HomeMy WebLinkAbout005-383-018f
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M. E. Whitchurch
1239. Bruce .St Chico
Permit #3742-76B(factory built fire-
/C?,
ire- �=' ” ''s •
place/SF) %aJOV�� "C
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Permit Y� 075'=76/� ,E(add 2 bedrooms/SF) z '
est o/ 1� � •
5=383 18'; *=k 7 92-512B r�
{ WHITCHURCH, E. . &', Joann
1239 Bruce St; Chico;
(repair fireplace facing) C,�%.. "r•
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92-512B
5-383-18 _ v
,•1+at } t� WHITCHURCH, M -E.& Joann
1239 Bruce ,St, ,Chico
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(repair'fireplace facing)
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COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 7-
APPLICATION AND PERMIT J v�
ASSESSOR PARCEL NUMBER 4
(?D5-
ZONING
AR
BUILDING PERMIT
OWNER
M F church
TELEPHONE
345-2110
SQ. FT. OCC. VALUATION
/�B/�UILDING
t 200.00
OWNER'S MAILING ADDRESS
1239 Bruce St Chico 95926 • '> . I,
CONTRACTOR%i NAME
Mer
TELEPHONE -.
CONTRACTOR'S MAILING ADDRESS
Fireplace I "All
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 30.00
PLUMBING PERMIT
15.0.0
Filing Fee1239
Brilice St.
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE I
SF FX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK �
'New ❑ Addition ❑ Remodel ❑ Utiil,ities ❑ Installation❑ Other [
.1
Describe work: 'Repair "A" 'Fireplace Facinst _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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
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)
❑ 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
NEW CONST. ( DWELLING OCCUP.e)
OR ADONS. ACC. BLDGS.
3.64sq.11. '
NEW CONSTRULTI-OUTLET
NON•RESID BRANCH CIRC IT$
@ 5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETs OR FIXTURES
20 76 '
Ex. Occup. OUTLETS (RESID )REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ "
—
WORKMEN'S COMPENSATION INSURANCE'
I declare under penalty of perjury,�(check one): I
❑ The permit is for $100.00 (valuation) or less. i
❑ 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 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
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
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 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
against said County in Jconsequence of the granting of this permit.
X n---,�'/ "�� •�%~'%�u^�-�Date "' 7- 7..:?-
Sigg Lure of Applicant — Owner c Contractor Agent I]
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 $
occ
CONST TYPE
.
TOTAL FEE $3Q.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE I
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicatld b v for which fees
all I CTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Dater
Receipt No. 103896
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
100,
ASSESSOR PARCEL NUMBER �
005-383— 8
ZONING
Ax
BUILDING PERMIT
OWNER
Whitchurch
TELEPHONE
345-2110
SQ. FT. OCC. BUILDING VALUATION
Est. 200.00
OWNER'S MAILING ADDRESS
1239 Br6ce St. Chico 95926
CONTRACTOR'S NAME
OwnpT-
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace "All
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$ 30.00
PLUMBING PERMIT
Filing Fee 15.00
1919 Rriicp St Chi ro
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other®
Describe work: RI— air "A" Fir pl are Faring _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO t00oA)
37.50
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.
(cense No. Classification
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)
❑ 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
NEW CONST. DWELLING occuP. �`
OR ADDN5. ACC. BLDG S. /
3.64 sq.ft.
NEW RES'.. BRANCH
NO N•R ESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. p OUTLETS OR FIXTURES
20 76
FIXED
Ex. Occup. OUTLETS (PRESIO )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
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.
VI 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
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Coolin g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
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 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
agai t said County in jconsequence of the granting of this permit.
X Date .V —d 7 9_-2-
Si ature of Applicant — Owner ' Contractor ❑ Agent ❑
An OSHA
ion of structures tover 39stories oin height.ons over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
G,
TOTAL FEE $30.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work Indic d b for which fees
F PUBLIC
By
PERMIT EXPIRES Date `3
applicable provi-
resolutions to do
have been paid.
WORKS
Date �L
Receipt No. 103896
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
...- z : F-' i°",....:...r..rrv,s+r�-•o...- •�'L°'7ijN�..,H.;�.,1,-,rt..�'+er"rTTi7.-r'i1i^'`+hsr",�.4:in'�q` �...v.:Y:+J'.r►V`:,iE.;� ?r.-a�F`6hrr.r�Rm, . 'iP�sr"�V�Y"`S^,e
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
La $ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT'APRLiCATION DATA SHEET 1
Permit No.
OWNER (�f%G%�l/�G�� A, D. No.
&- t Bui Iding 11nspecto Date
Proposed Building Use I r
Attime t' permit application, I was advised the following data must be_ submitted prior to permit processing and/or issuance:
•
1.
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation -data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid .................................................... _
13. School District fees paid ..............
14. Sanitation approval from " Health Department
15. City of Chico -plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B)' Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification), .�
22. Certificate of Workmans Compensation Insurance ............ I..... ;
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .."�' .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization .................... ........
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. ' Del.iver w/inspector.
Other ,.
Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter\by date
Plans checked
Copy -DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
COUNTY OF BUT --Z - Deoarcmenc of Pub l i c (Jo rks
7 Councy Center Drive„ Oroville, CA 95967 Phone: 9L6-538_73„1
rfv, c
OWZTER- BUILD ER VERIFICATION
attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earl -est opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
gill be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (9i)or no)
.2. I (have/have not) signed an aoolication for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contacted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Prooerty Owner
Social Security Number
Data
MOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This veri;ication must be completed and returned to our of:-ce before we are per-
mitted to issue the permit.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
— 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
in,
, a .,.
7;
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C ,
)._ DATE .r ' YEAR COUNT Y"i4`• r' 1�,
J2 iy_
FIREin
Jwwxs Ft•��Ia' 1
MILES
IRECTIO
DFROM �iN NATIONAL' FOREST, FIRE DIST", CITY 8 STREET. NO.,J-
INCIDENT TYPE •
ACRES OF VEGETATION BURNED -5r!
.... ETC.
8A
IR ❑FALSE ALARM tl DIRECT,
[STOP] GOT 1 O AGENCY PROTECTION
❑ ACRES BURNED
%���r'• .:.+�. •;/� • /:<+:
•::,.;.;;...;;:i.>;;. ;f
ORDER NUMBER
REG.
RU.
INCIDENT NO.
START h
coy ~"`' '"�6
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4A DIRE T PROT, RE�P.(ro.P.R•) 48 STATUTORY
3 L
1
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e { i
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_ - a
-
a 1 0 R TREO.
FIRE NUMBER' *•
-1".
nw:°
v
❑ UNPROTECTED I ❑ DISTRICT
R.U.
NO.thru
40❑ OTHER AGENCY D.P.R. CITY ��•�
,„ 1
Y
r r a' _
ji
COUNTY
LOCAL 70 NE •
I °
5 SCHEDULE A D.P.R. _ U.S.8. -
C-18 (1180)
d• .;q, Ile
R r o-
G 8 a `! .n I
8 D OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M.
-14 '•
FEDERAL ZONE 1 ❑ Bu►.
`� SIZE CLASS
W .41i
PROD.`
ORIGIN LOCATION
1
CDF
8 ❑ SCHEDULE A D.P.R. ❑ OTHER FEDERAL
A .26 ACRE OR LESS
OTHER
❑MISC./OTHER (•zoNE•) ❑ -
�- lY
SEC.
TOWNSHIFCgN
129Os
RANGE
®E
CAUSE (STARTS IN 10000R 8 ONLY) '
^ -I `` .❑ C 10-99 ACRES”
r 1111, /
R O .. t A R 8
Did not alert h t 2 6 or g ❑ SMOKING EQUIPMENT
I D 100-288 ACRES
� z
- L
❑w
M« '"
-� • ' : , .. ;: '
❑ CAMPFIRE ❑ ARSON ❑ OTHER/MISC.
in,
, a .,.
7;
�
C ,
)._ DATE .r ' YEAR COUNT Y"i4`• r' 1�,
J2 iy_
FIREin
Jwwxs Ft•��Ia' 1
MILES
IRECTIO
DFROM �iN NATIONAL' FOREST, FIRE DIST", CITY 8 STREET. NO.,J-
INCIDENT TYPE •
ACRES OF VEGETATION BURNED -5r!
.... ETC.
8A
IR ❑FALSE ALARM tl DIRECT,
[STOP] GOT 1 O AGENCY PROTECTION
❑ ACRES BURNED
%���r'• .:.+�. •;/� • /:<+:
•::,.;.;;...;;:i.>;;. ;f
'
INCIDENT TYPE •
ACRES OF VEGETATION BURNED -5r!
3
8A
IR ❑FALSE ALARM tl DIRECT,
[STOP] GOT 1 O AGENCY PROTECTION
❑ ACRES BURNED
%���r'• .:.+�. •;/� • /:<+:
•::,.;.;;...;;:i.>;;. ;f
RESPONSIBILITY (AT ORIGIN) '�
coy ~"`' '"�6
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4A DIRE T PROT, RE�P.(ro.P.R•) 48 STATUTORY
I
u NEo,I
Veo:
let, STATE ZONE RESPONSIBILITY
e { i
,.
:: TYP ' 1
❑WILDLAND BURNED OR THREATENED { •.
_ - a
I ER' • �}�' °, t1 '". '
�� ❑ SCHEDULE A D.P.R. f[]STATE
OTHER f
l?t�' t
nw:°
v
❑ UNPROTECTED I ❑ DISTRICT
TOTAL .4
h::: W jr�* r1.,4a ,�•A�,�� tj� 1
40❑ OTHER AGENCY D.P.R. CITY ��•�
,„ 1
Y
r r a' _
ji
COUNTY
LOCAL 70 NE •
i Y•
5 SCHEDULE A D.P.R. _ U.S.8. -
d• .;q, Ile
R r o-
G 8 a `! .n I
8 D OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M.
-14 '•
FEDERAL ZONE 1 ❑ Bu►.
`� SIZE CLASS
W .41i
PROD.`
❑ FEDERAL(except Military) D.P.R. ❑ N.P.S.. _
1
CDF
8 ❑ SCHEDULE A D.P.R. ❑ OTHER FEDERAL
A .26 ACRE OR LESS
OTHER
❑MISC./OTHER (•zoNE•) ❑ -
�- lY
,.j .,*{.,%, f„f.;%.,•.<
f:::%.:`':?>:•:;:>' F..+;;<;::.<;, : ,.•:'
++; :•....
28-9 ACMES
CAUSE (STARTS IN 10000R 8 ONLY) '
^ -I `` .❑ C 10-99 ACRES”
r 1111, /
R O .. t A R 8
Did not alert h t 2 6 or g ❑ SMOKING EQUIPMENT
I D 100-288 ACRES
OF
LIGHTNING ❑ DEBRIS
❑ ❑ PLAY W/FIRE
E 300-999 ACRES �'
M« '"
-� • ' : , .. ;: '
❑ CAMPFIRE ❑ ARSON ❑ OTHER/MISC.
F 1000-4999 ACRES
e
USE(STARTS IN 0 2
❑G 6000 ACRES
B.L.M.» ,...._ •._..,.,,...�,<'.r,�_µ.;,M1'
�1• :. +an..: • _,.� '
D[]LAND OROONLY)
Ofd rtot alert hO 2 6 �0 ❑FOREST INDUSTAY .
} •'
ea •• ++•r 1. #-r�S' a• r
DOMESTIC
IC]RECREATION --
I
's
w fi _ +
NWH
RAN -
CH -FARM OTH ER INOUB RY COMR
D D T CL
Ex-BOR)"�r), ,.
Mid'
,x
t-. Yrh • .I . R
1
n A
)
-- - --
DUMP O A D
WIL L N
J. r^�
OTHER,, ?� ,V p JAM'
FED. : W.. h
•1
_
A
RO 0 -
NON WILDLAND ...v"..
a ::..•::•;:::.:> q y w%
�O THER w+
T
I I YRAILROADHER
UTILITY. O
r M.. .
