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HomeMy WebLinkAbout078-010-025J 25" j4tb PREECE S/S BA-G°G-E�T MARYSV�ILLE RD., APP. �r , 1 " ! 1 . E OF HWtY,�.; Of'�-"ACROSS-"F-ROV ` SCRAP IRON YD., oRov hL.Lr, FIRE DAMAGE REPORT o PERM I T #3 99 —7 6 E (E L E . S E R . &—' M4 -S C . DATE:ING �` � r i� -- 1 , SIS Bagget Marysville Rd, app 12- smi E of Hwy 70, Oroville - 1 Permit#5563-79B(demolish) SFnn Permit ##55 4-79E(temp power ole for well) 1V%06Sale/�� Permit ��3629-80P;E(uti11,MH) � ✓���-Gy ELEC. GAS ` SUPPORT STRUCTUkE REQ. ^� COMPACTION TEST REQ. 3 i 1 i l ' 1 ZIP i J 25" j4tb PREECE S/S BA-G°G-E�T MARYSV�ILLE RD., APP. �r , 1 " ! 1 . E OF HWtY,�.; Of'�-"ACROSS-"F-ROV ` SCRAP IRON YD., oRov hL.Lr, FIRE DAMAGE REPORT o PERM I T #3 99 —7 6 E (E L E . S E R . &—' M4 -S C . DATE:ING �` � r i� -- 1 , SIS Bagget Marysville Rd, app 12- smi E of Hwy 70, Oroville - 1 Permit#5563-79B(demolish) SFnn Permit ##55 4-79E(temp power ole for well) 1V%06Sale/�� Permit ��3629-80P;E(uti11,MH) � ✓���-Gy ELEC. GAS ` SUPPORT STRUCTUkE REQ. ^� COMPACTION TEST REQ. 3 i 1 i l ' 1 FIRE DAMAGE REPORT OWNER: a.r � /�. DATE: , LOCATION: �� /�% %^t�vt L Co A.P. # ZONING: CONTRACTOR: DATE TO INSPECTOR: s ` 13 — O S PERMIT HISTORY:( ) NONE (XAS FOLLOWS: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Gas: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off 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: Condition of Utilities: Inspector. Date— Sketch ateSketch building on reverse and indicate area of damage. ��G COGry DATE 4/19/2005 .......... . REPORT TIM 13:48 LOCATION 1186 OPHIR RD RP 0310-5az-ozs INCIDENT NUMBER EVENT NUMBE LOCAL FIRE NUMBE STATE FIRE NUMBER CASE NUMBER PHONE NUMBER 1514-3926 WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE , RESIDENTIAL OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT Billable Incident ❑ COMMENTS SINGLE WIDE MOBILE 1 HOME I € EMD ❑ OES ❑ 4110 4134 LOGGED B TB 10269 ggf?w+inrar Fir RO JEFF HAWKI f•1.acf Sfafd: Fires AfF BI _� i a fraaa n MEDICS __j PRA R-61 ECC ❑ I REPORT METHOSEVE� N DIGIT EM I FIRE INFORMATION FIRE INFO SENT HO E-MAIL BY 179 TO 1 72 7 -DAY LOGGED INITIALS JK INCIDENT NAM PULLEY START DATE 4/19/2005 START TIME rr 13:40 DIAMOND # 5.0 CAUSE j MISC LAND USE DOMESTIC ACRES 0 TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYP ALL OTHER DOLLAR DAMAGE 1 SAVE 10000.00 INJURIES/FATALITIE ❑ # CIVILIAN INJURIES _ 0� # CIVILIAN FATALITIES _ 1 # FF INJURIE 0( # FF FATALITIES 01 FC -40 INFORMATION New Incident FC -40 ❑ DATE OF FCO INC AGENCY INC # INC P# FC -40 COMP DATE i FC -40 COMP By County Notifications ❑./ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ ,,a 'May 26, 1982 Kay Lynn Worth RE: Permits and Inspections P.t. 2, Box. 2810 (AP 63-04-53) Oroville, CA 95965 Dear Ms. Worth: With reference to the above subject, on July 15, 1980, a mobilehome utilities permit and a mobilehome installation permit were applied for on your property on Ophir Rd. The mobilehome utilities permit was issued July 22, 1980 -with an expiration date of July 22, 1981. The mobilehome installation permit could not be issued since all the utilities were not installed, and the mobilehome utilities permit has now expires. The mobilehome has been installed without the required permits and inspections,.and ,is occupied. Since both permits and inspections are required by both State and County laws,please contact this office within ten (10) days of the date of this letter, apply for permits to complete the mobilehome utilities and mobilehome installation, then make arrangements for the required inspections Should you have any questions concerning this matter, please contact this office. JFG:ds cc:. Building Inspect r, Oroville Yours very truly,. Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector d OK =Not OK ' = Not A licablr� a r) Ger r Y - MR Ready i RESIDENTIAL (Single and Duplex) late UNDERFLOOR Plans OKexce ti's Dste FRAMING (Continued) 1. Zoning raqulrements--Setbacks-Easaments 48. Property Line Firewall & Openings 2. Ftg., blain; Solis-Steel-Elec. Grnd.