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HomeMy WebLinkAbout025-290-022Keith Orme NIS Rio Bonito Rd7.%-app. -i-W..of Larkin Rd., Biggs Area Permit #4598.-8 P,E(%� .,11H) ELEC. GA S SUPPORT STRUCTURE REQ. COMPACTION TEST RQ. El &qua* 4 OROVILLE, CALIFORNIA GENERAL' CLAIM CLAIMANT: D.M. McKell �a✓ ADDRESS: 1693 Hwy 99 CITY & STATE: Gridley, CA 95948 IMPORTANT: June 30, 1982 DAVE OF: CLAIM: SEE INSTRUCTIONS— ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Not going to install utilities for mobilehome.(MH util permit app 6/30/82 #4598 -81 -Receipt #58720 -dated 12/21/81 -AP #25-042-61) Total Fees Paid -----$87.50 Retain plan check ---$10.00 Balance------------- $77.50 PItimbingpaid --------- $40.00 Retain filing fee---------------- $10.00 Amount of refund due ---------------------- $30.00 Electrical permit fee paid ------- $37.50 -- Amount of refund due------------------- 27.50 -------------- ---- �- Retain pre inspection fee----------------- 10.00 i -------- [-6/30/82 Not going to install mobliehome—MRI Permitpp n. #4599 -81 -Receipt #58720 dated 12/21/81-AP25-042-61 I MHI Permit Fee Paid -------------- $50.00 C-- etain tiling tee ----$10.00 I Retain plan check ----$10.00 amount Retajne ------ $20.00 ------- $20.00 j -- Total MHI Refund Due-------------------------------- 30 00 j -----------------------------------$7-7.50 TOTAL $77 0 jI, the undersigned,' declare under penalty of perjury that the services or articles claimed have be performed or delivered and that this claim is true and correct as stated. Dated this z da of 19 t�ii''I/ GL Y .....�...... • �17*-a ...L".Y.!....:....... calif. ..... ...Si...... ..L.. ....... gneture of Cieim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- . livered and that there is a Budget Appropriations or Specific Board Approvals (Check one) for the some. I Date d this 34th ................... day of .....June............ 19..82 at Oroville...... Calif.......................................................... ' Department Head or Authorized Deputy Dept. Exp. ' Code Code PAYABLE FROM....................................................................................... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY L VENDOR CODE DEPT. & SUB_ PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. i GROSS AMOUNT ENCUMB. SUB -DIST. 0 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1' APPLICATION AND PERMIT PE I NO.�/ ASSESSOR PARCEL NUMBER /A Z ✓ ZONING BUILDING PERMIT OWNER M . �1 c ILE-LL- TELEPHONE g68=�3 v SO, FT. OCC. BUILDING VALUATION DMAILING 3 36SMin�- /4-V6_ i31 c4 9s --f 17 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING A KESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee n $ . Q O Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ BUI G ADD 5S s !o ,Bo 17Z) A9Z . 11,0/9, z. PLUMBING PERMIT Filing Fee 10.00 /w/z-E— Each Trap 2.00 Repair drainage or vent piping 5.00 pj ,$ Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I�IL ties [:1stal lation ���ther ❑ Describe work: A- p -W77L / ' 59 �d 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OCCUP.EI) OR ADDNS. ACC. BLDGS. 22 sq ft - 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 NEW CONSTR. OUTL T NO BRANCH CIRC ITS 2.50 ea NEW NON-RESID. CONSTR. ( SINGLE OUTLET CIR. POWER APPARATUS &I Ex. Occup(OUTLETS OR FIXTURES gLOt BAL@t IXED APPLNS. OR EX. OCCup.(OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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. (}� 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. 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 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 agains aid County i equence of the granting of this permit. CA tar X Date I - tar Sig oture of Applicant — Owner7 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SO.. occuP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE 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. ✓ D 724 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 24-04, 61 D. M. McKell N/S Rio Bonito Rd.,app.2 mi.W.of Larkin Rd., Biggs Area Kermit #4599-81MHI 'Issued 11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO F/ ASSESSOR P RCEL NUM R S—d / ZONI G Z, BUILDING PERMIT ,K 74 ©e" EE, ` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER LI S MAIG ADDRESS ,Z psi /?/o gon//To s 9s 4/ CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDS UNKNOWN Fireplace Total Valuation Is Filing Fee $ }' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Af$ 0r0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS �/O BO�tJ 1-1-V � n � / �l/ 5 OP, �z. PLUMBING PERMIT Filing Fee 10.00 /,� /L!