HomeMy WebLinkAbout031-281-018H.G. SHACKELFORD
..1432,-10th--,St-;-,--Orovil-le,-
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Permit 3952-73B (rerooM -----
31-281-18
Permit #'1578-.76y(bldg. sewer inst)
31-281-18 �
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Permit#3053-86B(ncelw w ndows
031'281-018 PERMIT#95-19 2
ALEXANDER, Fern
1432 10th St., Oroville/11
Cont; George -Roofing
Re*r oof/SF
1
2
311
1
21
8
1
031-281-018 PERMIt#95-1932
ALEXANDER, Fern
1432 10th St., Oroville
Cont; George Roofing-
Reroof/SF
/0
m
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COUNTY OF BUTTE - DEPARTMENT OF PEVELtflPMENT SERVICES - BUILDING DIVISION
7 County' Center Drive - Oroville, California 95965 - Telephone (916), 538-754 PERMIT NO.
APPLICATION AND PERMIT - �
ASSESSCiRPARCIYUMBER .•'. •, - t'ZONING'.
:.
..
BUILDI PERMITt - t.
,N�TELEPHONE
"� O M 5.»
. .
�S'�'
FT. OCC. ", VALUATION'
nSO.
//BUILDING
:24,-0I0
OWNERS NG ADDRESS .. .. - t
CONTRACTOR'S NAME
TELEPHONE.
.
-
CONTRACTOR MAIUNG ADDRESS
-�_ I Imo..- 'Li✓i+Ile (It els-91,e6
Fireplace
CONSTRUCTION UE R -
UNKNOWN '.
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITECT OR ENGINEER '.- _ .. -
LICENSE NO.
Plan CheckingFee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS _l / '`
7 6T � �,� ��
S, , o � 4 : ��,. , 9S"I S"
d -
PERMITFEE
.�"
$ ,
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT No. SUBDNIS IONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USE OF STRUCTURE
I
SF,W Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
.. -Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ (Installation Other q'.
..,Describe-. Work: r� :-y etc. j
Mobile Home S1 GI W 1
@20.00
PERMITFEE
t
Contractor:.
ELECTRICALPERMI
Fi�in F ee 20:00:
" - - -
Main Service E00V OR LESS
( 200A OR LESS )
h'
23.00
Main Service ( 200A TO 1000A )
46.00
- - -
LICENSED :CONTRACTOR'S DECLARATION
I 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'my11cense-is in full force and effect.
�rj�
License :ClaSs '.. [1'— 3% Lic. No. �'1.�.% r� ��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I'am exempt from the Contractors License
Law for the, following reason: I
❑ I, 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.
❑ I, am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BLDS: •-:.)
SO .
3.50 FT."
NEW CONST. MULTI -OUTLET • "
NON-RESID. ( BRANCH CIRCUITS" ')
97.50
( POWER APPARATUS )
d SINGLE OUTLET-0IR.
EX. Occup. ( OUTLET OR FIXTURES )
�
BAL SO
FIXED APPLNS. OR
EX. Occup. (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm iinder.penalty of perjury one of the following declarations:
❑ I 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 thet
performance of the work for which this permit is issued.x'6.50
❑ 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 pernTit.is issued..
My workers' compensation- insurance carrier and" policy. number are: -
Carrier .S Y✓ sd
_ MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling -'
Hood
Ventilation
- pERMITFEE
$
Contractor
Policy Number- gS ` _ l
(The above sections need not; be completed4f the permit is for Work of a valuation
of one hundred'" dollar's`($,100} or Gess)
❑ 1 certify that in the performance of the work for which this permit Is"issued, I shall
not employ any person in ally, _manner'so as -to become subject to workers'
compensation laws of California, and agree that d] should become subject.to the
workers' compensation provisionsof•sectionP.3700 of the Labor°Code, I shall
forthi1hi com lyrwith those provisions /� r
�y'
A X _�� Date
"Si'" nature of A ' licari't - ❑Own" er ❑- PdrItractof ant
9 PP or 0 19._
An OSHA permit is required;for excavations over 5'0 'deep -and dernolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee --'
$
Energy' Ins ' pection Fee , $
occ
,' r
corisr..TYPe
r.
i
TOTAL FEE $
-
HA2.'D:
FEES
IMP
FLOOD
CDF
PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
ti
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CAWARY-ASSESSOR PINK -INSPECTOR -' GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF 11EVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSORCEL NUMBER _ -
3 — O
ZONING
BUILDIN ERMIT
OWNES !�• .;;
ern ? '
I
TELEPF,CN
3' _' 7 `/
SO. FT. OCC. BUILDING VALUATION
d O ` v N Q,
.. ..
