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27-02-22 CLINTON W. JACOBS 3373 Grubbs Rd, Oroville Permit #1123-79E,ele ser ch & mise wirin ) SF 3 A a� i o 27-02-22 CLINTON W. JACOBS 3373 Grubbs Rd, Oroville Permit #1123-79E,ele ser ch & mise wirin ) SF 3 A a� I BUTTE COUNTY BUILDING OFFICIALS A� !Z Ttp, Legc'CE Block Parcel No.' - ' ,-2- Rapid Evaluation Safety .Assessment Foran RI ON: Name :bi "g Address: 3 ':�7.3__ K�WZWT N. No. of stories: Basement: Yes ❑ No ❑ Unknown ❑ Primary Occupancy: Dwelling ❑ Other Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly [] School Government ❑ Emer. Serv. ❑- Historic ❑ Other O'VERALL RATING: (Cleeek Mane) TI NSPECTED (Green) . Exterior only . Exterior and Interior LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) ❑ LNSPECTOIZ S'f�0 7I Inspector ID Affiliation SEA -d e - INSPECTION DA � 1, Mo/day/year — Time air= pm Instructions: Review structure for the conditions listed below. A "yes" answer to"L, 2, 3, or 5 is grounds for posting entire structure UNSAFE. If more review is needed, post LIMITED 11,i7RY. A "yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard. Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or barricaded to indicate AREA UNSAFE. More Review Condition Yes No Neededi_ -1. Collapse, partial collapse, or building off foundation ❑ ❑ ❑ 2: Building or story noticeably leaning ❑ ❑ ❑ 3. Severe racking of walls, obvious severe damage and distress ❑ ❑ 4. Chimney,parapet or other falling hazard ❑ ❑ ❑ 5. Severe ground or slope movement present _, ❑ ❑ 6. Other hazard present ❑ ❑ ❑ Recommendations: ❑ No further action required ❑ Detailed Evaluation required (circle one) Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ 0Lher. Posted at this Assessment: ❑ Yes ❑ No Comments: DATE TIME ESTIMATED DAMAGE TS, o BY DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 PUBLIC INFORMATION OFFICER 538-6947 Name Reporting Party U 1L.m Address/Location 3 373 12,,..[►W- R4 Telephone Number .-3 3-% VV 7 3 City County 4r 538-` � 601 Type of Damage (Note: Emergencies Re`er io'�1)p.T. �a,�'U ii 6U► ��� Ijer,�> i s � Building Description ( ] Commercial/Usage [� Residential Type and # Units (;] Currently"Occupied/Use [ ] Abandoned/Vacant Electric Any electrical submerged On [ ) Off [ ] Obvious damage -(failure, downed wires, arcing) Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) On ] Off[ ) Structure On/Off Foundation Flooding above low floor t-, tA- r-vay's*/*' �.✓c�P.� ({S e. �-�' - Obvious leaning, tilting Q „� o y 5ay'_''t a' 1r -(b`"' ^!f ✓�„��- wYB'""�xr� L,pvsl� ; Severe Damage/Collapse Debris Hazard DATE TIME ESTIMATED DAMAGE 154oa9 BY 3' C -1 - o -aa L DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 9995 PUBLIC INFORMATION OFFICER 538-6947 Name Reporting Party- QA•✓ t4. 4"e Q- SU IL -a- Address/Location 3 373 kk-4j iT U Telephone Number 25-3 3" V Y-3 3 City County L-" 538-» 1601 Type of Damage �?'� ��-cs�+.•�.��..1 c -V ( vvv'-F�g (Note: Emergencies Refer to )r►'t'. "6 ('je r v 1 5 Building Descriation [ ] Commercial/Usage [ �] Residential Type. and # Units ( ] Currently�Occupied/Use - [ ] Abandoned/Vacant Any electrical submerged On [ ] Off [ ] Obvious damage (failure, downed wires, arcing) Gas ? Natural/Propane { 'Obvious problems (odor,'leaks, leaks,'propane tank floating/submerged) On[ ] Off[ -] Structure On/Off Foundation Flooding above elow floor 1; r ,"CtA- M --1')4AA1:41 ✓.✓de4. '145e. Obvious leaning, tilting R;�w/.��y5o Uv�el`.1'( •.•� n/f ✓ L( dT tTr C..Y MW J Severe Damage/Collapse Debris Hazard Sanitation 7 Plumbing working Running water Well Flooded Obvious Sewage Problems Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount e Fuel tanks (above or below ground) • d Obvious hazards Agriculture Loss Crop Damage Livestock Lost Building Damage :3C?X v.0P 23L./y t S e•✓a✓�% Roads (Public) �1 Road Name ��• Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) _ Involved Utilities (downed wires) k Levees Public ( ] Private [ ) AV4"ott•L Waterway Name W• U CJ-s.y C- OV-fAC 4410;'W 0 Ale' I�dv�er.fG Location of damage/problem Obvious hazards _ E t Landmarks flow/: ow 'fr eboard Copies: [ I OES ( I Agriculture ( I Health ( I Fire ( I Building [ I Sheriff 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center DrivOroville, California 95965 Telelone: 5a4-4541 r , APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the Z above-mentioned property for inspection purposes. i ie�t 'C Iev r Date (o Signature of Permitee or Agent /et- Receipt No. ?74 White-D.P.W. — Yellow -Assessor — ink -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. DIRECT R OF PUBLIC WORKS By . f ' ' % ;. 1r j Date) Building permit expires Date BUILDING Owner1,4C .. ;� SQ. FT. OCC. BUILDING VALUATION Mailing Address j -7� w /313 V/Telephone No. 'S Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address7 �� �, �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. %" �) Z — 7 �,r/i�, Zon' 9 tanning Water piping 1.50 Each gas water heater or vent 1.50 Fees SOA44a4en FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bigg "F°Ierd, Parcel A pr= Plans Approval Lawn sprinkler system 2.00 ,NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © permit Fee $ �_r✓L� �-Q Q'' t, ELECTRICAL No -1 @ I FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family .Ef Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 V r77� � /� / Main service OVER e 25.00 100 AMP O OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST l ACCLBLDGSDWELING CCUP. 4'1 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: NEW CONSTR. (MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW C ON ST R. POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. 4 250 Ex. OCCUD(OUTLETS OR FIXTURES BAL LOW FIXED ALNS. Ex. Occup. (OUT LETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ! . 4 License No. Classification Warn exempt from the Contractors License Laws of the State of California. Permit Fee $ A $ 14 IL MECHANICAL No. @ 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. ❑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 o 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 relatina to building construction. and hereby Land Development Fee $ TOTAL PERMIT FEE $ ��� ? authorize representatives of the County of Butte to enter upon the Z above-mentioned property for inspection purposes. i ie�t 'C Iev r Date (o Signature of Permitee or Agent /et- Receipt No. ?74 White-D.P.W. — Yellow -Assessor — ink -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. DIRECT R OF PUBLIC WORKS By . f ' ' % ;. 1r j Date) Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or ville, California 95965 Tel ephoiie: 534541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date signature of Permitee orAgent Receipt No. 10o te%en 4 �" White-D.P.W. - Yellow -Assessor - ink -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 ff jwhich fees have been paid. / f• DIRECTOR OF PUBLIC WORKS ByDate-3—� ` Building permit expires Date �—�— 615b BUILDING Owner oL wlpl�^J 60 ' -3 SQ. FT. OCC. BUILDING VALUATION Mailing Address Z17—Z )CP . Telephone s Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Addressv Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ® D Repair drainage or vent piping 1.50 A. P. No. .2 Z Zoni/ fanning Water piping 1.50 Each gas water heater or vent 1.50 F Saar>at+ew I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 t3rag. Parcel Approval Plans Approval Lawn sprinkler system 2.00 ,NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 V OR L Main service 1000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 o. TVOR Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST ADDNS. ( ACCDWE, BLDGS.0 CUP. !I) 20sq ft CONTRACTORS LICENSE LAW 1 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 RESID, BRANCH CIRCUITS NON.CONS ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESI D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS, OR FIXTURES B e 25t 1� FIXED APLNS Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 .2 - am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ZJ 12<. MECHANICAL No. @ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rmit is issued I shall not employ any person in any manner Koapscertify that in the performance of the work for which this tobecome 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 $ 2� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date signature of Permitee orAgent Receipt No. 10o te%en 4 �" White-D.P.W. - Yellow -Assessor - ink -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 ff jwhich fees have been paid. / f• DIRECTOR OF PUBLIC WORKS ByDate-3—� ` Building permit expires Date �—�— 615b w _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53ij; 4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /Gt- Date Signature of Permitee or Agent Receipt No. 15`te2 ?4 White-D.P.W. — Yellow -Assessor — inrt-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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDIN Owner C��``���1% �jJ , 7� SO. FT. OCC. BUIL IN V ALUATION Mailing Address _Z17-3 C Zo s ;Cy r i S phone Np. Contractor 0 Mailing Address Fireplace .1 Jj - , Total Valuation Telephone No. Permit Fee Building Address J v ' PlanCheckingF aor Penalty Permit Fee $ P4&MOING No. @ FEE PERMIT IL NG FEE $3.00 Each ap 1.50 1� 49 Repair r nage or vent piping 1.50 A. P. No. ` j'' d Z Zonizd �lanning Water pi 'ng 1.50 Each ga ater heater or vent 1.50 F • Fire Dept. Fire Zone I Use Permit Gas pipin stem 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additi al outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 W ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 goo 0V OR LE Main service 100 AMP ORSLESS 5.00 ' Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service 100 A 25.00 100 AMPP O OR LESS ' Main service EA. ADD'L 100 AMP 1.00NEW CONS. DWELING OR ADDNST ( ACC`BL G.. cu'- 9) 22sgft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca rni Business & Professions Code under the name styl : NEW CONSTR.RANCH CIR T MULTi-OCONTRACTORS NON.R ESI D. ( BRANCH CRCUITS) 12.50ea NEW CONSTR. POWER APATB PARUS NON RES D. (SINGLE OVTL_ CIR. Ex. OCCUC(OUTLETS OR FIXTIIRES) 'SOBAL@1@ FIXED APP LNS. OR Ex. Occup. ( OUTLETS (RESIO.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 •- Z� am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. rI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE 53.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that 1 have read this application and state that the aboveLand information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Development Fee $ TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /Gt- Date Signature of Permitee or Agent Receipt No. 15`te2 ?4 White-D.P.W. — Yellow -Assessor — inrt-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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date