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HomeMy WebLinkAbout005-465-005W— �� ARCHIE HERBERT 41 '� I - 2120 LaurelSt, Chico• P,.rmit#1452-82E(ele ser ch)SF'Iff + -f Cy 4 V?s I i I . I i OWNER: .-;zr Zf LOCATION: CONTRACTOR: DATE: A.P.#: () OS -- q6 S-00 S- f�u DATE TO INSPECTOR: S— PERMIT HISTORY: [ ]NONE ( )�1S FOLLOWS: JLsF - TYPE OF OCCUPANCY: ig Description: [ ]ercial/Usage: U,Oesidential/# of Units: [ ] Currently Occupied. [ ] AbandonedNacant. c: [ Yes [ ] No Electric is currently : [ ] On Condition of electrical? Natural [ Propane[ Obvious problems: itation: Plumbing working BUILDING INSPECTOR'S REPORT Mobile Home: Yes[ ] No[ ] [ Off ] None[ ] Currently On[ ] Ofd _J�� Yes[ �o[ ] Well: Yes[ ] No[ -�]� Potable water: Yes[ ] No[ ] Obvious Sewage Problems: of Damaged Area: ,timate valuation of Damaged AreaeC%(IOC� Spector: Date: PAGE 6 OF CDF / BUD DAILY INCIDENT LOG i bAY/DATE FROM 0800 M2✓/ 2 - 1 / DAY/DATE TO 0800, L'11L �- �.' @@@@@@@@@@ @@R@@@. @ E"VNA?M@E@=@= INC# SFIRE#@@@►`'' .TYPE REPORT TIME 2 D START TIME CONTROL TIME R.O. STA. 72- LOCATION: ZLOCATION: BAT: CAUSE: ENGINES: CDF BCFD 3 C0.# L OFFICER: UAMA171-: JU/ KtJ YY 1 y UUL t-KtYY HA A I NLI O / SAVED: OTHER EQUIP: MEDICS S 1� 'LAND USE: ACRE/TYPE TOTAL OWNER/TENANT WRA - Z R.P. GVH 4o.. & 53 L -663b' MISC.: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ INC## 4v UG , FIRE# NAME TYPE -$41901 e4 t , CAUSE` tNblNtS: CUF I t5LFU (UX UFFIULK: nAAAACC. Cn/DCC WT nn7 rorty AA . AT ur @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ LUCA FIUN: A ,� WCN RL /!fd'yL... I UA 1. CAUSE: ENGINES: CDF BUDCO. OFFICER: DAMAGE: SO/RES WT DOZ CREW AA AT HC SAVED: OTHER EQUIP: MEDICS CSL @@ I LDC CAU! DAM, SAVE LAN[ @@@@@@@I @@@@@@@ @ @@@@@@@@ 4171-Z-11- eONTROI_ TIMFZ.3/S @@@@@@@@@@@@@@@@@@@@@@ gFAi NAMF SAVED: OTHER EQUIP: MEDICS ,4 l" L LAND USE: ACRE/TYPE TOTAL n OWNER/TENANT _ WRA R.P. U MISC ME '1Z COUNTY OF BUTTE-UEPAWTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillp, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR ARCEL NUMBER — U S° - j ZONING /r Z BUILpING PERMIT OWNER reV TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ��� � � {---� PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Repair drainage or vent piping 5.00 r wle' 6 Water piping LOT NO. SUBDIVISION NAMEr� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF /❑,.'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:-�!% rfiw/�"f %/,a.Gs- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS f 100 AMP OR LESS -b:00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ! DWELLING OCCUP,81 2¢ sq ft OR ADDNS, l ACC. BLDGS. 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. License No. Classification Q 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) ElI, 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 CONSTR I-ou LET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR NON-RESID. (SINGLE OUTLET CIR, POWER APPARATUS !1 / ExOccup(ouTLETs OR FIXTURES B0 °� . BAL@1 FIXED APLNS. \ EX. OCCup.(OUTLETS P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 .- l7 c / )U Permit Fee $ /9 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r - Q 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. 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 torthwitn comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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 consequence of the granting of this permit. X - +�{ *>� Date �' %�` 2- "~ Signature of Applicant — Owner Q Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $j� n�) OCCUP, GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS / By--1�'�- Date PERMIT EXPIRES Date_ �,� /, - Receipt No. �1i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r IJ COUNTY OF BUTTE-'bEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California"95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. All CI f ASSESSO ARCEL NUMBER - ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADORES r G CO R'S T�O•R'S NAME W �C' TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER AoAIZ UNKNOWN Total Valuation is Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS aL PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �� c /'GO Water piping LOT NO. SUPDIVISIOV NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets SE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel E] Utilities Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS "�•�16, on ' Main service EA. ADD'L 100 AMP 2;50 NEW CONST. / DWELLING OCCUP.&) OR ADDNS. ( ACC. SLOGS. 2� sq ft ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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) El 1, 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 CONSTR I -OUTLET 2.50 ea NON.R ESID BRANCH CIRCUITS) NEW CRESONSTR. (POWER D1 NON RES ( OUTLET CIRPOWER APPARATUS , I Ex. Occup OUTLETS OR FIXTURES gAL� and FIXED APPLNS. OR Ex. Occup.(oUTLETS (RESID.) EA.), 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 G Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Aon 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. (7I 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. Heating Cooling Hood 3.00 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 consequence of the granting of this permi . Signature of Applicant — Owner 5' Contractor ❑ Agent 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 $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF LJ PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF FOBLIC . fl By. t PERMIT EXPIRES Date+��� the applicable provi- resolutions to do fees have been paid. WORKS IL Date - ` `' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT