HomeMy WebLinkAbout066-060-019Richard & Justine Goodell
_ , _ 290 So.Park Dr., lot 139, PPCC#1,
Magalia
contr: Paradise Modular Conc. , Para.
Permit #410-80P,E(uta MH)
GAS
SUPPORT STRUCTURE REQ.�'> _ •
{'. COtiPACTION TEST REQ. .
66-06-19
contra Paradise Modular-Conc., Paradise
ermiE #1081-80B(new pri.garage:.
' 66-06-19
contr: 'ara ise Modular Conc., Para.
Permit #411-80MHI
Issued
66-06-19
f ermit#2068-8 B(dfck)
-66-06:18
+ Permit42320-80E (ele/1081-80) .
garage
B080534` 066-060-019•r-
�►
: h . RESIDENTIAL` , SFD-Mobile Home RET, 7
`MH PERM FND EX SITE;1' V O'SQ FT
X13787 PARK'DR� -%
GOODELURICHARDKi&:' 'm
'fir. .. yi .. .' - - x t. - . � ' • �i � ' . SGL
or-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICE_ S
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 13787 PARK DR
Owner:
Permit No: B08-0534
APN: 066-060-019
GOODELL RICHARD K &,
Issued Date: 03/26/2008 - By TMP
Permit type: RESIDENTIAL
13787 S PARK DRIVE
Subtype: SFD-Mobile Home RET
MAGALIA, CA 95954
Expiration Date: 03/26/2009
Description: MH PERM FND EX SITE 1440 SQX
(530) 873-4059
Occupancy: Zoning: RT1
Contractor
Applicant:
Square Footage:
PREMIER BUILDERS
PREMIER BUILDERS
Building Garage Remdl/Addn
6055 TERRA VISTA
6055 TERRA VISTA
PARADISE, CA 95969
PARADISE, CA 95969
(530)872-1096
(530)872-1096
Other Porch/Patio Total
FEE INFORMATION
DBF MH Plan Check $241.16
DBMSC Mobile Home Permit Fee. $361.74
Total Charged: $602.90 Fees Paid: $602.90
Balance Due: $0.00 Receipt No: B6814
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. /Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PREMIER BUILDERS 343173 / B / 09/30/2009
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
ohva(zz
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
4,�44 03/26/2008
penalty [$500];
Please check one of the following:
Contractors Signature Date
❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
l ,fir HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
LJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance
The Contractors License Law dows not apply to an owner of the property who builds or improves
carrier and policy number are;
thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the
Carrier. STATE FUND policy Number: 1127626-06 Exp, Date:05/0112008
Contractors License Law.).
(This section nee not a completed if the permit is or one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
❑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 Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'X
03/26/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date -
provisions.
X 03/26/2008
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signatur6 Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
r perty owner or authorized to act on the property owners behalf.
f9 A/I k0t% ,) 'PGOJXk 03/26/2008
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Ownerontractor OR ElAgent for Owner DAgent for Contractor
FILE COPY
Lenders Address City State Zip 71
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
e,51-05-4
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name0100pe
First Nam
���
`
Mailing Address f 576V7.4) /qXl�K`
City 6.A
Stat&,,
Zi
Phone g 73„ o J
U �Iv
Fax
I
E-mail i
APPLICANT INFORMATION
CONTRACTOR
Name
Address
Address
Address
City
City
Zip
Stated
Fax
Phone
-5 7,2 _/p � G,
Fax
E-mail
tic. #
ll``2
Class
APPLICANT INFORMATION
A-R_€-IITECT/E NEER
Name
Address
Address
I
City
State
State
Zip
Phone
Fax
Fax
E-mail
State License Number
i
APPLICANT INFORMATION
Name It,i LpL��-s
L Leo
Address
City j,
Yes
State
Zip,, r� �•
Phone
Fax
E-mail
APPLICANT SIGNATURE'
X 2`1 hao—e_e F x�eo-ed�
PROJECT LOCATION
AN — O 17
Property Address ` ;78 7 5�(lI`o'k- _/ _91<
City M4G14" 3)q, 'FS C
WORKER'S COMPENSATION
Policy Number l I 2 7
Carrier
aiEGF' kt,.
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Z.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood!tTy`peCo_nst.
SRA
Yes
No
Occ.
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
1114*
W�i
i � -, CiL;.
APPROVED OvFD
Xi2 Ground System
Xi2 Concrete System
Engineer Approval
State Approval
iM1ANUFACTURED HOME/MOBILE HOME
FOUNDATION SYSTEM
REALTH AND SAFETY CODE, SECTION 18551
APPROVED .
SUBJECT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
OMIS510NS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State of California
tvaitaxel of Housing and Community Developmed
!4 SI AND
STANDARDS
By
DiATB
sPANM
?tomP1awApproval6v1m
Page 1 of 8
M2 Foundationsystem
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacture(. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements.
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional- Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.
Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a
resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not
less than 0.30 ounces per square foot of surface coating...."
Page 2 of 8
0
Ln
0
0
0
Installation of Xi2 Ground Systems
1. ldentiify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground.until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) .
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
1-3/4" Tube
Lateral 5trut5
1-1/2" Tube
U -Bolt & mounting
Figure 1 Bracket
J -Bolt Nut & Washer
Strut
(flag end)
1 -Seam
� Figure 2
11. Install frame bracket clamps to I-beam on in"
side of blocvpier. Do not tighten nuts at this. time.
12. 'Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket ciariip With -he fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
beam clamps.
0
G)
o�
LO
U
n
U
U
4-#12x1"
Tek 5crewe
Lateral 5trut5
1-1/2" Tube
U -Bolt & mounting
Figure 1 Bracket
J -Bolt Nut & Washer
Strut
(flag end)
1 -Seam
� Figure 2
11. Install frame bracket clamps to I-beam on in"
side of blocvpier. Do not tighten nuts at this. time.
12. 'Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket ciariip With -he fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and
beam clamps.
0
G)
o�
LO
U
n
U
U
Xi2 Ground Parfs Q
etail,
Xi2
Ground
Xi2 Ground Lateral System Syotem
Part Slumber 59306
Incl 5'
Includes: Strut,
pad & hardware kit
(#59329-1 includes all nuts and bolts).
-�. ..-. ',
Longitudinal Hardware Kit -
Part Slumber 59331 -
Includes: 2 I-beam brackets «
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333 ri: Longitudinal Strut
Includes: 5' Strut, Pad, Longitudinal Strut - ` & Hardware Kit
(#59329), Lateral and Longitudinal Hardware
Kit with all nuts and bolts........................................................_............ �d
Struts for Longitudinal Systems
0
P_ar_t Strut Pier–Height ®—�-- °
No. Length Up to: ®�ff
®�° ®� ���� Ground Longitudinal
59330-44 44" 4 Blocks or 32" Strut
59330-65 65" 6 Blocks or 48° Ground. Longitudinal
Hardware Kit
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
i
Double Section Hdme
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
x2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63'- 80' 5 Xi2 Systems
Page 4 of 8
installation of Xi2 Concrete Systems
0
1. Identify, the number of systems to be used on the home using the chart provided.
2. Identify the location where the.systems will be installed.
3. 'Build.pier according to State, Local or Home Manufacturers guidelines.
4.. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
provided. Place nut:& washer on anchor, leave:enough roorn for.1 to 2 threads.
showing on top of bolt. Using a hammer, tap the wedge bolts into hole'through
bracket, leaving .nut & washer flush with bracket. Using a 9/16" socket wrench, .
tighten wedge/anchor bolt,:securing bracket .to the concrete.
5. Attach the end of the smaller tube to the bracket mounted
on the pad, using the
grade 5r-112" x 2-1/2" bolt/nut provided.
6. Attach the`ffag end of the larger tube to the opposite I-beam using the "J" bolt over
the. top.of the I-beam. with the nut & washer provided. (Fi,ure-i next page)
7. Install a minimum of four (#12 x-1 " tek screws) self -tapping screws into the holes I
provided -in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps on' I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Page 5 of 8
D�W1{1
�NGJJlEFRlJJG
G
0
LO
0
O
O
r.