OWNERS MAILING ADDRESS ,�/_
1,413
CONTRACTOR'S NAME TELEPFFONE
C eor :r 3 -3 -1, 393
CONTRACTOR NG ADDRESS
o lfe v.
Fireplace
CONSTRUCTION LEND
UNI(NOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee
$ 20.00
Permit Fee
$ .�
ARCHITECT OR ENGINEER
LICENSE NO..
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -
PERMITFEE
$
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF,X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -Zee...—
Mobile Home S G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main ServiceE00v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A To 1000A )
46.00
' LICENSED CONTRACTOR'S DECLARATION
I 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 is in full force and effect.
q
License Class (� — l Lic. No. -V5 .2 44
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO.
3:50 FT.
NEW CONST. MULTI -OUTLET
NOWRESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR
Ex. Occup. (OUTLET OR FIXTURES )
20 1,00
aAL 30
Drs LNS. OR
Ex. Occup. (oFIIXEEP
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I 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 5- jic rld ,"d
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number .2R T —so9
(rhe above sections need not be, completed if,the permit is for work of a valuation
of one hundred dollars ($100) or less.) ; r '. `, `,:•
❑ 1 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' comp tion provisio s of secti 37 of the Labor C de, I shall
f wI co with those i ons.
X _ Date
er -❑ Contr Agent
Sign re of Applicant- ❑rhexi
An OSHA permit is requiredavations over 5'0"deep oiition or construction .
of structures over 3 stories n ght.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
IMP
I FLOOD
I CDF PARCEL PD HD
SSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated ab ve for whic e s have
PERMITEXPRESON
applicable provisions
Resolutions to do work
been paid.
C
ate 7
(D e)
Receipt No.
WHITE-D.D.S.- D. CAWARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PermitIA3053-86B
Harland Shackleford
1432 10th St,'Oroville
4
1 4
v
n
PermitIA3053-86B
Harland Shackleford
1432 10th St,'Oroville
4
1 4
v
t
w COUNTY OF BUTTE-- DEPARTMENT OF' PUBLIC WORKS` PERMIT NO.
T County Center Drive - 0coviIIe CaIifunia 9.5965 Telephone 916/534=4541
s- I APPLICATION AND --PERMIT
:'ASSESSOR PARC -EL NUMBER ', -
�`
ZONING -
-
BUILDING. PERMIT.
•'.SQ.:FT.
'OWNER, ',-: - "r' t t: %
TELEPHONE..'.
OC�Ci. BUILDINGVALUATION
OWNER.'•,+SMAI.L7ING ADDRE+S��S,'�+/`,,
.q. CONTR.A'C TOR S,N AMIE-- -
,T E LE PH ONE•
-
':CON�TRC ORSF'M�AI((LING cA �DRESS
_7
•i V t GG ._a . f' r. fi
Z
j',
F.ireplace..
-
CONSTRUCTION LENDER
Y, .,t
UNKNOWN'.
-
Total Valuation $
Fl.ling Fee $ - 10.00
'LENDER'S MAILING AD DRE SS -
Permit Fee $ i-
�n 7
ARCHITECT OR :ENGINEER. ,. '"
LICENSE NO.
,-Plan Checking Fee $
Energy -Plan Checking Fee $
-ARCHITECT- OR ENGINEER'S MAILING ADDRESS '.
. .
Penalty $.
BUILDING ADDRESS - -
permit fee Q
PLUMBING PERMIT Filing Fee 10.00
i
Each Trap 2.00
I ,
rt, fjr I
Solar or. heat pump water he 20.00
LOT NO. :
SUBDIVISION NAME-
PARCEL MAP
Water piping 5.00
Each qas water heater or vent . 5.00
USE OF STRUCTURE
SF ®, Du plexF Mob IIehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets $.00
Building sewer 5.00
Mobile Home IS JGJWJ 0.00 ea
TYPE OF WORK .
