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Permit #3167-79B,P,E,M(new sing]
family)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'_
BUILDING INSPECTION RECORD
MECHANICAL
Grd. Fault Prot.
BUILDING
BUILDING (Cont'd)
,? f�eService
PLUMBING
Setback
9
Firewall
Soli Piping
Finlsh
Forms
Parapets
1st Floor
Ventilation
Main Bldg.
Permanent
Restroom Finish
2nd Floor
Footings
Water Piping
E QMg IN
Windows I
3rd Floor
Gas Piping
. Elec. Continuity
Stemwal1
_
Sldin
To out - .
Slab
Roof Sheathing — j. / -
Water E!—Lu
Piers'.
Roofing -
Sewer
GarageFdn.
Vents
Fixtures
Footings
StemwaII
•- / ")9
CP Garage Vents =
Insulation r
Water Htr.
Heaters -
Slab
Carport
rt
Footings
Slab
- )
Prov. for phys ally.
handica ed
Conformance of ex.
structure �—
Final
Appliance -
liance-Car
Gas Piping &Test �- —
Temp.Gas
Sanitation
Patio
Footings
FIR LACE
Footing
Final
ELECTRICAL
Masonr i Walls
Throat
Rou h
Relnf.. Steel
Final
Fixtures
Bond Beam
2
FIRE SPRINKLERS
Motors
Framing —
i
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
,? f�eService
Brown
Cooling
Temp..Wg0 .3 -
Finlsh
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer—
MOBILEHOME UTILITIES
— Final
------------------ Elec. Service
Final
Elec. Pedestal
Water Piping
E QMg IN
Sewer
I - - - - - - - - Support
Gas Piping
. Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
CLIO
a� O
(NOTE: An entry must be made on•this form each time you visit the job site.)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
(Check -each item'or write N/A if.not applicable)
INSULATION:
GLAZING:
j
Slab Edge.:
Single;'_Glaied
Fdn..Walls-
Special (Insulated).
Floors /1
CERT: &LABELED WDS.
Walls
& 'SLIDING', DRS'.
Ceiling/Roof
WEATHERSTRIPPED DRS.`'_
c/
Ducts
-°BACK DAMPERED,FANS'
Circulating pes rl/. '-
INTERMITTENT IGNITION
D, ICES
APPROVED HEATER c/
CERT..APPLIANCES
'APPROVED WTR.HT`
I DECLARE THAT ALL REQUIRED'ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE .WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
-THE-COMPLETENESS OF THIS- CERT IF ICATE' AS ' SUBMITTED.
Insulation,Applicator N
Signature of (p ease, i t)
Insulation App'licat
State Contracto
COUNTY. OF BUTTE' — . DEPARTMENT`OF PUBLIC WORKS-
7.County Center Drive*= roville, California 95965
Telephone: 534.4541
APPLICATION AND PERMIT
authorize representatives of the County of butte to enter upon.tne This permit is hereby issued under the applicable provisions of
above-mentioned property.for inspection purposes. the Butte County'Code and/or 'resolutions to do work indicated -
above for which fees have been paid.
X Date ���% 4" ; DIRECT F'P.UBLIC WORKS
Signature of Perrriiiee or Agent . B,,. Date
y
Receipt No: 22:3�
White-D.P.W. — Yellow -Assessor = Pink -Inspector —•Goldenrod -Applicant Ildinj p6irmit eXpir@S. D8t@
j
BUILDING
.
�p
Owner'D�(j�
OCC., .`BUILDING VALUATION
s
7i7i•
Mailing Addres's'."
�-
Telephone No-
Gontractor.ioio
Mailing Address dot, A
Fireplace
Total Valuation "
Telephone No
Permit Fee y
Building Address,54�. :;
'•PlanChecki
- ng Fee'&/or Penalty
ee6rmif Fee• . , '
o .
PLUMBING;No.
@
FEE
.PERMI.T FILING FEE
$3.00
.' � 00
Each Trao 1:50 Zr 00
Repair drainage or vent piping 1.50
A. P: No. c_
-Zonis 'P.Iann n'g'
Water piping , . °-
1.50
�'tJ
Each gas water heater or vent' 1,50
Fire Dept.
Fire Zone
• ' Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA'
Parking
Plans
Parcel,;
Declaration
.Parcel ap
60 R/W
Improvements
Each, -additional outlet ,;•.- .30'
-
•Buiiding sewer- 5.00
I Plans ec'd
Parce A' royal,
PI rovol'
-Lawn' sprinkler system 2.00
NEW ADDITION Q, UTILITIES -0• OTHER ❑
Permit Fee $
ELECTRICAL . "
No. - @
FEE
PERMIT FILING FEE
$3.00.
