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Home My WebLink About056-460-005! DAVID HEITZMAN n�trid 2$5��74,p�_ S. � �z�s private rd'., 31g . off Vila I ,' �. Rd., Cohasebt I Permit7r-11-1-985-75B,x, ,M(new SF) Vilas Rd., app. 2 mi Hwyl , i�turn @a Monks E' of Co' a- (ne{w single family) S ore Ch r y r A �{ r• r FIRE DAMAGE REPORT OWNER: -b5W Cj LOCATION:;2uq 96ourc�-es �s-�i CONTRACTOR: DATE TO INSPECTOR: p O� PE HISTORY:( ) NONE $` AS FOLLOWS: D� r Building Description: DATE:ADS?, D A. P. # ZONING:— BUILDING INSPECTOR'S REPORT Commercial/Usage: Residential/# of Units:_ Currently Occupied Abandoned/Vacant Electric: Gas: Yes No_)4-_ Condition of Electric Natural Obvious r- Problems: Propane_ None Electric currently On Off s Sanitation: f' T 'J Plumbing Working 117) Well Working Potable Water ' Obvious SewageProblems Description of Damaged Currently On Off_ Estimate Valuation of Damaged Area: Condition of Foundation: N /1,(-c)�� Mobile Home: Condition of Utilities: Inspector: V &LQ.G ,1 Date — M Sketch building on reverse and indicate area of damage. z�C4 CDF BU1TE COUNTY FIRE INCIDENT LOG DATE 08/03/2003 REPORT TIME 1 14:51 INCIDENT NUMBER LOCAL FIRE NUMBER STATE FIRE NUMBER CASE NUMBER LOCATION u264 RESOURCES LN RP 11SAWMILL I PHONE NUMBER WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE OTHER RESIDENCE OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT COMMENTS 3ARN AND ✓EGETATION EMD ❑ OES ❑ LOGGED BY ITB Last Lnral FirJ RO KEILHORN 1 aat Rtatw Fira r J BI MEDICS PRA 83 ECC C REPORT METHOD 11RADIO FIRE INFORMATION FIRE INFO SENT HOW E-MAIL BY JB TO 7 -DAY LOGGED ❑d INITIALS TB INCIDENT NAME IHIETZMZN START DATE 08/03/2003 START TIME 13:30 DIAMOND #1.1-1.8 CAUSE UNDETERMINED LAND USE DOMESTIC ACRES �01 TYPE OF ACRES BRUSH DIAMOND 5 ONLY $ DAMAGE TYPE I DOLLAR DAMAGE 100000.00 SAVE 100000.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES^ 0� # CIVILIAN FATALITIES =O # FF INJURIES 11 01 # FF FATALITIES 11 01 �,.. FC -40 INFORMATION New Incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY II I County Notifications 0 EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ 12 DAVID HEITZMAN w/s private rd.,8 31 off V orl' �.-?j Rd.p Cohass6t P erma-t# 1985-75B. ,M(new EtIF-0 "'i i W tMA�k7l A 2851-748 n/s Vilas Rd., app. S6—Q&-47 5 Hwy. (turn @ Monks 2 mi. E- Of Coha, -single fanjil 4Sqre)ChidO (new Y) �_j PERMIT NO. 119Eb-75B,P.E$M 7S P I E { MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER David Heitzman Y CONTR. LOCATION (A.P. 56-08-97 P. w/s Private Rd, 3/8 mi. off Vilas Rd., 12 mi. R"s SW of Cohasset Rd., Cohasset Temp. P er Pole Cal d PG&E Temp Elec. Serv. ailed PG&E Te p. Gas Serv. Called PG&E JOB FINALED —9 6, (Dat (Signature) j -.. a ` t J COUNTY OF BUTTE — DEPARTMENT 0r PUBLIC WORKS BUILDING INSPECTION.RECORD' DATE REM#RKS OR J!RECTIQ I AI ILI y r BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms - - Parapets ------ 1st Floor - Main Bldg. Restroom Finish - ' 2nd Floor Footings P Windows 3rd Floor Stemwal I - - % •— Siding To out O - Slab -- - Roof Sheathing Water Piping Q Piers Roofing Sewer 7 Garage Fdn. Vents Fixtures r' Footings Garage Vents - Water Htr. StemwalI Prov. for physically Heaters Slab N----- handicapped handicapped Appliances 7r�� Carport Conformance of ex. Gas Piping & Test --� Footings structure Temp. Gas Slab Final - Sanitation ' 7 7 Patio — FIREPLACE Final 91 " Z®" •% Footings Footing ELECTRICAL Masonry Walls Throat Rough Z �- -- c- Reinf. Steel Final q - Z,0- 7 Fixtures Bond Beam — FIRE SPRINKLERS Motors Framing ®- Test Water Htr. Stucco .