HomeMy WebLinkAbout030-140-037/ 30-14-37
INC.
X1329 Euclid Ave., lot 5 & 6, Oroville o
Permit #2539-80B,P,E,M(new single'
• family)
30-14-37
MIKE & TRACY BRITTON +_ 4WIIContr: Servamatic Solar
Permit #481-84P(solar water heater/SF)
L
0
Permit#481-84P
1
Mike Britton
1329 Euclid, Oro
I f (I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATJ)JN AND PERMIT
PERMIT NO.
r�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER'
_
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
7
CONTRACTOR'S NAME
'1. i/.I,) ■ r it -_ .�� �h� ! _%�-i� t
TELEPHONE
i,fJ •I�
CONTRACTOR'S MAILING ADDRESS
''Fireplace
i7 �%1 !� Ui
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00 ('
t
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 ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑
Describe work: l ' 1 �� - ��- —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS, l ACC. BLDGS.
1
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Ines$
and Professions Code and my license is in full force and effect.
License No. ' �i 4. 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 MULTI -CUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &')
NON -RESID.. SINGLE OUTLET CIR. /
Ex. Occup\OUTLETS OR FIXTURES 9A 030
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) 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.
a 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.
❑ I 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 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
against said County in consequence of the granting of this permit.
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.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.—/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
N COUNTY OF BUTTE - DEPARTMENT OF .PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0,
ASSESSOR PARCEL UMBER ZONING
�50--i 3
BUILDING PERMIT
OWNER 'f��( `/ PHONE
741 C v' "� V
SQ. FT. OCC, BUILDING VALUATION
OWNE'R'S AIL NG ADDRESS
CONTRA OR's NAME � � TELE PHONE4,0A r /
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD NG ADD ESS Ute' 14'iJ�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00 O, d30
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
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litiesS4 Installation ❑ Other ❑
Describe work: gnj_&& u 9.k.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
1
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�,�!
`CJ 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.
C36
License No. Classification V
❑ I, as the owner, or rr4 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 BRANCH CIRC ITS
NEW CONSTFL POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
20@50e
Ex. Occup(o Ts OR FIXTURES BAL®30
FIXED
FIXED APPLES, OR
EX. OCCUp. OUTLETS (RESID.) EAJ 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.
F-,L/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.
❑ I 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 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
again t id County i consequence of the granting of this permit.
XZ - ��— `��
Date
Signatur f 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.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �5Q, ab
OCCUP, GROUP
I TYPE OF CONST.
I
PARCEL
PD
I HD
5911E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT _IBES Date_ G/-�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date2
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTF, -.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT
•
ASSESSOR PARCEL NUMBER
ZONIN
,s
BUILDING PER I
OWNER SGC I
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILINNGG �ADDRESS
�//
Z,470" /� int A0
cow, c, C)
CO TRACT R'S NAME
-..ea cv,
TELEPHONE
CONTRACTOR'S AI LING
nn ADDRESSOr
CONSTRUCTION LENDER
f�—
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
�—
Permit Fee
pp
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ CJ
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ c ��
BUILDING ADDRESS
40
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00 C90
Repair drainage or vent piping
2.00
Water piping
zedO
LO NO.
SUBDIVIS ON NAME7
6_1
(
PARCEL MAP
Each qas water heater or vent
2.00 ri QV
Gas piping system 1 -5 outlets
Z,00
USE OF STRUCTURE
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Building sewer
icg0
Lawn sprinkler system
2.00
TYPE OF WORK
New g] Addition [I Remodel El Utilities❑ Installation❑ Other ❑
Describe work: —
Permit Fee
$ O t"JQ
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
•
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLIN &
OR ADDNS. ACC, BL ) 20 sq ft t V
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 orce and effect.
License No. 3 3 G I D 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)
ElI, 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. MULTI.OUTLET 2,50 ea
NON.RESID, BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS &
NON-RESID, SINGLE OUTLET CIR. )
so @ ac ,
BAL�10Q
Ex. Occup(OUTLETS OR FIXTURESFIXED
Ex. Occup.(OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ 0
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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.
❑ I 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
the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating B0ck,1 V
400
ffel
Cooling e
Hood
2.00 ZOO
Ventilation
permit Fee
$ 00to
Contractor
I certify that I have read this application and41 . state that the above information
is correct. I agree to comply to all County OFdinances 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 penses which may in any way accrue
ag inst said County in consequQgce he granting of this permit.
X !�� Date<� 9 ��
S nature 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.
Mobile Home Installation Fee $
Land Development Fee $ Z,5�0�
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
,�/
'V
PARC
PD
HD 155UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�7— FsD
S ---Z7-;?
Receipt No. 37,4=0w-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
j i:OUNTY OF'BUTTE'
DEPARTMENT OF PUBLIC WORKS
` 695 Oleander Avenue, Chit* — Phone 343-4211, Ext. 70
1 7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
-v c9
BUILDING OR PROPERTY ADDRESS
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
atter, or need additional explanation, please contact this office immediately.
n .el n n A
Inspector Date "` %CLQ
1
)(dash) — = OK
0 - but OK
X = Not Applicabhe' RESIDEWIAL (Single and Duplex)
(blank) = Not dealt with yet
)ate UNDE FLOOR PI s OK axe t N's
Date FRAMING Continued
*::Zoning requirements -Setbacks -Easements
48. Properly Line Firewall & Openings
Ftg., Main; Soils-5leal-Elec. Grnd.- ' Fig. Depth
. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Fig., Garage; Soils -Steal- " Ft9. Depth
50. Stairs; Width-Headroom-Rise-Run-Landing-Fi(e Protection
•4. Ftg., Porches & Dacks; Soils-Sleel- " Ftg. Dapth r,
temvralls, Main; Steel-Blockouts-Wrapped-Slab
Garage; Steel-8loekouis-Wrapped-Slab
1. Plywood on Root Overhang -Attic Access -Rafter Oulriggers
52. Siding -Nailing -Veneer
53. Stucco Mash -Drip Screed-Fdn. Vents-Undertlr. Access
15;Stemwaiis,
F rs- -Steal
x--34 Glazing Area -Glass Protection -Skylights -Plastic
60"D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
' '7 . Sheaf Walls: Nailing-BOR3
Q. Pias Pipe; Size--Anctwrs
1 Water Pipe; Test-Anchors-Regulator-Seryice Test
44, -Electric: Underground
#t•r Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolls -Joists -Vents -Cripples
Card -BI Cft Date -/g - Card -BI Date
Card -81 Date Card -BI Date
Card -BI Date Card -BI Date
s
BI Oata�, ' Card -BI Date
Date FINN,(Plans) OK except p's
;ard-81 Date L Card -BI Dale t•
)ate PLUM81NG (Permit) OK except q's
. Ex Ceps-Ooor & Sidelight Protection -Landings
----------597
S . Sm ke Detector
14. Water Ht.; Ven( -Access -Combustion Air
5 . urnace; Vents -Clearance -Comb. Air -Connector -
---oor-Ducts-Mach. Protection
mom Exiting T =i
i. Water Pie; Th&e% Anchors -Nail Proibctlon
1- 18. D.WV--Te%1-Fl & Anchors -Nall Protection
17. Shower Pan; Test, First Floor -Tub Access
07- G. .I. & Bath Fixtures & Tub Access i
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Su'panel; Breaker Sizes -Labels
19. Gas PJW, Size & An%Aees
Vi2`51airs & Rails
.13 -fireplace or Slovo; Clearance* -Hearth
;ard-BI Date Card -BI Data
;ard-BIOate Card -81 Data
44r --Flet. Outlets at Wood Panel: Int. & Ext. 4
ih, lfftFi.t. & Appliance; Grnd. ookin Clearance
lec. Outlets & Receptacles at Kit. Counter
)ate ELECTRICAL (Permit) OK except k's
4W -Garage Fire Door; Swing -landing -Closer
.6"A.0 Duct in Gara a -Dame
G26. Fixture & Transformer Clearance -Ins. Protection
!v. Htr.; Vents -Clearance -Comb. Alt-Connector-P.R.V.-
VO Floor-Mech. Floor-htech. Protection
- 1. lac. Receptacles Spacing-Li;hts & Switches at Doors
7•, I 'Elec. & klech. Equi . Listed for Location
. Size Boxes & No. of Conductors -Stapled
Elec. Receptacles n Garage; (G.F.I. -Rom! Protec.
I o
- 23. Romex Installed Close to Edge of Studs & C.J.
7 sulatlon-Foam-Looked in Attic es
-guard flails & eck Cons tion -Post Cz s
Equip. Ground made up w/PAech. Fasteners -Bond Gas & Water
25. 2 Appliance Circuits in Kitchen &Conductor Size
s & Craw ole Oo ra s &flood- rt Clearance
Looked
Looked under Floor es
_ �tB.xSubleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
3TR•e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
- Insulated Neutral ❑Yes ❑No
7 ollowing insild.: Drives C] No: Walks es ❑ No;
Plan s Dyes o; Creatin Dru . Problems ❑ Yes 4-j![o
28: Service -Riser Conductors & Ground -Main Disconnecttuc
-29 _E uip:-,Clearances; Panels -Motors -Meeh. Equip.
, Brown -Finish
.0 Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
39-C.lothes Closet Light -Shower Light
7 encs Above Roof; Plbg.-Appliance--Firepl.-Clearance to Opng3.
R?9.. Wate Well; Disconnect, Electrical, Plumbing
ard B•I Data Card 81 Datero
W ?-/fr;.
xterior Elac. Trim; G.F.I. Receptacle-Urdem_und
4 -Ventilation throughout House
ard B-1 % Date. Card -BI Dateder-IML-ass
Protection
ate MECHANICAL (Permit) OK except q's
=v1. A.C. Ducts; Insulation & Support
C ctions from Previous Inspections
Gas Test -Meters Tagged; Gas-Eleclrlc
_
8 a "Sewer Connected -C/O to Grade -HD Approval
_ 32. Vent Fan; Exhaust above Insulation
nergy Compliance Certificate --Ocher Certificates
o ensate Drain & Overflow; Size R Grade
4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlat
35. Attic Access & Platform II Furnish In Attic
ard-BI Date Card -131 Date
ard•8I 'Data 9f^ Card BI Oate
Card -BI Data 00, Card -BI Date
Card-84'Date Card -BI Date
Card -81 Date Card -81 Dats
ate FRAMING(Pl3ns) OK except p's
�@-Sills; Proper Material & Anchors _
Comments at Final:
�J7172115: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing 1'ralls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40. Fire Stops: Furred Ceilings -Chases Tub _
41. Header &_Beam-Siza & Bearing
X4 2. tianoars-Post Caps -Anchors -Connectors
Clag. Joist-Rftr. Ties-Purling-Rnot _Brac.-Truss-Shihng.-Ring.
41. Fireplace Ties or Type - -_ ace Throat ---
L 45. Attic Access; Si<e Rome.e f roteclion raft Stop- ns. Baflals
Bdrn. Windows or Exiling oors-Sill Hgt. & Oimensicn
47. Gartge Fire Protection Framing
I
COUNTY TTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDI G ( ont'd) PLUMBING
Setback Firewall Soil Piping Z G4:�)
Forms Parapets A 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 4e-,2,1,e�C40 3rd Floor
StemwalI to / = Sidina T000ut f-
-Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents n4/
Insulation
Water Htr.
