HomeMy WebLinkAbout030-350-02630 5-26
JULIAN DIAZ
1552 14th. St �, Th m t�° (�
Permit #1297-76P (i st. 1% g`Sew)
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yPERMbT NO. 1291-76P
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PERMIT EXPIRES 30-35—
OWNER JULIAN DIAZ
CONTR. owner
LOCATION (A.P. 30-35-26
1552 14th. St., Thermalito
j Temp. Power Pole
Called PG&E
} Temp. Elec. Serv.
Called PG&E
tJ Temp. Gas Serv.
l{� Called PG&E
k JOB
FINALED
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(Sig ature)'
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THERMALITO, IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
\.CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: I / S".'a J y" Sj-
Owner's Name: �i ��
Date,: Jig /70g
Address: J4 -ta / fz
Acct. No: �� S�r>7•�"'
A. P. No.: 30
Phone:
No. Units:
Applicant/Agent: P3
Agents Proof: A-),114
Address:
Fees:
Phone: `
/
Application $
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Preliminary Review By: Date: �J9�7�
Arrearage
CSA 26
Remarks:
l
SC -OR /
1st mo. S.C.
Other
Total Fees
Collected By:
Date:
Field Review By: 6 ' -�� Date:
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
l
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
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping V
Piers
Roofing
Sewer s'
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaI l
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & .Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
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
Underground
Interior Lath
Ventilation
Permanent
Door Closer •
Final
Final
DATE
REMARKS OR CORRECTIONS
-445x. 414-,�7 P/w, 4-R-5
(NOTE: An entry must be made on this form each time you visit the job site.)
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, California 95965
Telephone: 534:4541
APPLICATION AND PERMIT
/ 97 -76
Signatu a of Permitee or Agent ,ems
/M BY 1 Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant aWdhig-permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing ress ,
t
Telephone No.
3
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address ��'� /
PLUMBING No.1 @ I FEE
PERMIT FILING FEE J$3.00 3ed:V
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.,3D —a_--
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
�Fte4ien-►
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 x;47
EQA
Parking
Plans
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
13149. s ec
L Parcel Approval I
Plans Approval
Permit Fee $ ,7
qE�W ❑ ADDITION ❑ UTILITI S ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS 5•00
Main service 100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Familyo Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
ODWELING R ADDNS. ( ACCLBLDGS.CCUP, &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID, BRANCH CIRCUITS) '2.50ea
NEWCON5TR IPOWER APPARATUS &
NON -RESID. ISINGLE 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 A'
Ex. Occup. ( OUTLETS IXED AP(RESID.)REA) 2:00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification'
Misc. Wiring 6.25
Ink 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.
1:1 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 $3.0o
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X —lux D 109//_
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.
/A AIACTOR OF PUBLIC WORKS
Signatu a of Permitee or Agent ,ems
/M BY 1 Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant aWdhig-permit expires Date