HomeMy WebLinkAbout030-182-0084
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3 -182
KENNY MCMAHON t-
1176 12th St., Thermalio
K,
Permit 4-br64 75P(install sewer
A
line/SF) •
182-1#8 13
30-
Stella M&MaKan
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1PERMI T NO. 5694-75P
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• � i s_
`MH UTIL.
i'PERMIT NO.
PERMIT EXPIRES 1115/76
OWNER KENNEY MCMAHON
CONTR. OWNER
LOCATION (A.P. 10-182-2 )
1176 12TH. ST., OROVILLE
T, _ V.
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Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ��—
Called PG&E
i
Temp. Gas Serv.
Called PG&E
i
JOB '
FINALED
(Date)
(Signature)
THENALITO IRRIGATION DISTRICT 0 069
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965'
. TELEPHONE 533-.0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 176 ZT4A ST
Owner's Name:C Date: Nov,57, G
Address: , �� lv T
�� Acct. No: 2-1 G3.�'�.
25V fl L-� QA q.67 6)A.P. No.: L�'- p 2— GZ
Phone: No. Units:
Applicant/Agent: STA Agents Proof:
Address: �C� &,A1ZVarJ RC ®
y k �,= CA CL IbS Fees:
Phone: - Application $
Arrearage
Preliminary Review ByDate: ;\%1 CSA 26
Remarks: / SC -OR
1st mo. S.C.
Other
Total Fees V00
Af 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 TIO
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
BUILDING INSPECTION RECORD
WORKS
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing .
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Pi Ing & Test -
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
,
✓ COUNTY
OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 % s�9'�j�- l 5—
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
rM Ti'�lO°WL2�''
BUILDING
SQ. FT. OCC. BUILDING VALUATION
(�
Fireplace
ContractorWI-414
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
Building Address J /7 b`Z, S
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
t
Each Trap 1.50
Repair drainage or vent piping
x1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 2 .— Z
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Vta&n
•Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA I Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
BI g—P?`MT-RLrc—d
Parcel Approval
Plans Approval
Permit Fee
$
ty
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
o
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home F]Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesb0 (d2
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp.. Power Pole 5.00
License'No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No•
@
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.
PERMIT FILING FEE
J$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
TOTAL PERMITTEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date;4&::�
Sign re off �Permitee or Agent
eceipt
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
CT R OF PUBLIC WORKS
By MDate�� •�'
MW�e�rt expires Date
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TOTAL I 16"T^T9
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OT.C. APPLICANT
RECEIPT
C":C' 6 DOC... -TS 1A.CC A.
m..s
1. ICCT SIGNS
OFFICIAL RECEIPT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
-,1 011'nt
3
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or
I:iA
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'24000
...yt!
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117
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OT.C. APPLICANT
RECEIPT
C":C' 6 DOC... -TS 1A.CC A.
m..s
1. ICCT SIGNS
OFFICIAL RECEIPT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
ISSUED
m
MAXINE MORRIS
1805 ELGIN ST. 533-6085
090"mil 7 19
X.
.0 V
-,1 011'nt
3
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5711210
'24000
ISSUED
m
MAXINE MORRIS
1805 ELGIN ST. 533-6085
090"mil 7 19
X.
.0 V
Oroville cxr sm.
2901 Oro Dam Boulevard
Orowlile CA 95965
'�13'3
2 0 I
23 'l
4.,
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RECEIVED FROM
09056
WE
-,1 011'nt
3
1123
r
or
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5711210
'24000
Oroville cxr sm.
2901 Oro Dam Boulevard
Orowlile CA 95965
'�13'3
2 0 I
23 'l
4.,
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RECEIVED FROM
09056
WE
-,1 011'nt
1123
5711210
Dollars
A -.1
,� /.pit,.._ �`� •:..�
x..
