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HomeMy WebLinkAbout026-080-026A.P. 26-08-26 EMERY SHAMBLIN /-7.�� 7040 Fulton Avenue, P ear;red Vermit 1693-74B,E,(new private aaraae) �� ©o �� �� LOCATION: �� `t" 10- rno CONTRACTOR: DATE: A.P.#: ()a( $©'--(` oZ ZONING: -Ae4 DATE TO INSPECTOR PERMIT HISTORY: [ ]NONE [FOLLOWS: TYPE OF OCCUPANCY: $UMDING INSPECTOR'S REPORT ig Description: [ ] Co erciaMsage: [ . esidential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. C. (� [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? • Natural [ Propane[_ None Currently n ] [ ] YO [ ] Off[ ] Obvious problems: tion: Plumbing working Yes[ ej No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: escription of Damaged Area: Potable water: Yes[ No[ ] nate valuatiory—of Damaged Area: ector• 7-l( ( 4' ^--f a Date: _/ —26-4-Z -4-Z U f�G-o 80— Da�v 5 r:. CDF/BUTTE COUNTY FIRE INCIDENT LOG; DATE 1 121201981 INCIDENT NUMBER 12562 LOGGED BY KLS REPORT TIME 1 22:26 LOCAL FIRE NUMBER RO FERNAND STATE FIRE NUMBER STATION # 72 CASE NUMBER 0 MEDICS: �— LOCATION 7040 FULTON AVE OFFICER 82117 RP IMIKE TAYLOR HONE NUMBER 533-6199 B COUNTY NOTIFICATIONS ❑ EMD ❑ WRA R6 AGENCYID BUT STATE WILDLAND FIRES El STATE ACRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSAIOTHER STATE HAZ MAT LOCAL WILDLAND FIRES ❑ LOCAL ACRES LOCAL STRUCTURE FIRES RESIDENTIAL LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSAIOTHER: LOCAL HAZ MA INCIDENT NAME shamblin START TIME: 2200 CAUSE UNDETERMINED LAND USE DOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE I LOCAL TYPE $ DAMAGE: SAVE DIAMOND #: 16.0 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES: =# CIVILIAN FATALITIES: [=�# FF INJURIES: # FF FATALITIES FC -40 ❑ DATE OF FC40 INC SEN KRA-IL7 STATION 72 AGENCY INC MI INC P# LOG © INITIALS kls COMMENTS: NEXT RECORD LAST LOCAL FIRE # LAST STATE FIRE# LAST CASE # PERMIT N0. 1693-74B,E P E v M o- 4AH UTIL. PERMIT NO. PERMIT EXPIRES — 'i OWNER Emery Shamblin IONTR. Owner LOCATION (A.P. 26-08-26 ) 7040 Fulton Ave., Palermo �f a i { :t ,I i. ,i it t Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 2 COUNTY OF BUTTE — DEPARTMENT JOF 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 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 w 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 I Final Final DATE REMA S OR CORRECTIONS f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive. - Orovi Ile, California 95965 Telepho%e: 534-4541 APPLICATION AWD PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for insp9ction purposes. X ate Signatu of Permitee or Agent Receipt No. 12-0 772 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. DIRECTOR O.)PUBLIC WORKS BY E Date B ding permit expires Date ........ .... BUILDING Owner !3' �' ��U SQ. FT. OCC. BUILDING VALUATION 3, [ZV, Mailing Address a, �� 9 5L - /14 Tele hone No. ��� ��f d) Fireplace Contractor bc.l! r -i Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ -Z•3 al Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 0 VO 72AJ Each Trap 1.50 /q' e-C,e-i-1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �G" C!8 ,Z �o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fp,es- S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcel Declaration Parcel.Map P 60' R/W Im r p ovem is Lawn sprinkler system 2.00 �Pllans Bldg. f�l`�6r s d Par pproval Plans pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Ef Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol_ d?c O ReCes., switc es & fix o tlets 1 , 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 B- am exempt from the Contractors License Laws of the State of California. Permit 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �l 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT L% Z FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for insp9ction purposes. X ate Signatu of Permitee or Agent Receipt No. 12-0 772 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. DIRECTOR O.)PUBLIC WORKS BY E Date B ding permit expires Date ........ ....