HomeMy WebLinkAbout005-395-011� - •;� - �,.a:.,�;.. � 9..- _.•`-.�.�'- `-:rte .�--.
7'.77,"11
JAMES ERICKSON
STRI 1317 Boucher St., Chico
Permit 193-74 (new service porch
& siding)
005-395-011
Fire Damage Report..r.,.,� ice.•.
4/21 /03 .
LOT BLOCK SUBDIV. 005-395-U11•-'"',"
RAMIREZ, MARIN
TYPE OF 1317 BOUCHER ST, CHICO
PERMIT PERMIT NO. PLAN NO. DATE ISSUED : CONT: SHERTON SERVIC S SUED
RE -ROOF, WOODSTOVE
REMARKS
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PERMIT DESIGNATION: 'B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING '
DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D - DEMOLITION 600.1
7
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CJI I �l
INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERS
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST -
WATER PIPING
SEWER LINE
APPLIANCES & VENTS
FINAL
n. i.n.�. i Ki• a i. uYYeri��i n i v
PERMIT NUMBERS
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
PERMIT NUMBERS
DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
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`, 005 395011 _ -
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0. 1 1317 BOUCHER ST, CHICO3
CONTi SHERTON SERVICES • t
k ;.RE-ROOF;tWOODSTOVE
OFFICE COPY
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COUNTY OF BUTTE - DEPARTMENT OF" DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0 `� ^� �r - '
V S J\
ZONING
BUILDING PERMIT
OWNER
i ir-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.mac 1 o J o u
MAILING ADDRESS'
�c S 7
-
C M CTO R'S NAME "r
C4 FIS
S,Sc40111 I 4 71 S�.z v� a..�
TELEPHONE
3yL •.2 r�
CONTRACTORS MAILING `ADDRESS
TI N v
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
p L:;) O v
ARCHITECT OR ENGINEER
LICENSE NO.
Ellin Fee
$ 20.00
Permit Fee
$ %
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
13 0 15 O V C Hf -'A Hf-'ASr
Energy Plan Checking Fee
$
GN/ 1 o$
PERMIT FEE
S13-7
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping_15.00
Each as water. heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel1c,Utilities ❑ Installation ❑ Other-!
Describe Work: RC,DAiit 4504'1 � lft /QOOr-
%4eAWC fvtyI!' c )/ 1,.7 s'1JJG
Gas piping systiim-_1r_ 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I GI
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
Main Service A OR LESS
23.00
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.
i'
License Class /. Lic. No. / j i�
f
OWNER -BUILDER DECLARATION
1 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
Main Service 200A TO lOooA
46.00
NEW CONST. DWELLMIG OCCUP.
OR AODNS. ( a ACC. BLDS.
SO
3.50x;
NON p610. ' MuLTI•0UTLET
@7.50
POWER APPARATUS
SINGLE OIRLET MR.
Ex. Occup. OUTLET ORFD(TUREs
20 @ 1.00
BAL So
Ex. Occup. OFlxuTiErsR. oEl
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
I hereby affirm under 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 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 !�; 7/¢ry-A► t`O A4P /C_ L, ALL)
Policy Number / 6 A- 9 --oeT
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�-�
X____ Date %L IZ ` - J� _
Signature. of Aan
pplict - ❑ Owner ❑ Contractor ,gAgdnt
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By i/l/ ".; "/ ; i %
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
DateReceipt
/
Date
No.
p '' � � � � -�' ! •
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE '
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
n3- 156
OWNER V PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
-
SMC
1,
Date 8+"4 — `' 2 Inspector
REV 10/92
;i
COUNTY OF BUTTE, • . , .. - ..... - - ;
BUILDING DIVISION
DEPARTMENT OF DEVEL6PMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive ! Oroville, CSR! (53.0)-53817.5.4J_w - --_
CORRECTION NOTICE
w
A routine inspection indicate t at the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice thisoff ce when ctorretction of_work is
Date Inspector
REV 10/92
�fl
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION
7 County Center Drive • Oroville, California- 95965 • Telephone (53 ) 538-7541 PERMIT NO.
�- S
(Rev. 12/96) APPLICATION AND PERMIT vJ —T- f � &�7
ASSESSOR PARCEL NUMBER ®� _ c7� p.' '.
S o
ZONING
BUILDING PERMIT
OWNER - �.
TELEPHONE
��- �26�/
SO. FT. OCC. BUILDING VALUATION
0 0 0 0
.� 1
OWNER'S MAILING ADDRESS
Gvl�
C NT CTOR'S NAME „
S �4-,L
TELEPHONE
3L, 2- s-
-CONTRACTORS MAILING ADDR SS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ O cl> C> (i
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
131 13ovcH_ Sr
Energy Plan Checking Fee $
Cry! C O
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF/d Duplex ❑ Mobilehome ❑ OtherWater
sPECIFv
Each Trap 7.00
Solar or heat pump water heater 23.00
piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel lifies ❑ Installation ❑ Other,
Describe Work: CIgAlfk 8 JR nl
/f
��Pj�e �%rt�f/d6G I,aJ��StrOJ(�
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home ISI G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service p Av OR LESS 23.00
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 in4ull force and effect. !
` 3 �,� / ,
License Class / LIC. NO. 111fff
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
WORKERS' COMPENSATION DECLARATION
1 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- (2e-, o14vp /Z v ivy
Policy Number /'S ,6 k", ';z 6) — e3
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X — �i%_ Date U
Signa re, p a - ❑ wner ❑ Contractor Jif Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig t.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ACC..0CC 3.5¢Fr:
T.
NON -ID. MULTI.OUTLET 97.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
OUTLET OR FD(TURES 20 4 1.00
EJ(, OCCU B
Ex. Occup. ounETs RES O)OE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $
LOcc
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for :whic have been paid.
BLI - Date V V
EXPIRES ON J ' ou
Date
Receipt No. 37777F a 775,77 -PERMIT
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
FIRE DAMAGE REPORT
DATE: d3
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/ scant
Electric:
Yes / No Electric currently On Off
Condition of Electric 4 oed - Ct/Ft>�;1� _��✓ i1�z+� /?���, �,did•/o,�/ti /��,e� �.►Q�oP�..
Gas: ✓1 ��o/.ocil./G7
Natural Zpropane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working CAL WArF 2 Potable Water
Obvious SewageProblems
1
Description of Damaged Area: Woody s>�)e i� FL-Ve. C / J-L/,J j - 7 j;1qFrr.a
Estimate Valuation of Damaged Area:
Condition of
Do4,
V
Mobile Home: Condition of Utilities: 7 00w i
Inspector. �.2%� v�5 %L�— Dat
Sketch building on reverse and indicate area of damage.
DF/BUTTE COUNTY FIRE INCIDENT LO
DATE 02/1112003
INCIDENT NUMBER 1598 LOGGED BY MB
U� , .. , r
REPORT TIME
17:50
LOCAL FIRE NUMBER
10111 i Aa* Mai Fl� RO. ZARATE,
STATE FIRE NUMBER
act �rara v�mJ BI
-
CASE NUMBER
MEDICS
LOCATION 111317
BOUCHER ST
PRA IKIO ECC ❑
RP - PHONE NUMBER
332-9463 , I REPORT METHOD 911
WILDLAND FIRES ❑ ESTIMATED ACRES =
FIRE INFORMATION
STRUCTURE FIRE
RESIDENTIAL
I
FIRE INFO SENT HOW
EMAIL BY MB__j TO STA 44
OTHER FIRE
I
7 -DAY LOGGED D INITIALS MAA
MEDICAL AIDS
I
INCIDENT NAME BOUCHER
PSA/OTHER
I
START DATE 02111/20031 START TIME -46
HAZ MAT
DIAMOND #
COMMENTS
CAUSE MISC
FIRE IN THE
LAND USE DOMESTIC
'
ATTIC c
ACRES r 0TYPE OF ACRES
DIAMOND 5 ONLY $ DAMAGE TYPE
DOLLAFtDAMAGE
100000.00 'SAVE"'
140000.00
INJURIES/FATALITIES ❑
# CIVILIAN INJURIES # CIVILIAN FATALITIES OI
EMD ❑ OES ❑
# FF INJURIES
_�
�1 # FF FATALITIES 0� '
♦ ♦ New Incident.]
FC -40 INFORMATION
FC -40 ❑ DATE OF FC -40 INC
AGENCY INC # INC P#
FC -4O COMP DATE j FC -40 COMP BY F
County Notifications ® EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
PERMIT NUMBER _. B 462-74B
w
0
P
E
PERMIT EXPIRES d -1 % ` S
i James Erickson
OWNER
itit
jCONTR: Owner
)LOCATION (A.P. 46-115-11
1317 Boucher St., Chico
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DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE
•
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
p�
Foundation �i�'D
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing z
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occu�.
Final-
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT. -OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representativ f the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned prope y f r " s purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
01 X dl , DIRECTOR OF PU IC WORKS'
'`
/e�
ignature of Permiitee or Agent '� By Date J �l �" 7 `Y
R iN--
Buildin
White-D.P.W. _ Yellow -Assessor — Pink -Inspector'— Goldenrod -Applicant 9 permit expires Daie .3--_•_��.,,,7� ,
BUILDING
Owner `
SQ. FT. OCC. BUILDING VALUATION
Mailing Address t.l.��•�I )
r
1 Telephone No. S..
Contractor
Fireplace
Total Valuation-!'
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
$
17 1
Building Address
BI
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
d e
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. PNo. j J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
/.
Fees I
C S ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00.
Idg. Plans ec'd /
Parcel Approval
Plans Approval
Permit Fee $
Is
NEW ❑ ADDITION UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
y '�
ofyi—Sub-panel
Additional meters, each 1.00
(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 ba1�110
Receps., switches & fix outlets b
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
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
LIorkmen's Compensation Insurance.
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
$ �C
authorize representativ f the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned prope y f r " s purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
01 X dl , DIRECTOR OF PU IC WORKS'
'`
/e�
ignature of Permiitee or Agent '� By Date J �l �" 7 `Y
R iN--
Buildin
White-D.P.W. _ Yellow -Assessor — Pink -Inspector'— Goldenrod -Applicant 9 permit expires Daie .3--_•_��.,,,7� ,