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028-062-019
l t r 28-062-19 - • • t CLARENCE NORING � le- W/S Palermo Honcut Rd, app 500'; LYTLE, Clifford J. 1131-67B.' Middle Honcut Rd, Honcut f Permit 5L4 -80B, E,M (ele ser ch, cir. for furnace, wood stove,' 8-062 ducts & new siding)SF wls Palermo Honcut Hwy. app. 8001 no. of - Middle Honcut Rd., Ho ut +� (Detached carport) t 01, .7-6 `t *47. !: !F � t; 1 � r •i } DATE 10/30/2005 ................. REPORT TIM r INCIDENT NUMBER 126243 EVENT NUMBE 12842 LOGGED B MB LOCAL FIRE NUMBE RO JEFF HAWKI STATE FIRE NUMBER CASE NUMBER LOCATION FBMTXCE9MO HONCUT HWY RP JADRIANA I PHONE NUMBER 1743-4676 WILDLAND FIRES 0 ESTIMATED ACRES STRUCTURE FIRE fgni697Z OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT Billable Incident ❑ COMMENTS FULLY INVOLVED EMDEI OES 0 Interesting Event El BI 1533 raarrnawe MEDICS PRA ECC F1 REPORT METHO ISEVEN DIGIT EM FIRE INFORMATION FIRE INFO SENT HO j9Zr'* 'i BY MB TO S�72 7 -DAY LOGGED W INITIALS MB 1 INCIDENT NAM .=TONE START DATE 10/30/20051 START TIME i . . .............. DIAMOND # 5.0 CAUSE ARSON LAND USE DOMESTIC 3 ACRES TYPE OF ACRE . .... .... .. . DIAMOND 5 ONLY $ DAMAGE TYP ALL OTHER DOLLAR DAMAGE 100000.00 SAVE 0.00 INJURIES/FATALITIE F-1 #CIVILIAN INJURIES 1 01 #CIVILIAN FATALITIES # FF INJURIE J, 0 # FF FATALITIES FC -40 INFORMATION "I FC -40 El DATE OF FC -40 INC New Incident 1A � a V AGENCY INC # INC P# FC -40 COMP DATE I FC -40 COMP BY County Notifications Q EARS Hard Copy Recieved E] EARS Checked Agenst EARS Computer 0 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orcville, Cali;ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 1 -r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation' $ - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR,ENGINEER A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ G BUILDING ADDRESS t PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other [:1 Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service/EA. ADD'L 100 AMP 2.50 NEW CONST. LBLDGS.LING CCUP.tk) OR ADDNS. `ACC 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. 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 U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEWCONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50L@ BALM FIXED APPLNS. OR Ex. Occup.(0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring —' 6.25 i. •. Permit Fee $ % %, U'., Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ 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. r 4-1 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. MECHANICAL PERMIT FiIingFee %3.00 Heating Cj j Cooling Hood 2.00 Venti lation permFee ee $ 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 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. XJ Date Signature of Applicant — Owner Q Contractor ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD Ho ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. If i.,, I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTELL- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 'c .r .41 11 PERMIT N� ASSE Og^A U.�/ "`�zONXZ_ F IA)� BUILDING PERMIT .DOS �E,` �'�"(�/�©Q/ Aj%`.� -H 71/� iG� SO. FT. OCC. BUILDING VALUATION SID c -Q U OW S+�MMAILIr//t����G AYRESS T�7 /��/�/., 1 C O N T R AC TO RR''SN/M€� TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION � . /!6 UNKNOWN Fireplace ' Total Valuation $ ,OQ r LENDER'S MAILING ADDRESS Permit Fee $ ._GU ARCHITECT OR GI EER„ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT O'R ENGINEER'S MAILING ADDRESS Permit fee $ VI.QO 7UjL&G AD,ytig ss a 10�,�� ��. �I �/�IDAD PLUMBING PERMIT Filing Fee 3.00 E /4/tc V7_ Each Trap 2.00 Repair drainage or vent piping 2.00 l Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 ' Gas piping system 1- 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: C4 -4 --GT S'iSPI(/.Nlf► !A/n-IL L �0'4 r_tZ_C% rp/7 15 � le' 1A) 5M.1— 4W.ryaD Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee /000 Main service 800°o AMOR P ORSLESS 5.00 S 70V 11�' /1_n i � ���� '/,yip -I /�i ����// L� �T�V /�`(�(r Main service EA. AD 100 AMP 2.50 IN NEW OR ADDNS.r ( ACC. BLDGS.CCUP,&) 20 sq ft CONTRACTORS LI ENSE 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 full force and effect. lense No. Classification as the owner, or my employees with wages as their sole compen- satlon, 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 NON•RESID R BRANCH CIRCMULTI-CUTLIETITS 2.50 ea POWER APPARATUS NEW CONSTR.6 NON•RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50@@ BAL�1Oi FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I� ' 2.00 o^�.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring —'r Permit Fee $ ao Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 0 onsent 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. MECHANICAL PERMIT FiIingFee 0F.00 Heating D U47S (Ja Cooling Hood 2.00 Ventilation permit Fee $ 01 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, judgments, costs, ►aannfid expenses which may in any way accrue agai s County in cons ueR�!/ f the granting of this permit.. X �°\ Date D l7 - Signature of Applicant — OwnerV Contras ❑ Agent ❑ An OSHA permit is required for excavations over 5 V deep and demolition or construct- ion of structures over 3 stores in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE �'7Oti OCCUP. GROUP I TYPE OF CONST. PARCEL PD Ha ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE 0R OF P ELIC ,e! By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County-Centek rive, Oroville'. CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property•improvement (yes or no) a 2: I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : / Property Owner Cf _A� �_ /5 Social Sec}�rity number Date 1 / — / v - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health•and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 County Center Drive — 0roville„California 95965 — Telephone: 534-4541 X.: p PERMIT APPLICATION DATA SHEET Permit OWNER � �C� Dl,�/N A.P. No. :Zfc-nom Proposed Building Use Permit fee based upon,: 1 , Complete Contract Price c/DPW Valuation Oehl , eX1pla'�in) 1 Building Inspector _ I / //W�- f -/ Date %// /o At time of permit application; I- was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been.submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization.............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. ,12. Certificate of 1/ll�or, men's Compensation Insurance ........................ X1.3:- Cenfractor4icense Info'I'nation (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see address below) .................................................... f 15. Pre -inspection fo&-A required. Fre-inspec. request -i6-)s (date) g. -inspector 16. Other - -=-_- ;- - When you issue the permit, process as follows: �— Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant. . =d&=tc i1,•�e�ate_ /Z— % 0 - A � Copy of plans sent Health Dept., Fire Dept., Other"S) Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW