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Home My WebLink About030-410-0363o-41= JACK WHITE (n 1211 '14TH. ST. OROV 1 LLE v2////��" PERMIT #562-%6 BLDG. SE W• INST� ��30x41- 6 /� / J. B. Whit 1416 Biggs Ave., Thermalito contr: Holmes Mobile Home Serv., Oro. Permit #3099-79B(2 awningS/SF) 030-41=0-036 91-3451 LEE; DENNIS n CONTR :G, _I OWNER �0 1-211 14TH ST, OROV I LLE REROOF/SF 3 -7 o�LTi4-,,-r:,.-�vy�',:-,�.im�`' - - ",e4rr^ect. '14''','.�°:+r$7w�'*� �",snyv� a.�..,: ; ° - c '"� .� r .. �.. s�,�'.:.'': i { . -- - - -- - -------, ... �. �� i � � � .. �.. s�,�'.:.'': t -- - - -- - -------, ... �. I i y. COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No. 7 County -Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 .APPLICATION AICD ;PERMIT ASSESSOR PARCEL NUMBER - Q ZONING A BUILDING PERMIT OWNER - � TI TXV TEC PHONE' � SO. FT. OCC. BUILDING VALUATION 1,620 OWNER'S MAI LING'A DDR ESS 19-111 /A'RI; CONTRACTOR'S NAME .TELEPHONE- CONTRA CTOR'S.MAI LI NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN CC Total Valuation s "Filing Fee .$ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE-NO;: Phan. Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ' BUIi DING ADDRESS - - - - Permit fee ` $ 48.00 PLUMBING PERMIT Filing Fee 15.00 ,. Each Trap 5.00 . Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 6'15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other Describe work: RR00FWM " ; Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00' Main service Zoon o LESS 18.50 Main service 200A.TO 1000A1 37.501' CONTRACTORS. LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3; of the Business/Powell 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) the owner, am exclusively contracting with licensed contract-. ❑ '.I, as(.Sec. 7044) ors. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC, SLOGS. lI 3.64sq.ft.; NEW CONST R ULT' -OUTLET NON-RESID, BRANCH CIRC ITS S.00 (POWERAPPARATUS h\ OUTLET CIR.I Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee. $ — -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. 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. -,Contractor MECHANICAL PERMIT FiIingFee 15:00 Heating . Cooling Hood 6.50 Ventilation permit Fee $ Contractor. I certify that I have read this, application and state that the above information is' correct. 1 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 si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations. over S'0". deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ - Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ : 48-00 HAz I DFEES I IMP I FLOOD I CD F PARCEL PD HD S E This -permit is hereby issued under the sions of the Butte County Code and/or, work n icated abo a fbr which The DIR- SOF UB B PE T EXAIR Date applicable provi . resolutions to do , 'havebeen paid: - ORKS�t Dat eg 101159.. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone; 916/538-7541 APPLICATION AND -PERMIT PERMIT NO. 1 V. ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT OWNER TrUEPHONE L SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1211 14th STRUT OROULTY 27 S0 COME 11,690 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S M -A LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ n nn ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1211 1.4th STREET OROITILLE Permit fee $ 48.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF }a] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JSFG W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: REROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 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 Main service 200ATO1000A, 37.50 NEW CONST. ( DWELLING OCCUP. 9 OR ADDNS. ACC. BLDGS. 3.6p sq.ft. NE CONSTR U TI.OUT LET NON -R ESI D• BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 AL 4F EX. Occup. OUTLETS FIXED (RESID.)REAJ I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. 41 shall not employ any person in any manner so as to become subject LPI -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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permlt'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,Qde�L,) LSA— Date signarure 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.00 HAz 1 DFEES I IMP I FLOOD CDF PARCEL I PD I HD SS E This permit is hereby issued under the sions of the Butte'County Code and/o work 'cated abo e r which DIR orUXBrO�R xl' B I If PE EX IR S Date applicable provi- resolutions to do have been paid.. a e� (� Receipt No. 101159 WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT G 3% COUNTY, 0'F BU:TTE; --DEPARTMENT OF`•PUBLIC^WORKS 7 County. Center- D'rive - Orovilie.•Calilornia 95965 Telephone, 916.'538x7541. t 'APPLICATION* AN6, PEAMITs' PERMIT NO. { A53ESSOR PARCEL NUMBER 6, _63 V ZONING _- .BUILDING PERMIT OWNER iVN TELEPHONE s33 a7s so. FT. OCC: BUILDING VALUATION OWNER'S MAILING ADORE •: "•' - -Cis _7f5 :Co CONTRA TOR'5 N M - �� TELEPHONE - _ .. CONTRACTOR'S MAILING ADDRESS - - - Fireplace j CONSTRUCTION LENDER �, .� - r .UNKNOWN _Total Valuation I `J •_ LENDER'S MAILING ADDRESS,- - - - ARCHITECT OR. ENGINEER - - LICENSE NO. Filing. Fee - •$ - 15.00 Permit 'Fee Plan Checking Fee g 3Oo - g ARCHITECT OR ENGINEER'S. MAILING AOORESS.: "� "ice, ,. Energy "Plan Checking Fee •: Penalty g " BUILDING ADDRESS- -' Permit fee g PLUMBING PERMIT FiiingFee ` 15.00- Each Trap, 5.001 - Sci ar-or heat Pump -water. heater 20.00 LOT NO..,. SUBDIVISION NAME ]PARCEL - MAP Water ploing Each gas'water.heater or vent 7,00I - 7.00 - USE OF STRUCTURE SF(�„Du'piex Mobilehome[ Other SPECIFY Gas piping system_? - 5 outlets 5.00; Building sewer `15.00 Mobile Home ISI G W @ 15.00 TYPE OF WORK New Addition Renlodel[ Utilities/[ Installation[ •Other ° Describe work: Perini t. Fee $ Contractor ELECTRICAL PERMIT FiiingFee 15.00 ” - Main service 500V OR LESS OOA OR LESS_ . 18.50 CONTRACTORS LICENSE LAW • I declare under,pena6ty of perjury _,(check one): ! I am ,licensed under provisions of Cnapt 9,-Div:,3 °of. the'Buslnes$' and Professions Code and my. license is in' full force and effect ' ,.I - - License No. :. Classification I, as the..owner, or my employees with wages`as�th'eir"sole compen- -"sation,. will do the work;and the structure is..not6ntended or offered for sale. (Seca 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 Main service 20CATO 1000A, I I 37.50 NF -V oNs-. DWEL_:NG CCCJP.S OR ACD^,3. AC_ 3L.005. _ �" Ew on.e-a u_- .o rLE- �r �.rJ..'