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HomeMy WebLinkAbout030-182-006A A.P. 30-182-6 S.T. Combs /�. BULLARD, Allen 2996B Chico 24"45P524"45P1116 12th St. , Uroville �_ 9' 7" r 4 CONTR: Foothills Const., t . Permit 2991-73 (reroof) . __ _ _ _ _ _ - E • 91-3924 0-182-6 x 030-18-2-006 1116 12th St., Thermalito- MCMA I N , •DONNA (addition) CONTR:',HOUSER,-JAMES 1 1 16 12TH ST, OROV I LLE REROOF/SF ! 1, 2 F1 1 1 i a t t. 1 • J II II r - =I :',fd'"',;<'_^ 3�51'^:S��y'4•�l�F" y;r"y�`,'-:..r. -i4:'l"i `.l': 030- 18-2-006 .. Ski•- 91-3924 MCMAIN, DONNA y CONTR: HOUSER,`JAMES 1116 12TH ST, OROVILLE REROOF/SF r .�r „►rtryc ►.^,,.t►a�c�+r."'`??t-`'''`r�r - COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS-, PERMIT NO. ,%7f County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541—QI r APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER -182—Ob ZONING AR BUILDING PERMIT OWNER yy DONNA MCMAIN t it 1, TELEPHONE4.076- SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS t t 1116 12th St, Oroville 95965 19 S 1. 40 CONTRACTOR'S NAME James Houser TELEPHONE CONTRACTOR'S MAILING ADDRESS 1749 Eaton Rar #17, Chico 95926 Fireplace COWSST;�CTION LENDER UNKNOWN d�• Total Valuation .D 140 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. None Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS C Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1116 12th St Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF iJ'"aDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition E] Remodel UtilitiesInstallation❑ Other Describe work: r�r-- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 full force and effect. License No. /�1 I�QD Classification G -' ❑FIXED 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) ❑ .l, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST./ DWELLING OCCUPM 3.64sq.ft. OR ADDNS. ( ACC. BLDGS. NeWC ONSTR ULTI.OUTLET 5.00 NON-RESID BRANCH CIRCUITS @ POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 APPLNS. Ex. Occup. OUTLETS ((RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 -15.00 Permit Fee $ — 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 f Consent to Self -Insure. shall not employ any person in any manner so as to become subject ���JJJ 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Coolin g Hood 6.50 Ventilation it Fee 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 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, f�8.expenses which may in any way accrue against said C�,unty in.con que ce of the granting of this permit. / X Date iiok f1 S' nn re of Applicant — Owne ❑ Contractor Agent ❑ An O5HA permit is required for excavations over 5'0" deep and demolition or construct-FR-+"11,6!/9ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ HAz DFEES . . IMP FLOoo J coF 1 PARCEL PD Ho ISS This permit is hereby issued under the applicable provi- Bions of f;e Butte County Code and/or resolutions to do work )ndi ated gbQb_9IVAV_f.hich fe hivebeen paid. DIRP BLI ' W� Q' RKS B ; 7 --ate PERMI V EXPIRES Date�p? Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Cellfornla 95985^- Telephone: 916/538.7541 APPLICATION AND PERMIT A9ESS R RC NU _. 30-182-06 SONING AR BUILDING PERMIT OWNER DONNA McMAIN TELEPHONE 534-8763 SQ. FT. OCC. BUILDING VALUATION 19 s co RD 1,140 OWNER'S MAILING ADDRESS 1116 12th St, Oroville 9596.5 CONTRACTOR'S NAME James Houser TELEPHONE CONTRACTOR'S MAILINGADDRESS 1749 Eaton Rd, #17 Chico 9.5926 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 1 140 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy fd p $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1116 12th St Oroville Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE �r SF ❑KXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other fg Describe work: reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ;elam licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Profess