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HomeMy WebLinkAbout027-090-028---- - -- - ----� - ----- - _ �:: A.P-. 27=09-28-- LEWIS 7=09-28LEWIS JOHNSON _ s/s Louis Ave. app. 1800' E. Citrus Ave., Palermo Permit 2860-72P,E (utilities for mobile home) -� 7-09-28 DON JOHNSON 2925 Louis Ave, Oroville Permit##1242-79MHI(existing site) Issued rte/ x031 127-09-28 contr: Bond Mobile Home Serv., Oro. Permit #614-80B(new awning/MH) 027-090-028 PERMIT#95-0685 I JOHNSON, Don i2925 Louis Ave., Oroville Cont; Strang Electric 3 Ele ser ch/NH(� % ) t i .I ODS- 090 i� i ,I .r 1 1 �9A N 1� O CSI 027-090-028 PERMIT#95-0685 ;:JOHNSON,_ r' Don #,.2925 Louis Ave. 0roville Cont; Strang Electric Ele` ser' eh/MH 4110h OFFICE COPY Addres s GAS .-'Meter, y Date ELECTRIC Meter By Dat W, COUNTYOFBUTTE- DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING ISION 7 County Center Drive - Oroville; "California 95965 - Telephone (916) 5V- .54 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER'. 027-09-028 ZONING A5 UILDING PERMIT OWNER DON JOHNSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 2950 LOUIS AVE OROVILLE CONTRACTOR'S NAME STRANG M-EMIC TELEPHONE 533-4214 CONTRACTORS MAILING ADDRESS 250 CANYON HIGHLANDS DR OROVILLE 95%6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2925 MUIS AVE PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUB ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeXi Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UPGRADE SERVICE Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinci Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C. / h 3 Lic. No. 5 5'v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. & ACC. BUDS. ( ) SO. 3.50 FT.NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 1.00 BAL SO EX. OCCU FIXED APPWS. OR p. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 211 U CJ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and ,policy number are: Carrier _ - MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4 - PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Pd I certify that in the perfor}nance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, And agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provisions.-- — -- J . X '�. . �9� Date_–_�U /' S Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is r7quired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. 0. FEES r. IMP' 0 FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have =By` rr C PERMIT EXPIRES ON I f applicable provisions Resolutions to do work been paid. V Date p� p �d (Date) Receipt No. //% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IPERMIT COUNTY OF BUTTE- DEPARTMENT OR DEVELOPMENT SERVICES - BUILDING ISION7 .County Center Drive - Oroville, California95965 - Telephone (916) 5 - 4 NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-09-028 A5 ZONING UILDING PERMIT OWNER DON JOHNSONTELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2950 LOUIS AVE OROVILLE CONTRACTOR'S NAME STRANG ELECTRIC TELEPHONE 533-4214 CONTRACTORS MAILING ADDRESS 250 CANYON HIGHLANDS DR OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2925 LQUIS AVE PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISDN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ll Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UPGRADE SERVICE Mobile Home IS I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 000V OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class d'— 7 6 Lic. No. 9SS Z 3 / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATLET US ) & SINGLE OUTCIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL so EX. Occup. OUTLETS (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $�. B D Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort omply with those provisions. i Date--l0 —,Rs Signature of AOwner ❑ Contractor ❑ Agent X tsries AnOSHApermit excavations over 5'0" deep and demolition or construction of structures ovheight. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 04) HA2. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON T applicable provisions Resolutions to do work been paid. Date Qq D /4 (Date) Receipt No. WHITE-D.D.S.- D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 614-80B PERMIT NO. PERMIT EXPIRES Don Johnson OWNER = Bond Mobile Home Serv., Oroville ; CONTR. LOCATION (A.P. 27-09-28 2925 Louis Ave., Palermo 4 _ q • Temp. Power Pole O Called PG&E Temp: Elec. Serv. 'Called PG&E Temp. Gas Sery Called P &E JOB �y AR/ FI1� LED G (Date) (Signatur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOWRECORD BUILDING BUILDING (Cont'd) PLUMBING Setback OeL Firewall Sol[ Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing I Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for phsically Appliances Carport handica ed p Conformance of ex. Gas Piping &Test Footings sgBw4uren Temp. Gas Slab in Sanitation Patio %IRE LACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Z Z 3 / 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 OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ` 7' v V\.tq IV C� 2-12 �/P/ 604over C (NOTE: An entry must be made on this -form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ( X 41r- ��L./�.Lr� Date 7---7-96_ Signature off �Pef-mitteee or Agent Receipt No. —:? l 2 v 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 B_ /1�C��1 Date2-2o'8 0 Building permit expires Date L / BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 9� - AL Telephone No. Contractor ND5 �yS �/�G6 Mailing Address ��/ Fireplace Total Valuation veo Telephone No. 11 3 _ p Permit Fee Building Address�3' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 so, Repair drainage or vent piping 1.50 A. P. No. 7- O 1-� Zg r Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FeW V40. S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60'�i/W Improvements Each additional outlet .30 wilding sewer 5.00 ���� Bldg. PIanSReo'd Parcel Approya`i Plans Approval Lawn sprinkler system 2.00 NEW � ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ /0 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 25.00 V AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ACCLBLOGS.LING CCUP. 4) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions ode under the name Of: ( r NEW CONSTR. BRANCH CIR T NEW CO I T � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON -RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L� Ex. Occup. � OUT ETS P(RESID )FIXED ALNS.READ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r License No. Zi '1 QQUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of tsutte to enter upon tree 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 I 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 Date BUILDING Owner /�/ - SQ. FT. OCC. BUILDING VALUATION Mailing Address r /� = 1• /. Telephone No. F' Fireplace Contractor r r -_ , ;_. _ Total Valuation Mailing Address - Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 t. - Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ( i' A 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ r NEW ❑ ADDITION ❑ UTILITIES ❑� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 'J Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal(d io Receps., switches & fix outlets Fb� 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump / s- . I Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring - ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit 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 - r 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 TOTAL PERMIT FEE $ '� tri autnorize representatives of the county of tsutte to enter upon tree 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 I 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 Date COUNTY OF BUTTE — DEPARTM-'---NT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone' 534-4541 APPLICATION AND PERMIT a�z3 Date $ignature of Per tee or Agent /� Receipt No. - 1� 7'/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Date building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address — 7A'l v Telephone No. Fireplace Contractor Total Valuation Mailing Address �j�� -%' Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address_ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 _—Z.4_kr Repair drainage or vent piping 1.50 Water piping 1.50 jC Each gas water heater or vent 1.50 A. P. No. �— —3 Zen s Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees S,6 qn Fire Dept. Fire Zone Use Permit Building sewer 5.00 r EQA Parking Plans. ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 v v G Water Heater or Space Heater 1.00 Light fixtures ya Receps., switches & fix outlets J2D 10 10 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Li nse No. Classification Misc. wiring , I am exempt from the Contractors License Laws of the State of California. Permit 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 W rkmen's Compensation Insurance. 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me 'oned prope for inspection purposes. 