- I/ /" Ftg. Depth 49. Ext. Doors -Ons 3' -Check Garage -3rd story, 2 exits - 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig.. Porches & Decks; Soils -Steal- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-1'lrapped-Slab 6. Stemwalls, Garage; Steel -Bloc kouts_-Wrapped-Slab 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection §1. Plywood on Roof Overhang -Attic Vents-Raftar Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Scread-Fdn. Vents-Undertir. Acce33 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic S. Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Sizs-Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Data Card -BI Date Card -BI Data ;ard-BI Date Card -BI Date Card -BI !Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection ;ard-BI Date Card -BI Date late PLUMBING (Permit) OK except N's 14. Water Ht.; Vent- Access -Combust ion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth • 64. Elec. Outlets at Wood Panel; Int. & Ext. 65• Kit. Fixt. & Appliance; Grnd.-Alr Gap -Cooking Gap-CookingClearance ,ard BI ;erd-BI Date Card -BI Date Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter )ate ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-I.tsch. Protection 70. Plb., Elec. & b,ech. Equip. Listed for Location 71. Elec. Receptacles In Garage; (G.F.I.)-Romex Protec. 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic []Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfead Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following Insild.• Drive ❑ Yes ❑ No; Walks .❑ Yes :❑ No,. Planters ❑Yes • ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown-Flnish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-btech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Root; Plbg.-Appliance-Firepl.-Clearance to Opng3. 79. Water Well; Disconnect, Electrical, Plumbing ;erd 8-1 Date Card BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection ;erd B-1 Date Card -BI Date )ate MECHANICAL (Parmit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 0 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform If Furnace in Attic Card -BI. Date Card -BI Date ;ard-B1 Data Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: :ard-BI Date Card -BI Data )ate FRXMING Plans OK except N's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Gir ere & Floor Nailing 39. Draft Stop in 70alis (rat proof) 40. _Fire Stops; Furred Cellings-Stairs-Chases-Tub 41. Header &_Beam -Size & Bearing 42. Hangers -Post Caps-Anchors-Connsct;,rs _ _ _ 43. Cing. Joist-_P.ttr. Ties -Purling -Roof Brac.-Truss-Sh_th_n_g.-_R_fng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Site & ROrnex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit )obsite) r=OK O = Not OK ' =Not Applicable MOBILEHOMES * = Not Ready co—r-:! ane, s-nd second proof 6y - t MISCELLANEOUS - Date MOBILEHOME UTILITIES (, s) OK except N's Data DECKS, COVERS, CARPORTS, ETC. (Plans) CK except N's onin Requirements—Setbacks—Easements Aelgo—ils: Special MH Support—Sketch 1. Zoning Requirements—Setbacks-Easements 2. Footings; Size—Depth—Spacing—Connectors ewar; Location—Test—Fall-C/0—Concrete 4 later; Location—Test—Easement Needed (Sketch) 3. Decks; Girders and/or J013ts—Decking—Bracing—Stair3—Raiis 4. Wood Awn.; Post s—Beams-9Itrs.—Connec.—Shthg.—Rfg.—BracIng - " "actricity; Location—Clearances—Grnd.—/AM Amp—Ccncreta S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6 as; Locatior►—Test—Wrap: / /" 1 ft. / /" Nat. or/ /1 ft. / /" LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. 6ard-81 Date —/ Card -81 Data Card -BI Date Card -BI Date Card -Bl Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requlrements—Setbacks—Easements Card -BI Date Date Card -BI Date " POOLS (Plans) OK except It's 1. Setbacks—Easements-- 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Ga3; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel —Con nections—Thickness—Dsad Men—Lining. 