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HomeMy WebLinkAbout021-160-11221-16-112; ` DANIEL. HENDRIX ..f .,. 31054 Lewis Oak Rd, Gtidley� Cont: Ed Tomei Permit #595-88B,P,E(repair fire -damage)' F 9 r 1 • • 1 9 r 'Tn. �$'.q�Y. 4-,: �•�"'-*�,'-;�.Fav'"�"�y!{r_•�+^!�i`�?,`r+i/'�+i.��4i'Ff�•:�.!?d, Z1�"�v�. ti''�TF`�."'wrt'.",.'N"$ie'.�!'+6��"?.�.Ms:7'!siA't}it^1!a+;�-;•,'R"L.�j';�cr•-TU�u',��r„�y, -595-88B;P,E } Daniel Hendrix ' 1054 Lewis Oak•`Rd. Gridley A. 1 t �, C'( �• • •. a f• ` ... J � � .' _ -• .. � , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-741 r- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .i r' r ZONING ' BUILDING PERMIT OW ER TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS I rid Ir V CONTRACTOR'S NAME or It TELE/PHONE '1 5 W CONTRACTOR'S MAILING ADDRESS N ! Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ^. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I5 L / ^ /.. , Permit fee $ ! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other Describe work: f G 4 A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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. License No. Classification F-1 I., as the owner, or my employees with wages as their sole compen- /fioartisoan'will do the work,and the structure is not intended or offered le.(Sec. 7044) , 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.d) '/zQsgft OR ADDNS. \ ACC. SLOGS. NEW CONSTR. I.OUTLET 2.50 ea NO N.RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .200zAS93030 Ex. Occup. OUTLETS FIXED P(RESID.)LNS REA.) ^� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. [��1'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. 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 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�,posequence of the ranting of this permit ter, _f( S�- X �.•�7- ���t .=� .�++� Date A[� �' ,"� ,r �_ Signature of App l c ;t OwnerQ�ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. MECHANICAL PERMIT Fi ling Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP[ SCHOOL I FLOOD PARCEL I 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 paid. �DIREQ'TOR!OF PUBLIC WORKS �/� / dB/yC f Vii•.: / .� / '%, r `� r � 411141 EXPIRES Date �" �• / �+ t �/' - -� . S G/Date Receipt No r .� ��) � 5 . , /I � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -)r PECTOR. COLO! ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, 6aiifornr 95965 - Telephone: 916/538-7541 APPLICI,TION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ — ZONING BUILDING PERMIT OW h ; Ale n r ' LEPHONE SO. FT. OCC. BUILDING VALUATION. OW 'S MAILIN ADDRESS /05 , r� e CONTR CTOR'S AME JELEPHO E CONTRACTOR'S MAILING ADDRESS Fireplace . CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ '1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ds � 1��Z%k &J I— Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SFN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �— Building sewer5.00 1 Mobile Home S G W 0.00ea J TYPE OF WORK New F] Addition❑ R ode-❑ Utilities-] Install 'on❑ Other Describe work: E I r Permit Fee $ / Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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. License No. Classification ❑ I as the owner, or my employees with wages as their sole compen- tion, 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.N , OR ADDNS. ( ACC. SLOGS. mosq ft NEW CONSTR. TI -OUTLET 2,50 ea NO N.R ESID .BRA CH CIRCUITS (POWER APPARATUS e\ SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20050t eAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 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 XaCe. ificate of Workmen's Compensation Insurance or a CertificateCoolinsent to Self -Insure. 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 10.00 Heating g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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, indemn'fy and keep harmless the County of Butte against all liabilities, judgments sts, and et(penses which may in any way accrue again aid County ' sequence of the anting of this permit X /j Date 14. Signature of Applicant Owner --tractor ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT, FEE $ I,S occUP. ° CONST.TYPE SCHOOL FLOOD PARCEL PD No ISSOE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which IREPUB B;;2 I EXPIRES Date the applicable. provi- resolutions to do fees have been paid. ORKS Date 94 //-, hl� G Receipt No vvvW I T✓A rS WHIT[-D.P.W.. YELLOW-ABBE.SOR, PINK- PECTOR, GOLD! ROD -APPLICANT ❑ Complaint -Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT 'Q' PUBLIC WORKS SPECIAL INSPECTION REPORT /A ZONING Owner: � SEL, A.P. # Address: LW l C2 Date of Inspect ion a C� f l,�✓ $ l� Tenant: / ,, . ` Inspector Building Location: QS 4 S k--.' Type of Inspection requested: / / 1. Housing / / 2. Financing 4. Work W/0 Permit/ /C. 1. Present use of building: A. B. 