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Home My WebLink About026-124-00677 26-124-6 t2250 INIT REE.HOLI SS CHURCH' �-- E ranzAve, P rma prmit# 909-80E (e� �srAe ch) SF _ L ti. { 026-124-006 101-0833'` MILLER PERRY &AMY 2250 ESPERANZA AVE. PALERMO r CONT; WHEELER CONSTRUCTION REPAIR FIRE DAMAGE . • r M. ${ r r �_ .��. :n 1� z : = c. -r .. ..��• �� :+ :t=F-. csL--4r.-..r3 a-. �_-" ,_ � � _ � ., w ."._ .,. -..-.r- � �) 11 , tom..--+::.... --.. '=.. -='-i. _'- •�. 1 N �y r FIRE. DAMAGE REPORT z OWNER: rev rr LOCATION: R'Q CONTRACTOR:' DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant ; Electric: YesNo Condition of Electric PERMIT HISTORY:( DATE: c� A.P. # ZONING: AS FOLLOWS: heL BUILDING INSPECTOR'S REPORT 9 F1 Electric currently On Off Gas: / Natural Prop ane None Currently On Off Obvious Problems: r Sanitation: t Plumbing Working ✓ Well Working Obvious SewageProblems ` Description of Damaged Area: Estimate Valuation of Damaged Area:_-� Potable Water Condition of Foundation: "P Mobile HoVCond* of Utilities: Inspector. Date Sketch building on reverse and indicate area of damage. k'IRE DAMAGE REPORT LOCATION: CONTRACTOR: DATE TO INSPECTOR: -16. Ul PERMIT HISTORY:( )NONE Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedfVacant DATE: A.P. # ZONING: L J -( �AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: Potable Water Inspector. Date Sketch building on reverse and indicate area of damage. CD:FLBUTT E COUNTY FIRE INCIDENT LO DATE 03/10/200 INCIDENT NUMBER 2775 LOGGED B TP REPORT TIME 06:28 LOCAL FIRE NUMBE' 10142 RO HAWKINS STATE FIRE NUMBER- �,� - , E BI CASE NUMBER"' � MEDICS LOCATION 2250 ESPERNAZAAV PRA R6 ECC .❑ RP AMY PHONE NUMBER 533-6384 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES0� FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL I FIRE INFO SENT HO EMAIL BY TP TO 72 OTHER FIRE 7 -DAY LOGGED ❑D INITIALS MAA MEDICAL AIDS INCIDENT NAME MILLER PSA/OTHER START DATE 03/10/20011 START TIME 06:10 HAZ MAT DIAMOND # 5.0 • COMMENTS CAUSE MISC .: • y - LAND USE IDOMESTIC ACRES 0 TYPE OF ACRES ; DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 35000.00 SAVE 40000.00 INJURIES/FATALITIES # CIVILIAN INJUR!ES,j INJURIES,01 # CIVILIAN FATALITIES 0 EMD ❑ ' OES ❑ # FF INJURIE # FF FATALITIES FC -40 INFORMATION New Incident �K;. xl� FC 40 1:1DATE OF FC -40 INC AGENCY INC # INC P# FC40 COMP DATE FC -40 COMP BY 1----�. a County Notifications EARS Hard Copy Recieved 0 EARS Checked Agenst EARS Computer ❑ Jk y r A [ r (D Ln H N.QH #ro f F f:. T 1 Cs td co N to _ V•t__, fD C2] M �Vco b U] N �(D AJ .p c .r- ., _..__e_—.-____. _�+—,—. _.-3._s< "wi,1�:�1 4 A•^ '1+da-_.mss- __. _'{`.�'^'__ - . .s N e 026-124006 01-0833 MILLER, PERRY & AMY 2250 ESPERANZA AVE. PALERMO { CONT; WHEELER CONSTRUCTION REPAIR FIRE DAMAGE e I 7� V( 111 OFFICE COPY ' Addre s t ' ! GASt. �•arW.. { Meter'By Date: i Me�y- -m.ete—rBy — - - _._ -4 ELECTRI `Date Meter By I D 't i 4 :Y ~ COUNTY OF BUTTE - DEPARTMENT OF ISEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6)1' G 8-3 ASSESSOR PARCEL NUMBER 026-17-4 ZONING - BUILDING PERMIT OWNER PERRX AND AMY RS3_ TELEPHONE SO. FT. OCC. BUILDING VALUATION .V . OWNERS MAIUNG ADDRESS 2250 ESPERANZA CONTRACTOR'S NAMESTELEPHONE WHEFirhl>C+it f S MiSn O ma. CONTRACTORS yM�AILIbNG�ADDRESS . PO B0 DROVILIX 9-5966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD 2232 Espi"7 Am PAIMM 4 .7t1 I Ener Plan Checking Fee Energy g $ PERMIT FEE S q LOT NO. SUBDIVISIONSNAME PARCEL'MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF df Duplex ❑ Mobilehome ❑ Other a SPECIFY`' Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK a New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other {] Describe Work: REPAIR AND FIRE DAMAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 1 ELECTRICAL PERMIT Filing Fee 20.00 - 800V OR LESS Main Service 200A OR LESS 23.00 2 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class AR Lic. No. ��(r �� 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of thework for which this permit is issued. O- I have and will maintain workers' compensation Insurance; as required by Section - 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Ig urance/arrier•and policy number are: Carrier S �' 7-I b,I.I gal Policy Number IY4- 4''2 ) -- x/,'J. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation • provisions of section 3700 -of the Labor Code, I shall forthwith comply wit tho provisions. I + / X `--= Date 1�'// _ Signature a Applicant - ❑Owner ❑Contractor [3 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service WA TO 46. NEW CONST, DWEtLINO OCCUPCU. so SO OR ADDNS. ( a ACC. BUDS. 3.5Q�: NEW CONST. MULTI.OUTLET =R IDT @7.50 POWER APPAMTUS 8 SINGLE OUTLET CIR. .00 Ex. Occup. OUTLET OR FUTURES BAL @ I.50 Ex. Occup.DFUrLEEDrsRES,D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating WALILURNACE 15.00 Cooling SW,AJV COMER I5*00 Hood 6.50 0.50 Ventilation Z 4.50 4*50 PERMIT FEt $ 61.00 Mobile Home Installation Fee $ Energy Inspection Fee -. $ occ CONST. TYPE TOTAL FEE $ 606.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD V0 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B ` A C-(? (./,�.. ~ , �..�[ 7t4 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / (r jDaJte C ryd ate ReceiptNo. 315257/$60,00 ` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1t COUNTY OF BUTTE - DEPARTMENT OF DEYELORMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �/ b 8"3 :� ASSESSOR PARCEL NUMBER 1RRRRYXRNBXXXXXN1XXXR 026-124-006 ZONING AR 1 - BUILDING PERMIT OWNER PERRY AND AMY MILLER TELEPHONE 533-6384 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2250 ESPERANZA PALERMO 95968 CONT 60 000.00 CONTRACTOR'S NAME WHEELER'S CONSTRUCTION534-5449 TELEPHONE CONTRACTOWS MAILING ADDRESS . PO BOX 5262. OROVILLE 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 459-00 ARCHMECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD12250 ESPERANZA AVE, PALERMO GL Energy Plan Checking Fee $ $ PERMIT FEE _ 47Q LOT NO. SUBDIVISION'SNAME PARCEL MAP -no PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPAIR AND FIRE DAMAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ITFdT WT- 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 a00V OR LESS Main Service 20.AORLES.23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Jyll force and effect. / License Class Is Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. A-1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'�Fompensation i►rance arrier and policy number are: Carrier .} f -G �4w!a Policy Number - -- Qf- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ye provisions. forthwith comply wit> tho / X Date (/ 0/ _ Sign a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service PDA TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT; p�Ip MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES BA�o'50 Ex. Occup.. ouxrLs�ors Ao CE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE S 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating WALL_.FURNACH 15.00 Cooling SWAMP COOLER 15.00 Hood 6.50 6.50 Ventilation 1 4.50 1 4.50 PERMIT FEt $ 61.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 606.00 HAZ. D FEES IMP I FLOOD I CDF I PARCEL I PD I HD IV This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. a , �� /te PERMIT EXPIRES ON efe ReceiptNo. 