/� OF "� / D • Each Trap 2.00 Repair drainage or vent piping 5.00 _ Water piping - tb LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 10.,90 USEOCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V oR LESS 100 AMP OR LESS ,O Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CCUP y\ / 20 sq ft 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. icense No. Classification Er -IL, 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 I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR / POWER APPARATUS S1 NON.RESID. -SINGLE OUTLET CIR. / so@ac Ex. Occup(o XL OR FIXTURES BAL�tOs IETs Ex. OCCup.(OUT ETS P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / 0C) Misc. Wiring 7.50 Permit Fee $ , v Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 againsts id County in conseqlne of the granting of this permit. X Date AV Signature of App ' ant — 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 $ TOTAL PERMIT FEE CJ OCCUP. GROUP I TYPE OF CONST, PARCEL 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 Date Receipt No. ✓ 7 W O WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT December 21, 1981 We as property owners hereby allow Dan McKell to place and occupy a mobile home on our property located at 565 Rio Benito Road (A.P. #25-041-61). Keith M. Orme 1 1.4 Genet M. Orme r r > i MOBILEHOME SUPPORT DATA If•other than single wide, I Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) Box Length (ft.). Tagalong or Expando Size €t -,-ac ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,1 furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. + '� `'• Footings (check one) �1. Wood either pressure treated or foundation grade. 2. Other: (specify) Supporta (check one) Jl, Concrete block. E] .2 : Other, ( specify) (ft.)(in;) Center support locations* (ft.)(in.) f. II (ft.)I (in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) (in.) (in.) L -x --I (in.)l (in.) Single *If center piers are other than drawn above, draw in -locations. snacine. and dimensions. IF—Tagalong or Expando,'. show support details. Z x 3 -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) -- Max. Overhang BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: TA me 2. Installer's name:( %u 3. Is the site currently under permit? Yes / / No / / • (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No / / ( If no, clarify 1— ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- /S4 Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes,'identify the load and size: (Load) Yes /1 140 777 (Amps) 9. What is the mobilehome site gas pipe size?----------------------/�{ �( (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME' SUPPORT DATA If other than single wide, Mobilehome Mfr. (Te tog furnish Setup Model No. Year Width_(ft.) Box Length 6(9 (ft.) Tagalong or Expando Size ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or x foundation grade. (ft.)(in:) (in.) (in. 2. Other• ( specify) Center support Center support locations* footing sizes Supports (check one) in. �li Concrete block. [:].2i Other, (specify) (in.) (in.) 4 ----Tagalong or Expando,' show support details. (in.) (in.) Typical Support (in.) (in.) Footing Size o (ft;) (in.) (in.) (in.) -- Max. Pier Spacing t (ft.)(in.) 2 ' O. -- Max. Overhang (ft.)I (in.) (in.) (in.) f(ft.)(in.) *If center piers are other than drawn above, draw -in. -locations. spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOMEHOME INSTALLATION SHEET 1. Owner's name: + "so - 2. Installer's name:i, �►`rc— " 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes h / No.� (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and .clear of all setbacks and easements? Yes ZRNo / (If no, clarify ) i 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- X Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / (If yes, identify the load and size: (Load) (Amps) 4 What is the mobilehome site gas pipe size? ----------------------- (in.) ,10. What is the type of gas service? ----------------------------- Natural 7-7 LPG P!i�/ 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------- (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) (BTU) �(CC • �5G This sot of plans and specifications MUST be kept the times -and it is unlawful to g en job at all rn*6 any changes or alterations on same without Public." lam? 1 60 written permission from the Department of Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be in n .� Accordance with Recognized Good Practices an- prescribed for the Specified use in the . of a quality Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 40 A setback of 5 ft. frdM the �*tf property lire'sanda s6%6ck Utility connections shall be iii, of 56it. from the road be dear a 4 ft, of the mobilehome eifi$r behind centerline the =directly or within the reat sfructur@s dr equipment a*001 4half of the roadside (Ibft) of th sr'a 2 t. eeve averhbrho. gnobilehome. T✓x 15 8 � 9 M ffL_