HomeMy WebLinkAbout005-465-003a
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Q33
2112 Laurel St., Chico
contr: G. Hardesty, Chico 1 ��
ermi-t# 3959-75B( stucco ex. res. %\
C
a
wm.E C0tTNA2RiiRTMEVT OF PUBLIC WORKS
/ `SPECIAL Ii4S.PECTIQ-t;REPORT
,Owner: a� �,,; .- — A.P.
Address:— Date of Inspec o4I--
��Tenant • �1��., Inspector if
Building, Location: - • -
Type of Inspection requested:
/ / 1. Rous ing / ! 2. F inanc i ng
4. Other (specif;
Presexat use: cif build
3. Change of Occupancy to
A. Sanitation (I1ousing 11</
1. Vater closet:
2. Lavatory-,
Bathtub or shawer•
4. Kitchen sink:
5. Hot and cold vater to fixtures: --- _�
6. ' Heating facilities.:
7, Natural light and 4rent ilar lon: -- -
8. Room arta space requirements: -
9. Be.drocAm window or door for second exit::_ _
13. Infestation of ill5ects,.Vermin, or rod.Ylts:
11. Connection to sewage disposal: ---
12. Conneci;.i.on to ,nater supply:
13. Rubbish and garbage facilities:
14. Comments: —
B. Structural
1. P-I.ers and footings:
2. Floor constnicti.on:
3. Wall construction*
4. Ceiling and roof cons � ._L".z:
5. Firf%places, __
6. Cmnents: —`
r
C. Electrical -
1. Servicc end ground:_.._
2. Receptacles:
3. Fusi:ig
4. Conmmnnts:
D. P 1 umb ink
1. F1'.xtot-e cora_'ectM and vented:
3. C;.ts heating vezt:, _---
4 . r sent:s : -
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6.; Comments•
F. Commercial Build in s
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls: _
5. Exits: _
6. Improvements:
7. Zoning,:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete descripti.oai) :
3. What action recommended:
77A. nfoniiation only - fi i%l.
B. Hold for ten (10) days, then write letter.
C. Write letter.
/71). Other:
I
SIA:it'A0. + aA'i +,A,
f' ,
el
LOCATION (COU Direct P.A.)
,RILES IMPECTKY, [-JFROM .? 'IN NTL FOREST. FIRE: D071, Cir( .t, VKLI NO. i,l
iI�V.._ y, tom/ ` d J�Wi rLS �a1.w�Q:w 1
FIESPONSE i'YPE ACRESBURNED (C17F Juecl Prcn,:�r,on Ans,+,ort A)
On.,
1• •, , •, F • • a, efla+
r Iic> lc , lu
}
SA
AGENCY
Iu
PROTECTION
ACRES 6URNE
- JC1
C.D:F: '�'"
❑ Ml-CREAllOr! "
,3 11, RESPOU SIBILITY (AT ORIGIN) 4
-r3
((° 00ECT STATUTORY
OTHER,.,,.
[) L I It 0, f to I
U NUN WILDLANO
J.~ E'Ht)TECTIUN , RESPONSIBILITY
I,% A, (Nvr, Cr011(40)
USF$
A - YCAUSE l '•fsrt5 ,rt C01 (vert f':ote.otoil Area o('iY)
I Itolill'IM" 'DEBRIS ..l PLAY W/FIRE
L•AI,rF i tilt ARSON tv,4- MISCELLANEOUS
+ PROPrBTY USE (Starts In C:U' Ditccl Protection Area only)
P>r,w ': t :"rr
() UTILITY. 01HER
l.._� STyCiE
i
- JC1
STATE ZONE
❑ Ml-CREAllOr! "
L
(] OMER INDUSIM-COIit"I
Ctl'r
f
[) L I It 0, f to I
U NUN WILDLANO
4 -1
I,% A, (Nvr, Cr011(40)
USF$
LOCAs. ZONE
t
<4, v(
WO -A, (contra-,)
TOTAL
��
C)CAl IilOn-cOnU13Ci)
NP.S.
