HomeMy WebLinkAbout007-320-035Ilk
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ROGER CLARK
E/S Morseman,. app. 940' N.. of%Z `✓ e)4Q1
Lassen Ave., Chico
Permit #696-76B,P,E,M(new single
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PERMIT NO. 696 R rP f F M -'76
PERMIT EXPIRES Z?
OWNER Roger Clark
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s ,CONTR. owner
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"'7' LOCATION (A.P. 44-37-10 )
',E/S Morseman, aPP• 940' N. of Lassen Ave.,
I Chico
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Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E s
JOB
FINALED .
(Signature)
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Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E s
JOB
FINALED .
(Signature)
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This form supplied by Longfellow Lumber.
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE
WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE
CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
lRor!'ni.."'A H
Street
Lot Number
Exterior Walls
ffe�l� . r///��
Manufacturer 1y-& Thickness/Type J L R Value
Ckil�inr ss
Batts: Manufacturer�QJ Thickness R Value
Blown: Manufacturer Thickness Ho. Bags Wt./Bag
Sq. Ft. Covered R Value
loors
Manufacturer Thickness/Type R Value
Slab on Grade
Manufacturer Thickness/Type R Value
Width of Insulation Inches
Foundation Walls
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR�LICENSE NUMBER cf��Jl�
BY TITLE DATE
INSULATION CONTRACTOR ,/'q,t,,i o LICENSE NUMBER
BY TITLE DATE
DATE MARKS •- RRECTIONS
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COUNTY OF BUTTE--=DEARTMENT OF PUBLIC WORKSt
BUILDING INSPECTION RECORD
R
"
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
=
Firewall
Soil Piping _
Forms —may
Parapets
list Floor
/
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding°*'®'—
To out ,
Slab
Roof Sheathin
Water Piping
Piers
Roofing
Sewer 60
• Garage
Fdn. Vents
Fixtures
COV=-
Footings
Gara a Vents
Water Htr.
ZiiO
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
'-
Carport
Footings
Conformance of ex. �
structure
Gas Piping & Test
Temp. Gas
C�-
Slab
Final
Sanitation
•�
Patio
FIREPLACE
Final
-- -7
Footings
Footing
ELE TRICA
Masonry Walls
Throat O
Rou h'
Reinf. Steel
Final —7
Fixtures
Bond Beaffi,
FIRE SPRINKLERS
Motors `--
Framing
est
Water Htr.—�
Stucco
Final
Subpanels
Mesh
MEC ANI AL
Grd. Fault Prot.
Scratch
Heatin d — -7 6
Service
Brown
-
Coi g —
Temp. Pole
------
Finish
Ducts 7-
Underground
Interior Lath
Ventilation —
Permanent
Door Closer
—1 &
—%
Final /-Q.Z
Final / [9d
-7 (g
DATE MARKS •- RRECTIONS
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TO: Building Department
FROM: Environmental Health
RE: Sewage and/or Water Clearance
G)h.
(�
OW LOCATION
. Has .been approved for
SLWAGE DISPOSAL
WATER SUPPLY
Sanitarian
y L T
� V
DATE
4-_I'-3 7-/0
A.P. #
.__: / -,'4 '�--—.....� � �_ � t .may,,,,,. .,. ...../ _ ..m�....r .. , . . ,• , w ,.;.,.,,,
COUNTY OF BUTTE — DEPA•R;TMENT OF PUBLIC WORKS
r 7 County Center Drive — .Oroville, California 95965 / ^7
Telephone: 534-4541
/ 6
APPLICATION AND PERMIT
above-mentioned property for inspection purposes. - v
ii ignature of PQerm"itee o/Agen7t Date,? -12-26
-
Receipt No. / T �.L
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
finis permit is nereby 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 UBLIC WORKS
BY Date " 2 y 7 6
(ding permit expires Date -7
BUILDING
Owner �� / ..