XjZ Lateral Concrete Systems
,. Part #59307
includes: 5' Strut, Bracket, & Hardware Kit
#59315-1 with all nuts.and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No.. Length Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts,
bolts and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut & Washer
Figure f � Beam Clamp
�� ' `} •� Bracket
J -Bolt
I, Lateral `
Longitudinal
Xi2 Installation. Placement
Longitudinal
Strut
Xi2 Concrete
System
14ort1e
.end of
,,_.
Page 6 of 8
m
r- -
G
to
U
�;,
0
o�
Concrete Longitudinal
Hardware Kit
14ort1e
.end of
,,_.
Page 6 of 8
m
r- -
G
to
U
�;,
0
Offset Placement
Diagrams represent examples of double and triple section offsets. Total size is determined by the
length of unit plus offset.
Xi2 Stabilization Pier Placement for Ground or concrete
Xi2 Pier Placement
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7 of 8
-
DDNIJ{
�NGINEFIPINS •
H C
J.
f
i
i
I
I i
I
Single Section Home
Double Section Home
0 -80' (76' Box) 4 Xi2 Systems
0 -62'
3 Xi2 Systems*
63' - 80'
4 Xi2 Systems
*2 Xi2 systems can be placed at either end
of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
Page 7 of 8
-
DDNIJ{
�NGINEFIPINS •
H C
J.
Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
1 12107
1-314 zinc
4 10556
Tek Screw #12 x V.
1 10631Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 121.07
Flat Washer 1 x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 112" w/ Serr flange
#59331 Long itudinalHardware for 59306
2 59272-1 Beam Clamp Base
4 59272-2 Beam Clamp Top Flange
8 10926 Carriage Bolt 1/2-12 x 1-1/4
Full Thread
10 10646Y Hex Nut 112-13 grade 5 zinc—_. --.-
2 10801 Carriage Bolt 112-12 x 2-1/2
Grade 5
'2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread
1-3/4 zinc
4 10640 Push Nut 112 r..
4 10519 Hex Nut 112" w/Serrflange
# 59329 Hardware for 59333 Lateral and
Longitudinal combination
1 59329-1 Hardware Kit
1 59272-1 Beam Clamp Base
2 59272-2 Beam Clamp Top. Flange
4 10926 Carriage Bolt 1/2-12 x 1-1/4
full thread
5 10646Y Hex Nut 1/2-13 Grade 5 zinc
1 10801 Carriage Bolt 112-12 x 2-112
ara e 5 Zinc - .
1 84533Z U -Bolt 112-13 x 2.63 x 2.'19 Thread
1-3/4 zinc
2 10640 Push Nut 112
2 10519 Hex Nut 112" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556,
Tek Screw #12 x 1"
2 10646Y.
Hex Nut 1/2x-13 Grade 5 zinc
1 10826-
Carriage Bolt 1/2-12 x 3
4 10801
Grade 5 zinc ' .
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 318 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2 59272-1
Beam Clamp Base
4 59272-2
Beam Clamp Top Flange
8 - 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-112
Grade 5 zinc
...#59364 Hardware for 59332 Lateral and
Longitudinal combination
1 59264: 3 Way Concrete Bracket
2 10530 Wedge Anchor 3/8 x 3.50
1 59315-1. Lateral Hardware Kit
1_ 59272-1 :;Beam.Clamp Base
2 59272-2 Beam Clamp Top Flange
4 10926 Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2...10801.... Carriage Bolt 1/2-13 x 2-112
Grade 5 zinc
6 10646Y Hex Nut 1/2-13 Grade 5 zinc
Page 8 of 8
�Xi{Glq►ffRl1RG;
„” FWERM-RC NO. 1081-80B
PERMIT EXPIRES/11
OWNER Richard Goodell
Paradise Modular Conc:, Paradise
CONTR.
LOCATION (A.P. 66-06-19
290 So.Park Dr., lot 139, PPCC#l, Magalia
a
J
1
of
.f
�f
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
/JO
alled PG&E
°
FINALED
(Date)
(Signat re) t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION=RECORD
IJP BUILDING BUILDING (Cont'd) PLUMB
Setback—
A2,
Forms
Ycp
Main Bldg.
Footings
Stemwal I
Water Htr.
Slab
Piers
Garage
Footings.
5A e-8 D
Stemwall
—
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Mesh
Scratch
Brown
Finish
Interior L
Firewall
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physically
handicaooed
Conformance of ex.
FIREPLACE
Footing
Throat
Final
FIRE SPRINKLEF
Test
Final
CHANICAL
Heating
Cooling
Ducts
Ventilation
Soll Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Grd. Fault Pn
*en ee
Temp. Pole
Underaroun
uoor closer I I Final I Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE T REMARKS OR CORRECTIONS
03
Q/,p C
(NOTE: An entry must be made on this form each time you visit the job site.)
ELECTRICAL
Rough,s`"r/�
Fixtures
Motors
Water Htr.
Grd. Fault Pn
*en ee
Temp. Pole
Underaroun
uoor closer I I Final I Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE T REMARKS OR CORRECTIONS
03
Q/,p C
(NOTE: An entry must be made on this form each time you visit the job site.)
, ,?ERMT NO. 2068-80B
t? PERMIT EXPIRES.
OWNER RICHARD GOODELL
CONTR. owner
LOCATION (A.P. 6,6-06-19
290 So. ParkDr., lot 139,PPCC#1,Magalia
i.
,
'x
Temp. Poer Pole
Called'PG&E
Temp�Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E.
/10B
FINALED
(Date)
(Sig rig t u r'trr
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
' I
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback,- 1- _ p fc,
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
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Prov. for Dhv I all
A Iia
Carport
Footings
Slab
Patio - L W-/
/s} 1st Footings
Reinf. Steel
� ,Z
pp nces
Gas Piping & Test
Temp. Gas
Sanitation
Final
EL
rsonu seam _ / I FIRE SPRINKLERS I Motors \
btucco
Final
Subpanels
Mesh
AECHANICAL
Grd. Fault Prot.
�: 4
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
OB16EMOME INSTALLAo IONN - - - - - - - - - - - - - -
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.)
f ..
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7-County�Center Drive — Oroville, California 95965 e.
r
Telephone..,, 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
a - entioned pro erty for inspection purposes.
3
Date v
Sig ture of Permitee orv�A t
Receipt No. � Z �0
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. .
Q,,DIRECTOR OF PUBLIC WORKS
By �'-J� — Date
Bilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
/iso 0 7 .
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation ,
,Lei e hone No.
Permi
Building Address
anChec ingFee /or Penalty
Permit Fee
UJ
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. — (p
//
Zon' IotSning
Water piping 1.50
Each gas water heater or vent 1.50
F2'es
/
W!C.
Sao 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. Plans Recd
Parcel Approval
Plans Approval "
Lawn sprinkler system 2.00
NEWJg, ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
B00V OR LESS
Main service 100 AMP OR LESS 5•00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD•L too AMP 2.50
V
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
'
NEW CONST DWELIN.
OR ADDNS. ( ACCLBLDGSCCUP. Y) 22sgft
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
st a f:
NEW CONSTRES'D, MULTI.OUTL T
NON.R ESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCcuo(OUTLETS OR FIXTURES, Bq1@
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/
License Nq=.2g // 2 lL Classification
Misc. Wiring 6.25
❑ 1 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
s Compensation.
for �10.��,n.,'
laced on file with the County of Butte a certificate of
omn's Compensation Insurance.
r -1I 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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
a - entioned pro erty for inspection purposes.
3
Date v
Sig ture of Permitee orv�A t
Receipt No. � Z �0
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. .
Q,,DIRECTOR OF PUBLIC WORKS
By �'-J� — Date
Bilding permit expires Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
6,6,_ C> e" _ 9
ZONING
(Z -7-I
BUILDING PERMIT
O WE
DDICV,0L_—
TELEPHONE
SQ. FT. OCC. BUILDING vXLYATION
OWNERSZ2SS bLING ADD
`CTOR'S
CONTRA NAME
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
/SNC_
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A(dOL)6,
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
�� G �� '
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other ���%
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition❑ RemodelUtilities Installation❑ Other
Describe work:
r,
QAC J� /.J Y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 60ov OR LESS
100 AMP OR LESS
5.00
EA. ADD'L 100 AMP
Main serviceNEW
2.50
CONST.
OR ADDNS. ( ACCLBLDGS. CUP.&1
I/
20 sq It 02)
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 ULTI-OUTL T 2,50 ea
NON•RESID. BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &)
NON•RESID. SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 50@25a
BAL@loc
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID,) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ p
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 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
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
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
against aid County ' consequence of the granting of this permit. p
X Date %—D D
�—
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesf in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
$ r0
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
RE TOR OF PUBLIC
By
PERMIT EXPI ES Date
the applicable
to do
resolutions to do
fees have been paid.
WORKS
_
ate
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center brive - 0roville, California 95965 - Telephone 916/534-4541
"APPLICATION AND PERMIT
PERMIT O.
�a 6 N(
AA ,J 1
A ESS RQyPARCEL NUMB�ETR
—0 � _ L r
ZONING
BUILDING PERMI
OWNER oo t
T LEPHONE
SQ. FT. OCC. BUILDING VAL ION
i Z' G
OWNER'S MAILING DDRESS
L K. UAA
CONTRA TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CO 5 RUCTION LENDER
NO Afff-
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
' ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS O
SCJ
PLUMBING PERMIT
Filing Fee 3.00
LA
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
U
SUBDIVISIQN NAME pp
10AIEL, AI�V # %
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF � Duplex❑ Mobilehome)( Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition ❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work:
nn
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service io°o AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. OR ADDNS. ( ACCLBL GDWELINGOCCUP.&�
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑SINGLE
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
!A' 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) '
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTRMULTI-OUTLET
NON•RESID. BRANCH CIRC ITS 2.50 ea
NEW CONSTP- POWER APPARATUS .&)
OUTLET CIRNON-RESID, (,
ExOccup(ouTLETs OR FIXTURES �@�
. BAL 0 1C
Ex. Occu p•(FIXED APPTS (RES, OR
OUTLETS 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):
F] 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.
MECHANICAL PERMIT
Filing Fee 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 agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id Cou ty i consequence of the granting of this permit.
11—d
1/ a!y/--��
X � Date
Signature of Applicant — Owner 9 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 $
Land Development Fee $
/
TOTAL PERMIT FEE $ lT
OVCP. GROUP
TYPE of CONST.
��
PARCEL
V
PO
✓
ND
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR OF KUBLIC
TK
B
PE IT,EXPI S Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateL:'�
'�
Receipt,No. ? '7 �o •
WHITE-D.P.W., YELLOW -AS ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
P ERAIT NO. 410-80P/,E
J
PERMIT EXPIRES / /�,
OWNER Richard & Justine Gooddll
,
Faradise.Modular Conc., Paradise
°CONTR.
66-06-19
'LOCATION (A.P
290 So.Park Dr., lot 139, PPCC#l, Magalia
AV
tx
Temp. Power P v;e
Called PG&,E
2
Zemp. Elec ery -�-IZ 7jiO
Called PG&E 3 2ro
f
Temp. Gas Serv.
Called PG&E
i P&B
ALEDJ�L
F
(Dat)
(Signature)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
_ RU LDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Set ck
F wall
it Piping
Form
Par ets I
st Floor
Main ldg.
Rest om Finish
2 Floor
Foo 'n s
Windo
3rd loor
Stem II
Siding
To out
Slab
Roof Sheakina
Water Pi n
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation NHeaters
Water Htr.'
Slab
Carport
Footings
Prov. for physical
handicapped
VConformance of ex.
A structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FI AkA CE
Final
Footings
Footing
LECTRI L
Masonri Walls
Throat
Rou h
Reinf. Steel/
Final
Fixtures
Bond Bea
IRE SPRINKLE
Motors
Framing
Test
Water Hirt
Stucco
Final
Sub an s
Mesh
MECHANICAL
Grd. F ult Prot.