ns Code and my license is in full force and effect. License No. O® Classification Iff 3 ❑ 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) El 1, 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 CONST. OR AODNS. DWELLING OCCUP-82ACC. SLOGS. ) I 3.64 sq.ft. NEW CONSTR.ULTI.OUTLET NON-RESID BRANCH CIRCITS @ 5.00 /POWER APPARATUS 8 (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20 76 20cl Ex. Occup. OUTLETS (RE 51D )RE 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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 �f 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ 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 liabili judgments, costs, expenses which may in any way accrue agai said lunty in con e c of the granting of this permit. X Date �!'o $' n re of Applicant — Owna pp ❑ Contractor Agent ❑ n O5HA permit is required for excavations over 5'0" deep anddemolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD COF PARCEL PD H I E This permit is hereby issued under the sions Butte County ode and/or wor indi ted Ja f hich fe DIR B I B fff PE EXPIR Date 11/6/92 ap IIcable provi- r olutions to do ve been aid. pon RK$ 11/6/9 Date 103062 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT. QF PUBLIC WORKS 7 County Center Drive - Oroville. Californi& 95965 - Telephone: 916;'538-7541 APPLICATIA AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30 -_ �jd2 _QQ ZONING BUILDING PERMIT OWNE TELEPHON,6 O ((!/ SO OCC. BUILDING VALUATION OWNER'S/ A LING AC RE S -� , 01 CONTRACTOR'S NAME�/j• 46W y� \Il TELEPHONE 'a CONTRACTOR'S MAILING AD RESS ^TftT�_ �� Fireplace CONSTR TIO, ENDER /VC UNKNO N Total Valuation $ Filing Fee $ 15.00 LENDER'S MAI/LING ADDRESS Permit Fee $ Xj,5ZF ARCHITE T OR ENGINEER e LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities u Installation❑ Other ❑ Describe work: 1"14- roop _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. // 3.56 sq.ft. NEW CONSTR. ` ULTI-OUTLET NON.RESIO. BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AIFIXED 76d R (a 4ro Ex. OCCUp. OUTLETS IRESIC.)RErb .� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ 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 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ 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, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stones in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ . HAz 1 DFEES I IMP I FLOOD CDF_p ARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Dare the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. L�_�V(l/ / � PERMIT NUMBER B 2991-73B P E PERMIT EXPIRES OWNER S.T. Combs Foothill Const., Paradise CONTR:. LOCATION (A.P. .30/182/6 1116 12th. St., Orovill e 0 r COUNTY OF BUTTE Department. of-'PtilAic Works" BUILDING INSP,ECT•ION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing. Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING 4 Temporary _ Temporary Cert. of Occup. Final Final Final f DATE REMARKS OR CORRECTIONS r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS J'7 County Center Drive -t:Oroville, California 95965 �9� Telephone: 534-4541 APPLICATION AND PERMIT Signature of Permitee or A ent / By - � Date 6 Receipt No. oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date . ��� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address - Telephone No. Fireplace Contractor Total Valuation Mailing Address ' Permit Fee Plan Checking Fee &/or Penalty e, Ls Telephone No. 7 Permit Fee $ — Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system'1 - 5 outlets 1.50 Each additional outlet .30 FOebr W.e- Sa ' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 d Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 , Light fixtures 21) 130010 Receps., switches & fix outlets 20 (a 25 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:/f 'l r¢ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 fa License No S d Classification Misc. wiring ❑ I 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. certify that in the performance of the work for which this ❑ piermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. r MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. XDate .