New Addition•❑ Remodel Utilities 0 Installation:[] Other[
Describe work: f
Permit Fee $
Contractor
ELECTRICAL PERMIT Filin Fee 10.00
I
Main service. 100 OR LESS 10.00
100 AMP OR. LESS
Main service EA. ADD'L 100 AMP 2.50
'CONTRACTORS LICENSE LAW
declare. under p y p I y (check one):
penalty of perjury j
'
�.,I am licensed under provisions of 'Chapt.'9, Div. 3 of the Business..
%
License No: 11�2�i��� Classification. ,4,:
•
0 -•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);
as.theowner, am exclusively. contracting with licensed contract-
ors:. (Sec. 7044) ;
I am exempt'.under Sec. Business and. Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.y ,
OR ADDNS. C A{C. BLDGS.. /eOsgft
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 1.2.50 ea
(POWER APPARATUS e)
.
Zoeaoe
EX. OCCUp�OUXED TS OR FIXTURES aAL930
FIXED APP LNS. OR
EX. Occup. OUTLETS (RESIDJ EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00.
Misc. Wiring 15.00'
Permit Fee $.
Contractor
WORKMEN'S COMPENSATION INSURANCE
I.declare under penalty of perjury (check one):
The permit i's 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 anly.manner so as to become subject
to the W. C. laws :of. California, I
Notice to Applicant:-If'after inaking ,this 'statement; .should you become subject
to the W..Ci�provlsions'.of-the'Labor Code, you must forthwith comply with such
provisions or.this.pbimit'shall be -deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
'f certify that •I'have, read this appticati.on 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:uponthe above=mentioned property for inspection purposes...
I•also agree to' save,` indemnify and*eep_harmless the County of Butte against
all, -liabilities, judgments, costs', and expenses which may in any way accrue.
_against said County, in consequence.of thRgranting of this permit.
f ^� /
X r:f.� l /�/'1—�%I Date w % 5 `�c�
Signature of Appllc nr t.l Owner Q' 'Contractor Q' Agent ❑
An OSHA 4�
permi.tl,is required forexcaJ'ations.-over 5'0deep and demolition or construct-*
"ion of structures over 3 stories in height.
Mobile -Home Installation Fee $
Energy Inspection Fee $
`f
TOTAL PERMIT FEE $ r J
occu P.
CONST'.TYPE
I FLOOD
PARCEL
PD
ND
I ISSUE
This permit is hereby issued under the applicable prove -
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
,DIRECTOR OFPUBLIC WORKS
By f f 3' '•, Date /
,� �
PERMIT EXPIRES Date
•'Recei' "No.
WHITE-D.P W.;',TELLO-ASSE1SSOR. PINK -INSPECTOR., GOLDENROD -APPLICANT
L
-'COUNTY OF BUTTE - DEPART, VENT, OF PUBLIC WORKS. ERMIT NO.
7 County Center Drive - Oroville, Caylfomia�95965 -.,Telephone 916/534-4541 ref
APPLICATION AND PERMIT.'
ASS eoji PARz�IZy MBEg
/
zoNy1
BUILDING. PERMIT.
OWNER
TELEPHONE
-SQ. FT. OCC. BUILDING VALUATION
OWNS ' MAILING AD I,�
,C
NTR DT R'S N - -TELEPHONE'.
�-
I
'
ON RA R'S AI GA DDRE 5
r
e �, (��
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
"Total -.Valuation $
FI'ling Fee -
.$ 10.00
L ENDER'S'MAI LINGADDRESS -
"
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan -Checking Fee,
$
ARCHITECT OR ENGINEER'S,MAI LING ADDRESS � � - -
Penalty
$
BUILDING ADDRESS _
•Permit fee
! .
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
(/(
Solar or heat- pump water heater -
20.00
LOT NO. , '
,SUBDIVISION NAME
PARCEL MAP _'
Water piping''. I
5.00'
Each gas.water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer . ,"
5.00
Mobile Home I S1 G W
0.00 ea
TYPE OF WORK
New ❑ Addition.[] Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
Permit Fee
$'
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00.
Main service 600V OR' LESS
100 AMP. OR LESS
10.00
Main service EA. ADD'L 100 AMP
'2.50
.
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. _ &L 5 Classification
I❑
1, 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., (Seo. 7044)
❑ I am exempt under.Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d`` ,
OR ADDNS. ( ACC. BLDGS. f /20sgft
NEW CONSTR. UT .OUTLET 2.50 ea
NON.RESIO BRANCH
(POWER APPARATUS 61
SINGLE OUTLET CIR.
Ex. Occu 20 ® soe
p(OUTLETS oR FIXTURES eAL@30
EX. OCCU FIXED APPLNS. OR
pa OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities- 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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.
(ScL I shall not employ any person in any manner so as to become subject
t 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$'
Contractor
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 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
again ai County in. consequence of thetgranting of this permit.
�
X Date
Signature of Ap ant — 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 $
TOTAL PERMIT FEE ' $ Z1Y. �„
OCCUP.
CONST.TYPE
IFLOODIPARCFLI
PD
HD
ISSUE
t/
This permit is hereby issued under
sions'of the Butte County Code, and/or
work indicated above for which,
DIRECTOR OF UBL
B
`PERMIT EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
C WORKS
Date/ - —
_
3
1
Receipt No. 3:3
WHITE-D.D.P.W.. YELLOW-As8E930R, PINK -INSPECTOR, GOLDENROD -APPLICANT
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PERMIT NO. 15%8-76P
c
PERMIT EXPIRES 4/5/77
4 OWNER HK=HARLAN SHACKELFORD
CONTR."- owner
LOCATION (A.P. 31-281-18 )
1432 10th..St., Oroville
1
r
i
t
c
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
/FINALED
led PG&E
/
Z,;7—
(Date)
(Signature)
_ t
(NOTE`. An entry must be made on this form each time you vislt,the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION" RECORD
BUILDING 4 BUILDING (Cont'd)
PLUMBING
Setback-
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
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
'Appliances
Carport-
Footings
Conformance of ex.
structure
Gas PI in & Test
Temp. Gas
Slab
Final
Sanitation
Patio
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
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
f Temp. Pole
Finish
Ducts
Underground
Interior Lath ''
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
(NOTE`. An entry must be made on this form each time you vislt,the job site.)
-h -- ��a, :1..'.. i •�Se�,l -0. } ij: - i��i •. e1 y !'P t"Y'•-'�^,'i'M,'• .%.�'n: - KY" rte;
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THERMAL.ITO IRRIGATION DISTRICT
410 dRAN0'1AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: to N :2 ,c., i -v--
Owner's Name: �.. C n
Date: — -; %4.
Address:
.
Acct. No: :5 LA /5
. ! i r .-. C'► L� µ C1 1, c:;--
v �..v
A. P. No.?91 Z`3
Phone: "'7 7 / l
No. Units:
Applicant/Agent: !,� /. '
Agents Proof: Al &
Address:
-
Fees:
Phone:
Application $
PreIiminar Review B �I1)Y p{"�-
y o Y� � - Date
Arrearage
CSA 26 l
�
Remarks:
V
SC -OR
1st mo. S.C.
Other J
Total
Fees �.
`
Collected By:
Date:
Field Review By: Date:
Remarks: z - lyl.✓ S
,J
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
�i Date of TID approval of completed building sewer (early connection).
0 30 days after date above, or on date of DD(.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
r
COUNTY OF' BUTTE . DEPARTMENT -OF-PUBLIC WORKS
7 County'Center Drive; — Orovi lie, California 95965
.'Tel ephone:t34-45411
AP'PLICATIONAND PERMIT
Signature of Permitee or Agent-- 7
'Date
Receipt -No.,`"
7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant EkrA44Rj pipirmit.explreS Date [ - %
BUILDING
Owner
SO. FT: OCC. BUILDING VALUATION
IF
Mailing -Address . rh
r
Telephone No.
