuntyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue of this permit. Ad against said County in con quenc�EW" X ��� Date Signature 'of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobil Home Installation Fee $ S", b 0 S a TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I V [PARCEL f/ P, 1 ND ISSUE, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC BY PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS � Date oo�� Receipt NO. a[ A WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 84-251-180 FOR RESIDENTIAL DEVELOPMENT ;iFF!CiAI. Section 26-8:1 of the Butte County Code requires this acknowledgement: --F C-UNTY--:.ut.1- be recorded prior to issuance of a building permit.RTY SlMOwN The property described herein is adjacent to land or'included JUL 13 3 39 `'F:`n:' within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising fry r�'!'`�'`.�`; I' I the use of agricultural chemicals, including, but not limited to herbF#Eidea;1pedii and fertilizers; and from the pursuit of agricultural operations including, but not mited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described F as follows: BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 2,SAID mORTHEAST CORNER BEING A POINT IN THE SOUTH LINE OF GRAND AVENUE AS SHOWN -ON SA_1_I1 MAP OF- THERMA- LITO; THENCE ALONG THE SOUTH LINE OF SAID GRAND AVFNIjF-, SOUTH 82 -700', -.WEST, 67 FEET THENCE SOUTH AND PARALLEL WITH THE EAST LINE OF SAID LOT 2, A DISTANCE OF 87 FEETV THENCE PARALLEL WITH THE SOUTH LINE OF GRAND AVENUE, NORTH 82`' 00 EAST,., 67 FEET TCS THE EAST LINE OF SAID LOT 2; THENCE ALONG SAID EAST LINE, 87 FEET TO THE POINT OF BEGINNING, , Date: 7/13/84. State c ) County of BUTTE ) PROPERTY OWNERS: SS. me, the Notary Public before nally appeared Notary Putlic Present A.P. No.6.6 Personally known to me. �9 Proved to me on the basis OFFICIAL SEAL ,L/ of satisfactory evidence. MAMA E. HUNZEKER to be the person(s) whose names) , S ubscribed to NOTARY PUBLIC - CALIFORNIA the within instrument and acknowledged that 5 e_ BUTTE COUNTY executed the same for the purposes therein contained. l¢J4 .P Mly Commission Expires July 17, 1995 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Putlic Present A.P. No.6.6 MOBILEHOME SUPPORT DATA • If other ,than single wide, Mobilehome Mfr. . f',►1/ a Su P �Sfurnish Setup Model No.6 �t� �l -i(i Year it 9 )Width (ft.) Box •Length�/jo (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified., •. - �• .... t Footings (check one) `Single .� + - '�.. �- -� - El 1'. Wood either. -� pressure treated or foundation grade.: .: (ft.)(in:) (in.) (in.) 2. Other: (specify) P,n�E A' W Center support � Center support /G" . (" locations* 1Z footing sizes Supporttso(check one) (in.) 1: Concrete block. 4! a Q E3 •2: Other. (specify) x3 4 (in.) (in.) 7 S F----Tagalong or Expando,.: r show support details. (in.) (in.) Typical Support (in. (in.) Footing Size (ft-)(in.) (in.) (in.) :ft.)(in -- Max. Pier Spacing ) - Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) 2-00144 BUTTE COUNTY BUILDING DEPARTMENT • i O A r ® 6e % . *If center piers are 'other than drawn .above, (?� draw in -locations, spacing,. and dimensions. i BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: fios✓Q. /a/,* /� �% � 2. Installer's name: Qd A.-,e'/X C4 ?11 3. Is the site currently under permit? Yet / / No / (If yes, furnish permit number ) OR Is the site an existing site? Yes / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacksand easements? Yes /1rr/ No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Q C Amps 6. What is the mobilehome site service rating? --------------------- 1 1 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps . 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the Load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?----------rr— �---------- 10. What is the type of gas service? -------------------- - Natural 7-7 LPG (�Z 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) • 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) .;COUNTY OF BUTTE - DEPARTMENT' Or PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANO 'PERMIT °PEPA.41/T NO. L' / ASSESSOR PARCEL NUMB ( /�D_ z01 b BUILDING PERMIT owN 'a TEEL}E–PH E` SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS CONT ACO •S ` TELEPHONE CON IRACTOR•S MAILI G AD RESS S`r- A Fireplace CONSTRUCTION LENOfrR JLQKNOW Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S BUILDING ADD 1S,, 7 g )_OM Ct , I V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rD Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e L 100 TYPE OF WORK / New ❑ Addition ❑ Remodel ElUtilities [� Installation ❑ Other ❑ Describe work: — A4A41-1 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1°o°o AMP V OR ORSLESS 10.00 0,00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered r sale. (Sec. 7044) • I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET 2,50 ea N N.ESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20950c FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliIents, costs, and expenses which may in any way accrue agai n cons u e the gr ting of this permit. 77out X _� a _g-�/ r-I Date Signature of Applicant — Owner L;— Lantr r ❑ Agent ❑ An OSHA permit is required for excavations ov 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �..- occuP. GROUP I TYPE OF CONST. PARCEL PD I ND 1;;Pf This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERLVT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /-17P"I Receipt No. eL'Sv2 i0 % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD APPLICANT TNERMALITO IRRIGATJON DISTRICT .410 Gr<AIVD AVENUE •�" OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1 ;r'7 r'rs 1r. avpntl^ Owner's Name: Piirri-v, rmnalr, Date: Address: 1r,97 r.rnnol A1sr,nit,N Acct. No: `t''•~ r- �n n Phone: 533-6.827 No. Units: 1- Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ . r Arrearage Preliminary Review By: Date: CSA 26 Remarks: Tri: natio-i ^r-r.-ti.t nitly SC-OR -)I,:Cr-4 uto'allz, r3:..t q.1 ,._zi W f;.`1tj 3 t' 1st mo. S.C. 11001t—w-) n lr1 a rT.ti L ;'? : a Other Total Fees .' 8 Collected By: Date: Field Review By: Date: Remarks: ti MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID MOBILE HOME MUST f t BEAD H.U.©. LASE•1: •',y ,. ' /7 S yU )tility connections shall be within I ft. of the mobilehome, either 3irectly behind or within the roat half of the roadside (left) of th% mobilehome. r ar9M.a.wW.w.b.Prt �..ir a•w.w.:. .+..ua ` r .BUTTE• COUNTY •S01LDING WEPARTMENT 0 V E® x vt GRAND At ecifications MUST be ��, ,, � sAiI,1 e ; tSk VU {km nship Shall,Be in k on the job at all times and it is unlawful to - '' F, •','. gnize oo ractices and f a ��'' ° `' f6rithe.Spe m� ke any changes or alterations on same with- �> ° rl ' ; " r � �; c, ' fied use in. the Unifor»a'.I�J�`�,`pjttE�ing'& from the Department of Mechanical.Cod� ou written permission , I 71d theat tt'Icc� C, �nf RI rffra adr. �---Pu �•,t Iii -bee- C., Qw i -� Y RONA1L " S AT R1 SIA PO0Y -16&7 GR •AVE . a Ra1V LL...,, .� .,/ Y�.h,l .4 .` 11f•'. '. F� qir"dY w•'D .e.,•i .� 'Ip. rr{.i t' + rid �?C EL . •�0 � 0 � I I� 0=��6 6 �- 0 . A setback of 5 ft. from the > x property lines and a setback perniir vtiA be req lred for the. of 50ft. from the road 8/ ` ' � ';r�i$tl`���'�:• ��` �i' 'i'��n �.n e.�.^!•'+; ,`F1�'lf�Ja �. shall be clear of f centerline structures or equipment except } For 8 2 ft. eave.overhana, MOBILE HOME MUST f t BEAD H.U.©. LASE•1: •',y ,. ' /7 S yU )tility connections shall be within I ft. of the mobilehome, either 3irectly behind or within the roat half of the roadside (left) of th% mobilehome. r ar9M.a.wW.w.b.Prt �..ir a•w.w.:. .+..ua ` r .BUTTE• COUNTY •S01LDING WEPARTMENT 0 V E®