HomeMy WebLinkAbout061-540-060r
!ol —std.—!o0 A
Velma Pritchett
w/s Oro -Quincy Rd., Berry Creek
(FIRE DAMAGE`REPORT BY INSPECTOR -61
_6/4/81)
Velma Pritchett
W/S Oro Quincy Hwy, app.k mi.N.of
c Canyon Creek Store, Berry Creek
Permit #2533-81B,E(repair fire
damage & add ne porch & replace
✓
elec . serv. /SF) ; ti,.i G j/ 1' i
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1
T ,
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•� 2533-81B,E
PERMIT EXPIRES -7
Velma Pritchett
OWNER
owner
* CONTR.
62-09-60
ASSESSOR PARCEL
LOCATION W/S Oro Quincy Hwy,app.�2 mi.N.of
Canyon Creek Store, Berry Creek
P65,-- InIpse—
i ■
d �
t
i
•� Temp. Power Pole
r Called PG&E
Temp. Elec. Service
I Called PG&E
i
Temp. Gas Servi c
Called PG&E
JOB FINALED (Date)
Signature
S
V = OK
0 = Not OK r
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size-Depth-Spacing-Corinectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain;•MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Sin'gle and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning require men ts-S cks-Easements
48.
Prepe"y-rine Firewall & Openings
2. Ftg. i o' S{ I-Elec. Grnd.- / /" Ftg. Depth
49.
3'. -Check Garage -3rd story, 2 exits
3. Ftg. ge; of -S el- / /" Ftg. Depth
50.
Sti tT�idih-Headroom-Rise-Run-Landing-Fire Protection
6-W
4. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
Ing -Nailing -Veneer
6. St walls, Garage; Steel-Blockouts-Wrapped-Slab
53.
SLices-Drip Screed-Fdn. Vents-Underflr. Access
7. Pier Fireplace F2% -Steel
5
azing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: all-Fi ings-Test-2 way C/O -Sewer Test
55. 44eer�7PJM; Nailing -Bolts
9. Gas Pipe; iz Anchors
10. Water Pipe; st-Anchors-Regulator-Service Test
11. Electric nderg and
12. Plenu s & Ducts; rance-Material-Support-Ins.
13. Girers-Sills-Anchor Bo -J 'sts-Vents-Cripples
Card -BI
ate rd -BI Date
Card -BI '
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
a Card -BI Date
Date
FINAL (Plans) OK exce t N's
Card -BI Date Card -BI Date
Date
PLUMBING ( ermit) OK except #X1
t. Steps -Door & Sidelight Protection -Landings
57.
Swtake-DErn"rUr
14. Water Ht ; ent-Access-mbustion Air
58.
Furnace; V _ -Clearance -Comb. Air -Connector -
In arage; Above Floor -Ducts -Meeh. Protection
15. Water Pi e; NwQ & Anc rs-Nail Protection
16. D.W.V.; Test-Ftt Anchors -Nail Protection
59•
17. Shower an; Tes FI t Floor -Tub Access
60.
6.F+�Fixtures & Tub Access
18. TestT b & S wer, 2n Ioor-Tub Access
1
62•
ea Trlm as Subpanel; Breaker Sizes -Labels
Staicc46.Ra 6
19. Gas P pe' Ize & Anchors 1
_
63. fkeefaee-e"tove; Clearances -Hearth
64.
1 Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65•
appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
&leer-&urMFs &Receptacles at Kit. Counter
Date
ELECT AL Permit OK except q's
67.
Qacage-FirsZoor; Swing -Landing -Closer
68.
A,Cr. BTTct-tmGarage-Damper
i & Transformer Clearance -Ins. Protection
69.
Wtr Ht. - v�-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
let. Spacing -Lights &Switches at Doors
70.
