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Home My WebLink About069-070-041a9-0 7--4/ Frank A. Pedersen X22 Oak Hill Dr., lot 49, KR#2B, Oro. Permit #34 6- 79P,E(utiJ�,MH) O. ELEC. —/a-eo GAS — —),f SUPPORT STRUCTURE RE.Q. rZy.V 1W COMPACTION TEST REQ, laL Moe �.Contr: Carneros MH, Nap \\1 Permit #4371-7 MHI `t0 A\ Issued -7 — 7 47 7�4= Permit # 16Q-80B(new covered deck/MH) --34 contr: John S. Coppedge, Oroville Permit #1942-8OB(new carpor NCH) 69- 0 7- 4/ 1 Permit#2 9.8 OP 0 —8 1b 194 2 0 ) CP 9/ R `t / (cfli' CD1�1 � °� PERMIT NO. 1160-80B PERMIT EXPIRES {,! / / 7A/ OWNER E Frank A. Pedersen CONTR. owner LOCATION (A.P. 34-70-41 ) _ 22 Oak Hill Dr., lot 49, KRIM, Oroville i <vt Temp. Power Pole Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. _ Called PG&E JOB FINALED (Dat (Signature) �„(f/� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows Y 3rd Floor Stemwall Sldin `\ To out Slab Roof Sheathing !a -O Water Piping Piers Roofing 1' Sewer Garage Fdn. Vents ' Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings/ Prov. for physical handicapped Conformance o x. structure Appliances Gas Piping &Test Tem . Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel % Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Mesh MEVCHAW4CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer j Final ; Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE _3 REMARKS OR CORRECTIONS 41 — (NOTE: An entry must be made on this form each time you visit the job site.) Owner COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT BUILDING P1 k /� , SQ. FT. I OCC. I BUILDING VAL ATION Mai I i ng Address le'll d Telephone No. Contractor.. Mai I i ng Address Owner COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT BUILDING P1 k /� , SQ. FT. I OCC. I BUILDING VAL ATION Mai I i ng Address le'll Telephone No. Contractor.. Mai I i ng Address Telephone No. Building Address A. No. O 9T -kg & Planning ,P. Fes Saartation I Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Bldg. Rlaes Recd Parcel AEeroval Plans Approval NEW JK ADDITION ❑ UTILITIES ❑ OTHERLX Single Family ❑ Duplex ❑ Mobil Home Others ❑ C_ 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: 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 Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L too AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP STR. MULTI-UU I Lt I iD- BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 I EX. OCCUDjOUTLETS OR FIXTIIRES) Iani �,rJ EX. Occup. ( FIXED APF OUTLETS Temporary service Mobile Home Facilities Misc. Wlring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 2.00 10.00 15.00 6.25 $3.00 ,Oo FEE FEE I certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State. Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �n 041J { ate 1;, O O Signature o Permitee or'Atgentc If Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ p 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. DIREC R OF PUBLIC WORKS B i Date -3- 12— F` wilding permit expires Date 3-1 -7 -'Pt LOQ' 49 UNIT 2B ��DF=.PS 2N q K UT---� f rl� , . ___ -- - property lines and a setbac of 50ft. from the road cc`6`i'�c� li centerline shall be clear of structures or equipment ex pt .for a 2 ft. eave overhang. Iva Q a& ge I o�QTrce t� NC ti �a\s{oh0` t she �cha� so & N0p�e�GQ��K`\ Goae. D GGO' G�C\Ga oh c� N76 12, T mss: a tans eG'{""•t'�S unlawful to BUTTE COUNTY This set •f r it �rithout dept on the lo{�_at alb timP�+pans on sau�, BUILDING DEPARTMENT' make any changes or altthe Depar}y%)ent o{ written permission from f Butte. --APPROVE D Works, County ` T V V V Y d P N P WOL-101 Litho USA 1979 @ 1979 Koppers Company, Inc. s; s PERMIT NO. 1942-80B aCY�B=fib P �- PERMIT EXPIRES Q OWNER Frank Pedersen CONTR. John S. C4dge_ nmvillP 34-70-41 LOCATION (A.P. ) 22 Oak Hill Dr., lot 49, KRIM , Oroville s Temp. Po% Called Temp. Ele Called Temp. Ga; Called JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback f6_ AC07JI56 Firewall 4 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing ";L. Water Piping— Piers Roofing — O Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for phsically handicanpe.1 Conformance of ex. Appliances Gas Piping & Test Footings '8�0 4— structure A Temp. Gas Slab `� C'`J Final Sanitation Patio FIREPLACE Final r o3 br--BC