4. Elec.; Receptacles and Lighting; Distances—GFI 4. Electricity; MH Test—Crossovers—Breakers—Cfearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Ll31ad 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater S. Gas and Electricity Tagged S. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboard s—Ins. to Main In Conduit 9. Health Department Approval Card 8-I Card B-1 _ 9. Exits: Insp.—Sketch 10. Cert. of Occupancy Date Card -BI Date Date Card -BI Dat( Card -BI Card -BI Date Card -BI Date Date Card -81 Date 0� PERMIT NO. 5563-79B PERMIT EXPIRES 9/11..zA0 C � OWNER KAY LYNN WORTH CONTR. 36-50-25 LOCATION (A.P. ox -mer ) SIS Bagget Marysville Rd, Ophir Rd, app z mi E of Hwy 70, Oroville t e 7J ,a Temp. Power Pole Called PG&E 1 Temp. Elec. Serv- Called PG&E Temp. Gas Serv. Called PG&E {' JOB FINALED (Date) (Signature) i - Mesh COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage,Vents Insulation .Water Htr. Heaters Slab Carport Footings Prov. forph slcally handica edy Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole ' Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---------------•-- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBIL�EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v Vc \ Xs f So Jr see m e �GC "4 2/ S�a�irs o File No. BUTTE COUNTY"'` (For Action 1, 2,3) Public Works Dept. (For Information ✓) D irector Dep. Dir. Sec. - J Rd. & Br. Mt e. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. t R/W • I Mapping i i Land Dev. Ref. Disp. Drng. / S.I.- Sub. & Pcl. Maps Perm its j I:ay Lynn to;orth Rt. -2, Box 2810 Oroville, GA 95965' Dear Ips. ':forth: May 26, 1982 RE: Permits and Inspections (AP 63-04-53) With reference to the ,above subject, on July 15, 1980, a mobilehome utilities permit and n mobilehome installation permit were applied for on your property on Ophir Rd. The mobilehome utilities permit was issued July 22, 1980 with an expiration date of July 22, 19€31. The mobilehome installation permit could not -be issued .si:nce all the utilities -were not installed, and the mobilehome utilities permit has now expires. The mobilehome has been installed without the required permits and inspections, and is occupied. Since both ,permits and inspections are required by both State and County l=aws, please contact this office within ten (10) days of the date of this letter, ~apply for permits to complete the mobilehome utilities .and mobilehome installation, then make arrangements for the required inspections. Should you have any questions concerning this matter, please contact this office. JFG:ds cc: Building Inspector, Oroville r Yours very truly, Clay Castleberry Director of.%, blic Works J.F. Glander Chief Building Inspector COUNTY OF BUTTE- ZEPATiTMENT OF PUBLIC WORKS PER N . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� APPLICATION AND PERMIT CCCJJJ ASSES O PARLr.L NUMBE —O — 2!�,;Z ZONI G BUILDING PERMIT OWN ,a��V�� i1 7 "lOP-T�1 TELE HONE 53�--75/p O SO. FT. OCC. BUILDI UATION OWNER'S MAILING ADDRESS AT_9101 CONTRACTOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ BUILD G ADD Ess S S O l�12 RD. /� , 2 Mi. �. OF PLUMBING PERMIT Filing Fee 3.00 Y 70. Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping ,00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets .0 USE OF STRUCTURE SF ElDuplex❑ Mobilehome®�ther SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities -, Installation❑ Other ❑ Describe work: — Permit Fee $ Qa Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORV OR LESS5.00 5,00 Main service EA. ADD'L 100 AMP 2, 2.50NEW OR ADDNST ( DWELING ACCLBLDGOCCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (check one): F-1NON-RESID, 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 NEW CONSTR ULTI-OUTLET NON-RESID, BRANCH cIRC ITs 2.50 ea NEW CONSTR POWER APPARATUS a (SINGLE OUTLET CIR. ExOccup(ourLETs OR FIXTURES 50 @254t . BAL@10¢ FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Eli— Permit Fee $ 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 Certif icate '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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 en er upon the above-mentioned property for inspection purposes. 