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HomeMy WebLinkAbout021-240-018I i�g /q 7 21-24- Permit#3757-86E(elec ser,/garage) :, M1 `-4 .s v • • }. o f� of r,}4 • a u , • '. t i y o I;1 a o � o f • J' i � r� �� y���� �� FIRE DAMAGE REPORT OWNER: 0 i2 DATE: co LOCATION: Lc �T'l�- �9y7� A.P. #� L O Q L— CONTRACTOR: ZONING: DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE ( AS FOLLOWS: —0 BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: F _ Currently Occupied (, es ( ) No Abandoned/Vacant: Electric: Electric Currently ( e -6n' ( ) Off Condition of Electric Gas: Currently (46� ( )off Condition Sanitation: Plumbing Working ( Yes ( ) No Obvious Sewage Problems( ) Yes Mobile Home Condition of Utilities: ( ) Damaged -Requires Permit ( ) Undamaged —No Permit Required Description of Damaged Area: 5m 4,*a-F �_-: l !--l90 i Estimate Cost of Repairs: QLA N-3UO � Q 6e_C Gvv4-TUHLJ?A Condition of Foundation: ( ) Good ( ) Poor Explain if repairs needed: �n Inspector: Sketch building on reverse and indicate area of damage. Date: F .. 0 w . _ rCDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 11/5/2003 INCIDENT NUMBER 13082 LOGGED B MAA REPORT TIME 10:561 LOCAL FIRE NUMBS 11144 AAr I nr Al FirA RO MATTOS ^ STATE FIRE NUMBER __, i AAr fJAfw Fi„w nre.o.� BI CASE NUMBER AAM.AAA 8 MEDICS LOCATION 179 LITTLE AVENUE PRA IY1 _� ECC®❑ RP PHONE NUMBER REPORT METHO WILDLAND FIRES ❑ ESTIMATED ACRESjo FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOFMAIL BY MAA TO 74 I OTHER FIRE I 7 -DAY LOGGED ❑ INITIALS TMJ MEDICAL AIDS. INCIDENT NAM LITTLE PSA/OTHER START DATE 1115/2003 START TIME r 10:30 HAZ MAT - DIAMOND # 5.0 COMMENTS CAUSE MISC LAND USE DOMESTIC < ACRES0� TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE r 10000.00] SAVE 200000.00 INJURIES/FATALITIES ❑' • # CIVILIAN INJURIES0� ` # CIVILIAN FATALITIES 0� EMD ❑ OES ❑ # FF INJURIE0� # FF FATALITIES ' New Incident FC4* INFORMATION FC -4O ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE I FC -40 COMP BY County Notifications © EARS Hard Copy Recieved [] EARS Checked Agent EARS Computer ❑ t cd o P "Z- lzoo cop N 1-1 }4 a) " CV U W r OD '-ern gra• •,� COUNTY OF BUTTE -'.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CalNornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ;? PERMIT NO. (� REL NUMBER ASSESSOR P C c2 f-" 3� — t ZONING S`rz I BUILDING PERMIT OWN!ER- TELEPHONE S0. FT. OCC.1 BUILDING VALUATION ��% I M - OWNER'S MAILING *DDRESS CONTRACTOR'S NAME (AAlkAln 1, TELEPHONE CONTRACTOR'S MAILING ADDRESS_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S NAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ i :. ARCHITECT OR ENGINEER'S MAILING ADDRESS ( Penalty $ BUILDING %DDRESS f i Permit tee $ PLUMBING PERMIT Filing Fee 10.00' .7 q n �` Each Trap 2.00 ,.y r• I J 144 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME _ PARCEL MAP I<-' i� r Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I{.�'e 7-1 ac �t� Q SF ❑ D=jplex ❑ Mobilehome❑ Other f rlG� r- a. `Q- �c'r �>' J SPE3:1 FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities2i Installation❑ ;Other ❑ Describe work: Lp -? /1 �') �/1�./� 1 n Le"'af'►--,/�r p .,F -fir' �1',� '.'>���'��� b0!'Ar � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 61 ' 001 OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 SSA CONTRACTORS LICENSE LAW I declare under penalty of perjury j p y p l y (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the-Buslnes$ a. -id 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) M 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.EI , OR ADDNS. � ACC. BLDGS. h¢sgft ^� p,• NEW CONSTR. TI.OUTLET NON.RESIO .BRA CH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 200530 BALO 30 FIXED PR Ex. Occup. OUTLETS (RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Miso, Wiring 15.00 o_; &j . .1: „ Permit Fee Contractor $ 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. `r 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 shat be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 buildinc construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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' d County inconsequence of the granting of this permit. /��..-lq X_ Date y �� k k Si nature o �d� lioont - Owner 9 PP Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of struc=ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occu P. CONST.TYPTJ F7LOODJ PARCEL' PO I NO 1: This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which , EOFPUBLIC DIRECTOli'MA/a�/ 4,M,4 By—Iate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. w p WORKS Receipt No. A _73-q _"7 WHITE-O.P.M. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTT E--.DEP'ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLFOATION AND PERMIT PERMI O f ASSESSO P REEL UMBER '— a " ZONING S 11Z I BUILDING PERMIT owNWL N LA HONE SO. FT. OCC. BUILDING VALU ION 300 1.27 OW S R'M 'NG DRESS 1 % CONTRACTOR'S NAME (A o TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee § PLUMBING PERMIT Filing Fee 10.00 7 e V G Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCELeAF Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTU -e7'etc `, — SF ❑ Duplex[] Mobilehome❑ Other Lam- :kQOf SP I FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 1 G 1W I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Ins�ttallation❑ Other ❑ Describe work: �P �!7 Amo J��—✓ice 2 !" P e� l &'30J -a,- oQ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 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 ❑Ex. 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) 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.81 , S OR ADDNS. ( ACC. BLDGS. /Zdsgft NEW CONSTR. U '.OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20030t eALO ao FIXED Occup. OUTLETS P)EA.R) 2.00 (RESID Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 e i AJ& CJ ` .t/ Permit Fee Contractor § 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 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 forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 liabi s, judgments, costs, and expenses which may in any way accrue agai s 'tl lop,Count i onsequence of a granting of this permit. ��_1?_Dti Date UU AA /Vdo Signatur of pplicant — Owner Contractor ❑ Agent ❑ An OSH p rmit is required for excavations over 5'0" deep and demolition or construct- ion of str tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCOP. CONST.TYPEJ ISCHOOLIFLOODIPARCEIPD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indi d above for which RECT PUB B PE IT EXPIRES Date the applicable toprovi- resolutions to do fees have been paid. RKS Date Receipt No. ,q WNITE-O.P.W., YKLLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT G?Iii.:r'':�•-f'a�i,r:_.r.+1r�Y�'�ts'd"`cAti+VF.r"7G»��y"','„.'+"'"1F"�3c:.,�,�...u,�:aT"'^'�'��R:a''`Gr�lrjZi'�""`Ivv�N"`"-. — ... COUNTY OF BUTTE - DEPARTMENTISOOF RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER`DRIVEi OR�tULLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 - PERMIT APPLICATION DATA SHEET Permit No. f OWNER C P"Q:. Dea) 5 N U. IP A. P. No. v2, r Proposed Building Use ti u% ''�'«' epN le-J� Building Inspector V-�A Dated _ At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by'preparer of plans. , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. . . .. . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif,) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•) _15. Improvements may be required. . . . . . . . . . . . n 16 ,-Mobilehome Installation Data. . . . . . . . . . . . r.'4j Pre -inspection for Ver% �4��`'� Y d -� Pre-Inspec. request to (Dote) ` p Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: 4_ iI to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder 6, yt fit.. Copy—DPW r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califbrnia'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT = ZONING PERMIT NO. 19 S fZ I BUILDING PERMIT OWNE,I7 ?qHONE SO. FT. OCC. BUILDING VALUATION Q' NL( OW R'S MA ING DRESS CONTRACTOR'SNAME TELEPHONE I CONTRACTOR'S MAILING ADDRESS NEW CON5TR MULTI.OUTLET Fireplace F1 New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ CONSTRUCTION LENDER UNKNOWN Total Valtotion $ $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ❑ Permit Fee $ 10.00 ARCHITECT OR ENGINEER service 100 AM1 R SLESS P OR LICENSE No. Plan Checking Fee $ Main service EA. ADD'L 100 AMP Energy Plan Checking Fee $ CONTRACTORS LICENSE LAW ARCHITECT OR ENGINEER'S MAILING ADDRESS , /2dsgft Penalty $ I, as the owner, am exclusively contracting with licensed contract- BUILDING ADDRESS Penult fee $ Misc. Wiring 9 PLUMBING PERMIT Filing Fee 10.00 1-7 c� / / Jr T/e �V L Each Trap 2.00 Permit Fee (27 r -I, Q Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME WORKMEN'S COMPENSATION INSURANCE PARCELJMAP Water piping I declare 5.00 Each qas water heater or vent 5.00 USE OF S RUCTU SF [:1 Duplex❑ Mobilehome❑ Other FIE 71otc `L� '�G�YCLa `�- ;k 0", sP 1 Fr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 10.00 ea TYPE OF WORK NEW CON5TR MULTI.OUTLET 2.50 ea F1 New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ NON.RES10 BRANCH CIRC TS POWER APPARATUS I! Hood Permit Fee $ Describe work: a • P D c7 /Yl C1 Contractor Ex. OCcup�OUTLETS OR FIXTURES eL0 2ALO 30 ❑ ELECTRICAL PERMIT Filing Fee 10.00 y, -./Main service 100 AM1 R SLESS P OR 10.00 10.00 Main service EA. ADD'L 100 AMP 2.5O a D CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.61 OR AODNS. ACC. BLDGS. , /2dsgft s I declare under penalty of perjury (check one): NEW CON5TR MULTI.OUTLET 2.50 ea F1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ NON.RES10 BRANCH CIRC TS POWER APPARATUS I! Hood and Professions Code and my license is In full force and effect. SINGLE OUTLET CIR. Permit Fee License No. Classification Ex. OCcup�OUTLETS OR FIXTURES eL0 2ALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED EX. Occup. OUTLETS ( R RESID.)EA.) 2.00 OCCUP. sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec., 7044) Misc. Wiring 9 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code . e -i Ar .e ` AN for this reason _ Permit Fee $ d L Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Deparment 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 forthwith comply with such provisions or this permit shall 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi � ' s, judgments, costs, and expenses which may in any way accrue agai s Count i nsequence of a granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCUP. CONST.T;PEJ J,5CNOoI_JFL000JP*RCrLJPO ISSUE This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do SignatuV,,, plicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An 05t is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of over 3 stories in height. Receipt No. a� 3`i _ J By Date WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLOENROO-AP-LI CANT PERMIT EXPIRES Date