Footings Footing ELECTRICAL Masonry Walls i Throat Rough Reinf. Steel I Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts I Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------ --- --- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE — q " oa,S -pc> REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive Oroville, California 95965 n r Telephone: 534-4541 / / APPLICATION AND PERMIT /^ au'"uC ICpfC5ClllallVCS above/fenUI u1C L UUllly UI MULLU 1U emer upon 1ne above/fen property for inspection purposes. n X Y Date oP ignature f Permitee gent eipt No. 7 Nhite-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 p id. D fly OR Qfl/UBLIC WORKS By v\%_ Date d Building permit expires Dater t/ BUILDING Owner K. LUATION SQ. FT. OCC. BUILDING VAW-Ad Mailing Address Telephone No. Contractor _ Mailing Addr C%9444 -g-4 .Z Fireplace Total Valuation Telephone No. S _ Permit Fee Building Address Plan Ch gFee &/or Penalty Permit Fee .--- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. -- I Zoning & Planning Water piping 1,.50 Each gas water heater or vent 1.50 F&s,Sari-taiicw* Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plar'�e� 11,011,s Parcel A royal Plans Approval Lawn sprinkler system 2.00 P NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e0oPORv LESS 25.00 100 AM Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. V ACC. BLDGS.DWELLING CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am icensed under the provisions of Chapter 9, Div. 3, of the Stat f California iness & Professions Code under the name NEW RESIO. BRANCH CIR T NON.RESID, (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) B`e� BAL2lot Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00Temporary service 10.00 ?Ste•Ex. Mobile Home Facilities 15.00 se No. 7 Classification 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 which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ au'"uC ICpfC5ClllallVCS above/fenUI u1C L UUllly UI MULLU 1U emer upon 1ne above/fen property for inspection purposes. n X Y Date oP ignature f Permitee gent eipt No. 7 Nhite-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 p id. D fly OR Qfl/UBLIC WORKS By v\%_ Date d Building permit expires Dater t/ COUNTY OF BUTTE - DEPAR` MIENT OF PUBLIC WORKS 7 `County Center Drive - Orovi Ie, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT • ASSESSOR PARCEL NUMBERING — -70 L ZO -rl BUILDING PERMIT OWNER TELEPHONE �D SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 07. LL �!z`LG� •r' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER d� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILINGADDRESS Permit fee $ BUILDING ADDRESS 0- 0? ,LL PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 �JQ(�IV, LLQ Water piping LOT NO. SUBDIVISION NAP ARCEL 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 L't) TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other NT Describe work: pis �cis�`�-�s�l �=br2- 12 4, �Main s��•' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR LESS service 100 AMP OR LESS 100 AMP 5•00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADONS. ( ACCLBLDGS. OCCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 (MULTI -OUTLET, 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES @� BAL@10Q FIXED APP LNS, OR \ Ex. Occup.(OUTLETS (RESID.) EA,/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgm( co ts, and expenses which may in any way accrue agains aid t co se uence of the granting of this permit. X Date A idf Signature of Applicant — Owner)k 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 $ M TOTAL PERMIT FEE $ SW OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD I:SU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTOR OF PU c By R IT EXPIRES e the applicable provi- resolutions to do fees have been paid. C WORKS Date �® Receipt No. L1 7-J o2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ., ... 7 COUNTY CENTER DRIVE CERTIFICATE OVOCCUPANCY 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 -d2 ewe -y"l/ Y{ / A % 41'9 C/n//T .2 C3 </Z } Owner )C10 A6<r RE S aA 1 Owner's Address Mobilehome Mfg. /% /y1'WA1 Z14L L Model 2" C {_/+Year 79 Insignia Nw'_V1 -1') 2'.),s 3 W1.2 -2d -S</Serial No. S 21F,� It is hereby certified for occupancy at the above described location and may be occupied. `✓ �+ DirectorlI, of P blic Works Date 714? " %./ By /"r A&"/L�'-Z..��'.( THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. f Alle C/�/- 2�1 3436-79P,E ' PERMIT NO. PERMIT EXPIRES OWNER Frank A. Pederson CONTR. owner LOCATION (A.P. 34-70-41 ) ' 22 Oak Hill Dr lot 49, KRIM , Oroville f 4 • F I 1 Y i t est. t r Temp. Powr Pole Calle?PG&E Temp. ec. Serv. ailed PG&E vs'Ll� T p. Gas Serv. Called PG&E to.JOB ^, 2 FINALED �E'J (Date) (Signature) Framing COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr BUILDING BUILDING (Cont'd) PLUMBING Se ck rewall So Piping Forh Pa ets 1s Floor Mai Bldg. Res oom Finish 2nd loor Fo ins Wind o s 3rd FI r Stem ai I Sidina To out Slab Roof Shhthinq Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage VentA Insulation Water Htr. Heaters Slab Carport Footings Prov. for physic ly handica ed ` Conformance of ex. _ structure Appliances Gas Piping & Test Temp. Gas Slab A Final ,\ Sanitation Patio IRE ..LACE Final Footings Footing LECTRICA Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLAS Motors Framing Test Water Htr Stucco Final Sub an s Mesh MECHANICAL Grd. F ult Pro Scrat Serde B Cool/ng Vntsllation mp. Pole FI sh nder round Int for Lath Permanent DjIbr Closer I anal Linal OBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping 9e_'. Sewer ,- (0-2 9 :E_ Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage 5, Gas Piping DATE :7 �� 9 REMARKS OR CORRECTIONS kppe&u)ZQ Cv2i nEiJ C -",_p eA1,0 SzzP (Z0,jc� (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with„equired separation,from lot lines and -buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes` No 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) �(S�ec.52 & 5083) Yeso4. Is the mobilehome level? (Sec. 5088) Yes__ 5. If more a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flexi 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 vNo w - If coach is not State of California approved, does station have backflow device ssure-relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each endue 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- ons of water through each fixture including washing machine standpipe? Yes No I coach is not State of California approved, does station have required trap and vent? Ye,%� No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas s ply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? ote: All piping is to be at least as large as the mobilehome gas line inlet withou reductions other than the mobilehome connector. Yes No B. Test OK as per following ed re Yes No 1. Open all appliance con ctor valves. 2. Shut off appliance burner an ilo valves. 3. Air test with manometer to 10"- " ter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tent ound increments. Test for 10 min. without drop. 4. Connect gas meter to mobil iome with connector, to on gas, test connections with soapy water. / C. Are all appliance vents properly installed? Yes No. 9. Electrical 4r , A. Is service large enough to provide adequate amperage -to mobileaome (must equal rating 16f, mobilehome with a minimum of�'amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yesr No B. Is there proper clearances around panels? Yes C'_No_ C. Is power supply cord or feeder assembly properly fused? Yes No D. Ism tinuity test satisfactory as per the following procedure? Yes— No . .a.! De -energize electrical wiring system of the mobilehome at the pedestal, 2,,-1Kake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. witch 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 G apply the other lead to each mobilehome supply conductor, including neutral. 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. C .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 m b-ilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment maybe approved for energizing. 1 o card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namesty/le Length Width��-C Vehicle Serial No. �� 7 State Identification No. Additional Information or Comments: COUNTYOF "BUTTE — DEPARTMENT OF PUBLIC WORKS r 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. �J X — Date ` Signatu Per a or Agent Receipt No. fo 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 r which fees have been ,paid. E OF PU LIC WORKS •Date. Building permit expires Date 7 " 2"— y BUILDING Owner Frank A. Peders n SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor CARNEROS MOBILE TRANSPORT ► Mailing Address 1290 E1 Capitan Fireplace Total Valuation Napa, CA 94558 Tele hone No. 707P 252-2411 Permit Fee BuildingAddress 22 Oak Hill Drive Plan Checking Fee&/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 49 Unit 2B - KELLY RIDGE ESTATES Repair drainage or vent piping 1.50 A. P. No. 34 - 70 - 41 TZoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es I W.C. S FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 .Bldg. tans Recd Parcelroyal s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 4 INSTALLATION foeBf *3,q2Jo ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER appy 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. 4') 2dsgft 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: t CARNEROS MOBILE TRANSPORT NEW CONSTR. (MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L� Ex. Occup. (, OUTLETS P(RESID )FIXED ALNSREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ENI 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. 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Ct=0VAM)M11KkW M1 Hm Installation $ 30.00 TOTAL PERMIT FEE $ 30.00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �J X — Date ` Signatu Per a or Agent Receipt No. fo 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 r which fees have been ,paid. E OF PU LIC WORKS •Date. Building permit expires Date 7 " 2"— y MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. MOUNTAIN VALLEY HODS, INC furnish Setup Model No. 2BDR, CKUR Year 1979 Width 24 (ft.) Box Length 52 (ft.) Tagalong or Expando Size -0- ft. x -0- 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. Single Q' 2`i x3D (in.) (in.) Center support Center support locations* footing sizes (in.) (ft.)(in.)1 11( X241 (in.) (in.) Footings- (check one) 1. Wood either pressure treated o; foundation grade. 2. Other (specify) Supports_ (check one) 1: Concrete block. �"`❑�� 2. Other (specify) Tagalong or Expando,' show support details. 36 --- (ft.)(in.) (in.) (in.) -2- J 0 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) c-- Max. Pier Spacing (ft.)(in.) x -- Max. Overhang (ft.) l (in.) (in.) (in. 1 BUTTE COUNTY BUILDING DEPARTMEW. APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. e', , ""`_n BUTTE COUNTY'DEPARTMENT OF PUBLIC WORK 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: Frank A. Pederson 2. Installer's name: CARNEROS MOBILE TRANSPORT 3. Is the site currently under permit? Yes /XX/ No / / (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No /XX/ (If yes, furnish two (2) plot plans.) 4. Will the mobilehomt be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /XX/ No / / ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? ---------=----------- 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 200 Amps 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /XX/ (If yes, identify the load and size: (Load) -0- (Amps) 9. What is the mobilehome site gas pipe size? ----------- -- -Q- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG /XX/ 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -0- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) f ;r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT C,S9NO __? I " 7 BUILDING Owner Frank A. Pedersen SO. FT. OCC. BUILDING VALUATION Mailing Address 25069 Reeves Road Los Molinos, CA 96055 Telephone No. 916-384-2946 Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 22 Oak Hill Drive Plan Checking Fee&/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,p p Each Trap 1.50 Lot 49, Unit 2B - KELLY RIDGE ESTATES Repair drainage or vent piping 1.50 A. P. No. 34 - 70 - 41 an/ng 8 P coning Water piping 1.50 Q IDC) Each gas water heater or vent 1.50 s W Fire Dept. Fire Zone Use Ffermit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel ap 60' R/W Impro ements Each additional outlet .30 Building sewer 5.00 /0,00 Bldg. ans Recd Parce Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ .00 •$ of D ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 100 AMP OR LESS 5.00 Main service 600V OR LESS ,V� Single Family ❑ Duplex ❑ Mobil Home IN Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGSLING CCUP. 4') 2CSgft 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 le of: style NEW RESID,CONS`rBRANCOUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES 5 LW Ex. Occup. FIXED APPLNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I9.00 License No. Classification 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 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. 1 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.1 @ FEEPERMIT FILING FEE J$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 $ 00 F TOTAL PERMIT EE $ authorize representatives of the County of Butte to enter upon the above-mentioned property pection purposes. e X ate ignature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Asses r - 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 OE -PUBLIC WORKS By Date 71, Bd rlding/permit expires Date 6 LOT 49 NOTE:—ATI Mnfierials & Workmanship Shal! Be in UNIT 2B Accordance with Rec^rnized PP: ryG � /vfz5 / 7 of a quality prescribed for a Specifies! use in the i�EI>��PSF/V Uniform Building, Plumbing' a iniccal Codes and 1--f 7—AA the National Electrical Co ti O s� Ass set of plans and specitications MUST b4 ti (S� sept o at all times and it is unlawful b oSET--L�il CK - r ;Hake any c or alterations on same without X 7 1,"A _ y.ijiten permisson the Department of Publ'is SEWE2 I l� Works�Cgunty of Bu o. CL EA Al— O U7 - I - la A permit will be required for the I installation of the mobilehome. - 5'E T- ,t3fJ c� . i8 • I If�R � F�ovTy l C ' 110 utility connoctions shall be Mr1� I Pted within 4 ft. outside the rear The Bw Setback shall be 5 ft. fro th d section of the mobile home t; e side property line and 50 fro th ! ;/ the left (road) side of the mobile cenicri:ne cf the cocci, perrrji i .g ma home. r„V1„ :t a 2 11. ec- fe overhal Ui n71r � out of all easements. ,N Q I 0 I ti I Q �Q ZOO ASF'-- - _ 5 0 S.Q. h MINIM 14 ER MOBILE& V I !/E A L Ls- < -5 0 "1 L E . / 20” BUTTE COUNTY BUILDING DEPARTMENT APPROVED S- ZZ- 7-9 �� 4r� - .70 - 74 V Cf U ❑ ®K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 �,• PHONE (916) 533.6457 Nk July 9, 1979 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 79551 Dear Jim: We are pleased to submit the enclosed Report of Density Tests for: KRE Pedersen Lot 49 Unit 2B If you have any questions, please do not hesitate to contact us. Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer LH/cab Enclosures cc: Doyle Carter C []'0 K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE i OROVILLE. CALIFORNIA . 95965 PHONE (916) 533-6457 REPORT OF DENSITY TESTS PROJECT: Kelly Ridge Estates Unit 2B Lot 49 Pedersen Re: 79551 GENERAL July 9, 1979 An existing fill was tested. A field density test was taken on the surface of the fill. The maximum depth of compacted fill is about 2 feet. DESCRIPTION OF FILL The material used for the fill was imported to the site and consisted of gravelly clayey sand. The fill was reportedly compacted by track rolling. The approximate extent of the grading is shown on the attached drawing "Location of Density. Tests". TESTING A representative sample of the soil was taken to the laboratory for compaction tests. The compaction tests were performed in accordance with the laboratory standard ASTM 1557 Method C. The relative density of the fill was determined from the. compaction tests. The location of the field density tests are shown on the attached drawing. The results.of the tests are given on the table "Summary of Tests". COOK ASSOCIATES B y Lew Hiatt Civil Engineer. RPL/cab 'H '�• t L j oy - - i ` '>P.Z p 'gf j '��.IS Y tk•-h Y.. AW �x ®R Fri MAI r' w d h$o. c - _ S Y-• 4 J . �r F: ul i OA I dr $ aYf , 4✓ r Y h Al Y �� -yl NOR WIN, „ Y i. fi F cy i a� •�. K�aW .: t: NOW,)q a ~J j SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Lot 49 Unit 2B Pedersen Re: 79551 FIELD DENSITY TESTS: _. Field Test Density Percent Maximum Degree of ` No. Date Elev. pcf Moisture Density Compaction Remarks 1 7-5-79 2'Fill 126 10 133 95 COMPACTION TEST: Maximum dry density, pcf: Maximum size tested Optimum moisture, percent: VISUAL CLASSIFICATION: Soil type:' 133 3/4" 8 Gravelly. Clayey Sand LO_CAT ION, OF DENSITY TEST LOT 49 UNIT 2B 4-10 oSET- I -FA Cs — x7/FA \ \ O L/7- - 1 - 7-- LEGE H D -LEGEND 0 .2 .Loca-}lof\ Of 0 p2.ns�� Te -"A- / -/E- 7 ,42 E �S \ i 14-1/LL Z:)'T /VG� S- 22- 79 �'� '