--- Final Subpanels Mesh _� MECHANICAL Grd. Fault Prot. Scratch Heat inq •- ', 0 ^" Service - - S - Brown Cooling Temp. Pole Finish Ducts '------ Under round Interior Lath Ventilation Permanent Door Closer Final -- ?✓0--'Z-t, Final -7 /_ DATE REM#RKS OR J!RECTIQ I AI ILI y r THIS IS TO CERTIFY THAT INSUTAT'AIF HAS.BJEI INSTALLED IN CONFORMANCE PITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CO [.'TITLE, 25; STATE OF IF -0R9 IN THE BUILDING LOCAs A. L Ski _��-� _6Z -105A ree rac o. EXTERIOR HALLS . 4*'— j1%e%- �1gSS Manufacturreer` l Thick ness/Type,.'s 2,.. (fit Value CEILINGS Batts: Manufacturer. Thickness R Value Blobnt Manufacturer Thi//ckkness. No. Bags Wt./Bag L��. Sq. Ft. C r vo R value3 t�ra��tt-�� FLOORS Manufacturer Thlckness/Type R Value SLAB ON CgAOE Manufacturer Thickness/Type R Value width of Insulation Inches FOUNDATION HALLS Manufacturer- Thickness/Type R value D ERAL CQf T TOR W N� �n^ LICENSE NV..SER 84mTITLE O DATE INSULATION CONTRACTOR C,, u Mer �t1 SiS LICENSE NL?'9ER BY TITLE DATE TO: Building Department .FROM: Environmental Health RE: Sewage and/or Water Clearance OIN N E R LOCATION A.P. Has been approved for , S5WAGE DISPOSAL WATER SUPPLY Sanitarian DTE t COUNTY OF BUTTE — DEPAk''TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone 534-4541 APPLICATION AND PERMIT V I Signature oof'Permitee or Ag +t / Receipt No. 111-0-2 / 9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BY Date wilding permit expires Date —Z 7 6o BUILDING Owner �� f -BUILDING VALUATION SQ. FT.r6��,4 LV 6 00 Mailing Address d Telephone No. 2 ContractorTotal Valuation Mailing Address Permit Fee ,Up Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �S EE PLUMBING No.1 @j'J7 PERMIT FILING FEE $3.00C) / Zff S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 , Each gas water heater or vent 1.50 -t A. P. No.p �p —O fj— 9 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 5 U Each additional outlet .30 F W ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 S,&0 EQA Parking Flans Parcel Declaration Parcel a P 60' R/W Im r P o ents Lawn sprinkler system 2.00 Bldg. Plaaec'd Parcel Approval Plan Approval Permit Fee $ QO ,$ OI NEW JX ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,U0 Main service incl. 1 meter , p� Additional meters, each 1.00 Sub -panel (12 or I ss) (more than 12) /�� Single Family [9 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water H ter or Space H ater 1.00 Light fixtures JJ, b O d R ., swi hes & fix o is 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: H d, Ex. F n or F.A. Furn. Motor 1.00 9-.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump / ,00 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring La*JI 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. permit ,is issued I shall not employ any person in any manner FoI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood / 2.00v 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 authorize representatives of the County of Butte to enter upon the above-mentioned proper t for inspection purposes. X Date AC,,7 TOTAL PERMIT FEE $� 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 0d PUBLIC WORKS I Signature oof'Permitee or Ag +t / Receipt No. 111-0-2 / 9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant BY Date wilding permit expires Date —Z 7 6o