Scr ch
Heatirti
Servile
Bqfwn
Cooligg
T mp. Pole
nish
Du s
nder round
1 erior Lath
V ntilation
Permanent
Illoor Closer anal inal
Df%.0 t4 d - - - - - - Elec _ Service – Elec. . Pedestal
MOBILEHOMEUTILITIES ��_ d 0106 6 ,/� OAv 140
Water Piping
3—a— Sewer – L—o
Gas Piping
BI E OME INSTALLATION - - - - - - - - Support
Elec. Continuity
Water Piping
? Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
z %�w� /z. sl<< � ��ca�cF 1Aro���
.� V-fo D �%%WC/ Air r'/wu7c.Cv 7a,
.a> /`G - ;dam /!/ y NGi :. � ;(� A'IG i •J S&Cal GE (<,Jq( , n!
led ds -
C -0 CQ// /vim its-.:vr�E�7oa✓ �� Ge�l�/
311 Y v kt, Atv,",7- oiL 'r"T' `6 :�
C>!� 5
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
�C�RE TBON NOTICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please. notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
X �e `'o to / /� G 70AAC c
1) esd
6o D 12l)- v 5
i
COUNTY OF BUTTE
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 for the following location:
Owner
Owner's Address +
Mobilehome Mfg. Model Year
Insignia No. G � � � � % t i Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION INSPECTION- CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes No_
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_>0 No
3. Are footings and supports -properly sized, spaced, and braced -as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yeses No
4. Is the mobilehome level? (Sec. 5088) Yes No
5. If more than a single unit, are crossover connections properly installed? (Sec._5088)
Yes No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
*----Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made'with Schedule 40 DWV and have flex connectors at each end? Yes 'J No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes( No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No'-
0)� C If coach is not State of California approved, does station have required trap and vent?
Yes No
8' as.Piping and Gas Vents
Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft.' long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without.reductions'other than the'mobilehome
connector. Yes No
B. :Test OK as per following procedure+ Yes_ No
1. Open all appliance connector vfLives.
2. Shut off.appliance burner and pilot valves.
3. Air test with manometer to 10"014" water column or test with slope gauge (minimum
0 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehonie.with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes_ No
I c:Pe, qt o -so !yl
9. "Electrical ----...---
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_o No
B. Is there proper clearances around panels? Yes No
C. :I's power supply cord or feeder assembly properly fused? Yes t',O No_
D. Is continuity test satisfactory as per the !following procedure? Yesg 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.
S. 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.
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 escp�t,Q o
Length o Width 2
w
Vehicle. Serial No.' V L4 300 -R -46
r
State .Identification No. Cil�'L�'l�Z7W 7
7�
Additional Information or Comments:
•
J 1 COUNTY OF BUTTE — �EPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 n
� • ,�•• - Tel epH'orie: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner .00
SQ. FT. OCC. BUILDING VA UATI
Mailing Address
Telephone No.
Cont
Mailing Address
Telephon
Building Address
•d T
A.P.No. �p�p L9 Gj — Zonin
omeg & P nning
Fs W,.d' Sa 'on Fire Dept. Fire Zone Use Permit
EQA Parking Parcel Parcel Ma 60' R/W Im rovement
Plans Declaration P P
Bldg. ans Rec'd Parcelroval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home 0� Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
Stat f California Business & Professions Code under the name
st f:
33.
License No / Classificatio C 61
❑ I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
am aware of the provisions ot.Section3700 of the California Labor
Code which requires every employer to be insured against liability
f�A�ave
's Compensation.
laced on file with the County of Butte a certificate of
Wn'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.
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 > a u
(\' Signature of PPermitee or Ag/an
lie Ipt No. 'l (Q
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
0,00
Permit Fee
$
ELECTRICAL
No.1 @
FEE
PERMIT FILING FEE
$3.0000V
.Q -O
OR
Main service 10000 AMP LES
5.00
UO
Main service EA. ADD'L 100 AMP
2.50
S-�
Main service OVER e00v
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST. ( OR ADDNS. ACCLLING BLOGS.CCUP h)
22sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID BRANCH CIRCUITS)
2.50ea
NEW CONSTR. POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
EX. OCCup{OUTLETS OR FIXTI1RES1
50 @ 25¢
101
FIXED APPLNS. OR
EX. OCCU p.(
P•\OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
;d
Misc. Wiring
1 6.25
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
$3.00
.5
\,
U
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $a TOTAL PERMIT FEE =.;, J
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 0 PUBLIC WORKS
BY gi Date r/--
�-tg permit expires Date 7"——
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 �%�
w - Teleghone: 534-4541 n y' / �/
/` — 4
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
ab ve-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated'
above f which fees have been paid.
X 0.9,Date ' D i� E 0 OF PUBLIC WORKS
Signature of Permitee or AgeiQ B Date LL 3—/ 000
Receipt No. �
White-D.P.W. – Yellow -Assessor –Pin -Inspector – Goldenrod -Applicant Building per it expires Date �c `
BUILDING
OwnerRICHARD Justine GOODELL
SO. FT. OCC. BUILDING VA ATION
Mai I i ng Address
Telephone No.
Contractor PARADISE MODULAR CONCEPTS
Mailing Address 6633 SKYWAY PARADISE CAL. 95969
Fireplace
Total Valuation
Tho a No.
M-541
Permit Fee
Building Address
-290 Seuth Park Dr.
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
Ma alfa Calif. 95954
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. _ _
be,Z -ing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
tlr
-ee1ti•ia4i'9R
Fire Dept.
Fire Zone
I 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. Pd Recd
Porcel royal
Pans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
d >
ELECTRICAL No. @ FEE
!o
PERMIT FILING FEE $3.00
6011 OR LESS
ESS 5.0�
Main service 100 AMP ORLESS
Single Family ❑ Duplex F] Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 6111 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.,( DWELLING
OR ADDNS. ACC. BLDGS.CCUP. Y� 22sgft
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:
PARADISE, OODULAR CONREPTS
NEW CONSTR BRANCH CIR T
NON-RESID. BRANCH CIRCUITS 2.50ea
NEW CONSTR (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETs OR FIXTI1RES, s L@
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
6633 Skyway Paradise, Calif . 95969
Mobile Home Facilities 15.00
License No. 2887111 Classification BC 61
Misc. Wiring 6.25
❑ 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 w ich requires every employer to be insured against liability
for W men's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I 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
Land Development Fee 1
$ 0Aq
TOTAL PERMIT FEE
$ da
authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of
ab ve-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated'
above f which fees have been paid.
X 0.9,Date ' D i� E 0 OF PUBLIC WORKS
Signature of Permitee or AgeiQ B Date LL 3—/ 000
Receipt No. �
White-D.P.W. – Yellow -Assessor –Pin -Inspector – Goldenrod -Applicant Building per it expires Date �c `
COUNTY OF BUTTE '
Department, of Public Works -
7 County Center'Drive
Oroville----'-534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner
Locat ion
Mobilehome 'Installation Permit No. -
FILL IN INFORMATION FOR ITEMS 1 THRU 10 .
' Watts
1, , Width 7 x Box Length '66 x 3 = q302.0
+2. 2 Kitchen Appliance Circuits ....... . ..... = 3,000'
3. 1 Laundry Circuit .. = 1,500
A. Ovens . ....... ' . • . .. . . .... - %
5. Cook Stove Top ............
6. Hot Water Heater ....... .....
7. Dishwasher & Disposal ........................ = 1s0-0
8. Clothes Dryer
9. Other (specify, i:e., motors, exhaust fans,
etc.)
Sub=total - Watts 0 �,o
First 10,000 watts @ 100% = 10,000
Remaining 19. P-0 watts @ 40% ....................... =
10. Air Conditioner watts @100%.. =
Largest Demand = ft �✓� Jr
Central Heat System /970-0 watts @ 65%.. = ) //
TOTAL DEMAND WATTS REQUIRED
"Demand Watts Required" 230 ..... AMPS
De -.rate Mobilehome to ......... / AMPS
BUTTE COUNTY
BUILDING DEPARTMEN7 ,
APP.RO E
A
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BUTTE,couNTY
DEPARTMEJW
y, APPROVE
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