SQ. FT. OCC. BUILDING VALUATION
Mailing Address-5r/Is—
�• Tel ephon 0
♦ C O 37
Fireplace C), p Cl)
.Contractor ® C-0 C
Total ValuationCc,
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
O
Building Address s' D ® �PLUMBING
PERMIT FILING FEE
No. @
$3.00
FEE
;' le, _%0 .- c- s'.S
Each Trap & 1.50 /_-2,0G
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50 (, S
A. P yNo. �—
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
:
Each additional outlet .30
Fes
S t on Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
PPlan arkin9
Declaration
Parcel Map
60' R/W
I Improve ents
Lawn sprinkler system 2.00
Bldy. Plans Rec'd
ParcelA14provol
Planopproval
Permit Fee
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1 @
FEE
PERMIT FILING FEE 1$3.003,06
Main service 1000V OR 0 AMP LESS
5.00
x
.ft
Main service EA. ADD'L 100 AMP
2.50
Single Family AnkDuplex ❑ Mobil Home ❑ Others ❑
Main service 1100ER 600V AMP OR LESS 25•��
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.DWELLING Of.0 P. &
OR ADDNS. ( ACC. BLDG )
20sgft
NEW CONSTR. (MULTI -OUTLET
NO N•RESID, BRANCH CIRCUITS) 2.50ea
�-
NEW CONST. /POWER APPARATUS &)
NON - R
R E S I D. 1 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
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50 @75Q
BAL@1
Ex. Occup.(FIXED
OUTLETS PRESID.IREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
'
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
d
WORKMEN'S COMPENSATION INSURANCE
I 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
X\ have
Compensation Insurance.
r
I certify that in the performance of the work for which this
JeV 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 Q
Heating oZ S
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
alithnri7a rPnrAQ=ntnfl%G of rho rl—. ... ,.f o...... . —
__
r_ TOTAL PERMIT FEE
above-mentioned property for inspection purposes. - v
ii ignature of PQerm"itee o/Agen7t Date,? -12-26
-
Receipt No. / T �.L
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
finis permit is nereby 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 UBLIC WORKS
BY Date " 2 y 7 6
(ding permit expires Date -7
T7
FC -18 (1/80)
I
MILES
IRECTIO
❑FROM JRIN NATIONAL FOR , FIRE IS .. CITY A STREET NO.,
2 d/or 8
.
ETC.
I 6/AVA�A
___
—
U.S.F.S.
P3INCIDENT TYPE_ SA ACRES
�'IR ❑FALSE ALARM
❑ TO GO TO 10 AGENCY
_A
4A •'awr-vt4%21011-1 1 T (AT ORIGIN)
.P,IRE�T L'RSp.(•D.P.R•) 48 STATUTORY
WIL
Ret' .moi STATE ZON RESPONSIBILITY
oo❑ SCHEDULE ARD.P.A R THREATENED ❑STATE
O❑ UNPROTECTED ❑ D18 T
40❑ OTHER AGENCY D.P.R. ❑CRY
LOCAL ZONE UN
OSCHEDULE A D.P.R. F,g
8 ❑ OTHER AGENCY D.P.R. (Unincorp) B.L.M.
FEDERAL ZONE B.LA.
�- ❑ FEDERAL(except Military) D.P.R. ` ❑ N.P.S.
0❑ SCHEDULE A D.P.R.I ❑ OTHE ERAL
❑ MISCJOTHER(•ZONE•)OTH0 [Ej E
I
5 CAUSE (STARTS IN 0o t3 OR 8 LY)
Did not start 1 2 6 or g ❑ SMO QUIPMEN
❑ LIGHTNING ❑ DEBR PLAY W F
❑ CAMPFIRE ARSO ❑ OTHE M
6 LAND USE(START IN 1 OR 4>
014YAr
❑ Did not start in 2 ❑FORE T y
C3 DOMESTIC ❑RECR 1 N
E]RANCH-FARMJNOTHE DUSTRY OMRCL.
