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HomeMy WebLinkAbout030-212-038M f W -err 0-212-38 -JACK JOHNSON 864 Harlan Ave. , Oroville. Permit #994-76P(bldg_ sewer inst) - a 30-212-38 Permit #6599-76P,E,M(inst. cen heating & AC) SF�� 30-212-38 Permit#3986-81B,E)(wood burning LA7� ///"2 lfl N JOHNSON, Jack _ 9521 next to 882 Harlan Avvuze, Oroville y contractor : Arinda Const., Oro Dam -Blvd, 0.- C ti r R K F -DEPORT RE FG -IS (3/88) r10RIGIN LOCATION--'.' SEC. TOWNSHIPTXRANGE q �NS 3 INCIDENT TYPE FIRE Cl FALSE ALARM—GO TO BLOCK 10f�u rK"NSIBILITY STATE ZONE STATUTORY IDLAND BURNED OR THREATENED RESPONSIBILITYF Lout GovT. corirRACTAT ORIGINPROTECTED a SUITE. 0 ASSIST OTHER AGENCY (Not City) ❑ uss LOCAL ZONE ❑ B.L.M. CDF LOCAL GOVT_ CONTRACT El B.I.A. 0 Q ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE Q OTHER 0 D ASSIST FED. AGENCY (Not Md) 8 Q CDF LOCAL GOVT. CONTRACT MISC. AND OTHER ® Q ASSIST CITY, CONTRACT CG_ MIL, OTHER ORDER NUMBER R.U. I INCIDE, j N�JQ. G n STS iM�O. i D E/�R ?rnY 1 fi 7S r (j L.,� 'UMBER FIRE NAME: MILES DIRECTION U FROM J tt VIP CAUSE (STARTS IN V V V OR V ❑ UGHTNING ❑ DEBRIS ❑ CAMPFIRE ARSON ❑ SMOKING EQUIPMENT LAND USE (STARTS IN O © OR DOMESTIC ❑ RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTIUTY, ELECTRIC ONLY) PLAY W/FIRE ❑ OTHER/MISC ❑ FOREST INDUSTRY ❑ RECREATION 0 OTHER INDUSTRY-COMRCL. ❑ WILDLAND ❑ NON-WILDLAND 0 OTHER n DAMAGE Al> n � OR n ONLY) % - S DAMAGE Number er+ a wo.. lom 1 2 a/or 8 5 TIMBER b OR 4: YOUNG GROWTH -- WILDLAND VEGETATION ys>'' OA,er thou T b Y G .�+�yi.�iX.•: A6.. AGRICULTURAL PROD'"'' (Other than T a Y G)h':,<?::'�' DWELLINGS b/OR CONTENTS OTHER STRUCTURES a/OR CONTENTS VEHICLES a CONTENTS OTHER .:.,:.. :ffx k:f TOTAL �::'.. _l2c�co IN. NATIONAL FOREST.. FIRE DIST„ CITY b STREET. NO, _ ETG ACRES OF VEGETATION BURNED . ON ARRIVAL (� VEGETATION FIRES ONLY) 9 SLZE DISTANCE (Origin to hem, WEATHER TE AT SCENQ WIND SPEED P".H) DIRECTION (FROM) 10 _ OVER PLEASE TEMPERATURE (rF) 1G (�L�Q�eaC� CDF 7540-73"1 Is ` 96 -140 FIRST ATTACK BY CDF, -_ r �V FIRE CONTAINED i� �>� /1 CREW /OVERHEAD RECORD - ls- ERSON AIRCRAFT i 1L CDF STATE & LOCAL GOVT. CONTRACT CREW NAME , ORDE-R NUM6ER 10 _ AIRCRAFT FLT. HRS. CDF STATE a LOCAL GOVT. CONTRACT CREW NAME - ORGAN- IZATION P HOURS REG. R.U.INCIDENT NO. YEAR ECORDMo.DATEnME}GO a TOEnter r 1ST.Dafch)INSIDE ' made b lookout FIRST. REPORT 40 2— ED . .., 9 ' � � i �� V • •'�- LOOKOUT: If 15T. or 2ND. re art FIRST ATTACK BY CDF, -_ r �V FIRE CONTAINED i� �>� /1 CREW /OVERHEAD RECORD - ls- ERSON AIRCRAFT i 1L CDF STATE & LOCAL GOVT. CONTRACT CREW NAME , ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE a LOCAL GOVT. CONTRACT CREW NAME - ORGAN- IZATION P HOURS FLT. HRS. IST. AW CDF CREW a made b lookout FIRST. REPORT 40 2— SITE NAME SECOND REPORT • _ _ - SITE - NAME FIRST ATTACK BY CDF, -_ r �V FIRE CONTAINED i� �>� /1 CREW /OVERHEAD RECORD - ls- ERSON AIRCRAFT i 1L CDF STATE & LOCAL GOVT. CONTRACT CREW NAME , ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE a LOCAL GOVT. CONTRACT CREW NAME - ORGAN- IZATION P HOURS FLT. HRS. IST. AW CDF CREW a CRF OVERHEAD,•TOTAI . ON FIRES,ENTER ' = . TOTALS BELOW .::{..:.>:.::::ik.•%:': y �Swht r \, US.fS. (lnd. Overhead) TOTAi ' = .a,.,; •.., , ;5<•a:�z;: . -" _ OTHER FEDERAL (Ind_ Overhead) TOTAL- O k:;.•<; >`'{�:. OCAl T FIRE DIST_ :d OTHER lOTAL �AM1. PAID HOURLY (E-F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL h f,'h� .. ❑ FC -188 (Additional crew activity) ATTACHED 13B �.vnuncI'm 1.0 MAP IS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED ORIGINAL REPORT BY: APPROVED BY: 14 SIGNAD'\ TITLE DATE 1 DATE �?- 2 �-" . 3 PERMIT NO. 3986-81B,F PERMIT EXPIRES 10/21/82 OWNER JACK JOHNSON CONTR. owner ASSESSOR PARCEL 30-212-38 LOCATION 864 Harlan Avenue, Oroville t ' t 3 t 1r: r Temp. Power Pole Called PG&E ' Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINA16E_O (Date) u Signature ori J,4, J = OK 0 = Not OK - = Not Applicable MO B I LEHOM ES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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 -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q's 1- Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction- Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy t 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (S'ngle and Duplex) 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-O'e 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Widt Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood o Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -N4, ling -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco sh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazin Area -Glass Protection -Skylights -Plastic 8. D.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 -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B Date ,a- 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Date or 58. Furnace; Ve is -CI arance-Comb. Air -Connector - In Garage; A ve Ioor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiti 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath ' tures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim Sub nel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Sijaifs & its Fir�.•pFeee-erSt le es -H 64. Elec. Vutlets at Wood anel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fi t. & A lianc ; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. 0 lets & Rec ptacles at Kit. Counter 67. Garage F e Door; ing-Landing-Closer 68. A.C. Duct in Gar e -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; nts learance-Comb. Air-Connector-P.R.V.- In Garage; bo Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. ech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. ReceptAples in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation- o -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rail & eck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Ven & Cr wl Hole Door -Drainage & Wood -Earth Clearance Looked der FI r ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Followi g instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Plantell ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucc ; Brown-Fini h 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. nit; Disconne-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Ven s Above Roof; PI .-Appliance-Firepl.-Clearance to Opn s. 79. Wa r Well; Disconnect, Electrical, Plumbing 80. E erior Elec. Trim; G. I. Receptacle -Underground Card B -I Date Card -BI Date 81. V, ntilntion throughout H Nse Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 82. Glass Protection N_ 83. Corrections from Previous kspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -0/0 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 -B Date -b Card -BI Date Card -BI Date Card -BI Date Card -BI 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 aterial & Anchors 37. Walls; Stud -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing IIs over Girders & Floor Nailing 39. Draft St p in Walls (rat proof) Fire S ps; Furred Ceilings -Stairs -Chases -Tub _40. 41. Hea r &Beam -Size &Bearing 42. Ha gers-Post Caps -Anchors -Connectors 43. Joist-Rftr. Ties-Purli oof Brac.-Truss-Shthng.-Ring. 44' -Fireplace Ties or Type ireplace Throat _ 45. Attic Acc ss; Size & Romex Protection -Draft Stop -Ins. Baffles 46. W' dows or Exiting Doors -Sill Hgt. & Dimensions 47. _Bdrm. Garage ire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE -MAENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 - APPLICATION AND PERMIT ASSESSOR PAR L NUMBER (�—�Z—?j ZONING UILDING PERMIT to///J SO_ / OWNER ,/��'� /LSI/ !`IVf T�.�oF ���� S0. FT. OCC. BUILDING VALUATION OW E�F�j'S �AA1 /EJ,®[/� I APV/ 1 AL/E.l6 �U/LLMC' �- CONTRACTOR'S NAME YW✓ TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ oc> 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 $ � � BUILD1jJG_ AD/OR ESS / //7 /� , /�r-- (y, (/O_/`f/'DLIV/�- PLUMBING 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 1 - 5 outlets USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition, I R o el ❑ Utiilg°itt�I�ps ❑ insta tion❑ Ot er Describe work: /'� �� W00D �W 57V�� P rmit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y\ OR ADDNS, ACC, BLDGS. / 22 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON 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 [� 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 NNEW ON•RESID R BRANCH TLETCIRCUITS)2.50 ea NEWCONSTR. ( POWER APPARATUS S J -RESID. SINGLE OUTLET CIR, sD @ 250Ex. Occup OUTLETS OR FIXTURES_ BAL@1 00 FIXE D APPLNS, OR Ex. Occup.(ouTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. 1 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 S 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. 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 aga' ' t said Cou ty in con quence of the granting of this permit. /I X Date`/?S'% Signature of Applicant - Owner Contractor ❑ Agent I]wor 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 Z,5-$ OCCuP. GROUP I TYPE OF CONST. I PARCEL PD HD ssuE T ' permit is hereby issued under on of the Butte County Code and/or indicate ,atpve for which R CTOR OF PUBLIC �Q y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I� ��/�O� Receipt No. `J WHITE-D.P.W., YELLOW -ASSESSOR, PIN INSPECTOR, GOLDENROD -APPLICANT oe6W COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 Tel epho&: 5311-4541 APPLICATION AND PERMIT C J � authorize representatives of the County of. Butte to enter upon the above-mentioned property for inspection purposes. Date ~` i Signature of Permitee or Agent Receipt No. 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. DIRECTOR OF P BLIC WORKS .y—A ` ' Date '�� �� Building permit expires Date Z. — BUILDING Ownerl �I �A SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee f j Building Address f l �, 7 /' J �C Ila/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /) Ap Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -V()—f ,' _� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees V�(f.' Sanitatton Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcelparcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans k;—.'d I Parcel Approval I Plans Approval Permit Fee $ $ �{ f NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER . Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (� S / /) �� / (�� /� lj Main service ioOOo AMP ORV OR SLESS 5.00 J S Main service EA. ADD -L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. LING OR ADONIS.( DWEACCLBLDGOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST/POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@;04 FIXED APP LNS. OR Ex. Occup. ( 0UTLETs (RESID.) EA) / 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 aI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ,� Y WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 51,11r) Heating Cooling - <f Ventilation E2.00 Hood Permit Fee $ $ // ''—y 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 PERMIT FEE $ �V _ '� authorize representatives of the County of. Butte to enter upon the above-mentioned property for inspection purposes. Date ~` i Signature of Permitee or Agent Receipt No. 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. DIRECTOR OF P BLIC WORKS .y—A ` ' Date '�� �� Building permit expires Date Z. — COUNTY OF,BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ()roville, California 95965 /�/ / ✓ Telepfu6ne: A-4541 APPLICATION AND PERMIT White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Applicantermit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address v- a D(/ '/ T ne ' Fireplace Contractor ® &11W 4 Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 (/Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �Q—� a-3Zoni Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F045' I W<-&arrftaTfATi' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q S a Pa i 0 L6 Main service It' °o°oAMP R ORLESS5.00 Ac (% o c Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil HomeEr Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGSCCUP. &) 22sgft NEW CONSTR.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR- POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. OCCUp(OUTLETS OR FIXTURES)50 @25a BAL@1 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating fl 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �.Date Signature of PerrVitee or Agent TOTAL PERMIT FEE $ 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. DIRE I iRrOF BLIC WORKS White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Applicantermit expires Date . t 4 PERMIT NO. 994-76P s. . Z PERMIT EXPIRES 3/5/77 OWNER JACK JOHNSON t CONTR. owner LOCATION (A.P. 30-212-38 864 Harlan Ave., Oroville a �i i' t t .f a+ Temp. Power Pole E v. E f v. E /Ge //e) (Signature) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwal I .Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping . Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer 72� Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Bond Beam FIRE SPRINKLEF Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) I THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 9(e) 0_n Owner's Name: r �_ n1^, r�se,r, Date: S / 7l - Address: Acct. No: 1 9Ct�- c�roy, �(a CA A. P. No.:,'.^ -S ,_�2-38 .P hone: S".,�.�—.!(�7R No. Units: Applicant/Agent: A Agents Proof: .t) IA? Address: Fees: 'Phone: Application $ l ��L? Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees JLnti14:' Collected By: Date: Field Review By: Date: 3 2 z Remarks: lea 1� 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 -TIO, YELLOW- APPLICANT; PINK -DPW, GOLDENROD -DPW to TID u COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • ., 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / X Date Signature of P mit�ee/or Age t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 'permit expires Date �3 15-- 27 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No, 3 3 - /G 7 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE ti $3.00 3, oo Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A., P. No. p a a _ 3 P Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W S tisn FireDept. FireZoneUse Permit Building sewer 5.00 6-00 EQA Parkin Pa Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ ❑ UTILITIES ❑ OTHER � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 4.(.r(YI�M� Main service 10000 AMP V OR LESS 10 5.00' Main service EA. ADD-[- too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ER 60 0 0 AMP OR LESS 25.00 Main service 1 Main service/ EA. ADD'L too AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACC`'BLOGS. OCCUP. &) 20sgft NEW CONSTRMULTI-OUTLET NON-RESID. (BRANCH CIRCUITS)2.50ea NEW CONS'iR /POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR- CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 01 Ex. Occup(OUTLETS OR FIXTURES) BAFIXED APPLNS.L@1 Ex. Occup. (OUTLETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 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 nrnnPrty fnr insnartinn mirnnene TOTAL PERMIT FEE g O This permit is hereby issued under the applicable provisions of X Date Signature of P mit�ee/or Age t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 'permit expires Date �3 15-- 27