P46,44ee--& Mech. Equip. Listed for Location
Ize Boxesxes &
& No. No. of Conductors -Stapled
71
tacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
IP&o4&4en-Foam-Looked in Attic E:) Yes
ppliance Circuits in Kitchen &Conductor Size
73.
t�ard'fi3RS& Deck Construction -Post Caps
-
_
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. BangP Mrr. / / na Cit or AI -Oven Circ. / / ga. Cu or At,
d Neutral ❑Yes ❑No
75. nn Inctld.: Drive E) Yes [:]No; Walks El Yes El No;
Planters ❑Yes 0 N
on uctors & Ground -Main Disconnect
76. SAeeeerQ*9wn-Finish
za--E-quip. Clearances; Panels-Motors-Mech. Equip.
an rAnthpQ fight
77,
78,
A,6�Nw�F-Bisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
V4ats.4beve, Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
WaMT-W -Disconnect, Electrical, Plumbing
r-
80.
. Trim; G.F.I. Receptacle -Underground
Card B -I
ate - Card -BI Date
81, laTt07Mhroughout House
Card B-1
Date Card -BI Date
82.
@fass-Proteetion
Date
MECHANICAL (Permit) OK except q's
83.
Previous Inspections
84,
G-Aeters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
85.
JNaier� Connected -C/O to Grade -HD Approval
-_
32. Vent Fan; Exhaust above Insulation
86.
lance Certificate -Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
--
Card -B
e C BI Date
Card -BI
_- _Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36,-&"l&. oper aterial & Anchors
ails; Studs -Nailing, Spacing & Bracing -Plates -Sound
s over Girders & Floor Nailing
_
raft SWalls (rat proof)
40. Ptnred Ceilin s -Stairs -Chases -Tub
o
Bader Beam-Size& Bearing
_
42.-hl311yu, st Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng.
44. •E1rap12saSis or Type A Flue -Fireplace Throat
_
45.._4u4e-Aree%s; Size & Romex Protection -Draft Stop -Ins. Baffles
46. �m__wiadgws or Exiting Doors -Sill Hgt. & Dimensions
47. Gavage -Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAPON AND PERMIT
ASSE S01 PARCEL UM_BE6t D ;?N ING
1/0 Z
UILDING PERMIT
OWNE TELEPHONE
.SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AODR 5
CON RACT R'.S NAM
T LEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ .24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /2100
Penalty
$
ARCHITECT OF ENGINEER'S MAILING ADDRESS
Permit fee
$ P
BUILDING DDRESS
v\
PLUMBING PERMIT
Filing Fee 10.00
I
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
/ USE OF STRUCTURE
SF L-,� Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ iIities [I Installation[] Other
Describe Pr:�' 1'r
�• �1
Permit Fee
$
Contractor
'ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
V Imo'-
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. \ DWELLING OCCUP.B\
OR ADONS. ACC. BLDGS. I
2¢ sq it
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. 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
NON-RESID R BRANCH CIRCT ITS 2.50 ea
NEw CONSTR. /POWER APPARATUS el
NON.RESID. (SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES 50@25
IxeD APPLNS. OR
Ex. DCCUp.�OU TLE TS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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, cm! s, and expenses which may in any way accrue
against aid C unty in co a enc oft granting of this perm t.
X Date'11 /
Signature of Applicant — Owner [0 Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovve-rr33 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
ocy. rROU1
7LC//�]
T P `F CONST.
�V
IPARCFLIe
V
®D
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT15h OF PUBLIC
By
PER46 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. .>'S _'S D /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Owner:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
i_ / "" • - '
Address:
Tenant: ,(
Building Location: Wd�5
Type of Inspection requested:
�V
A. # ���
Date of Inspection��
Insppeector�
1. Housing / / 2. Financing 3..Change of Occupancy to
4. Other (specify)
Present use of build
A. Sanitation (Housin
1. Water closet:
2. Lavatory:
3. Bathtub or shower:_
4. Kitchen sink:
5. Hot and cold water
6. Heating facilities:
p----
to
/
to fixtures:
7. Natural light and ventilation:
8. Room and space requirements:_
9. _Bedroom window or door for second
10. Infestation of insects, vermin, o
21. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish andga bage facilities:
14. Coaments :
B./I Structu
2.
