HomeMy WebLinkAbout024-080-081Burt
c)(8 0" 9
S/S Sheldon Ave., �app. 400' W. of Larkin
Hwy, Gridley Area
j
'Permit #2jl5-76B,P,E,M(6ew single
family) _E I.. � 1 4V I [J.
I
a-
CN tet- O
9,-)- Z/- 0 YO - 0 9 1
IceINCIDENT NUMBER
DATE 172 /200i EVENT NUMBER
REPORT TIME M26' LOCAL FIRE NUMBER
STATE FIRE NUMBER
CASE NUMBER
LOCATION , M SHEL15ON AV
W
RP �FF =ESTINE PHONE NUMBER j'pr'-70-i
VVILDLAND FIRES ESTIMATED ACRES
STRUCTURE FIRE
OTHER FIRE
MEDICAL AIDS
PSA/OTHER
HAZ MAT
Billable Incident El
COMMENTS
EMDEI OEs El Interesting Event
968 LOGGED BY TP
10070 RO'PZT0NFR-
I act Rt;ft Fim 9 BI If MT -7 77'
MEDICS
PRA Y1 ECC F-1
REPORT METHO
FIRE INFORMATION
FIRE INFO SENT HOW BY jrT-P TO
7 -DAY LOGGED W INITIALS FFC
INCIDENT NAME 11SHELDON
START DATE 1/2012007 STARTTIME 14:30
MOND# 6.0
CAUSE IMISC
LAND USE VZM�
ACRES 0 TYPE OF ACRES:
DIAMOND 6 ONLY $ DAMAGE TYPE ALL OTHER
DOLLAR DAMAGE 1000 .00, SAVE 20000.00
- 117
INJURIESIFATALITIES 0
# CIVILIAN INJURIES 0 #CIVILIAN FATALITIES 0
# FF INJURIES # FF FATALITIES -0
FC -40 INFORMATION
NeW Incident FC4o El DATE OF FC -40 INC I
AGENCYINC# INC P#
FC -40 COMP DATE 'FC4000MPBY
County Notifications W EARS Hard Copy Recieved f -I EARS Checked Agenst EARS Computer 1:1
9
PERMI T NO. 2415-76B,P,E,M
PERMIT EXPIRES
OWNER Merrill A. Burt
CONTR. 6�mer
LOCATION (A.P. 24-08-15 j)ort,
S/S Sheldon Ave..,app.,400' W. of Larkin Hwy
Gridley Area
Temp. Power Pole
Called PG&E
Temp. Elec. Serv-
Called PG&E
Temp��Gas Serv.
,Called PG&E
B
FINALED
(Date)
(Signafure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION IiECORD
BUILDING I BUILDING (Cont1d) I PLUMBING
Setback 5:A -d'17&
Cf,4
Firewall
Soil Piping
Forms /�:�
(,
Parapets
1st Floor
Main Bldg'
Restroom FlnJsh
2nd Floor
Footings S'&
v/-)
WindowsP-//-
3rd Floor
-An
Sternwall
>711
Slab
Roof Sheath IngqM--:F/.
-10pout
Water P
Piers 67?,f7-7
Roofing
Sewer
Garage
Fdn. Vents 4z
Fixtures
Fo otings 37>9
-7-7
Garage Ventel-e- 11,19-
Water
Stemwa I I
Insulation
Heaters
Slab
Carport -:S-losh-k,
Footings
Prov. for p sically
handicappel
Conformance of, ex.
structure
Appliances X
Gas Piping & Tept
Temp.=gq
Slab
Final
-9-anitation Uze.,1417
Patio
LX7' FIREPLACE
Footings
Footin 81� - 6X -o-, 4
ELECTR!fA64
Masonry Walls
Throat ---T—R...h
0�17J 151 V-741 Z/-Iz
—
Water Htr.
111IF;
MOROI VMA"�
Temp. ll;�le
Permanent
DATE REMARKS OR CORRECTIONS
-7
611
7
,o?gl7o� T
,tf (77
V-
-0e AY.
el allo"
"o
(NOTE: An entry must be made on this form each time you visit the job site.)
CERTIFICATIONS
As required by the State regulations, -both the builder and the insulation
applicator must sign a card certifying that . the proper "R" valuesfor all
insulation locations have been installed. An example of a certification
card, which is furnished by the builder or insulation applicator is shown
in Fig. 13.
THIS IS TO CERTIFY THAT INSU6ATION KAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY. REGULATIONS,
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE'BUILDING LOCATED AT:
Street Lot Number Tract mo.
,.;,%JXTERIOR WALLS
Manufacturer Thickne-53/Type�__ -R Value
CEILINU
Batts: ManufactureK. (1-1 R Value c7 .......
Blown: Manufacturer . ......... Thickness* . . .... .. �o. bags Wt./Ogg* ....
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type— R Value
SLAB ON GRADE.
Manufacturer - Thicknm,'Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer
Thickness/Type
R Value
GENERAL CONTRACTOR
LICENSE KNER
By
TITLE
DATE
INSULA140.4 CONTRACTOR
Z--.' lel,", S
144 (11
LICENSE NUMBER 9z i -
BY
TITLE
4��Ae_-t
DATE z LZ_2 2
Fig. 13
8-14
vi
TO: Building Department
tv
FROM: Environmental Health
RE: Sewage and/or viater*Clearance
;2
�& L -2z
&ANER LOCATIN A Pi'l'
Has been approved f or:
S 3ATAGE DISPOSAL
'�-IATER SUP?LYw9
Sanitarian
9- 7
Date
S95-775
41 - J � — :" , . - . . P
COUNTY OF-BUTT.E - DEPANTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone? 534-4541
APPLICATION AND PERMIT
X L - LVV,U I — Date
Signature of Permitee or Agent
Receipt No. -.10 4 Z3 �/_
White-D.P.W. — Yellow-Asses�.r — P"ink-Inspector — Goldenrod-Appli cant
ine tiuxie c;ounty c;oae and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR O"UBLIC WORKS
By_4��,e�� _U Date
-7-,F 7 — 17
Iding permit expires Date
BUILDING k-0/
Owner J I- I-
SQ. F T. OCC. BUILDING VALqATION
Mai I I ng Address ;r 7 2_ soa-rh Ag #-k. w
8,9 e
.4
Tel eph.n . No.
A)2 I— ZIFY
2 99 Cow., -i P-91ry
Fireplace
Contractor
Total Valuation on
Mailing Address
Permit Fee !T -
PlanChecking Fee&/orPenalty
—Telephone
No.
Permit Fee $ _R 9.
Building Address
Ske-.L Ct 0 A-' j/ e-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
-
L1 o 6P &J e S 7— Z.4 y el Al *w
Each Trap 1.50 0 CA
C1 k &Je Ye.4
_0
Repair drainage or vent piping 1.50
Water pipi I ng 1.50
Each gas water heater or vent 1.50
A. P. No. (Pa - 7- -0 F)
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50 Y -e)
Each additional outlet .30
F k5l
F I re D e
re Zon
Use Permit
Building sewer 5.00
EQA
Iparking
Plans
Parcel oQrWq%1ae60'
Declarati
R/W
I Improverne
_nts_
Lawn sprinkler system 2.00
Bldg. Pt--n—s R c'd
-7��_e 71'Ap p ro v a I
Plans A rproval
Permit Fee $ Q., -
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ I FEE
—
PERMIT FILING FEE $3.00
.Main service 6,00V OR LESS
00 AMP OR LESS 5.00
Main service EA. ADDIL 100 AMP 2.50
Single FamilylM Duple, EJ Mobil Home Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADDIL 100 AMP 1.00
NEW CONST. I DWELLING 0
OR ADDNS. ACC. BLDGs;tyF/g)) 20 sq ft
NEW CONSTP (MULTI -OUTLET
N..-RESID. BRANCH CIRCUITS) 2.50ea
N�-W_CQN,5TFL (POWER APPARATUS.&J
NON R . ES D. 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) rBOA@ 25C
L@104
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI'D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
01 amexempt from theContractors License Lawsof theStateof 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.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
Ycertify that in the performance of the work for which this
plermit 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 .3.00
Heating In er4( 6", 00
—
Cooling 72p;i Sol
Ventilation
Hood 2.00 1100
Permit Fee $ /Z. -T-0
$ 17
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 I
authorize representatives of the County of Butte to enter upon the
ahf)vP-mP.ntinnPri nrr)nort%i fnr inon—ti— I
TOTAL PERMIT FEE
$ .3 6 In -
This permit is hereby issued under the api)licable orovisions
of
X L - LVV,U I — Date
Signature of Permitee or Agent
Receipt No. -.10 4 Z3 �/_
White-D.P.W. — Yellow-Asses�.r — P"ink-Inspector — Goldenrod-Appli cant
ine tiuxie c;ounty c;oae and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR O"UBLIC WORKS
By_4��,e�� _U Date
-7-,F 7 — 17
Iding permit expires Date