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Home My WebLink About031-246-024" 'i1, q/�AP + i1 (port.) I Nor r Construction 766 Therm 'to Ave. , Lot 14, Oroville ve .ermit..797.-7e E,M . (new- SF) '3 6-10 port. Permit #1348-77B(add'l age for perm t #797-77) /y�,,.9ZVZAV $1-246-24 Ken Hemstalk 766 'Thermalito Ave. ,-Orovlle Permit #2. 0-81B ad e k ) ♦ I7� / I 1 a -� PERMIT NO. ' 2670-81B PERMIT EXPIRES a OWNER Ken Hamstalk CONTR. owner ASSESSOR PARCEL 31-246-24 9 LOCATION 766 Thermal to Ave., Oro. i. ?. Temp. Power Pole Called PG&E Temp. Elec. Service 9 Called PG&E� Temp. Gas Se"Fvice f CallJ PG&E JOFINALED (Date) Signature V = OK ' 0 = Not OK t — =''Not Applicable Not Ready. MOBILEHOMES" MISCELLANEOUS " � = . 'Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECK OVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer Location—Test—Fall-C/0—Concreie*-."Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails' 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ P' LPG fA. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shing.—Rfg.—Bracing . Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Carports; Windows—Doors 7. Utility Clearance Elea. Card -BI Date Card -BI Date Card- Date Card -BI Date Card -BI Date Card -BI Date C d -BI DateZ._ Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date OOLS (Pfans) 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 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards'—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test . y . Card B -I Date Card -BI Date Card -B1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -Bl Date . y . r ' t^ J = OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK exce t#'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 -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing 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. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. 27, Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O 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 -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 Card -BI Date Comments at Final: Date FRAMING(Plans) OK except H's 36. Sills; Proper Material & Anchors _ 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE -'DEPARTMENT OF- PUBLIC WORKS PERMIT NO. �J g %7 Count Center Drive - Oroville, California 95965 - Telephone 916/534-4541 F APPLICATION AND PERMIT ' , - z. C_ i�L(�• ASSE' SOR RA R,y Er NUMB R - 1-7z�'ro—Z ZONING � BUILDING PERMIT OW ER TELEPHONE SQFT . . N GV L A0TIONCAI 0 OWNER'S MAILINGESS &kC/-a�/ co V1z-/64 • •. . CONTRACTOR'S NAME -7 ,TELEPHO E' • - CONTRACTOR'S MAILING ADDRESS -* - •� Fireplace CONSTRUCTION LENDER - _ UNKNOWN Total Valuation $ -Filing Fee f '$ 10.00 LENDER'S. MAILING ADDRESS- _ Permit Fee $ Q U ARCHI TECT.OR NGINEER r .ICENSE_NO. Plan Checking .Fee $ �/(J Penalty ; $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS - tis Permit fee- $ _O BUILDING A2�RES %�'t / ' v • - PLUMBING PERMIT F i ling Fee 10.00 ,. Each Trap - ► :. 2.00 Repair drainage or vent piping 5.00 /��(/ !/ �(i(/C✓' " Water piping t LOT NO. SUBDIVISION NAME -- _ ' PARCEL MAP Each qas waterheateror vent 5.00 , Gas piping system 1 - 5 outlets -,'' USE.OF STRUCTURE SFIr' Duplex❑ Mobilehome❑ 'Other ' - - - SPECIFY Building sewer Lawn sprinklersystem. ' TYPE OF WORK New ❑ Addition J�Re�el Utilities ❑ Installation ❑ Other ❑ Describe•work: ,,// �' t 'Permit Fee $ Contractor' ELECTRICAL PERMIT Filing Fee 10.00 Main'service 600 AMOR P LESSOR 5.00 • -, Main service EA. ADD'L 100 AMP 2.50 _ NEW CONST. ( DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW r I declare under penalty of perjury (Check One): y t "• ❑ 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 —51I„as'the owner, or my employees with wages as their sole .comp en- —•sation, will do the work;and the structure isnot 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 MULTI -OUT LET 2,50 ea NEw NON -CONSTRESIDR BRANCH CIRCITS NEW CONSTR. (POWER APPARATUS 6). NON-RESID• SINGLE OUTLET CIR, ( "Ex eo@a�¢ .<Occup OUTLETS OR FIXTURES BAL@1 OC FIXED APPLNS, OR Ex. Occup.(oUTLETS (RESI'D.) EA .1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 'Permit Fee $ Contractor. +' WORKMEN'S COMPENSATION INSURANCE I decl@re under penalty of perjury (check one): 4 .' Thepermit is for $100.00 (valuation) or less. ❑ 'l 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, or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating- eatingThe 'Cooling'” Hod o 3.00 Ventilation , Permit Fee S Contractor 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 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 agains said County 'n consequence of he granting of this permit. , X� 4 Date %- r Signature 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 $' TOTAL PERMIT FEE $ ' 190 OCCUP GROOP L TYPE OF CONST: If PARCEL PD v HD ss/ This permit is'hereby issued under sions of the Butte County Code and/or work indicated. above for which DIRECT71F PUBLIC 6y PER IWEAPIRES Date—. the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. s% �U s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT „ f f � Cllr Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E i B y INA Oz (Date (Sig ature) k h COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor i Main Bldg. Restroom Finish 2nd Floor Footings Windows t1, 3rd Floor Stemwall Siding r------- To out Slab Roof Sheathing Water Piping< Piers 7";%' Roofing Sewer Garage Fdn. Vents '% Fixtures Footings f.1 J X, Garage Vents Water Htr. Stemwall Insulation % Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure. Appliances Gas Piping Temp. Gas & Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough /1 1-717 7 4,141 l Reinf. Steel Final Fixtures Bond Beam _ i FIRESgRINKLERS Motors stucco . Final Subpanels ✓ MeshMECHANICAL Gird. Fault Prot. Scratch,2 � �.� HeatingService r Brown Cooling Temp. Pole Finish Ductsr Underground Interior Lath Ventilation ' Permanent Door Closer Final a Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRE�CTIONS (P%o �`7 -2 L\ (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 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor 1 Footings Windows 3rd Floor Stemwall Siding To out j Slab Roof Sheathing Water Piping Piers Roofing Sewer '$Garage Fdn. Vents Fixtures �. Footings Stemwall Garage Vents Insulation Water Htr. Heaters tSlab Carport 'Footings Prov. for physically' handica ed Conformance of ex. - structure 'Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patlo\ FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown I 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 MOBILEHOME•INSTALLAIIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ' r (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- ` TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: l Street LJ Number -Tract No. EXTERIOR WALLS 1? —. Manufacturer Thickness/Type E Value CEILINGS Batts: Manufacturer Thickness R Value s Blown: Manufacturer Thickness `� No. Bags '2- Wt./Bag Sq. Ft. Covered //50 R Value z9 FLOORS Manufacturer � "/J � � Thickness/Type— J Z_ R Value SLAB ON GRADE Manufacturer Thickness/Type ' R Value Width of Insulation ;.,rhes FOUNDATION WALLS Manufacturer 1 Thickness/Type R Value GENERAL CONTRACTO ✓ �� - �� a LICENSE No. - 17 / BY J V TIT T '_4 tel DATE INSULATION CONTR 'CTOR: HAWKINS INSULATION CO. LICENSE No. 215-925. TITLE "�.'��---- DATE '7 //9�7 Owner fl1 Mai I Ing Address o� t COUNTiy &''BUTTE — DEPARTMENT, OF PUBLIC WORKS a W 7 County Center Drive = ` UroviIle, California 95965 f� Telephone: 534-4541 7 -APPLICATION AND PERMIT ' BUILDING SQ. FT: OCC. BUILDING VALUATION • t � O wVir.0 �' a Tgleph a No. ' L/ 'S Fireplace 3q, to $ 3 Ile Contractor MECHANICAL Total Valuation Mailing Address bo Permit Fee Soo Plan Checking Fee &/or Penalty Heating o Telephone No...' Permit Fee $ C PO Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Wlhave placed on file with the County of Butte'a certificate of t Each Trap 1.50 Oa (/ Repair drainage or,vent piping 1.50 F-1 pi certify that in the performance of the work for which this Water piping 1.50 O Zoning Veri4icali"n Each gas water heater or vent 1.50 0 A. P. N .. so as to become subject to the Workmen's Compensation Laws of Zon Gas piping system 1 - 5 outlets 1.50 /� O Each additional outlet .30 Permit Fee Fee PT W. $ 7,2pZ FireDept. Fire Zone /Use Permit Building sewer 5.00 Parking Plans Par I Decla tion Parcel Map 60' R/W Improve ents Lawn sprinkler system 2.00 AVy ' 'BT g.'Plans'f2'ec61/o arcel Approval PIons I pprovol Permit Fee $1:? , 150 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a0V • - Main service 800011 0' AMP • ORS LESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service - 100 AMP OR ESS• 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ , Main service EA -ADD -l- 100 AMP 1.00 • NEW CONST. DWELLING OCii OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. (MULTI -OUTLET Nn N.REsIn- l BRANCH CIRCUITS) 2.50ea 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., Ex. OcGup(ouTLETS OR FIXTURES) AL@C BAL@1C FIXED APPLNS. O style of: Ex. Occup. ( R OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Z Misc. Wiring 6.25 License Nol:g 5 G 9� Classification ` . ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3q, to $ 3 Ile MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 Soo 1 am aware of the provisions of Section3700 of the California Labor Heating o Code which requires every employer to be insured against liability for Workmen's Compensation. ' Wlhave placed on file with the County of Butte'a certificate of Cooling Workmen's Compensation Insurance. OV F-1 pi certify that in the performance of the work for which this Ventilation ermit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 ,0 0 California. Permit Fee $ fz,&-d $ 7,2pZ 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—io►i>� Date % /'7n'qVred ermitee Agent _ Recdo/t No. /,<q 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT/ FEE. WK3160 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 b aid. DIRECTOR F BLIC WORKS BY Date -77 �_Z _ uilding permit expires Date 4�4�0 -.." LI . �- The Bldg. Setback shall be 5 ft. from the side property line and 50 ft. from the centerlihd"6f the road, permitting a maxi- mum of a 2 ff. eave overhang but entirely out of all easements. T " VV V j. -7/0 Old NOTE: ---All Materials & Workmanship Shall+ P,4.'I ��'-, Accordance with Recognized Good Practiic"8tan of a quality prescribed for the Specified Uniform Building, Plumbing & Mechanical the National Electrical Code. )ecific0tiOns MUST be. _0 I plans and sl unlawful to This. set of ',s I., at all times and it 7 .; - ". iota 'same Wi+ho6t'r kept on the ' ,ra�tons on sar 0 "'a �es or cite make any changes m . ion from the Department pubk written permiss of Butte. j Works, County. See Master Plan on file for buildl plans. BUTTE COUNTY BUILDING DEPARTMENT, `,F-�' PPROV E -D';.' A .... .., r—•y.... .w s .r, ,. _ . i1. .... . n .`.-._ ...... ..... . � . � r . < v v i LY . 7 .. . .- . ♦ . 1 THERMAL.ITO, IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965_ TELEPHONE 533-0740 ' CSA 26 SEWER SERVICE APPLICATION AND CONNECTION ,PERMIT Service Address: ? f.; -~. r. ti,*_ t,+t� 1 �1 .:,<, , Owner's Name: `�i /A -/1s 1 4/� rr Date: - Address: P?ice.... Acct. No: 41_4 A. P. No.: Phone: - ? 7 2- No. Units: f Applicant/Agent: Ali Agents Proof: ✓'✓lam r Address: r "' Fees: Phone: Application $ Arrearage Preliminary Review BY _ f .+ _..-'Date: Remarks: SC 0R 1 st mo. S.C. , Other Tota l F ees Collected By: Date: Field Review By:' ' Date: Remarks: '41 "rr: f � � MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of T1D 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" Owner ZM ,Mailing Address Contractor Mailing Address Building Address COUNTY'OF'BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ oroville, California 95965 I �� Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SQ. FT. OCC. I BUILDING VALUATION Telephone No.� / r Telephone No. F A. P. Po. - i (Aoef.-) d Total .Valuation Zoning & Planning s I Wt_ 9erri't-atfvrt' FireDept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p 1.50 Repair drainage or vent piping 1.50 Water piping - - 1.50 B?d-gV �s Rec'd Parcel Approval Gas piping system 1 - 5 outlets Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER /,",&!/i• / �rrn7/'f � %IT 00 -7,:a -7—_ 77 Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: 9 License No7i�_ Classification Fireplace+ - d Total .Valuation d Permit Fee° $3.00 Plan Checking Fee &/or Penalty Permit Fee ' $ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap . 1.50 Repair drainage or vent piping 1.50 Water piping - - 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer- , 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LE LESS5.00 Main service EA; ADD'L 100 AMP 2.50 Main service OVER s O 100 AMP OR LESS e 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. \ ACCLBLDGS. OCCUP. &) 22sgft - NEW CONSTR(. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) - 2.50ea NEW CONSTR. (POWER APPARATUS .&) NO.N•RESI D. SINGLE OUTLET CIR.. Ex. Occup(OUTLETS OR FIXTURES)BA @L@1290 Ex: Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service ' 10.00 Mobile Home Facilities 15.00 Misc.^Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be 'insured against liability for .. Workmen's Compensation. �f have placed on file with the County of Butte a certificate of J� Workmen's Compensation Insurance. 1 I certify that in the performanceofthe work for which this permit is issued.) shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that l 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 inspe tion purposes. .� X Date-- Si ate o Per ee or Agent ceipt No/ llm White-D.P.W. — Yellow -Assessor — Pink -Inspector = Goldenrod -Applicant Cooling @ FEE $3.00 Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE 1$ 100 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 BLIC WORKS By Date�"�� Building permit expires Date 3- 2 ^ ?