3.
4.
5.
6.
Pa.-er-s .and footings:
exit • k/
r rodents:
C Electrical
-e-ry is a and ground:
2. Receptacles:
3. Fusing: _
4. Comments:
D. Plumb in
1. Fixtures connected and vented: i----
2. Gas water heater:
3. Gas heating -vents: /
4. Comments
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:_
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complet,6 description):
3. What action recommended:
A. Information only - file.
B. Hold for te.i/(10) days, then write letter.
C. Write letter.
i
D. Other/
BUTTE COUNTY DEPARTMENT OF PUBLIC _WORKS
s rm iAL liVS rr u -i ivty mLrvni
.
A C(.E� �2 A.P.
#
Owner:
'Address: 13OX 875 M/WC1 eyi_s1Ll �VI&LE, Gq CIS9�0� Date
of Inspection
Inspector
Tenant:
Building Location: W S 4P01//LLG' l//�/Gy �D AW//,o /L%/
11C O/= l�G2�
s A7-7On/.
O COI//LL E
Type of Inspection requested:
1. Housing. _j_/'2. F ancing 3. Ch nge of Occupancy to
J�A�i
4. Other (specify)
Present use. of buildin : 71-
A Sanitati6n'(Housinj)
1. Water closet:.
2. Lavatory:
' 3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures -.--
ixtures:..6.
..6 Heat ing'facilities:`
7. Natural light and. ventilation:
8. Room and space requirements:-
-9.. Bedroom window or door for second exit:
10. Infestation of itis"ects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water',supply:
13. Rubbish and garbage facilities:
14. .Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3'. Wall construction:
4. Ceiling and:roof construction:
5. Fireplaces:'
6. Comments:-
-C. Electrical
I., Service •.: ground:
2. Recept:'c• .=.s: '
3. Fus1.zrg:_
4. Comments:
D. Plumb ing
1. mixtures connected and vented:
2. Gas water heater:
3. Cas heating vents:
C
. _ 4.. Comments:
f&-nntimiad nn back)
E. Other
1.\ Maintenance,and repair:
2. Fire hazard.::,:.--.-
3. Safety haz.-Ar.ds:'
4. WI-atl!er protection:
5. Underfloor and attic ventilation:
Conments:
F. Commercial Buildinzs
1. Rcof covering:_
2. Distance to property lines:
3. Physically handicapped:
4. inestroom floors and walls:
J.
LXIES: -
6.
Improvements:
7.
8.
Zov-ing:,
Comment::�:
G. Field Problcus or Viola:iou.s
1. Problem or :violation "give nompleta. description):
2..
Wl--at
action
taken (&iNe complete description)
3.
WhIat
ao.�:-A.on
recomm*ended:
T7 A. "Infor.-i7tation only -
B. Hold for ten (10) days, then wri',,u litter.
/ /. C- Wrl.',e letter.
77D. Other:
1Tc
FC -18 (1/80)
ORIGIN LOCATION
SEC. TOWNSH!UN RANGE ®E
ORDER NUMBER
REG. I R.U. JINCIDENT NO.
FIRE NUMBER
REG. R,U.
IN'
thru
ART MO. DATE YEAR
FIRE NAME:
��. r
r
COUI, j f✓'' -�0 4,,
tEL a Az&L
MILES IRECTIO FROM ❑IN NATIONAL FOREST, FIRE DIST., CITY E STREET NO..
ETC.
3 ICIDENT TYPE -
*IRI[]FALSE ALARM
° S 1 OF GO TO 10
RESPONSIBILITY (AT ORIGIN)
4A JI R ECT PRQ T _ELE:5P 1 P.R•Z 4B STATUTORY
Rat. ./ STATE ZONE RESPONSIBILITY
0.10 fA YJILOLAND BURNED OR THREATENED
,,��O❑ SCHEDULE A D.P.R. �i STATE
(3,, � UNPROTECTED DISTRICT
�O� OTHER AGENCY D.P.R. rICITY
- LOCAL ZONE - ❑couNTY
O ❑SCHEDULE A D.P.R. 1-1
U.S.F.S.
80❑ OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M.
^ r� FEDERAL ZONE ❑ B.LA.
�'7 L__1 FEDERAL(except Military) D.P.R. I� N.P.S.
>s O❑ SCHEDULE A D.P.R. OTHER FEDERAL
❑ MISC./OTHERVZONE•) la OTHER
CA1)SE (S rARTS IN oO V OHOONLY)
t? 5 ❑ Did not start In 1 2 S,o,j ❑ SMOKING 4EQUIPMENT
❑ LIGHTNING ❑ DEBRIS PLAY VV/FIRE
❑ CAMPFIRE ❑ARSON ❑OTHER/MISC.
6
gDOMESTIC [:)RECREATION
LAND USE(STARTS IN O 2 5 OROONLY)
�HOOV Of INDUSTRY
❑ RANCH -FARM ❑OTHER INDUSTRY-COh1RCL.
} ❑ DUMP ❑WILDLAND
[_j ROAD ❑NON-WILDLAND
C UTILITY, RAILROAD ❑OTHER
} M UTILITY, ELECTRIC
.rNDAMAGE ( 1002 05 OROS ONLY)
ACRES OE VEGETATIOI�i I3yR9VED
DIRECT
AGENCY PROTECTION
ACRES BURNED
ZERO
GO TO O
� 8C
CDF (t)
A .25 ACRE OR LESS
B 28-9 ACRES
C 10-09 ACRES
D 100-299 ACRES
E 300-999 ACRES
F 1000-4999 ACRES
�G 5000 ACRES OR MORE
--NUN AKHIVAL
9 [� 1 VEGETATION FIRE
1 SIZE
VEG.
TYPE
Num
1
❑ NO DAMAGE IN
of(Near
SMAGE rt 00
1
2 8/or 8
5
l0 2 OO 8
Veh/DwIg
TIMBER 5/OR
f3.LA.
GRASS
W.P.R.S.
(Ex -BOR)
YOUNG GROWTH
1
OTHER
CDF
TOTAL
1
WILDLAND VEGETATION
TOTAL
(Other than TG YG)
J
AGRICULTURAL PROD
(Other then T&YG)
OWELLINGS
ti/OR CONTENTS
O O O
OTHER STRUCTURES
81OR CONTENTS
VEHICLES A CONTENTS
t -
OTHER
TOTAL
ACRES OE VEGETATIOI�i I3yR9VED
DIRECT
AGENCY PROTECTION
ACRES BURNED
ZERO
GO TO O
� 8C
CDF (t)
A .25 ACRE OR LESS
B 28-9 ACRES
C 10-09 ACRES
D 100-299 ACRES
E 300-999 ACRES
F 1000-4999 ACRES
�G 5000 ACRES OR MORE
--NUN AKHIVAL
9 [� 1 VEGETATION FIRE
1 SIZE
VEG.
TYPE
ACRES BURNED
1
6
TIMBER
STATE
WOOD
LAND
U.S.F.S.
BRUSH
f3.LA.
GRASS
W.P.R.S.
(Ex -BOR)
AGRIC.
PROD.
FED.
OTHER
CDF
TOTAL
1
STATUT.
RESPON.
to ACRES BURNED
OF
STATE
U.S.F.S.
B.L.M.'
f3.LA.
W.P.R.S.
(Ex -BOR)
OTHER
FED.
OTHER
1
TOTAL
❑ OTHER, GO.TO100
DISTANCE (Origin to
ACRES FEET
WEATHER (ESTIMATE AT SCENE)
WIND DIRECTION FROM TEMPERATURE
M.P.H. of
CDF 7540= '130-0118
,
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