C,
FFDERAL ZONE
OTHER FEDERAL
MISC./OI HCR
EJ OTHEP
A - YCAUSE l '•fsrt5 ,rt C01 (vert f':ote.otoil Area o('iY)
I Itolill'IM" 'DEBRIS ..l PLAY W/FIRE
L•AI,rF i tilt ARSON tv,4- MISCELLANEOUS
+ PROPrBTY USE (Starts In C:U' Ditccl Protection Area only)
P>r,w ': t :"rr
() UTILITY. 01HER
�) I Ata' - c AF -,P,
❑ FORE -SI It,DUSTRY I
�i .,u" I
❑ Ml-CREAllOr! "
rJ kJAI •
(] OMER INDUSIM-COIit"I
RA n 140AD
❑ 1�(;IDLAND
[) L I It 0, f to I
U NUN WILDLANO
�,)AFAACE
Protection
%Cl)F Direct Area only)
Pp.or)
t
5 DAMAGE
ki
TOTAL
I1iO3ER &/OI: YOUNG GROtVFH
V ICI)I PNf0 VEGE)TM ION
I . t,Cpt 1'1rtw( & jr.....Growth)
i AGRICULTURAL PRODUCTS
11 cert Itrmber o..,tj Gromn)
%.VLL L NIG &i OR CONTENTS
S7I?UC1 GN F- X607 NNTENTS
rU rK. r 1
V(-HICLES & CONTENTS
i O';liFf3 _ - ...
10JAI.
$• , 00
� On.
t ,
100.
Soo.
00.�
C -J-Ga.
C.D.F D.P A
ACRES 8URNED
TYPE
.
TIt�BE
,
WOOD
1
LAND
I
BRUSH
GRASS
I
,
.(ifs;,
Pp.or)
TOTAL
f
STATUT.C,0
RESP-
F. D.P.
OF
Ag. ES BURNED
,
STATE
.S.F.S
B.L.M.
I
B.I.A.
B.O.R.
I ,
OTHER
FED
OTHER
I,
,
TOTAL
'
,
❑ V GETAl10N FIRE ❑ OTFfER (GO rOt0) ,
SIZE ~--1 DISTANCE (Orrin Io Iwa4)
AC. EEl't
WEATHER (Est at scene)
WIND DiP.ECTtONI FROM I TEMPERATURE
hiRH F
00.
l• io
Off. i r
e Over please
C.D.F. 7540-;13OL0118
n.
i•
PERMIT NO. 3959-75B
P
t
age E
M
r
4 MH UTIL.
PERMIT NO.`
PERMIT EXPIRES
17A-76
i
,OWNER Lauren Brannen
�CONTR. Gerald Hardesty, Chico
LOCATION (A.P. 46-205-03 )
f 2112 Laurel St., Chico
I
' f
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
! Called PG&E
JOB /FINALED
(Date)
r
(Signature)
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4, -16
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTI4 RECORD
BU DING BUI DING (Cont'd) LUMBING
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.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footinqs
Footinq
EI-EdTRICAL
Fixtures
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh —
MECHA CAL
Grd. Fault Prot.
Scratch 2—�
Heating
Service
Brown '� —"%
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE —' ' OdPARTMENT OF PUBLIC
7 County Center Drive —ti Oroville, California 95965 v
Telephone: 534-4541
APPLICATION AND PERMIT
Receipt No.
�`'Y �` /� By
�� Date q ��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _ elz &Z-2 c
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION.
Mailing Address
Telephone No.
Fireplace
Contractor '�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address .44ePERMIT
PLUMBING No. @ FEE
FILING FEE J$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
/
A. P. No. �(p '" �S ..
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Senitatiarr
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Psarrritmr I
Parc pproval Plan` s— pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER
ELECTRICAL No. @ FEEPERMIT
FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—7
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '2010 21
Receps., switches & fix outlets
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 � 3 S
Misc. wiring
❑ 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.
2S1 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 @ 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
i
X Date
4SiQnotura(0rPA;`mi64;o;r Agent
_
TOTAL PERMIT FEE
$ S
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
/ _a-, —P*
Receipt No.
�`'Y �` /� By
�� Date q ��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _ elz &Z-2 c