VO
,
Main service 100 AMP ORSLESS 5.00
Single Family Duplex MobiI -Home Q Others ❑
Mann4ervlce EA, ADD'L 100 AMP 2.50
.,
•-'_'
'
Main'service'• OVER e00v
100 AMP OR LESS
25.00
" '
Main-SerVlce; EA. ADD'L 100 AMP': 1.00,
NEW CONST. // DW EL:LING OC 4
OR -A DNS.rI"ACC: BLDGS: ) 20 3q ft /1;J
•
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
11A). C .(
NEW CONSTR, (MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2:50ea
NEW CONSTR. /POWER'APPARATUS 6
NON•RESID, C'SINGLE OUTLET CIR.
Ex: OCCUP(oUTL.ETs OR FIXTI,IZES 50
s �t 1,
Ex. Occu FIXED' APPLNS. OR
P•�OUTLETS (RESID.) EA) 2-.00
Temporary service 10.00
Mobile .Home Faci.lities 15.00 -
�� 71.%
License No: Classiflcatton '�,4
Misc. Wiring, 6:25
�am exempt from the Contractors:License Laws of the State of California.'..
Ferriit Fee
$
15Z:45_
$ .3 i_'
.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.
� Ly 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 &t the Workmen's -Compensation Laws.of
California
PERMIT FILING FEE
$3.00
2
, O�
Heating 4) 6Q
Cooling _6'
Ventilation
Hood 2.00
Permit Fee $ 77__a
$
I certify that I have read this application and state'that the above
information is correct.Ataagree "to,.comply to al.l"County Ordinances
and State -Laws- .relating to 'building construction, -and hereby ;
Land Development Fee
$:
TOTAL PERMIT FEE
authorize representatives of the County of butte to enter upon.tne This permit is hereby issued under the applicable provisions of
above-mentioned property.for inspection purposes. the Butte County'Code and/or 'resolutions to do work indicated -
above for which fees have been paid.
X Date ���% 4" ; DIRECT F'P.UBLIC WORKS
Signature of Perrriiiee or Agent . B,,. Date
y
Receipt No: 22:3�
White-D.P.W. — Yellow -Assessor = Pink -Inspector —•Goldenrod -Applicant Ildinj p6irmit eXpir@S. D8t@
j
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t :5: r + 21 t 7 - i r � •/ �b. •�-r" ;l� � P' . + xt T -.,. t R u • ..
he Bldg
T
Setback shall be 5 ft fror
ft: from th®
' side- property line and 50
centerline of the road, permitfing a maxi
F — ♦ - - -
murn of a ft. eave overhang but entirely.
` 9� rlS� POP y
4/,VO out of all a vents. r .
i,x. Tk
x -
n � F
-Septic system _and -location of build- _
ing . drain stub -out to be as-- per -
E -
ButteCounty Health Dept, /e -
i
_ .• i yuirements:6_
Qh_ -'-
I NOTE —�►N 'Materiais & Workmanship Shall
r 1.Accordance •with . Recognized Good Prdacu e '_ th
of a quality proscribed far `tire Spe�fie
Piun�hing & hliec:hamcal Code and.
{ Uniform Building, _
Y
s. ' fhe National Electrical Code.
- `
This set of plans and specification tt w ul to �*
kept on the lab at all times and it , ' r
ame wi out
es or alter otions on, - ;
any c.Fic+rtq. artment of ublic�
written permission from the Dep tr
County of Butte.
^r 1
3 Worics,. $
3lwl ;
i0 a - BUTTE COUNTY'','x
loo BUILDING DEPARTMENTS
APPROVEDr ��
,PESiD EIV CE .._
/on
eel Master":Plan file "for.
n � F
-Septic system _and -location of build- _
ing . drain stub -out to be as-- per -
E -
ButteCounty Health Dept, /e -
i
_ .• i yuirements:6_
Qh_ -'-
I NOTE —�►N 'Materiais & Workmanship Shall
r 1.Accordance •with . Recognized Good Prdacu e '_ th
of a quality proscribed far `tire Spe�fie
Piun�hing & hliec:hamcal Code and.
{ Uniform Building, _
Y
s. ' fhe National Electrical Code.
- `
This set of plans and specification tt w ul to �*
kept on the lab at all times and it , ' r
ame wi out
es or alter otions on, - ;
any c.Fic+rtq. artment of ublic�
written permission from the Dep tr
County of Butte.
^r 1
3 Worics,. $
3lwl ;
i0 a - BUTTE COUNTY'','x
loo BUILDING DEPARTMENTS
APPROVEDr ��
y
— J4
THERMALITO. IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: / 7 f -3.c.
Owner's Name:
Date:+=� i
Address: �'<, ;'`�j.. �t z�•; _-� :,;'
Acct. No:
A.P. No.
Phone: ^'" 2r
No. Units: d �
Applicant/Agent:
Agents Proof: /Z" 44
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review By: �r -<'�� %/ Date:
CSA 26
Remarks:
SC -OR
1 st mo. S.C.
Other
/
-
Total Fees
Collected BY:
By:
Date:'
Field Review By: :�l A ,,nO. �'I% � EbL---- Date: 7 _ .ci
7 9
Remarks:
79
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TID approval of completed buil.ding 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", p`riorto Mar., 5, 1974).''.
❑a 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