N s•
❑ UTILITY ELECTRIC
y� x i%
r5• . f .
3, a
..f:....;,........+.
.TOTAL I,aH:...1....., �'.�twrriAdi�t «�
DAMAGE c , 2 Is oR00NLri
::y
% Number $DAMAG•'ON
ARRIVAL
❑ NO DAMAGE IN of (Nearest 100
9
100 6 O 8 Veh/Dwlg 1 2 8/or 8 1• 6. �-
❑ 1 VEGETATION FIRE
{ +
OTHER, GO TO 10 'r f; +
® '7N7� d -
YIMBER &/OR
OUNG GROWTH '�
SIZE "'" r
DISTANCE'(O►igin to hood
i t*€ A x
� X,j
.... , _ - v -...•-1...+;.1.1•„.1«...... t
.. wlw.,, e^�wr.,j,,,.•.,.,n• il-.••1•tt t'!k - ,
�P t k
WILDLAND VEGETATION i
_ ACRES FEET
(Other than T3 Y G)
AGRICULTURAL PROD
_
WEATHER (ESTIMATE AT SCENE)''
(Other than TdYG)
WIND w.. DIRECTION 'FROM „•z+; TEMPERATUR N
- s 4 E,..,1.,,4..,r.
DWELLINGS
8/OR CONTENTS /
a
M.P.H.w
: r<. y'' ,� ,. '
OF r[„
O
..
...... =
OTHER STRUCTURES
81OR CONTENTS
-1--,a .. ... �.IicM+• 1
4
a•' , y
Aw•.r,w+Mr•�...w .. ., .'•.a.'TI.M..'wi4joA�Fsri.F4!`.
VEHICLES 8 CONTENTS
10
4{ �
,, „K �_ S:/ r� •w r'�{14IJ1.f'""
OTHER
OVER PLEASE., _
�.+»..,',�.. .,...• ;,.tl�!`is+""'r'x
TOTAL �?�:jr:ii$:'•:`•%E S
;: ,z'ss>:i>:? n� .
r, '+
J.,., • ,J` SR + ,, r ,;
; • l P; CD F ' 0 _ 3 Q-,01.+
7"si X45 i:w irn)
1
,✓'% nRnFR NLJMRER
U REO.
R.U.
INCIDENT NO.
_33�5�
YEAR
�o
11 FIRE RECORD MO. DATE TIME
12
OUTSIDE 6 RO 00 TO 12
FIRE STARTED Enter 1ST. CDF Dispatch f
INSIDE1002 OOR 8 O Dia!
FIRE DISCOVERED /,n 117 LOOKOUT: (If 18T.or 2ND. report made by Lookout)
FIRST REPORT
ORGAN-
IZATION
MAN HAS.
AIRCRAFT
FLT. HAS.
SITE
NAME:
SECOND REPORT -
MAN HAS,
AIRCRAFT
;, FLT. HRS.
1ST. ATK.
BY CDF
SITE
NAME: - •nF .n. ,
FIRST ATTACK BY CDF
FIRE CONTAINED
����
r
/1CREW/OVERHEAD 4
RECORD(0 s ' >04.RECORD CDF ACTIVITY ONLY)
rtc
SCHEDULE A. B. OR C. CREW NAME,
AND OTHER AGENCY TOTALS
ORGAN-
IZATION
MAN HAS.
AIRCRAFT
FLT. HAS.
SCHEDULE A. 8. OR C. CREW NAME,
AND OTHER AGENCY TOTALS
ORGAN-
IZATION
MAN HAS,
AIRCRAFT
;, FLT. HRS.
1ST. ATK.