1 also agr a to save, ind nify and ep harmless the County of Butte against a I liabil ies, judgmen costs, an expe s hich m in an way accrue a i Con ons th ng of th s'p rml . X Dat /(v / e� Signature of p licanr Owner Contractor ❑ A r ❑ An OSHA permit is required for excavations over 5'0" deep and demol ion or construct- ion of structures over 3 stDories in height. Mobile Home Installation Fee $ Land Development Fee $ 2S- 00 TOTAL PERMIT FEE $ $ ,SO OCCUP. GROUP TYPE OF CONST, PARCE PD HD ISSUE 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 0,111 Date��C._ �' Receipt No. 8�r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT -O PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California.95.965,,7- Telephone: 534-4541 PERMIT APPLICATION DATA SHEET /<,/q VL y //./ pJ041/" Permit No. OWNER A.P. No. Proposed Building Use ff' SIA— Permit fee based upon: ,61 Complete Contract- Price 'DPW Valuation C7777 /�O er (explain) Building Inspector C7777� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVE APPROVED 1. All items have been submitted................................................................... `. Plot plans in duplicate9trlp :III c� a e.............................................................. 6 S 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 ............................................................. �0. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate oUVors Compensation Insurance 13. ontr-actor-s-__cense In ormation (no., name style, classification) .............................. 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-insp'ec. request to bldg. inspector (date) 16. Other When you issue the erm.it process s follows: �Mail to owner Mail to contractor. Telephone �� l and'hol.d/for pick-up at office. Deliver w/inspection. Other Applicant -r-' Y Date`' i u Copy of plans sent Health Dept., Fire Dept., Other 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 approved by OTHER: Copy/DPW nate Date �- COUNTY OF BUTTE,- Department of Public Works 7 County'Genter Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION 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) �. 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 (Ib AIE,�) Signed: Prop Soci Date 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. T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 OF PUBLIC WORKS By Date Building permit expires Date _� �� BUILDING Owner i -„ ^ ,i. SQ. FT. OCC. BUILDING VALUATION Mailing Address., -`- Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/orPenalty Permit Fee PLUMBINGNo. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. San itation-= Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg:-PlansRec'd Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW CONST. ! DWELLING OCCUP. V 2�sgft OR ADDNS. 1 ACC. BLDGS. 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: MULTI -OUTLET NEW RESID,CONST BRANCHCIRCUITS NON .R ESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. EX. QCCUD{OUTLETS OR FIXTIJRES1 B250 AL@1 FIXED APLNS Ex. Occup. (OUTLETS PRESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ElI I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 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. 'I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT 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 Land Development Fee is TOTAL PERMIT FEE $ autnorize representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 OF PUBLIC WORKS By Date Building permit expires Date _� �� 57 G C5 �� � _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT t?�e BUILDING Owner I SQ. FT. OCC. BUILDING VALUATION Mailing Address ' . Telephone No. Contractor ,•- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee ' PLUMBING No. @ FEE to PERMIT FILING FEE $3.00 Each Trao 1.50 4 L _ Repair drainage or vent piping 1.50 A. P. No. i f _ O Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C: Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER '4 Permit Fee $ $ ELECTRICAL No -1 @ FEE PERMIT FILING FEE J$3.00 r e", Z_• Main service 600V OR LESS 100 AMP OR LESS 5.00 ' Single Family ❑ Duplex ❑ Mobil Home ❑ OthersEl Main service EA. ADD'L 100 AMP 2.50 t �� f'�r `�- �, �� Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 01 L_ L NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. 