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. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom,=lrlR, Tolerance�,Handrails) 15. Comments: / / 3. Change of Occupancy to Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1\ J., Service and ground: f 2. Receptacles: 1 Z 3. Fusing: 4. Comments: 91 E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: S. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What a ive compl to description) 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. T7 C. Write letter. / /.D. Other: a-ail-F'V' AZ e-.�-Q.e�t -.�w�Q w-w►�w — '4 npxc>,/- 7C-70 d/- '91-44�; ���.�� , "FIRE.' "REPRT. FC -t a (3/69) rti AQIMIN LOCATION ;vp+"..."�d.::xr, wtp,r �' Kt w, r'a)•4.iJm d-f"lij`ia , ORDER NUMBER REG. R.U. INCIDENT NO. START MO. - ` DTE — YEAR � UNTY =� FIRE NUMBERFIRE NAME` R.U. I NO, thru SEC. TOWNSHIP®N RANGE ® E )1Z 1_ ❑ 5 Z. ❑ W iY_ IS I 3NT TYPE ❑ FOREST INDUSTRY ❑ RANCH -FARM FIRE Q FALSE ALARM --GO TO ❑ DUMP ❑ OTHER INDUSTRY•CCIMRCL, ❑ ROAD BLOCK 10 ❑ UTILITY, RAILROAD ❑ NON•WILDLAND RESPONSIBILITY ❑ OTHER ' 4A da STATE ZONE STATUTORY 0 ❑ WILDLAND'BURNED OR THREATENEDRESPONSIBILITY ® ❑ CDF LOCAL GOVT. CONTRACT (O AT ORIGIN) WILDLAND VEGETATION © ❑ UNPROTECTED ❑ STATE ❑ ASSIST OTHER AGENCY (Not City) ❑ U.S.M. , _ LOCAL ZONE ©)a CDF LOCAL GOVT. CONTRACT E] B.L.M. ❑ B.I.A. ❑ ASSIST OTHER AGENCY• (Net City) ❑ OTHER FEDERA FEDERA L_Z '. ;;,; : t:: 171 ASSIST FED, AGENCY (Net Mo.). ❑ OTHER a OR . CONTGNTS s ® ❑ CDF LOCAL GOVT. CONTRACT `. MISC. AND OTHER ' �" ❑ ASSIST CITY, CONTRACT CO., MIL, OTHER CAUSE -(STARTS IN 1 8 OR 0 ONLY) ❑ LIGHTNING DEBRIS f7 PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON ❑ OTHER/MISC. LAND USE (STARTS IN V U 5 OR U ONLY) DOMESTIC ❑ FOREST INDUSTRY ❑ RANCH -FARM ❑ RECREATION ❑ DUMP ❑ OTHER INDUSTRY•CCIMRCL, ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON•WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGEc OR ONLY)zol FROM IN NATIONAL FOREST, FIRE DIST,, CITY S STREET N ETC. /GySq ACRES OF VEGETATION BURNED VEGETATION FIRES ONLY) WIND SPEED (M.P.H.){DIRECTION (FROM) TEMPERATURE (°F) ` n :OVERS PLEASE - �- ` ,�, -• -, � • 1 ' - J COF7S40-130.0119- - .: M - 3"32 3 DAMA01 Number Rood N ,1 "I OM 1 8/or 9 $ • TIMBER &/OR YOUNG GROWTH WILDLAND VEGETATION Other than T Q Y G 'AGRICULTURAL PROD , _ t Other then T a Y G DWELLINGS - a OR . CONTGNTS s ' OTHER STRUCTURES, 2ti�Gr� d OR''CONTENTS VEHICLES`B.CONTENTS. – f, OTHER-" - ",TOTAL' $ ? 'r FROM IN NATIONAL FOREST, FIRE DIST,, CITY S STREET N ETC. /GySq ACRES OF VEGETATION BURNED VEGETATION FIRES ONLY) WIND SPEED (M.P.H.){DIRECTION (FROM) TEMPERATURE (°F) ` n :OVERS PLEASE - �- ` ,�, -• -, � • 1 ' - J COF7S40-130.0119- - .: M - 3"32 10 ORDER NUMBER. , 7;:EG. R.U. INCIDENT, NO. YEAR Z 7 11UKLJ ORGAN- PERSON AIRCRAFT IZATION HOURS F17. NRS. MO. DATE TIME AIRCRAFT FLT, HRS, OUTSIDE) 2 s OR + GO TO 12 FIRE STARTED En, r 1ST. CD Dib akh ` INSIDEl0 ©®OR B . �,. /p /.To 0. LOOKOUT: if 1ST. or 2ND, re ortmadeb Lookout FIRE DISCOVERED '2. FIRST REPORT '�► d!r✓cp SITE va A NAME SECOND REPORT S1TE NAME FIRST ATTACK BY CDF / 7 FIRE CONTAINED r% c_DOW inVFDWFAn QgPnlan t CDF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- PERSON AIRCRAFT IZATION HOURS F17. NRS. CDF STATE 8 LOCAL GOVT, CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT, HRS, 1ST. ATK //• ' CDF CREW � "lf/-01. `. + CDF OVERHEAD TOTAL ON ) FIRES, ENTER TOTALS BELOW gm aml U,S.F,S. (Incl, Overhead) TOTAL OCHER FEDERAL (Incl, Overhead) TOTAL FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL ❑ FC -185 (Additional crew activity) ATTACHED P"% COMMENTS 13tl MAP ISS ONE SECTION [] FOUR SECTIONS MAP ATTACHED W ' rr e, 40e ORIGINAL REPORT BY: i,APPROVED'`BYr z }''� ah, SIGNAT RETITLE 7.D DAll h it r ( d. A , r, L.