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
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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.
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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
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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:
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/-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
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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.
- ----------
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BUTTE COUNTY
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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