315257/$606.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 85965 • Telephone (530) 538-7541 PERMIT NO. (Revr12196) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER `t ZON J� BUILDING PERMIT OWNER 533 NE 63s v SO. FT. OCC. BUILDING VALUATION CONrRACTOq; • l� 1 I Lw rona ND ADDREsa a o saga CONSTRUCTION LENDER a• `qz- TNE c> 53 —sy r �S96 Fireplace Total Valuation S UENDER'S MMUNG ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCNRECT OR ENOWEER S MALJNO ADDRESS eU4DIN0 ADDRESS,^ S .�... ^ (�w\ �,•- I Permit Fee b 0 Plan CheckingFee b Energy Plan Checking Fee S S PERMIT FEE t PLUMBING PERMIT Filing 20.00 IDi NO. SUBDN9pN9 NAME PARCEL MAP USEOFSTRUCTURE SF Ik Duplex ❑ Mobilehome ❑ Other ePEcsv Each Trap7.00 Solar or hent um water heater 23.00 Water piping 15 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ . Utilities ❑ Installation Other Describe Work: Each as water heater or vent 15.00 Gas piping stem t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 --••--•----- .I • ! I 1 *PERMIT FEE PAID SRA - SHERIFF OTHER � � AMOVNT RECEIVED Ij *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service a0°v OR LESS zooA oR tEss 23.00 Main Service tow TO 1000A 48.00 NEW CONST. pWpyPp OCCUP. SO OR ADDNS. i ACC. BLDS. 3.5¢FT: NON•RESIO. CONST.NEW MULTFOU` tIII@7.50 POWER APPARATUS 8 SINGLE OUTLET c10. Ex. OCCU OUTLET OR FIXTURES 200 1.00 BAL @ .SO Ex. OCCU FIXED APP. OR OUTLETS WSESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating b 1 L Cooling GU = Hood 6.50 Ventilation PERMIT FEIE $ O Mobile Home Installation Fee $ Energy Inspection Fee I S 14 occ CONST. TYPE TOTAL FEE $ ! KAZ D. FEES IMP COF PAR PO NO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ml BUTTE COUNTY BUILDING D PARTN APPROVEr r - C � �ti r - C BUTTE COUP BUILDING DEP4RTME A ppk)n\ren Ira 1\ COUNTY OF'BUTTE — DEPARTMENT OF PrJBLIC'WORKS 7 County Center Drive — Oroville, California 95965 Tel eph9ne: 534-4541 APPLICATION AND PERMIT autnor)ze representatives of the county of tjutte to enter upon the above-mentioned property for inspection purposes. X , . ,.,' .► !i� Date Signature of Permitee or Agent Racaint Nn / L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �r. ,DIRECTOR OF PUBLIC WORKS I v1 �/ �i C! gy I / a� ,/!.� i ✓ Date Building permit expires Date c BUILDING Owner Ti, '„ / f r<CL 1,t t II" f', i1 !J SQ. FT. OCC. BUILDING VALUATION Mailing Address L -:)L-) 'p- h �� Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address %�' °7L L �.0 } f )� i I ,��✓E Planng Fee&/or Penalty Permit t Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. L �l `� �. -• Zoning'&Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI-ons'Rec'.d I I Plans Approval Lawn sprinkler system 2.00 ____t2LceI_AEprovaI NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [E] - Permit Fee $ $ V (' �� . ELECTRICAL No. @ FEE ,;'•GL PERMIT FILING FEE $3.0000V OR LE Main service 100 AMP ORSLESS 5.00 _ j ( f, Single Family 0� Duplex ❑ Mobil Home ❑ Others Qy/ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPe00v OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ACCLBLOGS.LING CCUP. �) 20sgft 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: T NEW CON STR BRANCHMIJLTI.OCIRCUITS NON-RESID, � BRANCH CIRCUITS 2.50ea NEW CONSTR/POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES) 500250 Ex. Occup. (OFUT LETS PIRI- SID )RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 [ 1 OI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 'r' '� $ MECHANICAL No. @ FE_ E 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑,I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ �f autnor)ze representatives of the county of tjutte to enter upon the above-mentioned property for inspection purposes. X , . ,.,' .► !i� Date Signature of Permitee or Agent Racaint Nn / L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �r. ,DIRECTOR OF PUBLIC WORKS I v1 �/ �i C! gy I / a� ,/!.� i ✓ Date Building permit expires Date c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephope: 534iA541 APPLICATION AND PERMIT Owner TR/A% / %y fe�� Mailing Address � � _'250 ES AgtlEir /✓!Q r C/T / Q Contractor /-fou 5 ✓E55 sewvl _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Mailing Address Ex. OCCUD(OUTLETS OR FIXTIIRES, Fireplace FIXED APLINIS Ex. Occup.(OUTLETSP(RESID,)REA) 2.00 Total Valuation 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 �2 Telephone No. Permit Fee Building Address 2,ZS('l��/V 4 C, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 06, Zoni g & Planning Water piping 1.50 Each gas water heater or.vent 1.50 F S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldgr1Fvrrr1kve-d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �O11 Main service 600V OR LESS 100 AMP OR LESS 5•QD JJ�1 O(/ Single Family Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 12.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING CCUP. 5120sgft TLET CONTRACTORS LICENSE LAW NEW RESID.CONSTBRANCH CIRCUITS) NON-RESID. BRANCH CIRCUITS/ 2.5Oea NEW CONSTR. POWER APPARATUS 8 I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. , D/certify that in the performance of the work for which this _ is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 County of Butte to enter upon the above-mentioned property inspection purposes. X Date Signature of Permitee or Agery Receipt No. Z & f-95!� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant NON-RESID. (SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES, 50@254 BAL@1 FIXED APLINIS Ex. Occup.(OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 �2 Permit Fee $ / , 7-5 $ / Z MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ Z3 This permit is hereby issued under the applicable provisions of the tte County Code and/or resolutions to do work indicated Fen PpaUidB. LIC WORKS Date —1c37— J T v permit expires Date —17- a 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT y r Owner:':✓-f;ke ��,�.-ter ! C�i7/�2f Z�G� A.P. . V Address: Date of Ins Tenant: Le Inspector Building Location: ;?z�u..,�, Type of Inspection requested: z -.-�% 1. Housing. 2.`Financing ,� 3. Change of Occupancy to 4• -Other (specify) vim-(' ' Present use. of building° Sv r-X �is� ✓�,�, � �z J _ -_ C� A. 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. Connectior-to sewage disposal: 12. Connection to water.supply: 13. Rubbish and garbage facilities: 14. .Cc= ents: B. Structural 1. Piers and footings: 2. Floor construction: 1' Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces:' 6. Comments:: C. Electrical. 1.. S ery is a and ground: 2. Receptac es: ". 3. Fusing: 4. Cam, encs D. Plumbing . 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments • p E. Other 1. Maintenance and repair: " 2. Fire hazards: _ 3. Safety hazards:' Weatl?er protection: 5. Tinderfloor and attic ventilation: 6." Conci ents F. Ccmmiercial Buildings 1. Roof covering: 2 Disrarce to property lines: 3. Physically handicapped: 4, rest -66m floors and walls: 5. Exits: h.... Improvements 7. Zoning:_ 8. CorRmerit -i • G. 'Field Problens :ir Viclatiovs 1. Problem or-►iolatiori (give Complete. description) :� /,t.__ _ _ _ 2 __ -sof - v _ ?. Wrat act ion,takcn,(give complete-.j.escript:on): � 3. What action neem mended:OF T7 A. znformiation only - fii•�!. / B. Hold for ten (10) dabs, hien write Letter. Write letter. . 77D. Other: C