�c jl�- ?F =NCN ^. RC' ITS I@ 5.001 /FOhER Aoo'gNAT �1 I..NGLE 7• -LE7 C:R. - EX. �CC: C(�I 'LETS OR �iATJRES 76a j tE,. A=o�_N5. OR Ek.' Occup.' ,. _E-; ,,=SID., _A.)- 3.00 Temporary service: _ j ,15.00 Mobile Home Facilities, 15:00 M(sc..Wiring 15.00 Permit Fee g — ' WORKMEWS.COMPENSATION INSURANCE'- Ideclareunderpenalty ofperjury (check•one):: _ [i . The permit is for $100:00 (valuation) or fess: tiA I have placed on hie -with the County. of Butte Building Department a Certificate of Workme'n's Compensation Insurance or a Certificate' of Consent to Self: insure: I shall not• em to an • ' . p y y person in any manner so as to become subject to the W., C. laws -of California. Notice to Applicant )f after making this statement, should you become subject to the W. C. provi'sions.of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. .Contractor ,,MECHANICAL PERMIT FiIingFee, 15.00 Heating I. Cooling ., Hood ; 6.50 Ventilation Permit Fee $ Contractor . I certify that 1 have read this 'ap'plication. and state that the above information is correct. I"agree to comply to.all :CountyOrdinances and State Laws relating to building construction; and hereby authorize representatives of the County 6T, Butte to enter upon the above-mentioned'properfy for inspection purposes. I also agree to save,, indemnify,afi6 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 M X _ Date; "" Signature of Applicant _ Owner r 9 PP _ :Contractor IAgent, [ An OSHA permit is required for excavations over 5 0'' deep and demolition or construct - ,on of structures over .3 stones in height'.- - Mobile Home Installation Fee ' • S Energy Inspection Fee $ „. ucc COttST rt PE i TOTAL FEE $ ,A_ 0FEES IMY FLooD PO,. PARCEL Po HO ssue This permit is hereby issued under the sions'of the Butte Count Code and/or y work indicated' above for which fees . DIRECTOR OF PUBLIG-WORKS:'- By -- PERMIT EXPIRES Date applicable provi. resolutions to do have been'paid. ' Date Receipt No. /0( M 4TC•a. P.'n.. TCL Ia W--.99[�SaP P �� Y9Pfr•Tno n, ,, ...-nn .v-. .. I (NOTE: An.entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTIONA dORD BUILDING BUILDING (Cont'd) PLUMBING Setback — r–" 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 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents 'Insulation Water Htr. Heaters Slab Carport Po ` Footin s Slab Prov. for phsically handica e. Conformance of ex. structure Final Appliances Gas Piping& Tes Tem - Gas Sanitation Patio FIREPLACE Final Foot in s Footing EL TRICAL Masonry Walls Throat Rough Relnf. Steel - Final Fixtures Bond Beam. FIRE RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh M CHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final - MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer . Gas Piping MOBILEHQME INSTg66AT= - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An.entry must be made on this form each time you visit the job site.) ' COUN.TY:'OF BUTTE DEPART•MEN°T'.OF .PUBLIG�WORKS1 ;. •7 County Center Drive OroVille California 95965 Tel ephoce:` 5344541 Q Y i APPLICATION AND. PERMIT rte' authorize representatives of.'the. County. 