4� 2¢sgft 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: NEW CONSTP_ MULTI -OUTLET NON-RESID BRANCH CIRCUITS 12.50ea. NEW CONSTR. ( POWER APPARATUS S NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRESJ g 25 FIXED ALNS Ex. Occup.(OUTLETSP(REsID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00' License No. Classification Misc. Wiring 6.25 ❑.I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 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 Land Development Fee $ TOTAL PERMIT FEE Is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 2 % r- ;a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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.OF PUBLIC WORKS BY �� Date r- / 7 % Building permit expires Date - 17 - F w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �y 7 County Center Drive - Oroville, California 95965 Telephone: 53b-4541 � / APPLICATION AND PERMIT `/��' authorize rep sentatives of he Count of Butte to enter upon the above -menti ned property f i ti purp s X Date 11_ygn�at of Par a or jent, Receipt N White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 -OF PUBLIC WORKS ByDate —1 - % wilding permit expires Date moi'%� 7 — �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address d U J r�LW!� Te .phone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 45 5 L"z PlanChec ingFee&/or Penalty Permit Fee 419_�Ju PLUMBING No. @ FEE �..► PERMIT FILING FEE $3.00 Each Trap 1.50 �Cri G L, -,p Repair drainage or vent piping 1.50 S� A. P. No. �� �—�� Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 461s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BTag. PTa—ns—Rec'd Parcel AEEroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q>� Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. Y OR ADDNS. %ACC. BLDGS. 20Sq ft 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 le of: NEW RESID,CONSTRANCHUTL T NON.RESID � BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. ,SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXT11RES g L2; Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 , Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 04 am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,� $ @ MECHANICAL No. FEEPERMIT WORKMEN'S COMPENSATION INSURANCE 1 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is rrect. I agree to comply to all County Ordinances and State L s relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize rep sentatives of he Count of Butte to enter upon the above -menti ned property f i ti purp s X Date 11_ygn�at of Par a or jent, Receipt N White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 -OF PUBLIC WORKS ByDate —1 - % wilding permit expires Date moi'%� 7 — �� 44 7 1-7, p COUNYY OF BUTTE — DEP'A-RT' MENT OF PUBLIC'WdRKS 7 County Center Drive ' Uroville, California 95965 Telephone:. 5340541��� APPLICATION AND PERMIT BUILDING Owner SQ. FT. I OCC. BUILDING VALUATION Mailing Add�ress,�'& // /�" _ , .(� C� �. .S �9 Telephone N 7� - 761V Fireplace Contractor Total Valuation Mailing Addresv Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -2j, (_ (. t" Each Trap 1.50 hv Jvi� Repair drainage or vent piping 1.50 Water piping 1.50 L (� Each gas water heater or vent 1.50 A. P. No.3 — S O _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fjes 4e- Safritatmn-• Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp Provements Lawn sprinkler system 2.00 131.!.9. c' Parcel Approval Plans Approval NEW ❑ ADDITIaON ❑ UTILITIES ❑ OTHER ( Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,Q _r / /r ` 1 4.( -.