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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 ' t I