HomeMy WebLinkAbout030-140-02204--
-2-2
AP 30-14-
e1PURVIS, Leroy
Edward P. Long 5253B
1221 Feather Ave., Oroville 4056P
(GENERAL REMODELING W/O PERMITS 50jQ9----5O28'M0
5/1/81) -14-22
1221,Feather Ave., Thermalito
CONTR: Harmony Builders, P.O. Box 578,Orovj'-a-!
.030�140-022 PERMIf#94-�6'18-
FERkKRA,�bWARD *CONTR: Aexton & Gipe, Oroville
1,221 FEATfiER'AVE.,.OR"OVILLE
RETAG ELE SER/SF
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030-140-022 PERMIT#94-2618,�1221 FEATHER -AVE., OROVILLE
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5382L_111"� PERMIT NO.
APPLICATION AND PERMIT �9q -,:? & i &__
ASSESSOR PARCEL NUMBER
030-140-022
ZONING
#-UILDING PERMIT
OWNER
FWARD MREIRA
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
-%9-1185
OWN ER'S M A ESS
175 DR., OROVILM, CA 95966
CONTRACTOR'S NAME
UAM
TELEPHONE
I
—
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1221 FEATHER AVE., OROVILM
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF:b Duplex Q Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation El Other 11
Describe WorkV�I�IC SMICE TAG
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 111V I" LESS
ODA OR LESS
23.00 23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
3.50 ST0.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 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 compensation, will do
;he work, and the structure is not intended or offered for sale. (Sec 7044)
*A1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
-1 am exemptunder Sec. Business and Professions Code
forthis reason Ij CwAq?�Z:
NEW.CONST. MULTI -OUTLET
NON RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
FIXED A PLNS. OR
Ex. Occup. OUTLETS PRESID.) EA.
5.00
---
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
1 1
—J -43-.W
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person inanymannerso asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE'
Contractor
I certify that I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
1 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 against said
County in consequence of the granting of this permit.
– 7
X 7_44� � - Date
Sign . . it - M Owner 'Q Contract�r__QAg�_nt
An OSHA permit is required for 6x'�avations over 5"04 deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee -7s
Energy Inspection Fee
C
CONST- TYPE I
TOTAL FEE $
HAZ.
1 0. FEES
I IMP
I FLOOD
71
PD
HD
ISSUY
1Z
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated-oove for,which fees have 44W�aid.
JJJ�w V1% Date 9/19/94
- , N —
PERMITEXPIRESON �Zq &S
tDare) r . . r �
Receipt No. 167744
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTIOR,- GOLDENROD;APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS!109N� PE T NO.
7 County Center Drive - Oroville, Califor-nia...95,965 - Telephone (916) 538-754
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-140-022
ZONING
9UILDING PERMIT
OWNER
EDWARD FERREIRA
TELEPHONE
589-1185
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILINGrADDRESS
175 SOANA DR., OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LENDER
NONE
UN KNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
PermitFee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1991 FEATHER AVE., OROVILTE
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
DIVISION'S NAME
1
PARCEL MAP
1
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF )b Duplex 0 Mobilehome Q Other
SPECIry
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
20.00
TYPE OF WORK
New Q Addition 0 Remodel Q Utilities 0 Installation El Other CX
Describe WorkELECTRIC SERVICE TAG
PERMIT FIFE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service "OV ORR LESS
200A 0 LESS
23-00 23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8, ACC. BLDS.
0.
3.50 sT._
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I as the owner, or my employees with wages as their sole compensation, will do
;he work, and the structure is not intended or offered for sale. (Sec 7044)
Ak1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
I am exempt under Sec. Business and Professions Code
irthis reason J5 WAF�=
NEW CONST. MIJILTI-OUTUET
.NON.RESID. BRANCH CIRCUITS
@7.50
0 ER APPARA US
rSIW.GLE UTLETTCIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1 -00
BAL. @ .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION I SURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Ishall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of I Butte to
entes 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 against said
County in consequence of the granting of this permit.
X 24A.C;:d :&:t6e� Date
Signature of Applicant - (?E Owner 0 Contractor 5 --Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
ONST. TY
C PE
TOTAL FEE $
HAZ-
I D. FEES
IMP
I FLOOD
I COF
I PARCEL PO]
HD
SS
2
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or R ol" ns to do work
I
indicate ove for which;qes have� -lid.
B71.&% Ze&&Date 9/19/94
PERMIT EXPIRES ON L?/)9
(Date) I .
11
Receipt No. 167744
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT
1
COUNTY OF BUTTE
ftartment of Dewel ent Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no)
2. 1 (have/have not) 0 C signed an application for a building permit for the proposed work.
0
I have contracted with the following person (firm) to provide the proposed construction:
Name
Address city
Phone Contractor's License No.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address city
Phone Contractor's License No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSIT7?7!R ). y �0 01
ZONING
BUILDING PERMIT
OWN
4rA J& yr 1A Y, r e rcL—
TELEPHONE
'U_
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAJLING APOR.
,:�e Z 9 7-
CONTROR'SNAME
ttJ rl. 61 y—
TELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUIC310N�ENDER
_-,U0P7-e__
UNKNOWN
Total Valuation $
LENDEWS MAILING ADDRESS -
Filing Fee $
20.00
Permit Fee $
ARCHI�R EPGINEER
za Y7
NO.
Plan Checking Fee S
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
DRESS
BUILDING AD AV
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
0
Solar or heat pump water heater
23.00
LOT NO.
SUBDIN(ISION'S NAME
I
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF/T Duplex 0 Mobilehome Q Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition Q Remodel 0 Utilities a Ins alla 13 Other
DescribeWork: y tj I e 7�,
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
V
Main Service 600V OR LISS
200A OR LESS 1
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. 8, ACC.BLOSU
3. 5 0 ST'.
NEW CONST. B MULTIwOUTLET
NON-RESID. RANCH CIRCUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
* I am a licensed under provisions of Chapter 9, Division 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 compensation, will do'
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS
1 & SINGLE OUTLET CIR, 1
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
AL. La .50
Ex. Occup. DFIXED APPLNS. OR
_UTLETS (RESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
+_
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
C1 This permit is for $ 100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Ishall not employ any person in any manner so asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
41, 77 1
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
—
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequeno of the granting of this permit.
X Date
Signature of Applicant-% Owner El Contractor 0 Agent
An OSHA permit is required for excavations over 5"0* deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TY PE I
TOTAL FEE $ 2/4 (9 6?
7 ; --) -
AZ.
1 0. FEES
I IMP
I FLOOD
I COFT
PARCEL I PO
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.
By —Date—
PERMIT EXPIRES ON
[Race. N D. 7 7
w., T E� tD .0 S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD-APPLICANT
VIOLATION CHECK LIST
A. P. #
Address
Owner
Owner's Addre ss
Owner's Phone NO. Supervi.soral District
Tenant's Name Phone No_.'
Type:of Violation in Detail with Code Section Priority No.
Specific Plot Plan with C/V Noted --Yes no Penalties Required
.1st. Notice Sent _,2 a2 2nd-. 'No'tice Sent
(DateT '(D te)/
a
Comments and/or Determination
Disposition For Citation Citation
(DYt—e—) (Date)
Department Recommendation.to Court
Court Action
Notice of Violation Recorded
(Date)
M
M
-4
C
M
rn
n
�n
q
-4
M
3
M
or,
C
rfl
(D SENDER; Compleis iterns 1, 2, and 3.
Add your address in the -RETURN TO" space on
reverse.
I The f0lowing servite is. requ�sted (check oqe.)'.:;'
L2rSho�v to whom and date delivered ......... �..
0 Show to.whom, date and address df deliverk...
0 RESTRIC-FE6DEUVERY
Show. to whom and dAte delivered ......... 4'
0 RESTRICTED DELIVERY.
Show to whom, date, and address of delivery..
(CqNSULTPOSTMASTE--, FOR FEES)
2. ARTICLE ADDIiESSED TO:
Edw.Paul Long
1132'Montgamery S
�Oroville 95965
3. ARTICLE DESCRIPTION:
REGISTER iD NO. CERTIFIED N?. WSU 0/
0 685389 -
(Always obtain signature of Pddressee`br.aqDbt),,, ji
I have received the arti-Je de *bed above. Y,
SIGNATURE ddre u age
4.
DATE OF DrLIVERY
S. ADDRESS (Complew only if mquested)
6. UNABLE TOMELIVER BECAUSE:
E 'S -
12N AT 'Irt S
30-14-22 GPO.: 1979-300-459
UNITED STATES Is EIRVICE
I .
FFICIA � ESS N
0 747Eq � e%
Print your name, address, aiplm, , - �C' 11
in %�thjeace below. M=MAIL
8 1 �MWD
• complete items 1'Z 8 Verse,
• Attach to f ront of 1s;lgMFif1Pbce perm jts,
otherwise off ix to back—ol article.
• Endorse article "Return Receipt Requested"
adjacent to number.
IRIl
RETURN
CO
Cq
TO
-junty of Butte
OX9M of Serf�#)
Dept. of Public Wor C.5
A
C:)
U3
7 County Center Dr' Lki
—
Oroville, California — -c
(Street or P.O. Bag
-.1.
b*
is
95965
(City, State, and ZIP Code)
ATTN: Bldg.Dept.
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Wpping
Land 0 e� v.
Ref. bisp.
.Drng. S. I.
Sub. & PcI. Map
ermits
P,0 -6
Q B S 3 8
RECEIPT FORCERTIF IEL,.iAlL
NO MURA NCE 00WR' 6E 6 DJEO—'
NOT FOR INTERNOIONALMAIL,'�
T5ee 13everSe)
r
SENTTO 7
Diu. PaiA .1'Ofi
ST-1-1EET AND NO.:�'
11,32 -montgoinery,.St_�.:,,
�P.O. STATE AND ZIP CODE
broVille
POSTAGE,
$
CERTIFIED.FEE
SPECIA LDELIVERY
RESTRICTECI-D�Lt\�ERY
cc
03
SHOW TO WHOM AND
DATE'DELIVERED�
SHOW TO WHOM. DATE.
E
CM,
I?
AND ADDRESS:OF
:C3
DELIVERY,�
'CL
z
SHOWTO WHOM AND 0
DELIVERED -WITH -RESTRICTED
C
C4
z
DELIVERY,:.
�cj
DATE AND
ADDRESS OF DELIVERY WITH
RESTRICTED DELIVERY
TOTAL POSTAGE AND FEEP,
$
L
1;5STIVIA�Ftl< OF!.DATE
30-14�-22
1p�- -�S- wt-,�
CERTIFIED MAIL
Edward Paul 1,ong
1132 Montgomery St.
Oroville, CA,, 95965
Dear Mr. Long.
countu
LAND 'OF NATURAL WEALTH AN D B EAU TY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILCE, CALIFORNIA 95965
Teleohone: (916) 534�4541
H. W. McDONALD
Deputy Direct�r
Novemb-cr 20, J981
RE: Permits and p ions
(AP NO. 30-143-Ict
With reference to the above subject, on Sept. 22, 1981, we wrote you a letter
requesting that you obtain the required permits and the required inspections from
this office for the work you have done as follows:
On your property at 1121 7caither Avenue. in Oroville,, you art doing rediodeling -, lvl-
ipeluding removal and,replacement of windowaind theinstallation of an air
conditioning unit.
Penalty fees will also be due.
Since both P�rmits and inspections are required by both State and County laws,
unless you have obtained the;required permits and made arrangements for the requir.e.'d
inspections within ten (10) days of the date you receive this letter, the matter will.,.
be referred to the proper authorities for appropriate action.
Should you have any questions concerning this matter, please contact us.
Yours very truly,
Clay Castleb&rry
Director of Public Works
J.F. Glander
JFG:dd Chief Building Inspector
cc: Building Inspector , Oroville
Assessor
f�
He No.
TTE &OUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information
Director
'r.
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
'Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng../ S.I.
Sub. & PcI. Maps
Permits
t
,0
Aie
....... Suite, cou/i
L A N D Of NAT U RAA W EA LTH A N D BEAUTY
DEPARTMENT OF PUBLIC WORki - -----------
CLAY CASTLEBERRY, Director.
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telenhone: (916) 534-4541.
H. W. McDONALD
Deputy Director
'S fte, dr .22, 1981
ep mshb
Qw�kd.-,Paul Lon
RE: Building Permit
113Z 14plitsweV7 Ste A.P. J� 30-14-22
Dti.ki Mr., Long;
With reference to the above subject, we have been advised by ofie.of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
-6 doing.
00 Your, property -.t 1221 Fed.ther Avenue' in Omiliefs, ai
M%
twodeling itcluding remwal and replacement of windws, and the
:Wtallation of an 41T conditioning unit.
Since permits and inspections a:re required by both State and County laws, please
contact this office within ten '(10) days of the date' of this letter, submit.two',(2)
complete.sets of pla s apply for the required permits, and pay ttie",appropriate
J41Hding &
fees%
Alli�work must stop until -
you obtain these permits and are authorized by our'field
inspector to proceed. This field authorization cannot be,made until.the existing. -
'work is inspected and approved.$
Your -cooperation in resolving this matter would certainly be appreciated. Should
you have any questions,concernin'g this matter, please contact.this
of fice.
Yours very truly,..
Clay Caitl�be:rry
Director of Public Works
J.F..Glander
JFG:dd
Chief. Btiilding Inspector
cla: Building: In6pectorl. (*0v
BUTTE COUNTY DEPARTMENT OF PUBLIC WOMS
CIDVrTAT TPj4Z'PVrTTnW RF.PnRT
Owner:
Address:'
Tenant: -
Y z
Building Location:
Type of Inspection requested:
A. P'A�'
0
.�,-7,44ate. of
1. Housing. 2. Financing 3. Change of Occupancy to
Z
4. other (specify) Az�
�01
Present use, of building: -
A . Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures: -
6.' Heating'facilities:
7. Natural light and ventilition:
8. Rom and space re . quirements:
9. Bedroom window or door for.second exit:
10. Infestation of insects, vermin, or rodents:
11. Connectior.' to sewage disposal:
12. Connection to wate-i-.supply:
13. Rubbish'and garbage facilities:
14. Comments:
B. St ctural
1. Piers -and footings:
2.- Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comients-
C. Electrical
1. Service ground:
2. Recepc�c is:
3. Fusing:
4. Comments,. -
D. Plumbk&
1. r-ixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4.. Cam ents:
E. Other
1. Maintenance and repair:
2., Fire hazards:.
3. -Safety hazards:'
'4. ' Weatl!er protection:
5'. !Juderf loop and attic venitilation:
6. Conuients:
F. Coutmercial Buildings
1. Rcof covering:_
2. Distance to property lines: -
3. Plrys,ically ha.ndicapped:
4. iftest"oom floors an�l walls:
5. Exits:
6. Improvements:
7. zorung:_.
8. Commeiit.-:�"
G. Field Problems r V _4 c I a i o n. s
1. Problem o.r violation nompleta description):
j/11 � t*,"- -
2. What action taken egi<e. complete -.Jescript
3. WH7.it action. recomm*ended:
_T7 A. "Knfonhiation only. -
TV --B"" Hold for tcn (10.) days, then wri-.-u lt�tter.
! /. r__ write letter.
7_7D. uther:
N
J.
5�15
THERMALITO IRRIGATION DISTRI(T
410 GRAND AVENUE
OROVI L LE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
Date:
Address:
Acct. No:
A. P. No.:
Phone:
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application
Arrearage
Preliminary Review By: Date:
CSA 2
Remarks:
SC -0 R
1st Mo. S.C.
Other
Total Fees
Collected By:
Date:
Field Review By:<
Remarks:
4
o 41
/:-6 C C ZI 7' -
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
El Date of TID approval of completed building sewer (early connection).
El 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 - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID