HomeMy WebLinkAbout030-350-110AP 30-35�10 // o
John W. Dilger
X'E nrid` Zif`KeIco S� Oroville
f
30-35-10 //D r.
John M. Dilger
"`-'IT3T1"Sierra-Ave:; Th_er`maT`it_o�'
Permit #5883-76B,P,E,M(new single
J family) ///S/77
r � '
030-350-110 02-3052 " t
DILGER, CLARITA'.^ ..
1491 KEKO, OROVILLE FINCONT: BOLT CONST.Z
RE -ROOF, HVAC, REPLACE SIDIN
EXHAUST FANS &r REPLACE (15)
WINDOWS
11
i
o
cn
0
NOTES RESIDENTIAL
030-350-110 02-3052
PERMIT NO. 1 DILGER, CLARITA L
r 1491 KEKO, OROVILLE-• - �.-. --�
CONT: BOLT CONST.
RE ROOF, HVAC, REPLACE SIDING,
EXHAUST FANS & REPLACE (15)
WINDOWS - --
L
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) G 1-6 L
Signature
1
d
3
F
i
7'0'
.r
L
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) G 1-6 L
Signature
1
d
J OK
0 = Not OK
. = Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
7. Well Clearance & Disconnect
Zoning Requirements -Setbacks -Easements
8. Utility Clearance
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Electric
1. Zoning Requirements -Setbacks -Easements
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
2. Footings; Size -Spacing -Marriage Line ,
Siding; Nailing -Veneer -Stucco -Mesh
3. Gas; MH Test -Demand -Valve -Connector
Roof; Shthg-Roofing
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. "Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1. Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
_ 12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
47.
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
51.
36.
A.C. Ducts Insulation & Support
Garage Fire Protection Framing -RC Channel
37.
Vent Fan, Exhaust above insulation
54.
38.
Condensate Drain & Overflow, Size & Grade
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
57.
40.
Attic Access & Platform if Furnace in Attic
Date
59.
Card B-1 Date Card B-1
Date
Shear Walls; Nailing -Bolts
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
74. Elec. Outlets & Receptacles at Kit. Counter
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
80. Insulation -Foam -Looked in Attic
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 7 2�.�P�R�R
(Rev. 12/96) APPLICATION AND PERMIT ,J
ASSESSOR PARCEL NUMBER
030-350-110
ZONING
AIR
BUILDING PERMIT
OWNER DILGER CLARITA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
25 60 1,500
. OWNERS MAILING ADDRESS
1491 KEKO OROVILLE, CA 99969
CONTRACTOR'S NAME -
BOLT CONST.
TELEPHONE
-eent
79200
CONTRACTORS MAIUNG ADDRESS
P.O. BOX 5817, OROYTTLE, CA 99966
CONSTRUCTION LENDER
Fireplace
[—FilingFee
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
$
20.00
Permit Fee $
108.
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
/ —
Describe Work: RE -ROOF, NEW HVAC REPTACE STDTNC;' k � 31
EXHAUST FANS & REPLACE (15) WTND019S,
Gas piping system 1 - 5 outlets
15.00
Building sewer 15.00
S G
Mobile Home W @20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee
20.00
Main Service 20 AOR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license in full force and effect. �
License Class Lic. No. 5 5 5r3) 1 3
OWNER -BUILDER DECLARATIOW
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number W 3-.^2 zq
(The above sections need not be completed it the permit is for work of a valuation
of one hundred dollars ($100) or less.)
' ❑ 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _�ifQaC%� Date I r)
Signa ure of Applicant - ❑ Owner PrContractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh .
Main Service 200A TO IOooA
46.00
NEW CONST. DWELLING OOCUP. SO
OR ADDNS. ( 8 ACC. BLDS. 3.5QFT.
CONST. MULTI-OUTLET11. @7.50
POWER APPARATUS
8 SINGLE OUTLET OI R.
20 Q 1.00
Ex. Occup. OUTLET OR FIXTURES Brl @ .50
GR
PEl 5.00
Ex. Occup. OFlxU PS p.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00 -0
PERMIT FEE $ 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating QD
Cooling
25. 00
Hood 6.50
Ventilation 4 50
13.5
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 2 49,
HAZ. D. FEES IMP FLOOD CDF L=CEL I =
ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indl ted a v or w ich fees have been
By Date
PERMIT EXPIRES ON
I 015ate
provisions
to
paid.
'
,
` •
do work
�D
ReceiptNo.
WHITE•D.D.S.-B.D. CANA Y -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT
a� •
Wd o
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PERMIT NO. �~ 5883-76B,P,E,M
PERMIT EXPIRES
OWNER John M. Dilger
f CONTR. Owner
LOCATION (A.P. 30-35-70
1311 Sierra Eve., Thermalito,
J
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'!F
40
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Te p. Gas Serv.
i Called PG&E
I JOB
FINALED
(Dale)'
(Sig ature)
CERTIFICATIONS
As required by the State regulations, -both the builder and the insulation
applicator must sign a card certifying that the proper. "R" values for all
insulation locations have been installed.. An example of a certification
card, which is furnished by the builder. or insulation applicator is shown
in Fig. 13.
THIS IS TO CERTIFY THAT INSULATION NAS BEEN INSTALLED IN CONFOR!W='WITii THE CURRENT.'ENERGY REGULATIONS,
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:.
�s®S ri" 7 o u er rac
EXTERIOR MALLS�j6 )1
Manufacturer Thickness/Type v 5 R Value i
CEILINGS
Batts: Manufacturer Ni'�� Tehicknesses� Q
R Yalu*
Blown: Manufacturer. ��M Thicknesses® P. Bags f}' Mt./8a o
. -�-__. gam..
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRACE
Manufacturer Thickness/Typa R Yalu*
Width of Insulation Inches
FOUNDATION MALLS
ManufacW r A Ickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TITLE ' DATE 1�—� 27
INSULATION CONTRACTOR LICENSE NUMBER
BY TITLE DATE
Fig. 13
8-14
0
FraminZ Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts �� Under round
Interior Lath a'Z Ventilation: Permanent
Door Closer Final I Final
DAA E;7__je4 REMARKS OR CORRECTIONS
let,< a—,v dze/�
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd
PLUMBING
Setback
Firewall 7
Soil Piping
Forms
Parapets
1st Floor
,
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal I
Siding
To out
Slab air
�7 Roof Sheathing
Water PipingoZS�
Piers
Roofing °~
Sewer
Garage
Fdn. Vents
Fixtures
Footin sGarage
Stemwal I
Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
vZ Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Pi in & Test
Temp.Gas
Slab
FinalSanitation
V
Patio
FIREPLACE,
Final
Footings
%? F ting %
ELECTRICAL
Masonry Walls
Throat
Rough
2 %�
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
FraminZ Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts �� Under round
Interior Lath a'Z Ventilation: Permanent
Door Closer Final I Final
DAA E;7__je4 REMARKS OR CORRECTIONS
let,< a—,v dze/�
(NOTE: An entry must be made on this form each time you visit the job site.)
qr
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center DrivV' — WroviIle, California 95965 (/�
Telephone: 534-4541 7(
APPLICATION AND PERMIT
y •� uFv uia
abov"entioned property foy,;nspection purposes.
X 0 L Date ' —
$ignature of Permi ee or Agent
Re ipt No. eo
s
White-D.P.W. — Yell r�dss�r rink- Spector — of en od-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 PUBLIC WORKS
BY —Date
Building permit expires Date
1]
BUILDING
Owner, �l�G'��
SQ. FT. OCC. PUILDING VALUATION
Mailing Address")S
6 2J 00
l %�/` !�/ L% V
Telephone No.
32.-0 p= 0 0
Fireplace 755' a, 00
Contractor
Total Valuation ® (9 0
Mailing Address 0
Permit Fee 0
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $ r 00
Building Address
Z511 S `
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
O
Each Trap 1.50 12, .00
Repair drainage or vent piping 1.50
'ZOnsng Verification Only
Water piping 1.50 .S
Each gas water heater or vent 1.50 —0
A. P. No.
'"g
Gas piping system 1 - 5 outlets 1.50 Q
SZ
dditional outlet .30
Fe
W S Ion Fire Dept.
Fire a Use Permit
Building sewer 5.00 fj O
EQA
ParR)ng Parcel
Plans Declaration
parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
s
Bldg. Plans Recd
Parcel Ap, val
PI s Approval
Permit Fee
NEW70 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.001 3•
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING O CUP,
OR ADDNS. ACC. BLDGS, 00 ) 22sgft .l
NEWCONSTR. MULTI.OUTLET
NON .RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &)
NON.RESI R. D. (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)@2'Q
104
Ex. Occu FIXED APPLNS. OR
P•(OUTLETS IRESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
leI am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 6 ,/
$ 6-3116
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.1 @ FEEPERMIT
FILING FEE J$3.00 3 -`J
Heating 5 000 hi�CJ. 0 „ 0
Cooling -:;'Al J
Ventilation
Hood 2.00 '00
Permit Fee $ _00
$ /5 C
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
164
S &3
TOTAL PERMIT FEE
y •� uFv uia
abov"entioned property foy,;nspection purposes.
X 0 L Date ' —
$ignature of Permi ee or Agent
Re ipt No. eo
s
White-D.P.W. — Yell r�dss�r rink- Spector — of en od-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 PUBLIC WORKS
BY —Date
Building permit expires Date
1]
THERMALITO IRRIGATION DISTRICT r
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
Date: �r 1 ''
Address:A
cct. No: �-
`'°
A. P. No.
Phone:" -�
No. Units:
Applicant/Agent: 14
Agents Proof:
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review By: �` �� Date: p, Date: ` ��
CSA 26 - -
Remarks:
SC -0R
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).
Q, 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
(r
BOARD OF SUPERVISORS
COUNTY OF BUTTE
REFERRAL NOTICE
r ,
f
Date October 25,!19.76
k
To: Clay Cas tileberry,,Public Works Director
Subject: John W. Di1Qer, Oroville, letter: permi
easement on the end of Keko Street, Oroville.
has been referred to you.
4
XXX Please study the matter.
Fnr n»r ti nfnrmn*inn
ssion to cross the�one foot
Please
take the following
action:
Report
Advise
clerkliiof
to Board on
action taken, sign below, and return this .notice to the
the Board of Supervisors:
Signature of Department Head
171 -7
C7
FILE NO.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For In motion✓) c
Director j
C
Dep. Dir. 1
Sec.
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Shop
Equip. &Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
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Const.
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Br. Des.
Sur. $Loc. •
Mapping
Drng./Permits '
Sub. Checking
Right of Way
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