0 DUMP ❑ ILDLAND
❑ ROAD ON -WI DL
❑ UTILITY, RAILROAD OTHER
❑ UTILITY, ELECTRIC
eN DAMAGIFr 61WA8,.,,,
i
0 DAM G IN umb r
of
1 2 6 0 Vah/Dwl
S DAMAGE
(Nearest 0
1
2 d/or 8
6
TIMBER &/OR
STATE
U.S.F.S.
YOUNG GROWTH
B.L.M.
A
B.I.A.
WILDLAND VEGETATION '..
W.P.R.S.
Ex -BOR)
OTHER
(Other than Td Y0)
FED.
OTHER
AGRICULTURAL PRO
1
TOTAL
(Other than T3YG)
. •• �-
gig=
DWELLINGS
3/OR CONTENTS
mo
OTHER STRUCTURES
&/OR CONTENTS
A R LESS
mom
VEHICLES 8 CONTENTS
OTHER
TOTAL
a
0
OTHER
.�
r�
.ter.
STATUT.
RESPON.
O ACRES BURNED
OF
STATE
U.S.F.S.
B.L.M.
A
B.I.A.
W.P.R.S.
Ex -BOR)
OTHER
FED.
OTHER
1
TOTAL
. •• �-
gig=
mo
A R LESS
mom
STATUT.
RESPON.
O ACRES BURNED
OF
STATE
U.S.F.S.
B.L.M.
B.I.A.
W.P.R.S.
Ex -BOR)
OTHER
FED.
OTHER
1
TOTAL
%00-FUW VEGETATION FIRE „�} OTHER, GO TO O
SIZE ice` DISTANCE (Origin to head)
ACRES FEET
WEATHER (ESTIMATE AT SCENE)
WIND DIRECTION FROM TEMPERATURE
M.P.H. OF
10
OVER PLEASE
CDF 7540-130-0110
mn
ORDER NUMBER
0 REQ. R.U. INCIDENT NO. YEAR
°`% FIRE RFr-ORn un "'nac
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Cp��t or -
\C
W p�+C54
4
pF
II
^
OUTSIDE 1 2 b Rob
Enter,IST' CDF Dispatch
'
AIRCRAFT
FLT. HRS.
SCHEDULE A, B, OR C. CREW NAME,
AND OTHER AGENCY TOTALS
A
?OTO
FIRE
FIRE STARTED
AIRCRAFT
FLT. HRS.
ST. ATK.
iY CDF„
INSIDEtoot 0OR 8
LOOKOUT: (If 1ST.or 2ND. report made by Lookout)
FIRE DISCOVERED
FIRST REPORT _ ^ '
t
`
9
SITE
NAME:
SECOND REPORT
SITE
NAME:
FIRST ATTACK BY CDF
FIRE CONTAINED
t�
i
•�.
CREW/Oi/ERFIEAD RECORD(oN 3 4 8 70 0 9 RECORD CDF ACTIVITY ONLY ]
SCHEDULE A. B. OR C, CREW NAME,
AND'OTHER AGENCY TOTALS
ORGAN-
IZATION'
MAN HRS.
AIRCRAFT
FLT. HRS.
SCHEDULE A, B, OR C. CREW NAME,
AND OTHER AGENCY TOTALS
ORGAN-
IZATION
MAN HRB.
AIRCRAFT
FLT. HRS.
ST. ATK.
iY CDF„
t
'
I
t
� t
CDF OVERHEAD (Schedule A. B, a C)
U.S.F.S. (Incl. Overhead)
OTHER FEDERAL Oncl. Overhead)
`
FIRE DIST. d OTHER LOCAL
PAID HOURLY (E.F.F.)
VOLUNTEERS (Unpaid)
E3FC-18B (Additional crew activity) ATTACHED
r
14 ORIGINAL REPORT BY: APPROVED BY:
SIO UR, TITLE JDATE JINTL. DA