— -� TOTAL PERMIT FEE $ This permit is hereby issued underthe 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 Signature of Permitee or A ent / By - � Date 6 Receipt No. oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date . ��� 0 State o! California %P' *10'3 O RESOURCES AGENCY Der,qrtsnent of Conservation Division of Forest RURAL FIR pGpOpT JJ' ry /C\ FIRE NUMBER: R2- RANGER UNIT (OR AGENCY) : FIRE NAME:—/'Y, DATE FIRE TARTED: If Fire Started in Another Jurisdiction, or Zone I or II, Name It: 200 " i --- MEMO NONE, ZEN SEMMON . ■■.■■■.. ■.■■. C. LOCATION. Spot fire origin. Always give section location where possible. Otherwise give sub -division lot; R.F.D. box; cte. Sketch boundary of large fires, roads, railroad, zone line, etc. ///6 /,� 7- 57- f1 tt zc_ 0 (1-6 V I L. L C_ C- A D. CLASS OF FIRE Vegetation Structural Vehicle Improvement Ref use" False Alarm Permit Escape SEC. TWN.1J_1lGE3 �� -0 • Includes weed burning Fire occurred 2 A ASi�IeC—(a—) in �" � Direction from Town of '7� V /.1/`r give number, kind, c G. DAMAGE (Do not make duplicate F. WHAT BURNED? (a) If structure g type of construction, acoria, size. ,(b) If � entries below) vehicle give make, model, year, license, driver's name and address. (c) If vegetation give type and aiea..(d) If Range other, describe fully. Standing Grain fire-. F. , ' Harvested Crop /.I&.5 ec ac% Industrial Bldg (s). . lfl j3 v,-) �,tJA Non-Indust.Bldg(s). . n/� 00 [ / Building Contents f p 0 Z l'A�t�`iti�A AT f2F�r1� Vehicle(s) ?DU Z Vehicle Cargo Oil or Oil Products Vegetation Area Burned Acres TOTAL $ ? �` H. CAUSE OF FIRE: t S C • , Known'[]; Log. 0 Fire started in/on: Known 0; Log. 0 Material First Ignited: Known[]; Log. ❑ Was "first aid" extinguisher used before crew arrived? VE/'=, 9,4,/2d ^iv /VGvs E uf� �a r/ Did Injury or Death occur? Explain: '' }} O 7.ENHnfr K. NAME AND ADDRESS OF OWNERS OF DAMAGED PROPERTY: Tenants Name and Address: L. INSURANCE CARRIER(S) Address: IJIA M. DESCRIBE PROPERTY SAVED AND ESTIMATE VALUE: D"), //,;,, f foo o c? N. HOW MUCH INSURANCE WILL PROBABLY BE PAID? J. WEATHER WHEN FIRE STARTED Wind Velocity M.P.H. Wind Direction TemDerature IFuel Moist. REMARKS --�% 2._Z�)111 Signature of(` ' . 1REPORT MADE BY: �`'��— -�-'w<Offcer in charge ` 10AA,c.-•'Ow.9.C� -V+'� P. RECORD OF ACTI,ON ON FIRE ,LAPSED TIMES ITEM MO. 6- DAY TIME ITEM HOURS MINS. TIME FIRE STARTED 7 „r (• - - 'DATE Time DISCOVERY (2.1) TIME v_ ✓ P FIRE DISCOVERED BY INAMEI �l l ����� AT (LOCATION! �C /' FIRST REPORT BY (NAME) AT ILOCATION I�(J �•A 697 vz� 4r LG Z' Z % (/�// REPORT TIME (3.2) / ;' — 7_y ,0Jw/' 7 (, SECOND REPORT 8Y (NAMEI � � � k,) ;AT ILOC ATIONI fs,�A- FIRE REPORTED - AT %%�/).1 I- r DISPATCH!! TO NAME TITLE LOCATION ,j GETAWAY TIME (6-5) />U (J WAS FIRST ON OFFICER. CREW OR PATROLMAN LOCATIONv WAY TO FIRE ATTACK TIME O/ FIRST SUPPRESSION .oKJ"l!-I(%A�•- �!' AND/OR try�f'?/"Y• CREW• WORK:B EGUN BY NAME TITLE � NAME /' (/V 17 CON TOL TIME .. FIRE UNDER CONTROL +� WORK FINISHED AND LAST MAN LEFT FIRE 2 MOP-UPYIME (9.9) / Q. OVERHEAD ACTIVITY (ALL MEN NOT ASSIGNED TO REGULAR CREW DUTY) NAME 2. TITLE S. ORGAN!- 4. LOCATION 6. DISPATCHED 6. ARRIVED 7. R[T.'HOMfi B. MAN•MOU RS Z^'ION HOME BAS[ DAT[ TIME - - 'DATE Time .DAT[ � TIME CHARGEA6L[ 697 vz� 4r LG Z' Z % (/�// /2 2i . UL)7�- / ;' — 7_y ,0Jw/' 7 (, ` •� TOTAL OVERNEAD TIME O ZZ6 MHO WAS RESPONSIBLE FIRE BOSS? R. CREW ACTIVITY (ORGANIZED CREWS ONLY) 9. MAN.HOIIRR n r '. VEHICLE SUMMARY REMARKS: 6. ORGANI. TYPE ZATtON C. NO. - D. TOTAL E PUMPING MILES OR WORK. I N G HOURS s l L S osr