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PERMIT NO. ` ?on
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PERMIT NO.
PERMIT EXPIRES
1/14/77
OWNER AL I C I A
ROOT
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LOCATION (A.P.
—21,Q 1 _2� )
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• 1502 10TH.
ST., OROvILLE
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Pipin
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 Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
EL
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
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
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THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740 °
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:?
Owner's Name: AL -i C.1A V, Z.001
Date: `"° 1 —7r6
Address: 1 ,^'1 r) f f) Tq 1!5;r/F
Acct. No: I L41 6
�
A.P. No.: '3EL t I -.'Z.Z-5
Phone:
No. Units:
Applicant/Agent:��, -
Address:
Agents Proof:
Fees:
Phone:
Preliminary Review By. '' • Date:
Remarks:
Application $
Arrearage
CSA 26
SC -OR
1st mo. S.C. /
Other.
Total Fees
Collected By:
Date:
Field Review By: Date:
el-d
Remarks:44
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
�V Date of TID approval of completed building sewer (early connection).
Q 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).
❑ 1 80days 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
-71
COUNTY. OF BUTTE' DEPARTMENT OF PUBLIC WORKS
7 County. Center'Drive Oroville, Cal i f orn i a 95965
Tel ephpne:. 534-4541
-APPLICATION.-AND PERMIT
'A
-BUILDING
OwnerI
�-SQ. F T; OCC.B uiLDING VALUATION
Mailing Address;
'ITelephone
-1011-1 /A�
Fireplace
Contractor
Total Valuation,
.Mailing Address
Permit Fee
Plan Checking Fee Vor Penalty - -
Tele0hohe No.
Permit Fee
Building Address ICI
6;k
PLUMBING No; @ FEE':
PERMIT -F1 LI NG. FEE00.
-4
Each Trap. 1..50
Repair drainage or vent'piping 1.50
Water piping' 1.50
-heater or vent
Each ga�_water 1.50
A. P No.
Zoning & Planning or nin' g
-Gas piping'.system 1 5 outlets 1.50
Each additional outle;f - —.30
Fee 4<�awffVon
Fire DeptFireZone
Us6 Permit
Building sewer
Parking
EQA Plans
I Parcel
Declaration '[Pair6el
Map 60' 60' R/W.
I -I`mp'ro'vements
Lawn sprinkler system 2.00
Bid ± e. d
Parcel ApprovalP
I -ons App vbl -rk
Permit Fee $
NEW'E]' ADDITIONE] UTILITI,ES OTH�
ELECTRICAL No. ` FEE
_@
PERMIT FILING FEE.'. $3.00
Main service incl. 1 meter
Addiltional,ineters, 'each 1:00
Sub-panel'(1 2 or less) (mora than 12)
e
Single -Family Duplex 1:1, Mobil Home,E].- Others�E:]*.-
\V
Range, Cook-t6p.o�. Oven .00
'Water Heatei o[ Space Heater 1.00
Light fixtures [201%25
ba 10
Receps.; switches &fixoutlets
CONTRACTORS LICENSE LAW.
I am licensed under 'the provisions'.,of Chapt - er 9, Div.'-3,'of the''
State of California 'Business & Professions Code under the name:Air'conditionef
style of:.-
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Ev6p.cooier!,gar'.,disp.o'r'D.W. 1.00
or heat pump
Water pump.
.Mobil Home'Faci I i ti es 5.00
Temp. Power Pole 5*.00
License,No. Classification-
Misc.-wiring
'iUl I am exempt •from the Contractors . License Laws o of'the 'th& State of Cali- ---Permit
-fomia..
Fee' $
$
WORKMEN'S COMPENSATION INSURANCE
I am,aware of the provisions of Section 3760 'of thebalifornia Labor
Code:which-requires every..erhployer to be insured against liability,
.for Workmen's Compensation.
[]:,I have.placed on,file with.the County -of Butte'a-certificif6of_
Workmen's Compensation Insurandei
certify that in 'the performance of the' work :for which, this
.4 Jpermit As issued I shall not employ. any ::person. in any manner
� s.i e6t. to. -the Worl�men.'Js Comp6h'sation',U aws of
so asto become.Ub
..Cali-fornia
MECHANICAL- No. @ FEE
PERMIT FILING FEE $3.w
I .
Heating
Cooling
Ventilation
'Hood 2.00
Permit Fee
I certify! that .1 t.favet read ,.thi's 'apoiicaitio'n'=and state -that -the above
information- is correct...1 agree to comply -.to all _CoUnty Ordinances
and =State Laws,.,* -relating to.. b I ui Idirig. construction, , and hereby -
TOTAL PERMIT FEE
authori ze, "repres6ntat 1 ves of *the County of Butte -to. enter •upon the
-.ab.oy'q -mentioned,lprooerty,far in.spection purposes.
Date
lign"ature of. Pen,iiee_ or Age'nt.
Receipt No.
White-D.P.W. - Yellow -Assessor Pink -Inspector Goldenrod -Applicant
This permit is hereby issued -under the.applicable.provisions Of
the'Butt6 County *Code and/or resolutions to do,work indicated
above for, which fees -have been paid.
DIRE 'IF PU IC -WORKS
By Date
permit expires Date
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SOON; - W
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