( vc�/ �i� �. v 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family, Duplex 1iMobil Home Others ❑ Main service 1OVER00 00VR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 I OR ADDNS. NEW ( ACCLBLDGS.CCUPLING . &) 20sgft NEW CONSTSL MULTI.OUTL T NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) @251000 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiringa.,, k. 0 6.25 f I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S $ WORKMEN'S COMPENSATION INSURANCE 1 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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. ., X • Date " .1 S'gn lure of Permitee or Agent Receipt V0. // ' `— C> White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 4/ t This permit"is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo hich •ees have been paid. D TOR OF PUBLIC WORKS By Date_//.X/7" B permit expires Date 6u- (Ajs . sea,�4` I Ar '+ COUNtY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Drloville, California 95965 7� Tel ephOtie: 534=4541 APPLICATION AND PERMIT L� Parcel Approval BUILDING Permit Fee Ownerwali�z SQ. FT. OCC. BUILDING VALUATION NEW ElADDITI N ❑ UTILITIES ❑ OTHER ELECTRICAL No. Mailing ress�Q FEE PERMIT FILING FEE Tele hone Q.S� (D Main service 600V OR LESS 100 AMP OR LESS Fireplace Co actorTotal Valuation Mailing Addres Permit Fee Plan Checking Fee &/or Penalty Main service OVER BOOV 100 AMP OR LESS Telephone No. Permit Fee $ Main service EA. ADD'L loo AMP 1.00 Building Address -SL-5 PLUMBING No. @ FEE NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Water piping 1.50 Each gas water heater or vent 1.50 3 S� _ C -- A. P. No. L1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Ex. Occup(OUTLETS OR FIXTURES) BAL@25C1 09 Fire Dept. Fire Zone Use Permit Building sewer 5.00 arkinEQA I PPlans I Declaration I Parcel Map I 60' R/W I Improvements Lawn sprinkler system 2.00 F�la� Pic d Parcel Approval Plans Approval Permit Fee $ NEW ElADDITI N ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 I Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ Main service OVER BOOV 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 ' NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@25C1 09 Ex. Occup.( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Faci ities 15.00 License No.Classification Misc. Wiring 6.25 •�; If IsI 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. LVI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 'FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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. X �% Date al _ sin ture of P>errmitee or A e t Receipt No. ! y` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov�fohichjeesThave been paid. OR OF PUBLIC WORKS BY Date 15, el 17 Bff)Skm& permit expires Date ::r.+ `e..... W BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 'SPECIAL IMSRECTIGA; REPORT Address: Tenant: Building Location: Type of Inspection requested: Date of Inspection i Inspector Housing ! 2. Financing . Change of Occupancy to 4. Other ( specify)_ ��f��Q - P PreseKit use: Cf buildin — -_ A. Sanitation 1��u.sins 1. Wa er closet: 1) . Bathtub or shower: 4. Kitchen sink: S. Hot and cold'vater to fixtures: — 6. Heating facilities: -- — 7, Natural light and venttlat?an:-- 8. Ro--.n and space requirements: 9. Bedrornn window or door for second exit.',, . 111l. Infes:tat'on of insects, vermin, or rod =tits: 11. Connection to sewage disposal.: - 12. Connection to - rater supply: _ 13. Rubbish .and garbage facilities: 14. Comments: B. Structural 1. Pars and footings: 2. Floor constnicti.on: 3. Wall corstructiota: __ _• - - 4. Ceili.n and roof constnactwo:�: — �- S. F rc.pl.aces; C. Electrical i . Sezk-icc: and ground:___ Receptacles:___ ...n.,-._..__......_. .�,-- --- . Pus 3 L' D. - Pljimb in„g 1. conn: a .tC,,d and 2. vater heater: 3. Cas hcatir vents'. 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 I. 