BY CDF
NAM
4
_.due
aAA V2
per
CDF OVERHEAD (Schedule A. B. tl C)
U.S.F.S. (tncL Overhead)
OTHER FEDERAL Uncl. Overhead)
FIRE DIST, A OTHER LOCAL
PAID HOURLY (E.F.Fj
VOLUNTEERS (Unpaid)
C] FC -13B (Additional crew activity) ATTACHED ♦t '' i
ORIGINAL REPORT BY:
4 SIGNATURE
COMMENTS
MAP IS: ❑ ONE SECTION FOUR SECTIONS ❑ MAP ATTACHED
I, .,
APPROVED BY:
:�E DATE JINTL DATE
N
S076 '
PERMIT N0. 1'5075-76B,E
PERMIT EXPIRES
OWNER M. E. Whitchurch
t CONTR. I owner
µ,. LOCATION (A.P. 46-125-18 )
1239 Bruce St.,Chico
Temp. Power Pole e
Called PG&Ee—.*,
Temp. Elec. S v.
41
Called �P'G& E
Temp. GaA Serv.
Call -ed PG&E
JO
WALED
(Date)
i nature)
t t.
f
r
+ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
i
BUILDING INSPECTION RECORD
V.
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback ✓
Firewall
Soil Piping
Forms i
Parapets
1st Floor'
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water PI in
. Piers —
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov, for phsically
handica pe.1
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final Q
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
E ECTRICAL
Masonry Walls
Throat
Rough 3 C
Relnf. Steel
Final
Fixtures
Stucco
Mesh ,l d ME HANICAL
Scratch Heating
Brown Cooling
Finish Ducts
Interior Lath Ventilation
Door Closer Final
DATE REMARKS OR CORRECTIONS_
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final / 2 , '-eq�
(NOTE: An entry must be made on this form each time you visit the job site.)
a COUNTY OF BUTTE — Df-PARTMENT OF PUBLIC WORKS
7 County Center Drive — Orvjlle, California 95965 �j�_�6
Telephone: 534-4541 /
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �-�x✓���Date r7—S^ ?IK
Signature of Permitee or Agent
Receipt No. �o6e)
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 OF PUBLIC WORKS
Bye Date
BMWing permit expires Date %�—! 2-7 7
BUILDING
Owner �f��/I�jj�/%C/y�i C
SQ. FT. OCC. BUILDING VALUATION
12,, r
Mai I i ng Address P__C,.- 5F,
G//C10 ��
Telephone
�' 3y
Fireplace
Contractor
Total Valuation 6o,
Mailing Address
Permit Fee -
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address ���
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
C i/7 l C,0
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. �� yZ��
Zoning & Planning
Gas piping system 1•- 5 outlets 1.50
Each additional outlet .30
Fees I
W.C. Sanew Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Rec'd VJ
PorcAApproval
Plans Approval
Permit Fee $
NEW ❑ ADDITIONJ< UTILITIES ❑ OTHER ❑
-
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 a�
1Z -o
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family JK Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
OR ADDNS. ( ACCLBLDGS.LING 0 CCUP \ 20 sq ft !Gi O
// V V
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON -REST D. (SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9Div. 3, of the
,
State of California Business & Professions Code under the name
St le of:
%r
Ex. Occup(OUTLETS OR FIXTURES) BAL2t
Ex. Occup. FIXED APP LNS, OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10,00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
ImI am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 1a20
$ i 3 C
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I 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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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.
X �-�x✓���Date r7—S^ ?IK
Signature of Permitee or Agent
Receipt No. �o6e)
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 OF PUBLIC WORKS
Bye Date
BMWing permit expires Date %�—! 2-7 7
I
___.__..__-:-Workmanship Shall Be
All M.+eriols- .. I
NOTE-- d Good Practices
'Mco�dortce' wl+h pecoqn,7e ,illed use in
tl
-6 A for the Spe . I Cod
Of a quctlity prescr, P., & marbon1col es.01
,,arrn Build;nqs Plumbinq
the
Un . nal. Electrical Code*
MUST be
3 and specifications unlawful to
This set, �j plans n Ns. and it is
I of Oil time same Wlitllallt.
t on -the - 10:1 all on sar, of Pubes
p - , ..Is or . t - -4,,ent
make On M e Depa
written en ante
ion Ir th
unty i6i Butte.
Works,
c -71
00
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3742-76B
4,"PERMIT NO.
PERMIT EXPIRES f 117,
J OWNERM. E. Whitchurch
-0m er
CONTR.