4' TOTAL PERMIT FEE c� 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. Date $ignature of Per tee or Agent /� Receipt No. - 1� 7'/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Date building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Sanitation: 695 Oleander Avenue 2130 Bird Street P. 0. Box 1100, Chico Oroville 343-4211, Ext. 51 533-1230, Ext. 297 MOBILE HOME SITE PROPERTY USE AUTHORIZATION To: Butte County P Health Department Date: I am the legal owner or person in charge of the following property:- (Property description, location, or address) and have the authority to ive and hereby do give my permission to: r to camp ( ); live in 4 ` ( Name ),� a mobile home on the above mentioned property, and to construct, main- tain and use such sanitary facilities as the Butte County Health Department deems necessary. This permission extends from to (Da e) (Date) I understand that under the provisions of the California Health and Safety Code, it is illegal to charge rent for a mobile home on the•above mentioned property unless I hold.a valid permit from the State Division of V6 Housing to operate a mobile home park. I will not charge rent for the. placement or occupancy of a mobile home on this property. Signature S26-11678 chis set of plans -and specifica#tons MUST be") kept on the job at all times and it is unlawful fo make any changes or alterations .on same without written permisson from the Department of Public Works, County of Butte. Septic syste - location Iramw to be quirem nts.nty Health Dept. pe All ocate utility conn ! d within 4 ft connect; shall be third section outside the rear hn the left (road) the Mobile ho °rne. side me °f the mobile �I NOTE:—Ali !1/I'aferi'al" & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building Code, Uniform Plumbing Code, and the National Electrical Code. U� r \G`J q01 BUTTE COUNTY , 3UILDING DEPARTMENT A ®� PpROVE � D The ij. Setback shall be the side propertyline 5 ft. from the centerline of the road, 50 ft. fry,. 1 1 ® Coe i{ .t3 I i I •, a —PERMIT NO. 1242-79MAI existing site PERMIT EXPIRES OWNER DON JOHNSON CONTR. owner LOCATION (A.P. 27-09-28 ) .2925 Louis Ave, Oroville I ` 11 Temp.ower Pole C�Iled PG&E Temp. Elea Serv. Called PG&E Temp. •Gas Serv. Called PG&E JOB^9 FINALED (Date) (Signature) ',. COUNTY OF BUftt' DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number L) Q� ' �� `� for the following location: �yJ S ��(�l �Ll ,1 v ��� 1 to V Vr n Owner 1 Yt\ rN 1 9N h %.._ S o V,. - Owner's Owner's Address qS-n I n 1 C A ►/ e, t -',z 1N Y^ (� Mobilehome Mfg. Model '4� 1 Yea Insignia No. Serial No. r)q/`3 A ✓0 It is hereby certified for occupancy at the above described location and may be occupied. (� Director of Public Works' Date 3 -I q ` % �7 By fff THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. F Is Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO.:IKS BUILDING INSPECTION RECORD Gird. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback i Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing I Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation t Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL F Is Mesh MECHANICAL Gird. 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 Watbr Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support -- i Elec. Continuit Water P,ping - Drainage Gas Piping DATE REMARKS OR CORRECTIOWS oltit ^ , �4- (NOTE: An entry must be made on this form each time you visa- the job site.) MOBILEHOMEINSTALLATION.INSPECTION CHECK LIST 1. Is the mobilehome located witNo_ equired separation.from lot lines and buildings and generally conform to plot plan? Yes 2. Does the mobilehome have required clearances above ground? (Sec'.5085) Yes' No 1 3. Are footings and supports properly sized, spaced, and braced'as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083). Yes No 4. Is the mobilehome level?; (Sec. 5088) Yes_ No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes f/No 6. Water A. Is fle ' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withsta d working pressure or 50 lbs. air test? Yes C. Backflow - If coach is no at of California approved, does station have backflow device and pressure -relief vale a No 7. Wastes and Drains � A. Is connection made with.Schedule 40 DWV and have flex connectors at each end? Yes.. No B. Does it have minimum '" per foot slope and is it properly supported? Yes ✓ No C. Are any leaks detected in drainage system after running 3-ga ons of water -through each fixture i cluding washing machine standpipe?,.Yes No D. If co of State of California approved; does station have.required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector lot more than 6 ft, long? Note: All piping is to be at.least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes V_No' 1'. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes t11,No_ 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of I n other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o B. Is there proper clearances els? Yes L ---No C. Is power supply cord or feeder.assembly properly fused? Yes ✓No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. -Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. r-. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the.site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 11e,` Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: • e A} /-COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / Telephone: 53414541 APPLICATION AND PERMIT 7 9 autnurize representatives Ot the County of Butte to enter upon the above-mentioned property for inspection purposes. X to Signoture of Per ' ee 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 hich fees have been paid. J1 WRECI)OR70F PUBLIC WORKS .' I BUILDING Owner x SO. FT. OCC. BUILDING VALUATION Mailing Address _ Telephone No. otlI^ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �� Ltd v V£ Plan Checking Fee &/or Penalty Permit Fee � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F FireDept. FireZone 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 sewer 5.00 �Building Bldg. P�ywSRec'd Parcel roval Plan pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS100 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 CONS. DWELING O OR ADDNST ( ACCLBLDGSCCUP. S) 20sgft 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 CONSTR BRANCH CIRCUITS) NON.R OE � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTURES B L@; FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 I am exempt from the Contractors License Laws of the State of California. Permit 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. IV 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 iNo. @ FEEPERMIT 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 correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 3 TOTAL PERMIT FEE (� autnurize representatives Ot the County of Butte to enter upon the above-mentioned property for inspection purposes. X to Signoture of Per ' ee 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 hich fees have been paid. J1 WRECI)OR70F PUBLIC WORKS .' I (h is set of 131a'n'5 and specific kept n e ailon' s MU" bei - kept on the job at all till -'s and m It is unlawful to make any changes or alterations writ p r j on same without written permisson from the Depaqment of public m W 0 S" County t Works, County & Butte. S NOTE:—All Materi'al's & Workmanship Shall Be in Accordance with Recognized 'Good Practices an of a quality prescribed for the Specified .use in the Uniform Building Code, Uniform Plumbing Code, and the National Electrical. Code. - ---------- cl 4P q 0 BUTTE COUNTY 3uiLb ING DEPAF�TM _NT V LZ b) Set. b,,k 'et ' �eriy e c„terlit) shy 0 tho Pr'Operty line anti \50 fl - of -the .. �� ,ter • .. � .. .. .. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner' s name : n 2. Installer's name: 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.) 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 ) 5'.­'-What is'"the mobilehome electrical rating?----------------------- � Amps 6. What is the mobilehome site service rating?----------------Z=; - ,.r/Q (� cAmps 0 What is the mobilehome site circuit breaker rating?----_- -------- 00 Amps /8 C.� 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) 9. What is the mobilehome site gas pipe size? ----------------- 10. What is the type of gas service? ----------------- ----------- Natural / / LPG / i 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome' as demand? --------------------------- 1 ' (This information not required if pipe length less-than 6 ft. on natural gas or less than 50 ft. on. LPG.) i MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. ' j�'(T� i �� furnish Setup Model No. g / Year ��7 7 Width a (ft.) Box Length (ft.) Tagalong or'Expando Size ft. x 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. IFootings (check one) Single ' 1. Wood either pressure treated or foundation grade. 1 (specify) ecif Other . s (ft.)(in:) (in.) (in.) 2 ❑ Y) Center support Center support locations* footing sizes Supports (check one) (in.) O 1: Concrete block. ❑ 2. Other (specify) (ft.) %n.) Tagalong or Expando, show support details. (ft.) 'n.) (in.) (in.) Typical Support (in.) (in.) Footing Size 67- ' Max. Pier Spacing Max. Overhang (in.) (in.) (ft.)(in.) t BUTTE COUNTY. 8UILDINC DEPARTMENT APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ICAL INFORMATION FOR DE -RATING MOBILEHOMES Location 02 / 1121 Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 = to 2. 2 Kitchen Appliance Circuits = 3,000 3. .1 Laundry Circuit ............................ = 1,500 4. Ovens ........................................ _ S 5.' Cook Stove Top ............................... s 6. Hot Water Heater .... 7. Dishwasher & Disposal _ r 8. Clothes Dryer ................................. 9. Other (specify, i.e., motors, exhaust fans, Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining watts @ 40% ....................... _ 6 0�- 10. Air Conditioner watts @100%.. = ) Largest Demand = Central Heat System watts @ 65%;. = ) TOTAL- DEMAND WATTS REQUIRED ............. f � "Demand Watts Required" + 230 ............. ............ _ AMPS De -rate Mobilehome to .................................... `f S AMPS . '3UTTE'COUNTY BUILDING DEPARTMENT APPROVE