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 Aolation (give complete description) : 2. What action taken (give complete descript 3. What action recommended: A. Tnforuation only B. Hold for ten (10) days, then write letter. / / C. Write letter, /% D. Other: FIRE ORCEF NUMBER SDAMAGE ,` - I 'r REGRU, LINNCIDENT I - SIARF MORP®T rIRE NUMBER ' ILDLAtiDVEGETATION00. FIRF NAME cG-18 REG RU rIRF k AGRiCULTURAL PRODUCTS; REV. 1-79 (E:ccept Tirltx-r � Young Growth! ' LOCATION (COF Direct P.A.) S£G. TOWNSHIP RANGE - MILES DIRECT)ON,-�ROa1 Det li 00. / : .._ VEHICLES & CONTENT S OTHER ::: I 00. S4 FORE IRc RrST S;I^F 8 Sj fEP it0.. ETi. e�.r RE P�I?i$E TYPE' , ACRES BURNED (COF Direct Protection area only) 3- r A FtfiE GFALSE Al¢RM} r STOP 0 TO Z -AGENCY $ RESPONSIBILITY (AT ORIGIN) 4® STATUTORY CITMFR'?: PROiECitCNd br , RESPONSIBILITY STATE ._ MAP DISTRICT' _ REF:t "5TA7E'ZONt : ❑ O'STA'TE-- Q CITY - iF r f.lS a a=LOCAL, (Conirk .... < _ -: D COUNTY ._. _. - ..LOCM INo -c"' act) ... . __.. U.S.F.S:Lilloc y.. F Al ZONE �"'"``Y Q B.L.M. O. LOCAL-(C0X3Ctj_._...._. �.j ._ "LOCAL (NonN.P.S. (� �...FEc7ERdL.ZONE., OTHER FEDERAL ( Q,: AMSC./OTHER,._ °` __._. _ 0 .OTHER 'CAUSE (Starts {n CDF -Direct Protection Area only) J. (-IGHTFI!NG ,_U DEBRIS ;-Q."PLAY W/FIRE ..C•ANIPF!RE y�!ARSCN [, tvIISCELLANEOUS !`t SMO'F,tNG [JI EOUIPrAENT 6 PROPERTY USE (Starts in CDF Direct Protection Area only) '0�4ESTIC ❑ UTILITY, OTHER ❑ RANCH -FARM ❑ FOREST INDUSTRY g-DL'titf� "" ^"t ❑ RECREATION ❑ ROAD ❑ OTHER INDUSTRY -COMM .... _. 0 U'fiLITY• RAILROAD. ; ❑ V(ILi�LAND ❑ UTILITY ELECT"'s' r:. ❑ NON VVILDLAND DA?yiAGE (CDF Direct Protection Area only) C.D.F. D.P.A. ACRES BURNED SIAIUF. • C.D.F. D.P.A. RESP. ACRES BURNED 9 ON ARRIVAL (COF Dired Protection ,arca on"O [] VEGETATION FIRE OTHER (CO TO i,t2i SIZE DiS A:vC- ;Crg,n x) t:eaq) --.—. AC. —_—_ FEf WEATHER (est at seen..) WIND DIRECIKON FRom --- � ih.M{ATi.'RE _... r — ----- M.P.H ! --------. 1 0 Over p,ca::e C.D.P.- - -] 75th-13C•—tib? 1' 7 SDAMAGE ` ;.:::. � 00. TIMBER &/OR YOUNG GROWTH t>>: ' ILDLAtiDVEGETATION00. (E-fcept Timbe+ 3 Young Growth) AGRiCULTURAL PRODUCTS; 00. (E:ccept Tirltx-r � Young Growth! DWELLING" WOR CONTENTS ; / , � ? •1 00. STRiK;T!. A- E_8 VOR CONTENd?S 00. (Oih?r) : .._ VEHICLES & CONTENT S OTHER ::: I 00. I -----._ TOTAL�._.__.._.._.—..-n00. C.D.F. D.P.A. ACRES BURNED SIAIUF. • C.D.F. D.P.A. RESP. ACRES BURNED 9 ON ARRIVAL (COF Dired Protection ,arca on"O [] VEGETATION FIRE OTHER (CO TO i,t2i SIZE DiS A:vC- ;Crg,n x) t:eaq) --.—. AC. —_—_ FEf WEATHER (est at seen..) WIND DIRECIKON FRom --- � ih.M{ATi.'RE _... r — ----- M.P.H ! --------. 1 0 Over p,ca::e C.D.P.- - -] 75th-13C•—tib? 1' 7 36750-25 Permit 1#3630-�80MHI- Issued p� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P MII NO.� % _o ASSES PARC �L� NUMBER �f,/ —' ZSZ ZONI G BUILDING PERMIT OWN J%yL_yA&j LEP75/ S0. FT. OCC. BUILDING VALUATION OW MA2NG A OSS IL /O 0124 UIU 'L',w� 1r CONTRACTOR'S NAME - TELEP IIF CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ BUIL NG ADDR S /Z ��: ' e-2>. S S 0 . pip, PLUMBING PERMIT Filing Fee 3.00 �� ` Each Trap 2.00 Repair drainage or vent piping 2.00 ©� (/(Z_L6 Water .piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEg--Other SPECIFY Building sewer Lawn sprinkler system 2.00 T_ 4 1 TYPE OF WORK New ❑ Addition ❑ Remodel Uti lit -es ❑ Inlla ion O r Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP LESS RSLESS 5.00 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 Chept. 9, Div. 3 of the d effe t. 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 CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 20 sq ft NEW CONSTR. U TI -OUTLET NON-REs1D BRANCH CIRCUITS 2.50 ea NEW CONSTR. (POWER APPARATUS &1 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL 1� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 agrep to save, inde nify and keep harmless the County of Butte against way accrue all liabili es, ju gment costs, n expens s hich Wpert. ainst Coun ons a the gr g is his(/fJ X Dae Signature of A icant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 §4ories in height. Mobile Home Installation Fee $ LAIa 00 Land Development Fee $ TOTAL PERMIT FEE D, OCCUP. GROUP I TYPE OF CONST, PARCEL PD 1 .7 177977 •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. 5w(a WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT