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ALBERT BUDLER l
1570 12TH. STe y OR0 I LLE/ a�✓�
PERMIT #1 1 5-76P(I N , BLDG. SEW-
ER) S/F
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PERMIT NO. 1 57EP
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MH UTIL.
PERMIT NO.
PERMIT EXPIRES 1/9/77
OWNER _ALSFFT BUDLFR
CONTR. OWNER J
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LOCATION (A.P,
1570 12TH. BT., GROVILLE
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
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
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
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
. / V
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 57 o I Z T I I
Owner's Name: " 0 GtfZ-fl P-7
Date: A -741
Address: G 7-114
Acct. No: 7 ✓ P
V Q'A
A. P. No.: .33 —46-1 — 14
Phone:
No. Units:
Applicant/Agent: N)A
Agents Proof: lad L3
J
Address:
Fees:
Phone:
Application $
J4, Arrearage
Preliminary Review By" V Date: CSA 26
Remarks: r
SC -0R
1st Mo. S.C.
Other
Total Fees' �\Lp 02 1
Collected By:
Date:
Field Review By: All- Date:
Remarks: I
'CA-) Al,
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
F
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
V/ COUNTY OF BUTTE —� bit-rARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property
for inspection purposes. purposes.
X I t/�C� CC_V_ ci'Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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.
D TOR OF UBLIC WORKS
By Date . lla� -7
LP
permit expires Date //,:-)7X
BUILDING
Owner
SQ. FT. OCC. BUILDING VALIDATION
Mailing Address
Telephone ZN,,
Fireplace
Contractor
Total Valuation
Mai I Ing Address
Permit Fee
PI an Checking Fee &/or Penal ty
Telephone No.
Permit Fee
Building Address —
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 �pQ
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.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcelparcel
Declaration
Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
IE�daa PI��LBecd.
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTI ITIES ❑ OTHER [
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service Incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b
Receps„ switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL NO. 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.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
fel I certify that in the performance of the work for which this
�t 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.
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood
Permit Fee $
$
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property
for inspection purposes. purposes.
X I t/�C� CC_V_ ci'Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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.
D TOR OF UBLIC WORKS
By Date . lla� -7
LP
permit expires Date //,:-)7X