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HomeMy WebLinkAbout073-110-040i _ i. y� Pj � �,��.�. `Sv.r'y, Y�t.-•.�.w.t, a'. � v.� _ , w.... .. �_ ,, W�.• 3' _ 4 � I' r � ! , c: � __ .... ..t.. .. � T N' 73=1T .40 �= ROBERT- DAILEY . 870 Black Bart Rd;- Oroville;=, ,. v ContR'Strang Electric Permit#3983-88E(replace.ele.ser). i; vim FIRE DAMAGE REPORT OWNER: DALE YZee2T-/221 � LOCATION: 010-elG -?A27- ADD. CONTRACTOR: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE DATE: A.P. # ZONING: Z /�O XAS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units:_ Currently Occupied Abandoned/Vacant Electric: Yes �-Nq__ Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On�ff Obvious Problems: Sanitation: Plumbing Working Well Working / Potable Water Obvious SewageProblems Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Con n of Utilities: Inspector. Date G `— —3 Sketch buil g on reverse and indicate area of damage. e y � DF/BUTTE COUNTY FIRE INCIDENT LOG *21W DATE 04/27/20021 INCIDENT NUMBER j r-4431 LOGGED B MM REPORT TIME 04:411 LOCAL FIRE NUMBE RO IREAD STATE FIRE NUMBER 111 BI CASE NUMBER MEDICS 'LOCATION 906 BLACK BART RD PRA D9� ECC El RP IRICH -----7 PHONE NUMBER 589-0153 REPORT METHO 1911 WILDLAND FIRES 1-1 ESTIMATED ACRES r7O FIRE INFORMATION FIRE IN BY STRUCTURE FIRE RESIDENTIAL FO SENT HO EMAIL TO =54 OTHER FIRE 7 -DAY LOGGED INITIALS CJS MEDICAL AIDS INCIDENT NAME =BLACK PSA/OTHER START DATE 04�127/2002 START TIME HAZ MAT DIAMOND #IFI=.1-1.8 COMMENTS CAUSE IMISC LAND USE DOMESTIC ACRES 0 TYPE OF ACRES DIAMOND 5 ONLY $.DAMAGE TYPE I DOLLAR DAMAGE r— 759-0.070 SAVE 75000.00 - INJURIES/FATALITIES 1-1 EMD ❑ OES ❑ #CIVILIAN INJURIES � #CIVILIAN FATALITIES # FF INJURIE =0 # FF FATALITIES t - t FC -40 INFORMATION 'We—w",lWQi5Went5 � FC -40 ❑ DATE OF FC -40 INC R AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications 0EARS Hard Copy Recieved Ej EARS Checked Agenst EARS Computer ❑ i� r f ... .., 5 � � _ r. ;.yrs-7•T.—�r�q.'„),�..o..�....�.�.y.�....... .o+.:,�,.-. �...... �r.y,.�, .. ,-.�.. ,. .... .. .� .. .,,.f.., .�,c . ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 � APPLICATINAND PERMIT ASSESSOR PARCEL NUMBER_ -"73- ii ZONING BUILDING PERMIT OWER ` r j G f TEL PHONE �- SQ. FT. OCC. BUILDING VALUATION R S MAI I AD REss i 09 / a L/ CO T_R NAME Co� r' TLEHO CONTR CTO AILIN ADDRESS �/ ' (� Fireplace ONSTRUCTION L NDE / JU NKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS y r1 I Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (^Q (S Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP MEach Water piping 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF[_ x[] Mobilehome,] Other SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addit�[:]Remod I ❑ Utilities [I Installation❑ Other ] Describe work: I^ y C fa o4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 10 Main service EA. ADO'L 100 AMP 2.50 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. f Classification ' License EJ 1, 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 LIN CCUP.5j) Na ADDNST DWEACCLGS / yzltsgft N -W CONSTIIESDR BRA CIRCLET1II 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCl1p(0UTLET3 OR FIXTURES zos3oe 1.200500 FIXED APLNS EX. Occup. OUTLETS PR (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wirin g 15.00 VI h O 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. F ©' 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 10.00 Heating Cooling g Hood 3.00 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 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 cons% Tee—nce offthe granting of this permit. X �• -' ��/�� Date �•+` � lit iti Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTP! �SC.00LJFLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By ..-� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date/ V �� I Receipt NO. .3j � 45 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E MIT Nd /,�/ 7 County Center Drive - Oroville, C, lifornSI,95965 - Telephone: 916/538-7541 �7�� y V APPLICATIN;AND PERMIT CCCCL / 0 000 ASSESSOR PARCEL NUMBER 73 — /I — 0 ZONING BUILDING PERMIT ow R e rt a ► TEL PHo E �- S0. FT. OCC. BUILDING LU ON Or�p7�r.� R'S MAI N AD RESS V` CO CTO AME TE'L5 HO 41 / CO R TO (LING DDRESS U (� Fireplace CONSTRUCTION L NDE J UNKNOWN Total Valuation $ ,- LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ ` jU(1 or -k totPermit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Oro V & Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ emod 1 ❑ Utilities ❑ Inst I lation ❑ Other Describe work: t^y C-6 EL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ip0 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 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 �a)nd effect. License No. � � a 14-- Classification C� / V F]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) ❑ 1,a th(Sece owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed OR ADDNS. ACC. SLOGS. , /ZOsgft NEW CONSTR. MUL I.OUTLET NON-RESIO BRANCH CIRCUITS) 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 MiW. Wiring 1 15.00 IS, Q — Ims A i �Q Permit Fee $SL 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. 2/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 10.00 Heating Cooling g Hood 3.00 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 nod keep harmless the County of Butte against all liabiliti judgmentso and expenses which may in any way accrue against`s 'd Count In uence,, f he granting of this permit. rS Date �aL Signature of Applicant — Owner [:1antractor E]Agent ❑ An OSHA permit is required for excavV6.s over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 612 a-6 OCCUP, CONsT.TYPL SCHOOL FLOOD PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIR CTO OF PUBLIC BY PERMKT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z—yr('� — Receipt No. WHITE-D.P.W., TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFIP48LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C,A�IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPEICATION DATA SHEET �•" j� Permit OWNERNo.' Proposed Building Use f�P _�Q.�. Building Inspector Date 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (constr ction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for�_ required ...... Building Inspector /off 2 (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner o) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. + 26. When-ou issue the permit, process as follows: Mail to'owner. Mail to contractor. Telephone 3 q and hold for pickup at Cj!�-office. -'Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-jnaiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil�d- California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ow R ZONING 1 PERMIT -- e rt a i � TEL PHo E �- SO. FT. OCC. BUILDING VALUATION 17e 16S MAI N AD RESS _ t r 7,q CO ALTO NAME >^ r ` TELE H6 , CO R ?O (LING ODRE53 Fireplace CONSTRUCTION L NDE J UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ^ �U( Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome Other 1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ emodI ❑ Utilities ❑ Inst l Iation E j Other Describe work: t^ Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 1000V OR 0 AMP OR LESS 10.00 lv CONTRACTORS LI NSE LAW I declare under penalty perjury (check ne : ❑ 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. S2S/ /�— � Classification C _ / C) 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) Ll 1, 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 Main service EA. ADO'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.a , OR ADDNS. ACC, SLOGS. /z¢sgft NEW CON5T R.UL' "OUTLET NON.RESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS a� SINGLE OUTLET CIR, EX. OCCUp(OUTLETs OR FIXTURES 20050t SALa30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Home Facilities 15.00 Mi4. Wiring 15.00 �( 0 — 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 F Certificate ,-- of Consent to Self -Insure. L�,/ 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 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify nd keep harmless the County of Butte against all liabiliti judgments o s;_.and expenses which may in any way accrue against -,s 'd Count in co uence of he granting of this permit. - X , , Date �� / ontractor ❑ Agent ❑ Signature of Applicant — Owner ❑)flins An OSHA permit is required for excov over 5'0" deep and demolition or construct- ion of structures 3 stor/iessiin heig Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON3T.TYPCJ ISCHOOLIFLOTRCELI PD [HO­� This permit is hereby issued under sions of the But 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 __ I over Receipt No. l l I ,� l�� WHITE-O.P.W., YELLOW-ASOC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT