HomeMy WebLinkAbout024-290-02424-29-24
John Sutherland
> 24 Hollis Lane,�Grdley
contr: Arthur L. Davey, Chico
Permit #1051-82B,M(repair fire
damage/SF)
ODENBACH, M. 538-67B _..
1004" 1004-67P�
454-67E f
-2 - {.
s1s Hollis Lane 250'- e., of 99E Gri ey
(Lot 24, 'Sunset Villabe Sub.) �
( new single family)
U
I -
o
11
24-29-24
John Sutherland
> 24 Hollis Lane,�Grdley
contr: Arthur L. Davey, Chico
Permit #1051-82B,M(repair fire
damage/SF)
ODENBACH, M. 538-67B _..
1004" 1004-67P�
454-67E f
-2 - {.
s1s Hollis Lane 250'- e., of 99E Gri ey
(Lot 24, 'Sunset Villabe Sub.) �
( new single family)
U
I -
o
7FORIA42,2(8/77)
t
®e�volled Estimate
GAS FILE NO.
BRANCH
DATE
OFFICE TELEPHONE NO.
SWNERci '�
JTHEkLAOD I'QHQ-v- `JALET
BUILDING
CONTENTS
.00ATION
.24 WoLus LAa y
LEPHONE NO.
RL4.-S-las
'OLICY NO.
CLAIM NO.
DATE OF LOSS
L4-Z4-IK7-
TYPE OF LOSS
FIDE
ESTIMATED REPLACEMENT COST
$
ESTIMATED REoLACh MENT COST
$
:PPE OF BUILDING
TYPE OF CONSTRUCTION
BUILDING AGE
LESS DEPRECIATION
ACTUAL CASH VALUE
LESS DEPRECIATION
ACTUAL CASH VALUE
3UILDING MEASUREMENTS
TOTAL FEET
• CHECK
DESCRIPTION APPLICABLE
ITEM
l�
LABOR
HOURS
LABOR
RATE
TOTAI,
_ LABUH
MATERIALS
TOTALACTUAL
AGE
ITEM COST
DEPRECIATION
CASH
VALUE
-
�rnVP, qUkx)M 0 AIII 'cNC MR-AOb
O1ACC .301 Nro
Rplmc 141p,
NNATMIAL
Uwe.
►PSA
?,rP l r—rr AMCI LX 1 An bl Bt) -n .r4 E A Q r-
-r' 06 : LE.S1G)JE2 -":nLA.P-1A&) .
LE
WASH a PA IN' N LJgt LIS 0-, TS
PA) Cc-1L1n1(- I C T.
TOTAL
:CONTINUE ON FORM 448A)
$
:OST TO REPAIR OR REPLACE
$
LESS -DEPRECIATION
$
ACTUAL CASH VALUE OF LOSS
$
(TO BE COMPLETED ON ADJUSTMENT ONLY)
LESS -DEDUCTIBLE OR CO-INSURANCE PENALTY $
TOTAL $
� 1 0.r � • '+'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
°A 4 -- � 9-11)C�
ZONING
'
BUILDING PERMIT
OWNE
a u 1-�,y.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
;4 Qt 111e� � -iw, W
y
`�P ,e,,A �
�� ` no. e)U
CONT[6�RACTOR'S NAME `d"' ry]TELEPHONE
/
CONTRACTOR'S M(LING ,ADDRESS R
114 41 , A Vt 1 C!,� t ex)
Fireplace
CONSTRUCTION LENDER %
j�
UNKNOWN
Total Valuation $
Filin Fee
g
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ /S,)
ARCHITECT OR ENGINEER
�^f, 0 -Penalty
LICENSE NO.
Plan Checking Fee/vot V.6
d, $
r
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ , 00
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
r
Water piping
LOT NO.SUBDIVISION
NAME
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 [:1 Instal lation❑ Other Q'
Describe work: fA o74'a, t4 f-'.-1 t-if5
��,ii
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
M600V OR LESS
ain service q 100 AMP OR LESS
5.00
..4Main
service EA. ADD'L 100 AMP
2:50
NEW CONST. (DWELLING OCCUP.8i
OR ADDNS. \ ACC. BLDGS. _
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0' 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. �; / / 2-•% Classification A) f
❑ 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 CONSTR. '-OUTLET 2,50 ea
..N-RESID BRANCH CIRC ITS
NEW CONSTR. / POWER APPARATUS R)
NON-RESID, %SINGLE OUTLET CIR.
BO @ 2S¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
XED PLNS R
Ex. Occup.(.TL
TLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
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 forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hoo d
✓ 3.00 -• i)Itl
Ventilation
Permit Fee
$ 1'10 0
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!� �'{��✓� �f r�•��'--� Date U^? r'? R 2
Signature of Applicant — Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �• ��
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
SSUE
This permit is hereby issued under the applicable provi-
sionssions of the Butte County Code and/or resolutions to do'
work indicated above for which fees have been paid.
JRiET OF PUBLIC WORKS
ByQvlzfDate l 'rNITE-D.P.W.,
PERMIT EXPIRES !bate 4 -DA
a
//over
[Receipt No. 6 /2r.�
YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF�,f3=UT.�TiE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center iXrive - Oroville, California 95965 - Telephone 916/534-4541 a5
APPLICATION AND PERMIT /Z—
/ C
ASSESSOR PA�2=EL NUMBER
``//••''fir//
ZONING
B IL NG PERMIT
OWNER—S�(
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
OWNER'SMA11L,lll AD RESS
60
CON A T R• NA E
TELEPH``ON,E
,
CONT ACTOR'S (LINGDDRES
Fireplace
CONSTRUCTION LENDEFt
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ JA ,m
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
fi
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ DD
BUILDING ADDRESS
_
%4Each
PLUMBING PERMIT
Filing Fee 10.00
C1
Trap
2.00
Repair drainage or vent piping
5.00
f
Water piping
LOT NO.
SUBDIVISION NAME _
PARCEL MA
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
/ USE OF STRUCTURE
SF Com' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
',Fain
Permit Fee -
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. ( DWELLING OCCUP.pi�
OR ADDNS. ACC. BLDGS.
22 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
and Professions Code and my license is in ful force and effect.
License No: alt Lf 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)
❑ 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 CONSTR -(MULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS D
NON-RESID. (SINGLE OUTLET CIR. /
50 @ 25C
Ex. Occup(o FIXTURES BAL CST
IXED A POR
Ex. Occup.(OUTLETS(RESID.)REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
I&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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S 3c8 0
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, 'udgments, costs, and expenses which may in any way accrue
against aid unty in co a uence of the granting of this permit.
X Date ��7_lj'
Signature of Applicant — Owner ❑ Qontractor ® 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
TYPE.OF CONST.
PARCEL
PD
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CT OF PUBLIC
BY `
PERMIT EXPIRES kate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date _
Receipt No. 6 / - Wim,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
IT
4' ®&ailed Estimate
BRANCH
B FILE NO. DATE OFFICE TELEPHONE NO.
OWNER
-!�L.L-Vf-PLA .Q 0SHO-V
BUILDING CONTENTS
ESTIMATED REPLACEMENT COST ESTIMATED REPLACEMENT COST
QLESS DEPRECIATION LESS DEPRECIATION
�P---------- --
ACTUAL CASH VALUE ACTUAL CASH VALUE
LOCATION
.24 WoLLI S LA� yITELE
PHONE NO.
g4v=,- S -1zS
POLICY NO.
CLAIM NO.
DATE OF LOSS
TYPE OF LOSS
TYPE OF BUILDING$
TYPE OF CONSTRUCTION
BUIL DING AGE
BUILDING MEASUREMENTS
TOTAL FEET
CHECK E
A
DESCRIPTION APPLICBLE ("�
ITEM L�
LABOR
HOURS
LABOR
RATE
TOTA1
LABUH.
MATERIALS
TOTAL
AGE
ITEM COST
DEPRECIATION
ACTUAL CASH
�C�.2 � DLA Q I rJC a rn nr � at lf"¢ P Tn
REPLACE 30° HCO
RLPIACE
NNATRW-
DISPOSAL
T o(:!, : QESi6kxp- SQLARAAk) .
WASH -j PA
PA) CES WL I
TOTAL
(CONTINUE ON FORM 448A)
$
COST TO REPAIR OR REPLACE
$
LESS -DEPRECIATION
$
ACTUAL CASH VALUE OF LOSS
$
LESS -DEDUCTIBLE OR COINSURANCE PENALTY $
_ TOTAL $
FIRE
omb,:�REPwRT
Fa -18 (1/80)
ORDER NUMBER
REQ RU. INCIDENT NOy ITARP610, DATE YEAR COUI
_
FIRE NUMBER � � FIRS: NAMC-
REQ R.U. NO. the
2 ORIGIN LOCATION
GEC. TOWN.38LIa, RANGE L
FJS W
3 INCMENTT TY;3E
[�k1Rin FALSE ALARM
*c.r l g y
�w
ZONAL FOREST, F)RE O T., CbTY 3 STREET NO
'1# .-�- y/, , '-oxo //
le
8A ACRES OF VEGETATION.BURNED
D14CCT
T
F?.o:To
i0 AGENCY. PR01ECTiON
at t 8 BURNED
V,
NwJ' titz_V i t -KV`,,,/ STATUTORY
Rol. STATE ZONE RES PONS I6lLITY
0 WILDLAND BURNED THREATFNED
OR
SCHEDULE A D.P.H.
r
J�
0 RANCH -FARM
E]UMPNOTEOTED
J/ / i
too ICT
OiKls OE D.P.R. �j:CfiY
ONON-WILDLAND
UTiLITY. RAILROAD
1`tl Z
[.COUNTY
ffiZ ULE A D.P.R.
o.�.
�y BA
A [ HER AC NCY D.P.R. (Un rp% -M
' LIQ
FEDE A ZC
131A.
] a;:DER xcs pt Iaiil{�(ri) L-P.R.
rLP.s.
QC.� SCHEDUL A G.P.R.
CJ OTHER FEDERAL
1 P, MISC./OTHEAVZON)
OTHER
.� _am,«..0
5 CAUSE mTAR% IN0Vs OR g ONLY)
Did not titan 1 5 04 S#101(ING n EOU'Pt4tNT
[� LIGHTWXG, [] DEBRIS �L� Y WIME
CARfPFlRi [, ARSON eO HER/WISC.
/ e `,LAND USEWT nTS IN
Lj Gid not un." by
FOREST ,NDU3iRY
g
CjnECHEATION
0 RANCH -FARM
[jOTHER INDUSTRY- COMRCL.
[) DUMP
GWiLQLAND
ROAD
ONON-WILDLAND
UTiLITY. RAILROAD
[;OTHER
UTILITY, ELECTRIC
NINE:
_-
oe-NDAMAGE ( 1 n J ORt10NI.V)
Number
NO DAMA06 IU of
Vuh/DWIg
SDAMAO� E�®rte
(Not'rest 110
1 2 AA/or ti
g
TIMBER L/OR
YOUNG (IROWTH
'V LOLAND VEGETATION
(Other than T& Y 0 )
AQRtCULTURAL PROD
(Other than T& YG) 4
D.VELL:403
&/OH CONTEWT3
OTH`-:R STRUCTURES
_-
&/OR CONTENTS 1'
VEHICLES u CONTENTS
OTHER
e
TOTAL
S
3a�v
[� A .26 ACRE OR LE$S
8 "-Q ACRES
r 10-69 ACRES
E10 106-299 ACRES
L_ i E 306^999 ACRES
OF 1000-4999 ACRES
cl R 5000 ACRES OR W4C
ACRES BURNED
" TUNBER I
WOOD
-
AGRIG.
PROD.
TOTAL
601
STATUT.
RESPON. kCRES BURNED
OF -- STATE
U.tS.F.S. t
(Ex 80
FED.
OTHCA
Tc -TAI
4WF
* ON �EG�TATtON
RRIVAL_
1 Fink [� C)THER, GO Tl� rJSIXL. �—. DIS7ANCL: (Orlyln 10 ho.d)
FEE7
WEATE lER (E3TFfAATL? AT SCE -40 ---y—�
WIND DiRECTKIN IRON � TEMI'ENrt't11Rf
t
M.P.H. ! o Fi
L
C'OF 1540-130-011
I
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t
I