Heaters de v
Slab
Carport
Footings
Prov. for phys al y
handicapped
Conformance of ex.
s re
N A
Appliances
Gas Piping&Test
Temp. Gas
Slab
Patio
In
YfRWLACE
ti
Final
Footings
Footing
ELE T CAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPJ34NKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh '"L - C, -v
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish Y> 11,91VI
1 Ducts ff -::Z /-9-0
c. _
Underaround
Door Closer I in l 14 Final /zdg�jca.l
MOBILEHOME UTILITIES ------------------ Elec. Srrvice Fec. Pedestal
Water Piping Sewer Gas Piping
M08I EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS '
; *7�
e
7/z
(NOTE: An entry must be made on this form each time you visit the job site.)
W.:S MI'liT JAI,
FNF:W:',' C(),'.'!.;I'I:VA'C'Io;j '_'I.'A'lDAIID()
(.01,1PLIANCE ci.j\"r n., ICATI7.
";AWS 'i.'() CERTU'll EINFRGY C( W)ERVIt'HON REQUIR1.71ENTS UWE BEFN
IN U'' L'1'11 CHIM'ENT VNI-AWY CONS ERVAl'toll REGULATIONS
.... ..... Fan&
(location)
A.P. NO.
TIll' ):'0I.1.(),%lTN(; IIAVF BEEN INSTALLED AS PER APPROVED PLANS:
(Chcck cach item or wtitu NIA if not jppjic:jj)je)
P";I;LATION :
:;I.Ill —NA—
F I u,
Ir,/ Roo
NA
NA
GLAZOG:
!; i.; I I " I (! C 1.1;,. 0 d
Special ( I'll!:t1l atell)
CERT. & L.A111-:1.1-:1) WDS.
SLIDING DICS,
DRS. NA
BACK DAHITI-'I'D NA
NA
I 'I , 'HAT ALL, IWOUTRED ITUIS A") Mol'I'D APOVF. IIAV17 BEEN TINSTA1.1,H)
IN WITH THE' EI'll-AWY CWMERVAT1011 I\I-:t1I.JTI\FHFlJTS AND TO
OF TIHS M'RTIFICATE AS �;IJBMTTFD.
III -11:11J111, Appl ic.-ttor Nanw..aw ria - insu i_QD_Q Jnc.
lat
(plea:;o print)
State Contractors
I-ic(•lls(% No. --378407
cuncr,al contraccor/(Mier N.Tne-7,-61 -
Sji"11:1tllrc 'of (plc;
rint)
2
GI.-i-wi-il. ContracLor/owiler Date ZL 3DB
S t , i L c Contractor-
I.ircnsc
ontractor-
I.icense No. 3_Z&
1;!:'.T TF ON FILE WMI THE Bill- .DING DETAWITIFNT TH
N.::-;I,I,.,c'rrwN AND SHALL IJ: IN A CONSPIUIIOWI: 10CATIM.,
2539-8-OB JYP E,M
PERMIT NO.
PERMIT EXPIRES
QWNER T M T. _ , INC _
owner,
CONTR.
LOCATION (A.P. 30-14-37
1329 Euclid Ave., lot 5 & 6, Oroville`
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THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE S ?►' DZ,
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740 '
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
r
Service Address:
Owner's Name:
Date:
��✓ =Acct. No:
Address: ` `' :-; 'IL � r• a,/�4
`
A.P. No. -7
Phone:r
No. Units:
Applicant/Agent:
Agents Proof: A/
Address:
Fees:
Phone:
Application $
F
Arrearage
Preliminary Review By:— Date: �+" •` `�
CSA 26
Remarks: 6 5COR Reaional Facilitv Charan and CSAf26
SC -OR
Connection Charge to be due and payahl.e prior
1st mo. S.C.
to connection to the sewer collector system.
Other
Charge to be amount in Affect at time of
connection to the system.
Total Fees
Collected By:
Date:
Field Review By: Date:
Remarks:
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
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
` OROVILLE, 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 26
Remarks: ��. ,,
SC -0 R
1st mo. S.C.
Other
Total Fees
Collected By:
Date:
Field Review By: Date:
Remarks:
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
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