01Butte.to enter upon the :,'This permit is hereby issued under the'applicable provisions of above=mentioned. property for•inspection purposes t the"Butte County Code and/or resolutions.to do work indicated < �•. above for which fees°have,been paid. a r .DIRECTOR -OF BLIC WORKS X " Date`s , 3 -_L -?j-',' Signature of Per 'iteeor Agent By. — ate S ,—'3/ 1 . B din emit ex fres Date Receipt No. , White-D.P.W. Yellow -Ai- P,nk-Inspector — Goldenrod-Appl,can t; j;pe p �' t . BUILDING-= Owner tl) -SO. -FT. ;':OCC.. '- BUILDING VALUATI 33Co Mai f i,ng Address -I �. o.v / T.elephoin'e No. Contractor' Mailing Address. L/ 'Tele hone No: GV !? "_SN-a'�/ :+ A Fireplace Total Valuation Permif Fee w Building Address..Plan Checking:Fee&/orPenalty Permit Fee { %:; �P17i'o'; • PLUMBING No. @ FEE •.: _ y PERMIT FILING -FEE' $3.00 Each Trap 1:50 Repair drainage or vent piping 1.50• .A.•P: No. 3D'— �.. Zanin g, Phoning Wafer piping , 1.50 . Each gas water'heater'or vent 1.50 Foes Ion FireDept. FireZone Use;.Permit. Gas piping system 1 = 5 outlets- 1.50•" EQA Parking Parcel, Plans- ' Declaration f?arcel Map ..60' RNJ' Improve nts•, Each additional outlet 30 Building sewer. 5.00 Bldfe'<ans Recd Parcel,A� roval t. Plo rovol Lawn sprinklers stem • 2.00' NEW Q ADDITION Q '':UTILfTIES'Q OTHER, Permit Fee . $ ' ELECTRICAL No. I @ FEE ..• �� ' -,1300V .,PERMIT FILING FEE $3:00 ' OR LESS - Main service: ,1300V '100 'AMP OR LESS 5.00. .. - Single Family,Z Duplex ON: Mobil Home ❑ Others 0•. Main service EA.•:AD0'L 100 AMP 2.50 - �. • - ' -Main service", VEAMP OR R 600V LESS + 25.00 ..- ' Main servlce' EA. ADD•L 100 AMP 1'.00 d NEW"CONST. ( DWELLING OCCUP, 120Sq ft OR A DNS. \ ACC. BLDGS. _ CONTRACTORS LICENSE'LAW, I, am•iicensed under the provisions of Chapter 9,'DIV 3, ,of the. State of California Business & Professions Code"under the name style of: / >- -- �� /OiCITC-� 1*1a �/ETV, NEW CONSTR. ULTI: U T NON•RESID C -BRANCH CIRCUITS ," 2.50ea , ' NEWCONSTR.(POWER APPARATUS .& NON -RESID; . SINGLE OUTLET. CIR, Ex. OCCUq (OUTLEts OR FIXTI PES BA150 LPI ,FIXED APPLNS. OR r Ex. OCCup.��O UTLETS (RESID) E'A� 2.00 Temporary .service 10.00 Mobile Home.Facililies 15:00 License No.Classification Q Misc. Wiring 6:25 I am exempt from the Contractors License Laws.of the tate' Callfomi"a. Permit Fee .' $ .' MECHANICAL. Pio.` @ '. '. FEE WORKMEN'S,COMPENSATI'ON 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:,. t `: KI 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:wh'ich .thIsr, 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.—Pennit:Fee ;PERMIT FILI14G FEE $3.00 . Heating, Cooling' VentiIationf . Hood 2.00 $ 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 bui 'ding construction, and _ hereby, Land .Development.Fee, $ -TOTAL'PERMIT FEE $ authorize representatives of.'the. County. 01Butte.to enter upon the :,'This permit is hereby issued under the'applicable provisions of above=mentioned. property for•inspection purposes t the"Butte County Code and/or resolutions.to do work indicated < �•. above for which fees°have,been paid. a r .DIRECTOR -OF BLIC WORKS X " Date`s , 3 -_L -?j-',' Signature of Per 'iteeor Agent By. — ate S ,—'3/ 1 . B din emit ex fres Date Receipt No. , White-D.P.W. 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J b 'R. w i} r r+s Tom. 1�y, - r.- t ]] 't r 9 a ' r '4Y x -F.' I k- G t 5,r k r ! t: i 1 Y i e +. t �t s'!w'r,.. Y 3 { oC,, ''" S J,-r,i .j ;J +. .�4,1 A', �� '9 " % �l J+ i '� FF _ _{ :3 :.. -% -.v 7r.. :'x r rif i�.� ff L? :ty. rte.. 4 a �;' i3 2 i �. .,�, r �J r r ... >- ,.., ;e i'etr i� 'w• ,r "' -,t jy. .,�''_-� i?.-.---+�»- .3..,f.:+: �M , y 4.;. - Z'i � '+ n `� „r. - . t � t �iT4t N.' ' r 'nk ','- a it a.!�t-, "3'°P'7,� z - `'' ,,�j 3 ,� ° 1 • t ( S It i 7� MA T >f 9 '.+ t � : t v' K'I z. : ✓r { ��,-tn � WL; rim S �aa'G ".kh-.tn t' 41i 3*,;,,, ii,ili'.7'�,N r .''1.'�Y-Y","l J. i t �'.,I t';; ':l y .}� _ i s Y y 4 -f T I ..iy •s£ •� �' c T' ' ._713^1 * 3�,2::;, 3c?� f �'1&. ,,'�cP.�1. + c . , -:i 't+ r'f � •; PERMIT NO. 562-76P P . E M l'MH UTIL. 1 PERMIT NO. PERMIT EXPIRES 2,677 :;OWNER JACK WHITE r. CONTR. OWNER f LOCATION (A.P. 30-41 1 r 1211 14TH. ST.7 OROVILLE i - : i l 1 1- t t. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. i Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf: Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE DEPARYMENT.OF. PUBLIC WORKS, BUILDING INSPECTION RECORD .BUILDING BUILDING (Cont'.d) PLUMBING Firewall Soil Piping Parapets 1 st. Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pi In Roofing Sewer Fdn. Vents Fixtures Gara a Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS ELECTRICAL . i . �,. r+ .. .. .l,...d.. • � � . � .. i r.:i. i;�,.. J': , J` .'r'.�41vi'i;, TU : T,�„i,'+4t ; tWl F � W� '26''1+ _ rr. r w r. �` �, ,' + . ,F.. • r• ., r 4 fi:(x _ 1 .i: 'L'i)S gTti.. ;d.1',... ,.h' 'SQ+;S - i., 'R � y'.' , , THERMALITO* IRRIGATION DISTRICT, -:--i � 410 GRAND► AVENUE 0ROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA.26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address:. Owner's -Name: -c- k- %.c� , f� Date: Address: l /1 I y _S4. Acct. No: A. P. No.: X30 Phone: No. No. Units: ,Applicant/Agent: - - Al Agents Proof: A) Aq Address: Fees: Phone: Application $ Arrearage y %� 7,0 Preliminary Review By: A��' Date: -=1_/3 CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Total Fees Collected By: Date: .Field Review. By: Date: Z / Remarks: ;Z2 Gtf 1/1' 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 - TID, YELLOW - APPLICANT, PINK = DPW,'GOLDENROD - DPW to TID ; �) "rCOUNTY' OF, BUTTE '-'-.DEPARTMENT OFyPUBLIC *WORKS = w County Center Dave —J Uroville California 95965.: r' Telephone: 534.9541 5 . (�� : i •.�j �x APPLICATION AND PERMIT authonze:,.representat ives:of th-e:County of Butte to enter upon the. ,above-mentioned property for inspection -purposes: r ' X _ .. Date nature of:Permitee or' Argent. , 'Receipt No. Aife-D.P.W. — Yellow -Assessor —.Pink -Inspector -:Goldenrod Applicant 7. -This permit. is hereby issued under the -applicable' provisions of the Butte=County Code and/or. resolutions to do., work indicated above for.whidh fees have been paid r: q.P!.RF,=,Q.TOR OF, PUBLIC WORKS By✓ A Date .77 mfg permit expires 'Date a BUILDING Owner G F SfT OCBUIDNG VALUATION MAiling,Address._ `� I ' .Telephone No Fireplace Contractor = :': CMZ` _.•E _ :-.•..: .,Total Valuation_'• -V, Mailing Address. ^ r Permit Fee _'•. - P.Ian Checking Fee &/or Penalty Telephone"No Permit Fee N, -f$ ` Building Address,y-.� �j7 �; '•, - PLUMBING No @. FEE' PERMI.T.FILING FEE $3.00 `Each Trap f, PU 3 > Repair drainage:or vent piping 1,50 _ Water piping " 1; 50 Each=gas water heater or vent 4.50•. A: P No. B-_. % 3 �'." �,h ' ZonIng'& planning'. 'Gas piping system 1, .5 outlets 1.50 Each additional outlef --• 30. Fees W.C: Semi-ta4ten: Fire Dept Fi:re:Zone, ;. Use:Permit Building sewer 5.00 ,pp EQA Parking - Plans ..Parcel " Declaration I .Parcel Map. ; 60, R/W.- ,Improvements Lawn sprinkler system - 2.00 I .Parcel,Approval .,,: Plans Approval° Permit -Fee _:N EW ADDITi;ON 0= UTILITIES'[ OTHER ;. ELECTRICAL No �:@:- - FEE - PERMIT FILING FEE .$3.00. ' - - )•• - - - - :-Main-';$ervice-100 AOR.'LESSESS 5.00 .. r=-. c hMain Main service :..EA: AOD,,L .ioo'AMP 2.50' service OVER„600V 25.00 _ .roo AMP -OR LESS Single Family Duplex 0 Mobil Home* Others 0 Main service ;.E.A. Aob,L poo AMP 1.00 - - - - 'NEW:C ONST.DELLI NG' OCCUR.'& OR ADDNS. (WACC. BLDGS.. -� - 20sgft - - .� ' NEW CONSTR. � MULTI -OUTLET NON-RESID. •(BRANCH CIRCUITS) ,2.50ea. .-. - '•a', - ., _ _ - NEW CONSTR. /-POWER APPARATUS,&. - NON-RESID. I SINGLE OUTLET. CIR. CONTRACTORS' LICENSE :LAW: "b am licensedtunder.the provisions of Chapter 9; Div`"3, of the , State of California' Business &Professions Code under the. name Style Of: -. - ` Ex:'Occt p(OUTL'ETS OR Fi XTURI-S) BAL�j .E X. OCCU.p. ( FIXED APPLNS. OR 2•�� OUTLETS (RESID.)' EA) Temporary'service 10:00 - Mobile Home Facilities 15.00 Licehse No. Classification Misc. Wiring 6.251 am exempt•from.the-Contractors.License Laws of the State of California.: Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION I.NSURANCE 1. 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. 1771 `I have :placed on file with the .County of Butte a certificate of ` ' Workmen's• Compensation- Insurance: I ',certify. that to ,the performance`of the work for which this', �•°!J:permit is issued I shall.not.employ any. person. in any manner ._.so,'as to`become subiect to.the Workmen's Compensation, Laws of California - PERMIT FILkG-FEE, " - $3.00 Heating Cool.ing:. Ventilation Hood 2:00 :. ' Permi.t Fee $ $ - -i I certi.fy.that I have _read this application and state that the above information is correct.,a-agree 'to comply ,to alI..County.OrdfnancesQTAL 4 , and,'gtate -Laws relating, to'"building construction, and,:hereby, =,PERMIT FEE $ authonze:,.representat ives:of th-e:County of Butte to enter upon the. ,above-mentioned property for inspection -purposes: r ' X _ .. Date nature of:Permitee or' Argent. , 'Receipt No. Aife-D.P.W. — Yellow -Assessor —.Pink -Inspector -:Goldenrod Applicant 7. -This permit. is hereby issued under the -applicable' provisions of the Butte=County Code and/or. resolutions to do., work indicated above for.whidh fees have been paid r: q.P!.RF,=,Q.TOR OF, PUBLIC WORKS By✓ A Date .77 mfg permit expires 'Date a a 3 1, . t, _ .� r 1` J a �, J _ t_ .y t ,t 11 . , t .3 M-1 f f r-. _1 j 2~ i -riy ,*P r 4 ° ,, ,3T �+ t. r i- 7,` t1 y ,� - I- i•? f - I. r ,_ - } I�x rf ). r - i .r _ t 11 y f .�i It . r :? , 3 i -'•'rl .. }.' .n t .. 1' tYc 3t 1`i'.rh i r"' + e� .' y r ` FI- . ! •r { 3. x; r 't ,I. 7 t , y:.r:-.n .1 ` S + y } t 'yam' qui I,,L rat . 1 ! - . t _ f F t. ,!,t" �. ar y y. e. ,�' .. ' ,4 .1 y � � f f 3 �' ` {. . 1 •,. Rte' 1 1. .L .L. Y - 1 j Y.h )� ' i �y 1, s' r # 1 ,I , r rr - . - . � t '.. 3 } ,;_ ti t J�* 4 r, ice. ?; •1. t •L r ti.. r. h `n.. .Y r 1' '. t..la - } ). .i k- _ P. 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