3 —Za►
p -
Fireplace
Contractor '
Total Valuation
Mai l i ng Address
P rmCnFeeck
Planing'Fee&/or.Penalty
Telephone No
Permit.Fee $
Building Address ?A
PLUMBING No. @ FEE
PERMIT F.ILING'FEE 13.00 "'.c�J
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: _ 8% — /
Zoning 8 Planning
Gas piping system 1 - 5 outlets. ' 1.50
Each additional outlet- .30
F
Sanitetiefi
I FIre' Dept.
Fire Zone
Use PermiC
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
f
Parcel Map'
60' R/W.
.Improvements
Lawn.sprinkler,system 2.00
Parcel Approval
Plans"Appro-valPermit
Fee $ 8�d
$ OG
❑ . ❑ � ..
NEW ADDITION' UTILITIES OTHER
ELECTRICAL No. @ . FEE
PERMIT FILING FEE moo
Main service 1000 AMP V OR ORSLESS' 5.00'
Maln.servlce EA. AOD'L 100, AMP 2.50
Main service 'OOVER AMP OR LESS 25.00
Single. Family �. Duplex 0 Mobil Home ❑. Others ❑
Main service EA. ADD'L too MMP 1.00
' -
-
NEW CONST. DWELLING QC Et &
OR ADDNS. ( ACC. BLD'GS. -�' 2c Sq ft
-
'
NEW CONSTR. MULTI-OUTL T
NON-RESID. (BRANCH CIRCUITS) 2.50ea
- -
NEW CONSTR. POWER APPARATUS & -
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
am licensed under the provisions of Chapter 9, Div. 3; of the
State of California Business &. Professions Code.uriden the name .. '
Style Of:: -
Ex. Occup(QUTLETS OR FIXTURES) 25,tBAL@1
FIXED APP LNS. OR
Ex. OCCup. ( OUTLETS (RESID,) EA) 200 '
Temporary service 10.00
Mobile Home Facilities 1,5.00
License No. Classification
Misc. Wiring " 6.25
I am exempt from the Contractors License Laws of the State of•Califomia.
Permit Fee $
$
MECHANICAL' No. @ FEE
WORKMEN'S COMPENSATION INSURANCE'PERMIT
I- am aware of tfie provisions. of Section3700 of the California Labor.
Code which* requires every employer to be insured against- liability'
for Workmen's Compensation. {
(.have placed on file,with'the County of• Butte a (certificate of
,Workmen's Compensation -Insurance.
1certify 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
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood' 2.00
Permit Fee $
$
I`certify:'fhat 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
authori e-represeritatives of the C unty. of Butte to enter upon the
above-mentioned property for inspecn purposes,
eabove
"X. Y Date7 G'
TOTAL. PERMIT FEE
$ �G
This permit is hereby issued. under the applicable provisions of
the Butte County Code and/or resolutions to do work •indicated '.
for which fees have -been paid.
DIRECTOR OF..,PUBLIC WORKS
Signature of Permitee or Agent-- 7
'Date
Receipt -No.,`"
7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant EkrA44Rj pipirmit.explreS Date [ - %
V
:i7
PERMIT NUMBER _ g 3952-73B
t P
a
f
n
E
w.
PERMIT EXPIRES
fi
` H. G. Shackelford
j OWNER
r
Owner
CONTR:
31-281-18
LOCATION (A.P.'
t
i' 1432 10th Street, Oroville
r � r
�4
t .
is
C'
h
f
l
i
r �
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1
COUNTY. OF BUTTE.'
Department of Public Works
BUILDING INSPECTION
RECORD
Zoning
Setback
Forms
Foundation
Piers,& Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water s�
ELECTRIC
GAS
BUILDING!
Temporary.
Temporary
Cert. of Occup..
Final
Final
Final
DATE
REMARKS OR
CORRECTIONS
r .K
n;COUN.TY OF,'BUTTE . ,'' DEPAR TM ENT, 0F PUBLIC W
. 7::C6u'nty Ceriter Drive—.Oroville, Cal;ifornia'95965
Telepl3one:.53�4 4541.
APPLICATIONAND PERMIT
W.
�'. BUILDING.
^
Owner C �'Q �� R
Mailing Address r �—
». 1
SQ: FT .: OCC'' -b01' DING-.VAL' DATION'
�' J
`x
=, !
Telephone''No
'
Fireplace
Contractor'•
;Total: Valuation f
Mai'l'ing Address , r :•
Permit Fee.`:
$.