1 - DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 695 Oleander Avenue, -P.O. Box 1100 M 7 County Center Drive ❑ 747 Elliott Road
Replv to Chico, California 95927 Oroville, California 95965 Paradise, California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-29611 Ext. 58
July 30, 1981
Stella McMahan
1176 12th Street
Oroville, CA 95965
Dear Mrs. McMahan
This is to advise you that pursuant to Sectiori.19-19 of'the Butte
County Code, the Board of Supervisors has approved a variance to
Sections 19-10 and 19-12 of the Butte County Code for the placement of
a mobile home on your property located at .1176. 12th Street,
Oroville, CA and identified as Assessor's Parcel Number
This variance was granted on July 14, 1981 and includes the
following conditions
. The variance is granted only for a term of one year.. At the end
of one year you must apply for a new variance if the use is to continue.
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not. removed within 120 days, the County may remove
said mobile home and store it at the owner's expense.
3. The mobile home shall be placed on the property without.violating
any of the setback requirements of the zone in which the property is
located.
4. The applicant shall secure all necessary sewage disposal,:electrical,
plumbing and building permits necessary to install the mobile home.
Very truly yours,
Lynn_ E. Vanhart; Director
Division of Environmental: Health
LE-\T/11d
cc: Clerk of the Board
Planning Department
PBuilding Department
emwf*
10RUM
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OROVILLE, CALiFORNIA
GENERAL CLAIM
CLAIMANT: Kenny�'McMahan
ADDRESS: 1176 12th St.,
CITY & STATE: Oroville, CA 95965 IMPORTANT:
DATE OF CLAIM: February 24; 1982 SEE INSTRUCTIONSON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Not going.to install utilities for mobilehome. (MH utility permit
#1947-81P,E - Receipt ;'51094 -dated 5/27/81'- AP 30-182-2)
Total Fees Paid ------------$82,50
Retain plan check fee------ 10.00
Balance -------------------- $72.50
um lfo permit tee pas -------- $40.00
Retain filing fee--------------- $10.00
. 00
Elec
rical perwit fee paid --- $32.50
Retain filing fee--------------- 110.00
Amount of refttUd due
Total MH utility refund due ---------------------- $.52,50
Not going to move and install mobilehome.(Mobile-
ome i stallation. permit app n - MHI-
Receipt #51094 -dated 5/27/81 -AP 30-182-2)
MHI Permit Fee paid -------------$50.00
_
e
Amount of refund due --------------------- $40.00--$40.00
r
TOTAL REFUND DUE ------------------------ =---------- $92.50
$921
5C
TOTAL
:$92
5G
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been erformed or deli�ered that this
claim is true and correct as stated.
p�?,� ,,
Dated this ....................... day of ...........o�F(.rPI.. 19 et....��Y/.Ki'.?.k Calif.
atu�oi�lafimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles_ pecified above have been performed or de-
_
livered and that there is a Budget Appropriation❑ or Specific Board Approval❑ (Check one) for the same.
Dated this 24th ............. day of February �2 at Oroville Calif.
i..........................................................................._.....................
Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ..................................:........ ...PAYABLE FRO\4................................................................................,........... FUND .
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR,
CODE
_ ,,DEPTti, r
&`SUB.
pR*O�J
SUB,,,'
beJ.
-CLAIM-
N0.
INVOICE
N0,
-INVOICE.
w DATE
DISC.
GROSS
AMOUNT "
_. ENCU
SUB D'IS7:"
a
i PERMIT NO. 19+7-81P,E
l
PERMIT EXPIRES
OWNER Stella McMahan
CONTR.
owner
ASSESSOR PARCEL 30-182-2
I
LOCATION 1176 12th St., Oroville
i
t
l
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
I
i
JOB FINALED (Date)
Signature
V = OK
0 = Not -OK
= NbtApplicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements _
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / 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
7. Utility Clearance
7. Elec.
Card -Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector'
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and,Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., 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.
Ftg., 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
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
'
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date,
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting '
17. Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
164.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit)OK except N's
67.
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.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
74.
Guard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
25. 2 Appliance Circuits in Kitchen & Conductor Size
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
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 -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except k's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
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
Card -BI
Date Card -BI Date
Date Card -BI Date
_Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors
Comments at Final:
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_40.
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. _
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
_ -
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit
jobsite)
- r -
COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS JERMIT NO.
7 County Center Drive - Oroville, California 195965 - Telephone 916/534-45/6 8
APPLICATION AND,PERMIT
ASSESSOR PARC UM
50y�
ZON 11+
BUILDING PERMIT
OwVg��� / n A
T LE��OyE -
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAIL/' RIESS
T Q40�/� f �6�
(N7/AMME
CONTRAACTOR'S
0a/A/ 6-f
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Fee
$
ARCHITECT OR EN;Permit
ARCHITECT OR ENGI /
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR E GINEER'S MAILING ADDRESS
Permit fee
$
BUIL/t� DORESS�
// /
,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
67
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
Qf%
USE OF S.RUCTURE
SF ❑ Duplex❑ MobilehomeE—y Other
SPECIFY
Building sewer
�J
Lawn sprinkler system -
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑
Describe work:
Permit Fee
$ ,QD
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00 �Q()
Main service EA. ADD'L 100 AMP
2.50 2-11(v
NEW CONST. /DWELLING OCCUP.S
OR ADD NS.ACC. BLDGS. I
22sgfit
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 m license is in full force and effect.
Y
License No: 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)
R1, 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. I.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR./POWER APPARATUS 6�
NON-RESID, (SINGLE OUTLET CIR.
50@250
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.(OUT TLE TS P(RESID•IR EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 _O
Misc. Wiring 7.50
Permit Fee $ , �d
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.
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 shal I 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.
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 s ounty ise ce of the granting of this permit.
J �'�
ignature Ap cant - Owner ❑ Contractor ❑ Agent ❑
An 0 A permit is required for excavations over 5'0" deep and demolition or construct-
ion o structures over 3 stories in height.
Mobile Home Installation Fee $
/�
TOTAL PERMIT FEE $ 8Gr 50
OCCUP, GROUP
I TYPE OF CONST,
I PARCEL
t�
PD
I H;J
ISSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
Date
resolutions to do
fees have been paid.
WORKS
Date 7-
'7— 1 21'a"
Receipt No. .570
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE;:/916/534-4541
,TR PERMIT APPLICATION DATA SHEET
Permit No. i
OWNER S 7LL/ XG A. P (\.No.3D
Proposed Building Use
Permit Fee BasedUpon: Complete Contract Price DPW Valuation
` Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
. 2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
.Letter of signature authorization.
Sanitation approval from 7_/0 Health Dept
11.• Planning approval for (A) Use: (B) Parking:
12.' Certificate of Workmen's Compensation Insurance. . . . . .
�.- Contractor's License Information (no., name style/,' classif.)
Owner -Builder Verification (Given to ownerlJ�' Mail to owner ❑•) 2��
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . .. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
(Dote)
18. Other
When you issue the permit, process as follows: Mail to owner.
Mail to contractor.
Telephone and hold for pickup at office.
ther A1�¢/L TO : L'E/U�(/ y %V_ ti1ANDN o 3,o,</26 3 ,
Deliver w/inspector.
p�U(LGE�
J►
APP I ica Date
Copy of plans sent Health Dept., Fire Dept., � Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of appligation, circle item.)
1. Index permit for above Items No.
2. Additional items required:
OQ
X dis /-st/IGCU ' �� ' / Aa. /
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by Date
Plans approved by Date
Other
Copy—DPW
Date
��
%r.
. i��
��� �
�� ,;
/ /
�J / �, / i /
�/ -� ��,
� �` /
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
. P- ,o
N° 1593
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
�� D %/ ,%%c.!�/�--:�' Date:
Address:
/ -- , �> f
,-1 � / : � �• �- Acct. No_: — � -
A.P. No.: /I-%,�„-.
6
Phone:
- i� .`_; h No. Units) "2 - -
Applicant/Agent:
Agents Proof:
Address:
Fees:
4
Phone:
Application $
Arrearage - -
Preliminary Review By:-
�f Z Date: -' �� :`� CSA 26
Remarks:
_ SC -OR
1 SC
**Aunt Minnie re west withdrawn>;&
per—telephone call.
Have explained $1,350.00 payablea Nv me
of connection to sewers stem. �9 N,1 'Total Fees
Collegtgegm
Field Review By:
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
® Date of TID approval
of completed building sewer 4&4y -Sea ecliopn�
❑
1-0f-sampleted-building-sewer,-which-ever..comes-_.
.93.4?_..
❑ date
va.I-af-com04ted-building-sewer-,-which- ever- comes .
TteF Ma,. 6, 19-74
PERMIT EXPIRES
ONE YEAR FROM DATE OF ISSUE
DISTRIBUTION; WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
K1
`•'�•; .f.. , .,.� ..r --v'. .. , i �w ,,,r.. ;i%.. .,. 'I4[,,.,.�,NY'•`i�! » •..» , 5,lr . , ,*r+5 r" i .l stv r'f,
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740 ''j'• •"�_• ,•
CSA 26 SEWER SERVICE -APPLICATION AND CONNECTION PERMIT
Service Address: // 7G
Owner's Name: x. �. _� +r �' _� % .�.� ac.. r
Date:`',► -l', - 2r+ �
Address:% % � . t • , , . ,ti,
-
�
Acct.'NO:
Phone:
NO. Units:': -4.. . '` +`,•%' '+
Applicant/Agent:
Agents Proof: - •� r
Address:
Fees:
Phone:'
; }
Application $.
Arrearage '
'Preliminary Review ByDate:
CSA 26
Remarks:
SC -OR. '
1 st mo. S.C.
fAo�,' r� ire
Other
'
4
Total Fees ti*"
'
Collected By:
'
Dater.,:
Field Review By: Date: '
!
Remarks:
i s
MONTHLY SERVICE CHARGES WILL COMMENCEAUTOMATICALLY UPON: ,.
+' Dane of TID approval of completed building sewer-(.ear--1-y-'connection)
z
❑ .30-days;after date}above or_ on"dateaof-D.P..W,-appr=ovalxof-completed=b-ui.ld:i.ngssewe'r wh.ich.eve:r comes--
ir=sl-(:'existing=construetion'=
.S
;r
1
Y
e
.S
;r
1
COUNT.Y•OF BUT -TE;; -DEPARTMENT OF PUBLIC.WORKS' 4p, E7T N0.
- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ,y
` APPLICATION AND PERMIT
ASSESSOR ARCE},.q UMBER �. c..
Q�t��Z
ZO G
%7!
•' i
s B DING PERMIT '
owNEg, !
TELEPH0 E
SO FT. C.
`'BUILDING VALUATION
301-182-2
..'Perm'it #1948-8itTiI
• -
Issued
' ••`"'
Fireplace
OWN R'S MAILING AD ESS - - -
,17, 7, ` '�% ���lL • 64
CONTRACTOR'S NAMED _
,,
TELEPHONE ,.f-
,_,• Al
CONTRACTOR'S MAILING ADDRESS - �'•.
CONSTRUCTION LENDER _
Y.
UNKNOWN
Total .V aluatlon$�_' �t.•"'.�.
,Filing Fee'; �1 - •v r $-���"�- 10.00,
LENDER'S MAILING DRESS - s
Permit Fee $
ARCHITECT OR ENGI ER
'
LICENSE NO.
' }
Pian'ChecRing.Fee "$
•' .$
Penalty c, -
ARCHITECT OR E GINEER'S MAILING ADDRESS
« }
Permit°fee r $
BUILO7r7g,RESS
/� /j-L(/Oo
PERMIT Filing Fee '. 10.00
Each Trap 2.00
Repair drainage or vent piping 5.00
_
Water piping
LOT NO.
SUBDIVISION NAME -
• -
PARCEL MAP
Each qas water heater.or vent'. 5.00
Gas piping.system l - 5 outlets
USE OF STRUCTURE ,,
SF[:) Duplex❑' Mobilehome Other -
- . SPECIFY
Building sewer.
Lawn sprinkler system _ 5.00
t i
TYPE OF WORK.,
New ❑ Addition -0 Remodel U 'litie's Elnstallatioii Other 0.
Describe work, v5 �
r ' -
Permit Fee $
ELECTRICAL PERMIT Fill in9 Fee 10.00
Main service,s0ov OR LESS 5.00
100 AMP OR LESS
,.
- `
Main service EA.' ADD'L 100'AMP 3. 2.50
NEW CONST./ DWELLING OCCUP.111., • 20 sgft
`OR ADDNS. \ ACC, BLOGS. -
' CONTRACTORS LICENSE.LAW
I declare under penalty of perjury' (cone): ' +-
❑ I . am licensed under provisions of ,dhapi. 9, Div. 3 (of the Business
` and Professions Code and my license is in full force and effect.
! , 1IXED
License No: Classification
ElI, 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.
sale. (Sec. 7044) - '' _ ''-v
I, as the -owner, am exclusively'contracting with licensed contract-
; ors.(Sec. 7044) t • ,
❑ I am exempt under Sec. ,'Business and Professions Code'
for this reason
NEw CONSTR TI -OUTLET 2,50 ea
NON.RESID. BRANCH CIRCUITS)
NEW CONSTheck R. (POWER APPARATUS S\
NON-RESID. SINGLE OUTLET CIR. / _
SO @ 25t
Ex. Occup OUTLETS'OR FIXTURES BAL@1
APPLNS. OR ,
Ez. Occup.(OUT.LETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home'Facilities +' 15.00
' Misc. Wiring . 7.50 '
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 fess.
« a i have placed on file with the County of'Butte Building Department,
a Certificate of Workmen's Compensation Insurance •or a Certificate
o
L Consent to Self -Insure. , , •
shall not employ any person in any manner.so.as to become subject
to the W. C. laws of California. r
Notice to Applicant: If after -making this statement, should you become subject
to the W. C. provisions of the,L-abor Code; you must forthwith comply with such
provisions or this permit shall be'deemed revoked. r..
Heating,
Cooling.
Hood 3:00
Ventilation ;. '
f
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 liabiliti judgments, costs,.and expenses which may in any way accrue
against s County in nse nce of he granting of this permit.
�- �a%�� .
Date
ignature Applicant - OwnerEl' Contractor ❑ Agent ❑
An 0 A permit is required for excavations over 5'0" deep and demolition%or construct-
ion o structures over 3 stories hheiight
Mobile Home Installation,Fee $ . 90.
r
TOTAL PERMIT FEE .� c'iv
Occup. GROUP
• TYPE OF CONST.
PARCEL
PO
'
HD
?SUE
This permittis hereby issued under. the applicable provi-
sions•of the Butte'County,,Code and/or resolutions to do r
work indicated above for. which fees. have been paid.
`, r :DIRECTOR OF PUBLIC WORKS
s•
'By Date
IPERMIT.EXPIRES.•`Date
//inn
�7
Receipt"No. /V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •'
'TO FROM -
Butte County Department of � Public Works
Permit Section
• . f.�KThermalito "Irrigation .'District
7 County Center Dr.
410 Grand Avenue'
Oroville; ,Californ_ is 95965, '
Oroville CA 95965.
SUBJECT Sewer Permit AP#. 30-182-02
,
Date 12 /2 ./8 1
MESSAGE
The_permit that.was taken
out for.an"Aunt Minnie
on the aboye
property .was cancelled by
Mr..,McMahori 'on
October ,26, 1981.
If any further units 'are _ to
be"-- added.at
a .future
date.: ' the
will hade to obtain a new
sewer permit.
_
Signed Shirley
l— �—
REPLY
Signed
Date
SEND PARTS 1 AND 3 WITH CARBON INTACT -PART 3 WILL BE RETURNED WITH REPLY } '
64-E472 g ,