LOCATION (A.P. 46-123-18
1239 Bruce St., Chbo
Temp. Power Pole
CaYlled PG&E
Tern . Elec. Serv.
Tem
PG&E
emp. Gas Serv.
Called PG&E
JOB
FINALED 1.2
(Date)
(Slin'atfure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, 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.
x Xis o//f l--c2CN Date
Signature of Perm
itte
e or Agent
Receipt No. �Zbb
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 aid.
DIRECTOR OF P BLIC WORKS
By Date "7 `-1?- % 4
If ilding permit expires Date 7—J ?
BUILDIN
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address 1.2 `2-
CH V"0 Z
Telephone No.
Fireplace -'7 S(�
Contractor
Total Valuation
Mailing Address
Permit Fee
00
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
f
l
Building Address i..2- 3 ���
PLUMBING
No.
@ FEE
PERMIT FILING FEE $3.00
(, ®
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
,� 1 _ 1$
A. P. No. 1
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F e
VfVJ
.�aai6a�+e�
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements_—
Lawn sprinkler system 2.00
Gk+d,. Pawrr4 m -V I
Parcel Approval I
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE J$3.00
Main service i°oo AMP ORV OR LESS5.00
Main service EA. ADO'L 100 AMP
2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW LING
OR ADDNST ( ACCLBLDGS.OCCUP. &)
2,tSgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON RES,D. SINGLE OUTLET CIR.
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
St le of:
y
Ex. Occup(OUTLETS OR FIXTURES) BgL@j
Ex. OCCU FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
14
I 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I 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.
@ FEE
PERMIT FILING FEE $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 inspection purposes.
x Xis o//f l--c2CN Date
Signature of Perm
itte
e or Agent
Receipt No. �Zbb
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 aid.
DIRECTOR OF P BLIC WORKS
By Date "7 `-1?- % 4
If ilding permit expires Date 7—J ?
Setback
Forms
M In Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Relnf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DA TE
I;
r t,
`i
COUNTY,.OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f BUILDING INSPECTION RECORD
BUILDING BUILDING ont'd) PLUMBING
°• Firewall Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters ,
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPL CE
Final
Footing 9— 400-177
Throat Z'
Final .Z /17 6 /Vzg
FIRE SPRINK&ERS I Motors
Final I
Subpanels
MECHAN CAL
Grd. Fault Prot.
Heating
Service
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.).
ELECTRIQAL
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS01
1 �•-r
SPECIAL INSPECTION REPORT
Owner: i it YeT A.P. #
Address P—A e� -Date of Inspec on
Tenant:Inspector
Building Location. G�
Type of Inspection requested: t
T% 1. Housing. 17
.2. Financing 3. Change of Occupancy to
EZ'4' Other (specify) (:66,5+i�N.& !1 O �C!/'
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory: \
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
..6. Heating'facilities:..
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
.11. Connectior-to sewage disposal:
12. Connection to water -,supply:
13. Rubbish and garbage facilities:
14. . Coamients:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and:roof construction:
5. Fireplaces:
6. Comments:'
C. Electrical.
1. Service and ground:
2. Receptac es•
3. Fusing:
4. Cam,ents:
• 3
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments •
E. Other
1. Maintenance and repair:
2:` _ Fire hazards:._ _ a
s. Safety hazards:
" 4: . Weather protection:
5. Underfloor and attic ventilation: j.
b� Corm:rents• . i
F.` Ccmmercial Buildings
1. Roof covering:
2-."' Dist•dnce to property lines:
3. Physically handicapped:
4. • Pesiroat,r floors and walls: .
5. Exits:
.._" ti;._. Improvements.
7. Zoning:'
8. Comment-- -
G. Field Probl.r:is :ir Viclation.s
1. Problem or -violation (give complete desrriptic:n)
-
.2. What action taken {gi�,;e camp' ate-Jescripti.9n) : sl 7
3. What action recrmmended)e�utor%/i C, ,, 7�A� �r•*� .�G
A. infonaaion only - file_. 41.0
old for tco (10) days, then wri`e letter.
! / C. Write letter.
. 77 D. Other:
t