,
PIan;CheckingFee&/or Penalty
' •
Telephone;No
Permit Fee, $
Buildingres - , v TS _ f.,
/•/T`PERMIT
/f
t-�
.,PLUMBINGNo @;. FEE
F(tING'FEE $2.00 "
Each Trap 1.50
-
J
Repair:drainoge.ibr'vent piping ;1.50
Water piping: ' 1.50
Each gas water heater or, vent 1:50
A. _P..No:' "• i .� l �S
Zor,ing & Planning. "
pi ping system 1` 5'outlets T.50
$•
Each additional outlet 30
F.
fire Dept
FireZone,;
t Use.Permit s
Bui_I"dmgsewe�". _ '.:;,' '. .5.00
.EOA
Parking:
Plans .
Parcel
Declaration
_Parcel'Map
60 R/W:
:
> Improvements .
Lawn sprinkler system 2:00
Bfdg.,Plans Recd.
Parcel. Approval
P.Ians Approval} .`
Permit Fee:` ;:'$'
NEW:.❑ ADDITION.[.: UT:ICITIES ❑ F.OTHER: e' .
'. 'ELECTRICAL., No @: FEE
PERMIT FILING FEE $3.00
Main service' incl 1';meter .
Addifional.meters, each ;: 1.0.0
Sub=panel (:12 or Iess) (in re;ihan 12) -
Single Family ❑/ Duplex ❑`. Mobil Home ❑ Others❑
Range, Cook=top or.,Oven 1 00
Water Heater-or Space Heater 1.00
` p
fixture's bol io
J ,
Receps., switches'& fix outlets ,
CONTRACTORS LIGENSE•;LAW
_I dam licensed'.'under the,provisions of .Chapter 9;' Di:v. 3,. of:ahe
State of. Califorhi , Business •8 professions .ode under, the name.
f; d
style of: x;;� Y 1
'Hood; Ex 'FanorF A'. Furn.Motor 1.00
Evap. cooler„agar lisp. or D.W.1:00
Ai"r•condi,fioner.or heat pump,..
?WateYpu'mp
Mobil—me-Facilities-• ;'.. 5.00
Tempe Power Pole 5'00
:• y
License No: == :Classification
Mi'sc: wiring
I:am.exe t;from the,Contractors License Laws"of the:State of California.
mp
Kermit Fee:::
'
,$
.WORKMEN'S-COMPENSA�TION LNSURANCE `4 �
t; ;
I am'aware of'the proGi"sions of Section'3700.of, theiCall.ifornia`:Labor '`
s
Code: which Yegiiires,every.employer to be insured agairist liability,.;<<,
for Workmen s. Com' ensation.. r
I have placed on file with;the County`ofrButte acertificate of '
W rkmen s Compensation Insurance ,
(,.certify that in the performance of the„work for which this
rmit.is"issued Jtshall not .em 10 an •" erson i:n an ;manner: ;
JP P Y Y.P Y
so :as -to become sut)6,84 ao'the• Workmen's,.Compensation Laws of,'.' .:'•Hood'
California
-'Iding
MECHANICAL '• No
} -
PERMIT FI,EING FEE $3:00
:Heating.
Cooling
Ventiaafion ;'
Permit.Fee%` $
1 certify that (,:have read this_.application:and state :that the`above
information,is.correct:I`agree.,to:•compIy,to all' County O.rdi;nances -
;;:and State, Laws relating �fa..bui construction, and; _hereby;
authorize representatives.of:,.the County of =Butte to "enter upon the
above mentioned ro ert for ins ecti'on u oses
P p . Y p p �-
X - Date
Signature of Per'niiI” or"Agent
Receipt No - a
:White-D.P W "Yellow Aspessor'- Pink Inspector'="'Goldenrod Applicant :
=TOTAL PERMIT FEE
This ermit is_hereb'.-is.sued'uhder the a•' licabl`e rovisions`of- `: ;.*-
f? Y PP P.
; the Butte`Courity 'Code.and%or resolutibns^to do work> indicated
above for. which•fees have been'paid
DIRECTOR PUBLIC WORKS
--
atel
io �-
iu (Ling permit a es. Dete :� . � ....
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